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Sample records for viet cong infrastructure

  1. Insurgent Organization and Operations: A Case Study of the Viet Cong in the Delta, 1964-1966

    Science.gov (United States)

    1967-08-01

    power to make the decision." Bernard Fall, Le Viet- Minh, Librairie Armand Colin, Paris, 1960, p. 190. However, the primacy of the political officers...Affairs, April 1966, Fall, Bernard, Le Viet-Minh, Librairie Armand Colin, Paris, 1960. , Street Without Joy, Stockpole Company, Harrisburg, 1963

  2. Cooperation of nuclear manpower development between Viet Nam and Korea in order to enhance establishment of infrastructure in exporting nuclear technology to Viet Nam

    Energy Technology Data Exchange (ETDEWEB)

    Lee, E. J.; Han, K. W.; Park, J. K.; Kim, Y. T.; Nam, Y. M.; Jang, Y. H.; Yang, M. H

    2003-08-15

    Through this project, KAERI provided OJT Programme to 3 nuclear experts of Viet Nam at the KAERI for 3 months as a cooperation of human resource development in the field of nuclear policy, nuclear safety analysis and thermo hydraulic. We could have publicity activities of S/W and H/W then achieve an advantage position of economical and technical in exporting nuclear technology to Viet Nam. Also we have provided a training course and seminar for a high-level delegation of nuclear policy decision makers, which is consisted of 5 deputy ministers and general directors of Viet Nam in Korea. Thus we could have Vietnamese who are favoring Korea. The KAERI will also prepare a data base of trained Vietnamese in Korea for the maximum utilization of them in cooperating with Viet Nam. We accomplished the cooperation of human resource development and providing program and curriculum of the nuclear education and training in Viet Nam. Furthermore, it is expected that the enhancement of nuclear technical cooperation between Viet Nam and Korea and the nuclear human resource development.

  3. Viet Cong Recruitment: Why and How Men Join

    Science.gov (United States)

    1967-12-01

    associations (for youth, farmers, students , women, combatants’ mothers, elders, cultural groups, and others) had been uncomfortable. Said one youth: people of my... homesickness is prominent among reasons for de- sertion. -125- life is exposed and condemned. Certainly, there are strong indications that distress over the...motor-scooter accident. (He quickly became disillusioned and defected after only a few months.) (7) A girl recalled that she had been deeply depressed

  4. Socioeconomic Renovation in Viet Nam

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

    Moreover, about 3 to 4 million people have moved from the deltas to the mountain provinces to set up new economic zones. ... In 1993, Viet Nam had 7.3 million hectares of agricultural land, of which the northern mountains and midland area accounted for 1 293 000 hectares, the Red ...... The Journal of Developing Areas.

  5. INFRASTRUCTURE

    CERN Multimedia

    A.Gaddi

    2011-01-01

    Between the end of March to June 2011, there has been no detector downtime during proton fills due to CMS Infrastructures failures. This exceptional performance is a clear sign of the high quality work done by the CMS Infrastructures unit and its supporting teams. Powering infrastructure At the end of March, the EN/EL group observed a problem with the CMS 48 V system. The problem was a lack of isolation between the negative (return) terminal and earth. Although at that moment we were not seeing any loss of functionality, in the long term it would have led to severe disruption to the CMS power system. The 48 V system is critical to the operation of CMS: in addition to feeding the anti-panic lights, essential for the safety of the underground areas, it powers all the PLCs (Twidos) that control AC power to the racks and front-end electronics of CMS. A failure of the 48 V system would bring down the whole detector and lead to evacuation of the cavern. EN/EL technicians have made an accurate search of the fault, ...

  6. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi and P. Tropea

    2012-01-01

    The CMS Infrastructures teams are preparing for the LS1 activities. A long list of maintenance, consolidation and upgrade projects for CMS Infrastructures is on the table and is being discussed among Technical Coordination and sub-detector representatives. Apart from the activities concerning the cooling infrastructures (see below), two main projects have started: the refurbishment of the SX5 building, from storage area to RP storage and Muon stations laboratory; and the procurement of a new dry-gas (nitrogen and dry air) plant for inner detector flushing. We briefly present here the work done on the first item, leaving the second one for the next CMS Bulletin issue. The SX5 building is entering its third era, from main assembly building for CMS from 2000 to 2007, to storage building from 2008 to 2012, to RP storage and Muon laboratory during LS1 and beyond. A wall of concrete blocks has been erected to limit the RP zone, while the rest of the surface has been split between the ME1/1 and the CSC/DT laborat...

  7. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi and P. Tropea

    2011-01-01

    Most of the work relating to Infrastructure has been concentrated in the new CSC and RPC manufactory at building 904, on the Prevessin site. Brand new gas distribution, powering and HVAC infrastructures are being deployed and the production of the first CSC chambers has started. Other activities at the CMS site concern the installation of a new small crane bridge in the Cooling technical room in USC55, in order to facilitate the intervention of the maintenance team in case of major failures of the chilled water pumping units. The laser barrack in USC55 has been also the object of a study, requested by the ECAL community, for the new laser system that shall be delivered in few months. In addition, ordinary maintenance works have been performed during the short machine stops on all the main infrastructures at Point 5 and in preparation to the Year-End Technical Stop (YETS), when most of the systems will be carefully inspected in order to ensure a smooth running through the crucial year 2012. After the incide...

  8. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi

    2012-01-01

    The CMS Infrastructures teams are constantly ensuring the smooth operation of the different services during this critical period when the detector is taking data at full speed. A single failure would spoil hours of high luminosity beam and everything is put in place to avoid such an eventuality. In the meantime however, the fast approaching LS1 requires that we take a look at the various activities to take place from the end of the year onwards. The list of infrastructures consolidation and upgrade tasks is already long and will touch all the services (cooling, gas, inertion, powering, etc.). The definitive list will be available just before the LS1 start. One activity performed by the CMS cooling team that is worth mentioning is the maintenance of the cooling circuits at the CMS Electronics Integration Centre (EIC) at building 904. The old chiller has been replaced by a three-units cooling plant that also serves the HVAC system for the new CSC and RPC factories. The commissioning of this new plant has tak...

  9. INFRASTRUCTURE

    CERN Multimedia

    Andrea Gaddi

    2010-01-01

    In addition to the intense campaign of replacement of the leaky bushing on the Endcap circuits, other important activities have also been completed, with the aim of enhancing the overall reliability of the cooling infrastructures at CMS. Remaining with the Endcap circuit, the regulating valve that supplies cold water to the primary side of the circuit heat-exchanger, is not well adapted in flow capability and a new part has been ordered, to be installed during a stop of LHC. The instrumentation monitoring of the refilling rate of the circuits has been enhanced and we can now detect leaks as small as 0.5 cc/sec, on circuits that have nominal flow rates of some 20 litres/sec. Another activity starting now that the technical stop is over is the collection of spare parts that are difficult to find on the market. These will be stored at P5 with the aim of reducing down-time in case of component failure. Concerning the ventilation infrastructures, it has been noticed that in winter time the relative humidity leve...

  10. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi and P. Tropea

    2013-01-01

      Most of the CMS infrastructures at P5 will go through a heavy consolidation-work period during LS1. All systems, from the cryogenic plant of the superconducting magnet to the rack powering in the USC55 counting rooms, from the cooling circuits to the gas distribution, will undergo consolidation work. As announced in the last issue of the CMS Bulletin, we present here one of the consolidation projects of LS1: the installation of a new dry-gas plant for inner detectors inertion. So far the oxygen and humidity suppression inside the CMS Tracker and Pixel volumes were assured by flushing dry nitrogen gas evaporated from a large liquid nitrogen tank. For technical reasons, the maximum flow is limited to less than 100 m3/h and the cost of refilling the tank every two weeks with liquid nitrogen is quite substantial. The new dry-gas plant will supply up to 400 m3/h of dry nitrogen (or the same flow of dry air, during shut-downs) with a comparatively minimal operation cost. It has been evaluated that the...

  11. INFRASTRUCTURE

    CERN Document Server

    Andrea Gaddi

    2010-01-01

    During the last six months, the main activity on the cooling circuit has essentially been preventive maintenance. At each short machine technical stop, a water sample is extracted out of every cooling circuit to measure the induced radioactivity. Soon after, a visual check of the whole detector cooling network is done, looking for water leaks in sensitive locations. Depending on sub-system availability, the main water filters are replaced; the old ones are inspected and sent to the CERN metallurgical lab in case of suspicious sediments. For the coming winter technical stop, a number of corrective maintenance activities and infrastructure consolidation work-packages are foreseen. A few faulty valves, found on the muon system cooling circuit, will be replaced; the cooling gauges for TOTEM and CASTOR, in the CMS Forward region, will be either changed or shielded against the magnetic stray field. The demineralizer cartridges will be replaced as well. New instrumentation will also be installed in the SCX5 PC farm ...

  12. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi

    The long winter shut-down allows for modifications that will improve the reliability of the detector infrastructures at P5. The annual maintenance of detector services is taking place as well. This means a full stop of water-cooling circuits from November 24th with a gradual restart from mid January 09. The annual maintenance service includes the cleaning of the two SF5 cooling towers, service of the chiller plants on the surface, and the cryogenic plant serving the CMS Magnet. In addition, the overall site power is reduced from 8MW to 2MW, compatible with the switchover to the Swiss power network in winter. Full power will be available again from end of January. Among the modification works planned, the Low Voltage cabinets are being refurbished; doubling the cable sections and replacing the 40A circuit breakers with 60A types. This will reduce the overheating that has been experienced. Moreover, two new LV transformers will be bought and pre-cabled in order to assure a quick swap in case of failure of any...

  13. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi

    2011-01-01

    During the last winter technical stop, a number of corrective maintenance activities and infrastructure consolidation work-packages were completed. On the surface, the site cooling facility has passed the annual maintenance process that includes the cleaning of the two evaporative cooling towers, the maintenance of the chiller units and the safety checks on the software controls. In parallel, CMS teams, reinforced by PH-DT group personnel, have worked to shield the cooling gauges for TOTEM and CASTOR against the magnetic stray field in the CMS Forward region, to add labels to almost all the valves underground and to clean all the filters in UXC55, USC55 and SCX5. Following the insertion of TOTEM T1 detector, the cooling circuit has been branched off and commissioned. The demineraliser cartridges have been replaced as well, as they were shown to be almost saturated. New instrumentation has been installed in the SCX5 PC farm cooling and ventilation network, in order to monitor the performance of the HVAC system...

  14. INFRASTRUCTURE

    CERN Multimedia

    Andrea Gaddi.

    The various water-cooling circuits ran smoothly over the summer. The overall performance of the cooling system is satisfactory, even if some improvements are possible, concerning the endcap water-cooling and the C6F14 circuits. In particular for the endcap cooling circuit, we aim to lower the water temperature, to provide more margin for RPC detectors. An expert-on-call piquet has been established during the summer global run, assuring the continuous supervision of the installations. An effort has been made to collect and harmonize the existing documentation on the cooling infrastructures at P5. The last six months have seen minor modifications to the electrical power network at P5. Among these, the racks in USC55 for the Tracker and Sniffer systems, which are backed up by the diesel generator in case of power outage, have been equipped with new control boxes to allow a remote restart. Other interventions have concerned the supply of assured power to those installations that are essential for CMS to run eff...

  15. INFRASTRUCTURE

    CERN Multimedia

    Andrea Gaddi

    With all the technical services running, the attention has moved toward the next shutdown that will be spent to perform those modifications needed to enhance the reliability of CMS Infrastructures. Just to give an example for the cooling circuit, a set of re-circulating bypasses will be installed into the TS/CV area to limit the pressure surge when a circuit is partially shut-off. This problem has affected especially the Endcap Muon cooling circuit in the past. Also the ventilation of the UXC55 has to be revisited, allowing the automatic switching to full extraction in case of magnet quench. (Normally 90% of the cavern air is re-circulated by the ventilation system.) Minor modifications will concern the gas distribution, while the DSS action-matrix has to be refined according to the experience gained with operating the detector for a while. On the powering side, some LV power lines have been doubled and the final schematics of the UPS coverage for the counting rooms have been released. The most relevant inte...

  16. Deforestation in Viet Nam | IDRC - International Development ...

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

    Deforestation in Viet Nam reports on a innovative and timely study by a team of Vietnamese and Canadian researchers. It presents a labourious historical analysis of the smallest changes affecting soil use, forest cover, population, and political and socioeconomic characteristics. The book concludes with suggestions for ...

  17. Governance and Management of Common Pool Resources in Viet ...

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

    Governance and Management of Common Pool Resources in Viet Nam. This grant will allow Hue University of Agriculture and Forestry to examine issues related to common pool resource management and poverty in the context of decentralization in central Viet Nam. The project will take place on two sites. Tam Giang ...

  18. Governance and Management of Common Pool Resources in Viet ...

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

    Governance and Management of Common Pool Resources in Viet Nam. This grant will allow Hue University of Agriculture and Forestry to examine issues related to common pool resource management and poverty in the context of decentralization in central Viet Nam. ... Les chaînes de valeur comme leviers stratégiques.

  19. Socioeconomic Renovation in Viet Nam: The Origin, Evolution, and ...

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

    The country now welcomes foreign trade, investment, tourists, business people, students, and scholars. ... Socioeconomic Renovation in Viet Nam illuminates the key questions and issues that policy advisers and decision-makers must wrestle with to ensure Viet Nam's successful emergence into the global family of nations.

  20. Toxoplasmosis congénita

    OpenAIRE

    Beltrán-Flores, Santiago; Flores-Arriaga, Joel; Lema-Correa, Mauricio

    2014-01-01

    Introducción: La toxoplasmosis causada por el Toxoplasma gondii se transmite a los humanos de manera transplacentaria, entre otras. Se estima que infecta a un tercio de la población mundial y está asociado con infección congénita y abortos. Solo son sintomáticos del 10 al 20% de los casos. Caso clínico: Se presenta el caso de un recién nacido pretérmino referido a un hospital de mayor complejidad. Durante la hospitalización se realiza el diagnóstico de toxoplasmosis congénita con diversas ...

  1. Toxoplasmosis congénita

    Directory of Open Access Journals (Sweden)

    Santiago Beltrán-Flores

    2014-11-01

    Conclusiones: La mayor parte de los casos de toxoplasmosis congénita suelen ser asintomáticos. Es necesario realizar pruebas diagnósticas y un examen físico completo ante la sospecha de la infección para detectar tempranamente todas las manifestaciones posibles.

  2. Hipotiroidismo congénito

    OpenAIRE

    Castilla Peón, María Fernanda

    2015-01-01

    El hipotiroidismo congénito (HC) es una causa prevenible de retraso mental, por lo que es de suma importancia que el diagnóstico y tratamiento oportunos sean realizados por el médico de primer contacto. El tamizaje para HC se debe realizar entre el segundo y quinto días de vida, con sangre capilar mediante la punción del talón. Debe confirmarse mediante el perfil tiroideo en sangre venosa. La etiología más frecuente es la disgenesia tiroidea, la cual se identifica con gamagrafía tiroidea a...

  3. 31 CFR 500.560 - Bank accounts of official representatives of foreign governments in North Korea, North Viet-Nam...

    Science.gov (United States)

    2010-07-01

    ... representatives of foreign governments in North Korea, North Viet-Nam, Cambodia, or South Viet-Nam. 500.560... governments in North Korea, North Viet-Nam, Cambodia, or South Viet-Nam. Specific licenses are issued authorizing payments from accounts of official representatives of foreign governments in North Korea, North...

  4. Growth, Structural Transformation and Rural Change in Viet Nam

    DEFF Research Database (Denmark)

    Many developing countries—Viet Nam included—continue to struggle to raise incomes per capita. A common feature of the growth and development process is a fundamental change in the pattern of economic activity, as households reallocate labour from traditional agriculture to more productive forms...... regions of Viet Nam. The VARHS covering these very same households had, by 2014, been carried out five times, that is, every two years. It is on this high-quality panel data foundation and almost fifteen years of study and policy work using the VARHS data that the present volume builds, in its effort...... of agriculture and modern industrial and service sectors. Broad structural transformation and widespread poverty reduction is the combined result of these large-scale shifts in work and labour allocation when they realize desired development goals. The roots of this book grow from when the first pilot Viet Nam...

  5. National survey of tuberculosis prevalence in Viet Nam

    NARCIS (Netherlands)

    Hoa, Nguyen Binh; Sy, Dinh Ngoc; Nhung, Nguyen Viet; Tiemersma, Edine W.; Borgdorff, Martien W.; Cobelens, Frank G. J.

    2010-01-01

    OBJECTIVE: To estimate the prevalence of tuberculosis in Viet Nam with data from a population-based survey, compare it with the prevalence estimated by the World Health Organization, and identify major demographic determinants of tuberculosis prevalence. METHODS: A cross-sectional survey with

  6. Viet Nam Economic Research Network (VERN) - Phase II | IDRC ...

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

    VERN I (101273) constituted the first network for young economic researchers in Viet Nam, where previously there had been no modality for cooperation or peer review. Guided by the philosophy of "understanding and managing globalization" that underpinned the earlier project, VERN II proposes to expand the network, ...

  7. Viet Nam Economic Research Network (VERN) - Phase II | CRDI ...

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

    VERN I (101273) constituted the first network for young economic researchers in Viet Nam, where previously there had been no modality for cooperation or peer review. Guided by the philosophy of "understanding and managing globalization" that underpinned the earlier project, VERN II proposes to expand the network, ...

  8. All projects related to Viet Nam | IDRC - International Development ...

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

    Low-income economies depend greatly on agriculture, and growth in this sector delivers more poverty reduction than any other sectors. Region: Cambodia, Laos ... Region: Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, South East Asia, Thailand, Timor-Leste, Viet Nam. Program: Employment and ...

  9. Socioeconomic Renovation in Viet Nam : The Origin, Evolution, and ...

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

    Socioeconomic Renovation in Viet Nam : The Origin, Evolution, and Impact of Doi Moi ... Il intéressera aussi les professionnels du développement, les étudiants et les chercheurs en études asiatiques, en sciences économiques et en développement rural, ainsi que les entreprises qui envisagent d'investir au Vietnam.

  10. Deforestation in Viet Nam | CRDI - Centre de recherches pour le ...

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

    Deforestation in Viet Nam reports on a innovative and timely study by a team of Vietnamese and Canadian researchers. It presents a labourious historical analysis of the smallest changes affecting soil use, forest cover, population, and political and socioeconomic characteristics. The book concludes with suggestions for ...

  11. Recent increase in sex ratio at birth in Viet Nam.

    Directory of Open Access Journals (Sweden)

    Christophe Z Guilmoto

    Full Text Available INTRODUCTION: Since the 1980s, sex ratio at birth (male births per 100 female births has increased in many Asian countries as a result of selective abortions, but to date there has been no such evidence for Viet Nam. Our aim in this paper is to ascertain the situation with respect to sex ratio at birth in Viet Nam over the past five years. MATERIALS AND METHODS: Original data were obtained from sample population surveys in Viet Nam recording annual birth rates since 2000 of about 450,000 women, as well as from two successive birth surveys conducted for the first time in 2007 (1.1 million births. The annual population surveys include specific information on birth history and mothers' characteristics to be used for the analysis of trends and differentials in sex ratio at birth. RESULTS AND DISCUSSION: Birth history statistics indicate that the SRB in Viet Nam has recorded a steady growth since 2001. Starting from a level probably close to the biological standard of 105, the SRB reached 108 in 2005 and 112 in 2006, a value significantly above the normal level. An independent confirmation of these results comes from the surveys of births in health facilities which yielded a SRB of 110 in 2006-07. High SRB is linked to various factors such as access to modern health care, number of prenatal visits, level of higher education and employment status, young age, province of residence and prenatal sex determination. These results suggest that prenatal sex determination followed by selective abortion has recently become more common in Viet Nam. This recent trend is a consequence of various factors such as preference for sons, declining fertility, easy access to abortion, economic development as well as the increased availability of ultrasonography facilities.

  12. Socialist Republic of Viet Nam [Population education in the countries of the region].

    Science.gov (United States)

    Le-nang-an

    1982-06-01

    The government of the Socialist Republic of Viet Nam has recognized the importance of and the need for population education. This is a totally new area in Viet Nam, although in some isolated instances it has been included in subjects in the school curriculum. There are adequate infrastructural facilities from the national to the village level for all categories of general education, vocational education, and complementary education as well as for preservice and inservice training for educational personnel. In June 1981 the UN Fund for Population Activities Needs Assessment Mission made the following recommendations for the effective implementation of a population education program: a National Committee on Population Education should be established with the Minister or Vice Minister of Education as the chairperson; a separate Department or Unit of Population Education, with full time personnel, should be created in the Ministry of Education and should be responsible for project implementation; population education should be integrated with relevant subjects in general education, complementary education, and vocational education; external assistance should be provided for the development and production of different instructional materials in population education; population education should be integrated in the preserve training of primary, junior, and senior secondary teachers; population education should be developed as an area of specialization at the post university level in Teacher Training University No. 1 at Hanoi; the launching of the population education project should be preceded by training of high level officials from the Ministry of Education and the training of key personnel at the national and provincial levels through a national training course of about 10 days; selected project personnel and teacher educators should be given specialized training in population education; all the inspectors, administrators, and heads of primary, junior, senior, and

  13. A Systems Analysis View of the Vietnam War 1965 - 1972. Volume 3. Viet Cong - North Vietnamese Operations

    Science.gov (United States)

    1975-02-18

    5 (footnote s/)-* e/ OASD(S/) Statistical Tabla , 4B, and CO(C) tatisticil. SMary, Table 50. Table 3 indicates that eney actions against Rehear Forces...Corps 278 lI 29 195 223 n1 Corps 197 191 1.62 1-3 60 III Corpq 37• 91 152 118. IV Corps i1426 390 159 278 114’. Total 3d8! :005 1%1 733 3 *As Tabla ...than the murder rates of the three worst US cities (28 per 100,000, compared to rates of 18.6 in Charlotte , N.C., and 18.1 for Columbia, S.C., t, and

  14. Phylogeography of recently emerged DENV-2 in southern Viet Nam.

    Directory of Open Access Journals (Sweden)

    Maia A Rabaa

    2010-07-01

    Full Text Available Revealing the dispersal of dengue viruses (DENV in time and space is central to understanding their epidemiology. However, the processes that shape DENV transmission patterns at the scale of local populations are not well understood, particularly the impact of such factors as human population movement and urbanization. Herein, we investigated trends in the spatial dynamics of DENV-2 transmission in the highly endemic setting of southern Viet Nam. Through a phylogeographic analysis of 168 full-length DENV-2 genome sequences obtained from hospitalized dengue cases from 10 provinces in southern Viet Nam, we reveal substantial genetic diversity in both urban and rural areas, with multiple lineages identified in individual provinces within a single season, and indicative of frequent viral migration among communities. Focusing on the recently introduced Asian I genotype, we observed particularly high rates of viral exchange between adjacent geographic areas, and between Ho Chi Minh City, the primary urban center of this region, and populations across southern Viet Nam. Within Ho Chi Minh City, patterns of DENV movement appear consistent with a gravity model of virus dispersal, with viruses traveling across a gradient of population density. Overall, our analysis suggests that Ho Chi Minh City may act as a source population for the dispersal of DENV across southern Viet Nam, and provides further evidence that urban areas of Southeast Asia play a primary role in DENV transmission. However, these data also indicate that more rural areas are also capable of maintaining virus populations and hence fueling DENV evolution over multiple seasons.

  15. Measuring compliance with Viet Nam's mandatory motorcycle helmet legislation.

    Science.gov (United States)

    Nguyen, Ha Trong; Passmore, Jonathon; Cuong, Pham Viet; Nguyen, Nam Phuong

    2013-01-01

    The objective of this roadside observational study was to monitor helmet wearing among motorcycle riders and passengers in three provinces (Yen Bai, Da Nang and Binh Duong) in the Socialist Republic of Viet Nam, before and after a mandatory helmet law took effect on 15 December 2007. A total of 665,428 motorcycle riders and passengers were observed between November 2007 and February 2011 at 45 randomly selected sites covering the entire road network. Across all locations and time periods, correct helmet wearing averaged 40.1% before the law and 92.5% after; however, there were significant differences between time points and locations. The Viet Nam Government's decision to require all motorcycle riders and passengers to wear helmets has been thoroughly implemented nation wide and the results show that high wearing has been sustained. Further study is required on how high helmet wearing has and will translate into a reduction in motorcycle head injuries; however, Viet Nam's motorcycle helmet legislation should be seen as an important policy example for other low- and middle-income countries with a high utilization of motorcycles for personal transport.

  16. Leucemia congénita aguda

    Directory of Open Access Journals (Sweden)

    Nilvia Esther González García

    2011-06-01

    Full Text Available La leucemia aguda durante el período neonatal es poco frecuente de evolución rápida y pronóstico sombrío. Sus características clínicas y biológicas difieren de las encontradas en niños de mayor edad, y su inicio se caracteriza por afectación cutánea, hepatoesplenomegalia, hiperleucocitosis e infiltración del sistema nervioso central. Se han observado pacientes con formas tanto mieloides como linfoides, pero la leucemia mieloide aguda parece predominar en esta etapa de la vida. Se presenta el caso de un paciente con leucemia congénita clasificada morfológicamente, con aparición de manifestaciones clínicas de enfermedad hematológica desde el nacimiento y diagnóstico de leucemia linfoblástica aguda congénita.

  17. Role of alcohol in hospitalized road trauma in Viet nam.

    Science.gov (United States)

    Nguyen, Nam Phuong; Passmore, Jonathon; Tran, Lan Thi Ngoc; Luong, Anh Mai

    2013-01-01

    To assess the blood alcohol concentration (BAC; dependent variable) of patients with road traffic injuries (RTIs) presenting at 3 provincial and central hospitals in the Socialist Republic of Viet Nam by age, sex, and road user type (independent variables). This survey formed part of the Viet Nam Road Traffic Injury Prevention Project, funded by Bloomberg Philanthropies. RTIs are a leading cause of death and disability in Viet Nam, with 14,690 deaths and 143,940 injuries reported by the Ministry of Health (MOH) in 2010. Research estimates suggest that motorcycle riders and passengers account for 60 percent of fatalities. Alcohol has long been suspected of being a leading cause of road traffic collisions and injuries. However, until now data on this relationship have been limited. A descriptive cross-sectional study measuring BAC in all consenting patients with RTIs presenting at 3 provincial or central hospitals between July 2009 and September 2010. All results were anonymous and summary information on key variables was sent to MOH and the World Health Organization (WHO) on a monthly basis. Of the 36,418 patients with RTIs presenting to these 3 hospitals between July 2009 and September 2010, BAC analysis was completed on 14,990 patients (41.2%), representing all patients with RTIs 15 years of age and above who consented to anonymous testing. BAC results ranged from 0 to 0.589 g/dL blood, with a mean of 0.0441 g/dL being the average concentration among all tested patients. Of all patients tested, 56.8 percent had no detectable alcohol in their system. Motorcycle riders were most commonly represented in the tested sample (70.7%), with 27.8 percent having a BAC above the legal limit (0.05 g/dL). Car or other vehicle drivers represented 2.7 percent of the sample, with 63.4 percent tested having a BAC above 0 g/dL, the legal limit for these road users. The results of this preliminary study indicate that 29.1 percent of all car drivers and motorcycle riders presenting at

  18. Las cardiopatías congénitas

    OpenAIRE

    Gutiérrez Gil, Jaiber Alberto

    2015-01-01

    Grandes avances en el diagnóstico y tratamiento de las cardiopatías congénitas han contribuido a que la mortalidad de los niños afectados por ellas se haya reducido considerablemente. La Fundación Valle del Lili es la institución con mayor experiencia en el sur occidente colombiano en la evaluación y manejo de las cardiopatías congénitas, y desde su origen hasta hoy ha sido pionera en el diagnóstico, tratamiento y seguimiento de los pacientes con cardiopatías congénita...

  19. Malformaciones Congénitas Músculo Esqueléticas

    OpenAIRE

    Ugarte Velarde, Pablo

    2010-01-01

    La mayoría de las malformaciones congénitas, son de causa desconocida, y muchas veces se asocian a otras malformaciones orgánicas como malformaciones cardiacas, de vías urinarias o sistema digestivo. Por eso es de suma importancia valorar al paciente en forma integral. Las malformaciones congénitas se presentan en 6 % de los nacidos vivos, y de ellas 1% son múltiples.Las anomalías congénitas se pueden clasificar como; malformativas que es la formación anómala del tejido fetal Deformación que ...

  20. Pie plano valgo congénito

    OpenAIRE

    Albiol Ferrer, Josep Maria; Giralt de Veciana, Enrique; Marugán de los Bueis, Montse; Novel Martí, Virginia; Ogalla, José Manuel; Zalacain, Antonio

    1990-01-01

    Se trata de una malformación poco habitual (1 de cada 3.000 recién nacidos) cuyo signo patognomónica es la inversión en balancín de la bóveda plantar originada por la luxación congénita de la articulación astrágaloescafoidea. Clínicamente se caracteriza por presentar una fuerte convexidad en la cara plantar (pie en secafirmas), una discreta concavidad dorsal, el talón muy pronado, el calcáneo desviado hacia afuera y el ante pie en marcada abducción, con lo cual el eje anatómico antero-posteri...

  1. Characterisation of Mycobacterium tuberculosis isolates lacking IS6110 in Viet Nam.

    Science.gov (United States)

    Huyen, M N T; Tiemersma, E W; Kremer, K; de Haas, P; Lan, N T N; Buu, T N; Sola, C; Cobelens, F G J; van Soolingen, D

    2013-11-01

    The molecular diagnosis of tuberculosis (TB) in Viet Nam is often based on the detection of insertion sequence (IS) 6110 in Mycobacterium tuberculosis. However, 8-11% of M. tuberculosis strains in South-East Asia do not contain this target and this undermines the validity of these molecular tests. We quantified the frequency of M. tuberculosis strains lacking IS6110 in rural Viet Nam and studied their epidemiological and clinical characteristics. Consecutively diagnosed adult TB patients in rural Southern Viet Nam submitted two sputum samples for culture, IS6110 restriction fragment length polymorphism (RFLP) spoligotyping and 15-loci variable number tandem repeat typing. Polymerase chain reaction (PCR) was performed to confirm the absence of IS6110 elements in strains lacking IS6110 hybridisation in RFLP. Among 2664 TB patient isolates examined, 109 (4.1%) had no IS6110 element. Compared to other strains, these no-copy strains were less often resistant to anti-tuberculosis drugs, particularly to streptomycin (adjusted OR 0.2, 95%CI 0.1-0.5), and showed significant geographic variation. No associations with TB history or demographic factors were found. Strains without the IS6110 target pose a problem in Viet Nam as regards false-negative molecular TB diagnosis in PCR. Compared to other strains circulating in Viet Nam, no-copy strains are more susceptible to anti-tuberculosis drugs.

  2. Costs of providing tuberculosis diagnosis and treatment services in Viet Nam.

    Science.gov (United States)

    Minh, H V; Mai, V Q; Nhung, N V; Hoi, L V; Giang, K B; Chung, L H; Kien, V D; Duyen, N T; Ngoc, N B; Anh, T T; Phuong, T B; Ngan, T T; Khanh, P H

    2017-09-01

    To estimate the cost of providing tuberculosis (TB) diagnosis and treatment packages at different levels of health facilities in Viet Nam. This was a retrospective costing study from the providers' perspective using a standard costing approach. We included typical services for TB diagnosis and treatment based on standard protocols. The least expensive TB service was the 6-month isoniazid preventive therapy regimen for latent tuberculous infection provided by district health centres (US$7.20-14.30, accounting for 0.3-0.7% of Viet Nam's per capita gross domestic product [GDP] of US$2052.30 in 2014). The cost of diagnosing and treating a patient with drug-susceptible TB (the most common type of TB) ranged between US$51.20 and US$180.70, and represented 2.5-8.8% of Viet Nam's per capita GDP in 2014. The most expensive TB service was the diagnosis and treatment of a multidrug-resistant TB case (US$1568.20-2391.20), accounting for 76.4-116.5% of Viet Nam's per capita GDP in 2014). The cost of TB diagnosis and treatment services in Viet Nam varied according to level of health facility, type of TB, different costing options, and different staff cost scenarios.

  3. La tibia y sus deformidades congénitas

    Directory of Open Access Journals (Sweden)

    Valentín Malagón Castro

    1955-06-01

    Full Text Available El presente estudio sobre la Tibia y sus anomalías congénitas lo hemos dividido en 2 grandes capítulos. En el primero bosquejamos sintéticamente los caracteres anatómicos y radiológicos del hueso tibial sano. En el segundo, pasamos revista a las deformidades congénitas de la Tibia: Ausencia, Amputaciones, Incurvaciones, Pseudoartrosis, etc.

  4. Disease spectrum and management of children admitted with acute respiratory infection in Viet Nam.

    Science.gov (United States)

    Nguyen, T K P; Nguyen, D V; Truong, T N H; Tran, M D; Graham, S M; Marais, B J

    2017-06-01

    To assess the acute respiratory infection (ARI) disease spectrum, duration of hospitalisation and outcome in children hospitalised with an ARI in Viet Nam. We conducted a retrospective descriptive study of ARI admissions to primary (Hoa Vang District Hospital), secondary (Da Nang Hospital for Women and Children) and tertiary (National Hospital of Paediatrics in Ha Noi) level hospitals in Viet Nam over 12 months (01/09/2015 to 31/08/2016). Acute respiratory infections accounted for 27.9% (37 436/134 061) of all paediatric admissions; nearly half (47.6%) of all children admitted to Hoa Vang District Hospital. Most (64.6%) of children hospitalised with an ARI were Acute respiratory infection is a major cause of paediatric hospitalisation in Viet Nam, characterised by prolonged hospitalisation for relatively mild disease. There is huge potential to reduce unnecessary hospital admission and cost. © 2017 John Wiley & Sons Ltd.

  5. Green Infrastructure

    Science.gov (United States)

    To promote the benefits of green infrastructure, help communities overcome barriers to using GI, and encourage the use of GI to create sustainable and resilient water infrastructure that improves water quality and supports and revitalizes communities.

  6. Hemi-hipertrofia corporal congênita

    Directory of Open Access Journals (Sweden)

    Antonio B. Lefèvre

    1947-12-01

    Full Text Available O A. apresenta um caso de hemi-hipertrofia corporal congênita, que é o primeiro da literatura médica brasileira. Coloca-se entre os que atribuem estas distrofias a distúrbios do funcionamento normal do sistema nervoso vegetativo. O paciente foi estudado sob o ponto de vista do desenvolvimento psicomotor, tendo sido submetido ao diagnóstico de desenvolvimento segundo a técnica de Gesell e Amatruda. Foi constatado que o paciente apresenta um grau de desenvolvimento que se enquadra dentro da normalidade, sendo notável mesmo o fato que o seu quociente motor pode ser considerado como superior aos padrões estabelecidos para as crianças normais. Acentua ainda o A. a necessidade de, em casos semelhantes, proceder-se à determinação exata dos níveis de desenvolvimento psicomotor, que é o único elemento para o estabelecimento de um prognóstico feito com bases objetivas.

  7. Viet Nam : tous les projets | CRDI - Centre de recherches pour le ...

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

    En Asie, les ateliers de confection constituent un secteur d'emplois dominant, néanmoins les conditions dans ces lieux de travail sont parmi les plus rudes dans la région. Région: Cambodia, Indonesia, Myanmar, Viet Nam. Programme: Employment and Growth. Financement total : CA$ 866,100.00. Meilleures perspectives ...

  8. Health Costs Attributable to Smoking in Viet Nam | CRDI - Centre de ...

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

    Health Costs Attributable to Smoking in Viet Nam. The burden of disease caused by smoking, and the medical and social costs associated with it, are not well quantified in low- and middle income countries. This is largely due to ... Tabagisme, tabagisme passif, maladies chroniques et pauvreté en Chine. La mondialisation ...

  9. Characterisation of Mycobacterium tuberculosis isolates lacking IS6110 in Viet Nam

    NARCIS (Netherlands)

    Huyen, M. N. T.; Tiemersma, E. W.; Kremer, K.; de Haas, P.; Lan, N. T. N.; Buu, T. N.; Sola, C.; Cobelens, F. G. J.; van Soolingen, D.

    2013-01-01

    The molecular diagnosis of tuberculosis (TB) in Viet Nam is often based on the detection of insertion sequence (IS) 6110 in Mycobacterium tuberculosis. However, 8-11% of M. tuberculosis strains in South-East Asia do not contain this target and this undermines the validity of these molecular tests.

  10. Characterisation of Mycobacterium tuberculosis isolates lacking IS6110 in Viet Nam.

    NARCIS (Netherlands)

    Huyen, M.N.; Tiemersma, E.W.; Kremer, K.; Haas, P. de; Lan, N.T.; Buu, T.N.; Sola, C.; Cobelens, F.G.; Soolingen, D. van

    2013-01-01

    SETTING: The molecular diagnosis of tuberculosis (TB) in Viet Nam is often based on the detection of insertion sequence (IS) 6110 in Mycobacterium tuberculosis. However, 8-11% of M. tuberculosis strains in South-East Asia do not contain this target and this undermines the validity of these molecular

  11. Tax Rates Effects on the Risk Level of Listed Viet Nam Wholesale ...

    African Journals Online (AJOL)

    The emerging stock market in Viet Nam has been developed since 2006 and was affected by the financial crisis 2007-2009. This study analyzes the impacts of tax policy on market risk for the listed firms in the wholesale and retail industry as it becomes necessary. First, by using quantitative and analytical methods to ...

  12. Cooperative learning vs confucian heritage culture's collectivism. The analysis in Viet Nam

    NARCIS (Netherlands)

    Nguyen, Phuong-Mai; Terlouw, C.; Pilot, A.

    2005-01-01

    Confucian Heritage Cultures (CHC) such as Viet Nam, China, Korea, Japan, Hong Kong and Singapore are proven to share characteristics of Collectivist society. Researchers agree that this collectivist mentality supports cooperation, that CHC’s learners/workers best perform in groups. Not satisfied

  13. Habitat et environnement urbain au Viet-Nam: Hanoi et Hô Chi Minh ...

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

    The editor. René Parenteau is a professor of urban planning at the Université de Montréal specializing in urban settlements (housing and environment). René has focused on the conditions prevailing in West Africa and South-East Asia's urban squatter areas since 1980. He has been working in Viet Nam since 1989.

  14. Viet Nam at the Crossroads: The Role of Science and Technology ...

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

    1999-01-01

    ... Nam at the Crossroads: The Role of Science and Technology. Book cover Viet Nam at the Crossroads: The Role of Science and Technology. Author(s):. K. Bezanson, J. Annerstedt, K. Chung, D. Hopper, G. Oldham, and F. Sagasti. Publisher(s):. IDRC. January 1, 1999. ISBN: Out of print. 160 pages. e-ISBN: 1552502848.

  15. Tax Rates Effects on the Risk Level of Listed Viet Nam Wholesale ...

    African Journals Online (AJOL)

    user

    Abstract. The emerging stock market in Viet Nam has been developed since 2006 and was affected by the financial crisis 2007-2009. This study analyzes the impacts of tax policy on market risk for the listed firms in the wholesale and retail industry as it becomes necessary. First, by using quantitative and analytical methods ...

  16. Time to unsuccessful tuberculosis treatment outcome, Cambodia, China, and Viet Nam

    DEFF Research Database (Denmark)

    Hoa, N B; Sokun, C; Wei, C

    2012-01-01

    OBJECTIVE: To determine the frequency and characteristics of patients with unsuccessful tuberculosis (TB) treatment. METHODS: Random selection of TB case registers among all treatment units in Cambodia, two provinces in China, and Viet Nam. The data of two calendar years were analyzed to assess u...

  17. Paralisia facial periférica congênita familiar

    Directory of Open Access Journals (Sweden)

    Ehrenfried O. Wittig

    1968-03-01

    Full Text Available Os autores referem 6 casos de paralisia facial periférica congênita que se sucederam em três gerações. O estudo genético sugere a atuação de um gen autosômico dominante. Na mesma família foram assinalados outras alterações congênitas (estrabismo, nistagmo. Um dos pacientes com paralisia facial (caso II-7 também apresentava micrognatia. Os pacientes com outras alterações congênitas não foram examinados adequadamente, não sendo possível, por isso, estbelecer relação etiológica entre esses achados e a paralisia facial.

  18. Characteristics of tuberculosis patients at intake in Cambodia, two provinces in China, and Viet Nam

    Directory of Open Access Journals (Sweden)

    Lauritsen Jens M

    2011-05-01

    Full Text Available Abstract Background The tuberculosis register is a critical data source for the information system of national tuberculosis control programs. From the information in the tuberculosis case register, it is possible to extend the standard analysis of age and sex characteristics among sputum smear-positive cases to all tuberculosis case categories. National tuberculosis programs might utilize such information to identify problems related to referral and access to diagnosis and treatment. Objectives Based on the electronic database we created, our objectives were to provide a detailed description of age and sex characteristics of tuberculosis patients at registration and to provide a comparison of age-specific sex characteristics among incident and prevalent sputum smear-positive cases. Methods A representative sample of tuberculosis case registers from 1 January 2003 to 31 December 2005 was selected in Cambodia, two provinces in China and Viet Nam. Age and sex characteristics of cases in the three separate prevalence surveys in the three jurisdictions (Cambodia: year 2002; China: year 2000; and Viet Nam: year 2006-2007 were obtained for comparison. Results A total 37,635 patients had been registered during the period in the selected units in the three countries. Cases were more frequently male in all three countries with 53%, 71%, and 69% in Cambodia, China, and Viet Nam, respectively. The ratios of the female-to-male odds in the notification system to that in the prevalence survey in smear-positive cases in Cambodia, China and Viet Nam were 2.1, 0.9, and 1.8, respectively. Because of the small proportion of extrapulmonary tuberculosis registered in China, we limited the analysis on age and sex distribution for extrapulmonary cases to Cambodia and Viet Nam. The proportion with extrapulmonary tuberculosis among all cases was 18.5% in Cambodia and 15.7% in Viet Nam, decreasing in frequency with increasing age. Conclusions Characteristics of patients

  19. Displasia alveolar congénita Congenital alveolar dysplasia

    OpenAIRE

    D.P. Sánchez Hernández; M.M. Suárez Galvis; M.T. García Vélez; A. Uribe Molina

    2012-01-01

    La displasia alveolar congénita es una patología congénita poco frecuente caracterizada por disminución de las unidades alveolares y anormalidades del desarrollo de la vasculatura pulmonar. Esta entidad produce hipertensión pulmonar severa e hipoxemia persistente con una evolución mortal en la mayoría de los casos. Afecta generalmente a recién nacidos a término, con un test de Apgar normal, que posteriormente desarrollan dificultad respiratoria, habitualmente en el primer día de vida. La enfe...

  20. Evaluative Infrastructures

    DEFF Research Database (Denmark)

    Kornberger, Martin; Pflueger, Dane; Mouritsen, Jan

    To date, much of the accounting literature focuses on control and coordination within and from the perspective of organizations, reflecting what Hopwood described as accounting’s “hierarchical consciousness”. Inspired by the growing phenomenon of network organizational forms such as eBay, AirBnB ...... worlds); and new forms of control (evaluative infrastructures are not centers of calculation; rather, control is radically distributed, whilst power remains centralized).......BnB or Uber, this paper develops the concept of evaluative infrastructures for a heterarchical modus of accounting. Evaluative infrastructures are decentralized accounting practices that underpin distributed production processes. They are evaluative because they deploy a plethora of interacting devices......, including rankings, ratings, reviews, audits etc. to establish orders of worth. They are infrastructures because they provide the invisible yet essential mechanisms for distributed production processes to occur. Put metaphorically, if cost accounting provided the numerical infrastructure...

  1. Catastrophic flood and forest cover change in the Huong river basin, central Viet Nam: a gap between common perceptions and facts.

    Science.gov (United States)

    Tran, Phong; Marincioni, Fausto; Shaw, Rajib

    2010-11-01

    Recent catastrophic floods in Viet Nam have been increasingly linked to land use and forest cover change in the uplands. Despite the doubts that many scientists have expressed on such nexus, this common view prompted both positive forest protection/reforestation programs and often-unwarranted blame on upland communities for their forest management practices. This study discusses the disparity between public perceptions and scientific evidences relating the causes of catastrophic floods. The former was drawn on the results of a questionnaire and focus groups discussions with key informants of different mountainous communities, whereas the latter was based on GIS and remote sensing analysis of land cover change, including a statistical analysis of hydro-meteorological data of the Huong river basin in Viet Nam. Results indicate that there is a gap between the common beliefs and the actual relationship between the forest cover change and catastrophic floods. Undeniably, the studied areas showed significant changes in land cover over the period 1989-2008, yet, 71% of the variance of catastrophic flood level in the downstream areas appeared related to variance in rainfall. Evidences from this study showed that the overall increasing trends of catastrophic flooding in the Huong river basin was mainly due to climate variability and to the development of main roads and dyke infrastructures in the lowlands. Forest management policies and programs, shaped on the common assumption that forest degradation in the upland is the main cause of catastrophic flood in the downstream areas, should be reassessed to avoid unnecessary strain on upland people. Copyright 2010 Elsevier Ltd. All rights reserved.

  2. Bike Infrastructures

    DEFF Research Database (Denmark)

    Silva, Victor; Harder, Henrik; Jensen, Ole B.

    Bike Infrastructures aims to identify bicycle infrastructure typologies and design elements that can help promote cycling significantly. It is structured as a case study based research where three cycling infrastructures with distinct typologies were analyzed and compared. The three cases...... are Vestergade Vest and Mageløs in Odense (shareduse space in the core of the city); Hans Broges Gade in Aarhus (an extension of a bicycle route linking the suburb to Aarhus Central station) and Bryggebro in Copenhagen (a bridge for bicyclists and pedestrians crossing the harbor). Bridging research and policy......, the findings of this research project can also support bike friendly design and planning, and cyclist advocacy....

  3. Greening infrastructure

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2014-10-01

    Full Text Available ), transport (typically roads, rail and airports), and telecommunications. The focus of this chapter will be on greening bulk services and roads. Despite the importance of infrastructure to economic growth and social wellbeing, many countries struggle to meet...

  4. La sexualidad en adolescentes de la secundaria básica "Viet Nam" Sexuality of adolescent students in "Viet Nam" junior high school

    OpenAIRE

    Elisa Puentes Rizo; Bárbara Enríquez Domínguez; Yisel Rodríguez de Celis; Manuel Correa Jáuregui

    2012-01-01

    Introducción: en la actualidad existe en los adolescentes una temprana iniciación de las relaciones sexuales y cambios en la actitud social hacia la sexualidad. Objetivo: identificar las particularidades y conocimientos sobre sexualidad en adolescentes. Métodos: se realizó una investigación descriptiva y transversal en adolescentes entre los 12 y 15 años, de la secundaria básica "Viet Nam" del municipio Arroyo Naranjo, durante los años 2009-2010. El universo estuvo constituido por 296 estudia...

  5. Tumores neonatales y malformaciones congénitas

    Science.gov (United States)

    Tornero, O. Berbel; García, J.A. Ortega; Tortajada, J. Ferrís i; Castell, J. García; Colomer, J. Donat i; Soldin, O.P.; Soler, J.L. Fuster

    2013-01-01

    Introducción La asociación entre tumores y malformaciones congénitas está bien establecida, pero no existen datos exclusivos en el período neonatal y se desconocen los mecanismos subyacentes que generan dicha relación. Objetivos Este trabajo tiene dos objetivos: primero, analizar la frecuencia de los tumores neonatales asociados a malformaciones congénitas, y segundo, comentar las posibles hipótesis etiopatogénicas de la relación entre ambas entidades. Materiales y método Estudio retrospectivo de las historias clínicas de los tumores neonatales, en el Hospital Universitario Materno- Infantil La Fe de Valencia, desde enero de 1990 hasta diciembre de 1999. Selección y descripción de las variedades histológicas asociadas a malformaciones congénitas. Éstas se han agrupado siguiendo los criterios de la Clasificación Internacional de Enfermedades CIE-9, códigos 740.0–759.9. Revisión sistemática bibliográfica de los últimos 25 años, obtenida del Medline, Cancerlit, Index Citation Science y Embase. El perfil de búsqueda utilizado fue la combinación de “neonatal/congenital-tumors/cancer/neoplasms” y “congenital malformations/birth defects”. Resultados Se identificaron 72 tumores neonatales (2,8 % del total de tumores pediátricos diagnosticados en dichos años) y 15 de ellos (20,8 %) asociados a malformaciones congénitas, enfermedades o síndromes congénitos. Las asociaciones entre tumores neonatales y malformaciones congénitas fueron las siguientes: a) angioma en 3 pacientes: con dos cardiopatías congénitas y una atresia de coanas-laringomalacia; b) neuroblastoma en 2 pacientes: uno con riñón en herradura y anomalías vertebrales, y otro con cardiopatía congénita; c) teratoma en 2 pacientes: uno con fisura palatina y anomalías vertebrales, y otro con metatarso varo; d) tumor del sistema nervioso central en un paciente con hernia de Bochdaleck; e) tumor cardíaco en 4 pacientes con esclerosis tuberosa; f) leucemia aguda en un

  6. Cooperative learning vs confucian heritage culture's collectivism. The analysis in Viet Nam

    OpenAIRE

    Nguyen, Phuong-Mai; Terlouw, C.; Pilot, A.

    2005-01-01

    Confucian Heritage Cultures (CHC) such as Viet Nam, China, Korea, Japan, Hong Kong and Singapore are proven to share characteristics of Collectivist society. Researchers agree that this collectivist mentality supports cooperation, that CHC’s learners/workers best perform in groups. Not satisfied with the assumed credo, which most easily concur, Phuong-Mai, Terlouw & Pilot (2005) made an effort to explore the other side of the medal, questioned the fixed assumption that cooperative learning is...

  7. Dynamics of innovation and internationalization among small and medium-sized enterprises in Viet Nam

    OpenAIRE

    Trinh, Long Q.

    2016-01-01

    This paper examines the bidirectional causality between innovation and internationalization in the context of developing countries. Using a dynamic bivariate probit model and adopting a broad definition of internationalization, this paper analyzes these issues using a panel dataset of small and medium-sized enterprises in Viet Nam. The results show a high persistence in process and product innovations and internationalization decisions. Furthermore, we find that, for non-micro firms, past int...

  8. Viet Nam at the Crossroads : The Role of Science and Technology ...

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

    Couverture du livre Viet Nam at the Crossroads : The Role of Science and Technology. Auteur(s) : K. Bezanson, J. Annerstedt, ... évaluer l'impact que les politiques sur les sciences et la technologie en vigueur au Vietnam ont sur le développement économique et social du pays;. comparer l'expérience du Vietnam dans le ...

  9. Identifying factors for job motivation of rural health workers in North Viet Nam

    Directory of Open Access Journals (Sweden)

    Anh Le

    2003-11-01

    Full Text Available Abstract Background In Viet Nam, most of the public health staff (84% currently works in rural areas, where 80% of the people live. To provide good quality health care services, it is important to develop strategies influencing staff motivation for better performance. Method An exploratory qualitative research was carried out among health workers in two provinces in North Viet Nam so as to identify entry points for developing strategies that improve staff performance in rural areas. The study aimed to determine the major motivating factors and it is the first in Viet Nam that looks at health workers' job perception and motivation. Apart from health workers, managers at national and at provincial level were interviewed as well as some community representatives. Results The study showed that motivation is influenced by both financial and non-financial incentives. The main motivating factors for health workers were appreciation by managers, colleagues and the community, a stable job and income and training. The main discouraging factors were related to low salaries and difficult working conditions. Conclusion Activities associated with appreciation such as performance management are currently not optimally implemented, as health workers perceive supervision as control, selection for training as unclear and unequal, and performance appraisal as not useful. The kind of non-financial incentives identified should be taken into consideration when developing HRM strategies. Areas for further studies are identified.

  10. Early marriage and intimate partner violence among adolescents and young adults in Viet Nam.

    Science.gov (United States)

    Hong Le, Minh Thi; Tran, Thach Duc; Nguyen, Huong Thanh; Fisher, Jane

    2014-03-01

    Research about the association between early marriage and intimate partner violence (IPV) in low-income countries has yielded conflicting evidence. The aim of this study was to describe the prevalence of and associations between early marriage, and IPV among adolescents and young adults in Viet Nam. Secondary analysis of data from the national Survey Assessment of Viet Namese Youth-Round II (SAVY-II) conducted in 2009-2010, which assessed a representative cohort of people aged 14 to 25 years recruited via a systematic household survey was undertaken. Prevalence was established using descriptive statistics. The association between early marriage and IPV was examined using multiple logistic regressions, adjusting for potential risk factors. Of 10,044 participants, 1,701 had ever married and were included in analyses. Early marriage (before age 18), and experiences of verbal, physical, or sexual IPV were more common among females than males. More young married men than women reported experiences of controlling behaviors by their partners. Early marriage, being illiterate, and exposure to sexual abuse were associated with experience of IPV among young females, but not among young males. Poverty and exposure to family violence was associated with IPV in both sexes. Addressing early marriage, low educational opportunities for girls, childhood sexual abuse, family violence, and poverty should be considered in strategies to reduce IPV in Viet Nam.

  11. Antibiotic use and resistance in emerging economies: a situation analysis for Viet Nam.

    Science.gov (United States)

    Nguyen, Kinh Van; Thi Do, Nga Thuy; Chandna, Arjun; Nguyen, Trung Vu; Pham, Ca Van; Doan, Phuong Mai; Nguyen, An Quoc; Thi Nguyen, Chuc Kim; Larsson, Mattias; Escalante, Socorro; Olowokure, Babatunde; Laxminarayan, Ramanan; Gelband, Hellen; Horby, Peter; Thi Ngo, Ha Bich; Hoang, Mai Thanh; Farrar, Jeremy; Hien, Tran Tinh; Wertheim, Heiman F L

    2013-12-10

    Antimicrobial resistance is a major contemporary public health threat. Strategies to contain antimicrobial resistance have been comprehensively set forth, however in developing countries where the need for effective antimicrobials is greatest implementation has proved problematic. A better understanding of patterns and determinants of antibiotic use and resistance in emerging economies may permit more appropriately targeted interventions.Viet Nam, with a large population, high burden of infectious disease and relatively unrestricted access to medication, is an excellent case study of the difficulties faced by emerging economies in controlling antimicrobial resistance. Our working group conducted a situation analysis of the current patterns and determinants of antibiotic use and resistance in Viet Nam. International publications and local reports published between 1-1-1990 and 31-8-2012 were reviewed. All stakeholders analyzed the findings at a policy workshop and feasible recommendations were suggested to improve antibiotic use in Viet Nam.Here we report the results of our situation analysis focusing on: the healthcare system, drug regulation and supply; antibiotic resistance and infection control; and agricultural antibiotic use. Market reforms have improved healthcare access in Viet Nam and contributed to better health outcomes. However, increased accessibility has been accompanied by injudicious antibiotic use in hospitals and the community, with predictable escalation in bacterial resistance. Prescribing practices are poor and self-medication is common - often being the most affordable way to access healthcare. Many policies exist to regulate antibiotic use but enforcement is insufficient or lacking.Pneumococcal penicillin-resistance rates are the highest in Asia and carbapenem-resistant bacteria (notably NDM-1) have recently emerged. Hospital acquired infections, predominantly with multi-drug resistant Gram-negative organisms, place additional strain on

  12. Phylodynamics of Enterovirus A71-Associated Hand, Foot, and Mouth Disease in Viet Nam.

    Science.gov (United States)

    Geoghegan, Jemma L; Tan, Le Van; Kühnert, Denise; Halpin, Rebecca A; Lin, Xudong; Simenauer, Ari; Akopov, Asmik; Das, Suman R; Stockwell, Timothy B; Shrivastava, Susmita; Ngoc, Nghiem My; Uyen, Le Thi Tam; Tuyen, Nguyen Thi Kim; Thanh, Tran Tan; Hang, Vu Thi Ty; Qui, Phan Tu; Hung, Nguyen Thanh; Khanh, Truong Huu; Thinh, Le Quoc; Nhan, Le Nguyen Thanh; Van, Hoang Minh Tu; Viet, Do Chau; Tuan, Ha Manh; Viet, Ho Lu; Hien, Tran Tinh; Chau, Nguyen Van Vinh; Thwaites, Guy; Grenfell, Bryan T; Stadler, Tanja; Wentworth, David E; Holmes, Edward C; Van Doorn, H Rogier

    2015-09-01

    Enterovirus A71 (EV-A71) is a major cause of hand, foot, and mouth disease (HFMD) and is particularly prevalent in parts of Southeast Asia, affecting thousands of children and infants each year. Revealing the evolutionary and epidemiological dynamics of EV-A71 through time and space is central to understanding its outbreak potential. We generated the full genome sequences of 200 EV-A71 strains sampled from various locations in Viet Nam between 2011 and 2013 and used these sequence data to determine the evolutionary history and phylodynamics of EV-A71 in Viet Nam, providing estimates of the effective reproduction number (Re) of the infection through time. In addition, we described the phylogeography of EV-A71 throughout Southeast Asia, documenting patterns of viral gene flow. Accordingly, our analysis reveals that a rapid genogroup switch from C4 to B5 likely took place during 2012 in Viet Nam. We show that the Re of subgenogroup C4 decreased during the time frame of sampling, whereas that of B5 increased and remained >1 at the end of 2013, corresponding to a rise in B5 prevalence. Our study reveals that the subgenogroup B5 virus that emerged into Viet Nam is closely related to variants that were responsible for large epidemics in Malaysia and Taiwan and therefore extends our knowledge regarding its associated area of endemicity. Subgenogroup B5 evidently has the potential to cause more widespread outbreaks across Southeast Asia. EV-A71 is one of many viruses that cause HFMD, a common syndrome that largely affects infants and children. HFMD usually causes only mild illness with no long-term consequences. Occasionally, however, severe infection may arise, especially in very young children, causing neurological complications and even death. EV-A71 is highly contagious and is associated with the most severe HFMD cases, with large and frequent epidemics of the virus recorded worldwide. Although major advances have been made in the development of a potential EV-A71

  13. Linfangioma cístico congênito

    Directory of Open Access Journals (Sweden)

    C. Magarinos Torres

    1943-06-01

    Full Text Available Os autores apresentaram um caso de linfangioma cístico congênito, localizado na região axilar esquerda e porção lateral correspondente do torax, em menina de 19 meses de idade, cujo tratamento cirúrgico teve pleno êxito. O tumor existia desde o nascimento, a sua estrutura histológica correspondendo à de linfangioma cístico, associada à de linfangioma cavernoso.

  14. Artrogriposis múltiple congénita (lewin)

    OpenAIRE

    Malagón Castro, Valentín

    2011-01-01

    Es una enfermedad muy poco frecuente: Hasta 1952, Donovan, sólo pudo recopilar en la literatura médica 100 casos. Nosotros en los últimos 7 años hemos tenido ocasión de estudiar 7 enfermos: 4 artrogrlposis clásicas y 3 acompañadas de otras deformidades congénitas.

  15. Anoftalmia congénita. Reporte de una serie familiar

    Directory of Open Access Journals (Sweden)

    Héctor López Muñoz

    Full Text Available Resumen Anoftalmia es la ausencia de un ojo, puede ser unilateral o bilateral y su prevalencia es baja. Resulta de la detención del desarrollo del globo ocular durante la organogénesis. Pacientes de 25, 23 y 22 años, hermanas, presentan anoftalmia congénita unilateral derecha, bilateral y unilateral izquierda respectivamente. Único antecedente mórbido familiar es que su bisabuelo paterno también padecía anoftalmia congénita unilateral derecha. Fueron remitidas desde el Hospital Clínico Regional a la Clínica de Traumatología y Prótesis Máxilo Facial de la Universidad de Concepción para tratarlas desde sus primeros meses de vida. El tratamiento incluyó el uso de conformadores secuenciales para expandir las cavidades oculares y posteriormente se confeccionaron prótesis oculares individuales. La rehabilitación de la anoftalmia congénita es todo un desafío. La intervención temprana, como lo fue el caso de estas pacientes, hace una gran diferencia en el desarrollo general del paciente y el bienestar emocional de la familia.

  16. Evaluative Infrastructures

    DEFF Research Database (Denmark)

    Kornberger, Martin; Pflueger, Dane; Mouritsen, Jan

    2017-01-01

    Platform organizations such as Uber, eBay and Airbnb represent a growing disruptive phenomenon in contemporary capitalism, transforming economic organization, the nature of work, and the distribution of wealth. This paper investigates the accounting practices that underpin this new form of organi...... other); generativity (evaluative infrastructures do not territorialize objects but disclose new worlds); and new forms of control (evaluative infrastructures are not centres of calculation; rather, control is radically distributed, whilst power remains centralized)....... of organizing, and in doing so confronts a significant challenge within the accounting literature: the need to escape what Hopwood (1996) describes as its “hierarchical consciousness”. In order to do so, this paper develops the concept of evaluative infrastructure which describes accounting practices...... that enable platform based organization. They are evaluative because they deploy a plethora of interacting devices, including rankings, ratings, reviews, and audits to establish orders of worth. They are infrastructures because they provide the invisible yet essential mechanisms for the flow of economic...

  17. Infrastructural Fractals

    DEFF Research Database (Denmark)

    Bruun Jensen, Casper

    2007-01-01

    . Instead, I outline a fractal approach to the study of space, society, and infrastructure. A fractal orientation requires a number of related conceptual reorientations. It has implications for thinking about scale and perspective, and (sociotechnical) relations, and for considering the role of the social...... and a fractal social theory....

  18. Ritual Infrastructure

    DEFF Research Database (Denmark)

    Sjørslev, Inger

    2017-01-01

    within urban life. There is a certain parallel between these different locations and the difference in ritual roads to certainty in the two religions. The article draws out connections between different levels of infrastructure – material, spatial and ritual. The comparison between the two religions...

  19. INFRASTRUCTURING DESIGN

    DEFF Research Database (Denmark)

    Ertner, Sara Marie

    one such project, Project Lev Vel, a public-private and user driven innovation project. The central questions posed by the dissertation are: What is welfare technology? How is it imagined, designed, and developed, and by whom? Who are driving the design processes and how? Who are the elderly users...... sites and infrastructures for project communication plays a central role for design and, ultimately, for what welfare technology comes to be. The chapters explore different processes of what I call infrastructuring design; the ongoing crafting of social, material, and technical arrangements......The fact that the average citizen in Western societies is aging has significant implications for national welfare models. What some call ’the grey tsunami’ has resulted in suggestions for, and experiments in, re-designing healthcare systems and elderly care. In Denmark, one attempted solution...

  20. Compiling mortality statistics from civil registration systems in Viet Nam: the long road ahead.

    Science.gov (United States)

    Rao, Chalapati; Osterberger, Brigitta; Anh, Tran Dam; MacDonald, Malcolm; Chúc, Nguyen Thi Kim; Hill, Peter S

    2010-01-01

    Accurate mortality statistics, needed for population health assessment, health policy and research, are best derived from data in vital registration systems. However, mortality statistics from vital registration systems are not available for several countries including Viet Nam. We used a mixed methods case study approach to assess vital registration operations in 2006 in three provinces in Viet Nam (Hòa Bình, Thùa Thiên-Hué and Bình Duong), and provide recommendations to strengthen vital registration systems in the country. For each province we developed life tables from population and mortality data compiled by sex and age group. Demographic methods were used to estimate completeness of death registration as an indicator of vital registration performance. Qualitative methods (document review, key informant interviews and focus group discussions) were used to assess administrative, technical and societal aspects of vital registration systems. Completeness of death registration was low in all three provinces. Problems were identified with the legal framework for registration of early neonatal deaths and deaths of temporary residents or migrants. The system does not conform to international standards for reporting cause of death or for recording detailed statistics by age, sex and cause of death. Capacity-building along with an intersectoral coordination committee involving the Ministries of Justice and Health and the General Statistics Office would improve the vital registration system, especially with regard to procedures for death registration. There appears to be strong political support for sentinel surveillance systems to generate reliable mortality statistics in Viet Nam.

  1. Diagnóstico prenatal de artrogriposis múltiple congénita

    OpenAIRE

    Ivonne Martínez Vidal; Karel Reyes Bacardí; Yudamis Martínez Nieves; Gladys Hildelisa Bernal Montes de Oca

    2013-01-01

    La artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. Se presenta un caso en el que se diagnosticó prenatalmente este signo clínico, que puede tener múltiples causas subyacentes.

  2. Diagnóstico prenatal de artrogriposis múltiple congénita

    Directory of Open Access Journals (Sweden)

    Ivonne Martínez Vidal

    2013-03-01

    Full Text Available La artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. Se presenta un caso en el que se diagnosticó prenatalmente este signo clínico, que puede tener múltiples causas subyacentes.

  3. Infrastructure Development

    DEFF Research Database (Denmark)

    Williams, Idongesit

    2012-01-01

    It is the quest of every government to achieve universal Access and service of telecommunication services and ICTs. Unfortunately due to the high cost of deploying infrastructure in rural areas of developing countries due to non-significant or no economic activity, this dream of achieving Universal...... access and service of telecommunications/ICTs have been stalled. This paper throws light on a possible Public Private Partnership framework as a development path that will enable affordable network technologies to be deployed in rural areas at a cost that will translate to what the rural dweller...... in a developing country in Africa can afford. The paper is a conceptual paper...

  4. Paralisia congénita do plexo braquial

    OpenAIRE

    Pinho, Ângela Maria

    2010-01-01

    A Paralisia Congénita do Plexo Braquial (PCPB) é uma patologia que tem origem na lesão ao nascer de raízes ou de troncos nervosos do plexo braquial. Como esta estrutura é responsável pela inervação do membro superior, a sua lesão vai determinar alterações da postura, da mobilidade activa e da sensibilidade do membro lesado, que estão presentes no momento do nascimento (1,2). Como o recém-nascido é um ser em desenvolvimento, as sequelas a longo prazo da PCPB podem ser de extrema gravidad...

  5. Making green infrastructure healthier infrastructure.

    Science.gov (United States)

    Lõhmus, Mare; Balbus, John

    2015-01-01

    Increasing urban green and blue structure is often pointed out to be critical for sustainable development and climate change adaptation, which has led to the rapid expansion of greening activities in cities throughout the world. This process is likely to have a direct impact on the citizens' quality of life and public health. However, alongside numerous benefits, green and blue infrastructure also has the potential to create unexpected, undesirable, side-effects for health. This paper considers several potential harmful public health effects that might result from increased urban biodiversity, urban bodies of water, and urban tree cover projects. It does so with the intent of improving awareness and motivating preventive measures when designing and initiating such projects. Although biodiversity has been found to be associated with physiological benefits for humans in several studies, efforts to increase the biodiversity of urban environments may also promote the introduction and survival of vector or host organisms for infectious pathogens with resulting spread of a variety of diseases. In addition, more green connectivity in urban areas may potentiate the role of rats and ticks in the spread of infectious diseases. Bodies of water and wetlands play a crucial role in the urban climate adaptation and mitigation process. However, they also provide habitats for mosquitoes and toxic algal blooms. Finally, increasing urban green space may also adversely affect citizens allergic to pollen. Increased awareness of the potential hazards of urban green and blue infrastructure should not be a reason to stop or scale back projects. Instead, incorporating public health awareness and interventions into urban planning at the earliest stages can help insure that green and blue infrastructure achieves full potential for health promotion.

  6. Making green infrastructure healthier infrastructure

    Directory of Open Access Journals (Sweden)

    Mare Lõhmus

    2015-11-01

    Full Text Available Increasing urban green and blue structure is often pointed out to be critical for sustainable development and climate change adaptation, which has led to the rapid expansion of greening activities in cities throughout the world. This process is likely to have a direct impact on the citizens’ quality of life and public health. However, alongside numerous benefits, green and blue infrastructure also has the potential to create unexpected, undesirable, side-effects for health. This paper considers several potential harmful public health effects that might result from increased urban biodiversity, urban bodies of water, and urban tree cover projects. It does so with the intent of improving awareness and motivating preventive measures when designing and initiating such projects. Although biodiversity has been found to be associated with physiological benefits for humans in several studies, efforts to increase the biodiversity of urban environments may also promote the introduction and survival of vector or host organisms for infectious pathogens with resulting spread of a variety of diseases. In addition, more green connectivity in urban areas may potentiate the role of rats and ticks in the spread of infectious diseases. Bodies of water and wetlands play a crucial role in the urban climate adaptation and mitigation process. However, they also provide habitats for mosquitoes and toxic algal blooms. Finally, increasing urban green space may also adversely affect citizens allergic to pollen. Increased awareness of the potential hazards of urban green and blue infrastructure should not be a reason to stop or scale back projects. Instead, incorporating public health awareness and interventions into urban planning at the earliest stages can help insure that green and blue infrastructure achieves full potential for health promotion.

  7. Drug profiling: a new scientific contribution to law enforcement operations in Viet Nam.

    Science.gov (United States)

    Hung, H M; Tien, N D; Truong, N X

    2005-01-01

    Since 1995 heroin sample comparisons have been carried out in Viet Nam to establish links between wholesalers and retailers. To that end, the physical and chemical characteristics of samples are analysed: their colour, the packaging material, including fingerprints, diacetylmorphine (heroin) content and the composition of some main alkaloids. At the beginning of 2002, having acquired expertise on impurity profiling and with the support of new instruments, the Institute of Forensic Sciences of Viet Nam introduced the routine impurity profiling of seized heroin and methamphetamine and later undertook to explain that process to national law enforcement bodies. Since then, 375 heroin and 29 methamphetamine samples have been analysed for major and minor impurities. Substances detected in the analysis of illicit heroin include diacetylmorphine, morphine, codeine, 06-monoacetylmorphine and acetylcodeine as well as adulterants such as paracetamol and caffeine. Since methamphetamine impurity profiling began, 29 samples have so far been analysed, and some samples have been grouped through the application of cluster analysis. In the case of heroin, impurity profiling has established a link between two major trafficking groups suspected of obtaining heroin from the same source of production. Analysis has also revealed a link between one wholesaler and several retailers in one region. In addition, impurity profiling provides new information on the preparation and production of some methamphetamine and fake Ecstasy tablets.

  8. Management and treatment outcomes of patients enrolled in MDR-TB treatment in Viet Nam

    Science.gov (United States)

    Nhung, N. V.; Hoa, N. B.; Thuy, H. T.; Takarinda, K. C.; Tayler-Smith, K.; Harries, A. D.

    2016-01-01

    Setting: The programmatic management of drug-resistant tuberculosis (TB) in Viet Nam has been rapidly scaled up since 2009. Objectives: To document the annual numbers of patients enrolled for multidrug-resistant tuberculosis (MDR-TB) treatment during 2010–2014 and to determine characteristics and treatment outcomes of patients initiating treatment during 2010–2012. Design: A retrospective cohort study using national reports and data from the national electronic data system for drug-resistant TB. Results: The number of patients enrolled annually for MDR-TB treatment increased from 97 in 2010 to 1522 in 2014. The majority of patients were middle-aged men who had pulmonary disease and had failed a retreatment regimen; 77% had received ⩾2 courses of TB treatment. Favourable outcomes (cured and treatment completed) were attained in 73% of patients. Unfavourable outcomes included loss to follow-up (12.5%), death (8%) and failure (6.3%). Having had ⩾2 previous treatment courses and being human immunodeficiency virus-positive were associated with unfavourable outcomes. Conclusion: Increasing numbers of patients are being treated for MDR-TB each year with good treatment outcomes under national programme management in Viet Nam. However, there is a need to increase case detection—currently at 30% of the estimated 5100 MDR-TB cases per year, reduce adverse outcomes and improve monitoring and evaluation. PMID:27051608

  9. Management and treatment outcomes of patients enrolled in MDR-TB treatment in Viet Nam.

    Science.gov (United States)

    Phuong, N T M; Nhung, N V; Hoa, N B; Thuy, H T; Takarinda, K C; Tayler-Smith, K; Harries, A D

    2016-03-21

    The programmatic management of drug-resistant tuberculosis (TB) in Viet Nam has been rapidly scaled up since 2009. To document the annual numbers of patients enrolled for multidrug-resistant tuberculosis (MDR-TB) treatment during 2010-2014 and to determine characteristics and treatment outcomes of patients initiating treatment during 2010-2012. A retrospective cohort study using national reports and data from the national electronic data system for drug-resistant TB. The number of patients enrolled annually for MDR-TB treatment increased from 97 in 2010 to 1522 in 2014. The majority of patients were middle-aged men who had pulmonary disease and had failed a retreatment regimen; 77% had received ⩾2 courses of TB treatment. Favourable outcomes (cured and treatment completed) were attained in 73% of patients. Unfavourable outcomes included loss to follow-up (12.5%), death (8%) and failure (6.3%). Having had ⩾2 previous treatment courses and being human immunodeficiency virus-positive were associated with unfavourable outcomes. Increasing numbers of patients are being treated for MDR-TB each year with good treatment outcomes under national programme management in Viet Nam. However, there is a need to increase case detection-currently at 30% of the estimated 5100 MDR-TB cases per year, reduce adverse outcomes and improve monitoring and evaluation.

  10. Prevalence of and risk factors for violent disciplinary practices at home in Viet Nam.

    Science.gov (United States)

    Cappa, Claudia; Dam, Hang

    2014-02-01

    Data on parenting practices and the use of violence in child rearing remain scarce worldwide, hindering prevention efforts. This study examines disciplinary methods used on children at home in Viet Nam. It is based on data collected from 2010 to 2011 through the fourth round of the Multiple Indicator Cluster Survey (MICS4)-a household survey program supported by the United Nations Children's Fund (UNICEF) that focuses on women and children in low- and middle-income countries. Respondents in the survey were asked 11 questions relating to disciplinary measures used in the preceding month on one randomly selected child (2-14 years old) in each household. A final question about attitudes probed adults' views on the need for physical punishment in child rearing. Univariate and multivariate analyses were conducted to estimate the prevalence of violent and nonviolent forms of discipline, and to identify risk factors associated with violent punishment. Results showed that three in four children in Viet Nam are disciplined through violent means. The exposure of Vietnamese children to violent forms of discipline was significantly associated with varied characteristics of both children and their caregivers. Moreover, the use of violent disciplinary practices on children was strongly associated with positive attitudes toward corporal punishment. Risk factors for violent child discipline identified in this study can inform future interventions to promote positive practices and to protect Vietnamese children against violence in the home.

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

    DEFF Research Database (Denmark)

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

    2007-01-01

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

  12. Towards a Lifelong Learning Society through Reading Promotion: Opportunities and Challenges for Libraries and Community Learning Centres in Viet Nam

    Science.gov (United States)

    Hossain, Zakir

    2016-01-01

    The government of Viet Nam has made a commitment to build a Lifelong Learning Society by 2020. A range of related initiatives have been launched, including the Southeast Asian Ministers of Education Organization Centre for Lifelong Learning (SEAMEO CELLL) and "Book Day"--a day aimed at encouraging reading and raising awareness of its…

  13. SURMAT : decision support tool to select municipal solid waste treatment technologies : case study in Ho Chi Minh City, Viet Nam

    NARCIS (Netherlands)

    Thi, Le K.O.

    2012-01-01

    The aim of this thesis is to enable taking more sustainable and cost-effective decisions on MSW management in developing cities. For this purpose, a tool named SURMAT was developed and applied using data of Ho Chi Minh City, Viet Nam (chapter 6). In order to prepare the tool for modeling of the MSW

  14. Water mites of the family Torrenticolidae (Acari: Hydrachnidia) from Thailand, part II. The genus Monatractides K.Viets

    NARCIS (Netherlands)

    Pesic, V.; Smit, H.

    2009-01-01

    New records of water mites of the genus Monatractides K.Viets (Acari: Hydrachnidia, Torrenticolidae) from streams in Thailand are presented. One species, Monatractides gledhilli, new to science is described; a first description of the male is given for M. circuloides (Halík); first records from

  15. Lipodistrofia generalizada congênita Congenital generalized lipodystrophy

    Directory of Open Access Journals (Sweden)

    Paulo P. Figueiredo Filho

    2004-08-01

    Full Text Available OBJETIVO: Apresentar as principais características clínicas e bioquímicas da lipodistrofia generalizada congênita, desordem rara e pouco conhecida dos pediatras. DESCRIÇÃO: Nos ambulatórios de Doenças Nutricionais e de Endocrinologia do Serviço de Pediatria do Hospital das Clínicas da UFMG, foram identificados oito pacientes com lipodistrofia generalizada congênita. As características clínicas comuns a todos os casos foram hipertrofia muscular, lipoatrofia generalizada e aparência acromegálica. Manifestações clínico-laboratoriais associadas incluíram acantose nigricans em cinco pacientes, hepatoesplenomegalia em seis, hipertrigliceridemia com baixas concentrações de HDL em sete, hipertrofia cardíaca em um e diabetes melito secundário em dois pacientes. Todos os pacientes estão em controle clínico e dietético, visando à correção ou prevenção dos distúrbios metabólicos. COMENTÁRIOS: As características fenotípicas da lipodistrofia generalizada congênita são bem identificadas, possibilitando o diagnóstico clínico na maioria dos casos. Trata-se de uma síndrome rara que ilustra a importância do funcionamento normal do tecido adiposo para a maioria dos processos metabólicos vitais do organismo. O seu melhor conhecimento poderá abrir novos horizontes em estudos de doenças mais prevalentes como o diabetes melito e a obesidade.OBJECTIVE: To present the major clinical and biochemical characteristics of congenital generalized lipodystrophy. DESCRIPTION: Eight infants with congenital generalized lipodystrophy were identified at the Endocrine and Nutritional Pediatric Disease Outpatient Clinics at Hospital de Clínicas, Universidade Federal de Minas Gerais (UFMG. Clinical manifestations common to all patients included muscle hypertrophy, generalized lipoatrophy, and acromegalic physical appearance. Acanthosis nigricans was identified in five patients, hepatosplenomegaly in six, hypertriglyceridemia and low levels

  16. Tuberculose Congénita — Um Caso Clínico

    OpenAIRE

    Palaré, M. João; I. Almeida, Helena; C. Loureiro, Helena; C. Ferreira, Gonçalo; Machado, M. Céu

    2014-01-01

    A tuberculose congénita é uma doença considerada pouco comum mas provavelmente subestimada. Apresenta-se o caso clínico de uma lactente de 4 meses de idade internada por síndrome febril prolongado, hepatoesplenomegalia e malnutrição grave. Todos os exames foram inconclusivos e a biópsia hepática confirmou o diagnóstico de tuberculose congénita. Faz-se a revisão bibliográfica dos critérios de diagnóstico entre tuberculose congénita e tuberculose adquirida pósnatal.

  17. Artrogriposis múltiple congénita. Presentación de un caso

    OpenAIRE

    Silvia Evelyn Jiménez Abreu; Ailen Alvarez Carballo; Omar García Diaz; Alina Gassiót Núñez; Aniubis Fleitas Cabrera

    2016-01-01

    La Artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. La incidencia es variable, puede diagnosticarse por Ultrasonografía en edades tempranas de la gestación. La Artrogriposis múltiple congénita clásica, incluye más del 40-50% de los niños afectos de artrogriposis. La severidad de la afección es variable y las posibles causas subyacentes numerosas. En la forma clásica el ...

  18. Het Vietnam van Viet Thanh Nguyen [Bespreking van: V.T. Nguyen The sympathizer; V.T. Nguyen Nothing ever dies: Vietnam and the memory of war

    NARCIS (Netherlands)

    Kleinen, J.

    2016-01-01

    Over geen enkele Amerikaanse oorlog en de gevolgen daarvan zijn meer boeken geschreven dan over de Vietnamoorlog. En toch zijn we er nog lang niet over uitgeschreven. Terecht, getuige het verrassende werk van Viet Thanh Nguyen.

  19. A multicentre molecular analysis of hepatitis B and blood-borne virus coinfections in Viet Nam.

    Directory of Open Access Journals (Sweden)

    Linda Dunford

    Full Text Available Hepatitis B (HBV infection is endemic in Viet Nam, with up to 8.4 million individuals estimated to be chronically infected. We describe results of a large, multicentre seroepidemiological and molecular study of the prevalence of HBV infection and blood-borne viral coinfections in Viet Nam. Individuals with varying risk factors for infection (n = 8654 were recruited from five centres; Ha Noi, Hai Phong, Da Nang, Khanh Hoa and Can Tho. A mean prevalence rate of 10.7% was observed and levels of HBsAg were significantly higher in injecting drug users (IDUs (17.4%, n = 174/1000 and dialysis patients (14.3%, n = 82/575 than in lower-risk groups (9.4%; p<0.001. Coinfection with HIV was seen in 28% of HBV-infected IDUs (n = 49/174 and 15.2% of commercial sex workers (CSWs; n = 15/99. HCV infection was present in 89.8% of the HBV-HIV coinfected IDUs (n = 44/49 and 40% of HBV-HIV coinfected CSWs (n = 16/40. Anti-HDV was detected in 10.7% (n = 34/318 of HBsAg positive individuals. Phylogenetic analysis of HBV S gene (n = 187 showed a predominance of genotype B4 (82.6%; genotypes C1 (14.6%, B2 (2.7% and C5 (0.5% were also identified. The precore mutation G1896A was identified in 35% of all specimens, and was more frequently observed in genotype B (41% than genotype C (3%; p<0.0001. In the immunodominant 'a' region of the surface gene, point mutations were identified in 31% (n = 58/187 of sequences, and 2.2% (n = 4/187 and 5.3% (n = 10/187 specimens contained the major vaccine escape mutations G145A/R and P120L/Q/S/T, respectively. 368 HBsAg positive individuals were genotyped for the IL28B SNP rs12979860 and no significant association between the IL28B SNP and clearance of HBsAg, HBV viral load or HBeAg was observed. This study confirms the high prevalence of HBV infection in Viet Nam and also highlights the significant levels of blood-borne virus coinfections, which have important implications for hepatitis-related morbidity and development of effective

  20. Polialveolose: patogênese do enfisema lobar congênito?

    OpenAIRE

    Giudici,R.; Leão,L.E.V.; Moura,L.A.R.; Wey,S.B.; Ferreira,R.G.; Crotti,P.L.R.

    1998-01-01

    INTRODUÇÃO: O enfisema lobar congênito é doença rara, cuja patogênese permanece desconhecida. O interesse acadêmico reside na falta de uniformidade dos achados anatomopatológicos. Em cerca de 50%, não se consegue definir a lesão anatomopatológica. A teoria mais recente relaciona esta doença com um número aumentado de alvéolos dentro de cada ácino pulmonar. OBJETIVO: O objetivo deste trabalho é efetuar uma revisão do estudo anatomopatológico original de 12 crianças com diagnóstico de enfisema ...

  1. Enfisema Lobar Congénito, reporte de dos casos

    OpenAIRE

    Mallea Pérez, Alvaro; Aliaga Reguerin, Aylin; Morató López, Alberto

    2014-01-01

    El enfisema lobar congénito es una entidad poco común. No existe una etiología clara y se ha descrito que la causa más común es la displasia del cartílago bronquial. El diagnóstico clínico es difícil de realizar en tanto que la tomografía multidetector, así como el estudio histopatológico pueden definir el diagnóstico. Presentamos los casos clínicos de dos neonatos de sexo masculino con clínica similar a la de una neumonía.Describimos el proceso con el cual llegamos a la conclusión diagnóstic...

  2. Nevo melanocítico congênito gigante

    Directory of Open Access Journals (Sweden)

    Guilherme Lippi Ciantelli

    2014-06-01

    Full Text Available Os nevos melanocíticos congênitos (NMC são lesões pigmentadas formadas a partir do acúmulo anormal de melanócitos neuroectodérmicos em uma localização ectópica e estão presentes em 1% dos recém-nascidos. Contudo, os NMC gigantes ocorrem em apenas 1:20.000 nascidos vivos, enquanto os com a típica distribuição em “calção de banho” são muito raros, estando presentes em apenas 1:500.000 nascidos vivos. Neste artigo os autores relatam um caso de NMC gigante em “calção de banho” devido a sua raridade, revisando os aspectos diagnósticos e terapêuticos desta afecção.

  3. Sífilis congénita Congenital syphilis

    OpenAIRE

    Fernando Montoya

    1992-01-01

     

    Se discuten diversos aspectos de la sífilis congénita con énfasis en los siguientes: el hecho de que 60% de las madres que engendran niños sifil��ticos no presentan evidencia clínica de la enfermedad; la necesidad de ordenar un mínimo de dos serologías, al comienzo y al final del embarazo, ya que 15% de las embarazadas reactivas lo son sólo al final de la gestación; la disp...

  4. Leucemia congénita aguda Acute congenital leukemia

    Directory of Open Access Journals (Sweden)

    Nilvia Esther González García

    2011-06-01

    Full Text Available La leucemia aguda durante el período neonatal es poco frecuente de evolución rápida y pronóstico sombrío. Sus características clínicas y biológicas difieren de las encontradas en niños de mayor edad, y su inicio se caracteriza por afectación cutánea, hepatoesplenomegalia, hiperleucocitosis e infiltración del sistema nervioso central. Se han observado pacientes con formas tanto mieloides como linfoides, pero la leucemia mieloide aguda parece predominar en esta etapa de la vida. Se presenta el caso de un paciente con leucemia congénita clasificada morfológicamente, con aparición de manifestaciones clínicas de enfermedad hematológica desde el nacimiento y diagnóstico de leucemia linfoblástica aguda congénita.Acute leukemia during neonatal period is not frequent, of a fast course and gloomy prognosis. Its clinical and biological features differ of that present in older children and it onset is characterized by cutaneous affection, hepatosplenomegaly, hyperleukocytosis and infiltration of central nervous system (CNS. There are patients presenting with myeloid and lymphoid types, but the acute leukemia seems to predominate in this stage of life. This is the case of a patient with acute leukemia morphologically classified, with appearance of clinical manifestations of hematologic disease from birth and a diagnosis of congenital acute lymphoblastic leukemia.

  5. Distrofia muscular congênita de Ullrich moderadamente progressiva

    Directory of Open Access Journals (Sweden)

    Gerson Carakushansky

    2012-02-01

    Full Text Available OBJETIVOS: Descrever características clínicas e genéticas da distrofia muscular congênita de Ullrich (DMCU, e relatar o caso de um paciente diagnosticado com DMCU após uma exaustiva investigação, que incluiu análise imuno-histoquímica e genômica do colágeno tipo VI. DESCRIÇÃO: Este estudo baseou-se na avaliação clínica e imuno-histoquímica do tecido muscular e na análise genômica dos fibroblastos dérmicos de um menino de 7 anos e meio, e do DNA dos seus pais. São discutidos aspectos clínicos e o diagnóstico diferencial com outras doenças. COMENTÁRIOS: O melhor conhecimento das distrofias musculares congênitas aumentará o número de diagnósticos corretos e abrirá novos horizontes para o tratamento dessas doenças. A avaliação genética dos pacientes com DMCU tem implicações relevantes para o prognóstico e o aconselhamento genético da família. É aconselhável divulgar essa doença na comunidade pediátrica, devido ao início precoce das manifestações clínicas e o fato de ser frequentemente mal diagnosticada ou não ser diagnosticada.

  6. Green(ing) infrastructure

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2014-03-01

    Full Text Available Green infrastructure can be defined as the design and development of infrastructure that works with natural systems in the performance of its functions. Green infrastructure recognises the importance of the natural environment in land use planning...

  7. Foreign Direct Investment and the Survival of Domestic Private Firms in Viet Nam

    DEFF Research Database (Denmark)

    Kokko, Ari; Thang, Tran Toan

    2014-01-01

    of FDI on the survival of domestic private firms in Viet Nam. We estimate the impact of both horizontal and vertical FDI and explore how the presence of state-owned enterprises (SOEs) influences the exit hazard for private firms. The results suggest that horizontal and upstream FDI raise the exit hazard...... significantly, while downstream FDI may reduce the hazard. The presence of SOEs has a direct negative effect on the survival odds of local private firms in the same industry, but there is also an indirect impact on the exit hazard from FDI. Local firms are more vulnerable to foreign entry in sectors with high...... SOE shares. Looking at the net effects of FDI during the period 2001–2008, we find that results vary between sectors and over time but that the overall impact has been surprising small. The paper also discusses policy conclusions and implications for empirical analyses of spillovers from FDI....

  8. Enterovirus D68 in Viet Nam (2009-2015 [version 1; referees: 2 approved, 1 approved with reservations

    Directory of Open Access Journals (Sweden)

    Nguyen Thi Han Ny

    2017-06-01

    Full Text Available Background: Since 1962, enterovirus D68 (EV-D68 has been implicated in multiple outbreaks and sporadic cases of respiratory infection worldwide, but especially in the USA and Europe with an increasing frequency between 2010 and 2014. We describe the detection, associated clinical features and molecular characterization of EV-D68 in central and southern Viet Nam between 2009 and 2015. Methods: Enterovirus/rhinovirus PCR positive respiratory or CSF samples taken from children and adults with respiratory/central nervous system infections in Viet Nam were tested by an EV-D68 specific PCR. The included samples were derived from 3 different observational studies conducted at referral hospitals across central and southern Viet Nam between 2009 and 2015. Whole-genome sequencing was carried out using a MiSeq based approach. Phylogenetic reconstruction and estimation of evolutionary rate and recombination were carried out in BEAST and Recombination Detection Program, respectively. Results: EV-D68 was detected in 21/625 (3.4% enterovirus/rhinovirus PCR positive respiratory samples but in none of the 15 CSF. All the EV-D68 patients were young children (age range: 11.8 – 24.5 months and had moderate respiratory infections. Phylogenetic analysis suggested that the Vietnamese sequences clustered with those from Asian countries, of which 9 fell in the B1 clade, and the remaining sequence was identified within the A2 clade. One intra sub-clade recombination event was detected, representing the second reported recombination within EV-D68. The evolutionary rate of EV-D68 was estimated to be 5.12E-3 substitutions/site/year. Phylogenetic analysis indicated that the virus was imported into Viet Nam in 2008. Conclusions: We have demonstrated for the first time EV-D68 has been circulating at low levels in Viet Nam since 2008, associated with moderate acute respiratory infection in children. EV-D68 in Viet Nam is most closely related to Asian viruses, and clusters

  9. Harm reduction and “Clean” community: can Viet Nam have both?

    Directory of Open Access Journals (Sweden)

    Khuat Thu

    2012-07-01

    Full Text Available Abstract The findings of our research show that while police play multiple roles in the fight against drug-related crime, they often perceived their tasks – especially preventing and controlling drug use on the one hand, and supporting harm reduction on the other – as contradictory, and this creates tensions in their work and relations with their communities. Although they are leaders and implementers of harm reduction, not all police know about it, and some remain skeptical or perceive it as contradictory to their main task of fighting drugs. Methadone treatment is seen by some as in competition with their main task of coordinating conventional drug treatment in the rehabilitation center. The history of drug use and the evolution of discourses on drug use in Viet Nam have created these conflicting pressures on police, and thus created contradictory expectations and led to different views and attitudes of police regarding various harm reduction measures. This might aid understanding why, despite the comprehensive and progressive policies on HIV/AIDS and harm reduction in Viet Nam, it is not easy for police to actively and effectively support and be involved in harm reduction at the ground level. To promote the wider acceptance of harm reduction the concept of community safety must be expanded to include community health; harm reduction must be integrated into the “new society” movement; and laws and policies need further revision to reduce contradiction between current drug laws and HIV laws. Harm reduction guidelines for police and other actors need to be disseminated and supported, embodying better ways of working between sectors, and all sectors in the partnership require support for building capacity to contribute to the overall goal.

  10. Central Region Green Infrastructure

    Data.gov (United States)

    Minnesota Department of Natural Resources — This Green Infrastructure data is comprised of 3 similar ecological corridor data layers ? Metro Conservation Corridors, green infrastructure analysis in counties...

  11. Armenia - Irrigation Infrastructure

    Data.gov (United States)

    Millennium Challenge Corporation — This study evaluates irrigation infrastructure rehabilitation in Armenia. The study separately examines the impacts of tertiary canals and other large infrastructure...

  12. Une forme particulière du ptosis congénital

    African Journals Online (AJOL)

    Le syndrome de blépharophimosis est une malformation palpébrale congénitale caractérisée par l'association d'un ptosis majeur bilatéral à d'autres anomalies palpébrales. Il constitue une forme particulière du ptosis congénital qui doit être connue par tout ophtalmologue afin d'optimiser la prise en charge des patients ...

  13. Incidencia prenatal de los defectos congénitos en Las Tunas

    Directory of Open Access Journals (Sweden)

    Juana Lupe Muñoz Callol

    2015-04-01

    Full Text Available Los defectos congénitos son la principal causa de morbilidad y mortalidad neonatal en casi todo el mundo. La introducción del diagnóstico prenatal y el establecimiento de estrategias preventivas en la atención primaria de salud han logrado la disminución de la prevalencia al nacimiento de defectos congénitos y de la mortalidad infantil en nuestro país. Se realizó un estudio descriptivo de corte transversal de los casos diagnosticados o confirmados prenatalmente en la consulta de genética provincial, con el objetivo de describir la incidencia prenatal de los defectos congénitos en la provincia Las Tunas, durante el período de enero 2013 a mayo 2014. De un universo de 9462 embarazadas de la provincia, en el periodo de estudio; se escogió una muestra de 110 gestantes que presentaron defectos fetales en diferentes órganos y sistemas. La información se obtuvo del registro provincial, donde se analizaron las variables: comportamiento de defectos congénitos por áreas de salud, edad de las madres por defectos congénitos, defectos congénitos por programas prenatales y los defectos congénitos por sistemas. El mayor número de casos se diagnosticó en el segundo trimestre del embarazo, siendo el sistema cardiovascular donde se encontró un número mayor de defectos congénitos, seguido del sistema digestivo, genitourinarias y del sistema nervioso central. Las edades maternas estuvieron comprendidas entre 21 y 30 años, siendo el municipio Tunas el que aportó un número significativo de afectados

  14. La sexualidad en adolescentes de la secundaria básica "Viet Nam" Sexuality of adolescent students in "Viet Nam" junior high school

    Directory of Open Access Journals (Sweden)

    Elisa Puentes Rizo

    2012-12-01

    Full Text Available Introducción: en la actualidad existe en los adolescentes una temprana iniciación de las relaciones sexuales y cambios en la actitud social hacia la sexualidad. Objetivo: identificar las particularidades y conocimientos sobre sexualidad en adolescentes. Métodos: se realizó una investigación descriptiva y transversal en adolescentes entre los 12 y 15 años, de la secundaria básica "Viet Nam" del municipio Arroyo Naranjo, durante los años 2009-2010. El universo estuvo constituido por 296 estudiantes y la muestra por 150, seleccionados mediante sorteo hasta completar 50 estudiantes de cada año. La información se obtuvo de una encuesta validada por el Ministerio de Educación. Todos los seleccionados expresaron su consentimiento para participar en la investigación. Resultados: predominó el sexo masculino y los adolescentes de 15 años. El inicio de las relaciones sexuales fue a los 14 años en los muchachos y a los 15 en las muchachas; 72 (56,69 % adolescentes utilizaron el condón en su "primera vez". Las principales vías de obtención de información fueron los padres, profesores y la información televisiva. Hubo mayor conocimiento sobre VIH-sida, gonorrea y sífilis y menor sobre, herpes simple y clamidia. El condón resultó ser el método anticonceptivo más conocido. Conclusiones: hay un inicio precoz en las relaciones sexuales y poco conocimiento acerca de los métodos anticonceptivos biológicos o naturales, lo que pudiera estar indicando la importancia que tiene la familia, sobre todo los padres, los profesores y médicos de familia, en incrementar y mantener la labor educativa con los jóvenes en relación con la sexualidad.Introduction: there exists an early onset of sexual relations in adolescents at present, together with changes in the social attitude towards sexuality. Objective: to identify the particularities of and the knowledge on sexuality in adolescents. Methods: a cross-sectional and descriptive research study was

  15. Brief behavioural surveys in routine HIV sentinel surveillance: a new tool for monitoring the HIV epidemic in Viet Nam

    Directory of Open Access Journals (Sweden)

    Duong Cong Thanh

    2015-01-01

    Full Text Available In this report we describe a new approach in HIV sentinel surveillance that was piloted in Viet Nam in 2009 and is currently being rolled out in all provinces. It comprises a brief behavioural questionnaire added to the HIV sentinel surveillance surveys conducted routinely among people who inject drugs, female sex workers and men who have sex with men. Timely reporting of data from this system has resulted in improvements to HIV prevention efforts for most at-risk populations.

  16. Deforestation and Property Rights in Viet Nam: The Role of Fuelwood Harvesting A Role Playing Exercise in Economic Analysis

    OpenAIRE

    Nancy Olewiler

    2004-01-01

    Forest cover in Viet Nam decreased by more than 35% since the 1950s. As much as 75% of the forest cover has been removed in some northern areas. Despite government sponsored reforestation programs, deforestation continues, especially when property rights to the forest are not secure and where the inhabitants are poor. The prime cause of deforestation is fuelwood collection, accounting for 60% of the loss in forest cover. Historically, the government owned the forests, but due to the difficult...

  17. Enfisema lobar congénito: Relato de caso

    Directory of Open Access Journals (Sweden)

    Marcelo Cunha Fatureto

    2008-11-01

    Full Text Available Resumo: O enfisema lobar congênito (ELC é uma malformação pouco frequente do desenvolvimento pulmonar, que pode ser a causa de insuficiência respiratória em lactentes. Esta doença caracteriza -se pela hiperinsuflação de um ou mais lobos pulmonares com compressão de parênquima normal e deslocamento contralateral do mediastino, causando insuficiência respiratória. O diagnóstico clínico é confirmado por exames radiológicos simples. O tratamento de escolha nos casos graves é a lobectomia, que apresenta resultados superiores ao tratamento clínico. Nosso propósito é relatar um caso desta rara patologia em lactente atendida em nosso serviço com quadro de insuficiência respiratória grave, sendo submetida a exames complementares tendo diagnóstico presuntivo de ELC. A doente foi submetida à lobectomia superior esquerda, com excelente evolução pós -operatória. Abstract: Congenital Lobar Emphysema (CLE is a rare malformation of lung development, which may be the cause of respiratory insufficiency in the suckling child. It is produced by the hyperinsufflation of one or more lung lobs with compression of the normal lung parenchyma and contralateral displacement of the mediastinum. Clinical diagnosis is confirmed by simple radiology exams. Lobectomy has better results than clinical treatment and should be chosen. Our purpose is to present one case of this rare illness in a newborn seen in our service with serious respiratory insufficiency and after complementary exams, CLE was confirmed. The patient was submitted to a surgical procedure (lobectomy with an excellent post surgery evolution. Child is asymptomatic in long term follow up. Palavras-chave: Enfisema lobar congénito, malformação pulmonar, lobectomia, Key-words: Congenital lobar emphysema, lung malformation, lobectomy

  18. Enfisema lobar congénito: Relato de caso

    Directory of Open Access Journals (Sweden)

    Marcelo Cunha Fatureto

    2008-11-01

    Full Text Available Resumo: O enfisema lobar congênito (ELC é uma malformação pouco frequente do desenvolvimento pulmonar, que pode ser a causa de insuficiência respiratória em lactentes. Esta doença caracteriza-se pela hiperinsuflação de um ou mais lobos pulmonares com compressão de parênquima normal e deslocamento contralateral do mediastino, causando insuficiência respiratória. O diagnóstico clínico é confirmado por exames radiológicos simples. O tratamento de escolha nos casos graves é a lobectomia, que apresenta resultados superiores ao tratamento clínico. Nosso propósito é relatar um caso desta rara patologia em lactente atendida em nosso serviço com quadro de insuficiência respiratória grave, sendo submetida a exames complementares tendo diagnóstico presuntivo de ELC. A doente foi submetida à lobectomia superior esquerda, com excelente evolução pós-operatória.Rev Port Pneumol 2008; XIV (6: 893-896 Abstract: Congenital Lobar Emphysema (CLE is a rare malformation of lung development, which may be the cause of respiratory insufficiency in the suckling child. It is produced by the hyperinsufflation of one or more lung lobs with compression of the normal lung parenchyma and contralateral displacement of the mediastinum. Clinical diagnosis is confirmed by simple radiology exams. Lobectomy has better results than clinical treatment and should be chosen. Our purpose is to present one case of this rare illness in a newborn seen in our service with serious respiratory insufficiency and after complementary exams, CLE was confirmed. The patient was submitted to a surgical procedure (lobectomy with an excellent post surgery evolution. Child is asymptomatic in long term follow up.Rev Port Pneumol 2008; XIV (6: 893-896 Palavras-chave: Enfisema lobar congénito, malformação pulmonar, lobectomia, Key-words: Congenital lobar emphysema, lung malformation, lobectomy

  19. Cardiopatias congênitas e malformações extracardíacas

    Directory of Open Access Journals (Sweden)

    Rosana Cardoso M. Rosa

    2013-06-01

    Full Text Available OBJETIVO: Revisar a associação entre cardiopatias congênitas e malformações extracardíacas. FONTES DE DADOS: A pesquisa incluiu artigos científicos presentes nos portais Medline, Lilacs e SciELO, utilizando-se os descritores "congenital heart disease", "congenital heart defects", "congenital cardiac malformations", "extracardiac defects" e "extracardiac malformations". Foram incluídos os artigos de séries de casos que exploravam especificamente a associação entre cardiopatias congênitas e malformações extracardíacas. SÍNTESE DOS DADOS: A cardiopatia congênita é responsável por cerca de 40% dos defeitos congênitos, sendo uma das malformações mais frequentes e a de maior morbimortalidade. Malformações extracardíacas são observadas em 7 a 50% dos pacientes com cardiopatia congênita, trazendo um risco ainda maior de comorbidade e mortalidade e tornando a cirurgia cardíaca mais arriscada. Diferentes estudos têm tentado avaliar a presença de anormalidades extracardíacas em pacientes portadores de cardiopatia congênita. Dentre as alterações descritas, destacam-se aquelas do trato urinário. Contudo, não houve um estudo que tenha avaliado do mesmo modo todos os pacientes. CONCLUSÕES: Anormalidades extracardíacas são frequentes em pacientes com cardiopatia congênita, sendo que os portadores de tais alterações podem apresentar um risco maior de morbimortalidade. Consequentemente, alguns autores vêm discutindo a importância e o custo-benefício da triagem destas crianças à procura de outras malformações por meio de exames complementares.

  20. Drinking & driving in Viet Nam: prevalence, knowledge, attitudes, and practices in two provinces.

    Science.gov (United States)

    Bachani, Abdulgafoor M; Jessani, Nasreen S; Pham, V Cuong; Quang, La Ngoc; Nguyen, Phuong N; Passmore, Jonathon; Hyder, Adnan A

    2013-12-01

    Viet Nam is experiencing a shift in its burden of disease profile with injuries becoming more prominent. A history of high alcohol involvement in road traffic crashes despite stringent laws led to increased enforcement by police, enhanced public education messaging and targeted social marketing campaigns in Ha Nam and Ninh Binh provinces in Viet Nam. This study aims to illustrate the changes in prevalence (November 2010 to December 2011) and knowledge, attitudes and practices (KAP) around alcohol use and drink-driving for the year 2011. Breath Alcohol Concentration (BrAC) was collected through police enforcement checkpoints in the two provinces. The proportion of drivers with BrAC above the legal limit was plotted over time for both provinces. The trend in prevalence of drink-driving over time was further assessed using Poisson regression models. Prevailing KAPs were determined through surveying randomly selected road users over the age of 17 years at gas stations at quarterly intervals. Cross tabulations of key variables as well Chi-Square statistic were used to assess associations. A total of 8,404 drivers were tested for BrAC levels of which less than 0.25% were female. Of 1,639 drivers displaying BrAC levels in excess of the legal limit, 87.3% were car drivers, 7.9% motorcyclists and 86% were between the ages of 25 and 44 years. KAP surveys captured 1,661 drivers over the study period. The prevalence of self-reported drink-driving increased 6 percentage points among respondents aged 27-36. Between 44% (January 2011) and 49% (December 2011) of respondents indicated awareness of a drinking and driving Blood Alcohol Concentration (BAC) or BrAC limit and only 25% of all study participants recalled being penalized for a traffic violation - none of which were for drink-driving. While there has been some reduction in drink-driving prevalence, inadequate or incorrect knowledge on drink-driving legislation appears to be an impediment to greater gains. Increased

  1. Financial burden of household out-of pocket health expenditure in Viet Nam: findings from the National Living Standard Survey 2002-2010.

    Science.gov (United States)

    Van Minh, Hoang; Kim Phuong, Nguyen Thi; Saksena, Priyanka; James, Chris D; Xu, Ke

    2013-11-01

    In Viet Nam, household direct out-of-pocket (OOP) health expenditure as a share of the total health expenditure has been always high, ranging from 50% to 70%. The high share of OOP expenditure has been linked to different inequity problems such as catastrophic health expenditure (households must reduce their expenditure on other necessities) and impoverishment. This paper aims to examine catastrophic and poverty impacts of household out-of-pocket health expenditure in Viet Nam over time and identify socio-economic indicators associated with them. Data used in this research were obtained from a nationally representative household survey, Viet Nam Living Standard Survey 2002, 2004, 2006, 2008 and 2010. The findings revealed that there were problems in health care financing in Viet Nam - many households encountered catastrophic health expenditure and/or were pushed into poverty due to health care payments. The issues were pervasive over time. Catastrophic expenditure and impoverishment problems were more common among the households who had more elderly people and those located in rural areas. Importantly, the financial protection aspect of the national health insurance schemes was still modest. Given these findings, more attention is needed on developing methods of financial protection in Viet Nam. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. First national tuberculin survey in Viet Nam: characteristics and association with tuberculosis prevalence.

    Science.gov (United States)

    Hoa, N B; Cobelens, F G J; Sy, D N; Nhung, N V; Borgdorff, M W; Tiemersma, E W

    2013-06-01

    To estimate the prevalence of infection with Mycobacterium tuberculosis and the annual risk of tuberculous infection (ARTI) and to compare this with the prevalence of tuberculosis (TB) over study clusters and households. A nationwide, stratified cluster sample survey was carried out in 2006-2007 in Viet Nam to assess the prevalence of infection with M. tuberculosis. A representative sample of children aged 6-14 years underwent a tuberculin skin test (TST) using the Mantoux method. Of 23,160 children registered, 21,487 (92.8%) were tested and read and available for analysis. Using a cut-off point of 10 mm, the estimated prevalence of TST positivity was 16.7%, and the ARTI was 1.7% (95%CI 1.5-1.8). Higher infection rates were found in urban than in rural and remote areas, and infection rates increased with age. There was significant association between the prevalence of TB disease and infection at the cluster level (regression coefficient 0.54, 95%CI 0.06-1.01, P = 0.027, correlation coefficient R(2) 0.120). Children with a (recent) case of TB in the household were 1.6 times more likely to be TST-positive than children in households with no recent cases (P < 0.05). The estimated nationwide ARTI was 1.7%. TST positivity was associated with the presence of a TB case in the household.

  3. Supervisors and accomplices: extra-marital sex among migrant construction workers in Ha Noi, Viet Nam.

    Science.gov (United States)

    Thuy, Bui Thi Thanh; Kretchmar, Joshua

    2008-06-01

    This study examines the influence of social networks on the sexual relations of migrant construction workers in Ha Noi, Viet Nam. Research included observation and interviews with members of two different groups of workers. The first group, together with their employer (cai), came from the same village; the second group came from different villages. Of interest in the present study was how social relationships among workers and their employers influence extra-marital sexual activity. In the group where workers and their cai came from the same village of origin, fear of acquiring a bad reputation made these workers reluctant to seek sex services, since accounts of their behaviour were transmitted quickly home. In contrast, workers from the group who came from different villages often went out together to purchase sex. The absence of direct links to their villages of origin made it easier for these latter workers to conceal their activity. The implication of these findings for sexual safety and risk are discussed.

  4. Changes in body weight and tuberculosis treatment outcome in Viet Nam.

    Science.gov (United States)

    Hoa, N B; Lauritsen, J M; Rieder, H L

    2013-01-01

    National Tuberculosis Programme, Viet Nam, 2008. To assess the relationship between changes in body weight and tuberculosis (TB) treatment outcome. All treatment cards of patients from a sample of 30 randomly selected treatment units in the country were analysed. Of 2609 patients, 2506 (96.1%) had a successful treatment outcome. The median body weight of all patients at diagnosis was 46.0 kg (25th and 75th percentiles 41-51). New sputum smear-positive TB patients with a successful treatment outcome gained an average of 2.6 kg during treatment. Patients with weight loss during the first 2 months of treatment were more likely to have an unsuccessful outcome than patients without (OR 4.9, 95%CI 3.0-7.9). Patients weighing weight after 2 months of treatment had a significantly smaller risk of an unsuccessful treatment outcome than patients who did not (OR 0.2, 95%CI 0.05-0.96). Patients failing to gain weight or losing weight, particularly during the first 2 months of treatment, require particular attention, as they appear to be at an increased risk of unsuccessful treatment outcome.

  5. Relative Importance of Different Attributes of Graphic Health Warnings on Tobacco Packages in Viet Nam.

    Science.gov (United States)

    Giang, Kim Bao; Chung, Le Hong; Minh, Hoang Van; Kien, Vu Duy; Giap, Vu Van; Hinh, Nguyen Duc; Cuong, Nguyen Manh; Manh, Pham Duc; Duc, Ha Anh; Yang, Jui-Chen

    2016-01-01

    Graphic health warnings (GHW) on tobacco packages have proven to be effective in increasing quit attempts among smokers and reducing initial smoking among adolescents. This research aimed to examine the relative importance of different attributes of graphic health warnings on tobacco packages in Viet Nam. A discrete choice experimental (DCE) design was applied with a conditional logit model. In addition, a ranking method was used to list from the least to the most dreadful GHW labels. With the results from DCE model, graphic type was shown to be the most important attribute, followed by cost and coverage area of GHW. The least important attribute was position of the GHW. Among 5 graphic types (internal lung cancer image, external damaged teeth, abstract image, human suffering image and text), the image of lung cancer was found to have the strongest influence on both smokers and non-smokers. With ranking method, the image of throat cancer and heart diseases were considered the most dreadful images. GHWs should be designed with these attributes in mind, to maximise influence on purchase among both smokers and non-smokers.

  6. Green Infrastructure Modeling Tools

    Science.gov (United States)

    Modeling tools support planning and design decisions on a range of scales from setting a green infrastructure target for an entire watershed to designing a green infrastructure practice for a particular site.

  7. Critical infrastructure protection.

    Science.gov (United States)

    Deitz, Kim M

    2012-01-01

    Current government policies for protecting the nation's critical infrastructure are described in this article which focuses on hospital disaster planning and incident management and the significant role of Security in infrastructure protection

  8. Hipertiroidismo congénito, Reporte de dos casos

    Directory of Open Access Journals (Sweden)

    Víctor Clemente Mendoza Rojas

    2014-04-01

    Full Text Available Introducción: El hipertiroidismo es una patología tiroidea poco frecuente en neonatos, relacionada con el antecedente materno de enfermedad de Graves, y por lo tanto con el paso transplacentario de inmunoglobulinas estimulantes del receptor de TSH. Presentación de casos: Reportamos dos casos de sexo femenino, que se presentaron en el Hospital Universitario de Santander. El primero de los casos se manifestó en la primera semana; el segundo caso se presentó tardíamente después del primer mes de vida. Los síntomas que presentaron en común fueron taquicardia persistente e hiperactividad. En uno de los casos la presentación clínica fue confundida con una infección bacteriana, debido a la presencia de fiebre. Se confirma el diagnóstico con los niveles de TSH muy suprimidos y T4 libre elevada, al menos al doble del límite superior. Los dos casos observaron medicamentos antitiroideos y propanolol con buena evolución clínica y de laboratorios; no se observamos complicaciones a corto o largo plazo como arritmias o craneosinostosis. Discusión: El hipertiroidismo congénito es una patología poco frecuente y siempre debe ser sospechado en recién nacidos de madres con antecedente de enfermedad de Graves, sus manifestaciones pueden presentarse prenatalmente o postnatalmente, y su diagnóstico y tratamiento deben ser oportunos para evitar secuelas a largo plazo o incluso la muerte

  9. Distrofia muscular congênita estudo clinico de 17 pacientes

    Directory of Open Access Journals (Sweden)

    A. S. B. Oliveira

    1991-09-01

    Full Text Available Descrevemos 17 pacientes (12m, 5f com idades que variaram de 1 a 24 anos (mediana 6 anos com distrofia muscular congênita (DMC, que foram estudados do ponto de vista genético, clínico, laboratorial, eletrofisiológico e anátomo-patológico. A apresentação segundo a herança foi da forma esporádica (76,5% ou possivelmente autossômica recessiva (23,5%. A diminuição da movimentação fetal intra-uterina foi referida em 57% dos casos, hipotonia neonatal em 82% e retardo no desenvolvimento motor em 88,2%. Fraqueza muscular, diminuição dos reflexos profundos e contraturas articulares estavam presentes em todos os casos. A piora na função motora estava muito relacionada ao aumento ou aparecimento de novas retrações articulares. A CK nunca ultrapassou valores acima de 8 vezes o normal. O ENMG foi de padrão miopático em 73,3%, neuropático em 13,3% e normal em 13,3% dos casos. Aspectos tomográficos com hipodensidade da substância branca subcortical foram vistos em 8 casos. Ao tratamento impôs-se fisioterapia adequada e cirurgia corretiva das deformidades articulares. Novas contraturas desenvolveram-se mais tarde e estavam relacionadas freqüentemente a fisioterapia insuficiente.

  10. Transport Infrastructure Slot Allocation

    OpenAIRE

    Koolstra, K.

    2005-01-01

    In this thesis, transport infrastructure slot allocation has been studied, focusing on selection slot allocation, i.e. on longer-term slot allocation decisions determining the traffic patterns served by infrastructure bottlenecks, rather than timetable-related slot allocation problems. The allocation of infrastructure capacity among carriers is a major issue in various transport infrastructure sectors, and therefore a theoretical framework on slot allocation would be desirable to support rati...

  11. Detección temprana del hipotiroidismo congénito en el Hospital Materno Infantil

    Directory of Open Access Journals (Sweden)

    Ariel I. Ruiz Parra

    1999-07-01

    Full Text Available EI hipotiroidismo congénito no tratado culmina en retraso mental, anomalías del crecimiento y daño neurológico así como síntomas metabólicos relacionados con la deficiencia de hormonas tiroideas. EI diagnóstico clínico del hipotiroidismo congénito se establece en menos del 5% de los casos ya que los signos son inespecíficos, poco frecuentes o se desarrollan en forma progresiva y tardía. EI diagnóstico precoz es fundamental porque el pronóstico es excelente cuando se instaura el tratamiento con hormonas tiroideas en forma temprana. A pesar de que la relación costo beneficio es reconocidamente favorable, en nuestro medio no se ha difundido ampliamente el tamizaje para el hipotiroidismo congénito.

  12. Taking technological infrastructure seriously

    NARCIS (Netherlands)

    Mair, C.S.

    2017-01-01

    Taking Technological Infrastructure Seriously attempts to take stock of a sea-change in the way modern infrastructural resources are provided. Unlike traditional infrastructure, such as roads and electricity cables, where the State has largely been responsible for its provision, much of the key

  13. Nutrición en el lactante con cardiopatías congénitas

    OpenAIRE

    Gutiérrez, María Cielo

    2015-01-01

    Las Cardiopatías Congénitas (CC) son las malformaciones congénitas más frecuentes a nivel mundial con una incidencia de 8 a 10 por cada 1000 recién nacidos. En menores de un año, constituyen una de las principales causas de mortalidad infantil. Los lactantes y niños cardiópatas presentan frecuentemente alteraciones en el crecimiento y desarrollo, siendo mayor el compromiso en aquellos pacientes que presenten insuficiencia cardíaca y cianosis. Objetivos: Identificar las representaciones so...

  14. El tratamiento de la sífilis congénita

    Directory of Open Access Journals (Sweden)

    Facultad de Medicina Revista de la

    1934-01-01

    Full Text Available El American Journal of Diseases de octubre, 1933, publicó un artículo de Atlee y Tyson acerca de la sífilis congénita, en el que prevalece un tono decididamente optimista en comparación con la mayoría de los escritos que han aparecido sobre esta materia. Estos autores declaran que su experiencia les ha demostrado que el tratamiento inmediato de la sífilis congénita, continuado por 14 semanas, da un alto porcentaje de curas.

  15. Torcicolo congênito: avaliação de dois tratamentos fisioterapêuticos

    OpenAIRE

    Pagnossim,Luciane Zanusso; Schmidt,Augusto Frederico S.; Bustorff-Silva,Joaquim Murray; Marba,Sérgio Tadeu M.; Sbragia,Lourenço

    2008-01-01

    OBJETIVO: Avaliar a evolução clínica e comparar a eficácia do tratamento fisioterapêutico intensivo ou mínimo, em neonatos e lactentes com torcicolo congênito. MÉTODOS: Foram atendidas no Ambulatório de Fisioterapia e Cirurgia Pediátrica do Hospital de Clínicas da Universidade Estadual de Campinas 47 crianças com torcicolo congênito. Analisaram-se, retrospectivamente, antecedentes maternos, neonatais, apresentação clínica e tratamento fisioterapêutico, classificado de acordo com a freqüência ...

  16. Errores Congénitos del Metabolismo en edad pediátrica

    OpenAIRE

    Baña Souto, Ana María

    2013-01-01

    Los Errores Congénitos del Metabolismo son trastornos poco frecuentes de forma aislada pero en su conjunto suponen un capítulo relevante de la patología pediátrica. Los objetivos de este trabajo incluyen: • Valorar el impacto de la introducción del cribado neonatal ampliado mediante espectrometría de masas en tándem en nuestra comunidad. • Valorar la repercusión del diagnóstico y tratamiento precoz en la morbilidad y mortalidad de los pacientes con Errores Congénitos del ...

  17. Distúrbios da hemostasia em crianças portadoras de cardiopatias congênitas

    OpenAIRE

    Sena,Tais S.; Pinheiro Filho,Silvio R.; Lyra,Isa M.

    2010-01-01

    As cardiopatias congênitas apresentam elevada prevalência no Brasil, sendo responsáveis por morbi-mortalidade importante, principalmente em menores de 5 anos de idade. Relacionam-se a um perfil complexo de alterações hemostáticas, predispondo tanto a eventos trombóticos como hemorrágicos, e cujo conhecimento é fundamental para o manejo adequado de cada paciente. O presente artigo objetiva descrever as alterações da coagulação relacionadas às cardiopatias congênitas, cianogênicas ou não, em me...

  18. Incidencia prenatal de los defectos congénitos en Las Tunas

    OpenAIRE

    Juana Lupe Muñoz Callol; Glenys Katiuska Silva González; Yurima Rodríguez Peña; Elibett Carcases Carcases; Lisset del Carmen Romero Portelles

    2015-01-01

    Los defectos congénitos son la principal causa de morbilidad y mortalidad neonatal en casi todo el mundo. La introducción del diagnóstico prenatal y el establecimiento de estrategias preventivas en la atención primaria de salud han logrado la disminución de la prevalencia al nacimiento de defectos congénitos y de la mortalidad infantil en nuestro país. Se realizó un estudio descriptivo de corte transversal de los casos diagnosticados o confirmados prenatalmente en la consulta de genética prov...

  19. Understanding the infrastructure of European Research Infrastructures

    DEFF Research Database (Denmark)

    Lindstrøm, Maria Duclos; Kropp, Kristoffer

    2017-01-01

    European Research Infrastructure Consortia (ERIC) are a new form of legal and financial framework for the establishment and operation of research infrastructures in Europe. Despite their scope, ambition, and novelty, the topic has received limited scholarly attention. This article analyses one ERIC...... within the social sciences—the European Social Survey (ESS). We observe that the ESS experienced a decline in the number of participating countries upon its acquisition of ERIC status. We explore the links between methodological, organizational, and financial elements in the process through which the ESS...... became an ERIC using the Bowker and Star’s sociology of infrastructures. We conclude that focusing on ERICs as a European standard for organising and funding research collaboration gives new insights into the problems of membership, durability, and standardisation faced by research infrastructures...

  20. Understanding the infrastructure of European Research Infrastructures

    DEFF Research Database (Denmark)

    Lindstrøm, Maria Duclos; Kropp, Kristoffer

    2017-01-01

    European Research Infrastructure Consortia (ERICs) are a new form of legal and financial framework for the establishment and operation of research infrastructures in Europe. Despite their scope, ambition and novelty, the topic has received limited scholarly attention. This paper analyses one ERIC...... within the social sciences – the European Social Survey (ESS). We observe that the ESS experienced a decline in the number of participating countries upon its acquisition of ERIC status. We explore the links between methodological, organisational and financial elements in the process through which...... the ESS became an ERIC using the Bowker and Star’s sociology of infrastructures. We conclude that focusing on ERICs as a European standard for organising and funding research collaboration gives new insights into the problems of membership, durability and standardisation faced by research infrastructures...

  1. Parallel digital forensics infrastructure.

    Energy Technology Data Exchange (ETDEWEB)

    Liebrock, Lorie M. (New Mexico Tech, Socorro, NM); Duggan, David Patrick

    2009-10-01

    This report documents the architecture and implementation of a Parallel Digital Forensics infrastructure. This infrastructure is necessary for supporting the design, implementation, and testing of new classes of parallel digital forensics tools. Digital Forensics has become extremely difficult with data sets of one terabyte and larger. The only way to overcome the processing time of these large sets is to identify and develop new parallel algorithms for performing the analysis. To support algorithm research, a flexible base infrastructure is required. A candidate architecture for this base infrastructure was designed, instantiated, and tested by this project, in collaboration with New Mexico Tech. Previous infrastructures were not designed and built specifically for the development and testing of parallel algorithms. With the size of forensics data sets only expected to increase significantly, this type of infrastructure support is necessary for continued research in parallel digital forensics. This report documents the implementation of the parallel digital forensics (PDF) infrastructure architecture and implementation.

  2. Violation of Bans on Tobacco Advertising and Promotion at Points of Sale in Viet Nam: Trend from 2009 - 2015.

    Science.gov (United States)

    Huong, Le Thi Thanh; Long, Tran Khanh; Son, Phung Xuan; Huyen, Do Phuc; Linh, Phan Thuy; Bich, Nguyen Ngoc; Lam, Nguyen Xuan; Anh, Le Vu; Tuyet-Hanh, Tran Thi

    2016-01-01

    Comprehensive bans on tobacco advertising and promotion were introduced through tobacco control legislation in Viet Nam, but it has been established that violations of the bans are very common. This study was conducted to explore the trend in violations of bans on tobacco advertising and promotion at points of sale in Viet Nam in the past six years and to explore any differences in the violation situations before and after the Law on Tobacco Control came into effect on 1st May 2013. Quantitative data were collected through observation of violations of the bans on tobacco advertising and promotion at points of sale in 10 provinces throughout Viet Nam in four survey rounds (2009, 2010, 2011, and 2015). Variation in violation prevalence over time was examined by chi-square test using a Bonferini method. Binary logistic regression was employed to identify the factors that may have influences on different types of violation. A level of significance of pviolation was the display of more than one pack/one carton of a cigarette brand. Violation of bans on tobacco advertising increased while violations on promotion ban and on displaying tobacco decreased through time. Some factors associated with the tobacco advertising and promotion bans included surveyed years, types of points of sale, regions and areas where the points of sale were located. The enforcement of the bans did not improve even after the issuance and the enactment of the Law on Tobacco Control. This suggests that the monitoring and enforcement of bans on tobacco advertising and promotion at points of sale should be strengthened. Penalties should be strictly applied for violators as indicated in the current tobacco control legislation.

  3. Respiratory virus laboratory pandemic planning an surveillance in central Viet Nam, 2008-2010

    Directory of Open Access Journals (Sweden)

    Trinh Xuan Mai

    2012-07-01

    Full Text Available Introduction: Laboratory capacity is needed in central Viet Nam to provide early warning to public health authorities of respiratory outbreaks of importance to human health, for example the outbreak of influenza A(H1N1 pandemic in 2009. Polymerase chain reaction (PCR procedures established as part of a capacity-building process were used to conduct prospective respiratory surveillance in a region where few previous studies have been undertaken.Methods: Between October 2008 and September 2010, nose and throat swabs from adults and children (approximately 20 per week presenting with an acute respiratory illness to the Ninh Hoa General Hospital were collected. Same-day PCR testing and result reporting for 13 respiratory viruses were carried out by locally trained scientists.Results: Of 2144 surveillance samples tested, 1235 (57.6% were positive for at least one virus. The most common were influenza A strains (17.9%, with pandemic influenza A(H1N1 2009 and seasonal H3N2 strain accounting for 52% and 43% of these, respectively. Other virus detections included: rhinovirus (12.4%, enterovirus (8.9%, influenza B (8.3%, adenovirus (5.3%, parainfluenza (4.7%, respiratory syncytial virus (RSV (3.9%, human coronavirus (3.0% and human metapneumovirus (0.3%. The detection rate was greatest in the 0–5 year age group. Viral co-infections were identified in 148 (6.9% cases.Discussion: The outbreak in 2009 of the influenza A(H1N1 pandemic strain provided a practical test of the laboratory’s pandemic plan. This study shows that the availability of appropriate equipment and molecular-based testing can contribute to important individual and public health outcomes in geographical locations susceptible to emerging infections.

  4. Effect of land use change on water discharge in Srepok watershed, Central Highland, Viet Nam

    Directory of Open Access Journals (Sweden)

    Nguyen Thi Ngoc Quyen

    2014-09-01

    Full Text Available Srepok watershed plays an important role in Central Highland in Viet Nam. It impacts to developing social-economic conditions. Therefore, it is necessary to research elements which impact to natural resources in this watershed. The Soil and Water Assessment Tool (SWAT model and Geography Information System (GIS were used to simulate water discharge in the Srepok watershed. The objectives of the research were to apply GIS and SWAT model for simulation water discharge and then, we assessed land use change which impacted on water discharge in the watershed. The observed stream flow data from Ban Don Stream gauge station was used to calibrate for the period from 1981 to 2000 and then validate for the period from 2001 to 2009. After using SWAT-CUP software to calibration, NSI reached 0.63 and R square value achieved 0.64 from 2004 to 2008 in calibration and NSI gained good level at 0.74 and R square got 0.75 from 2009 to 2012 in validation step at Ban Don Station. After that, land cover in 2010 was processed like land cover in 2000 and set up SWAT model again. The simulated water discharge in scenario 1 (land use 2000 was compared with scenario 2 (land use 2010, the simulation result was not significant difference between two scenarios because the change of area of land use was not much enough to affect the fluctuation of water discharge. However, the effect of land cover on water resource could be seen clearly via total water yield. The percentage of surface flow in 2000 was twice times more than in 2010; retard and base flow in 2000 was slightly more than in 2010. Therefore, decreased surface flow, increased infiltration capacity of water and enriched base flow resulted in the growth of land cover.

  5. Collaborative GIS for flood susceptibility mapping: An example from Mekong river basin of Viet Nam

    Science.gov (United States)

    Thanh, B.

    2016-12-01

    Flooding is one of the most dangerous natural disasters in Vietnam. Floods have caused serious damages to people and made adverse impact on social economic development across the country, especially in lower river basin where there is high risk of flooding as consequences of the climate change and social activities. This paper presents a collaborative platform of a combination of an interactive web-GIS framework and a multi-criteria evaluation (MCE) tool. MCE is carried out in server side through web interface, in which parameters used for evaluation are groups into three major categories, including (1) climatic factor: precipitation, typhoon frequency, temperature, humidity (2) physiographic data: DEM, topographic wetness index, NDVI, stream power index, soil texture, distance to river (3) social factor: NDBI, land use pattern. Web-based GIS is based on open-source technology that includes an information page, a page for MCE tool that users can interactively alter parameters in flood susceptible mapping, and a discussion page. The system is designed for local participation in prediction of the flood risk magnitude under impacts of natural processes and human intervention. The proposed flood susceptibility assessment prototype was implemented in the Mekong river basin, Viet Nam. Index images were calculated using Landsat data, and other were collected from authorized agencies. This study shows the potential to combine web-GIS and spatial analysis tool to flood hazard risk assessment. The combination can be a supportive solution that potentially assists the interaction between stakeholders in information exchange and in disaster management, thus provides for better analysis, control and decision-making.

  6. Persisting stigma reduces the utilisation of HIV-related care and support services in Viet Nam

    Directory of Open Access Journals (Sweden)

    Thanh Duong Cong

    2012-11-01

    Full Text Available Abstract Background Seeking and utilisation of HIV prevention, treatment, care, and support services for people living with HIV is often hampered by HIV-related stigma. The study aimed to explore the perceptions and experiences regarding treatment, care, and support amongst people living with HIV in Viet Nam, where the HIV epidemic is concentrated among injecting drug users, sex workers, and men who have sex with men. Methods In-depth interviews and focus group discussions were conducted during September 2007 in 6 districts in Hai Phong with a very high HIV prevalence among injecting drug users. The information obtained was analysed and merged within topic areas. Illustrative quotes were selected. Results Stigma and discrimination against people living with HIV in the community and healthcare settings was commonly reported, and substantially hampered the seeking and the utilisation of HIV-related services. The informants related the high level of stigma to the way the national HIV preventive campaigns played on fear, by employing a “scare tactic” mainly focusing on drug users and sex workers, who were defined as “social evils” in the anti-drug and anti-prostitution policy. There was a strong exclusion effect caused by the stigma, with serious implications, such as loss of job opportunities and isolation. The support and care provided by family members was experienced as vital for the spirit and hope for the future among people living with HIV. Conclusions A comprehensive care and support programme is needed. The very high levels of stigma experienced seem largely to have been created by an HIV preventive scare tactic closely linked to the “social evil“ approach in the national policy on drug and prostitution. In order to reduce the stigma and create more effective interventions, this tactic will have to be replaced with approaches that create better legal and policy environments for drug users and sex workers.

  7. Artrogriposis múltiple congénita. Presentación de un caso

    Directory of Open Access Journals (Sweden)

    Silvia Evelyn Jiménez Abreu

    2016-02-01

    Full Text Available La Artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. La incidencia es variable, puede diagnosticarse por Ultrasonografía en edades tempranas de la gestación. La Artrogriposis múltiple congénita clásica, incluye más del 40-50% de los niños afectos de artrogriposis. La severidad de la afección es variable y las posibles causas subyacentes numerosas. En la forma clásica el pronóstico suele estar determinado únicamente por la limitación funcional que las contracturas articulares producen. Se presenta el caso de un recién nacido con diagnóstico posnatal de Artrogriposis múltiple congénita que desde el nacimiento presenta deformidades articulares con limitación de movimientos, contractura de miembros, pie equinovaro bilateral y alteraciones faciales. La gravedad de esta malformación y sus posibles consecuencias, hace importante dar a conocer este caso, con el propósito de contribuir a un adecuado diagnóstico y tratamiento rehabilitador posterior.

  8. Diferencias regionales en cardiopatías congénitas

    Directory of Open Access Journals (Sweden)

    Alberto García

    2017-03-01

    Conclusiones: Existen diferencias significativas en la distribución de las cardiopatías congénitas post-natales más frecuentes por regiones del país, que no han sido reportadas con anterioridad en Colombia ni en Latinoamérica, y que no parecen atribuibles al rol del azar.

  9. Prevalencia de defectos congénitos en Risaralda, 2010-2013

    Directory of Open Access Journals (Sweden)

    Gloria Liliana Porras-Hurtado

    2016-12-01

    Full Text Available Introducción. Datos sobre defectos congénitos de pequeñas regiones de países en desarrollo como Colombia son escasos. Objetivo. Describir la prevalencia de anomalías congénitas en el departamento de Risaralda, Colombia. Materiales y Métodos. Se incluyeron neonatos con defectos estructurales y funcionales al momento de nacer, entre junio de 2010 y diciembre de 2013 incluidos en la notificación obligatoria de eventos de interés en salud pública del Instituto Nacional de Salud, y se compararon con los nacidos en el mismo periodo en una clínica de la región inscrita al Estudio Colaborativo de Malformaciones Congénitas. Los datos fueron analizados mediante el software STATA 10. Resultados. Del total de nacidos vivos se encontró una prevalencia de periodo de 9 casos por cada 1.000 recién nacidos en el departamento. En la clínica inscrita al Estudio Colaborativo de Malformaciones Congénitas se encontró una prevalencia de 34 casos por cada 1.000 nacimientos, encontrándose en primer lugar las cardiopatías, seguida por las fisuras labio palatinas, los defectos de pared (no especificados, la displasia esquelética, la hidrocefalia, la polidactilia y el síndrome de Down. Conclusión. Tener una línea de base sobre la prevalencia de los defectos congénitos en Risaralda es de gran utilidad para adopción de políticas preventivas que lleven a la disminución en la incidencia y disminución en la severidad de las discapacidades. Incluir los hospitales materno-infantiles en la red de Estudio Colaborativo de Malformaciones Congénitas fortalece el registro nacional y la notificación de los defectos congénitos.

  10. 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 BACKGROUND: Infectious diseases of the central nervous system (CNS remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam.

  11. Malaria congénita en un hospital de iquitos, Perú

    Directory of Open Access Journals (Sweden)

    Hermann Silva

    Full Text Available Objetivos. Determinar la frecuencia y características clínicas de los recién nacidos con malaria congénita en el Hospital de Apoyo de Iquitos en la Amazonía peruana. Materiales y métodos. Estudio descriptivo, prospectivo y transversal. De enero de 2011 a diciembre de 2013 se estudiaron 14 017 recién nacidos y a sus madres, de quienes se seleccionaron 52 portadoras de malaria gestacional mientras que a sus recién nacidos se les hospitalizó en el Servicio de Neonatología del hospital, y fueron sometidos a evaluación clínica y estudios de laboratorio. Resultados. La frecuencia de malaria gestacional fue de 0,4% y una proporción de malaria congénita de 9,6%. Plasmodium vivax fue hallado en 80% de casos de malaria gestacional y en 60% de malaria congénita. Se observó un caso de óbito fetal con gota gruesa positiva para Plasmodium falciparum. El cuadro clínico en recién nacidos fue fiebre, hipoactividad, irritabilidad y pobre succión. Conclusiones. Se documenta la presencia de malaria congénita en recién nacidos de madres con malaria gestacional. El cuadro clínico se asemeja a una sepsis neonatal. El diagnóstico precoz de malaria congénita y el tratamiento oportuno cursan con buena evolución.

  12. Sífilis gestacional e congênita em Palmas, Tocantins, 2007-2014

    Directory of Open Access Journals (Sweden)

    Patrícia Alves de Mendonça Cavalcante

    Full Text Available RESUMO OBJETIVO: descrever o perfil epidemiológico dos casos notificados de sífilis em gestante e sífilis congênita no período 2007-2014 em Palmas-TO, Brasil. MÉTODOS: realizou-se estudo descritivo com dados do Sistema de Informação de Agravos de Notificação (Sinan. RESULTADOS: foram identificadas 171 gestantes com sífilis (4,7/1000 nascidos vivos [NV] e 204 casos de sífilis congênita (5,6/1000 NV; predominaram gestantes pardas (71,3%, com baixa escolaridade (48,0% e diagnóstico tardio no pré-natal (71,9%; a incidência de sífilis congênita variou de 2,9 a 8,1/1000 NV no período; predominaram, como características maternas, idade de 20-34 anos (73,5%, escolaridade até o Ensino Médio completo (85,3%, realização de pré-natal (81,4%, diagnóstico da sífilis no pré-natal (48,0% e parceiros de mães que realizaram pré-natal não tratados (83,0%, alcançando quase 80% de nascidos vivos com sífilis congênita. CONCLUSÃO: faz-se necessária a adoção de novas estratégias para efetividade da assistência pré-natal prestada e consequente redução da incidência da sífilis congênita.

  13. Defectos congénitos mayores en un hospital de tercer nivel en cali - colombia. 2004 – 2008

    OpenAIRE

    Pachajoa, Harry; Ariza, Yoseth; Isaza, Carolina; Méndez, Fabián

    2014-01-01

    Introducción: Varios sistemas de vigilancia funcionan en el mundo para el registro de los defectos congénitos. En Latinoamérica la vigilancia se desarrolla a través de la metodología propuesta por el Estudio Colaborativo Latinoamericano de Malformaciones Congénitas (ECLAMC), del que hace parte el Hospital Universitario del Valle (HUV) desde marzo de 2004. Objetivos: Determinar la prevalencia de los defectos congénitos diagnosticados al nacimiento y describir los factores sociodemográficos y d...

  14. Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam

    Directory of Open Access Journals (Sweden)

    Thach Tran D

    2009-07-01

    Full Text Available Abstract Background Iron deficiency, anemia and hookworm disease are important public health problems for women of reproductive age living in developing countries and affect the health of newborns and infants. Iron supplementation and deworming treatment are effective in addressing these problems in both pregnant and non-pregnant women. Daily iron supplementation and deworming after the first trimester is recommended for pregnant women although these programs usually do not operate efficiently or effectively. Weekly iron-folic acid supplementation and regular deworming for non-pregnant women may be a viable approach for improving iron status and preventing anemia during the reproductive years. Addressing these diseases at a population level before women become pregnant could significantly improve women's health before and during pregnancy, as well as their infants' growth and development. Methods and Results This paper describes the major processes undertaken in a demonstration intervention of preventive weekly iron-folic acid supplementation with regular deworming for all 52,000 women aged 15–45 years in two districts of Yen Bai province, in northern Viet Nam. The intervention strategy included extensive consultation with community leaders and village, commune, district and provincial health staff, and training for village health workers. Distribution of the drugs was integrated with the existing health service infrastructure and the village health workers were the direct point of contact with women. Iron-folic acid tablets and deworming treatment were provided free of charge from May 2006. An independent Vietnamese NGO was commissioned to evaluate compliance and identify potential problems. The program resulted in effective distribution of iron-folic acid tablets and deworming treatment to all villages in the target districts, with full or partial compliance of 85%. Conclusion Training for health staff, the strong commitment of all partners

  15. Apraxia oculomotora congénita Congenital oculomoror apraxia

    Directory of Open Access Journals (Sweden)

    Rosa M Naranjo Fernández

    2010-01-01

    Full Text Available La apraxia oculomotora congénita, también conocida como Síndrome de Cogan, es una enfermedad hereditaria rara que afecta al ojo, caracterizada por la incapacidad para ejecutar movimientos oculares horizontales voluntarios. Descrita por Cogan en 1952, de etiología desconocida, clásicamente se le considera un desorden esporádico, con herencia autosómica dominante en algunos casos y en otros sugieren alteraciones metabólicas parciales o defectos del desarrollo neurológico. Acude al servicio de oftalmología pediátrica un paciente masculino de ocho meses de edad y al examen de motilidad ocular se detecta que cuando el niño intenta mover los ojos hacia el objeto que le llama la atención, realiza movimientos bruscos laterales de la cabeza. Se realizan estudios de neuro imágenes y electroencefalograma, no se encontraron alteraciones. Este es un diagnóstico de exclusión donde deben descartarse otras causas de defecto de fijación y movimientos cefálicos anómalos. En este momento con dos años de edad se constata una mejoría dada por disminución de las sacudidas cefálicas. Sin embargo, el retraso del desarrollo psicomotor, especialmente del lenguaje, sí puede requerir educación especial. Esta enfermedad es poco frecuente por lo que su detección temprana contribuye a un mejor pronóstico visual.The congenital ocular motor apraxia, also known as Cogan´s Syndrome, is a rare heredity disease that affects the eye in that to the extent that it can not move horizontally at will. Of unknown etiology, it was described by Cogan in 1952 and, classically considered as a sporadic disease with dominant autosomal heredity in some cases, and as an indicator of partial metabolic alterations or neurological development defects in others. An 8 month-old male patient was seen at the pediatric ophthalmology department. On the ocular motility exam, it was found that the child attempted to move his eyes towards an object that got his attention, but

  16. Center for Infrastructure Defense

    OpenAIRE

    2013-01-01

    Includes an image of the main page on this date and compressed file containing additional web pages. The Center for Infrastructure Defense (CID) focuses on the continued operation of critical military and civilian infrastructure in the presence of accident, failure, and attack. Operations Research (OR) Department in the Graduate School of Operational and Information Sciences at the Naval Postgraduate School.

  17. Physical resources and infrastructure

    NARCIS (Netherlands)

    Foeken, D.W.J.; Hoorweg, J.; Foeken, D.W.J.; Obudho, R.A.

    2000-01-01

    This chapter describes the main physical characteristics as well as the main physical and social infrastructure features of Kenya's coastal region. Physical resources include relief, soils, rainfall, agro-ecological zones and natural resources. Aspects of the physical infrastructure discussed are

  18. Transport Infrastructure Slot Allocation

    NARCIS (Netherlands)

    Koolstra, K.

    2005-01-01

    In this thesis, transport infrastructure slot allocation has been studied, focusing on selection slot allocation, i.e. on longer-term slot allocation decisions determining the traffic patterns served by infrastructure bottlenecks, rather than timetable-related slot allocation problems. The

  19. Supporting clinicians in infrastructuring

    DEFF Research Database (Denmark)

    Simonsen, Jesper; Hertzum, Morten; Karasti, Helena

    2015-01-01

    the notion of infrastructuring, we carry out an infrastructural analysis of eWBs and approach our joint efforts as unfolding and continuing the con-figuration of participatory design activities. We identify a need for local support and novel competences among the clinicians in order for them to engage...

  20. Operational Social Influence in the Vietnam War: An Analysis of Influence Tactics Used by the U.S. Marine’s Combined Action Program and the Viet Cong in South Vietnam

    Science.gov (United States)

    2011-03-01

    16th century are Auguste Comte (1798–1857), Karl Marx (1818–1883), and most recently Herbert Spencer (1820–1903).8 Psychology, the study of mind and...Influence: Advances and Future Progress. A social influence tactic is defined as “any noncoercive technique, device , procedure, or

  1. Security infrastructure for dynamically provisioned cloud infrastructure services

    NARCIS (Netherlands)

    Demchenko, Y.; Ngo, C.; de Laat, C.; Lopez, D.R.; Morales, A.; García-Espín, J.A.; Pearson, S.; Yee, G.

    2013-01-01

    This chapter discusses conceptual issues, basic requirements and practical suggestions for designing dynamically configured security infrastructure provisioned on demand as part of the cloud-based infrastructure. This chapter describes general use cases for provisioning cloud infrastructure services

  2. Déficit congénital en facteur V: à propos d'un cas | Boujrad | Pan ...

    African Journals Online (AJOL)

    Il en résulte une tendance aux saignements. Nous rapportons un cas de déficit congénital en facteur V chez un nourrisson présentant des épistaxis à répétition. Mots clés: Déficit congénital en facteur V, épistaxis, circoncision, plasma frais congelé. English Title: Factor V congenital deficiency: about a case. English Abstract.

  3. Decreasing In-home Smoking of Adults—Results from a School-based Intervention Program in Viet Nam

    Directory of Open Access Journals (Sweden)

    Le Thi Thanh Huong

    2016-10-01

    Full Text Available It is indicated that children are involuntarily exposed to secondhand smoke from adults, mainly at their home environment. This study aimed at describing the effectiveness of the school-based intervention to decrease the in-home smoking situation of adults so as to decrease children’s exposure to secondhand smoke at home during the year 2011–2012 in a rural district in Hanoi, Viet Nam. This school-based intervention program (intervention and control group involved 804 children aged 8 to 11 years from August 2011 to May 2012 in a rural district of Hanoi, Viet Nam. Children were taught in class about the harmful effects of secondhand smoke and about how to negotiate with fathers not to smoke in-home. Then children applied what they learnt, including staying away from secondhand smoke and persuading fathers not to smoke in-home in order to decrease children’s exposure to secondhand smoke. Chi square test, t-test and multinominal logistic regression were applied in data analysis. The results showed that children’s reported their father’s in-home smoking decreased from 83.0% pre-intervention to 59.8% post-intervention (p < 0.001 in the intervention school while no change happened in the control school. The study found that the better changed smoking location of adult smokers as reported by children associated with the school who received intervention activities (adjusted OR = 2.04; 95% CI: 1.28–3.24. Poorer changed attitudes towards secondhand smoke of children associated with a lower percentage of better change in smoking location of their fathers/other adult smokers (aOR = 0.51, 95% CI: 0.28–0.96. Children’s poorer changed knowledge towards secondhand smoke also associated with poorer changed smoking location of adult smokers (aOR = 2.88, 95% CI: 1.07–7.76. It is recommended by this study that similar school based intervention approaches should be applied in primary schools in Viet Nam to increase children’s awareness on the

  4. Tumores congénitos do sistema nervoso II - Craniofaringiomas

    Directory of Open Access Journals (Sweden)

    Horácio M. Canelas

    1961-01-01

    Full Text Available Os craniofaringiomas, embora raros entre os tumores intracranianos, representam o tipo mais freqüente de neoplasia congênita do sistema nervoso. Os autores referem a constituição e a ulterior destruição parcial do ducto hipofisário, de cujos restos êsses tumores derivam. Expõem as classificações dos craniofaringiomas sob os pontos de vista macroscópico (císticos, semicísticos e sólidos, histopatológico (cistos epiteliais mucosos, adamantinomas e epiteliomas planocelulares e topográfico (selares, supra-diafragmáticos e intracrânio-selares. A propósito da incidência, ressalta a maior freqüência nas duas primeiras décadas, embora os craniofaringiomas não sejam exclusivos dos jovens. Predominam ligeiramente no sexo masculino. A sintomatologia é estudada de acôrdo com a situação supradiafragmá-tica (manifestações predominantemente hipotálamo-quiasmáticas ou selar (distúrbios das funções gônado e somatotrófica da hipófise. As alterações radiológicas são de grande valor para o diagnóstico, particularmente as que se revelam no craniograma (calcificações e erosões selares, pneumencefalografia, pneumo e iodoventriculografia, e arteriografia cerebral. No tocante ao tratamento dos craniofaringiomas, os autores referem as controvérsias existentes sôbre os resultados da radioterapia. O tratamento cirúrgico comporta técnicas variadas, desde a punção transesfenoidal (hoje quase abandonada, até a craniotomia frontal ou frontotemporal. O problema da excisão radical é discutido, salientando-se as dificuldades na sua consecução, dadas as aderências do tumor com as vias ópticas na região quiasmática, as artérias regionais e o hipotálamo. A elevada mortalidade operatória é atribuida principalmente à manipulação do hipotálamo e ao colapso hipofisário. É estudado com minúcias o emprêgo do ACTH ou cor-tisona associado à cirurgia. São de prever bons resultados do tratamento com r

  5. Trasplante cardiaco en pacientes adultos con cardiopatía congénita

    Directory of Open Access Journals (Sweden)

    Manel Tauron

    2017-11-01

    Full Text Available Resumen: Introducción y objetivos: Los pacientes adultos con cardiopatías congénitas representan un porcentaje pequeño del total de pacientes trasplantados de corazón. Tradicionalmente se ha asociado a este subgrupo de pacientes a una mayor mortalidad precoz. En nuestro centro hemos experimentado un incremento en el número de pacientes adultos con cardiopatía congénita remitidos para valoración de trasplante. Presentamos nuestra experiencia. Métodos: Entre mayo de 1984 y diciembre del 2014 se realizaron 508 trasplantes cardiacos. De ellos 16 (3% fueron en adultos con cardiopatía congénita. Se han analizado las características de este grupo, comparando su evolución con el resto de trasplantes de causa no congénita. Resultados: En el grupo de pacientes trasplantados con cardiopatía congénita la causa más frecuente fue la transposición completa de grandes vasos. Los pacientes congénitos trasplantados tuvieron una edad media inferior, menos factores de riesgo cardiovascular y mayor número de intervenciones previas que el grupo de trasplantados no congénitos, todas ellas diferencias estadísticamente significativas (p < 0,001 en todos los casos. La supervivencia de los trasplantados por cardiopatías congénitas fue del 87,5% (IC del 95%, 58,60%-96,72% al año, 78,6% (IC del 95%, 46,62%-92,79% a los 5 años y 57,4% (IC del 95%, 24,07-80,57% a los 10 años, sin diferencia (p = 0,23 respecto al grupo de no congénitos. Conclusiones: A pesar de que ha aumentado el número de pacientes con cardiopatías congénitas complejas remitidos a programas de trasplante cardiaco, continúan representando un porcentaje pequeño del total de trasplantes. Una minuciosa selección de pacientes candidatos, una buena planificación quirúrgica y un estricto control postoperatorio permiten disminuir la mortalidad precoz en los trasplantes de pacientes con cardiopatías congénitas complejas, haciéndola semejante a la de los pacientes

  6. Information infrastructure(s) boundaries, ecologies, multiplicity

    CERN Document Server

    Mongili, Alessandro

    2014-01-01

    This book marks an important contribution to the fascinating debate on the role that information infrastructures and boundary objects play in contemporary life, bringing to the fore the concern of how cooperation across different groups is enabled, but also constrained, by the material and immaterial objects connecting them. As such, the book itself is situated at the crossroads of various paths and genealogies, all focusing on the problem of the intersection between different levels of scale...

  7. Chef infrastructure automation cookbook

    CERN Document Server

    Marschall, Matthias

    2013-01-01

    Chef Infrastructure Automation Cookbook contains practical recipes on everything you will need to automate your infrastructure using Chef. The book is packed with illustrated code examples to automate your server and cloud infrastructure.The book first shows you the simplest way to achieve a certain task. Then it explains every step in detail, so that you can build your knowledge about how things work. Eventually, the book shows you additional things to consider for each approach. That way, you can learn step-by-step and build profound knowledge on how to go about your configuration management

  8. Aplasia Cutis Congénita: Presentación de un caso

    Directory of Open Access Journals (Sweden)

    Rosa María Alonso Uría

    1998-06-01

    Full Text Available Se reportó el caso de un recién nacido, hijo de madre secundigesta, con una malformación congénita del cuero cabelludo, del tipo aplasia cutis congénita. Se describieron las características clínicas de ésta, su evolución, pronóstico y tratamiento. Se hizo énfasis en el cuidado y la prevención de las complicaciones, fundamentalmente infecciosas, en este tipo de neonatosThe case of a newborn, son of a secundigravida, with a congenital malformation of the scalp denominated aplasia cutis congenita is reported. Its clinical characteristics, evolutions, prognosis and treatment are described. Emphasis is made on the care and prevention of the complications, mainly infectious, in this type of neonates

  9. Beyond description. Comment on "Approaching human language with complex networks" by Cong and Liu

    Science.gov (United States)

    Ferrer-i-Cancho, R.

    2014-12-01

    In their historical overview, Cong & Liu highlight Sausurre as the father of modern linguistics [1]. They apparently miss G.K. Zipf as a pioneer of the view of language as a complex system. His idea of a balance between unification and diversification forces in the organization of natural systems, e.g., vocabularies [2], can be seen as a precursor of the view of complexity as a balance between order (unification) and disorder (diversification) near the edge of chaos [3]. Although not mentioned by Cong & Liu somewhere else, trade-offs between hearer and speaker needs are very important in Zipf's view, which has inspired research on the optimal networks mapping words into meanings [4-6]. Quantitative linguists regard G.K. Zipf as the funder of modern quantitative linguistics [7], a discipline where statistics plays a central role as in network science. Interestingly, that centrality of statistics is missing Saussure's work and that of many of his successors.

  10. Brida intestinal congénita Congenital bridle present in intestines

    OpenAIRE

    Angelicia Crespo Campos; Yanett Sarmiento Portal; María Elena Portal Miranda; Sergio Piloña Ruiz

    2009-01-01

    La obstrucción congénita del tubo digestivo es una de las patologías quirúrgicas neonatales más frecuentes. Se presenta el caso de un recién nacido que, a las 30 h de vida, aún sin evacuar meconio, comenzó con vómitos biliosos, distensión abdominal, irritabilidad y disminución de los ruidos hidroaéreos. Tras valoración conjunta con otras especialidades y los estudios correspondientes, se decidió la intervención quirúrgica de urgencia. Se encontró brida congénita a nivel del íleon terminal que...

  11. Sífilis gestacional e congênita em Palmas, Tocantins, 2007-2014

    OpenAIRE

    Cavalcante, Patrícia Alves de Mendonça; Pereira, Ruth Bernardes de Lima; Castro, José Gerley Diaz

    2017-01-01

    RESUMO OBJETIVO: descrever o perfil epidemiológico dos casos notificados de sífilis em gestante e sífilis congênita no período 2007-2014 em Palmas-TO, Brasil. MÉTODOS: realizou-se estudo descritivo com dados do Sistema de Informação de Agravos de Notificação (Sinan). RESULTADOS: foram identificadas 171 gestantes com sífilis (4,7/1000 nascidos vivos [NV]) e 204 casos de sífilis congênita (5,6/1000 NV); predominaram gestantes pardas (71,3%), com baixa escolaridade (48,0%) e diagnóstico tardi...

  12. EV Charging Infrastructure Roadmap

    Energy Technology Data Exchange (ETDEWEB)

    Karner, Donald [Electric Transportation Inc., Rogers, AR (United States); Garetson, Thomas [Electric Transportation Inc., Rogers, AR (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-08-01

    As highlighted in the U.S. Department of Energy’s EV Everywhere Grand Challenge, vehicle technology is advancing toward an objective to “… produce plug-in electric vehicles that are as affordable and convenient for the average American family as today’s gasoline-powered vehicles …” [1] by developing more efficient drivetrains, greater battery energy storage per dollar, and lighter-weight vehicle components and construction. With this technology advancement and improved vehicle performance, the objective for charging infrastructure is to promote vehicle adoption and maximize the number of electric miles driven. The EV Everywhere Charging Infrastructure Roadmap (hereafter referred to as Roadmap) looks forward and assumes that the technical challenges and vehicle performance improvements set forth in the EV Everywhere Grand Challenge will be met. The Roadmap identifies and prioritizes deployment of charging infrastructure in support of this charging infrastructure objective for the EV Everywhere Grand Challenge

  13. IPHE Infrastructure Workshop Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    None

    2010-02-01

    This proceedings contains information from the IPHE Infrastructure Workshop, a two-day interactive workshop held on February 25-26, 2010, to explore the market implementation needs for hydrogen fueling station development.

  14. Infrastructure Area Simplification Plan

    CERN Document Server

    Field, L.

    2011-01-01

    The infrastructure area simplification plan was presented at the 3rd EMI All Hands Meeting in Padova. This plan only affects the information and accounting systems as the other areas are new in EMI and hence do not require simplification.

  15. Macrovaso retiniano congênito: relato de caso Congenital retinal macrovessel: case report

    Directory of Open Access Journals (Sweden)

    Rodrigo Tavares Schueler

    2005-06-01

    Full Text Available O macrovaso retiniano congênito é rara anomalia vascular em que um vaso grande e suas tributárias cruzam a mácula. Descrevemos um caso de macrovaso retiniano em paciente com queixa de baixa acuidade visual.Congenital retinal macrovessel is a rare vascular anomaly in which a large vessel and its tributaries cross the macula. We describe a case of retinal macrovessel in a patient complaining of decrease in visual acuity.

  16. Emphysème segmentaire géant congénital compressif: diagnostic et ...

    African Journals Online (AJOL)

    L'emphysème lobaire géant congénital est une pathologie malformative rare du nourrisson. Les auteurs rapportent un cas similaire qui se distingue par son siège segmentaire encore plus rare et son caractère compressif chez qui une segmentectomie a été réalisée en urgence avec succès pour lever la détresse ...

  17. Les malformations congénitales cliniquement visibles et facteurs de ...

    African Journals Online (AJOL)

    Objectifs : Répertorier les malformations congénitales cliniquement visibles rencontrées à la naissance et identifier les facteurs de risque malformatif. Patients et méthodes. Il s'est agit d'une étude transversale à visée descriptive et analytique menée (mars-juillet 2012) dans 4 maternités de Cotonou. Résultats : Des 2030 ...

  18. Estenose congênita da abertura piriforme Congenital nasal pyriform aperture stenosis

    Directory of Open Access Journals (Sweden)

    José V. Tagliarini

    2005-04-01

    Full Text Available A estenose congênita da abertura piriforme é uma rara causa de obstrução nasal que pode ocorrer no recém-nascido. É provocada pelo crescimento excessivo do processo nasal medial da maxila causando um estreitamento do terço anterior da fossa nasal. Inicialmente foi relatada uma deformidade isolada, posteriormente a estenose congênita da abertura piriforme foi considerada como apresentação de forma menor da holoprosencefalia. Neste artigo relatamos um caso de recém-nascido do sexo masculino que apresentava desde o parto dispnéia, cianose e episódios de apnéia. O paciente foi submetido a cirurgia com alargamento da abertura piriforme por acesso sublabial. No seguimento apresentou boa evolução durante o acompanhamento. O relato desta deformidade mostra sua importância como causa de obstrução nasal congênita e diagnóstico diferencial de atresia coanal. A estenose congênita da abertura piriforme pode ser reparada adequadamente, quando necessário, através de procedimento cirúrgico.The congenital stenosis of pyriform aperture is an unusual cause of neonatal nasal obstruction. It is due to bony overgrowth of the nasal lateral process of the maxilla. Initially this narrowest part of nasal airway was considered an isolated deformity; subsequently the congenital Stenosis of pyriform aperture was thought to represent a microform of holoprosencephaly. In this report a male neonate had respiratory distress, cyclic cyanosis and apnea after delivery. The patient underwent surgical correction of pyriform stenosis by sublabial access. In the follow up, the patient had good evolution. The report of this deformity shows an important cause of neonatal nasal obstruction and its differential diagnosis with bilateral choanal atresia. Congenital stenosis of nasal pyriform aperture can be surgically corrected when necessary.

  19. Infrastructure Engineering and Deployment Division

    Data.gov (United States)

    Federal Laboratory Consortium — Volpe's Infrastructure Engineering and Deployment Division advances transportation innovation by being leaders in infrastructure technology, including vehicles and...

  20. The UNICORE Grid Infrastructure

    Directory of Open Access Journals (Sweden)

    Mathilde Romberg

    2002-01-01

    Full Text Available UNICORE (Uniform Interface to Computer Resources is a software infrastructure supporting seamless and secure access to distributed resources. UNICORE allows uniform access to different hardware and software platforms as well as different organizational environments. Based on the abstract job model it offers services for security, translation of abstract jobs into real batch jobs for different target systems, and a public key infrastructure. This paper describes the UNICORE architecture and the services provided.

  1. Financing Infrastructure in Indonesia

    OpenAIRE

    2010-01-01

    The July 2010 edition of Prakarsa is devoted to Financing Infrastructure, and examines a variety of mechanisms that can be used to secure and manage funding for a broad range of infrastructure sectors. Feature articles include discussions of public service obligations/pioneer services (“Shifting the Mindset: Public Service Obligations and Pioneer Services in Indonesia's Transport Sector” by Peter Benson and Kawik Sugiana); how semi-autonomous local entities can deliver services (“A Promising ...

  2. CRITICAL UTILITY INFRASTRUCTURAL RESILIENCE

    OpenAIRE

    Dondossola, Giovanna; Deconinck, Geert; Di Giandomenico, Felicita; Donatelli, Susanna; M. Kaaniche; Verissimo, Paulo

    2006-01-01

    The problem of security and dependability, or generically speaking, resilience [1] of Internet-oriented infrastructure systems, such as web server compounds, is reasonably well understood. Although it is not completely mastered (for example, denial of service is still a research subject), it is receiving adequate attention. However, such is not the case with the problem of resilience of critical utility infrastructures. This problem is not completely understood, mainly due to the hybrid compo...

  3. Supply- and Demand-Side Factors Influencing Utilization of Infant and Young Child Feeding Counselling Services in Viet Nam

    Science.gov (United States)

    Nguyen, Phuong H.; Kim, Sunny S.; Nguyen, Tuan T.; Tran, Lan M.; Hajeebhoy, Nemat; Frongillo, Edward A.; Ruel, Marie T.; Rawat, Rahul; Menon, Purnima

    2016-01-01

    Adequate utilization of services is critical to maximize the impact of counselling on infant and young child feeding (IYCF), but little is known about factors affecting utilization. Our study examined supply- and demand-side factors associated with the utilization of IYCF counselling services in Viet Nam. We used survey data from mothers with children demand-generation strategies, especially invitation cards, were the key factors determining one-time use (Prevalence ratio, PR 3.0, 95% CI: 2.2–4.2), repeated use (PR 3.2, 95% CI: 2.4–4.2), and achievement of minimum visits (PR 5.5, 95% CI: 3.6–8.4). Higher maternal education was associated with higher utilization both for one-time and repeated use. Being a farmer, belonging to an ethnic minority, and having a wasted child were associated with greater likelihood of achieving the minimum recommended number of visits, whereas child stunting or illness were not. Distance to health center was a barrier to repeated visits. Among supply-side factors, good counselling skills (PR: 1.3–1.8) was the most important factor associated with any service use, whereas longer employment duration and greater work pressure of health center staff were associated with lower utilization. Population attributable risk estimations showed that an additional 25% of the population would have achieved the minimum number of visits if exposed to three demand-generation strategies, and further increased to 49% if the health staff had good counseling skills and low work pressure. Our study provides evidence that demand-generation strategies are essential to increase utilization of facility-based IYCF counselling services in Viet Nam, and may be relevant for increasing and sustaining use of nutrition services in similar contexts. PMID:26962856

  4. Paralisia facial periférica congênita familiar Familial congenital peripheral facial palsy

    Directory of Open Access Journals (Sweden)

    Ehrenfried O. Wittig

    1968-03-01

    Full Text Available Os autores referem 6 casos de paralisia facial periférica congênita que se sucederam em três gerações. O estudo genético sugere a atuação de um gen autosômico dominante. Na mesma família foram assinalados outras alterações congênitas (estrabismo, nistagmo. Um dos pacientes com paralisia facial (caso II-7 também apresentava micrognatia. Os pacientes com outras alterações congênitas não foram examinados adequadamente, não sendo possível, por isso, estbelecer relação etiológica entre esses achados e a paralisia facial.Six cases of congenital peripheral facial diplegia occurring in three generations are reported. The action of an autosomal dominant gene is suggested. In the same family were observed other congenital anomalies (strabismus, nistagmus. One of the patients with facial palsy had also micrognathy. Patients with other congenital anomalies but without facial palsy were examined not adequately; therefore it was impossible to correlate these findings with those concerning the facial palsy.

  5. MFC Communications Infrastructure Study

    Energy Technology Data Exchange (ETDEWEB)

    Michael Cannon; Terry Barney; Gary Cook; George Danklefsen, Jr.; Paul Fairbourn; Susan Gihring; Lisa Stearns

    2012-01-01

    Unprecedented growth of required telecommunications services and telecommunications applications change the way the INL does business today. High speed connectivity compiled with a high demand for telephony and network services requires a robust communications infrastructure.   The current state of the MFC communication infrastructure limits growth opportunities of current and future communication infrastructure services. This limitation is largely due to equipment capacity issues, aging cabling infrastructure (external/internal fiber and copper cable) and inadequate space for telecommunication equipment. While some communication infrastructure improvements have been implemented over time projects, it has been completed without a clear overall plan and technology standard.   This document identifies critical deficiencies with the current state of the communication infrastructure in operation at the MFC facilities and provides an analysis to identify needs and deficiencies to be addressed in order to achieve target architectural standards as defined in STD-170. The intent of STD-170 is to provide a robust, flexible, long-term solution to make communications capabilities align with the INL mission and fit the various programmatic growth and expansion needs.

  6. Interaction between surface water areas and groundwater in Hanoi city, Viet Nam

    Science.gov (United States)

    Hayashi, T.; Kuroda, K.; Do Thuan, A.; Tran Thi Viet, N.; Takizawa, S.

    2012-12-01

    Hanoi is the capital of Viet Nam and the second largest city in this country (population: 6.45 million in 2009). Hanoi city has developed along the Red River and has many lakes, ponds and canals. However, recent rapid urbanization of this city has reduced number of natural water areas such as ponds and lakes by reclamation not only in the central area but the suburban area. Canals also have been reclaimed or cut into pieces. Contrary, number of artificial water areas such as fish cultivation pond has rapidly increased. On the other hand, various kind of waste water flows into these natural and artificial water areas and induces pollution and eutrophication. These waste waters also have possibility of pollution of groundwater that is one of major water resources in this city. In addition, groundwater in this area has high concentrations of Arsenic, Fe and NH4. Thus, groundwater use may causes re-circulation of Arsenic. However, studies on the interaction between surface water areas and groundwater and on the role of surface water areas for solute transport with water cycle are a few. Therefore, we focused on these points and took water samples of river, pond and groundwater from four communities in suburban areas: two communities are located near the Red River and other two are far from the River. Also, columnar sediment samples of these ponds were taken and pore water was abstracted. Major dissolved ions, metals and stable isotopes of oxygen and hydrogen of water samples were analyzed. As for water cycle, from the correlation between δ18O and δD, the Red River water (after GNIR) were distributed along the LMWL (δD=8.2δ18O+14.1, calculated from precipitation (after GNIP)). On the other hand, although the pond waters in rainy season were distributed along the LMWL, that in dry season were distributed along the local evaporation line (LEL, slope=5.6). The LEL crossed with the LMWL at around the point of weighted mean values of precipitation in rainy season and of

  7. Roles of surface water areas for water and solute cycle in Hanoi city, Viet Nam

    Science.gov (United States)

    Hayashi, Takeshi; Kuroda, Keisuke; Do Thuan, An; Tran Thi Viet, Nga; Takizawa, Satoshi

    2013-04-01

    Hanoi city, the capital of Viet Nam, has developed beside the Red river. Recent rapid urbanization of this city has reduced a large number of natural water areas such as lakes, ponds and canals not only in the central area but the suburban area. Contrary, the urbanization has increased artificial water areas such as pond for fish cultivation and landscaping. On the other hand, the urbanization has induced the inflow of waste water from households and various kinds of factories to these water areas because of delay of sewerage system development. Inflow of the waste water has induced eutrophication and pollution of these water areas. Also, there is a possibility of groundwater pollution by infiltration of polluted surface water. However, the role of these water areas for water cycle and solute transport is not clarified. Therefore, this study focuses on the interaction between surface water areas and groundwater in Hanoi city to evaluate appropriate land development and groundwater resource management. We are carrying out three approaches: a) understanding of geochemical characteristics of surface water and groundwater, b) monitoring of water levels of pond and groundwater, c) sampling of soil and pond sediment. Correlation between d18O and dD of precipitation (after GNIP), the Red River (after GNIR) and the water samples of this study showed that the groundwater is composed of precipitation, the Red River and surface water that has evaporation process. Contribution of the surface water with evaporation process was widely found in the study area. As for groundwater monitoring, the Holocene aquifers at two sites were in unconfined condition in dry season and the groundwater levels in the aquifer continued to increase through rainy season. The results of isotopic analysis and groundwater level monitoring showed that the surface water areas are one of the major groundwater sources. On the other hand, concentrations of dissolved Arsenic (filtered by 0.45um) in the pore

  8. New infrastructures, new landscapes

    Directory of Open Access Journals (Sweden)

    Chiara Nifosì

    2014-06-01

    Full Text Available New infrastructures, new landscapes AbstractThe paper will discuss one recent Italian project that share a common background: the relevance of the existing maritime landscape as a non negotiable value. The studies will be discussed in details a feasibility study for the new port in Monfalcone. National infrastructural policies emphasize competitiveness and connection as a central issue incultural, economic and political development of communities . Based on networks and system development along passageways that make up the European infrastructural armor; the two are considered at the meantime as cause and effect of "territorialisation”. These two views are obviously mutually dependent. It's hard to think about a strong attractiveness out of the network, and to be part of the latter encourages competitiveness. Nonetheless this has proved to be conflictual when landscape values and the related attractiveness are considered.The presented case study project, is pursuing the ambition to promote a new approach in realizing large infrastructures; its double role is to improve connectivity and to generate lasting and positive impact on the local regions. It deal with issues of inter-modality and the construction of nodes and lines which connects Europe, and its markets.Reverting the usual approach which consider landscape project as as a way to mitigate or to compensate for the infrastructure, the goal is to succeed in realizing large infrastructural works by conceiving them as an occasion to reinterpret a region or, as extraordinary opportunities, to build new landscapes.The strategy proposed consists in achieving structural images based on the reinforcement of the environmental and historical-landscape systems. Starting from the reinterpretation of local maritime context and resources it is possible not just to preserve the attractiveness of a specific landscape but also to conceive infrastructure in a more efficient way. 

  9. Risk factors associated with diarrhoeal disease and diarrheagenic E.coli disease in Duc Giang Hospital, north-eastern corner of Ha Noi, Viet Nam

    OpenAIRE

    Nguyen, Dong Tu

    2006-01-01

    Summary Risk factors associated with diarrhoeal disease and diarrheagenic E. coli disease in Duc Giang Hospital, north-eastern corner of Ha Noi, Viet Nam Background: Diarrheagenic E. coli (DEC) disease is more prevalent in infants and children is a very important cause of sporadic diarrhoea cases and diarrhoea outbreaks in many countries. Currently, DEC also stands as a chief causal factor for diarrhoea among travellers. DEC disease is usually transmitted through food or wa...

  10. Railway infrastructure security

    CERN Document Server

    Sforza, Antonio; Vittorini, Valeria; Pragliola, Concetta

    2015-01-01

    This comprehensive monograph addresses crucial issues in the protection of railway systems, with the objective of enhancing the understanding of railway infrastructure security. Based on analyses by academics, technology providers, and railway operators, it explains how to assess terrorist and criminal threats, design countermeasures, and implement effective security strategies. In so doing, it draws upon a range of experiences from different countries in Europe and beyond. The book is the first to be devoted entirely to this subject. It will serve as a timely reminder of the attractiveness of the railway infrastructure system as a target for criminals and terrorists and, more importantly, as a valuable resource for stakeholders and professionals in the railway security field aiming to develop effective security based on a mix of methodological, technological, and organizational tools. Besides researchers and decision makers in the field, the book will appeal to students interested in critical infrastructur...

  11. Infrastructures for healthcare

    DEFF Research Database (Denmark)

    Langhoff, Tue Odd; Amstrup, Mikkel Hvid; Mørck, Peter

    2018-01-01

    of classifications, on the entire Danish population. However, in the Autumn of 2014, the system was temporarily shut down due to a lawsuit filed by two general practitioners. In this article, we ask why and identify a political struggle concerning authority, control, and autonomy related to a transformation......The Danish General Practitioners Database has over more than a decade developed into a large-scale successful information infrastructure supporting medical research in Denmark. Danish general practitioners produce the data, by coding all patient consultations according to a certain set...... of the fundamental ontology of the information infrastructure. We explore how the transformed ontology created cracks in the inertia of the information infrastructure damaging the long-term sustainability. We propose the concept of reverse synergy as the awareness of negative impacts occurring when uncritically...

  12. Transformation of technical infrastructure

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev

    , the evolution of large technological systems and theories about organisational and technological transformationprocesses. The empirical work consist of three analysis at three different levels: socio-technical descriptions of each sector, an envestigation of one municipality and envestigations of one workshop......The scope of the project is to investigate the possibillities of - and the barriers for a transformation of technical infrastructure conserning energy, water and waste. It focus on urban ecology as a transformation strategy. The theoretical background of the project is theories about infrastructure...

  13. The ATLAS Simulation Infrastructure

    CERN Document Server

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Smith, B.C.; Smith, D.; Smith, K.M.; Smizanska, M.; Smolek, K.; Snesarev, A.A.; Snow, S.W.; Snow, J.; Snuverink, J.; Snyder, S.; Soares, M.; Sobie, R.; Sodomka, J.; Soffer, A.; Solans, C.A.; Solar, M.; Solc, J.; Solfaroli Camillocci, E.; Solodkov, A.A.; Solovyanov, O.V.; Soluk, R.; Sondericker, J.; Sopko, V.; Sopko, B.; Sosebee, M.; Soukharev, A.; Spagnolo, S.; Spano, F.; Spencer, E.; Spighi, R.; Spigo, G.; Spila, F.; Spiwoks, R.; Spousta, M.; Spreitzer, T.; Spurlock, B.; St. Denis, R.D.; Stahl, T.; Stahlman, J.; Stamen, R.; Stancu, S.N.; Stanecka, E.; Stanek, R.W.; Stanescu, C.; Stapnes, S.; Starchenko, E.A.; Stark, J.; Staroba, P.; Starovoitov, P.; Stastny, J.; Stavina, P.; Steele, G.; Steinbach, P.; Steinberg, P.; Stekl, I.; Stelzer, B.; Stelzer, H.J.; Stelzer-Chilton, O.; Stenzel, H.; Stevenson, K.; Stewart, G.A.; Stockton, M.C.; Stoerig, K.; Stoicea, G.; Stonjek, S.; Strachota, P.; Stradling, A.R.; Straessner, A.; Strandberg, J.; Strandberg, S.; Strandlie, A.; Strauss, M.; Strizenec, P.; Strohmer, R.; Strom, D.M.; Stroynowski, R.; Strube, J.; Stugu, B.; Soh, D.A.; Su, D.; Sugaya, Y.; Sugimoto, T.; Suhr, C.; Suk, M.; Sulin, V.V.; Sultansoy, S.; Sumida, T.; Sun, X.H.; Sundermann, J.E.; Suruliz, K.; Sushkov, S.; Susinno, G.; Sutton, M.R.; Suzuki, T.; Suzuki, Y.; Sykora, I.; Sykora, T.; Szymocha, T.; Sanchez, J.; Ta, D.; Tackmann, K.; Taffard, A.; Tafirout, R.; Taga, A.; Takahashi, Y.; Takai, H.; Takashima, R.; Takeda, H.; Takeshita, T.; Talby, M.; Talyshev, A.; Tamsett, M.C.; Tanaka, J.; Tanaka, R.; Tanaka, S.; Tanaka, S.; Tapprogge, S.; Tardif, D.; Tarem, S.; Tarrade, F.; Tartarelli, G.F.; Tas, P.; Tasevsky, M.; Tassi, E.; Tatarkhanov, M.; Taylor, C.; Taylor, F.E.; Taylor, G.N.; Taylor, R.P.; Taylor, W.; Teixeira-Dias, P.; Ten Kate, H.; Teng, P.K.; Tennenbaum-Katan, Y.D.; Terada, S.; Terashi, K.; Terron, J.; Terwort, M.; Testa, M.; Teuscher, R.J.; Thioye, M.; Thoma, S.; Thomas, J.P.; Thompson, E.N.; Thompson, P.D.; Thompson, P.D.; Thompson, R.J.; Thompson, A.S.; Thomson, E.; Thun, R.P.; Tic, T.; Tikhomirov, V.O.; Tikhonov, Y.A.; Tipton, P.; Tique Aires Viegas, F.J.; Tisserant, S.; Toczek, B.; Todorov, T.; Todorova-Nova, S.; Toggerson, B.; Tojo, J.; Tokar, S.; Tokushuku, K.; Tollefson, K.; Tomasek, L.; Tomasek, M.; Tomoto, M.; Tompkins, L.; Toms, K.; Tonoyan, A.; Topfel, C.; Topilin, N.D.; Torrence, E.; Torro Pastor, E.; Toth, J.; Touchard, F.; Tovey, D.R.; Trefzger, T.; Tremblet, L.; Tricoli, A.; Trigger, I.M.; Trincaz-Duvoid, S.; Trinh, T.N.; Tripiana, M.F.; Triplett, N.; Trischuk, W.; Trivedi, A.; Trocme, B.; Troncon, C.; Trzupek, A.; Tsarouchas, C.; Tseng, J.C-L.; Tsiakiris, M.; Tsiareshka, P.V.; Tsionou, D.; Tsipolitis, G.; Tsiskaridze, V.; Tskhadadze, E.G.; Tsukerman, I.I.; Tsulaia, V.; Tsung, J.W.; Tsuno, S.; Tsybychev, D.; Tuggle, J.M.; Turecek, D.; Turk Cakir, I.; Turlay, E.; Tuts, P.M.; Twomey, M.S.; Tylmad, M.; Tyndel, M.; Uchida, K.; Ueda, I.; Ugland, M.; Uhlenbrock, M.; Uhrmacher, M.; Ukegawa, F.; Unal, G.; Undrus, A.; Unel, G.; Unno, Y.; Urbaniec, D.; Urkovsky, E.; Urquijo, P.; Urrejola, P.; Usai, G.; Uslenghi, M.; Vacavant, L.; Vacek, V.; Vachon, B.; Vahsen, S.; Valente, P.; Valentinetti, S.; Valkar, S.; Valladolid Gallego, E.; Vallecorsa, S.; Valls Ferrer, J.A.; Van Berg, R.; van der Graaf, H.; van der Kraaij, E.; van der Poel, E.; van der Ster, D.; van Eldik, N.; van Gemmeren, P.; van Kesteren, Z.; van Vulpen, I.; Vandelli, W.; Vaniachine, A.; Vankov, P.; Vannucci, F.; Vari, R.; Varnes, E.W.; Varouchas, D.; Vartapetian, A.; Varvell, K.E.; Vasilyeva, L.; Vassilakopoulos, V.I.; Vazeille, F.; Vellidis, C.; Veloso, F.; Veneziano, S.; Ventura, A.; Ventura, D.; Venturi, M.; Venturi, N.; Vercesi, V.; Verducci, M.; Verkerke, W.; Vermeulen, J.C.; Vetterli, M.C.; Vichou, I.; Vickey, T.; Viehhauser, G.H.A.; Villa, M.; Villani, E.G.; Villaplana Perez, M.; Vilucchi, E.; Vincter, M.G.; Vinek, E.; Vinogradov, V.B.; Viret, S.; Virzi, J.; Vitale, A.; Vitells, O.; Vivarelli, I.; Vives Vaque, F.; Vlachos, S.; Vlasak, M.; Vlasov, N.; Vogel, A.; Vokac, P.; Volpi, M.; von der Schmitt, H.; von Loeben, J.; von Radziewski, H.; von Toerne, E.; Vorobel, V.; Vorwerk, V.; Vos, M.; Voss, R.; Voss, T.T.; Vossebeld, J.H.; Vranjes, N.; Vranjes Milosavljevic, M.; Vrba, V.; Vreeswijk, M.; Vu Anh, T.; Vudragovic, D.; Vuillermet, R.; Vukotic, I.; Wagner, P.; Walbersloh, J.; Walder, J.; Walker, R.; Walkowiak, W.; Wall, R.; Wang, C.; Wang, H.; Wang, J.; Wang, S.M.; Warburton, A.; Ward, C.P.; Warsinsky, M.; Wastie, R.; Watkins, P.M.; Watson, A.T.; Watson, M.F.; Watts, G.; Watts, S.; Waugh, A.T.; Waugh, B.M.; Weber, M.D.; Weber, M.; Weber, M.S.; Weber, P.; Weidberg, A.R.; Weingarten, J.; Weiser, C.; Wellenstein, H.; Wells, P.S.; Wen, M.; Wenaus, T.; Wendler, S.; Wengler, T.; Wenig, S.; Wermes, N.; Werner, M.; Werner, P.; Werth, M.; Werthenbach, U.; Wessels, M.; Whalen, K.; White, A.; White, M.J.; White, S.; Whitehead, S.R.; Whiteson, D.; Whittington, D.; Wicek, F.; Wicke, D.; Wickens, F.J.; Wiedenmann, W.; Wielers, M.; Wienemann, P.; Wiglesworth, C.; Wiik, L.A.M.; Wildauer, A.; Wildt, M.A.; Wilkens, H.G.; Williams, E.; Williams, H.H.; Willocq, S.; Wilson, J.A.; Wilson, M.G.; Wilson, A.; Wingerter-Seez, I.; Winklmeier, F.; Wittgen, M.; Wolter, M.W.; Wolters, H.; Wosiek, B.K.; Wotschack, J.; Woudstra, M.J.; Wraight, K.; Wright, C.; Wright, D.; Wrona, B.; Wu, S.L.; Wu, X.; Wulf, E.; Wynne, B.M.; Xaplanteris, L.; Xella, S.; Xie, S.; Xu, D.; Xu, N.; Yamada, M.; Yamamoto, A.; Yamamoto, K.; Yamamoto, S.; Yamamura, T.; Yamaoka, J.; Yamazaki, T.; Yamazaki, Y.; Yan, Z.; Yang, H.; Yang, U.K.; Yang, Z.; Yao, W-M.; Yao, Y.; Yasu, Y.; Ye, J.; Ye, S.; Yilmaz, M.; Yoosoofmiya, R.; Yorita, K.; Yoshida, R.; Young, C.; Youssef, S.P.; Yu, D.; Yu, J.; Yuan, L.; Yurkewicz, A.; Zaidan, R.; Zaitsev, A.M.; Zajacova, Z.; Zambrano, V.; Zanello, L.; Zaytsev, A.; Zeitnitz, C.; Zeller, M.; Zemla, A.; Zendler, C.; Zenin, O.; Zenis, T.; Zenonos, Z.; Zenz, S.; Zerwas, D.; Zevi della Porta, G.; Zhan, Z.; Zhang, H.; Zhang, J.; Zhang, Q.; Zhang, X.; Zhao, L.; Zhao, T.; Zhao, Z.; Zhemchugov, A.; Zhong, J.; Zhou, B.; Zhou, N.; Zhou, Y.; Zhu, C.G.; Zhu, H.; Zhu, Y.; Zhuang, X.; Zhuravlov, V.; Zimmermann, R.; Zimmermann, S.; Zimmermann, S.; Ziolkowski, M.; Zivkovic, L.; Zobernig, G.; Zoccoli, A.; zur Nedden, M.; Zutshi, V.

    2010-01-01

    The simulation software for the ATLAS Experiment at the Large Hadron Collider is being used for large-scale production of events on the LHC Computing Grid. This simulation requires many components, from the generators that simulate particle collisions, through packages simulating the response of the various detectors and triggers. All of these components come together under the ATLAS simulation infrastructure. In this paper, that infrastructure is discussed, including that supporting the detector description, interfacing the event generation, and combining the GEANT4 simulation of the response of the individual detectors. Also described are the tools allowing the software validation, performance testing, and the validation of the simulated output against known physics processes.

  14. An Infrastructure Museum

    Science.gov (United States)

    Roman, Harry T.

    2013-01-01

    This article invites teachers to let their students' imaginations soar as they become part of a team that will design a whole new kind of living technological museum, a facility that celebrates the world of infrastructure. In this activity, a new two-story building will be built, occupying a vacant corner parcel of land, approximately 150…

  15. Documentation of Infrastructure

    DEFF Research Database (Denmark)

    Workspace

    2003-01-01

    This report describes the software infrastructure developed within the WorkSPACE  project, both from a software architectural point of view and from a user point of  view. We first give an overview of the system architecture, then go on to present the  more prominent features of the 3D graphical...

  16. Benchmarking charging infrastructure utilization

    NARCIS (Netherlands)

    Wolbertus, R.; van den Hoed, R.; Maase, S.

    2016-01-01

    Since 2012 the dutch metropolitan area (the metropole region of amsterdam, the city of amsterdam, rotterdam, the hague, utrecht ) cooperate in finding the best way to stimulate electric mobility through the implementation of a public charging infrastructure. with more than 5600 charge points and 1.6

  17. Building an evaluation infrastructure

    DEFF Research Database (Denmark)

    Brandrup, Morten; Østergaard, Kija Lin

    an evaluation infrastructure which enables clinicians to collaboratively evaluate IT system usage and related work practices. Access to the collected feedback is given through a central online repository presenting the feedback and analysed collaboratively. We describe this through a case where nurses...

  18. Infrastructuring for Quality

    DEFF Research Database (Denmark)

    Bossen, Claus; Danholt, Peter; Ubbesen, Morten Bonde

    2015-01-01

    indicators for quality in treatment to guide and govern their performance, in order to investigate whether this may generate a new performance measurement infrastructure that will improve quality of healthcare. The project is entitled: “New governance in the patient’s perspective”....

  19. Técnica de Crawford en el tratamiento de la ptosis palpebral congénita

    Directory of Open Access Journals (Sweden)

    Clara Gisela Gómez Cabrera

    Full Text Available Objetivo: evaluar los resultados quirúrgicos de la técnica de Crawford mediante el empleo de silastic y polipropileno 4.0 y las complicaciones presentadas. Métodos: se realizó un estudio descriptivo y prospectivo de 12 pacientes (16 párpados con ptosis palpebral congénita desde enero 2009 a diciembre 2010 en la consulta de Oculoplastia del Instituto Cubano de Oftalmología "Ramón Pando Ferrer". Fueron excluidos los que tenían cirugía anterior de dicha enfermedad. Resultados: el 83,3 % fueron del sexo masculino y el 91,6 % menores de 9 años de edad; de ellos, 4 casos de 0 a 2 y de 6 a 8, respectivamente; 3 casos en el grupo de 3 a 5 y solo 1 caso mayor de 9 años. El 75 % fueron ptosis congénita simple y el 56 % severas. La ptosis resultó corregida en 13 párpados para el 81 %. Con el uso de sutura polipropileno 4.0, dos párpados se encontraron hipocorregidos (12,6 % y seis corregidos (37,5 %; con silastic, un párpado quedó hipocorregido, (6,3 % y siete corregidos (43,7 %. Se presentó el 25 % de complicaciones, 3 párpados hipocorregidos y un granuloma supraciliar. Conclusiones: la ptosis resultó más frecuente en menores de 8 años del sexo masculino. Predominó la ptosis congénita simple, unilateral y severa. La técnica de Crawford resultó efectiva en la mayoría de los casos y similar con los dos materiales empleados.

  20. Teratoma congênito de orofaringe: relato de caso Oropharyngeal congenital teratoma: a case report

    Directory of Open Access Journals (Sweden)

    Yuri Seguchi Chaves

    2005-02-01

    Full Text Available O teratoma congênito de orofaringe é o tipo mais raro de teratoma, compreendendo apenas 2% desses tumores fetais. O diagnóstico deve ser realizado o mais precocemente possível, preferencialmente durante o pré-natal. O prognóstico irá depender do tamanho e localização da lesão, da velocidade de crescimento desta, do envolvimento de estruturas intracranianas e da ressecção adequada do tumor com equipe multidisciplinar. Relatamos o caso de uma paciente que teve diagnosticado durante a gestação feto com teratoma congênito de orofaringe (epignathus por meio de ultra-sonografia. O feto evoluiu para óbito intra-uterino na 29ª semana de gestação, sendo então induzido o parto por via vaginal. O exame anatomopatológico revelou feto do sexo feminino, compatível com 27-28 semanas, teratoma orofaríngeo e outras malformações congênitas.Oropharyngeal teratoma is the most rare type of teratoma, with only 2% of fetal teratomas. The diagnosis must be established as early as possible, preferably during the prenatal period. The prognosis will depend on the size and location of the lesion, growth rate of the lesion, degree of intracranial spread, its resectability, and immediate care at birth by a multisciplinary team. We report aparticular case of congenital oropharyngeal teratoma (epignathus. The diagnosis was made during the prenatal period by ultrasound, and the fetus evolved to intrauterine death at the 29th week. The anatomopathological examination revealed a female fetus, compatible with 27-28 weeks, oropharyngeal teratoma and congenital malformations.

  1. Achados oculares em crianças com toxoplasmose congênita

    Directory of Open Access Journals (Sweden)

    Janer Aparecida Silveira Soares

    2011-08-01

    Full Text Available OBJETIVO: Conhecer as lesões oculares mais frequentes encontradas em crianças expostas à toxoplasmose congênita. MÉTODOS: Trata-se de um estudo retrospectivo, a partir de uma coorte histórica, de abordagem quantitativa. Foram avaliadas crianças encaminhadas de um serviço de infectologia pediátrica e inseridas apenas aquelas com diagnóstico confirmado de toxoplasmose congênita. A avaliação oftalmológica incluiu o mapeamento de retina sequencial, sob dilatação pupilar. RESULTADOS: Das 58 crianças presumivelmente expostas ao risco de doença durante a gestação, 20 apresentaram lesões oftalmológicas ao longo do primeiro ano de vida (34 olhos. Destas, 12 estavam assintomáticas ao nascimento. Estrabismo foi registrado em 14 crianças (70%. Em uma criança observou-se ptose palpebral e em outra diminuição da fenda palpebral (microftalmia. Retinocoroidite foi a complicação mais frequente, presente em todas as 20 crianças. Sete crianças apresentaram alterações unilaterais (35% e 13 crianças apresentaram alterações bilaterais (65%, prevalecendo a localização no polo posterior e mácula. CONCLUSÃO: Retinocoroidite e estrabismo destacaram-se como importantes sequelas da toxoplasmose congênita.

  2. Desenvolvimento de conceitos em cegos congênitos: caminhos de aquisição do conhecimento

    Directory of Open Access Journals (Sweden)

    Sylvia da Silveira Nunes

    Full Text Available O objetivo deste trabalho foi estudar o desenvolvimento de conceitos por cegos congênitos. Participaram sete cegos congênitos, de ambos os sexos, com idades entre 8 e 13 anos. Foi solicitado aos participantes que definissem 15 conceitos, subdivididos em concretos e abstratos. As respostas foram agrupadas em 13 categorias. Verificou-se que cada tipo de conceito envolve formas diferenciadas de definição e de utilização de recursos perceptivos. Foram identificados alguns meios utilizados pelo cego congênito na aquisição do conhecimento, evidenciando a multiplicidade de possibilidades de aquisição e expressão de conceitos. As implicações deste trabalho para o processo de ensino/aprendizagem de cegos foram consideradas.

  3. Citomegalovirus congénito: rol etiológico en la sordera del niño

    Directory of Open Access Journals (Sweden)

    V. Jacob Cohen, Dr.

    2014-05-01

    Full Text Available La infección congénita por citomegalovirus (cCMV es la causa más frecuente de infección neonatal en el mundo. La infección congénita por este virus puede causar numerosos trastornos entre ellos, alteraciones sensorioneurales auditivas de diverso grado, hasta llegar a la sordera profunda, en una proporción signifcativa de los niños infectados, en que, desafortunadamente, la mayoría es asintomática. En los últimos años se han registrado grandes progresos en el diagnóstico y tratamiento de la infección congénita por este agente. El objetivo de este artículo es mostrar estos avances y comentar nuestra experiencia en Clínica Las Condes.

  4. Caracterización de la sífilis congénita y gestacional en Caldas, Colombia

    OpenAIRE

    Agudelo Loaiza, Rubén Darío; Universidad Católica de Manizales; Medina Arredondo, Martha Cecilia; Cardona Rivas, Dora; Universidad Autónoma de Manizales

    2016-01-01

    Objetivo: Caracterizar el comportamiento de la sífilis congénita y gestacional en el departamento de Caldas durante el periodo 2009-2013 según las características socio demográficas y de la atención en salud del binomio madre-hijo con sífilis. Materiales y Método: Se realizó un estudio descriptivo de 71 casos de sífilis congénita y 316 casos de sífilis gestacional, reportados a través del sistema de vigilancia epidemiológica SIVIGILA. Resultados: El comportamiento de la sífilis congénita y ge...

  5. Hidrops fetal no inmune por anemia diseritropoyética congénita

    OpenAIRE

    Blasco G,Laura; Paredes R,Blanca; Rodríguez G,Roberto; Muñoz M,Mar; Deiros B,Lucía

    2011-01-01

    La anemia diseritropoyética congénita se engloba dentro de un grupo raro y heterogéneo de trastornos eritrocitarios caracterizados por eritropoyesis ineficaz, anemia megaloblástica, hemosiderosis secundaria e hidrops fetal. Presentamos el caso de un feto de 20 semanas con hidrops como consecuencia de una anemia fetal intensa por eritropoyesis ineficaz. Ante el hallazgo de hidrops fetal no inmune es fundamental un diagnóstico etiológico precoz para ofrecer a la pareja las alternativas terapéut...

  6. Tamizaje neonatal de Hipotiroidismo congénito en Colombia: ¿Qué muestra utilizar?

    Directory of Open Access Journals (Sweden)

    López P.

    2001-06-01

    Full Text Available Para el tamizaje neonatal de Hipotiroidismo Congénito (H.G. la O.M.S. recomienda utilizar muestras de sangre de talón (tercer-séptimo día posparto; la Academia Americana de Pediatría
    al momento del alta hospitalaria (generalmente después de 48 horas en países desarrollados; en Colombia la resolución 00412/2000 de cordón umbilical al nacimiento.

  7. Tamizaje neonatal de Hipotiroidismo congénito en Colombia: ¿Qué muestra utilizar?

    OpenAIRE

    López P.; Vélez O.; Herrera E.; Solórzano MC.; Erazo ML.; Satizábal JM.

    2001-01-01

    Para el tamizaje neonatal de Hipotiroidismo Congénito (H.G.) la O.M.S. recomienda utilizar muestras de sangre de talón (tercer-séptimo día posparto); la Academia Americana de Pediatría
    al momento del alta hospitalaria (generalmente después de 48 horas en países desarrollados); en Colombia la resolución 00412/2000 de cordón umbilical al nacimiento.

  8. Anestesia em paciente com insensibilidade congênita a dor e anidrose

    OpenAIRE

    Oliveira, Carlos Rogério Degrandi; Paris, Valter César; Pereira, Renato Augusto; Lara, Felipe Souza Thyrso de

    2009-01-01

    JUSTIFICATIVA E OBJETIVOS: A insensibilidade congênita a dor e anidrose (ICDA) ou neuropatia hereditária sensorial e autonômica tipo IV (NHSA tipo IV) é neuropatia autossômica recessiva rara do grupo das neuropatias hereditárias sensoriais e autonômicas (NHSA), caracterizada por insensibilidade ao estímulo doloroso, anidrose e retardo mental. Existem poucos relatos sobre a conduta anestésica em pacientes com ICDA devido sua extrema raridade. O objetivo deste relato foi apresentar a conduta an...

  9. Caso clínico-radiológico: sífilis congénita

    OpenAIRE

    Ximena Ortega, F.; KARLA MOËNNE B; Mauricio Pinto, C.; Salinas José, A.; Stefan Hossiason, S.; Fredy Ribert, W.; Marcos Skarmeta, M.

    2011-01-01

    La sífilis es una infección potencialmente devastadora en el recién nacido, cuya incidencia ha ido aumentando. Se presenta el caso de un prematuro que evoluciona con falla respiratoria y compromiso multisistémico precoz secundario a sífilis congénita. Se comentan hallazgos en el examen físico, laboratorio e imágenes. Se discute sobre las formas de presentación en el niño, pruebas diagnósticas y diagnóstico diferencial.

  10. Hypothyroïdie congénitale à Dakar: à propos de 28 cas | Niang ...

    African Journals Online (AJOL)

    Le but de cette étude était d'évaluer les aspects épidémiologiques, diagnostiques et évolutifs de l'hypothyroïdie congénitale. ... Le retard de croissance et la débilité mentale étaient d'autant plus sévères que le diagnostic était tardif. Nos résultats confirment l'insuffisance d'une prise en charge précoce des patients. Il urge ...

  11. Luxación congénita de rótula

    OpenAIRE

    Segura Llopis, Francisco; Soler, A. G.; Fernández, R.; Gascó Gómez de Membrillera, José

    2001-01-01

    La luxación congénita de rótula es poco frecuente y de difícil diagnóstico precoz, diferenciándose de otras formas de luxación por ser permanentes, no reductibles por maniobras manuales y provocar en su evolución natural una deformidad grave y progresiva de la rodilla. El propósito de este artículo es presentar nuestros resultados de 6 rodillas en 5 pacientes tratadas entre 1975 y 1997, siendo en uno de ellos la deformidad bilateral. En 4 de los 5 casos se acompañaba de otras malformaciones: ...

  12. Rehabilitación cardiaca en pacientes con cardiopatías congénitas

    OpenAIRE

    Úbeda Tikkanen, Ana

    2014-01-01

    Los avances médicos y quirúrgicos de los últimos años son responsables del aumento de la supervivencia de los pacientes con cardiopatías congénitas. Sin embargo este incremento de la longevidad de esta población, frecuentemente se acompaña de complicaciones e incluso secuelas, que repercutirán en su pronóstico vital y su calidad de vida. Los programas de Rehabilitación Cardiaca en cardiopatías adquiridas del adulto, están sólidamente estructurados, validados y ampliamente difundidos, habiend...

  13. Arythmies supraventriculaires chez les patients adultes porteurs d'une cardiopathie congénitale

    OpenAIRE

    Bouchardy, J.

    2013-01-01

    Mon projet de recherche s'est articulé autour des arythmies supraventriculaires chez les patients adultes porteurs d'une cardiopathie congénitale (Adults with Congenital Heart Disease ou ACHD). Grâce aux progrès de la chirurgie cardiaque et de la cardiologie, la survie à l'âge adulte des enfants nés avec une malformation cardiaque est excellente et la population des ACHD ne cesse de croître, tout en vieillissant. Les arythmies cardiaques sont une complication à long terme bien connue chez ces...

  14. Épidemiologie des malformations congénitales apparentes á Lubumbashi

    OpenAIRE

    Lambert Longombe Ndjate

    2013-01-01

    Background : Lubumbashi, Chef-lieu de la Province du Katanga, l’une des onze provinces de la République Démocratique du Congo, connaît actuellement une situation sanitaire préoccupante liée à une pollution grandissante due à beaucoup des polluants d’origine minière (exploitation industrielle et artisanale). Ces polluants peuvent conduire à des accidents sanitaires, l’un d’eux étant les malformations congénitales. L’objectif visé est la détermination du taux de prévalence des malformations co...

  15. Hiperplasia Suprarrenal Congénita: Reporte de un caso clínico.

    OpenAIRE

    Jaime Avaria E.; María José Vargas F.; Loreto Triviño F.; Andrea Gleisner E.

    2013-01-01

    INTRODUCCIÓN: La Hiperplasia suprarrenal congénita (HSC) es una enfermedad autosómica recesiva cuya principal causa es la deficiencia de 21-hidroxilasa, quien participa en la síntesis del cortisol y aldosterona. Se describen dos formas de HSC, una clásica y otra no clásica, siendo la primera el objetivo de análisis a lo largo del caso clínico. Sus manifestaciones clínicas varían en gravedad, dependiendo del nivel de deficiencia hormonal. Dentro de la clásica se describe la forma perdedora de ...

  16. Consenso argentino de toxoplasmosis congénita Argentine Consensus of Congenital Toxoplasmosis

    Directory of Open Access Journals (Sweden)

    Ricardo Durlach

    2008-02-01

    Full Text Available La transmisión de la infección por Toxoplasma gondii de la madre al hijo ocurre cuando la madre se infecta por primera vez en el transcurso del embarazo. Tanto el diagnóstico prenatal, como el del primer año de vida se basa en pruebas serológicas; y la mayoría de las veces es necesario realizar más de una de estas pruebas ya que tienen distintos porcentajes de sensibilidad y/o especificidad así como distintos niveles de complejidad. El recién nacido requiere seguimiento serológico en el primer año de vida o hasta que se descarte el diagnóstico de toxoplasmosis congénita. El diagnóstico temprano de la infección, en la mujer embarazada, permite un tratamiento oportuno y se indica con el propósito de reducir la tasa de transmisión y el daño congénito. Es posible que con un programa activo, de prevención y tratamiento temprano, se pueda reducir la tasa de incidencia de la toxoplasmosis congénita de alrededor del 5 por mil nacimientos a 0.5 por mil. El objetivo de este consenso fue revisar la literatura científica para la prevención, el diagnóstico y el tratamiento de la toxoplasmosis congénita, para que se pueda implementar en nuestro país.The mother-to-child transmission in Toxoplasma gondii infection occurs only when the infection is acquired for the first time during pregnancy. The prenatal and early postnatal diagnosis can only be achieved by serological testing. Serologic tests have different sensitivities, specificities and complexities, so that different tests in more than one blood sample are necessary for the diagnosis. Serological follow-up of the infants should be conducted during the first year of life or until the diagnosis of congenital toxoplasmosis can be ruled out. Treatment recommendations try to reduce the transmission rate and the risk of congenital damage. Congenital toxoplasmosis incidence rate is approximately 5 per 1000 births, but can be reduced to 0.5 per 1000 with an active screening program. The

  17. Tuberculosis congénita. Informe de un caso con autopsia.

    OpenAIRE

    Armando Cortés; Miguel Angel Osorio; Guillermo Bolívar; Pío López; María Fernanda Palomino

    2009-01-01

    La tuberculosis congénita es una enfermedad rara, de diagnóstico correcto difícil con base tan sólo en las manifestaciones clínicas y sin tener una historia materna disponible. Se presenta el caso de una autopsia de un recién nacido de 56 días, producto de una madre de raza negra, sin control prenatal y de muy bajos recursos económicos. El neonato tuvo succión pobre, llanto débil, hidrocefalia y poco desarrollo, lo que simulaba una sepsis neonatal y enterocolitis necrotizante. La autopsia rev...

  18. Caso clínico-radiológico: sífilis congénita

    Directory of Open Access Journals (Sweden)

    F. Ximena Ortega, Dra.

    2011-03-01

    Full Text Available La sífilis es una infección potencialmente devastadora en el recién nacido, cuya incidencia ha ido aumentando. Se presenta el caso de un prematuro que evoluciona con falla respiratoria y compromiso multisistémico precoz secundario a sífilis congénita. Se comentan hallazgos en el examen físico, laboratorio e imágenes. Se discute sobre las formas de presentación en el niño, pruebas diagnósticas y diagnóstico diferencial.

  19. Distrofia muscular progressiva congênita tipo Fukuyama descrição de um caso

    Directory of Open Access Journals (Sweden)

    José A. Levy

    1987-06-01

    Full Text Available Os autores relatam o primeiro caso de distrofia muscular progressiva congênita tipo Fukuyama descrito no Brasil, comprovado pelos achados clínicos e exames complementares. É dada ênfase à presença de retrações fibrotendinosas precoces e envolvimento do sistema nervoso central, o que constitui a característica fundamental da afecção. A moléstia é muito freqüente no Japão e pouco descrita em outros países. A etiopatogenia ainda não está definida.

  20. Pie varus equino congénito (factores etiológicos)

    OpenAIRE

    Malagón-Castro, Valentín

    2011-01-01

    La causa eficiente del pié varus equino congénito, es en la actualidad desconocida. Existen, sin embargo, múltiples teorías orientadas a la explicación de este problema : Teorías atávica y arquiterígea, de Bardeleben, 1878 y Gegenbauer, 1864. Teoría de la Falla circulatoria de Keith, 1940, y de la Displasia fetal de Streeter, 1930; Teoría de la "Flictena" de Bagg, 1920 y Bonnevie, 1934. La Miodistrofia de Middleton, 1934; La presión mecánica intrauterina de Hipócrates, Dermis Browne, etc. La ...

  1. Security infrastructure for on-demand provisioned Cloud infrastructure services

    NARCIS (Netherlands)

    Demchenko, Y.; Ngo, C.; de Laat, C.; Wlodarczyk, T.W.; Rong, C.; Ziegler, W.

    2011-01-01

    Providing consistent security services in on-demand provisioned Cloud infrastructure services is of primary importance due to multi-tenant and potentially multi-provider nature of Clouds Infrastructure as a Service (IaaS) environment. Cloud security infrastructure should address two aspects of the

  2. Fibrosis unilateral congénita con enoftalmo y ptosis Congenital unilateral fibrosis with enophthalmos and ptosis

    OpenAIRE

    Yaimir Estévez Miranda; Rosa Maria Naranjo Fernández; Teresita de Jesús Méndez Sánchez; Raúl Rúa Martínez

    2011-01-01

    El síndrome de fibrosis congénita es definido como un grupo de desórdenes congénitos raros caracterizado por la restricción de los músculos extraoculares y el reemplazo de los músculos por el tejido fibroso. Muchos autores utilizan la clasificación en la que se manifiesta en cinco tipos diferentes. El caso que se presenta corresponde a un niño quien desde el nacimiento está imposibilitado de elevar su ojo izquierdo. Al examen oftalmológico resultó positivo una ptosis palpebral en su ojo izqui...

  3. Tratamiento fisioterápico del pie equinovaro congénito. Revisión bibliográfica

    OpenAIRE

    Miguel Viteri, Lorena

    2014-01-01

    Antecedentes: El pie equinovaro congénito (“talipes equinovarus”) es una deformidad congénita del pie, que produce aducción, varo, cavo y equino del mismo. Esta patología se presenta a nivel mundial (1 por cada 1000 nacimientos), aunque su posible relación con aspectos genéticos incrementa la incidencia en algunas poblaciones. Su origen multifactorial dificulta el establecimiento de un tratamiento eficaz a largo plazo, aspecto que se lleva estudiando desde hace más de una década y que ha prog...

  4. Diagnóstico prenatal de artrogriposis múltiple congénita Prenatal diagnosis of arthrogryposis multiplex congenita

    OpenAIRE

    Ivonne Martínez Vidal; Karel Reyes Bacardí; Yudamis Martínez Nieves; Gladys Hildelisa Bernal Montes de Oca

    2013-01-01

    La artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. Se presenta un caso en el que se diagnosticó prenatalmente este signo clínico, que puede tener múltiples causas subyacentes.Arthrogryposis multiplex congenita may be defined as a systemic articular dysplasia characterized by articular rigidity in a many locations of congenital origin. A case was presented in which this ...

  5. Desproporção congênita de fibras: atrofia de fibras tipo I- relato de 11 casos

    Directory of Open Access Journals (Sweden)

    José Antonio Levy

    1987-06-01

    Full Text Available Os autores relatam 11 casos de desproporção congênita de fibras, comprovados pelos exames clínicos e complementares, em que as retrações fibrotendinosas precoces foram freqüentes, o CPK mostrou-se elevado e, na biópsia muscular, a histoquímica revelou atrofia seletiva das fibras tipo I. Trata-se de distrofia congênita pouco freqüente, de progressão lenta e evolução benigna.

  6. Diagnóstico prenatal de artrogriposis múltiple congénita Prenatal diagnosis of arthrogryposis multiplex congenita

    Directory of Open Access Journals (Sweden)

    Ivonne Martínez Vidal

    2013-03-01

    Full Text Available La artrogriposis múltiple congénita puede definirse como una displasia articular sistémica, caracterizada por rigidez articular en múltiples localizaciones de forma congénita. Se presenta un caso en el que se diagnosticó prenatalmente este signo clínico, que puede tener múltiples causas subyacentes.Arthrogryposis multiplex congenita may be defined as a systemic articular dysplasia characterized by articular rigidity in a many locations of congenital origin. A case was presented in which this clinical sign was diagnosed at prenatal phase and it may have many underlying causes.

  7. Defeitos congênitos diagnosticados em ruminantes na Região Sul do Rio Grande do Sul

    OpenAIRE

    Marcolongo-Pereira, Clairton; Schild,Ana Lucia; Soares, Mauro Pereira; Vargas Jr,Sergio F; Riet-Correa, Franklin

    2010-01-01

    Foi realizado um estudo dos defeitos congênitas diagnosticados em bovinos, ovinos e bubalinos mediante revisão dos protocolos de necropsia do Laboratório Regional de Diagnóstico da Faculdade de Veterinária da Universidade Federal de Pelotas entre 1978 e 2009. A ocorrência de defeitos congênitos em bovinos, ovinos e bubalinos representou 0,88%, 0,36% e 7,54% respectivamente, de todos os materiais dessas espécies recebidos. Em bovinos os defeitos esporádicos representaram 45,83% dos diagnóstico...

  8. Green Infrastructure Checklists and Renderings

    Science.gov (United States)

    Materials and checklists for Denver, CO to review development project plans for green infrastructure components, best practices for inspecting and maintaining installed green infrastructure. Also includes renderings of streetscape projects.

  9. Flowscapes : Designing infrastructure as landscape

    NARCIS (Netherlands)

    Nijhuis, S.; Jauslin, D.T.; Van der Hoeven, F.D.

    2015-01-01

    Social, cultural and technological developments of our society are demanding a fundamental review of the planning and design of its landscapes and infrastructures, in particular in relation to environmental issues and sustainability. Transportation, green and water infrastructures are important

  10. Making Energy Infrastructure

    DEFF Research Database (Denmark)

    Schick, Lea; Winthereik, Brit Ross

    2016-01-01

    Integrating renewable energy sources into the power grid and ensuring public interest in energy is a key concern in many countries. What role may art play, and what political strategies do artists employ, in order to intervene in the infrastructuring of energy and public environments? As the case...... study here, a Copenhagen art and energy competition invited artists and designers from around the world to submit ideas for large-scale public artworks that can generate utility-scale renewable energy. The competition process had a smooth and consensus-seeking political strategy, manifested in a set...... in a pragmatic present and in an unprecedented future; between being tied to the specific site of the competition and belonging to no place in particular; and not least between being predominantly an art project and primarily an infrastructure project. Remarkable differences between cosmopolitics and smooth...

  11. Social experience infrastructure

    DEFF Research Database (Denmark)

    Kvistgaard, Peter

    2006-01-01

    Using the case of Kühlungsborn in Mecklenburg-Vorpommern as an example of a resort in which social experience infrastructure plays a pivotal role in the ongoing success of attracting German tourists from especially Berlin, Hamburg and Hanover it is the aim of this article in a descriptive...... and explorative fashion to share with others thoughts and ideas concerning the development of new ways to construct/reconstruct recreational spaces with a better coherence with regard to designing experiences. This article claims that it is possible to design recreational spaces with good social experience...... infrastructure in order to create experience spaces for personal experiences (in line with Schultze’s social constructivist view of experiences) without completely adhering to the economic rationalist thoughts and guidelines of Pine & Gilmore that claim that experiences can be designed and controlled...

  12. Making Energy Infrastructure

    DEFF Research Database (Denmark)

    Schick, Lea; Winthereik, Brit Ross

    2016-01-01

    Integrating renewable energy sources into the power grid and ensuring public interest in energy is a key concern in many countries. What role may art play, and what political strategies do artists employ, in order to intervene in the infrastructuring of energy and public environments? As the case...... study here, a Copenhagen art and energy competition invited artists and designers from around the world to submit ideas for large-scale public artworks that can generate utility-scale renewable energy. The competition process had a smooth and consensus-seeking political strategy, manifested in a set...... politics appear here, especially compared to the literature analysing the roles played by art and design when imagining new ways of living with energy. Oscillation between smooth politics and cosmopolitics may provide a generative way forward for actors wishing to engage in the infrastructuring...

  13. Sustainable Bridge Infrastructure Procurement

    DEFF Research Database (Denmark)

    Safi, Mohammed; Du, Guangli; Simonsson, Peter

    2016-01-01

    The lack of a flexible but systematic approach for integrating lifecycle aspects into bridge investment decisions is a major obstacle hindering the procurement of sustainable bridge infrastructures. This paper addresses this obstacle by introducing a holistic approach that agencies could use to p...... to procure the most “sustainable” (lifecycle-efficient) bridge through a fair design-build (D-B) tendering process, considering all the main aspects: life-cycle cost (LCC), service life-span, aesthetic demands and environmental impacts (LCA).......The lack of a flexible but systematic approach for integrating lifecycle aspects into bridge investment decisions is a major obstacle hindering the procurement of sustainable bridge infrastructures. This paper addresses this obstacle by introducing a holistic approach that agencies could use...

  14. RFID as an infrastructure

    CERN Document Server

    Qiao, Yan; Li, Tao

    2014-01-01

    RFID (radio frequency identification) tags are becoming ubiquitously available in object tracking, access control, and toll payment. The current application model treats tags simply as ID carriers and deals with each tag individually for the purpose of identifying the object that the tag is attached to. The uniqueness of RFID as an Infrastructure is to change the traditional individual view to a collective view that treats universally-deployed tags as a new infrastructure, a new wireless platform on which novel applications can be developed. The book begins with an introduction to the problems of tag estimation and information collection from RFID systems, and explains the challenges. It discusses how to efficiently estimate the number of tags in a large RFID system, considering both energy cost and execution time. It then gives a detailed account on how to collect information from a sensor-augmented RFID network with new designs that significantly reduce execution time.

  15. Chef infrastructure automation cookbook

    CERN Document Server

    Marschall, Matthias

    2015-01-01

    This book is for system engineers and administrators who have a fundamental understanding of information management systems and infrastructure. It helps if you've already played around with Chef; however, this book covers all the important topics you will need to know. If you don't want to dig through a whole book before you can get started, this book is for you, as it features a set of independent recipes you can try out immediately.

  16. Cybersecurity for Critical Infrastructure

    Science.gov (United States)

    2015-04-01

    information to consumers and identity theft, and every state has enacted laws to address cyber stalking or cyberbullying .8 Although there are more than...partners to “ prevent , prepare for, protect against… nationally significant events, technological emergencies, or presidentially declared disasters...in preventing harm in the Chemical Sector and responding to secure this piece of critical infrastructure.60 The Role of the National Guard

  17. Critical infrastructure protection

    Energy Technology Data Exchange (ETDEWEB)

    Bradley, F. [Canadian Electricity Association, Toronto, ON (Canada)

    2003-04-01

    The need to protect critical electrical infrastructure from terrorist attacks, or other physical damage, including weather related events, or the potential impact of computer viruses and other attacks on IT resources are discussed. Activities of the North American Electric Reliability Council (NERC) are highlighted which seek to safeguard the North American bulk electric power system principally through the Information Sharing and Analysis Sector (ES-ISAC). ES-ISAC serves the electricity sector by facilitating communication between electric sector participants, federal government and other critical infrastructure industries by disseminating threat indications, analyses and warnings, together with interpretations, to assist the industry in taking infrastructure protection actions. Attention is drawn to the numerous cyber incidents in recent years, which although resulted in no loss of service to electricity customers so far, in at least one instance (the January 25th SOL-Slammer worm incident) resulted in degradation of service in a number of sectors, including financial, transportation and telecommunication services. The increasing frequency of cyber-based attacks, coupled with the industry's growing dependence on e-commerce and electronic controls, are good reasons to believe that critical infrastructure protection (CIP) poses a serious challenge to the industry's risk management practices. The Canadian Electricity Association (CEA) is an active participant in ES-ISAC and works cooperatively with a range of partners, such as the Edison Electric Institute and the American Public Power Association to ensure coordination and effective protection program delivery for the electric power sector. The Early Warning System (EWS) developed by the CIP Working Group is one of the results of this cooperation. EWS uses the Internet, e-mail, web-enabled cell phones and Blackberry hand-held devices to deliver real-time threat information to members on a 24/7 basis. EWS

  18. Infrastructure and technology challenges

    OpenAIRE

    Bigagli, Lorenzo; Sveinsdottir, Thordis; Wessels, Bridgette; Smallwood, Rod; Linde, Peter; Sondervan, Jeroen

    2014-01-01

    In this deliverable, we report on our work on infrastructural and technological barriers to Open Access and preservation of research data as identified by key stakeholder groups. Through a mix of qualitative, quantitative and document review methods, we identified five key barriers to successfully implementing Open Access to research data in Europe: data heterogeneity and issues of standardisation; accessibility and discoverability issues; data preservation and curation; data quality and asse...

  19. Correlation analysis between forest carbon stock and spectral vegetation indices in Xuan Lien Nature Reserve, Thanh Hoa, Viet Nam

    Science.gov (United States)

    Dung Nguyen, The; Kappas, Martin

    2017-04-01

    In the last several years, the interest in forest biomass and carbon stock estimation has increased due to its importance for forest management, modelling carbon cycle, and other ecosystem services. However, no estimates of biomass and carbon stocks of deferent forest cover types exist throughout in the Xuan Lien Nature Reserve, Thanh Hoa, Viet Nam. This study investigates the relationship between above ground carbon stock and different vegetation indices and to identify the most likely vegetation index that best correlate with forest carbon stock. The terrestrial inventory data come from 380 sample plots that were randomly sampled. Individual tree parameters such as DBH and tree height were collected to calculate the above ground volume, biomass and carbon for different forest types. The SPOT6 2013 satellite data was used in the study to obtain five vegetation indices NDVI, RDVI, MSR, RVI, and EVI. The relationships between the forest carbon stock and vegetation indices were investigated using a multiple linear regression analysis. R-square, RMSE values and cross-validation were used to measure the strength and validate the performance of the models. The methodology presented here demonstrates the possibility of estimating forest volume, biomass and carbon stock. It can also be further improved by addressing more spectral bands data and/or elevation.

  20. Hipotiroidismo Congénito. Presentación de un caso.

    Directory of Open Access Journals (Sweden)

    Angela Belkys Brito García

    2016-04-01

    Full Text Available El hipotiroidismo congénito es el cuadro clínico resultante de una disminución de la actividad biológica de las hormonas tiroideas en los primeros años de vida, tiene una incidencia de 1/3000 a 1/4000 nacidos vivos. La expresividad clínica depende del grado de insuficiencia tiroidea, solo el 5% de los casos diagnosticados presentan manifestaciones clínicas al nacer, otros pacientes solamente pueden presentar niveles elevados de hormona estimulante del tiroides (TSH en suero, el tratamiento sustitutivo con hormonas tiroideas desde etapas tempranas facilita mejor evolución y pronóstico. Se describe el diagnóstico de un recién nacido masculino de 11 días de edad, con antecedentes prenatales de alto riesgo obstétrico por ser hijo de madre portadora de glomerulopatía por IgA , nacido de embarazo a término 41.3 sem de gestación , parto distócico, peso (3650 gramos, apgar 8/9, se realiza confirmatorio de TSH positivo, a los 11 días de nacido, por dichos antecedentes prenatales y manifestaciones clínicas, bioquímicas y radiológicas evidentes de hipotiroidismo congénito se confirma su diagnóstico y se impone tratamiento oportuno.

  1. Atualizações em Sífilis Congênita

    Directory of Open Access Journals (Sweden)

    Eduardo Chaida Sonda

    2013-01-01

    Full Text Available A sífilis é uma doença infectocontagiosa causada pela pelo Treponema pallidum e apresenta altas taxas de transmissão vertical, podendo chegar a 100% dependendo da doença materna e da fase da gestação. O diagnóstico da sífilis gestacional é simples e o seu rastreamento é obrigatório durante o pré-natal. Ainda assim, essa patologia apresenta elevada prevalência, afetando dois milhões de gestantes no mundo. Os procedimentos prestados em recém-nascidos com sífilis congênita representam custos três vezes superior aos cuidados dispendidos a um bebê sem essa infecção. O tratamento é, no geral,realizado com penicilina e deve estender-se aos parceiros sexuais. Não tratar, ou tratar inadequadamente, a sífilis congênitapode resultar em abortamento, prematuridade, complicações agudas e outras sequelas fetais.

  2. California Hydrogen Infrastructure Project

    Energy Technology Data Exchange (ETDEWEB)

    Heydorn, Edward C

    2013-03-12

    Air Products and Chemicals, Inc. has completed a comprehensive, multiyear project to demonstrate a hydrogen infrastructure in California. The specific primary objective of the project was to demonstrate a model of a real-world retail hydrogen infrastructure and acquire sufficient data within the project to assess the feasibility of achieving the nation's hydrogen infrastructure goals. The project helped to advance hydrogen station technology, including the vehicle-to-station fueling interface, through consumer experiences and feedback. By encompassing a variety of fuel cell vehicles, customer profiles and fueling experiences, this project was able to obtain a complete portrait of real market needs. The project also opened its stations to other qualified vehicle providers at the appropriate time to promote widespread use and gain even broader public understanding of a hydrogen infrastructure. The project engaged major energy companies to provide a fueling experience similar to traditional gasoline station sites to foster public acceptance of hydrogen. Work over the course of the project was focused in multiple areas. With respect to the equipment needed, technical design specifications (including both safety and operational considerations) were written, reviewed, and finalized. After finalizing individual equipment designs, complete station designs were started including process flow diagrams and systems safety reviews. Material quotes were obtained, and in some cases, depending on the project status and the lead time, equipment was placed on order and fabrication began. Consideration was given for expected vehicle usage and station capacity, standard features needed, and the ability to upgrade the station at a later date. In parallel with work on the equipment, discussions were started with various vehicle manufacturers to identify vehicle demand (short- and long-term needs). Discussions included identifying potential areas most suited for hydrogen fueling

  3. Infrastructure: concept, types and value

    Directory of Open Access Journals (Sweden)

    Alexander E. Lantsov

    2013-01-01

    Full Text Available Researches of influence of infrastructure on the economic growth and development of the countries gained currency. However the majority of authors drop the problem of definition of accurate concept of studied object and its criteria out. In the given article various approaches in the definition of «infrastructure» concept, criterion and the characteristics of infrastructure distinguishing it from other capital assets are presented. Such types of infrastructure, as personal, institutional, material, production, social, etc. are considered. Author’s definition of infrastructure is given.

  4. Growing the Blockchain information infrastructure

    DEFF Research Database (Denmark)

    Jabbar, Karim; Bjørn, Pernille

    2017-01-01

    In this paper, we present ethnographic data that unpacks the everyday work of some of the many infrastructuring agents who contribute to creating, sustaining and growing the Blockchain information infrastructure. We argue that this infrastructuring work takes the form of entrepreneurial actions......, which are self-initiated and primarily directed at sustaining or increasing the initiator’s stake in the emerging information infrastructure. These entrepreneurial actions wrestle against the affordances of the installed base of the Blockchain infrastructure, and take the shape of engaging...... or circumventing activities. These activities purposefully aim at either influencing or working around the enablers and constraints afforded by the Blockchain information infrastructure, as its installed base is gaining inertia. This study contributes to our understanding of the purpose of infrastructuring, seen...

  5. CERN Infrastructure Evolution

    CERN Document Server

    Bell, Tim

    2012-01-01

    The CERN Computer Centre is reviewing strategies for optimizing the use of the existing infrastructure in the future, and in the likely scenario that any extension will be remote from CERN, and in the light of the way other large facilities are today being operated. Over the past six months, CERN has been investigating modern and widely-used tools and procedures used for virtualisation, clouds and fabric management in order to reduce operational effort, increase agility and support unattended remote computer centres. This presentation will give the details on the project’s motivations, current status and areas for future investigation.

  6. Sustainable Bridge Infrastructure Procurement

    DEFF Research Database (Denmark)

    Safi, Mohammed; Du, Guangli; Simonsson, Peter

    2016-01-01

    The lack of a flexible but systematic approach for integrating lifecycle aspects into bridge investment decisions is a major obstacle hindering the procurement of sustainable bridge infrastructures. This paper addresses this obstacle by introducing a holistic approach that agencies could use to p...... to procure the most “sustainable” (lifecycle-efficient) bridge through a fair design-build (D-B) tendering process, considering all the main aspects: life-cycle cost (LCC), service life-span, aesthetic demands and environmental impacts (LCA)....

  7. Building National Healthcare Infrastructure

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Thorseng, Anne

    2017-01-01

    This case chapter is about the evolution of the Danish national e-health portal, sundhed.dk, which provides patient-oriented digital services. We present how the organization behind sundhed.dk succeeded in establishing a national healthcare infrastructure by (1) collating and assembling existing...... data resources, (2) repurposing and enhancing current data sources in the health sector, and (3) engaging a multiplicity of stakeholders. We argue that these activities represent three ways of capitalizing on the installed base that has led to the evolution and current situation of the e-health portal...

  8. Riesgo de anomalías congénitas en grupos étnicos de Sudamérica

    Directory of Open Access Journals (Sweden)

    Villalba, María I.

    2015-01-01

    Full Text Available El objetivo del trabajo fue estimar el riesgo de defectos congénitos según condición étnica de los padres del recién nacido. Fueron seleccionados 20.940 neonatos con 10 anomalías congénitas específicas y un grupo similar de controles, clasificados según su condición étnica. Se estimaron los riesgos de las 10 anomalías congénitas aisladas mediante métodos de regresión logística, ajustando los riesgos por índices de propensión (Propensity Score utilizando la prueba de Mantel-Haenszel. Los resultados del presente trabajo mostraron que en europeos latinos existe un mayor riesgo de tener un recién nacido con espina bífida, sindactilia 2-3 del pie e hipospadias; en judíos el riesgo mayor es para hipospadias; en nativos para microtia, labio leporino, polidactilia preaxial y atresia anal; en afrodescendientes para polidactilia postaxial e hipospadias y en árabes para espina bífida. En conclusión, en Sudamérica algunos grupos étnicos muestran un riesgo incrementado para ciertas anomalías congénitas, independientemente de la edad de los padres, el nivel socioeconómico y el número de embarazos, sugiriendo susceptibilidad de ciertos grupos étnicos para determinados defectos congénitos.

  9. Prevención de la toxoplasmosis congénita en un hospital de Buenos Aires

    Directory of Open Access Journals (Sweden)

    Liliana Carral

    2013-06-01

    Full Text Available La prevención de la toxoplasmosis congénita se basa en la información de la mujer con medidas de prevención primaria, el diagnóstico serológico y el tratamiento de la embarazada y del niño. Se presentan los resultados de 12 años de implementación de un programa de prevención de la toxoplasmosis congénita, la tasa de madres infectadas, de transmisión vertical, de niños infectados y la gravedad de la afección causada. Se realizó un estudio observacional prospectivo sobre 12 035 gestantes atendidas en la maternidad del Hospital Alemán de Buenos Aires entre enero de 2000 y diciembre de 2011. Se observó una prevalencia de anticuerpos anti Toxoplasma gondii de 18.33% (2 206/12 035. Treinta y siete mujeres de 9 792 susceptibles tuvieron infección aguda, la tasa de incidencia de infección materna fue de 3.78 por 1 000 nacimientos. La tasa de transmisión transplacentaria de la infección fue 5.4% (2/37. Dos recién nacidos tuvieron toxoplasmosis congénita, uno no tuvo signos clínicos y el otro presentó coriorretinitis y estrabismo. Recibieron tratamiento 35 madres y los 2 niños con toxoplasmosis congénita. En conclusión: Las cifras de transmisión obtenida permiten considerar a este programa de prevención como un recurso válido para minimizar el impacto de la toxoplasmosis congénita.

  10. Cardiopatías congénitas asociadas a cromosomopatías

    Directory of Open Access Journals (Sweden)

    Mercedes Fonseca Hernández

    1997-08-01

    Full Text Available Se realiza una investigación en el Hospital Pediátrico Provincial Docente "Paquito González Cueto" de Cienfuegos, para profundizar en el conocimiento de las cardiopatías congénitas y las cromosomopatías y la asociación entre ellas. Para esto se estudiaron 50 pacientes con diagnóstico cromosómico registrados en el Laboratorio de Citogenética de Cienfuegos, desde abril de 1988 hasta enero de 1992, a los cuales se les realizó examen físico cardiovascular, radiografía de tórax, electrocardiograma, y en los casos sospechosos de cardiopatía, ecocardiografía. La mitad de los pacientes presentaron cardiopatía congénita, con mayor frecuencia de canal auriculoventricular, comunicación interventricular y comunicación interauricular más comunicación interventricular, que se asociaron principalmente al síndrome de Down. Se concluye que existe una alta asociación entre enfermedad cromosómica y cardiopatía congénita, la que disminuye el índice de supervivencia de los pacientes con cromosomopatías.An investigation was carried out at the "Paquito González Cueto" Provincial Pediatric and Teaching Hospital, in Cienfuegos, to deepen into the knowledge of congenital cardiopathies and chromosomopathies and the association between them. To this end, it was conducted a study of 50 patients with chromosomic diagnosis registered at the Cytogenetics Laboratory, in Cienfuegos, from April, 1988, to January, 1992. These individuals underwent cardiovascular physical examination, chest X-ray, EKG, and echocardiography. This latter was only for those cases suspected of cardiopathy. Half of the patients presented congenital cardiopathy with greater frequency of the auroventricular duct plus inter-ventricular communication, and interauricular communication plus interventricular communication, which were connected mainly with Dow's syndrome. It is concluded that there is a high association between the chromosomic disease and congenital cardiopathy

  11. Citomegalovirose congênita: relato de caso Congenital cytomegalovirus infection: a case report

    Directory of Open Access Journals (Sweden)

    Patrícia de Fátima Azevedo

    2005-12-01

    Full Text Available A citomegalovirose congênita sintomática é entidade clínica de grande importância devido a sua vasta sintomatologia fetal. No Brasil, o diagnóstico intra-útero é ainda pouco realizado, apesar do grande arsenal propedêutico. Relatamos um caso de citomegalovirose congênita grave com hepatoesplenomegalia, agenesia parcial do vérmix cerebelar, calcificações intracranianas, placentomegalia, aumento da ecogenicidade intestinal e renal, cardiomegalia, hipoplasia pulmonar, derrame pericárdico e ascite. A ressonância nuclear magnética fetal foi utilizada para confirmação dos achados ultra-sonográficos. A amniocentese foi realizada para análise do líquido amniótico por meio da PCR, sendo evidenciado resultado positivo. O óbito fetal foi constatado na 31ª semana de gestação, sendo confirmados os achados através da citopatologia e estudo anatomopatológico do natimorto. O arsenal propedêutico existente, na atualidade, para diagnóstico intra-útero da citomegalovirose congênita é de grande importância para confirmação diagnóstica e determinação do prognóstico fetal.Congenital cytomegalovirus infection is an important clinical entity, due to its sonographic symptomatology. In Brazil, in utero diagnosis is not accomplished despite the improvements in diagnostic methods. We report a congenital infection including: splenomegaly and hepatomegaly, hypoplasia of the cerebellar vermis, intracranial calcifications, hyperechoic kidneys, hyperechoic bowel, cardiomegaly, lung hypoplasia, ascites, and pericardial effusion. Fetal magnetic resonance imaging confirmed the sonographic findings. Amniocentesis was performed for cytomegalovirus PCR in amniotic fluid, which confirmed fetal infection. Fetal loss occurred in the 31st week of pregnancy. Necropsy studies confirmed the sonographic findings. The diagnostic methods have been useful to confirm congenital cytomegalovirus infection and to establish fetal outcome.

  12. Apresentação das cardiopatias congênitas diagnosticadas ao nascimento: análise de 29.770 recém-nascidos

    OpenAIRE

    Amorim,Lúcia F. P.; Pires,Catarina A. B.; Lana,Ana Maria A.; Campos,Ângela S.; Aguiar,Regina A. L. P.; Tibúrcio,Jacqueline Domingues; Siqueira,Arminda Lúcia; Mota,Cleonice C. C.; Aguiar,Marcos J. B.

    2008-01-01

    OBJETIVO: Estimar a prevalência e estudar apresentações clínicas e fatores associados às cardiopatias congênitas, diagnosticadas ao nascimento, entre agosto de 1990 e dezembro de 2003, na Maternidade do Hospital das Clínicas da Universidade Federal de Minas Gerais. MÉTODOS: Estudo retrospectivo, baseado no banco de dados, vinculado ao Estudo Colaborativo Latino-Americano de Malformações Congênitas. Foram identificados os recém-nascidos vivos (RNV) e natimortos (NM) com cardiopatias congênitas...

  13. Herba Cistanche (Rou Cong-Rong: One of the Best Pharmaceutical Gifts of Traditional Chinese Medicine

    Directory of Open Access Journals (Sweden)

    Zhiming eLi

    2016-03-01

    Full Text Available Cistanche species, known as Rou Cong-Rong in Chinese, are an endangered wild species and are mainly distributed in the arid lands and warm deserts of northwestern China. Within Traditional Chinese Medicine (TCM, Herba Cistanche is applied as a tonic and/or in a formula for chronic renal disease, impotence, female infertility, morbid leucorrhea, profuse metrorrhagia and senile constipation. The chemical constituents of Herba Cistanche mainly consist of volatile oils, non-volatile phenylethanoid glycosides (PhGs, iridoids, lignans, alditols, oligosaccharides and polysaccharides. There have been an increasing number of studies focusing on its bio-activities, including antioxidation, neuroprotection, and antiaging. The objective of this review is to introduce this herb to the world. Its taxonomy, distribution, and corresponding biological functions and molecular mechanisms are addressed in this review.

  14. Reporte de segundo caso en Cuba de clorhidrorrea congénita

    Directory of Open Access Journals (Sweden)

    José Purón Barreras

    Full Text Available La clorhidrorrea congénita es un raro desorden autosómico recesivo, causado por un defecto en el intercambio de cloruro/bicarbonato en el íleon y colon. En este trabajo se reporta el caso de un niño de 1 año de edad con características patognomónicas de esta condición, consistentes en antecedentes prenatales de polihidramnios, diarreas acuosas desde el nacimiento, poca ganancia de peso, alcalosis metabólica y deshidratación. El diagnóstico fue confirmado por el elevado contenido de cloruro en heces, y es el segundo caso reportado en la literatura cubana.

  15. Síndrome de hipoventilación alveolar central congénita

    OpenAIRE

    Edwin Hernando Herrera-Flores; Alfredo Rodríguez-Tejada; Martha Margarita Reyes-Zúñiga; Martha Guadalupe Torres-Fraga; Armando Castorena-Maldonado; José Luis Carrillo-Alduenda

    2015-01-01

    Introducción: El síndrome de hipoventilación alveolar central congénita (SHACC) es un raro trastorno respiratorio del dormir, aunque cada vez más frecuentemente diagnosticado en clínicas de sueño y servicios de neumología pediátrica. Si bien se desconoce su epidemiología, en la literatura médica existen cerca de 300 casos reportados, y su incidencia es de 1 caso por cada 200,000 recién nacidos vivos. Se caracteriza por hipoventilación alveolar que se presenta o empeora durante el sueño. Es se...

  16. Defectos congénitos del metabolismo de los aminoácidos

    OpenAIRE

    Pascual Chinorias, Cristina

    2017-01-01

    Los defectos congénitos del metabolismo de los aminoácidos también llamados aminoacidopatías, son trastornos genéticos de carácter autosómico recesivo y se incluyen dentro del grupo de enfermedades raras. Estos defectos producen trastornos tanto en la síntesis como en la degradación de los aminoácidos. Si no son diagnosticados y tratados a tiempo pueden producir en el niño daños irreversibles, como retraso mental o incluso la muerte. Por eso es necesario detectar de una manera rápida y precoz...

  17. Hipertensión pulmonar en cardiopatías congénitas del adulto

    OpenAIRE

    Luz Adriana Ocampo-Aristizábal; Margarita María Zapata-Sánchez; Luis Horacio Díaz-Medina; Rafael Lince-Varela

    2017-01-01

    La hipertensión arterial pulmonar se encuentra comúnmente en adultos con cardiopatías congénitas. De acuerdo con el tipo de defecto, el momento de la corrección y la repercusión hemodinámica será la magnitud del compromiso y a su vez, un determinante esencial en la posibilidad de realizar manejo correctivo en aquellos pacientes diagnosticados de manera tardía. Se hizo una revisión de la información disponible en cuanto a la clasificación, el diagnóstico y el manejo de acuerdo con la posibilid...

  18. Cisto extradural congênito Congenital extradural cyst: a case report

    Directory of Open Access Journals (Sweden)

    Nubor O. Facure

    1970-06-01

    Full Text Available Relato de um caso de cisto extradural congênito operado com sucesso. A importância do estudo radiológico da coluna vertebral é salientada. No caso relatado foi verificado, pelo exame radiológico contrastado, existir uma comunicação entre o cisto e o espaço subaracnóideo. Os autores chamam a atenção para a necessidade da intervenção cirúrgica em tempo hábil para prevenir lesão permanente da medula espinal.A case of congenital extradural cyst successfully operated is reported. The value of the radiographic examinations of vertebral colum is emphazised. Comunication betwen the cyst and subarachnoidal space was detected mielographically. Early diagnosis followed by prompt surgery may prevent permanent spinal cord damage.

  19. Aneurisma congénito de la orejuela izquierda. Caso clínico

    OpenAIRE

    Otero, Johanna T.; Villanueva, Eduardo A.; Becker, Pedro; Parra, Rodrigo; Zelada, Pamela

    2008-01-01

    El aneurisma auricular congénito es una enfermedad muy rara y su localización más frecuente es la orejuela de la aurícula izquierda con 51 casos comunicados en la literatura. La mayoría son asintomáticos, por lo que su diagnóstico es por hallazgo en técnicas de imagen. Presentamos el caso de un lactante de 4 meses, de género masculino, portador de un síndrome de Treacher-Collins o disostosis mandibulofacial y síndrome bronquial obstructivo cuyo estudio de técnicas de imagen diagnostica un ane...

  20. Neurolues congênita associada a hidrocefalia Congenital neurosyphilis associated with hydrocephalus

    Directory of Open Access Journals (Sweden)

    Julinho Aisen

    1970-09-01

    Full Text Available É apresentado um caso de neurolues congênita (meningovascular e parenquimatosa associada a hidrocefalia do tipo bloqueado. A natureza luética da afecção foi confirmada por exames paraclínicos e histopatológico. O registro do caso se justifica pelo fato da não existência na literatura compulsada de outro semelhante comprovado histopatològicamente. A hidrocefalia ocorreu em conseqüência do bloqueio do sistema ventricular pelo processo inflamatório de natureza crônica.A case of meningovascular and parenchymatous neurosyphilis associated with a non-communicating hydrocephalus is reported. The syphilitic nature of the disease was confirmed by laboratory and histopathological findings. The authors were unable to find in the medical literature other reports of histologically documented cases of hydrocephalus secondary to a block of the ventricular system determined by neurosyphilis.

  1. The future of infrastructure security :

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, Pablo; Turnley, Jessica Glicken; Parrott, Lori K.

    2013-05-01

    Sandia National Laboratories hosted a workshop on the future of infrastructure security on February 27-28, 2013, in Albuquerque, NM. The 17 participants came from backgrounds as diverse as federal policy, the insurance industry, infrastructure management, and technology development. The purpose of the workshop was to surface key issues, identify directions forward, and lay groundwork for cross-sectoral and cross-disciplinary collaborations. The workshop addressed issues such as the problem space (what is included in infrastructure problems?), the general types of threats to infrastructure (such as acute or chronic, system-inherent or exogenously imposed) and definitions of secure and resilient infrastructures. The workshop concluded with a consideration of stakeholders and players in the infrastructure world, and identification of specific activities that could be undertaken by the Department of Homeland Security (DHS) and other players.

  2. Michigan E85 Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    Sandstrom, Matthew M.

    2012-03-30

    This is the final report for a grant-funded project to financially assist and otherwise provide support to projects that increase E85 infrastructure in Michigan at retail fueling locations. Over the two-year project timeframe, nine E85 and/or flex-fuel pumps were installed around the State of Michigan at locations currently lacking E85 infrastructure. A total of five stations installed the nine pumps, all providing cost share toward the project. By using cost sharing by station partners, the $200,000 provided by the Department of Energy facilitated a total project worth $746,332.85. This project was completed over a two-year timetable (eight quarters). The first quarter of the project focused on project outreach to station owners about the incentive on the installation and/or conversion of E85 compatible fueling equipment including fueling pumps, tanks, and all necessary electrical and plumbing connections. Utilizing Clean Energy Coalition (CEC) extensive knowledge of gasoline/ethanol infrastructure throughout Michigan, CEC strategically placed these pumps in locations to strengthen the broad availability of E85 in Michigan. During the first and second quarters, CEC staff approved projects for funding and secured contracts with station owners; the second through eighth quarters were spent working with fueling station owners to complete projects; the third through eighth quarters included time spent promoting projects; and beginning in the second quarter and running for the duration of the project was spent performing project reporting and evaluation to the US DOE. A total of 9 pumps were installed (four in Elkton, two in Sebewaing, one in East Lansing, one in Howell, and one in Whitmore Lake). At these combined station locations, a total of 192,445 gallons of E85, 10,786 gallons of E50, and 19,159 gallons of E30 were sold in all reporting quarters for 2011. Overall, the project has successfully displaced 162,611 gallons (2,663 barrels) of petroleum, and reduced

  3. Cistos congênitos do mediastino: aspectos de imagem Congenital mediastinal cysts: imaging findings

    Directory of Open Access Journals (Sweden)

    Tiago Tavares Vilela

    2009-02-01

    Full Text Available Cistos congênitos mediastinais são lesões benignas incomuns, geralmente causadas por falhas no desenvolvimento embriológico do intestino anterior e/ou da cavidade celômica. São formações expansivas, comumente assintomáticas, mas que podem se manifestar principalmente pela compressão de estruturas adjacentes. Entre as principais entidades deste grupo temos: cistos broncogênico, pericárdico, entérico e tímico, linfangioma e cisto de duplicação esofágica. A morfologia dos cistos congênitos mediastinais é típica, sendo os exames de imagem suficientes, em grande parte dos casos, para a confirmação diagnóstica. O tratamento cirúrgico está indicado apenas nos casos sintomáticos, pois estas lesões não apresentam potencial de degeneração maligna. O objetivo deste trabalho é comentar e ilustrar os aspectos de imagem mais relevantes destas lesões, a partir do estudo retrospectivo de dez casos de arquivo das instituições envolvidas.Congenital mediastinal cysts are uncommon benign lesions generally caused by an abnormal embryological development of the foregut or coelomic cavity. They are expansive lesions, frequently asymptomatic that may manifest as a result from compression of adjacent structures. Bronchogenic, pericardial, enteric, thymic, esophageal duplication cysts and lymphangiomas are the main entities in this group of lesions. Congenital mediastinal cysts morphology is typical and imaging methods allow a correct diagnosis in a great number of cases. Surgical treatment is indicated only in cases of symptomatic lesions, considering that these lesions present no potential for malignant degeneration. The present study was aimed at commenting and illustrating the most relevant imaging findings of these lesions based on a retrospective review of ten cases collected in the records of the involved institutions.

  4. Defectos Congénitos de la Línea Media de la Pared Abdominal Anterior

    Directory of Open Access Journals (Sweden)

    Hernando Forero Caballero

    1987-08-01

    Full Text Available

    Los defectos congénitos de la línea media de la pared abdominal anterior, como consecuencia de los trastornos embriológicos en el desarrollo de los pliegues laterales, desencadenan malformaciones que de acuerdo con la etiopatogenia y localización las han denominado celosomia: superior, media e inferior. En este estudio analizamos la celosomia media y la inferior observadas en un período de 5 años.

    La Celosomia Superior es muy rara y nosotros no la hemos observado sino una vez.

    En la primera parte estudiamos la celosomia media, cuyas anomalías están localizadas en la región umbilical, comprenden el Onfalocele y la Gastrosquisis y requieren un manejo meticuloso y de carácter urgente.

    En la segunda parte estudiamos la celosomia inferior cuyas principales lesiones están relacionadas con defectos de formación de la línea media de la pared abdominal baja junto con algunos órganos, como sucede en la extrofia-vesical y la fisura vesico-intestinal y su tratamiento. aunque permite una consiente planeación, requiere varias intervenciones de reparación.

    Los progresos efectuados en los últimos años en relación con la anestesia pediátrica, ventilación pulmonar, alimentación parenteral, adaptación de materiales plásticos, y en las técnicas de reparación, han mejorado notablemente el pronóstico de estas malformaciones congénitas...

  5. Polialveolose: patogênese do enfisema lobar congênito? Polyalveolosis: pathogenesis of congenital lobar emphysema?

    Directory of Open Access Journals (Sweden)

    R. Giudici

    1998-06-01

    Full Text Available INTRODUÇÃO: O enfisema lobar congênito é doença rara, cuja patogênese permanece desconhecida. O interesse acadêmico reside na falta de uniformidade dos achados anatomopatológicos. Em cerca de 50%, não se consegue definir a lesão anatomopatológica. A teoria mais recente relaciona esta doença com um número aumentado de alvéolos dentro de cada ácino pulmonar. OBJETIVO: O objetivo deste trabalho é efetuar uma revisão do estudo anatomopatológico original de 12 crianças com diagnóstico de enfisema lobar congênito, procurando, mediante método quantitativo, pesquisar a presença do aumento do número de alvéolos no ácino pulmonar. MÉTODO: Os autores realizaram um estudo caso-controle pareado pela idade. O número de alvéolos em cada ácino pulmonar foi pesquisado pela técnica da contagem radial de alvéolos. Para comparar as medidas obtidas nos casos e seus respectivos controles, utilizaram a prova U de Mann-Whitney. Regressão linear avaliou a influência da idade sobre as medidas. RESULTADOS: Encontraram um número elevado de alvéolos nos portadores de enfisema lobar congênito operados com idade inferior a 3 anos, um número semelhante entre as idades de 3 e 7 anos e um número diminuído a partir dessa idade. Na criança normal, ocorre um aumento no número de alvéolos com o aumento da idade. No enfisema lobar congênito, esse número se mantém praticamente constante, independente da idade. CONCLUSÃO: Os achados permitiram concluir que: o lobo polialveolar pode ser diagnosticado por um método simples e prático como a contagem radial de alvéolos, colaborando para diminuir a freqüência de casos de etiologia desconhecida, um número de alvéolos maior que o esperado para idade encontra-se associado ao enfisema lobar congênito no paciente (operado antes dos 3 anos de idade e que, ao contrário do que ocorre no pulmão normal, no lobo acometido por enfisema lobar congênito não ocorre aumento no número de alv

  6. Energy Transmission and Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    Mathison, Jane

    2012-12-31

    The objective of Energy Transmission and Infrastructure Northern Ohio (OH) was to lay the conceptual and analytical foundation for an energy economy in northern Ohio that will: • improve the efficiency with which energy is used in the residential, commercial, industrial, agricultural, and transportation sectors for Oberlin, Ohio as a district-wide model for Congressional District OH-09; • identify the potential to deploy wind and solar technologies and the most effective configuration for the regional energy system (i.e., the ratio of distributed or centralized power generation); • analyze the potential within the district to utilize farm wastes to produce biofuels; • enhance long-term energy security by identifying ways to deploy local resources and building Ohio-based enterprises; • identify the policy, regulatory, and financial barriers impeding development of a new energy system; and • improve energy infrastructure within Congressional District OH-09. This objective of laying the foundation for a renewable energy system in Ohio was achieved through four primary areas of activity: 1. district-wide energy infrastructure assessments and alternative-energy transmission studies; 2. energy infrastructure improvement projects undertaken by American Municipal Power (AMP) affiliates in the northern Ohio communities of Elmore, Oak Harbor, and Wellington; 3. Oberlin, OH-area energy assessment initiatives; and 4. a district-wide conference held in September 2011 to disseminate year-one findings. The grant supported 17 research studies by leading energy, policy, and financial specialists, including studies on: current energy use in the district and the Oberlin area; regional potential for energy generation from renewable sources such as solar power, wind, and farm-waste; energy and transportation strategies for transitioning the City of Oberlin entirely to renewable resources and considering pedestrians, bicyclists, and public transportation as well as drivers

  7. Road Infrastructure Financing Models

    Directory of Open Access Journals (Sweden)

    Rajko Horvat

    2007-11-01

    Full Text Available Already in its early phase, starting with initial general needsof people to survive and find food, traffic and traffic se1viceturned into a modern system which increased the complexityand interdependence within the traffic system, and then withthe environment as well. The financing problem is especially expressedduring the creation of new roads and road networksand achieving of better transport service. High investmentmeans required for the road construction require also systemicforecasting of financial sources. Financing of road infrastructureconstruction opens up the basic dilemma: whether totransfer the costs directly to the state budget and the cun·entgeneration or to transfer this burden to the future generations.These considerations require also a certain organizational approach.High investments in road infrastructure require a rationalselection before the decision itself on the selection of thetraffic system. Such selection has to be done based on adequatetraffic plans, which assumes classification of all the needs regardingtheir level so that every investment would be rationallyallocated.

  8. Infrastructural politics on Facebook

    DEFF Research Database (Denmark)

    Birkbak, Andreas

    broadening of the avenues of possible inquiry could be timely in relation to Facebook. What can we learn from Facebook as a venue for organizing in emergencies or around public issues? In order start answering this question I examine a recent controversy over plans to build a new road-pricing infrastructure...... to curb congestion in Copenhagen. The so-called payment ring project has now been officially dropped, but only after becoming one of the most heated topics in Danish politics in recent years. Thousands of people mobilized on Facebook pages for and against the actualization of the payment ring. I suggest...... that such issue-oriented pages represent an interesting reappropriation of the Facebook platform, whose ’pages’ feature is mainly targeted at commercial brands and other institutions. The majority of the pages founded in reaction to the payment ring were marked by sharp protests, something that generates...

  9. Implantación de stent en neonatos y lactantes menores con cardiopatía congénita cianosante ductus dependiente

    Directory of Open Access Journals (Sweden)

    Juan P. Rojas

    2014-03-01

    Conclusiones: La implantación del stent ductal se convierte en una herramienta importante en el paciente con cardiopatía congénita cianosante ductus dependiente ya que ofrece menor tasa de morbilidad y mortalidad.

  10. Asimetrías faciales y maloclusiones en pacientes con tortícolis muscular congénita: una revisión sistemática

    National Research Council Canada - National Science Library

    S. Cueto Blanco; A. Pipa Vallejo; M. González García; M. Pipa Muñiz; C. Pipa Muñiz

    2015-01-01

    Las deformidades dentofaciales generan déficits funcionales y estéticos. Cuando la tortícolis muscular congénita (TMC) no se detecta precozmente y, por tanto, no se trata, pueden establecerse alteraciones craneofaciales...

  11. JavaScript valodas pielietojums kvalitatīva tīmekļa vietņu pirmkoda veidošanā

    OpenAIRE

    Orlovs, Mihails

    2014-01-01

    Tīmekļa tehnoloģijas attīstās ļoti strauji, katru dienu parādās jaunas tīmekļa vietnes. Bet to kvalitātes līmenis ir samērā zems. Ir ļoti maz tīmekļa vietņu, kuras cilvēkiem ir patīkami apmeklēt. Visas pārējās vai nu slikti izskatās vai lēni strādā. Darba mērķis ir sameklēt risinājumu, kā ar JavaScript valodas palīdzību var uzlabot tīmekļa vietņu kvalitāti. Darba izvirzītie uzdevumi ir sameklēt iespējas, kā uzlabot tīmekļa vietnes pirmkoda kvalitāti un, kā arī izveidot savus rīkus, kas ...

  12. The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction

    Directory of Open Access Journals (Sweden)

    Thanh Duong

    2009-04-01

    Full Text Available Abstract Background Injection drug users represent the largest proportion of all HIV reported cases in Viet Nam. This study aimed to explore the perceptions of risk and risk behaviours among HIV-positive injection drug users, and their experiences related to safe injection and safe sex practices. Methods This study used multiple qualitative methods in data collection including in-depth interviews, focus group discussions and participant observation with HIV-positive injection drug users. Results The informants described a change in the sharing practices among injection drug users towards more precautions and what was considered 'low risk sharing', like sharing among seroconcordant partners and borrowing rather than lending. However risky practices like re-use of injection equipment and 'syringe pulling' i.e. the use of left-over drugs in particular, were frequently described and observed. Needle and syringe distribution programmes were in place but carrying needles and syringes and particularly drugs could result in being arrested and fined. Fear of rejection and of loss of intimacy made disclosure difficult and was perceived as a major obstacle for condom use among recently diagnosed HIV infected individuals. Conclusion HIV-positive injection drug users continue to practice HIV risk behaviours. The anti-drug law and the police crack-down policy appeared as critical factors hampering ongoing prevention efforts with needle and syringe distribution programmes in Viet Nam. Drastic policy measures are needed to reduce the very high HIV prevalence among injection drug users.

  13. The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: moving toward effective harm reduction.

    Science.gov (United States)

    Thanh, Duong Cong; Moland, Karen Marie; Fylkesnes, Knut

    2009-04-06

    Injection drug users represent the largest proportion of all HIV reported cases in Viet Nam. This study aimed to explore the perceptions of risk and risk behaviours among HIV-positive injection drug users, and their experiences related to safe injection and safe sex practices. This study used multiple qualitative methods in data collection including in-depth interviews, focus group discussions and participant observation with HIV-positive injection drug users. The informants described a change in the sharing practices among injection drug users towards more precautions and what was considered 'low risk sharing', like sharing among seroconcordant partners and borrowing rather than lending. However risky practices like re-use of injection equipment and 'syringe pulling' i.e. the use of left-over drugs in particular, were frequently described and observed. Needle and syringe distribution programmes were in place but carrying needles and syringes and particularly drugs could result in being arrested and fined. Fear of rejection and of loss of intimacy made disclosure difficult and was perceived as a major obstacle for condom use among recently diagnosed HIV infected individuals. HIV-positive injection drug users continue to practice HIV risk behaviours. The anti-drug law and the police crack-down policy appeared as critical factors hampering ongoing prevention efforts with needle and syringe distribution programmes in Viet Nam. Drastic policy measures are needed to reduce the very high HIV prevalence among injection drug users.

  14. Human paragonimiasis in Viet Nam: epidemiological survey and identification of the responsible species by DNA sequencing of eggs in patients' sputum.

    Science.gov (United States)

    Doanh, Pham Ngoc; Dung, Do Trung; Thach, Dang Thi Cam; Horii, Yoichiro; Shinohara, Akio; Nawa, Yukifumi

    2011-12-01

    Parasitological and sero-epidemiological surveys for human paragonimiasis were conducted in three provinces of Viet Nam. A total of 590 participants from two known endemic areas of human paragonimiasis (Sinho district of Laichau province and Lucyen district of Yenbai province) and from Dakrong district of Quangtri province where we recently found crab hosts heavily infected with Paragonimus westermani metacercariae. By multiple dot-ELISA screening, 28 (12.7%) out of 220 participants in Sinho district of Laichau province and 4 (3.3%) out of 120 participants in Lucyen district of Yenbai province were proven to be antibody-positive against the Paragonimus antigen. None of the 250 sera of the residents in Dakrong, Quangtri province, gave sero-positivity. Among a total of 32 sero-positive patients Paragonimus eggs were found in 6 cases. ITS2 sequences were successfully determined from a single Paragonimus egg from each patient. The results of homology search by BLAST and alignment clearly confirmed that Paragonimus eggs collected from 6 patients were all of Paragonimus heterotremus. The pathogenicity of P. westermani for human paragonimiasis in Viet Nam is still questionable and needs to be explored in the future. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  15. Trends in Second-Hand Tobacco Smoke Exposure Levels at Home among Viet Nam School Children Aged 13-15 and Associated Factors.

    Science.gov (United States)

    Lam, Nguyen Tuan; Nga, Pham Thi Quynh; Minh, Hoang Van; Giang, Kim Bao; Hai, Phan Thi; Huyen, Doan Thu; Linh, Nguyen Thuy; Van, Duong Khanh; Khue, Luong Ngoc

    2016-01-01

    Second-hand tobacco smoke (SHS) exposure at home, especially among children, is a serious issue in Viet Nam. During the past decade, much effort has been taken for tobacco control in the country, including various prgorammes aiming to reduce SHS exposure among adults and children. This article analysed trends and factors associated with SHS exposure at home among school children aged 13-15 in Viet Nam, using the Global Youth Tobacco Surveys conducted in 2007 and 2014. Descriptive and inferential statistical methods with logistic regression were applied. Overall, there was a significant reduction in the level of exposure, from 58.5% (95%CI: 57.6-59.3) in 2007 to 47.1% (95%CI: 45.4-48.8) in 2014. Of the associated factors, having one or both parents smoking was significantly associated with the highest odds of SHS exposure at home (OR=5.0; 95%CI: 4.2-6.1). Conversely, having a mother with a college or higher education level was found to be a protective factor (OR=0.5; 95%CI: 0.3-0.8).

  16. Hyponatraemia, rhabdomyolysis, alterations in blood pressure and persistent mydriasis in patients envenomed by Malayan kraits (Bungarus candidus) in southern Viet Nam.

    Science.gov (United States)

    Trinh, Kiem Xuan; Khac, Quyen Le; Trinh, Long Xuan; Warrell, David A

    2010-11-01

    Between 1998 and 2007, 42 patients admitted to Choray hospital, Ho Chi Minh City, and to two hospitals in adjacent regions in southern Viet Nam brought the Malayan kraits (Bungarus candidus) that had been responsible for biting them. Half of the patients had been bitten while they were asleep. Fang marks and numbness were the only local features of the bites. Common signs of neurotoxic envenoming included bilateral ptosis, persistently dilated pupils, limb weakness, breathlessness, hypersalivation, dysphonia and dysphagia. Thirty patients (71.4%) required endotracheal intubation of whom all but one were mechanically ventilated. Fourteen patients (33.3%) developed hypertension, 13 (31.0%) shock, 31 (73.8%) hyponatraemia (plasma sodium concentration rhabdomyolysis (peak plasma creatine kinase concentration 1375 +/- 140 micro/l). None developed acute kidney injury. All the patients were treated with a new monospecific B. candidus antivenom. There were no fatalities. Hyponatraemia has been reported previously in victims of Chinese kraits (Bungarus multicinctus) in northern Viet Nam and rhabdomyolysis in patients envenomed by B. niger in Bangladesh. These features of envenoming pose new problems for the management of krait bite cases in South east Asia and should stimulate a search for the causative venom toxins. (c) 2010 Elsevier Ltd. All rights reserved.

  17. Effectiveness of the Vietnamese Good Agricultural Practice (VietGAP on plant growth and quality of Choy Sum (Brassica rapa var. Parachinensis in Northern Vietnam

    Directory of Open Access Journals (Sweden)

    Tuan M. Ha

    2014-12-01

    Full Text Available In response to the recent concerns about human health, ecosystem sustainability and thus demands for food safety, production of clean produce, particularly daily-consumed vegetables, is essential. The study was carried out in Thai Nguyen city (northern Vietnam during August – November 2011 to evaluate impacts of a VietGAP guideline on plant growth and quality of Choy Sum, one of the major vegetables in the research area. The experiment comprised two treatments, a control (local farmers’ conventional practice and an experimental treatment (plants grown according to the VietGAP guideline. Plant samples of the latter treatment were collected for quality test at the end of the experiment. Results showed that the experimental plants had significant higher growth parameters with regards to leaf areas (7.13 dm2 and average top plant weight (3.33 kg m-2, while those of the control treatment were 5.80 dm2 and 2.77 kg m-2, respectively. Lab test results showed the experimental plant samples met the national quality standards to be certified as a clean product. The participatory on-field experiment would facilitate critical reflections, transformative learning and readiness for adoption of eco-friendly production practices by the local farmers

  18. Where "Sign Language Studies" Has Led Us in Forty Years: Opening High School and University Education for Deaf People in Viet Nam through Sign Language Analysis, Teaching, and Interpretation

    Science.gov (United States)

    Woodward, James; Hoa, Nguyen Thi

    2012-01-01

    This paper discusses how the Nippon Foundation-funded project "Opening University Education to Deaf People in Viet Nam through Sign Language Analysis, Teaching, and Interpretation," also known as the Dong Nai Deaf Education Project, has been implemented through sign language studies from 2000 through 2012. This project has provided deaf…

  19. Cyberwarfare on the Electricity Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    Murarka, N.; Ramesh, V.C.

    2000-03-20

    The report analyzes the possibility of cyberwarfare on the electricity infrastructure. The ongoing deregulation of the electricity industry makes the power grid all the more vulnerable to cyber attacks. The report models the power system information system components, models potential threats and protective measures. It therefore offers a framework for infrastructure protection.

  20. Tanzania's infrastructure : a continental perspective

    OpenAIRE

    Shkaratan, Maria

    2012-01-01

    Infrastructure contributed 1.3 percentage points to Tanzania's annual per capital GDP growth during the 2000s. If the country's infrastructure endowment were improved to the level of the African leader, Mauritius, annual per capita growth rates could increase by 3.4 percent. Tanzania has made great progress in reforming its trunk roads, improving the quality of the road network. The countr...

  1. Cyber and physical infrastructure interdependencies.

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, Laurence R.; Kelic, Andjelka; Warren, Drake E.

    2008-09-01

    The goal of the work discussed in this document is to understand the risk to the nation of cyber attacks on critical infrastructures. The large body of research results on cyber attacks against physical infrastructure vulnerabilities has not resulted in clear understanding of the cascading effects a cyber-caused disruption can have on critical national infrastructures and the ability of these affected infrastructures to deliver services. This document discusses current research and methodologies aimed at assessing the translation of a cyber-based effect into a physical disruption of infrastructure and thence into quantification of the economic consequences of the resultant disruption and damage. The document discusses the deficiencies of the existing methods in correlating cyber attacks with physical consequences. The document then outlines a research plan to correct those deficiencies. When completed, the research plan will result in a fully supported methodology to quantify the economic consequences of events that begin with cyber effects, cascade into other physical infrastructure impacts, and result in degradation of the critical infrastructure's ability to deliver services and products. This methodology enables quantification of the risks to national critical infrastructure of cyber threats. The work addresses the electric power sector as an example of how the methodology can be applied.

  2. MOEMS industrial infrastructure

    Science.gov (United States)

    van Heeren, Henne; Paschalidou, Lia

    2004-08-01

    Forecasters and analysts predict the market size for microsystems and microtechnologies to be in the order of 68 billion by the year 2005 (NEXUS Market Study 2002). In essence, the market potential is likely to double in size from its 38 billion status in 2002. According to InStat/MDR the market for MOEMS (Micro Optical Electro Mechanical Systems) in optical communication will be over $1.8 billion in 2006 and WTC states that the market for non telecom MOEMS will be even larger. Underpinning this staggering growth will be an infrastructure of design houses, foundries, package/assembly providers and equipment suppliers to cater for the demand in design, prototyping, and (mass-) production. This infrastructure is needed to provide an efficient route to commercialisation. Foundries, which provide the infrastructure to prototype, fabricate and mass-produce the designs emanating from the design houses and other companies. The reason for the customers to rely on foundries can be diverse: ranging from pure economical reasons (investments, cost-price) to technical (availability of required technology). The desire to have a second source of supply can also be a reason for outsourcing. Foundries aim to achieve economies of scale by combining several customer orders into volume production. Volumes are necessary, not only to achieve the required competitive cost prices, but also to attain the necessary technical competence level. Some products that serve very large markets can reach such high production volumes that they are able to sustain dedicated factories. In such cases, captive supply is possible, although outsourcing is still an option, as can be seen in the magnetic head markets, where captive and non-captive suppliers operate alongside each other. The most striking examples are: inkjet heads (>435 million heads per year) and magnetic heads (>1.5 billion heads per year). Also pressure sensor and accelerometer producers can afford their own facilities to produce the

  3. MAGNET/INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi

    Most of the infrastructure at Pt5 has been completed and is now passing their commissioning phase. The power distribution is almost completed. During autumn the powering of UXC55 racks from USC55 cabinets has been achieved. The full control/safety chain has been tested by injecting smoke into the sensitive rack volume in YE+ racks and is being extended to all the other racks as soon as cabling is done. The USC55 cooling station has all the water circuits commissioned and running. The annual maintenance of the surface cooling towers has been done during weeks 45 and 46 and a special plan has been set up, in close coordination with the CERN technical department. All the USC55 racks have passed a campaign of cleaning of the water filters and quality checks. A new partition of the USC55 area, for the function of the AUG (General Emergency Stop) buttons, is being done. This has an impact on the design of the underground UPS (Uninterruptible Power System) that secure the Magnet system and the electronics racks ...

  4. JINR cloud infrastructure evolution

    Science.gov (United States)

    Baranov, A. V.; Balashov, N. A.; Kutovskiy, N. A.; Semenov, R. N.

    2016-09-01

    To fulfil JINR commitments in different national and international projects related to the use of modern information technologies such as cloud and grid computing as well as to provide a modern tool for JINR users for their scientific research a cloud infrastructure was deployed at Laboratory of Information Technologies of Joint Institute for Nuclear Research. OpenNebula software was chosen as a cloud platform. Initially it was set up in simple configuration with single front-end host and a few cloud nodes. Some custom development was done to tune JINR cloud installation to fit local needs: web form in the cloud web-interface for resources request, a menu item with cloud utilization statistics, user authentication via Kerberos, custom driver for OpenVZ containers. Because of high demand in that cloud service and its resources over-utilization it was re-designed to cover increasing users' needs in capacity, availability and reliability. Recently a new cloud instance has been deployed in high-availability configuration with distributed network file system and additional computing power.

  5. Cirugía de las arritmias en las cardiopatías congénitas

    Directory of Open Access Journals (Sweden)

    Fernando Hornero

    2008-10-01

    Full Text Available La propia fisiopatología de las cardiopatías congénitas y el impacto de algunas correcciones quirúrgicas pueden predisponer al desarrollo de arritmias cardíacas, que incluyen taquicardia supraventricular macrorreentrante, flutter, fibrilación auricular, taquicardia auricular ectópica, taquicardia ventricular, síndrome del seno enfermo, bloqueo auriculoventricular y muerte súbita, entre otras. En la actualidad el tratamiento definitivo de estas arritmias y su profilaxis durante la corrección quirúrgica son procesos eficaces, con baja morbilidad y gran beneficio clínico para el paciente. En este trabajo se revisa el estado actual del tratamiento quirúrgico de las arritmias en las cardiopatías congénitas.

  6. Prevención de la toxoplasmosis congénita en un hospital de Buenos Aires

    OpenAIRE

    Liliana Carral; Federico Kaufer; Patricia Olejnik; Cristina Freuler; Ricardo Durlach

    2013-01-01

    La prevención de la toxoplasmosis congénita se basa en la información de la mujer con medidas de prevención primaria, el diagnóstico serológico y el tratamiento de la embarazada y del niño. Se presentan los resultados de 12 años de implementación de un programa de prevención de la toxoplasmosis congénita, la tasa de madres infectadas, de transmisión vertical, de niños infectados y la gravedad de la afección causada. Se realizó un estudio observacional prospectivo sobre 12 035 gestantes atendi...

  7. Impacto das Cardiopatias Congénitas no desempenho Neurocognitivo - Revisão Sistemática da Literatura

    OpenAIRE

    Oliveira, Martina Gonçalves

    2017-01-01

    A prevalência de Cardiopatias Congénitas (CC), bem como a crescente taxa de sobrevivência de doentes que padecem desta patologia, veio trazer novos desafios à neurociência, nomeadamente o de perceber o impacto que as CC têm no desenvolvimento fetal e quais as diferenças de performance ao nível das funções executivas entre crianças com CC e crianças saudáveis. O presente estudo tem como objetivo realizar uma revisão sistemática da literatura sobre o impacto das cardiopatias congénitas no d...

  8. Anomalias congênitas do trato urinário superior: novas imagens das mesmas doenças

    Directory of Open Access Journals (Sweden)

    Carol Pontes de Miranda Maranhão

    2013-02-01

    Full Text Available As anomalias congênitas do trato urinário superior implicam modificações morfofuncionais com espectro clínico variável, desde manifestações assintomáticas até falência renal e incompatibilidade com a vida. A tomografia computadorizada, além de ter superado o método de imagem da urografia excretora, tem desempenhado papel fundamental no diagnóstico das anomalias congênitas, orientando melhor nas decisões terapêuticas clínicas e cirúrgicas, além de atuar como ferramenta essencial na identificação de complicações associadas e no melhor desempenho de técnicas operatórias menos invasivas.

  9. Ectopia ureteral unilateral congênita em uma cadela Teckel Dachshund com pelagem arlequim: relato de caso

    Directory of Open Access Journals (Sweden)

    M.N. Silva

    2012-12-01

    Full Text Available O presente relato apresenta a primeira descrição de ectopia ureteral congênita na raça Teckel Dachshund, diagnosticada em uma cadela com pelagem arlequim. O animal, aos dois meses de idade, apresentava sinais de incontinência urinária e cistite bacteriana, sendo submetido a um plano diagnóstico para confirmação de ureter ectópico. A urografia excretora revelou hidroureter direito com desembocadura caudal ao trígono da bexiga. O exame físico do animal evidenciou ainda hérnia inguinal bilateral, o que reforçou a caracterização da origem congênita das alterações. Aspectos de bem-estar animal são também discutidos.

  10. Visión Binocular en operados de esotropía congénita. Resultados.

    OpenAIRE

    Teresita de Jesus Mendez Sanchez; Juan Raúl Hernández Silva; Rosa Maria Naranjo Fernandez; Pedro Daniel Castro Pérez; Carmen Maria Padilla González

    2012-01-01

    Objetivo: Describir los resultados quirúrgicos y la obtención de fusión y estereopsia en operados de esotropía congénita y su relación con la edad quirúrgica.Método: Estudio de serie de casos, en pacientes operados de esotropía congénita en el servicio de Oftalmología Pediátrica del Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, en el período comprendido de enero del  2007 a mayo del 2010. Se analizaron las siguientes variables ángulo de desviación preoperatorio, alineamiento ocular p...

  11. Congenital toxoplasmosis in South American children = Toxoplasmose congênita em crianças sul-americanas

    Directory of Open Access Journals (Sweden)

    Gómez-Marín, Jorge E.

    2010-01-01

    Conclusões: a toxoplasmosis congênita na América do Sul parece ser mais frequente e as crianças infectadas são mais sintomáticas do que na Europa e na América do Norte. A pesquisa sobre novas drogas e vacinas deve ser prioritária, para melhorar os indicadores de saúde nas crianças da América do Sul

  12. Reoperação nas esotropias congênita e essencial adquirida não acomodativa

    Directory of Open Access Journals (Sweden)

    Fábio Ejzenbaum

    2011-06-01

    Full Text Available OBJETIVO: Analisar os resultados das reoperações nas esotropias congênita e essencial adquirida não acomodativa. MÉTODOS: Foram avaliados retrospectivamente 393 prontuários de pacientes com diagnóstico de esotropia (91 esotropias congênitas e 302 adquiridas no Departamento de Oftalmologia da Santa Casa de São Paulo, operados entre os anos de 2000 e 2004. RESULTADOS: No grupo dos portadores de esotropia congênita, 9 pacientes foram reoperados (9,9%. As indicações para a nova intervenção foram: subcorreções (3,3%, supercorreções (2,2%, anisotropia (V (1,1%, hipotropia (1,1% e divergências visuais dissociadas (2,2%. No grupo dos portadores de esotropia essencial adquirida não acomodativa 31 pacientes foram reoperados (10,3%. As indicações para a nova intervenção foram: subcorreções (n=6,6%, supercorreções (n=2% e hipertropias (n=1,7%. CONCLUSÕES: A porcentagem de reoperação nos casos de esotropia congênita e essencial adquirida não acomodativa foram 9,9% e 10,2% respectivamente, com predominância de subcorreções nas indicações para a realização de nova cirurgia. A presença de ambliopia e desvios maiores que 50∆ na esotropia essencial adquirida não acomodativa (EEANA foram os mais importantes fatores para maus resultados.

  13. Flowscapes : Infrastructure as landscape, landscape as infrastructure. Graduation Lab Landscape Architecture 2012/2013

    NARCIS (Netherlands)

    Nijhuis, S.; Jauslin, D.; De Vries, C.

    2012-01-01

    Flowscapes explores infrastructure as a type of landscape and landscape as a type of infrastructure, and is focused on landscape architectonic design of transportation-, green- and water infrastructures. These landscape infrastructures are considered armatures for urban and rural development. With

  14. Memória em dislexia do desenvolvimento e surdez congênita: comparando arquiteturas cognitivas

    Directory of Open Access Journals (Sweden)

    Fernando C. Capovilla

    2011-11-01

    Full Text Available O modelo de memória verbal de Baddeley é usado para comparar o processamento de informação em dislexia do desenvolvimento e surdez congênita profunda. Em curvas de posição serial, o efeito de primazia revela a integridade do circuito fonológico, que permite reter fonologicamente a informação e consolidá-la na memória; o de recência, a integridade do circuito fonético, que permite reter articulatoriamente a informação sob audição e leitura orofacial. O Circuito Fonológico é composto de duas alças: uma, conectando Entrada a Saída, permite repetir pseudopalavras ouvidas; outra, conectando Saída a Entrada, permite ouvir-se pensando, refrescar a informação fonológica e memorizá-la. A alça conectando Entrada a Saída está comprometida na afasia de condução gerando inabilidade de repetir pseudopalavras ouvidas. A alça conectando Saída a Entrada está comprometida na dislexia de desenvolvimento, dificultando ouvir internamente o fluxo da fala durante leitura. O Circuito Fonético opera sempre que a fala é ouvida, articulada oralmente, ou lida orofacialmente. Nele, a Entrada é ativada na audição ou leitura orofacial; a Saída, na articulação subvocal. A alça conectando Entrada a Saída permite repetir pseudopalavras lidas orofacialmente. A alça conectando Saída a Entrada produz efeito de recência, permitindo manter traços de memória recente e elos da fala interna. Diferente da surdez congênita em que estão preservadas, na dislexia do desenvolvimento, as alças fonológica e fonética conectando Saída a Entrada estão comprometidas, dificultando o monitoramento do próprio ouvido interno e da própria voz interna durante a leitura e a escrita.Palavras-chave: Memória. Dislexia. Surdez. Fonologia. Fonética.

  15. Primer caso reportado en Colombia de hipoplasia renal congénita bilateral en dos hermanos

    Directory of Open Access Journals (Sweden)

    José Augusto Urrego-Díaz

    2014-04-01

    Full Text Available Las anormalidades congénitas del riñón y de vías urinarias son la primera causa de falla renal en la niñez. Una de estas anormalidades es la hipoplasia renal, definida como un riñón de tamaño disminuido que conserva su forma y parte de su función. Su presentación unilateral es más común que la bilateral con una relación de 7:1, de tal forma que esta última es una presentación no usual. Así mismo, es escasa la información sobre casos de hipoplasia renal congénita bilateral (HRCB en miembros de una misma familia. En este artículo se reporta el caso de dos hermanos con HRCB, diagnosticada por ecografía renal y de vías urinarias. El primero de ellos recibió el diagnóstico de HRCB a los cuatro años de edad, tras requerir estudio ecográfico por persistencia de talla baja para la edad en sus controles de crecimiento y desarrollo; el siguiente paciente tenía ocho años de edad al momento del diagnóstico, es hermano del anterior caso y su diagnóstico de HRCB fue hallado en un estudio ecográfico realizado por compromiso en su función renal. En ambos casos el estudio imagenológico reportó disminución en el tamaño renal bilateral según el índice de Hodson. El objetivo principal de este documento es el de dar a conocer esta patología que, si bien es rara, no deja de ser importante su presentación bilateral y su asociación familiar, de las que se tiene poca información en la literatura médica. Se espera que en el futuro esta información sirva para el tamizaje familiar de los pacientes con HRCB.

  16. Nevo melanocítico congênito Congenital melanocytic nevi

    Directory of Open Access Journals (Sweden)

    Francisco Macedo Paschoal

    2002-12-01

    Full Text Available O nevo melanocitico congênito está presente em aproximadamente 1% dos recém nascidos. As lesões classificadas como pequenas e medias são relativamente comuns, ao passo que o nevo gigante, maior que 20 cm no maior diâmetro, é uma condição mais rara cuja a incidência esta estimada em 1 para cada 20 mil nascimentos. As lesões melanociticas congênitas pequenas e médias têm um risco de degeneração maligna baixo, raramente ocorrendo na infância. Por outro lado, estima-se um risco entre 5 a 12 % de um melanoma se desenvolver a partir ou relacionado com um nevo gigante, e de regra, metade dos casos ocorrem antes dos 3 anos de idade. Alem da possibilidade de degeneração maligna, o acometimento neurológico e as implicações psicológicas devido ao aspecto estético são dois aspectos importantes relacionados com as lesões gigantes, influindo também na decisão e na abordagem terapêutica.Congenital melanocytic nevi is present in approximately 1% of new born. The lesions classified as small and medium are relatively common, while giant pigmented nevus, measuring over 20cm in the largest diameter, is a rarer condition, the incidence of which is estimated to be one in every 20 thousand births. The small and medium congenital melanocytic lesions present a low risk of malignant degeneration and this rarely occurs in childhood. On the other hand, there is a risk estimated between 5 to 12% of a melanoma growing from or being related to a giant nevus, furthermore in half of the cases this occurs before three years of age. Besides the possibility of malignant degeneration, the neurological involvement and psychological implications arising from aesthetic aspect are two important factors related to the giant lesions and also influence the therapeutic approach.

  17. Designing infrastructures for creative engagement

    DEFF Research Database (Denmark)

    Dindler, Christian

    2014-01-01

    relationships to institutions and organizations within local communities. We argue that this is as much an object of design as technical systems and discuss the relational work needed to engage in this activity. We illustrate the ideas of infrastructure and relational work through a case study of the design...... provides a useful frame for discussing important challenges and opportunities in terms of engaging audiences. We further argue that when designing infrastructures, one of the important challenges is to develop the social aspect of infrastructure in the form of creating, maintaining and developing...... of a system for cultural heritage engagement for the Danevirke museum covering issues relating to the Danish minority in northern Germany....

  18. Empirical findings on European critical infrastructure dependencies

    NARCIS (Netherlands)

    Luiijf, H.A.M.; Nieuwenhuijs, A.H.; Klaver, M.H.A.; Eeten, M.J.G. van; Cruz, E.

    2010-01-01

    One type of threat consistently identified as a key challenge for critical infrastructure protection (CIP) is that of dependencies and interdependencies among different critical infrastructures (CI). This article draws on a hitherto untapped data source on infrastructure dependencies: a daily

  19. Incorporating Green Infrastructure into TMDLs

    Science.gov (United States)

    The fact sheet provides examples of how some states describe green infrastructure and low impact development activities in their TMDL implementation sections to address stormwater-source impaired waters.

  20. Intermediate Infrastructure Analyst | IDRC - International ...

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

    Provides technical support for the daily operations of the corporate information systems servers, network infrastructure (Headquarters and the Regional Offices), system appliances, housed applications and operating systems software to ensure system availability, reliability and performance. Monitors system performance ...

  1. Landscape infrastructure : urbanism beyond engineering

    NARCIS (Netherlands)

    Bélanger, P.

    2013-01-01

    As ecology becomes the new engineering, the project of Landscape Infrastructure - a contemporary, synthetic alignment of the disciplines of landscape architecture, civil engineering and urban planning - is proposed here. Predominant challenges facing urban regions today are addressed, including

  2. Green Infrastructure for Arid Communities

    Science.gov (United States)

    how green infrastructure practices and the many associated benefits can be effective not only in wetter climates, but also for those communities in arid and semi-arid regions around the nation that have different precipitation patterns

  3. Electricity Infrastructure Operations Center (EIOC)

    Data.gov (United States)

    Federal Laboratory Consortium — The Electricity Infrastructure Operations Center (EIOC) at PNNL brings together industry-leading software, real-time grid data, and advanced computation into a fully...

  4. Embedded Processor Oriented Compiler Infrastructure

    Directory of Open Access Journals (Sweden)

    DJUKIC, M.

    2014-08-01

    Full Text Available In the recent years, research of special compiler techniques and algorithms for embedded processors broaden the knowledge of how to achieve better compiler performance in irregular processor architectures. However, industrial strength compilers, besides ability to generate efficient code, must also be robust, understandable, maintainable, and extensible. This raises the need for compiler infrastructure that provides means for convenient implementation of embedded processor oriented compiler techniques. Cirrus Logic Coyote 32 DSP is an example that shows how traditional compiler infrastructure is not able to cope with the problem. That is why the new compiler infrastructure was developed for this processor, based on research. in the field of embedded system software tools and experience in development of industrial strength compilers. The new infrastructure is described in this paper. Compiler generated code quality is compared with code generated by the previous compiler for the same processor architecture.

  5. Information Framework of Critical Infrastructure

    National Research Council Canada - National Science Library

    Stanislava Mildeová; Antonín Dvořák; Pavel Zahradníček

    2016-01-01

    .... The aim of the article is to holistically analyze the basic connection between the information framework and functionality of the critical infrastructure system involved in the activities of the public administration...

  6. Historia de la anestesia en las cardiopatías congénitas

    Directory of Open Access Journals (Sweden)

    Lincoln de la Parte Pérez

    2004-12-01

    Full Text Available Se presenta una revisión bibliográfica actualizada sobre la historia de la anestesia cardiovascular pediátrica a nivel internacional y el desarrollo alcanzado en nuestro medio, donde se evidencia que los anestesiólogos cubanos hemos respondido durante las dos últimas décadas, al reto de introducir en nuestro medio las modernas técnicas anestésicas y de manejo posoperatorio, que permiten a los cirujanos realizar las complejas técnicas quirúrgicas que se introducen continuamente en nuestro país para el tratamiento de las cardiopatías congénitas.An updated bibliographic review is presented on the history of pediatric cardiovascular anesthesia at the international level and the development attained in our setting, where it is evidenced that the Cuban anesthesiologists have faced during the last two decades the challenge of introducing into our environment the modern anesthetic and postoperative management techniques allowing surgeons to perform complex surgical techniques that are continously applied in our country for treating congenital heart diseases.

  7. Microcalcificaciones cerebrales en un recién nacido con tuberculosis congénita

    Directory of Open Access Journals (Sweden)

    Yolanda Cifuentes

    2016-03-01

    Se presenta el caso de un recién nacido en tratamiento para sífilis congénita que presentó microcalcificaciones detectadas en una ecografía transfontanelar, lo que alertó sobre la existencia de otro agente infeccioso. La prueba de PCR fue negativa para citomegalovirus, así como los títulos de IgM para toxoplasma, rubéola y herpes I y II. Dado el antecedente de un tratamiento incompleto para tuberculosis en la mujer gestante, se sospechó la presencia de infección por el bacilo de la tuberculosis. No se encontraron bacilos ácido-alcohol resistentes en tres muestras de jugo gástrico, y la prueba de PCR-IS6110 fue positiva en líquido cefalorraquídeo y en orina, pero no en sangre. El recién nacido recibió tratamiento con penicilina cristalina durante 10 días, así como con isoniacida, rifampicina, pirazinamida y estreptomicina. Actualmente se le hace seguimiento clínico.

  8. Analyzing Drought Adaptation Practices of Sugarcane Growers in Thanh Cong, Thach Thanh District, Thanh Hoa, Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen, GTH.

    2016-01-01

    Full Text Available To understand drought adaptation practices, we compared two groups of sugarcane growers in Thanh Cong commune, Thach Thanh district, Thanh Hoa province in Vietnam. Results of this study point out that farmers, depending on their preferred type of market channels, reacted differently to the impacts of drought. Contractual farmers paid more attention to the impact on sugarcane tillering and sugar content, while market-oriented farmers paid more attention to sugarcane colour, as this trait directly determined the market price on the cane that is either consumed as cane or as juice. In responding to water stress in the growing season, the open market-oriented farmers showed more flexibility in changing their cropping calendar. They were also more willing to invest in enhancing the water management system and in providing organic fertilizer than the contractual farmers. On the other hand, the low cane price and the harvesting date set in contract by the processing company lessened the contractual farmers' flexibility in investing in water management technologies; thus, hampering their adaptation to drought.

  9. Prevalencia de los factores de riesgo para toxoplasmosis congénita en maternas

    Directory of Open Access Journals (Sweden)

    Yolanda Torres de Galvis

    2001-04-01

    Full Text Available

    La toxoplasmosis a pesar de no ser una causa frecuente de infección en la gestante, sí constituye un factor de riesgo para el binomio madre-hijo. En nuestro medio la incapacidad para hacer un diagnóstico prenatal precoz y específico es muy grande debido a los costos; por lo tanto, la estrategia para disminuir este problema es principalmente la prevención. La toxoplasmosis congénita adquiere importancia cuando ocurre como primoinfección en la mujer embarazada, ocasionando anormalidades fetales. Los principales factores de riesgo están asociados a la convivencia con felinos.
    En la ciudad de Medellín se han desarrollado dos estudios sobre el
    tema: uno en el sector oficial con prevalencia de infección en gestantes del 38% (610 mujeres, y el segundo una encuesta en Susalud con 200 mujeres maternas en el que se encontró que el 86% de ellas desconocían la enfermedad, un 14.5% convivían con gatos, y el 27.6% comían carne mal cocida.

     

  10. Malformaciones Cerebrales Congénitas. Pronóstico Inesperado

    Directory of Open Access Journals (Sweden)

    Tomás Omar Zamora Bastidas

    2013-09-01

    Full Text Available La Hemihidranencefalia es una enfermedad congénita cerebral grave y relativamente rara caracterizada por la ausencia unilateral completa o casi total de la corteza cerebral dentro de un cráneo normal con preservación de estructuras como las meninges, ganglios basales, cerebelo, protuberancia, bulbo raquídeo y la hoz cerebral. Los hemisferios cerebrales inicialmente toman la forma normal y luego se plantea que más tarde se da una destrucción cortical por un grave proceso encefaloclástico, en particular por una lesión focal hipóxico-isquémica, lo cual lleva a que el lugar que ocupaba el tejido destruido sea sustituido en gran parte por espacios llenos de líquido cefalorraquídeo que se asemeja a un gran quiste intracraneal. Se presentan dos casos clínicos, el primero con una hemihidranancefalia derecha con un pronóstico desfavorable desde el momento del diagnóstico, no obstante actualmente ha alcanzado un desarrollo cognitivo que rebasa las expectativas para su condición; El segundo caso es un paciente con hidranencefalia global, éste no alcanzó un desarrollo cognitivo aceptable, pero contradijo el pronóstico y tiempo de vida acorde con su grave malformación.

  11. No todo es zika: toxoplasmosis congénita, ¿aún prevalente en Colombia?

    Directory of Open Access Journals (Sweden)

    Jorge L Alvarado-Socarras

    Full Text Available La toxoplasmosis congénita continúa siendo un problema de salud pública. Aun existiendo guías plenamente divulgadas y conocidas, se observa poca implementación de las mismas y falta de adecuada interpretación de pruebas serológicas en gestantes Esto puede generar falta de captación y tratamiento en embarazadas con primoinfección por Toxoplasma gondii. Reportamos una serie de casos, con compromiso neurológico y sistémico (dificultad respiratoria, hepatoesplenomegalia, enterocolitis, calcificaciones cerebrales, trombocitopenia, corioretinis, ascitis, choque. Si bien el virus de Zika causó epidemia en 2015-2016 en Brasil, Colombia y otros países, toxoplasmosis es un diagnóstico diferencial aún prevalente en estos países, con secuelas graves, discapacidad neurológica y riesgo de daño ocular, incluso tardío. Adicionalmente, existen algunas variedades de cepas de T. gondii con comportamiento más agresivo en Latinoamérica, lo cual empeora la presentación de los casos, incluyendo además mayor riesgo de muerte.

  12. Manejo clinicoquirúrgico de la anoftalmia y de la microftalmia congénitas

    Directory of Open Access Journals (Sweden)

    Irene Rojas Rondón

    Full Text Available La anoftalmia y la microftalmia congénitas son defectos oculares poco frecuentes, generalmente identificados en el momento del nacimiento, como resultado de alteraciones en la organogénesis del ojo a consecuencia de la acción de factores genéticos y ambientales durante el desarrollo embrionario. Estas anomalías provocan grave discapacidad visual a las personas que la padecen, por lo que generan gran repercusión en el ámbito psicosocial. El diagnóstico y el tratamiento precoz permitirán la estimulación visual a edad temprana, la corrección parcial o total de la anomalía y una mejor calidad de vida de estos pacientes, aun cuando no sea posible evitar la ceguera. La conducta ante estas afecciones es compleja y controversial; constituyen un reto para el cirujano oculoplástico y para el protesista. Por esta razón se decide realizar una revisión bibliográfica para profundizar en el adecuado manejo clinicoquirúrgico de estas anomalías.

  13. Estresse, ansiedade, depressão e coping materno na anomalia congênita

    Directory of Open Access Journals (Sweden)

    Schwanny Roberta Costa Rambalducci Mofati Vicente

    Full Text Available Resumo O nascimento de um filho com Anomalia Congênita (AC poderá repercutir na organização familiar, comprometendo aspectos afetivos e a interação da nova díade. Este estudo identificou níveis de estresse, ansiedade e depressão, bem como estratégias de enfrentamento (EE ou coping adotado por 25 mães de bebês com AC, internados em três UTIN da região; sendo aplicados inventários de estresse (ISSL, ansiedade (BAI e depressão (BDI, além de entrevista para identificação das EE. A maioria (n = 12 estava na fase de resistência do estresse, com nível moderado de ansiedade (n = 8, e níveis leve (n = 7 e moderado (n = 7 de depressão. As mães relataram, nesse período, o uso de EE adaptativas positivas como Autoconfiança e Busca de Suporte, e de EE negativas como Delegação e Desamparo, estas associadas à depressão. Sugere-se a adoção de intervenções dirigidas a essa população a fim de reduzir o impacto gerado pela condição do bebê e sua hospitalização.

  14. Síndromes nefróticos congénitos y hereditarios

    Directory of Open Access Journals (Sweden)

    Sandalio Durán Álvarez

    2011-03-01

    Full Text Available En los últimos años se han identificado muchos síndromes nefróticos familiares y esporádicos que no responden a los tratamientos habituales (esteroides e inmunosupresores, evolucionan con relativa rapidez a la insuficiencia renal crónica y se producen por mutaciones genéticas. La mayoría de los síndromes nefróticos que se trasmiten genéticamente y que pueden ser congénitos, presentarse en el primer año de la vida, o en el niño mayor, son atribuidos a mutaciones en los genes NPHS1, NPHS2, WT1 y LAMB2. Otros síndromes nefróticos producidos por mutaciones genéticas pueden no manifestarse hasta la adultez. El objetivo fundamental de esta revisión fue llamar la atención sobre los síndromes nefróticos producidos por mutaciones genéticas en los que no sólo no se obtienen resultados con los tratamientos inmunosupresores, si no en los que dichos tratamientos pueden ser perjudiciales para el paciente.

  15. Extrofia vesical, una anomalía congénita

    Directory of Open Access Journals (Sweden)

    Roger Rojas Rojas

    2015-12-01

    Full Text Available Se realizó un trabajo descriptivo y representativo de un caso, para el que se utilizó la entrevista, la ultrasonografía y la evaluación del grupo Multidisciplinario de Genética Provincial. La paciente con 23 años de edad, con historia obstetricia de G2 P1 eutócico, clasificado de riesgo genético bajo, se le detectó en el ultrasonido del segundo semestre en la semana de gestación 19.6 una anomalía congénita, diagnosticada como extrofia vesical. Después de encontrado este hallazgo, la gestante fue remitida al Centro Genético Provincial. El equipo facultativo evaluó el caso y decidió la interrupción electiva del embarazo, siendo un feto de 450 gramos del sexo femenino. El resultado final de la anatomía patológica fue: ausencia de fusión del hueso pelviano; malformación de la vulva, clítoris prominente, labios mayores cortos y abiertos; vejiga insertada en la pared abdominal.

  16. Pie varus equino congénito (Factores etiológicos

    Directory of Open Access Journals (Sweden)

    Valentín Malagón-Castro

    1955-04-01

    Full Text Available La causa eficiente del pié varus equino congénito, es en la actualidad desconocida. Existen, sin embargo, múltiples teorías orientadas a la explicación de este problema : Teorías atávica y arquiterígea, de Bardeleben, 1878 y Gegenbauer, 1864. Teoría de la Falla circulatoria de Keith, 1940, y de la Displasia fetal de Streeter, 1930; Teoría de la "Flictena" de Bagg, 1920 y Bonnevie, 1934. La Miodistrofia de Middleton, 1934; La presión mecánica intrauterina de Hipócrates, Dermis Browne, etc. La acción de las bridas amniótica y de la Enfermedad ulcerosa del amnios. Ombredanne. La detención en el desarrollo embrionario. Bohm. Los factores genéticos y las causas adyuvantes que pueden obrar sobre éstos: Deficiencia de la dieta materna durante el embarazo; irradiaciones, traumas, enfermedades y drogas recibidas durante la gestación, etc.

  17. Aneurisma congénito de la orejuela izquierda. Caso clínico

    Directory of Open Access Journals (Sweden)

    Johanna T. Otero

    2008-04-01

    Full Text Available El aneurisma auricular congénito es una enfermedad muy rara y su localización más frecuente es la orejuela de la aurícula izquierda con 51 casos comunicados en la literatura. La mayoría son asintomáticos, por lo que su diagnóstico es por hallazgo en técnicas de imagen. Presentamos el caso de un lactante de 4 meses, de género masculino, portador de un síndrome de Treacher-Collins o disostosis mandibulofacial y síndrome bronquial obstructivo cuyo estudio de técnicas de imagen diagnostica un aneurisma de la orejuela izquierda.Se realiza resección quirúrgica del aneurisma bajo circulación extracorpórea sin incidentes. En el seguimiento a 12 meses el paciente se encuentra asintomático y sin videncia ecocardiográfica de recurrencia.

  18. Water Supply Infrastructure System Surety

    Energy Technology Data Exchange (ETDEWEB)

    EKMAN,MARK E.; ISBELL,DARYL

    2000-01-06

    The executive branch of the United States government has acknowledged and identified threats to the water supply infrastructure of the United States. These threats include contamination of the water supply, aging infrastructure components, and malicious attack. Government recognition of the importance of providing safe, secure, and reliable water supplies has a historical precedence in the water works of the ancient Romans, who recognized the same basic threats to their water supply infrastructure the United States acknowledges today. System surety is the philosophy of ''designing for threats, planning for failure, and managing for success'' in system design and implementation. System surety is an alternative to traditional compliance-based approaches to safety, security, and reliability. Four types of surety are recognized: reactive surety; proactive surety, preventative surety; and fundamental, inherent surety. The five steps of the system surety approach can be used to establish the type of surety needed for the water infrastructure and the methods used to realize a sure water infrastructure. The benefit to the water industry of using the system surety approach to infrastructure design and assessment is a proactive approach to safety, security, and reliability for water transmission, treatment, distribution, and wastewater collection and treatment.

  19. Psychological and social factors associated with late pregnancy iron deficiency anaemia in rural Viet Nam: a population-based prospective study.

    Directory of Open Access Journals (Sweden)

    Thach Duc Tran

    Full Text Available OBJECTIVES: The aim of this study was to examine the relationships between psychological and social factors and late pregnancy IDA among pregnant women in rural Viet Nam. METHODS: Pregnant women from 50 randomly-selected communes within Ha Nam province were recruited and assessed at 12 - 20 weeks gestation (Wave 1, W1. They were followed up in the last trimester (Wave 2, W2. IDA was defined as Haemoglobin < 11 g/dL and serum ferritin < 15 ng/mL. Symptoms of Common Mental Disorders (CMD were assessed by the Edinburgh Postnatal Depression Scale-Vietnam (EPDS-V. Persistent antenatal CMD was defined as having an EPDS-V score ≥ 4 in both W1 and W2. Hypothesis models were tested by Structural Equation Modeling analyses. RESULTS: A total of 378 women provided complete data at both W1 and W2. The incidence risk of IDA in the third trimester was 13.2% (95% confidence interval (CI: 9.8-16.7. Persistent CMD was found in 16.9% (95% CI: 13.1-20.7 pregnant women and predicted by intimate partner violence, fear of other family members, experience of childhood abuse, coincidental life adversity, and having a preference for the sex of the baby. There was a significant pathway from persistent CMD to IDA in late pregnancy via the length of time that iron supplements had been taken. Receiving advice to take iron supplements and higher household wealth index were indirectly related to lower risk of late pregnancy IDA. Early pregnancy IDA and being multi-parous also contributed to late pregnancy IDA. CONCLUSIONS: Antenatal IDA and CMD are prevalent public health problems among women in Viet Nam. The link between them suggests that while direct recommendations to use iron supplements are important, the social factors associated with common mental disorders should be addressed in antenatal care in order to improve the health of pregnant women and their infants.

  20. Cigarette Smoking among Adolescents aged 13-15 in Viet Nam and Correlates of Current Cigarette Smoking: Results from GYTS 2014 Data.

    Science.gov (United States)

    Huong, Le Thi; Vu, Nga Thi Thu; Dung, Nguyen Ngoc; Xuan, Le Thi Thanh; Giang, Kim Bao; Hai, Phan Thi; Huyen, Doan Thu; Khue, Luong Ngoc; Lam, Nguyen Tuan; Minh, Hoang Van; Nga, Pham Thi Quynh

    2016-01-01

    The aim of this paper is to report the rate of current and ever cigarette smoking and explore correlates of current cigarette smoking among adolescents aged 13-15 in Viet Nam. This analysis was derived from GYTS survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam. We calculated the weighted rates of current and ever cigarette smoking and reported patterns of smoking behavior. We also performed logistic regression to explore correlates of current cigarette smoking behavior. The weighted rate of ever cigarette smoking was 9.5% (95% confidence interval (CI): 8.5 %-10.5%), in which the weighted rate among males (15.4%; 95% CI: 13.6%-17.0%) was higher than that among females (4.2%; 95% CI: 3.3%-5.1%). The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%- 3.0%) with higher weighted rate among males (4.9%; 95% CI: 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%). Current cigarette smoking was significantly higher among males than females, in students aged 15 versus 13 years old, and in students who had several or all close friends smoking and students with daily observation of smoking at school. For greater smoking reduction outcomes, we recommend that tobacco interventions for adolescents should consider targeting more male students at older ages, establish stricter adherence to school-based banning of cigarette smoking, engage both smoking and nonsmoking adolescents and empower adolescents to resist peer smoking influence as well as changing their norms or beliefs towards smoking benefits.

  1. Ecologically Enhancing Coastal Infrastructure

    Science.gov (United States)

    Mac Arthur, Mairi; Naylor, Larissa; Hansom, Jim; Burrows, Mike; Boyd, Ian

    2017-04-01

    Hard engineering structures continue to proliferate in the coastal zone globally in response to increasing pressures associated with rising sea levels, coastal flooding and erosion. These structures are typically plain-cast by design and function as poor ecological surrogates for natural rocky shores which are highly topographically complex and host a range of available microhabitats for intertidal species. Ecological enhancement mitigates some of these negative impacts by integrating components of nature into the construction and design of these structures to improve their sustainability, resilience and multifunctionality. In the largest UK ecological enhancement trial to date, 184 tiles (15x15cm) of up to nine potential designs were deployed on vertical concrete coastal infrastructure in 2016 at three sites across the UK (Saltcoats, Blackness and Isle of Wight). The surface texture and complexity of the tiles were varied to test the effect of settlement surface texture at the mm-cm scale of enhancement on the success of colonisation and biodiversity in the mid-upper intertidal zone in order to answer the following experimental hypotheses: • Tiles with mm-scale geomorphic complexity will have greater barnacle abundances • Tiles with cm-scale geomorphic complexity will have greater species richness than mm-scale tiles. A range of methods were used in creating the tile designs including terrestrial laser scanning of creviced rock surfaces to mimic natural rocky shore complexity as well as artificially generated complexity using computer software. The designs replicated the topographic features of high ecological importance found on natural rocky shores and promoted species recruitment and community composition on artificial surfaces; thus enabling us to evaluate biological responses to geomorphic complexity in a controlled field trial. At two of the sites, the roughest tile designs (cm scale) did not have the highest levels of barnacle recruits which were

  2. Deforestation in Viet Nam

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

    Only fairly recently, during the 1920s, under the French colonial administration, did planned-colonization programs contribute, with very limited success however, to the expansion of Kinh settlement toward the Central Highlands (also known as the Central Plateaus). These programs were associated with attempts to ...

  3. Junior Infrastructure Analyst | IDRC - International Development ...

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

    Job Summary. Under the general supervision of the Manager, Infrastructure, Security & Records - IMTD, the Junior Infrastructure Analyst plays a critical infrastructure support role (as part of the ISD team responsible for the day-to-day operation and maintenance of the Centre's various infrastructure systems in Headquarters ...

  4. Infrastructure Commons in Economic Perspective

    Science.gov (United States)

    Frischmann, Brett M.

    This chapter briefly summarizes a theory (developed in substantial detail elsewhere)1 that explains why there are strong economic arguments for managing and sustaining infrastructure resources in an openly accessible manner. This theory facilitates a better understanding of two related issues: how society benefits from infrastructure resources and how decisions about how to manage or govern infrastructure resources affect a wide variety of public and private interests. The key insights from this analysis are that infrastructure resources generate value as inputs into a wide range of productive processes and that the outputs from these processes are often public goods and nonmarket goods that generate positive externalities that benefit society as a whole. Managing such resources in an openly accessible manner may be socially desirable from an economic perspective because doing so facilitates these downstream productive activities. For example, managing the Internet infrastructure in an openly accessible manner facilitates active citizen involvement in the production and sharing of many different public and nonmarket goods. Over the last decade, this has led to increased opportunities for a wide range of citizens to engage in entrepreneurship, political discourse, social network formation, and community building, among many other activities. The chapter applies these insights to the network neutrality debate and suggests how the debate might be reframed to better account for the wide range of private and public interests at stake.

  5. E-Infrastructure Concertation Meeting

    CERN Multimedia

    Katarina Anthony

    2010-01-01

    The 8th e-Infrastructure Concertation Meeting was held in the Globe from 4 to 5 November to discuss the development of Europe’s distributed computing and storage resources.   Project leaders attend the E-Concertation Meeting at the Globe on 5 November 2010. © Corentin Chevalier E-Infrastructures have become an indispensable tool for scientific research, linking researchers to virtually unlimited e-resources like the grid. The recent e-Infrastructure Concertation Meeting brought together e-Science project leaders to discuss the development of this tool in the European context. The meeting was part of an ongoing initiative to develop a world-class e-infrastructure resource that would establish European leadership in e-Science. The e-Infrastructure Concertation Meeting was organised by the Commission Services (EC) with the support of e-ScienceTalk. “The Concertation meeting at CERN has been a great opportunity for e-ScienceTalk to meet many of the 38 new proje...

  6. Development of a lunar infrastructure

    Science.gov (United States)

    Burke, J. D.

    If humans are to reside continuously and productively on the Moon, they must be surrounded and supported there by an infrastructure having some attributes of the support systems that have made advanced civilization possible on Earth. Building this lunar infrastructure will, in a sense, be an investment. Creating it will require large resources from Earth, but once it exists it can do much to limit the further demands of a lunar base for Earthside support. What is needed for a viable lunar infrastructure? This question can be approached from two directions. The first is to examine history, which is essentially a record of growing information structures among humans on Earth (tribes, agriculture, specialization of work, education, ethics, arts and sciences, cities and states, technology). The second approach is much less secure but may provide useful insights: it is to examine the minimal needs of a small human community - not just for physical survival but for a stable existence with a net product output. This paper presents a summary, based on present knowledge of the Moon and of the likely functions of a human community there, of some of these infrastructure requirements, and also discusses possible ways to proceed toward meeting early infrastructure needs.

  7. Anestesia em paciente com insensibilidade congênita a dor e anidrose Anestesia en paciente con insensibilidad congénita al dolor y anhidrosis Anesthesia in a patient with congenital insensitivity to pain and anhidrosis

    OpenAIRE

    Carlos Rogério Degrandi Oliveira; Valter César Paris; Renato Augusto Pereira; Felipe Souza Thyrso de Lara

    2009-01-01

    JUSTIFICATIVA E OBJETIVOS: A insensibilidade congênita a dor e anidrose (ICDA) ou neuropatia hereditária sensorial e autonômica tipo IV (NHSA tipo IV) é neuropatia autossômica recessiva rara do grupo das neuropatias hereditárias sensoriais e autonômicas (NHSA), caracterizada por insensibilidade ao estímulo doloroso, anidrose e retardo mental. Existem poucos relatos sobre a conduta anestésica em pacientes com ICDA devido sua extrema raridade. O objetivo deste relato foi apresentar a conduta an...

  8. Miotonia congênita: relato de sete pacientes Congenital myotonia: report of seven patients

    Directory of Open Access Journals (Sweden)

    Helga C. A. Azevedo

    1996-12-01

    Full Text Available Miotonia é o fenômeno da diminuição da velocidade de relaxamento muscular após contração, estímulo mecânico ou elétrico. As miotonias congênitas são afecções hereditárias e não apresentam distrofia muscular. Atualmente, a tendência é agrupá-las como doenças de canais iônicos, juntamente com as paralisias periódicas. Foram acompanhados sete pacientes, seis do sexo masculino e um do sexo feminino, com idade entre 16 e 48 anos (média 27 anos e início dos sintomas entre 1 e 10 anos (média S anos, que apresentavam fenômeno miotônico desencadeado por contração intensa e hipertrofia muscular global. Três pacientes foram diagnosticados como miotonia generalizada tipo Becker por apresentarem herança autossômica recessiva e/ou episódios transitórios de fraqueza muscular. Dois pacientes correspondiam à miotonia congênita de Thomsen, com padrão de herança autossômica dominante e/ou ausência de episódios de fraqueza ou fatores de piora. Dois pacientes apresentavam miotonia flutuante, piorando com o frio e/ou ingestão de potássio. O diagnóstico clínico foi confirmado através de exames complementares (eletroneuromiografia, biópsia muscular e estudo do DNA. Cada paciente fez uso de diferentes drogas, no sentido de procurar o máximo de melhora da miotonia. Houve cinco relatos de melhora com difenil-hidantoína, um com carbamazepina, três com acetazolamida, um com bloqueador de canal de cálcio, um com beta-adrenérgico, um com tiazídico e nenhum com quinidina/procainamida.Myotonia is the phenomenon of decrease of muscular relaxation rate, after either a contraction or a mechanical or electrical stimulus. Congenital myotonias are hereditary affections and do not present muscular dystrophy. The current trend is to group them as ionic channels diseases, together with the periodic paralysis.The authors accompanied the cases of seven patients, six males and one female, with ages ranging from 16 to 48 years (average 27

  9. Impacts on Breastfeeding Practices of At-Scale Strategies That Combine Intensive Interpersonal Counseling, Mass Media, and Community Mobilization: Results of Cluster-Randomized Program Evaluations in Bangladesh and Viet Nam.

    Science.gov (United States)

    Menon, Purnima; Nguyen, Phuong Hong; Saha, Kuntal Kumar; Khaled, Adiba; Kennedy, Andrew; Tran, Lan Mai; Sanghvi, Tina; Hajeebhoy, Nemat; Baker, Jean; Alayon, Silvia; Afsana, Kaosar; Haque, Raisul; Frongillo, Edward A; Ruel, Marie T; Rawat, Rahul

    2016-10-01

    Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation and impact at scale. Alive & Thrive was implemented over a period of 6 y (2009-2014) and aimed to improve breastfeeding practices through intensified interpersonal counseling (IPC), mass media (MM), and community mobilization (CM) intervention components delivered at scale in the context of policy advocacy (PA) in Bangladesh and Viet Nam. In Bangladesh, IPC was delivered through a large non-governmental health program; in Viet Nam, it was integrated into government health facilities. This study evaluated the population-level impact of intensified IPC, MM, CM, and PA (intensive) compared to standard nutrition counseling and less intensive MM, CM, and PA (non-intensive) on breastfeeding practices in these two countries. A cluster-randomized evaluation design was employed in each country. For the evaluation sample, 20 sub-districts in Bangladesh and 40 communes in Viet Nam were randomized to either the intensive or the non-intensive group. Cross-sectional surveys (n ~ 500 children 0-5.9 mo old per group per country) were implemented at baseline (June 7-August 29, 2010, in Viet Nam; April 28-June 26, 2010, in Bangladesh) and endline (June 16-August 30, 2014, in Viet Nam; April 20-June 23, 2014, in Bangladesh). Difference-in-differences estimates (DDEs) of impact were calculated, adjusting for clustering. In Bangladesh, improvements were significantly greater in the intensive compared to the non-intensive group for the proportion of women who reported practicing EBF in the previous 24 h (DDE 36.2 percentage points [pp], 95% CI 21.0-51.5, p < 0.001; prevalence in intensive group rose from 48.5% to 87.6%) and engaging in early initiation of breastfeeding (EIBF) (16.7 pp, 95% CI 2.8-30.6, p = 0.021; 63.7% to 94.2%). In Viet Nam, EBF increases were greater in the intensive group (27.9 pp

  10. Pseudartrose congênita de clavícula Congenital pseudarthrosis of the clavicle

    Directory of Open Access Journals (Sweden)

    Marina Juliana Pita Sassioto Silveira de Figueiredo

    2012-02-01

    Full Text Available A pseudartrose congênita de clavícula (PCC é uma afecção rara, que representa um distúrbio na união dos núcleos de ossificação e que pode ser diagnosticada ao nascimento. É mais comum em meninas e do lado direito. Este trabalho tem por objetivo proceder a uma revisão bibliográfica sobre o tema, em pesquisa realizada nas bases de dados LILACS e MEDLINE. Foram encontrados 56 artigos publicados até a corrente data. Apesar de pouco frequente, a PCC não deve ser desconhecida ou mesmo esquecida, especialmente como diagnóstico diferencial com a fratura aguda da clavícula por distocia de parto e/ou tocotraumatismo. O diagnóstico é relativamente fácil e o tratamento pode ser apenas expectante ou até mesmo cirúrgico.Congenital pseudarthrosis of the clavicle (PCC is a rare affection, that can be diagnosed at birth and represent a disturbance of union of the ossification centers. It's more common in girls and in the right side. This study objectives to proceed a revision about the subject, that was searched in online database of LILACS and MEDLINE. We found 56 articles till present data. Besides be a bit infrequent, the PCC must not be missed or even forgotten, especially as differential diagnosis with acute fracture of the clavicle at birth by trauma in the childbirth. The diagnostic is relatively easy and the treatment can be just observation or even surgical.

  11. Miastenia gravis congênita e oftalmoplegia externa Congenital myasthenia gravis and external ophthalmoplegia

    Directory of Open Access Journals (Sweden)

    Ana Tereza Ramos Moreira

    2001-10-01

    Full Text Available A miastenia gravis é uma doença crônica, caracterizada por fatigabilidade anormal de músculos estriados, podendo acometer grupos musculares isolados ou tornar-se generalizada. Os autores descrevem um caso de miastenia gravis congênita generalizada e oftalmoplegia parcial em um paciente de 10 anos de idade, portador de sintomas sistêmicos motores e de ausência na adução, abdução e elevação em ambos os olhos e com ptose palpebral bilateral, sendo reduzida à função de infraversão. O paciente foi diagnosticado aos dois anos e seis meses, sendo iniciado tratamento com piridostigmina em doses subterapêuticas, sem alteração importante no quadro clínico. Aos quatro anos de idade, procurou esta instituição, sendo ajustada à dose da medicação, seguindo-se melhora significativa dos sintomas motores sistêmicos, melhora parcial da ptose palpebral e sem alteração na oftalmoplegia externa.Myasthenia gravis is a chronic disease characterized by abnormal fatigability of striated muscles which may involve isolated muscle groups or become generalized. The authors report a case of generalized congenital myasthenia gravis and partial ophthalmoplegia involving a 10-year-old boy with systemic symptoms of absence of adduction, abduction and elevation in both eyes and with bilateral palpebral ptosis, and reduced infraversion function. The patient was diagnosed at two years and six months of age, when treatment with pyridostigmine was started at subtherapeutic doses, with no significant changes in clinical signs and symptoms. At four years of age, the patient was taken to this institution and the dose of his medication was adjusted, with significant improvement of systemic motor systems, partial improvement of palpebral ptosis, and no change in external ophthalmoplegia.

  12. Incidencia de los defectos congénitos asociados al uso de medicamentos en Las Tunas

    Directory of Open Access Journals (Sweden)

    Glenys K. Silva Gonzalez

    2015-04-01

    Full Text Available La Red de Genética Nacional estableció un sistema de vigilancia pre y postnatal, para evaluar los efectos potenciales de la medicación en aquellas gestantes que ocasionalmente o de manera permanente ingieren fármacos durante el embarazo. En la provincia de Las Tunas se realizó un estudio descriptivo, prospectivo para describir la incidencia de defectos congénitos en la etapa prenatal y al nacimiento de los fetos en las mujeres que consumieron algún medicamento en el primer trimestre del embarazo, durante el período de enero de 2009 a mayo de 2014. La población de estudio lo constituyeron las 627 embarazadas, que habían consumido algún tipo de fármaco que se identificara como posible agente teratogénico y fueron remitidas al Centro de Genética Provincial para su seguimiento. Los datos obtenidos del registro de morbilidad teratogénica permitieron analizar las variables: casos reportados al registro provincial de medicamentos durante la gestación, medicamentos consumidos durante el embarazo según categoría, momento de la gestación en que se produjo el consumo del fármaco, duración del tratamiento durante el embarazo y evaluación del embarazo o el producto. El consumo de medicamentos fue más abundante en gestantes del municipio Las Tunas. Predominó el consumo de medicamentos antiinfecciosos; el consumo ocurrió con más frecuencia en el primer trimestre; y la duración más probable fue de una semana. A pesar de ello, el consumo de medicamentos durante la gestación no significó un riesgo incrementado de teratogenicidad

  13. Technology Trends in Cloud Infrastructure

    CERN Multimedia

    CERN. Geneva

    2018-01-01

    Cloud computing is growing at an exponential pace with an increasing number of workloads being hosted in mega-scale public clouds such as Microsoft Azure. Designing and operating such large infrastructures requires not only a significant capital spend for provisioning datacenters, servers, networking and operating systems, but also R&D investments to capitalize on disruptive technology trends and emerging workloads such as AI/ML. This talk will cover the various infrastructure innovations being implemented in large scale public clouds and opportunities/challenges ahead to deliver the next generation of scale computing. About the speaker Kushagra Vaid is the general manager and distinguished engineer for Hardware Infrastructure in the Microsoft Azure division. He is accountable for the architecture and design of compute and storage platforms, which are the foundation for Microsoft’s global cloud-scale services. He and his team have successfully delivered four generations of hyperscale cloud hardwar...

  14. LCG/AA build infrastructure

    CERN Document Server

    Hodgkins, Alex Liam; Hegner, Benedikt

    2012-01-01

    The Software Process & Infrastructure (SPI) project provides a build infrastructure for regular integration testing and release of the LCG Applications Area software stack. In the past, regular builds have been provided using a system which has been constantly growing to include more features like server-client communication, long-term build history and a summary web interface using present-day web technologies. However, the ad-hoc style of software development resulted in a setup that is hard to monitor, inflexible and difficult to expand. The new version of the infrastructure is based on the Django Python framework, which allows for a structured and modular design, facilitating later additions. Transparency in the workflows and ease of monitoring has been one of the priorities in the design. Formerly missing functionality like on-demand builds or release triggering will support the transition to a more agile development process.

  15. Programas de controle da toxoplasmose congênita Programs for control of congenital toxoplasmosis

    Directory of Open Access Journals (Sweden)

    Fabiana Maria Ruiz Lopes-Mori

    2011-10-01

    Full Text Available A toxoplasmose congênita pode causar aborto e danos neurológicos e/ou oculares ao feto. Desde que a Áustria e a França estabeleceram a triagem pré-natal, a prevalência da toxoplasmose caiu de 50% para 35% e de 84% para 44%, respectivamente. Outros países, como o Reino Unido, adotam práticas educativas para reduzir o risco de infecção em gestantes soronegativas. No Brasil, a triagem pré-natal é realizada nos estados do Mato Grosso do Sul e Minas Gerais e nas cidades de Curitiba e Porto Alegre. Em Londrina, Paraná, foi implantado o "Programa de Vigilância da Toxoplasmose Adquirida na Gestação e Congênita", que se baseia na triagem sorológica, com orientação sobre as medidas de prevenção e monitoramento sorológico trimestral nas gestantes inicialmente soronegativas, além do acompanhamento das gestantes e crianças com infecção aguda e notificação dos casos. Nos primeiros quatro anos da implantação, a avaliação do programa demonstrou uma redução de 63% no número de gestantes e de 42% no número de crianças encaminhadas aos serviços de referência, resultando na liberação de vagas para o atendimento de pacientes com outras doenças. Quanto aos medicamentos, houve redução de 62% no consumo de ácido folínico e de 67% de sulfadiazina. Além disso, a definição dos protocolos resultou na padronização do atendimento e segurança para a tomada de decisões por parte dos médicos. Portanto, como existem diversos protocolos individualizados nos diversos serviços e regiões, o estabelecimento de uma conduta ideal e consensual, com respaldo técnico, implicará na adoção de medidas que, certamente, ocasionarão economia aos cofres públicos, com a diminuição da toxoplasmose congênita.Congenital toxoplasmosis can cause miscarriage and neurological and/or eye damage to the fetus. Since Austria and France established the prenatal screening, the prevalence of toxoplasmosis has declined from 50% to 35% and 84% to

  16. Prevalência de dislipidemia em população infantil com cardiopatia congênita

    Directory of Open Access Journals (Sweden)

    Gabriela Fuenmayor

    2013-09-01

    Full Text Available A dislipidemia é um dos grandes fatores de risco associados a doenças cardiovasculares. Poucos são os dados relacionados ao impacto da cardiopatia congênita na prevalência da dislipidemia na população pediátrica. O objetivo deste estudo foi avaliar o perfil lipídico de crianças portadoras de cardiopatia congênita seguidas em um centro de referência. Foram incluídos 52 pacientes pediátricos que tiveram perfil lipídico, metabólico e clínico determinados entre janeiro de 2011 e julho de 2012. Com média de idade de 10,4 ± 2,8 anos e predominância do sexo masculino (1,38:1, nossa população apresentou 53,8% de pacientes com aumento no colesterol total e 13,4% (IC 95% de 6,6-25,2% de crianças que também apresentavam LDL > 130 mg/dL, caracterizando dislipidemia. Dos pacientes com dislipidemia, só doisforam classificados como obesos. Concluímos que a presença de cardiopatia congênita não confere risco aumentado associado à presença de dislipidemia, devendo o rastreamento nessa população seguir as mesmas diretrizes da população pediátrica normal, as quaistambém independem do estado nutricional da criança.

  17. Malformación Congénita del fémur. Uso de Ortoprótesis.

    Directory of Open Access Journals (Sweden)

    Yeney Díaz Díaz

    2015-09-01

    Full Text Available En todo tiempo el tratamiento técnico ortopédico de los defectos congénitos y pérdidas de sustancia ósea adquirida de las extremidades han formado parte de la tarea de los cirujanos ortopédicos. Objetivo: presentar un aditamento ortopédico elaborado en el Laboratorio de Ortoprotésis de la provincia de Sancti Spíritus con el fin de corregir un caso con malformación congénita de fémur. Se presenta el caso de un escolar de 8 años de edad segundo hijo nacido de un parto eutócico en el nacimiento se observa la malformación congénita de fémur, se recoge como antecedente familiar importante un familiar alejado del abuelo materno con la misma patología. El paciente es valorado en consulta en el 2012 después de realizar el interrogatorio, examen físico y la elaboración de la historia clínica se hace un análisis del mismo en conjunto con el licenciado en Ortoprótesis y se decide realizar en un inicio una Ortesis larga con asentamiento isquiático y cinturón pélvico y se propone el uso de la Ortoprótesis para mejorar el bienestar del niño, además evitar otras complicaciones. Se concluye que con el uso de la Ortoprótesis se logra un desarrollo psicomotor normal en estos pacientes.

  18. Urban Green Infrastructure: German Experience

    Directory of Open Access Journals (Sweden)

    Diana Olegovna Dushkova

    2016-06-01

    Full Text Available The paper presents a concept of urban green infrastructure and analyzes the features of its implementation in the urban development programmes of German cities. We analyzed the most shared articles devoted to the urban green infrastructure to see different approaches to definition of this term. It is based on materials of field research in the cities of Berlin and Leipzig in 2014-2015, international and national scientific publications. During the process of preparing the paper, consultations have been held with experts from scientific institutions and Administrations of Berlin and Leipzig as well as local experts from environmental organizations of both cities. Using the German cities of Berlin and Leipzig as examples, this paper identifies how the concept can be implemented in the program of urban development. It presents the main elements of green city model, which include mitigation of negative anthropogenic impact on the environment under the framework of urban sustainable development. Essential part of it is a complex ecological policy as a major necessary tool for the implementation of the green urban infrastructure concept. This ecological policy should embody not only some ecological measurements, but also a greening of all urban infrastructure elements as well as implementation of sustainable living with a greater awareness of the resources, which are used in everyday life, and development of environmental thinking among urban citizens. Urban green infrastructure is a unity of four main components: green building, green transportation, eco-friendly waste management, green transport routes and ecological corridors. Experience in the development of urban green infrastructure in Germany can be useful to improve the environmental situation in Russian cities.

  19. Permafrost Hazards and Linear Infrastructure

    Science.gov (United States)

    Stanilovskaya, Julia; Sergeev, Dmitry

    2014-05-01

    The international experience of linear infrastructure planning, construction and exploitation in permafrost zone is being directly tied to the permafrost hazard assessment. That procedure should also consider the factors of climate impact and infrastructure protection. The current global climate change hotspots are currently polar and mountain areas. Temperature rise, precipitation and land ice conditions change, early springs occur more often. The big linear infrastructure objects cross the territories with different permafrost conditions which are sensitive to the changes in air temperature, hydrology, and snow accumulation which are connected to climatic dynamics. One of the most extensive linear structures built on permafrost worldwide are Trans Alaskan Pipeline (USA), Alaska Highway (Canada), Qinghai-Xizang Railway (China) and Eastern Siberia - Pacific Ocean Oil Pipeline (Russia). Those are currently being influenced by the regional climate change and permafrost impact which may act differently from place to place. Thermokarst is deemed to be the most dangerous process for linear engineering structures. Its formation and development depend on the linear structure type: road or pipeline, elevated or buried one. Zonal climate and geocryological conditions are also of the determining importance here. All the projects are of the different age and some of them were implemented under different climatic conditions. The effects of permafrost thawing have been recorded every year since then. The exploration and transportation companies from different countries maintain the linear infrastructure from permafrost degradation in different ways. The highways in Alaska are in a good condition due to governmental expenses on annual reconstructions. The Chara-China Railroad in Russia is under non-standard condition due to intensive permafrost response. Standards for engineering and construction should be reviewed and updated to account for permafrost hazards caused by the

  20. Application of the Consolidated Framework for Implementation Research to assess factors that may influence implementation of tobacco use treatment guidelines in the Viet Nam public health care delivery system

    OpenAIRE

    VanDevanter, Nancy; Kumar, Pritika; Nguyen, Nam; Nguyen, Linh; Nguyen, Trang; Stillman, Frances; Weiner, Bryan; Shelley, Donna

    2017-01-01

    Background Services to treat tobacco dependence are not readily available to smokers in low-middle income countries (LMICs) where smoking prevalence remains high. We are conducting a cluster randomized controlled trial comparing the effectiveness of two strategies for implementing tobacco use treatment guidelines in 26 community health centers (CHCs) in Viet Nam. Guided by the Consolidated Framework for Implementation Research (CFIR), prior to implementing the trial, we conducted formative re...

  1. Balancing Infrastructure and Innovation in Geoinformation-infrastructure projects

    NARCIS (Netherlands)

    Koerten, H.; Veenswijk, M.

    2010-01-01

    Spatial information is increasingly exchanged between organizations within a National Geo Information Infrastructure (NGII). While a lot has been written on implementation strategies, yet little is known what really goes on in concrete projects. In this paper an ethnography is presented based on a

  2. Mastering Microsoft Azure infrastructure services

    CERN Document Server

    Savill, John

    2015-01-01

    Understand, create, deploy, and maintain a public cloud using Microsoft Azure Mastering Microsoft Azure Infrastructure Services guides you through the process of creating and managing a public cloud and virtual network using Microsoft Azure. With step-by-step instruction and clear explanation, this book equips you with the skills required to provide services both on-premises and off-premises through full virtualization, providing a deeper understanding of Azure's capabilities as an infrastructure service. Each chapter includes online videos that visualize and enhance the concepts presented i

  3. Cirugía de las taquiarritmias en las cardiopatías congénitas

    Directory of Open Access Journals (Sweden)

    Manuel Pérez

    2010-10-01

    Full Text Available Nuevas técnicas quirúrgicas en las cardiopatías congénitas (CC y avances en su manejo postoperatorio han mejorado en la actualidad las expectativas de vida de estos pacientes, y con ello mayor probabilidad de reintervenciones a lo largo de la evolución. En estos pacientes una de las complicaciones más frecuentes son las arritmias. En este capítulo vamos a resumir las arritmias más frecuentes entre las CC y su manejo quirúrgico.

  4. Eficacia de los estiramientos como tratamiento de la tortícolis muscular congénita

    OpenAIRE

    García Domínguez, Elsa

    2016-01-01

    La tortícolis muscular congénita (TMC) es una deformidad que se detecta al nacer o poco después del nacimiento. Se caracteriza por la flexión lateral o inclinación de la cabeza hacia un lado y la rotación cervical hacia el otro lado como consecuencia del acortamiento y engrosamiento unilateral o contracción excesiva del músculo esternocleidomastoideo (ECM). Esto produce una limitación de la amplitud de movimiento, tanto en rotación como en flexión lateral y también hay un desequilibrio de la ...

  5. Tratamiento quirúrgico de la displasia congénita de la cadera en el niño

    OpenAIRE

    Londoño Gutiérrez, Fernando

    2011-01-01

    Se analizan 64 historias clínicas de pacientes con displasia congénita de la cadera atendidos quirúrgicamente en el Hospital Universitario Pediátrico de la Misericordia de Bogotá en un período de dos años. Se revisan las principales técnicas empleadas y se valoran los resultados obtenidos, presentándose finalmente un esquema de la conducta que seguimos en el tratamiento quirúrgico de dicha displasia.

  6. Indicadores del estado de salud bucodental en menores con fisura oral congénita y en escolares sanos

    OpenAIRE

    Vilariño Rodríguez, Rosa María

    2013-01-01

    Las fisuras labiopalatinas son malformaciones congénitas que alteran el desarrollo normal de la cavidad oral. Desde el nacimiento y dependiendo de las estructuras afectadas, los niños fisurados pueden presentar, deformación facial, problemas de alimentación, alteraciones dentales e infecciones recurrentes del oído medio estando sometidos a numerosas intervenciones quirúrgicas a lo largo de su desarrollo. Aunque se ha avanzado mucho en el conocimiento y tratamiento de las fisuras labiopalatina...

  7. Cirugía de las arritmias en las cardiopatías congénitas

    OpenAIRE

    Hornero, Fernando

    2008-01-01

    La propia fisiopatología de las cardiopatías congénitas y el impacto de algunas correcciones quirúrgicas pueden predisponer al desarrollo de arritmias cardíacas, que incluyen taquicardia supraventricular macrorreentrante, flutter, fibrilación auricular, taquicardia auricular ectópica, taquicardia ventricular, síndrome del seno enfermo, bloqueo auriculoventricular y muerte súbita, entre otras. En la actualidad el tratamiento definitivo de estas arritmias y su profilaxis durante la corrección q...

  8. Corrección de Cardiopatías Congénitas. Hipotermia profunda y parada circulatoria total.

    OpenAIRE

    Gil-Fournier Carazo, Mauro

    2017-01-01

    La Técnica de Hipotermia Profunda (HP) y Parada Circulatoria Total (PCT) comenzó a ser empleada en la década de los años 70 para el tratamiento de las malformaciones simples y complejas del corazón de los neonatos, lactantes y preescolares. En el momento actual esta técnica se emplea como alternativa junto a HP con Perfusión a bajo flujo (PBF), para la corrección de cardiopatías congénitas simples y complejas en la edad n...

  9. Asistencia ventricular y trasplante cardíaco en las cardiopatías congénitas

    OpenAIRE

    Cabo, Javier; Hübler, Michael; Herreros, Jesús; Hübler, Samira; Villar, Miguel Ángel; García-Guereta, Luis; Trainini, Jorge

    2011-01-01

    En pacientes jóvenes y adultos con cardiopatías congénitas y fallo ventricular grave refractarios al tratamiento médico intenso con fármacos vasoactivos y en aquellos pacientes con fallo primario del injerto postrasplante cardíaco, la asistencia circulatoria, bien mediante extracorporeal membrane oxygenation (ECMO), asistencia centrífuga, o asistencia ventricular mecánica (AVM) representan la últimas terapias posibles disponibles en el protocolo de actuación estratégica para mantener al pacie...

  10. Estudio de los defectos congénitos del arco anterior, arco posterior y foramen transversarium de C1

    OpenAIRE

    Blanco Pérez, Esther

    2015-01-01

    La primera vértebra cervical (atlas) se caracteriza por presentar rasgos anatómicos diferentes al resto de las vértebras cervicales, no tiene cuerpo ni apófisis espinosa, sino que muestra una morfología anular, con dos arcos (anterior y posterior) y dos masas laterales. Las alteraciones congénitas del arco posterior del atlas son poco frecuentes, habiéndose publicado frecuencias entre 0,73% y 4%, casi siempre asintomáticas, por lo que se diagnostican incidentalmente. Sin embargo, también...

  11. Cirugía de las taquiarritmias en las cardiopatías congénitas

    OpenAIRE

    Manuel Pérez; José María Caffarena

    2010-01-01

    Nuevas técnicas quirúrgicas en las cardiopatías congénitas (CC) y avances en su manejo postoperatorio han mejorado en la actualidad las expectativas de vida de estos pacientes, y con ello mayor probabilidad de reintervenciones a lo largo de la evolución. En estos pacientes una de las complicaciones más frecuentes son las arritmias. En este capítulo vamos a resumir las arritmias más frecuentes entre las CC y su manejo quirúrgico.

  12. Astrocitoma Pilocítico Congénito como Causa de Asfixia num Recém-Nascido

    OpenAIRE

    Santos, Fátima; Cunha, Joaquim; Carral, Carmen; Koehler, Susana; Oliveira, M. José; Carreira, Luísa; Frutuoso, Simão; Alves, Valter; Ferreira, P. Regina; Fernandes, P. Cristina

    2014-01-01

    Os tumores cerebrais congénitos são uma patologia muito rara no período neonatal. Manifestam-se habitualmente por uma hidrocefalia progressiva associada a mau estado geral. Os tumores mais frequentes são os teratomas, os tumores neuroectodérmicos primitivos e os astrocitomas de baixo grau. O tratamento nesta faixa etária é problemático, consistindo fundamentalmente na ressecção cirúrgica.Os autores descrevem o caso clínico de um recém-nascido com um quadro de asfixia inexplicável, com necessi...

  13. Defeitos congênitos em bovinos da Região Central do Rio Grande do Sul

    OpenAIRE

    Macêdo,J.T.S.A.; Lucena,R.B.; Giaretta,P.R.; Kommers,G.D.; Fighera,R.A.; Irigoyen,L.F.; Barros,C.S.L.

    2011-01-01

    Foram revisados casos de defeitos congênitos (DCs) diagnosticados em bovinos no Laboratório de Patologia da Universidade Federal de Santa Maria em 1964-2010. Durante o período estudado, foram examinados materiais provenientes da necropsia de 7.132 bovinos e foram encontrados 31 bezerros (0,4%) com DCs, os quais foram classificados em 34 tipos e alocados nos sistemas orgânicos primariamente afetados. Os DCs ocorriam isoladamente (19 [61,3%]) ou afetavam múltiplos sítios anatômicos (15 [28,7%])...

  14. Cegueira congénita na construção da realidade psicossocial em contexto escolar

    OpenAIRE

    Figueiredo, Fernando Jorge Costa

    2013-01-01

    Com este trabalho visamos aos seguintes objetivos: caracterizar as representações mentais que as crianças cegas congénitas constroem acerca da sua integração social no ensino básico da escola regular e caracterizar as representações mentais que os alunos visuais constroem acerca da integração social das crianças cegas no mesmo contexto. O enquadramento teórico procurou relacionar o desenvolvimento social e a cegueira, explorando o papel a ser desempenhado pelos cuidadores adultos e pelos pare...

  15. Hipotireoidismo neonatal e anormalidades congênitas extratireoidianas associados a translocação t (8;16)

    OpenAIRE

    Secchi, Luciana Antunes de Almeida

    2012-01-01

    Defeitos genéticos resultando em deficiência hormonal tireoidiana podem ser encontrados em cerca de 10% dos pacientes com hipotireoidismo congênito permanente, porém a identificação de anormalidades genéticas associadas à forma transitória da doença é extremamente rara. Este estudo relata o caso de um menino com hipotireoidismo neonatal transitório não diagnosticado ao teste de triagem neonatal associado a malformações extratireoidianas (hipertelorismo ocular, desvio do septo nasal,...

  16. Estenosis congénita de la apertura piriforme: forma inusual de obstrucción nasal

    Directory of Open Access Journals (Sweden)

    Marina Madrigal

    2014-07-01

    Full Text Available La estenosis congénita de la apertura piriforme con megaincisivo central (ECAP es una causa poco frecuente de obstrucción de la vía aérea en neonatos. Dada su baja frecuencia y por la similitud de la clínica se confunde inicialmente con la atresia coanal, trastorno más prevalente (1:5.000 nacidos vivos. Puede tratarse de una forma menor de holoprosencefalia, por lo que el diagnóstico incluye el screening de malformaciones cardíacas y cerebrales asociadas. Presentamos un caso de una recién nacida con ECAP.

  17. Tratamiento simultáneo de anquilosis temporomandibular unilateral congénita y del microlaterognatismo asociado

    OpenAIRE

    José Felipe Basulto Varela; Librado Vergara Piedra; Salma Dago Farah; Jorge L Cabrera; Ahmed Salem

    2013-01-01

    Este artículo tiene como objetivo reportar los resultados obtenidos a corto y largo plazo, del tratamiento con enfoque multidisciplinario de una anquilosis unilateral congénita de la articulación temporomandibular asociada a un síndrome de malformación embrionaria, en un niño de 12 años de edad, en el que se utilizó un distractor externo bidimensional con un doble propósito: como fijador para mantener el espacio logrado con la artroplastia y como distractor para elongar la rama mandibular hip...

  18. Prevalencia de defectos congénitos diagnosticados en el momento del nacimiento en dos hospitales de diferente nivel de complejidad, Cali, Colombia, 2012-2013

    Directory of Open Access Journals (Sweden)

    Harry Pachajoa

    2015-06-01

    Full Text Available Introducción. Los defectos congénitos son alteraciones morfológicas que pueden ser diagnosticadas antes, durante o después del nacimiento. Se han implementado diversos sistemas de vigilancia en hospitales de referencia, principalmente en aquellos de alta complejidad. Objetivo. Comparar la prevalencia de los defectos congénitos en dos hospitales de diferente nivel de complejidad de la ciudad de Cali. Materiales y métodos. Se llevó a cabo un estudio descriptivo basado en la metodología del Estudio Colaborativo Latinoamericano de Malformaciones Congénitas, durante 20 meses en un hospital de mediana complejidad y en otro de alta complejidad. Resultados. Durante el periodo de estudio se atendieron 7.140 nacimientos, en 225 de los cuales se presentó al menos un defecto congénito, con una prevalencia del 1,7 % (IC95% 1,3-2,0 en el hospital de mediana complejidad y de 7,4 % (IC95% 6,2-8,7 en el de alta complejidad. En el primero, las frecuencias más altas correspondieron a polidactilia (15 %, apéndice preauricular (8 % y pie equino varo (7 %, mientras que en el segundo, correspondieron a comunicación interventricular (10 %, hidronefrosis congénita (7 % y defectos de la pared abdominal (6 %. Conclusiones. La prevalencia de los defectos congénitos varió de un hospital a otro, dependiendo de su nivel de complejidad, y del tipo y la seriedad de los defectos. La vigilancia epidemiológica en los diferentes niveles de atención es una herramienta útil para estimar acertadamente la prevalencia en la ciudad, además de constituir una buena base para la planificación y orientación de los recursos.

  19. Incidência de malformações congênitas em recém-nascidos em hospital geral, Dourados - MS no período de 2003 a 2007

    OpenAIRE

    Duarte, Letícia Castellani

    2009-01-01

    Defeitos congênitos ou malformações congênitas são termos usados para descrever defeitos do desenvolvimento presentes na ocasião do nascimento. Estima-se que cerca de 2 a 3% dos recém-nascidos são portadores de uma ou mais malformações congênitas. No Brasil a mortalidade hospitalar relacionada a malformações congênitas em 2002, na faixa etária pediátrica (0 a 19 anos), foi de 3,33%. Objetivou-se com este estudo descrever a incidência de malformações congênitas em recém-nascidos no Hospital Ev...

  20. Impacto do desenvolvimento fetal no funcionamento neurocognitivo em adolescentes com cardiopatias congénitas cianóticas e acianóticas

    OpenAIRE

    Matos, Samantha Meireles de

    2013-01-01

    O objetivo deste estudo foi avaliar a performance neurocognitiva em adolescentes com cardiopatia congénita e determinar se os parâmetros de desenvolvimento fetal avaliados em recém-nascidos, tais como o perímetro cefálico, comprimento, peso e índices de Apgar, estão de alguma forma relacionados com o seu desempenho neurocognitivo. Método: Foram avaliados 77 pacientes com Cardiopatia Congénita (43 homens) com idades compreendidas entre os 13 e 18 anos de idade (x= 15,04 ± 1,86), sendo que 4...

  1. Prevalência das cardiopatias congênitas diagnosticadas ao nascimento no hospital das clínicas da universidade federal de minas gerais

    OpenAIRE

    Lucia de Fatima Pais de Amorim

    2007-01-01

    As cardiopatias congênitas são anomalias freqüentes ao nascimento. Estudar sua prevalência em nosso meio pode ajudar na definição de políticas de saúde pública e no planejamento de estratégias de propedêuticas e terapêuticas, que contribuam para sobrevida mais longa e de melhor qualidade aos afetados. Esse estudo teve como objetivos identificar a prevalência das cardiopatias congênitas, diagnosticadas ao nascimento, entre os recém-nascidos vivos e recém-nascidos mortos, no período de ag...

  2. Prevalencia de Cardiopatías Congénitas y su Asociación a Infecciones en el Hospital Manuel Ascencio Villarroel del 2008 al 2009

    OpenAIRE

    Dra. Milenka E. Solíz Panozo; Rodrigo W. Aguilar Huarita; María Isabel P. Muriel C.; Javier D. Aguirre García

    2009-01-01

    Las cardiopatías congénitas, anomalías cardíacas o predisposición a las mismas presentes desde el nacimiento, sonanomalías muy frecuentes relacionadas generalmente a infecciones que pueden tener una evolución desfavorable,por ello el presente estudio busca conocer la prevalencia de cardiopatías congénitas y asociación a infecciones enel Hospital Manuel Ascencio Villarroel desde junio 2008 a junio 2009, para ello se utilizó historias clínicas de 1723pacientes internados en el servicio de pedia...

  3. Manejo estomatológico del paciente pediátrico con cardiopatía congénita. Revisión de la literatura

    OpenAIRE

    Zavala Cornejo, Karla Berenice; Práctica privada, Uruapan Michoacán, México; Vinitzky Brener, Ilan; Universidad Tecnológica de México (Unitec), México; Ramírez Bouchan, Daniel; Hospital del Niño y la Mujer, San Luis Potosí, México

    2011-01-01

    Las cardiopatías congénitas se definen como lesiones anatómicas del corazón y sus componentes que se presentan en el nacimiento y representan un problema de salud pública de primer orden. Los pacientes afectados presentan sintomatología muy diversa y requieren un manejo estomatológico adecuado y de calidad que les permita mantener su salud bucal sin poner en riesgo su salud general. Existe muy poca literatura sobre el manejo estomatológico del paciente pediátrico con cardiopatía congénita, po...

  4. Influência de uma intervenção terapêutica precoce em doentes com desvio vertical dissociado associado a endotropia congénita

    OpenAIRE

    Cristóvão, Diana Merca

    2017-01-01

    RESUMO Objetivos: Analisar a influência de uma intervenção terapêutica precoce no desenvolvimento e gravidade do desvio vertical dissociado (DVD) em doentes com endotropia (ET) congénita. Material e Métodos: Estudo retrospetivo de 100 doentes com o diagnóstico de ET congénita, que foram submetidos a injeção intramuscular de toxina botulínica. Os doentes foram divididos em dois grupos: aqueles que realizaram o primeiro tratamento com toxina botulínica antes dos 24 meses de idade (Grupo toxina ...

  5. Governing Asset Management Data Infrastructures

    NARCIS (Netherlands)

    Brous, P.A.; Herder, P.M.; Janssen, M.F.W.H.A.

    2016-01-01

    Organizations are increasingly looking to trusted data to drive their decision making process. Trusted data has a clear, defined and consistent quality which meets the expectations of the user. Data infrastructures which produce trusted data and provide organizations with the capability to make the

  6. Managing Mission-Critical Infrastructure

    Science.gov (United States)

    Breeding, Marshall

    2012-01-01

    In the library context, they depend on sophisticated business applications specifically designed to support their work. This infrastructure consists of such components as integrated library systems, their associated online catalogs or discovery services, and self-check equipment, as well as a Web site and the various online tools and services…

  7. The Neuronal Infrastructure of Speaking

    Science.gov (United States)

    Menenti, Laura; Segaert, Katrien; Hagoort, Peter

    2012-01-01

    Models of speaking distinguish producing meaning, words and syntax as three different linguistic components of speaking. Nevertheless, little is known about the brain's integrated neuronal infrastructure for speech production. We investigated semantic, lexical and syntactic aspects of speaking using fMRI. In a picture description task, we…

  8. The two major Grid infrastructures

    CERN Multimedia

    2005-01-01

    This map shows the world's two major Grid infrastructures. The Open Science Grid (OSG) will handle data in the US, while Enabling Grids for E-sciencE (EGEE) will process data in Europe and the rest of the world. These Grids share processing power in order to process the huge amounts of information from experiments such as those at the LHC.

  9. Global Land Transport Infrastructure Requirements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-06-01

    Over the next four decades, global passenger and freight travel is expected to double over 2010 levels. In order to accommodate this growth, it is expected that the world will need to add nearly 25 million paved road lane-kilometres and 335 000 rail track kilometres. In addition, it is expected that between 45 000 square kilometres and 77 000 square kilometres of new parking spaces will be added to accommodate vehicle stock growth. These land transport infrastructure additions, when combined with operations, maintenance and repairs, are expected to cost as much as USD 45 trillion by 2050. This publication reports on the International Energy Agency’s (IEA) analysis of infrastructure requirements to support projected road and rail travel through 2050, using the IEA Mobility Model. It considers land transport infrastructure additions to support travel growth to 2050. It also considers potential savings if countries pursue “avoid and shift” policies: in this scenario, cumulative global land transport infrastructure spending could decrease as much as USD 20 trillion by 2050 over baseline projections.

  10. Strengthening the sports data infrastructure

    NARCIS (Netherlands)

    Annet Tiessen-Raaphorst; Jos de Haan; with contributions from Remco van den Dool

    2012-01-01

    Original title: Versterking data-infrastructuur sport Sports research in the Netherlands has developed rapidly over the last ten years; strengthening the data infrastructure will facilitate its further growth in the future. Currently, however, there is no clear overall picture of the available

  11. Fostering Climate Resilient Electricity Infrastructures

    NARCIS (Netherlands)

    Bollinger, L.A.

    2015-01-01

    Heat waves, hurricanes, floods and windstorms - recent years have seen dramatic failures in electricity infrastructures sparked by short-term departures of environmental conditions from their norms. Driven by a changing climate, such deviations are anticipated to increase in severity and/or

  12. Impact evaluation of infrastructure interventions

    DEFF Research Database (Denmark)

    Hansen, Henrik; Andersen, Ole Winckler; White, Howard

    2011-01-01

    The focus on results in development agencies has led to increased focus on impact evaluation to demonstrate the effectiveness of development programmes. A range of methods are available for counterfactual analysis of infrastructure interventions, as illustrated by the variety of papers in this vo...

  13. Automated Verification of Virtualized Infrastructures

    DEFF Research Database (Denmark)

    Bleikertz, Sören; Gross, Thomas; Mödersheim, Sebastian Alexander

    2011-01-01

    Virtualized infrastructures and clouds present new challenges for security analysis and formal verification: they are complex environments that continuously change their shape, and that give rise to non-trivial security goals such as isolation and failure resilience requirements. We present...

  14. IMPLICATIONS OF COMMUNITY INFRASTRUCTURE PROVISION ...

    African Journals Online (AJOL)

    Osondu

    2012-11-01

    Nov 1, 2012 ... a high level of community participation in the provision of such infrastructure as schools, electricity, ... Department of Geography & Environmental Management, ... “secondary towns”. The range of cites or towns that constitute the level of urban hierarchy vary among countries, depending on the pattern of.

  15. Communications and information infrastructure security

    CERN Document Server

    Voeller, John G

    2014-01-01

    Communication and Information Systems Security features articles from the Wiley Handbook of Science and Technology for Homeland Security covering strategies for protecting the telecommunications sector, wireless security, advanced web based technology for emergency situations. Science and technology for critical infrastructure consequence mitigation are also discussed.

  16. 2009 Infrastructure Platform Review Report

    Energy Technology Data Exchange (ETDEWEB)

    Ferrell, John [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States)

    2009-12-01

    This document summarizes the recommendations and evaluations provided by an independent external panel of experts at the U.S. Department of Energy Biomass program‘s Infrastructure platform review meeting, held on February 19, 2009, at the Marriott Residence Inn, National Harbor, Maryland.

  17. The Czech National Grid Infrastructure

    Science.gov (United States)

    Chudoba, J.; Křenková, I.; Mulač, M.; Ruda, M.; Sitera, J.

    2017-10-01

    The Czech National Grid Infrastructure is operated by MetaCentrum, a CESNET department responsible for coordinating and managing activities related to distributed computing. CESNET as the Czech National Research and Education Network (NREN) provides many e-infrastructure services, which are used by 94% of the scientific and research community in the Czech Republic. Computing and storage resources owned by different organizations are connected by fast enough network to provide transparent access to all resources. We describe in more detail the computing infrastructure, which is based on several different technologies and covers grid, cloud and map-reduce environment. While the largest part of CPUs is still accessible via distributed torque servers, providing environment for long batch jobs, part of infrastructure is available via standard EGI tools in EGI, subset of NGI resources is provided into EGI FedCloud environment with cloud interface and there is also Hadoop cluster provided by the same e-infrastructure.A broad spectrum of computing servers is offered; users can choose from standard 2 CPU servers to large SMP machines with up to 6 TB of RAM or servers with GPU cards. Different groups have different priorities on various resources, resource owners can even have an exclusive access. The software is distributed via AFS. Storage servers offering up to tens of terabytes of disk space to individual users are connected via NFS4 on top of GPFS and access to long term HSM storage with peta-byte capacity is also provided. Overview of available resources and recent statistics of usage will be given.

  18. Network science, nonlinear science and infrastructure systems

    CERN Document Server

    2007-01-01

    Network Science, Nonlinear Science and Infrastructure Systems has been written by leading scholars in these areas. Its express purpose is to develop common theoretical underpinnings to better solve modern infrastructural problems. It is felt by many who work in these fields that many modern communication problems, ranging from transportation networks to telecommunications, Internet, supply chains, etc., are fundamentally infrastructure problems. Moreover, these infrastructure problems would benefit greatly from a confluence of theoretical and methodological work done with the areas of Network Science, Dynamical Systems and Nonlinear Science. This book is dedicated to the formulation of infrastructural tools that will better solve these types of infrastructural problems. .

  19. Anomalía congénita de Cantrell: a propósito de un caso

    Directory of Open Access Journals (Sweden)

    Vladimir E Vargas-Rocha

    2010-08-01

    Full Text Available La Pentalogía de Cantrell es un defecto congénito que abarca el tórax y el abdomen y crea un espectro de anomalías entre las que se puede encontrar: la fisura del esternón, ectopia cardiaca, onfalocele, hernia diafragmática y cardiopatías congénitas. Presentamos el caso de un producto femenino, pre-término hija de mujer de 22 años de edad, que fue atendida en la “Clínica Cobija” por presentar un ligero dolor en el hipogastrio y un embarazo de 28 semanas. Se decide  realizar una cesárea, resultado de la cual se extrajo un feto con múltiples malformaciones; falta de formación de la porción inferior del esternón, falta de formación de la  pared abdominal anterior, pericardio visible a la inspección, estas anomalías son características de la pentalogía de Cantrell, además se pudo evidenciar anencefalia, amelia, sindactilia, fisura de paladar y labio leporino, membranas fetales anormales, feto con movimientos presentes, latido cardiaco regula y onfalocele. La paciente cursó sin complicaciónes post-quirúrgicas.

  20. Anomalía congénita de Cantrell: a propósito de un caso.

    Directory of Open Access Journals (Sweden)

    Vladimir E. Vargas-Rocha

    2009-01-01

    Full Text Available La Pentalogía de Cantrell es un defecto congénito que abarca el tórax y el abdomen y crea un espectro de anomalías entre las que se puede encontrar, la fisura del esternón, ectopia cardiaca, onfalocele, hernia diafragmática y cardiopatías congénitas. Presentamos el caso de un producto femenino, pre-término hija de mujer de 22 años de edad, que fue atendida en la "Clínica Cobija" por presentar un ligero dolor en el hipogastrio y un embarazo de 28 semanas. Se decide realizar una cesárea, resultado de la cual se extrajo un feto con múltiples malformaciones, falta de formación de la porción inferior del esternón, falta de formación de la pared abdominal anterior, pericardio visible a la inspección, estas anomalías son características de la pentalogía de Cantrell, además se pudo evidenciar anencefalia, amelia, sindactilia, fisura de paladar y labio leporino, membranas fetales anormales, feto con movimientos presentes, latido cardiaco regula y onfalocele. La paciente cursó sin complicaciónes post-quirúrgicas.

  1. Enfisema lobar congênito diagnosticado em paciente adulta Congenital lobar emphysema diagnosed in an adult patient

    Directory of Open Access Journals (Sweden)

    ANTONIO S. PORTO

    2000-09-01

    Full Text Available O enfisema lobar congênito é uma doença na qual as manifestações clínicas, quase sempre, aparecem nos primeiros seis meses de idade. Neste relato, os primeiros sintomas surgiram em uma paciente de 20 anos, quando desenvolveu um pneumotórax espontâneo, acontecimentos esses excepcionais. São revistas as possíveis etiologias dessa malformação congênita pulmonar e são justificadas as razões para a manutenção do tratamento conservador.Congenital lobar emphysema is a disease in which symptoms often begin during the first six months of age. In this report, the authors present the case of a twenty-year-old woman whose symptoms started when she had a spontaneous pneumothorax, an exceptional occurrence. The possible etiologies for that congenital lung malformation and the reasons for the performance of a conservative treatment are discussed.

  2. Clorhidrorrea congénita:: primer reporte en Cuba Congenital chlorhydria:: first report in Cuba

    Directory of Open Access Journals (Sweden)

    Carlos Ramírez Pérez

    2009-12-01

    Full Text Available En el presente trabajo se exponen los antecedentes prenatales, perinatales y posnatales de un lactante de 6 meses de edad, del sexo masculino, con clorhidrorrea congénita, así como el cuadro clínico, diagnóstico y tratamiento utilizado. Un elemento significativo lo constituyó la expulsión anal de abundante líquido no meconial desde las primeras horas de nacido, así como alcalosis metabólica grave y la presencia de desnutrición rápidamente progresiva. En los exámenes complementarios se constató hipocloremia de un 50 % con respecto a las cifras de referencia y un pH sanguíneo mayor de 7,50. El diagnóstico confirmatorio se obtuvo al comprobar concentraciones de cloro en heces fecales superiores a las de la suma de sodio y potasio. Se proponen indicadores diagnósticos prenatales entre los que tienen gran valor la consanguinidad, el polihidramnios y los resultados del ultrasonido en el tercer trimestre del embarazo. El diagnóstico precoz permitió establecer el tratamiento y evitó el frecuente desenlace fatal. Es el primer caso de esta enfermedad que se informa en el país.In present paper are showed the prenatal, perinatal and postnatal backgrounds from a male breast-fed baby aged 6 months presenting with congenital chlorhydria, as well as the clinical picture, diagnosis and treatment applied. A significant element was the anal expulsion of non-meconium abundant fluid from the first hours of born, as well as a severe metabolic alkalosis and the presence of a quickly progressive malnutrition. In complementary examinations was confirmed a 50% hypochloremia regarding the reference figures and a blood pH over 7,50. Confirmatory diagnosis was achieved verifying the chlorine concentrations in feces higher to that of the sum of sodium and potassium. Prenatal diagnostic indicators are proposed those with higher value including the consanguinity, polyhydramnios and the US results during the third trimester of pregnancy. Early diagnosis

  3. Mortalidad infantil por defectos congénitos en Costa Rica, 1981-2010

    Directory of Open Access Journals (Sweden)

    María de la Paz Barboza-Arguello

    2013-11-01

    Full Text Available OBJETIVO: Identificar las tendencias y el impacto de los diferentes tipos de defectos congénitos (DC en la tasa de mortalidad infantil (TMI y neonatal (TMN en Costa Rica para el período 1981-2010. MÉTODOS: Se analizaron datos del Centro Centroamericano de Población, que utiliza las versiones 9 y 10 de la Clasificación Internacional de Enfermedades para clasificar las causas de defunción. Se analizaron tendencias de mortalidad infantil, neonatal y residual. Para cada grupo de DC se construyó un modelo de regresión Poisson Log Lineal. Se obtuvieron las TMI y las TMN y los riesgos relativos correspondientes a las tres décadas 1981-1990, 1991-2000 y 2001-2010, con sus intervalos de confianza de 95% (IC95%. Los estimados se compararon mediante chi cuadrado de Wald. RESULTADOS: Al comparar la década de 1980 con la del 2000, la TMN y la TMI por DC presentó una disminución significativa de 2,37 (IC95%: 2,26-2,48 a 2,13 (2,03-2,23 y de 4,13 (3,99-4,27 a 3,18 (3,05-3,31, respectivamente. Los grupos de DC que registraron una reducción significativa en la TMI fueron: sistema nervioso, digestivo y circulatorio. Con excepción del sistema circulatorio, estos grupos experimentaron una caída significativa en la TMN. En el resto de los grupos se registró un aumento significativo o no hubo cambio. CONCLUSIONES: Se ha producido una disminución de la TMI y la TMN por DC, aunque proporcionalmente estas tasas han crecido debido a un mayor descenso de las otras causas. Esta reducción es mucho menor en la mortalidad neonatal. Se debe fortalecer la prevención primaria y la atención neonatal de los DC.

  4. Anormalidades cromossômicas entre pacientes com cardiopatia congênita

    Directory of Open Access Journals (Sweden)

    Patrícia Trevisan

    2013-12-01

    Full Text Available FUNDAMENTO: As anormalidades cromossômicas (ACs representam importante causa de cardiopatia congênita (CC. OBJETIVO: Determinar a frequência, os tipos e as características clínicas de ACs identificadas em uma amostra prospectiva e consecutiva de pacientes com CC. MÉTODO: Nossa amostra foi composta por pacientes com CC avaliados em sua primeira hospitalização em uma unidade cardíaca de tratamento intensivo de um hospital pediátrico de referência do sul do Brasil. Todos os pacientes foram submetidos à avaliação clínica e citogenética, através do cariótipo de alta resolução. Os defeitos cardíacos foram classificados segundo Botto e cols. Na análise estatística utilizou-se o qui-quadrado, o teste exato de Fisher e odds ratio (p < 0,05. RESULTADOS: Nossa amostra foi composta de 298 pacientes, 53,4% do sexo masculino, com idades variando de um dia a 14 anos. Anormalidades cromossômicas foram observadas em 50 pacientes (16,8%, sendo que 49 deles eram sindrômicos. Quanto às ACs, 44 delas (88% eram numéricas (40 pacientes com +21, dois com +18, um com triplo X e um com 45,X e seis (12% estruturais [dois pacientes com der(14;21, +21, um com i(21q, um com dup(17p, um com del(6p e um com add(18p]. O grupo de CCs mais associado a ACs foi o do defeito de septo atrioventricular. CONCLUSÕES: ACs detectadas pelo cariótipo são frequentes entre pacientes com CC. Assim, os profissionais - especialmente aqueles que trabalham em serviços de cardiologia pediátrica - devem estar cientes das implicações que a realização do cariótipo pode trazer, tanto para o diagnóstico, tratamento e prognóstico desses pacientes como para o seu aconselhamento genético.

  5. U. S. Naval Forces, Vietnam Monthly Historical Summary for April 1968

    Science.gov (United States)

    1968-05-07

    the Von Canal . The troops were landed by PBrt and contact with the Viet Cong was iivnediately nade. In the ensuing ground ri.ntiag, 11 Viet Cong...Tre/Chet Enclosure (2) (: 2 CONnDEKTIAL nnNFlOFHTlÄI CONFIDENTIAL Sa;’ Canal , The Incldtnt oecurrad as Iha fou3>boat task unit vaa attaekad by...their assigned infantrynMn« returned to the MRB that evening. Midi » the friendly forces killed 1J2 Viet Cong and captured four prison- ers in the

  6. A guide and toolkit: green infrastructure

    OpenAIRE

    Amion Consulting

    2008-01-01

    Toolkit to support the development and implementation of projects aimed at enhancing or protecting green infrastructure. Provides a rationale for investment in green infrastructure and an evaluation framework for assisting learning and decision making.

  7. Passive, wireless corrosion sensors for transportation infrastructure.

    Science.gov (United States)

    2011-07-01

    Many industrial segments including utilities, manufacturing, government and infrastructure have an urgent need for a means to detect corrosion before significant damage occurs. Transportation infrastructure, such as bridges and roads, rely on reinfor...

  8. Critical Infrastructure Protection: Maintenance is National Security

    National Research Council Canada - National Science Library

    Hemme, Kris

    2015-01-01

      U.S. critical infrastructure protection (CIP) necessitates both the provision of security from internal and external threats and the repair of physically damaged critical infrastructure which may disrupt services. For years, the U.S...

  9. Nondestructive evaluation of civil infrastructures

    Science.gov (United States)

    Chong, Ken P.; Scalzi, John B.; Carino, Nicholas J.

    1995-05-01

    Construction is the largest industry in the world, amounting to 10% of the world's gross domestic product. Civil infrastructure systems are generally the most expensive investments/assets in any country. In the U.S. it is estimated at 20 trillion dollars. In addition, these systems have long service life compared with any other kinds of commercial product and are rarely replaceable once they are erected. Yet the feedback and controls ont he 'state of health' of constructed systems are practically nonexistent. Nondestructive evaluation is an essential part of this feedback and monitoring systems for infrastructures. NSF and NIST NDE initiative as well as workshops and recent awards/projects are described in this paper.

  10. Technical infrastructure monitoring at CERN

    CERN Document Server

    Stowisek, Jan; Suwalska, Anna

    2006-01-01

    The Technical Infrastructure Monitoring system (TIM) is used to monitor and control CERN's technical services from the CERN Control Centre (CCC). The system's primary function is to provide CCC operators with reliable real-time information about the state of the laboratory's extensive and widely distributed technical infrastructure. TIM is also used to monitor all general services required for the operation of CERN's accelerator complex and the experiments. A flexible data acquisition mechanism allows TIM to interface with a wide range of technically diverse installations, using industry standard protocols wherever possible and custom designed solutions where needed. The complexity of the data processing logic, including persistence, logging, alarm handling, command execution and the evaluation of datadriven business rules is encapsulated in the system's business layer. Users benefit from a suite of advanced graphical applications adapted to operations (synoptic views, alarm consoles, data analysis tools etc....

  11. Modernizing the ATLAS Simulation Infrastructure

    CERN Document Server

    Di Simone, Andrea; The ATLAS collaboration

    2016-01-01

    The ATLAS Simulation infrastructure has been used to produce upwards of 50 billion proton-proton collision events for analyses ranging from detailed Standard Model measurements to searches for exotic new phenomena. In the last several years, the infrastructure has been heavily revised to allow intuitive multithreading and significantly improved maintainability. Such a massive update of a legacy code base requires careful choices about what pieces of code to completely rewrite and what to wrap or revise. The initialization of the complex geometry was generalized to allow new tools and geometry description languages, popular in some detector groups. The addition of multithreading requires Geant4 MT and GaudiHive, two frameworks with fundamentally different approaches to multithreading, to work together. It also required enforcing thread safety throughout a large code base, which required the redesign of several aspects of the simulation, including “truth,” the record of particle interactions with the detect...

  12. Modernizing the ATLAS simulation infrastructure

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00213431; The ATLAS collaboration

    2017-01-01

    The ATLAS Simulation infrastructure has been used to produce upwards of 50 billion proton-proton collision events for analyses ranging from detailed Standard Model measurements to searches for exotic new phenomena. In the last several years, the infrastructure has been heavily revised to allow intuitive multithreading and significantly improved maintainability. Such a massive update of a legacy code base requires careful choices about what pieces of code to completely rewrite and what to wrap or revise. The initialization of the complex geometry was generalized to allow new tools and geometry description languages, popular in some detector groups. The addition of multithreading requires Geant4-MT and GaudiHive, two frameworks with fundamentally different approaches to multithreading, to work together. It also required enforcing thread safety throughout a large code base, which required the redesign of several aspects of the simulation, including truth, the record of particle interactions with the detector dur...

  13. Cyberspace and Critical Information Infrastructures

    Directory of Open Access Journals (Sweden)

    Dan COLESNIUC

    2013-01-01

    Full Text Available Every economy of an advanced nation relies on information systems and interconnected networks, thus in order to ensure the prosperity of a nation, making cyberspace a secure place becomes as crucial as securing society. Cyber security means ensuring the safety of this cyberspace from threats which can take different forms, such as stealing secret information from national companies and government institutions, attacking infrastructure vital for the functioning of the nation or attacking the privacy of the single citizen. The critical information infrastructure (CII represents the indispensable "nervous system", that allow modern societies to work and live. Besides, without it, there would be no distribution of energy, no services like banking or finance, no air traffic control and so on. But at the same time, in the development process of CII, security was never considered a top priority and for this reason they are subject to a high risk in relation to the organized crime.

  14. Contextual-Analysis for Infrastructure Awareness Systems

    DEFF Research Database (Denmark)

    Ramos, Juan David Hincapie; Tabard, Aurelien; Alt, Florian

    Infrastructures are persistent socio-technical systems used to deliver different kinds of services. Researchers have looked into how awareness of infrastructures in the areas of sustainability [6, 10] and software appropriation [11] can be provided. However, designing infrastructure-aware systems...... has specific requirements, which are often ignored. In this paper we explore the challenges when developing infrastructure awareness systems based on contextual analysis, and propose guidelines for enhancing the design process....

  15. TCIA Secure Cyber Critical Infrastructure Modernization.

    Energy Technology Data Exchange (ETDEWEB)

    Keliiaa, Curtis M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    The Sandia National Laboratories (Sandia Labs) tribal cyber infrastructure assurance initiative was developed in response to growing national cybersecurity concerns in the the sixteen Department of Homeland Security (DHS) defined critical infrastructure sectors1. Technical assistance is provided for the secure modernization of critical infrastructure and key resources from a cyber-ecosystem perspective with an emphasis on enhanced security, resilience, and protection. Our purpose is to address national critical infrastructure challenges as a shared responsibility.

  16. Influences de la congélation et du séchage de l' attiéké sur ses ...

    African Journals Online (AJOL)

    Mots clés: Congélation, séchage, physico-chimique, organoleptique. English Title: Influences of freezing and drying of attiéké on its physicochemical and organoleptic characteristics. English Abstract. Attiéké, the most consumed product from cassava transformation has a short preservation time. Freezing and drying effects ...

  17. Autismo infantil, transtorno bipolar e retardo mental em portador de síndrome da rubéola congênita: relato de caso

    Directory of Open Access Journals (Sweden)

    Assumpção Jr Francisco Baptista

    2002-01-01

    Full Text Available Descrevemos o caso de paciente masculino, autista, portador de síndrome da rubéola congênita, em cuja evolução foi diagnosticado transtorno bipolar, discutindo as possíveis implicações terapêuticas e diagnósticas.

  18. Anormalidades congénitas neonatales registradas durante 5 años en una institución de salud colombiana

    Directory of Open Access Journals (Sweden)

    Gisela González Ruiz

    2015-01-01

    Full Text Available Caracterizar las anormalidades congénitas neonatales presentadas en una entidad de salud de Santa Marta, Colombia, entre los años 2007 al 2011. Estudio descriptivo, retrospectivo, cuantitativo. La recolección de datos se hizo mediante la revisión de registros clínicos, de acuerdo con las variables solicitadas en un formato diseñado y validado por juicio de expertos. Se estudiaron características del neonato, del nacimiento, alteración congénita presente, antecedentes paternos y maternos, y variables sobre controles prenatales y notificación en salud pública. El estudio se efectuó con una muestra intencional de 55 casos de neonatos que cumplieron los criterios de selección. Se identificaron como defectos congénitos los del sistema cardiovascular (54,54%, sistema nervioso central (18,18%. No se registraron malformaciones genitourinarias ni respiratorias. Género femenino (85%, la mayoría normopeso y a término. No se evidenció notificación a salud pública; 4 neonatos presentaron asociaciones malformativas múltiples. Las anormalidades congénitas neonatales frecuentes afectan a los sistemas cardiovascular y neurológico, no se evidenciaron anormalidades de los sistemas urinarios y respiratorios, 7 fallecieron poco después del nacimiento

  19. The infrastructure of psychological proximity

    DEFF Research Database (Denmark)

    Nickelsen, Niels Christian Mossfeldt

    2015-01-01

    ). The experience of psychological proximity between patient and nurse is provided through confidence, continuity and the practical set-up. This constitutes an important enactment of skillfulness, which may render telemedicine a convincing health service in the future. Methodology: The study draws on a pilot...... (Langstrup & Winthereik 2008). This study contributes by showing the infrastructure of psychological proximity, which is provided by way of device, confidence, continuity and accountability....

  20. Scenario Based Network Infrastructure Planning

    DEFF Research Database (Denmark)

    Knudsen, Thomas Phillip; Pedersen, Jens Myrup; Madsen, Ole Brun

    2005-01-01

    The paper presents a method for IT infrastructure planning that take into account very long term developments in usages. The method creates a scenario for a final, time independent stage in the planning process. The method abstracts relevant modelling factors from available information; this incl......; this includes available statistical information and a short survey of emerging technologies. A scenario for Denmark is presented and consequences are discussed....

  1. How Critical Is Critical Infrastructure?

    Science.gov (United States)

    2015-09-01

    strategies, such as adding fences, installing electronic access control devices, mounting additional closed circuit television cameras, or conducting random...and 128 different universities have division football programs playing in stadiums with capacities over 35,000 individuals.70 It seems unlikely that...the football stadium at every large university is an infrastructure facility that is essential to the nation. These broad criteria for the NADB

  2. INFRASTRUCTURE

    CERN Multimedia

    Andrea Gaddi

    The various water-cooling circuits have been running smoothly since the last maintenance stop. The temperature set-points are being tuned to the actual requests from sub-detectors. As the RPC chambers seem to be rather sensitive to temperature fluctuations, the set-point on the Barrel and Endcap Muon circuits has been lowered by one degree Celsius, reaching the minimum temperature possible with the current hardware. A further decrease in temperature will only be possible with a substantial modification of the heat exchanger and related control valve on the primary circuit. A study has been launched to investigate possible solutions and related costs. The two cooling skids for Totem and Castor have been installed on top of the HF platform. They will supply demineralized water to the two forward sub-detectors, transferring the heat to the main rack circuit via an on-board heat exchanger. A preliminary analysis of the cooling requirements of the SCX5 computer farm has been done. As a first result, two precision...

  3. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi and P. Tropea

    2012-01-01

      During the Year-End Technical Stop all the systems have been carefully inspected in order to assure a smooth running through the crucial year 2012. Regarding the electrical distribution, the annual General Emergency Stop test (AUG, in CERN language) has shown a discrepancy in the action matrix, as some racks were not cut off by the AUG action as they should have been. The subsequent investigation quickly indicated that a missing connection at the main UPS switchboard was the source of the problem. The problem has been addressed to the EN/EL group responsible for the equipment and a new test is planned in the beginning of March. Some consolidation work has been carried out as well, namely the doubling of the line powering the rack that houses the DCS servers in USC55. During the last months of the technical stop, the cooling systems of CMS have undergone the usual preventive maintenance, a few corrective interventions and a huge programme of performance tests. The preventive maintenance programm...

  4. INFRASTRUCTURE

    CERN Multimedia

    A. Gaddi

    The annual maintenance of detector services took place from mid November to mid January as planned. This involved a full stoppage of water-cooling circuits on November 24th with a gradual restarting from mid-January 09. The annual maintenance service included the cleaning of the two SF5 cooling towers and the service of the chiller plants on surface. The cryogenic plant serving the CMS Magnet was shut-down as well to perform the annual maintenance. In addition to that, the overall site power has been reduced from 8 to 2 MW, in order to cope with the switching to the Swiss power network in winter. Full power was reinstated at the end of January. The cooling network has seen the installation of a bypass for the endcap circuit, in order to limit pressure surges when one endcap is shut-off. In addition, filters have been added on most of the cooling loops in UXC55 to better protect the muon chambers. At the same time a global cleaning campaign of all the filters (more than 500 pieces) has been completed. As expe...

  5. INFRASTRUCTURES

    CERN Multimedia

    Andrea Gaddi

    2013-01-01

    One of the most important tasks for LS1 was achieved this autumn when all the electronics racks in the USC55 counting rooms were switched from the standard powering network to the CMS low-voltage UPS. This long-sought move will prevent fastidious power cuts of the CMS electronics in case of short power glitches on the main powering network, as already assured to the detector front-end electronics in UXC55. In the same time, a study to update the dedicated UPS units for some crucial detector sub-systems, as the Magnet Control System (MCS), the Detector Safety System (DSS) and the IT Network Star-points, has been lunched. A new architecture, with fully redundant UPS units, able to assure power supply in case of long network outage (up to a maximum of five hours, in the case of the Magnet) has been recently presented by the EN-EL group and is currently under evaluation. The dry-gas plant recently commissioned in SH5 has passed a first test in order to understand the time needed to switch from dry-air to dry-n...

  6. INFRASTRUCTURE

    CERN Multimedia

    P. Tropea and A. Gaddi

    2013-01-01

    One of the first activities of LS1 has been the refurbishment of the rack ventilation units in the USC55 counting rooms. These rack-mounted turbines have been in service since 2007 and they have largely passed the expected lifetime. Some 450 motor-fans units have been procured in Germany, via the CERN store, and shipped to CMS where a team of technicians has dismounted the old turbines, keeping only the bare chassis, and inserted the new fans. A metallic mesh has also been added to better protect personnel from possible injuries by spinning blades. A full test of several hours has validated the new units, prior to their installation inside the racks. The work, started soon after the beginning of LS1, has been successfully concluded last week. Figure 1: Drawing of the fan units recently refurbished in the USC55 counting room racks Image 1: New filter on the main rack water-cooling distribution line The cooling systems of CMS are gently coming out of their maintenance programme. All water circuits have...

  7. INFRASTRUCTURE

    CERN Multimedia

    Andrea Gaddi

    2010-01-01

    During the May 31st to June 2nd LHC Technical Stop, a major step was made towards upgrading the endcap cooling circuit. The chilled-water regulation valve on the primary side of the heat-exchanger was changed. This now allows reduction of the set-value of the water temperature cooling the RPCs and CSCs of the CMS endcaps. At the same time, the bypass re-circulating valve on the secondary circuit of the heat-exchanger was also changed to allow better regulation of this set-value. A project has been launched with the objective of improving the distribution of the chilled water to the different users. This was triggered by evidence that the Tracker compressors in USC55 receive insufficient flow. The chilled water is shared with the HVAC system and experts are now looking at how to better balance the flow between these two main users. The cooling loop filters located in UXC55 have been inspected and cleaned. Samples were sent to CERN Radioprotection Service to check for activation and to the Material Analysis...

  8. Integrated Facilities and Infrastructure Plan.

    Energy Technology Data Exchange (ETDEWEB)

    Reisz Westlund, Jennifer Jill

    2017-03-01

    Our facilities and infrastructure are a key element of our capability-based science and engineering foundation. The focus of the Integrated Facilities and Infrastructure Plan is the development and implementation of a comprehensive plan to sustain the capabilities necessary to meet national research, design, and fabrication needs for Sandia National Laboratories’ (Sandia’s) comprehensive national security missions both now and into the future. A number of Sandia’s facilities have reached the end of their useful lives and many others are not suitable for today’s mission needs. Due to the continued aging and surge in utilization of Sandia’s facilities, deferred maintenance has continued to increase. As part of our planning focus, Sandia is committed to halting the growth of deferred maintenance across its sites through demolition, replacement, and dedicated funding to reduce the backlog of maintenance needs. Sandia will become more agile in adapting existing space and changing how space is utilized in response to the changing requirements. This Integrated Facilities & Infrastructure (F&I) Plan supports the Sandia Strategic Plan’s strategic objectives, specifically Strategic Objective 2: Strengthen our Laboratories’ foundation to maximize mission impact, and Strategic Objective 3: Advance an exceptional work environment that enables and inspires our people in service to our nation. The Integrated F&I Plan is developed through a planning process model to understand the F&I needs, analyze solution options, plan the actions and funding, and then execute projects.

  9. Stacked spaces: Mapping digital infrastructures

    Directory of Open Access Journals (Sweden)

    Till Straube

    2016-09-01

    Full Text Available This article turns towards the spatial life of ‘digital infrastructures’, i.e. code, protocols, standards, and data formats that are hidden from view in everyday applications of computational technologies. It does so by drawing on the version control system Git as a case study, and telling the story of its initial development in order to reconstruct the circumstances and technical considerations surrounding its conception. This account engages with computational infrastructures on their own terms by adopting the figure of the ‘stack’ to frame a technically informed analysis, and exploring its implications for a different kind of geographic inquiry. Drawing on topology as employed by Law and Mol, attention is given to the multiplicity of spatialities and temporalities enrolled in digital infrastructures in general, and Git specifically. Along the lines of the case study and by reading it against other literatures, this notion of topology is expanded to include the material performation of fundamentally arbitrary, more-than-human topologies, as well as their nested articulation, translation and negotiation within digital infrastructures.

  10. Decontamination of Drinking Water Infrastructure ...

    Science.gov (United States)

    Technical Brief This study examines the effectiveness of decontaminating corroded iron and cement-mortar coupons that have been contaminated with spores of Bacillus atrophaeus subsp. globigii (B. globigii), which is often used as a surrogate for pathogenic B. anthracis (anthrax) in disinfection studies. Bacillus spores are persistent on common drinking water material surfaces like corroded iron, requiring physical or chemical methods to decontaminate the infrastructure. In the United States, free chlorine and monochloramine are the primary chemical disinfectants used by the drinking water industry to inactivate microorganisms. Flushing is also a common, easily implemented practice in drinking water distribution systems, although large volumes of contaminated water needing treatment could be generated. Identifying readily available alternative disinfectant formulations for infrastructure decontamination could give water utilities options for responding to specific types of contamination events. In addition to presenting data on flushing alone, which demonstrated the persistence of spores on water infrastructure in the absence of high levels of disinfectants, data on acidified nitrite, chlorine dioxide, free chlorine, monochloramine, ozone, peracetic acid, and followed by flushing are provided.

  11. Infrastructure and Agricultural Growth in Nigeria | Ighodaro ...

    African Journals Online (AJOL)

    It was found that various performance indicators with respect to physical infrastructure used for the study have not been encouraging in Nigeria. The provision of infrastructure in Nigeria, particularly physical infrastructure is characterized by the predominance of public enterprises except for telecommunications sector in ...

  12. 76 FR 17934 - Infrastructure Protection Data Call

    Science.gov (United States)

    2011-03-31

    ... infrastructure and key resources (CIKR). At DHS, this responsibility is managed by IP within NPPD. Beginning in...: Infrastructure Protection Data Call. OMB Number: 1670-NEW. Frequency: On occasion. Affected Public: Federal... SECURITY Infrastructure Protection Data Call AGENCY: National Protection and Programs Directorate, DHS...

  13. Funding School Infrastructure Needs across the States.

    Science.gov (United States)

    Sielke, Catherine

    2001-01-01

    Compares state funding for school infrastructure needs between 1993-94 and 1998-99. Found 164 percent increase in state infrastructure funding. Examines state funding mechanisms such as flat grants, equalized grants, categorical grants, and full-state funding. Fourteen states provide no state infrastructure funding; most rely instead on…

  14. Momentum in Transformation of Technical Infrastructure

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Elle, Morten

    1999-01-01

    Current infrastructure holds a considerable momentum and this momentum is a barrier of transformation towards more sustainable technologies and more sustainable styles of network management. Using the sewage sector in Denmark as an example of a technical infrastructure system this paper argues...... that there are technical, economical and social aspects of the current infrastructures momentum....

  15. Infrastructure and Trade: A Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Guney Celbis

    2015-01-01

    Full Text Available Low levels of infrastructure quality and quantity can create trade impediments through increased transport costs. Since the late 1990s an increasing number of trade studies have taken infrastructure into account. The purpose of the present paper is to quantify the importance of infrastructure for trade by means of meta-analysis and meta-regression techniques that synthesize various studies. The type of infrastructure that we focus on is mainly public infrastructure in transportation and communication. We examine the impact of infrastructure on trade by means of estimates obtained from 36 primary studies that yielded 542 infrastructure elasticities of trade. We explicitly take into account that infrastructure can be measured in various ways and that its impact depends on the location of the infrastructure. We estimate several meta-regression models that control for observed heterogeneity in terms of variation across different methodologies, infrastructure types, geographical areas and their economic features, model specifications, and publication characteristics. Additionally, random effects account for between-study unspecified heterogeneity, while publication bias is explicitly addressed by means of the Hedges model.  After controlling for all these issues we find that a 1 percent increase in own infrastructure increases exports by about 0.6 percent and imports by about 0.3 percent. Such elasticities are generally larger for developing countries, land infrastructure, IV or panel data estimation, and macro-level analyses. They also depend on the inclusion or exclusion of various common covariates in trade regressions.

  16. DASISH Reference Model for SSH Data Infrastructures

    NARCIS (Netherlands)

    Fihn, Johan; Gnadt, Timo; Hoogerwerf, M.L.; Jerlehag, Birger; Lenkiewicz, Przemek; Priddy, M.; Shepherdson, John

    2016-01-01

    The current ”rising tide of scientific data” accelerates the need for e-infrastructures to support the lifecycle of data in research, from creation to reuse [RTW]. Different types of e-infrastructures address this need. Consortia like GÉANT and EGI build technical infrastructures for networking and

  17. Report of year 2000 version on feasibility study. Feasibility study on the diffusion of fluidized bed cement kiln system in Socialist Republic of Viet Nam

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    Evaluations were given on the possibility of saving energies and reducing CO2 emission by renewing the shaft kilns operated in four factories in Viet Nam into fluidized bed kilns. The feasibility study is intended to be linked to the clean development mechanism (CDM) in the future. The fluidized bed kiln is a most advanced technology developed to deal with social, economic and technological demands such as global environment preservation, energy conservation, effective utilization of resources, enhancement of economic performance, and diversification of cement needs. The technology is capable of largely reducing greenhouse effect gases, eliminating the problem of dust scattering from sintering facilities, producing stabilized and high-quality clinker, making possible of using inexpensive fuels including low-order coal, using less installation space, and reducing the production cost. The amount of energy reduction in all of the four factories is calculated 8,101 to 9,551 toe/year at an energy saving effect rate of 37 to 44%. CO2 emission is reduced as a result of reduction in fuel for sintering furnaces and in electric power consumption. The reduction amount would be 24,393 to 38,794 tons/year (converted into CO2), and the reduction effect rate would be 36 to 44%. The investment effect looks sufficient as payout of 10 to 12 years if the environment special Yen loan is used. Trial calculation was also performed for the nation-wide proliferation effect. (NEDO)

  18. Prescription patterns and treatment outcomes of MDR-TB patients treated within and outside the National Tuberculosis Programme in Pham Ngoc Thach hospital, Viet Nam.

    Science.gov (United States)

    Hoa, Nguyen B; Khanh, Pham H; Chinh, Nguyen V; Hennig, Cornelia M

    2014-09-01

    To describe and analyse the prescription patterns and treatment outcomes of MDR-TB patients managed within Green Light Committee (GLC) and outside (non-GLC) the National TB programme in Viet Nam. Retrospective cohort study with two elements: (i) in-depth interviews and focus group discussions with clinical doctors, hospital pharmacists, and the non-GLC patients with MDR-TB; (ii) review of treatment cards and patients' charts of all GLC and non-GLC patients with MDR-TB put on treatment during 2010. Of 282 patients with MDR-TB, comprising 79 (28%) GLC patients MDR-TB and 203 (72%) non-GLC patients with MDR-TB, were enrolled in the study. Treatment delay was significantly higher in the GLC group (12.8 days) than the non-GLC group (2.3 days), (P = 0.004). The success rate was significantly better in GLC patients (84.8%) than in non-GLC patients (53.7%) (P MDR-TB in the GLC group were significantly better than in the non-GLC group. Reasons for the high default rate in non-GLC patients with MDR-TB must be further investigated. © 2014 John Wiley & Sons Ltd.

  19. Implantación de stent en neonatos y lactantes menores con cardiopatía congénita cianosante ductus dependiente

    Directory of Open Access Journals (Sweden)

    Juan P Rojas

    2014-04-01

    Full Text Available Introducción: Los pacientes con cardiopatía congénita cianosante ductus dependiente, requieren de su permeabilidad para garantizar el flujo al sistema pulmonar o al sistémico. En casos de permeabilidad del ductus arterioso, la implantación de un stent ductal mejora la sobrevida del paciente y acarrea complicaciones mínimas. Objetivos: General: caracterizar neonatos y lactantes menores con cardiopatía congénita cianosante ductus dependiente tratados con la implantación de stent ductal. Específicos: determinar la morbilidad y mortalidad en neonatos y lactantes menores con cardiopatía congénita cianosante ductus dependiente, tratados con implantación de stent ductal. Materiales y métodos: Se incluyeron 37 pacientes recién nacidos con cardiopatía congénita cianosante ductus dependiente tratados con implantación de stent ductal, entre el 1.º de enero de 2008 al 31 de diciembre de 2012 (5 años, en Cali, Colombia. Resultados: La implantación del stent ductal fue exitosa en 26 pacientes; uno falleció inmediatamente después del procedimiento. No hubo complicaciones mayores durante el procedimiento de implantación del stent. Diez pacientes fueron sometidos a cirugía de Blalock-Taussig modificada después de la implantación fallida del stent ductal. Conclusiones: La implantación del stent ductal se convierte en una herramienta importante en el paciente con cardiopatía congénita cianosante ductus dependiente ya que ofrece menor tasa de morbilidad y mortalidad.

  20. Sífilis materna e congênita, subnotificação e difícil controle

    Directory of Open Access Journals (Sweden)

    Kátia Regina Gandra Lafetá

    2016-03-01

    Full Text Available RESUMO: Objetivo: Identificar e descrever casos de sífilis congênita e materna notificados e não notificados em uma cidade brasileira de médio porte. Métodos: Trata-se de estudo descritivo e retrospectivo que avaliou 214 prontuários de gestantes e recém-nascidos (RNs. Iniciou-se com identificação das fichas de notificação epidemiológica, seguida de busca ativa nas maternidades, avaliando-se todos os prontuários que apresentavam sorologia não treponêmica positiva e prontuários do serviço de referência em infectologia, na cidade de Montes Claros, Minas Gerais, no período de 2007 a 2013. As definições de casos seguiram as recomendações do Ministério da Saúde (MS no Brasil e as variáveis foram descritas utilizando-se frequências absoluta e relativa. Estudo aprovado pelo Comitê de Ética em Pesquisa (Universidade Estadual de Montes Claros. Resultados: De 214 prontuários avaliados, foram identificados 93 casos de sífilis materna e 54 casos de sífilis congênita. As gestantes analisadas foram, predominantemente, de cor parda, apresentando ensino médio/superior, com faixa etária entre 21 e 30 anos e estado civil solteira. Considerando acompanhamento pré-natal das gestantes com sífilis, observou-se predomínio do diagnóstico tardio, após o parto ou a curetagem; a totalidade dos respectivos tratamentos foi considerada inadequada, segundo o MS. Dos RNs de gestantes com sífilis, a maioria não foi referenciada para acompanhamento pediátrico. Apenas 6,5% dos casos de sífilis em gestantes foram notificados; em relação à forma congênita, esse valor foi de 24,1%. Conclusão: Persistindo a transmissão vertical, verificam-se sinais de que a qualidade da atenção pré-natal e neonatal deve ser reestruturada.

  1. Sífilis congênita: evento sentinela da qualidade da assistência pré-natal

    Directory of Open Access Journals (Sweden)

    Rosa Maria Soares Madeira Domingues

    2013-02-01

    Full Text Available OBJETIVO: Analisar a assistência pré-natal na prevenção da transmissão vertical da sífilis. MÉTODOS: Estudo transversal representativo para as gestantes de baixo risco atendidas em unidades de saúde do município do Rio de Janeiro, RJ, período de 2007 a 2008. A identificação de gestantes com diagnóstico de sífilis na gestação foi feita por meio de entrevistas, verificação do cartão de pré-natal e busca de casos notificados em sistemas públicos de informação em saúde. Os casos de sífilis congênita foram identificados por meio de busca nos sistemas de informação em saúde: Sistema de Informação de Agravos de Notificação (Sinan, Sistema de Informação sobre Mortalidade (SIM e Sistema de Informações Hospitalares (SIH do SUS. RESULTADOS: Foram identificados 46 casos de sífilis na gestação e 16 casos de sífilis congênita com uma prevalência estimada de 1,9% (IC95% 1,3;2,6 de sífilis na gestação e de 6/1.000 (IC95% 3;12/1.000 de sífilis congênita. A taxa de transmissão vertical foi de 34,8% e três casos foram fatais, um abortamento, um óbito fetal e um óbito neonatal, com proporções elevadas de baixo peso e prematuridade. A trajetória assistencial das gestantes mostrou falhas na assistência, como início tardio do pré-natal, ausência de diagnóstico na gravidez e ausência de tratamento dos parceiros. CONCLUSÕES: Estratégias inovadoras, que incorporem melhorias na rede de apoio diagnóstico, são necessárias para enfrentamento da sífilis na gestação, no manejo clínico da doença na gestante e seus parceiros e na investigação dos casos como evento sentinela da qualidade da assistência pré-natal.

  2. Fibrosis unilateral congénita con enoftalmo y ptosis Congenital unilateral fibrosis with enophthalmos and ptosis

    Directory of Open Access Journals (Sweden)

    Yaimir Estévez Miranda

    2011-06-01

    Full Text Available El síndrome de fibrosis congénita es definido como un grupo de desórdenes congénitos raros caracterizado por la restricción de los músculos extraoculares y el reemplazo de los músculos por el tejido fibroso. Muchos autores utilizan la clasificación en la que se manifiesta en cinco tipos diferentes. El caso que se presenta corresponde a un niño quien desde el nacimiento está imposibilitado de elevar su ojo izquierdo. Al examen oftalmológico resultó positivo una ptosis palpebral en su ojo izquierdo, enoftalmo, limitación de la abducción, elevación en supraabducción y depresión. La agudeza visual en ambos ojos era de la unidad. El diagnóstico confirmado por genética fue de una fibrosis unilateral congénita con enoftalmo y ptosis. A pesar de tratarse de un desorden genético poco común, tiene formas esporádicas más raras aún. De ahí la importancia de presentar este caso, poco frecuente en nuestra práctica médica diaria.The syndrome of congenital fibrosis is defined like a group of rare congenital disorders characterized by restriction of extraocular muscles and replacement of fibrous tissue muscles. Many authors use the classification in which it is manifested in five different types. Present case is a child who from its birth can not to raise its left eye. The ophthalmic examination was positive to palpebral ptosis in this eye, enophthalmos, limitation of abduction, raise in supra-abduction and depression. The visual acuity in both eyes was of the unit. The diagnosis confirmed by genetics was that of a congenital unilateral fibrosis with enophthalmos and ptosis. Despite it is uncommon genetic disorder, it has more rare sporadic ways yet. Presentation of this uncommon case in our daily medical practice is very significant.

  3. Anestesia no cardiovascular en el adulto con cardiopatía congénita cianótica

    Directory of Open Access Journals (Sweden)

    Lincoln de la Parte Pérez

    2004-03-01

    Full Text Available Como resultado del progreso en el diagnóstico y tratamiento de las cardiopatías congénitas, la esperanza de vida aumenta considerablemente en nuestro medio. Consecuentemente más niños crecen hasta convertirse en adultos y un grupo de ellos serán sometidos a procedimientos quirúrgicos no cardiovasculares. Estos pacientes constituyen un reto para los anestesiólogos por 3 motivos: 1. Existe una gran variedad de variedades anatómicas y fisiológicas; 2. La capacidad cardiovascular y pulmonar están afectadas de forma significativa y 3. Existe poca información disponible acerca del manejo anestésico de estos pacientes. Las operaciones no cardiovasculares en los pacientes que padecen o han sido operados por padecer cardiopatías congénitas, deben realizarse si es posible, en hospitales de primer nivel y el anestesiólogo responsable debe tener experiencia previa en anestesia cardiovascular pediátrica o por lo menos acceso directo a consulta con un anestesiólogo cardiovascular pediátrico. Se presenta una revisión bibliográfica actualizada sobre el manejo anestésico de los pacientes que padecen de cardiopatías congénitas cianóticas sometidos a procedimientos quirúrgicos no cardiovascularesAs a result of the progress attained in the diagnosis and treatment of congenital heart diseases, life expectancy increases considerably in our environment. Consequently, more children grow up until becoming adults and some of them will undergo noncardiovascular surgical procedures. These patients are a challenge for anesthesiologists for 3 reasons: 1. There is a great number of anatomical and physiological varieties; 2. The cardiovascular and pulmonary capacities are significantly affected; 3. There is little information available about the anesthetic management of these patients. The noncardiovascular operations in patients suffering from heart diseases or that have undergone surgery due to congenital heart diseases, should be performed if

  4. Bloqueo aurículo-ventricular congénito completo: Reporte de un caso y revisión de la literatura Congenital complete atrioventricular block: eport of one case and literature review

    OpenAIRE

    Alejandro Díaz D; Ana Serrano G; Mónica Guzmán B.; Miguel Ruz M

    2008-01-01

    El bloqueo aurículo-ventricular completo congénito, es una entidad poco común, que presenta alta morbilidad y mortalidad con incidencia real que permanece desconocida y requiere alto índice de sospecha para su diagnóstico y, por ende, su temprana intervención. Se observa en hijos de madres con enfermedades autoinmunes del tejido conectivo, en especial, lupus eritematoso sistémico cuando su aparición es congénita. A nivel postnatal, es más frecuente que ocurra por cardiopatías congénitas. Tamb...

  5. Implementación universal de un cribado de defectos congénitos de garantía en un área sanitaria: área hospitalaria de Valme, Sevilla, España

    OpenAIRE

    Sainz B,José A; Serrano R,Rosa; Peral M,Ignacio; Turmo F,Enriqueta; Moro O,Antonio; Almeida G,Carmen; Caballero F,Virginia; Garrido T,Rogelio

    2011-01-01

    Antecedentes: La posibilidad de que un recién nacido presente algún tipo de defecto congénito al nacimiento es de un 2-4% y la aplicación de métodos de cribado de cromosomopatías y de malformaciones estructurales puede reducir la prevalencia de estos defectos congénitos al nacimiento. Objetivos: Demostrar que es posible la implantación de un cribado de malformaciones congénitas de garantía (sensibilidad de diagnóstico para malformaciones estructurales mayores y para síndrome de Down del 80%) ...

  6. Tying Knots: Participatory Infrastructuring at Work

    DEFF Research Database (Denmark)

    Bødker, Susanne; Dindler, Christian; Iversen, Ole Sejer

    2017-01-01

    Today, most design projects are infrastructuring projects, because they build on technologies, competencies and practices that already exist. While infrastructuring was originally seen as being full of conflicts and contradictions with what is already present, we find that many contemporary reports...... dispersed within these networks. To illustrate and discuss the process of participatory infrastructuring we use a case study from an educational context. This particular project contains a diverse set of design activities at many organizational levels revolving around technology, decision-making, competence...... of the literature on infrastructuring, participatory design, and activity theory, and leads to a revised understanding of, for example, learning and conflicts in participatory infrastructuring....

  7. Development Model for Research Infrastructures

    Science.gov (United States)

    Wächter, Joachim; Hammitzsch, Martin; Kerschke, Dorit; Lauterjung, Jörn

    2015-04-01

    Research infrastructures (RIs) are platforms integrating facilities, resources and services used by the research communities to conduct research and foster innovation. RIs include scientific equipment, e.g., sensor platforms, satellites or other instruments, but also scientific data, sample repositories or archives. E-infrastructures on the other hand provide the technological substratum and middleware to interlink distributed RI components with computing systems and communication networks. The resulting platforms provide the foundation for the design and implementation of RIs and play an increasing role in the advancement and exploitation of knowledge and technology. RIs are regarded as essential to achieve and maintain excellence in research and innovation crucial for the European Research Area (ERA). The implementation of RIs has to be considered as a long-term, complex development process often over a period of 10 or more years. The ongoing construction of Spatial Data Infrastructures (SDIs) provides a good example for the general complexity of infrastructure development processes especially in system-of-systems environments. A set of directives issued by the European Commission provided a framework of guidelines for the implementation processes addressing the relevant content and the encoding of data as well as the standards for service interfaces and the integration of these services into networks. Additionally, a time schedule for the overall construction process has been specified. As a result this process advances with a strong participation of member states and responsible organisations. Today, SDIs provide the operational basis for new digital business processes in both national and local authorities. Currently, the development of integrated RIs in Earth and Environmental Sciences is characterised by the following properties: • A high number of parallel activities on European and national levels with numerous institutes and organisations participating

  8. Estrés oxidativo en las cardiopatías congénitas cianóticas

    OpenAIRE

    Dalyla Alonso Rodríguez; Eduardo Pedrozo Filiberto; Ela Moreno Téllez; María A. Acosta Valdez

    2007-01-01

    Las cardiopatías y el infarto agudo de miocardio son procesos en cuya fisiopatología están presentes los radicales libres, que causan daños severos en la estructura del miocardio e involucran una cascada de eventos asociados con la pérdida de la integración de las membranas.Con el propósito de determinar la presencia de estrés oxidativo en las cardiopatías congénitas cianóticas, en un grupo de 20 pacientes pediátricos con esta afección se determinaron los niveles de antioxidantes séricos, com...

  9. Epidemiología del hipotiroidismo congénito en México Epidemiology of congenital hypothyroidism in Mexico

    OpenAIRE

    Marcela Vela-Amieva; Salvador Gamboa-Cardiel; Martha E Pérez-Andrade; Joel Ortiz-Cortés; Claudia R González-Contreras; Venancio Ortega-Velázquez

    2004-01-01

    OBJETIVO: Describir las características epidemiológicas del hipotiroidismo congénito en recién nacidos en unidades médicas de la Secretaría de Salud de México. MATERIAL Y MÉTODOS: Estudio transversal en el cual se cuantificó tirotropina en 1 379 717 muestras de sangre de recién nacidos (de cordón umbilical o de talón), recolectadas en papel filtro, de enero de 2001 a diciembre de 2002, en unidades médicas de la Secretaría de Salud. Las muestras con tirotropina >15 µUI/ml para sangre de cordón...

  10. Torcicolo: Apresentação Rara de uma Malformação Congénita

    OpenAIRE

    Lopes, Tânia; Moreira, Ana Raquel; Madureira, Cristina Duarte; Martins, Rui; Pereira, Josué; Vieira, Clara

    2016-01-01

    O torcicolo é uma ocorrência frequente em idade pediátrica. Apesar da situação clínica mais comum ser o torcicolo muscular congénito, é obrigatório no diagnóstico diferencial considerar outras causas de postura anómala da cabeça e do pescoço.Relata-se o caso de um menino de 34 meses referenciado para a consulta de pediatria por torcicolo direito constante desde os 15 meses de idade. Realizou ecografia e radiografia cervicais, bem como avaliação oftalmológica, que não revelaram alterações.Real...

  11. Métodos diagnósticos en las cardiopatías congénitas

    OpenAIRE

    Calderón-Colmenero,Juan

    2006-01-01

    Se realizó estudio retrospectivo para evaluar el papel que tuvo en nuestra Institución, el ecocardiograma para la indicación quirúrgica, la necesidad de complementar con otros métodos diagnósticos y si hubo discrepancia entre los diagnósticos ecocardiográficos y los hallazgos quirúrgicos. Se revisaron todos los expedientes de pacientes menores de 18 años que fueron sometidos a corrección quirúrgica de su cardiopatía congénita entre el 1° de enero al 30 de junio de 2003. Los pacientes se agrup...

  12. Síndrome de deleção 22q11.2 e cardiopatias congênitas

    OpenAIRE

    Rosa,Rafael Fabiano M.; Zen,Paulo Ricardo G.; Graziadio,Carla; Paskulin,Giorgio Adriano

    2011-01-01

    OBJETIVO: Revisar as características clínicas, etiológicas e diagnósticas da síndrome de deleção 22q11 e sua associação com as cardiopatias congênitas. FONTES DOS DADOS: Foram pesquisados artigos científicos presentes nos portais Medline, Lilacs e SciELO, utilizando-se descritores específicos como "22q11", "DiGeorge syndrome", "velocardiofacial syndrome", "congenital heart defects" e "cardio-vascular malformations". O período adotado para a revisão foi de 1980 a 2009. SÍNTESE DOS DADOS: As ma...

  13. Sífilis congênita: evento sentinela da qualidade da assistência pré-natal

    OpenAIRE

    Domingues, Rosa Maria Soares Madeira; Saracen, Valeria; Hartz, Zulmira Maria De Araújo; Leal, Maria Do Carmo

    2013-01-01

    OBJETIVO: Analisar a assistência pré-natal na prevenção da transmissão vertical da sífilis. MÉTODOS: Estudo transversal representativo para as gestantes de baixo risco atendidas em unidades de saúde do município do Rio de Janeiro, RJ, período de 2007 a 2008. A identificação de gestantes com diagnóstico de sífilis na gestação foi feita por meio de entrevistas, verificação do cartão de pré-natal e busca de casos notificados em sistemas públicos de informação em saúde. Os casos de sífilis congên...

  14. PRACE - The European HPC Infrastructure

    Science.gov (United States)

    Stadelmeyer, Peter

    2014-05-01

    The mission of PRACE (Partnership for Advanced Computing in Europe) is to enable high impact scientific discovery and engineering research and development across all disciplines to enhance European competitiveness for the benefit of society. PRACE seeks to realize this mission by offering world class computing and data management resources and services through a peer review process. This talk gives a general overview about PRACE and the PRACE research infrastructure (RI). PRACE is established as an international not-for-profit association and the PRACE RI is a pan-European supercomputing infrastructure which offers access to computing and data management resources at partner sites distributed throughout Europe. Besides a short summary about the organization, history, and activities of PRACE, it is explained how scientists and researchers from academia and industry from around the world can access PRACE systems and which education and training activities are offered by PRACE. The overview also contains a selection of PRACE contributions to societal challenges and ongoing activities. Examples of the latter are beside others petascaling, application benchmark suite, best practice guides for efficient use of key architectures, application enabling / scaling, new programming models, and industrial applications. The Partnership for Advanced Computing in Europe (PRACE) is an international non-profit association with its seat in Brussels. The PRACE Research Infrastructure provides a persistent world-class high performance computing service for scientists and researchers from academia and industry in Europe. The computer systems and their operations accessible through PRACE are provided by 4 PRACE members (BSC representing Spain, CINECA representing Italy, GCS representing Germany and GENCI representing France). The Implementation Phase of PRACE receives funding from the EU's Seventh Framework Programme (FP7/2007-2013) under grant agreements RI-261557, RI-283493 and RI

  15. Data Infrastructures for Asset Management Viewed as Complex Adaptive Systems

    NARCIS (Netherlands)

    Brous, P.A.; Overtoom, I.; Herder, P.M.; Versluis, A.; Janssen, M.F.W.H.A.

    2014-01-01

    Data infrastructures represent information about physical reality. As reality changes, data infrastructures might also be subject to change. Researchers have increasingly approached physical infrastructures as being complex adaptive systems (CAS). Although physical infrastructures are often

  16. EFAB Report: Green Infrastructure Operations and Maintenance Finance

    Science.gov (United States)

    In this report, EFAB defines green infrastructure, outlines the benefits of green infrastructure, introduces green infrastructure operations and maintenance costs, and identifies and evaluates diverse ways to fund/finance green infrastructure O&M costs.

  17. The Information Infrastructures Design Space

    DEFF Research Database (Denmark)

    Henningsson, Stefan; Rapti, Charikleia; Jensen, Thomas

    2017-01-01

    This paper develops a framework for characterising the design space of Information Infrastructures (IIs). Existing research has generally sought to unravel the convergent characteristics and mechanisms uniting IIs across a wide range of manifestations. In this research, we explore this divergence...... within the II design space. We do so by reviewing the II literature, focusing on the two domains of design situation and design resolution. Design situation refers to the relevant dimensions of the context in which an II is employed. Design resolution covers the dimensions along which the socio...

  18. Frecuencia de anomalías congénitas en el Instituto Materno Infantil de Bogotá.

    Directory of Open Access Journals (Sweden)

    Herbert García

    2003-06-01

    Full Text Available Se analizaron 5.686 nacimientos (5.597 vivos y 89 muertos correspondientes a dos series realizadas entre los meses de octubre de 1997 y abril de 1998 y de julio a noviembre de 2000 (12 meses en el Instituto Materno Infantil de Bogotá. Se detectaron anomalías congénitas en 4,4% de los recién nacidos vivos y en 7,8% de los mortinatos. Las anomalías mayores constituyen el 69% de todas las anomalías y se encuentran en 3% de los recién nacidos vivos. Las anomalías moderadas son el 31% de todas las anomalías y se detectaron en 1,4% de los recién nacidos vivos. Los recién nacidos con anomalías mayores, en comparación con los controles, registran una mayor mortalidad al momento del alta hospitalaria (p=0,0001, menor peso promedio al nacer (p=0,003 y antecedentes de anomalía en la familia (p=0,0001. Las anomalías moderadas están asociadas únicamente con antecedentes de anomalías familiares (p=0,0001. Las anomalías congénitas muestran una frecuencia en nuestro medio semejante a las de otros estudios del país y del exterior, aunque, individualmente, algunas anomalías muestran variaciones significativas en sus frecuencias que pueden deberse a sobre o subregistros o a diferencias metodológicas en su detección.

  19. Malformaciones congénitas renales en el paciente pediátrico de la provincia de Mayabeque

    Directory of Open Access Journals (Sweden)

    Mercedes Silva Rojas

    2014-08-01

    Full Text Available Las anomalías congénitas del riñón y del tracto urinario representan un porciento importante de todas las anomalías identificadas en el periodo neonatal, dando lugar a una amplia variedad de desórdenes; por este motivo se implementó la presente investigación, con el objetivo de describir el comportamiento de las malformaciones congénitas renales en la edad pediátrica, ocurridas en la provincia de Mayabeque durante el segundo semestre del año 2013. Se realizó un estudio descriptivo prospectivo de corte transversal, con el universo de los niños atendidos en la consulta de nefrología pediátrica provincial del Hospital General Docente “Aleida Fernández Chardiet”, del municipio de Güines, en la referida provincia. La muestra quedó conformada por los 18 niños con malformaciones renales, que fueron atendidos de julio a diciembre de 2013. En el 50% de ellos se les realizó el diagnosticó durante el primer año de vida y predominó en el sexo masculino (66,6%. El 50% asistió a consulta por infección del tracto urinario y todos los pacientes presentaron alteraciones en el ultrasonido y la gammagrafía. Estos resultados permiten conocer el comportamiento de las malformaciones renales y tomar una conducta adecuada para mejorar la calidad de vida en estos pacientes

  20. Arctic Infrastructures: Tele Field Notes

    Directory of Open Access Journals (Sweden)

    Rafico Ruiz

    2014-09-01

    Full Text Available This article contextualizes the conditions of rural “connectivity” in the Canadian Arctic. It examines the emergence of satellites, fibre optic cables, and intranets as modes of social infrastructure at the outset of the twenty-first century. At present, Nunavut, the Northwest Territories, and the Yukon are all at a complicated confluence in that their current and inadequate telecommunications infrastructures are in the process of being renegotiated, re-designed, and re-allotted across civic, governmental, and corporate interests. The article shows how it is at sites of friction that the overlapping if fading legacies of systems-based thinking are emerging: satellites orbiting over fibre optic cable lines; corporate actors competing rather than coordinating with government agencies; and neoliberal rationales of mapping, division, and speed creating disjointed local markets. More broadly, these sites also demonstrate how indigenous forms of “connection” across the globe are increasingly experiencing telecommunications’ lags and temporal disjunctures that are having very material effects on their supposedly post-colonial lives.

  1. Cyber Threats to Nuclear Infrastructures

    Energy Technology Data Exchange (ETDEWEB)

    Robert S. Anderson; Paul Moskowitz; Mark Schanfein; Trond Bjornard; Curtis St. Michel

    2010-07-01

    Nuclear facility personnel expend considerable efforts to ensure that their facilities can maintain continuity of operations against both natural and man-made threats. Historically, most attention has been placed on physical security. Recently however, the threat of cyber-related attacks has become a recognized and growing world-wide concern. Much attention has focused on the vulnerability of the electric grid and chemical industries to cyber attacks, in part, because of their use of Supervisory Control and Data Acquisition (SCADA) systems. Lessons learned from work in these sectors indicate that the cyber threat may extend to other critical infrastructures including sites where nuclear and radiological materials are now stored. In this context, this white paper presents a hypothetical scenario by which a determined adversary launches a cyber attack that compromises the physical protection system and results in a reduced security posture at such a site. The compromised security posture might then be malevolently exploited in a variety of ways. The authors conclude that the cyber threat should be carefully considered for all nuclear infrastructures.

  2. ¿Es necesario disponer de ECMO para reparar cardiopatías congénitas de complejidad elevada? Nuestra experiencia en los últimos 6 años

    Directory of Open Access Journals (Sweden)

    Raúl Sánchez Pérez

    2017-01-01

    Conclusiones: Creemos que actualmente es necesario disponer de la ECMO en el postoperatorio de los pacientes intervenidos de cardiopatías congénitas, dado que parece asociarse a un beneficio en términos de supervivencia.

  3. Critical infrastructure system security and resiliency

    CERN Document Server

    Biringer, Betty; Warren, Drake

    2013-01-01

    Security protections for critical infrastructure nodes are intended to minimize the risks resulting from an initiating event, whether it is an intentional malevolent act or a natural hazard. With an emphasis on protecting an infrastructure's ability to perform its mission or function, Critical Infrastructure System Security and Resiliency presents a practical methodology for developing an effective protection system that can either prevent undesired events or mitigate the consequences of such events.Developed at Sandia National Labs, the authors' analytical approach and

  4. The Transnational State and the Infrastructure Push

    OpenAIRE

    Ougaard, Morten

    2017-01-01

    In 2010 the G20 in cooperation with major international organizations launched a comprehensive effort - here labelled the infrastructure push – to promote infrastructure investments around the world. Using selected transnationalised elements from historical materialism, this is explained as a transnational state initiative to secure general material conditions for capitalist growth in a manner that is profoundly shaped by power relations. The infrastructure problem was allowed to grow during...

  5. Tools for 21st Century infrastructure protection

    Energy Technology Data Exchange (ETDEWEB)

    Trost, S.R.

    1997-07-01

    The President`s Commission on Critical Infrastructure Protection (PCCEP) was formed under Executive Order 13010 to recommend a national strategy for protecting and assuring critical infrastructures. Eight critical infrastructure elements have been identified. This paper provides an overview of tools necessary to conduct in depth analysis and characterization of threats, vulnerabilities, and interdependencies of critical infrastructure subsystems, and their interaction with each other. Particular emphasis is placed on research requirements necessary to develop the next generation of tools. In addition to tools, a number of system level research suggestions are made including developing a system architecture, data flow models, national level resources, and a national test bed.

  6. Enhancing Sustainable Communities With Green Infrastructure

    Science.gov (United States)

    This publication aims to help local governments, water utilities, nonprofit organizations, neighborhood groups, and other stakeholders integrate green infrastructure strategies into plans that can transform their communities.

  7. Foresight of modern urban infrastructure

    Directory of Open Access Journals (Sweden)

    Maslennikov Valery

    2017-01-01

    Full Text Available The article is devoted to ways of interaction between authorities and residents of the megalopolis based on the penetration of intelligent systems and technologies in the sector of the city, aimed at improving the life’s quality in the “smart city.” The results of studies that allow us to offer include interactive services that enable residents of the metropolis to organize cooperation with the city administration; in the technology foresight study prospects of urban infrastructure development are given. An attempt was made to present the conceptual foundations of strategic foresight. Materials of article are of practical value and can be used by preparation of actions for increase in information availability to residents of the megalopolis of quality and variety of the rendered services.

  8. Emergent Risks In Critical Infrastructures

    Science.gov (United States)

    Dynes, Scott

    Firms cannot function successfully without managing a host of internal and external organizational and process interdependencies. Part of this involves business continuity planning, which directly aects how resilient arm and its business sector are in the face of disruptions. This paper presents the results of eld studies related to information risk management practices in the health care and retail sectors. The studies explore information risk management coordinating signals within and across rms in these sectors as well as the potential eects of cyber disruptions on the rms as stand-alone entities and as part of a critical infrastructure. The health care case study investigates the impact of the Zotob worm on the ability to deliver medical care and treatment. The retail study examines the resilience of certain elements of the food supply chain to cyber disruptions.

  9. The Moral Dimensions of Infrastructure.

    Science.gov (United States)

    Epting, Shane

    2016-04-01

    Moral issues in urban planning involving technology, residents, marginalized groups, ecosystems, and future generations are complex cases, requiring solutions that go beyond the limits of contemporary moral theory. Aside from typical planning problems, there is incongruence between moral theory and some of the subjects that require moral assessment, such as urban infrastructure. Despite this incongruence, there is not a need to develop another moral theory. Instead, a supplemental measure that is compatible with existing moral positions will suffice. My primary goal in this paper is to explain the need for this supplemental measure, describe what one looks like, and show how it works with existing moral systems. The secondary goal is to show that creating a supplemental measure that provides congruency between moral systems that are designed to assess human action and non-human subjects advances the study of moral theory.

  10. Smart Circuit Breaker Communication Infrastructure

    Directory of Open Access Journals (Sweden)

    Octavian Mihai MACHIDON

    2017-11-01

    Full Text Available The expansion of the Internet of Things has fostered the development of smart technologies in fields such as power transmission and distribution systems (as is the Smart Grid and also in regard to home automation (the Smart Home concept. This paper addresses the network communication infrastructure for a Smart Circuit Breaker system, a novel application at the edge of the two afore-mentioned systems (Smart Grid and Smart Home. Such a communication interface has high requirements from functionality, performance and security point of views, given the large amount of distributed connected elements and the real-time information transmission and system management. The paper describes the design and implementation of the data server, Web interface and the embedded networking capabilities of the smart circuit breakers, underlining the protocols and communication technologies used.

  11. Next Generation Intelligent Wireless Infrastructure

    DEFF Research Database (Denmark)

    Toftegaard, Thomas Skjødeberg

    2010-01-01

    could think the wireless revolution is over. However, future connectivity will be wireless and ubiquitous. Therefore the future of wireless infrastructures seems to be in front of a remarkable evolution as this paper will describe. With a vision of creating continuous seamless user connectivity as well...... as having physical devices/things connected through the wide spread usage of sensor and RFID near field communication technologies the network will increase in size with a order of magnitude compared to today. Additionally having the widespread Internet protocol technologies as a fundamental building block...... efficient ways of optimizing the spectrum usage are necessary. The extent of IP-based sensor networks with explode due to the rapid evolution in the relationship between processing power, cost, power consumption and physical size....

  12. Essential infrastructure: national nuclear regulation.

    Science.gov (United States)

    Paperiello, Carl J

    2011-01-01

    In order for nuclear power to expand to many countries that do not currently have it, it will be essential for these countries to have laws, regulations, guidance and organizations that can license or permit nuclear power plants and support nuclear facilities, ensure compliance by inspection, and enforce nuclear regulations. The viability of nuclear power worldwide depends on an extremely high level of safety everywhere, and compliance with a number of international treaties is required before supplier nations will provide the material, both hardware and software, to build and operate nuclear power plants. While infrastructure support can be obtained from the IAEA and other countries, an essential core of expertise must exist in the country seeking to establish domestic nuclear power generation. While some reliance can be placed on the safety reviews of standard reactor designs by the nuclear regulators in supplier nations, the certification of fuel design, the quality of instruments, and the matching of a new reactor to a proposed site in the importing nation will require site-specific reviews. National arrangements are also needed for emergency preparedness, environmental protection, fuel transportation and the storage, transportation and disposal of radioactive waste. If foreign contractors and consultants are engaged to perform much of the technical work for the regulatory body(s) that has to be performed by the importing nation, that nation must have a core cadre of technically knowledgeable regulators and an organization to provide management and oversight of the contractors and consultants. Consistency in national nuclear regulations, the deployment of standardized nuclear power plant designs and standardized supporting material infrastructure can promote the safe and secure worldwide growth in nuclear power. Copyright © 2010 Health Physics Society

  13. Climate Science's Globally Distributed Infrastructure

    Science.gov (United States)

    Williams, D. N.

    2016-12-01

    The Earth System Grid Federation (ESGF) is primarily funded by the Department of Energy's (DOE's) Office of Science (the Office of Biological and Environmental Research [BER] Climate Data Informatics Program and the Office of Advanced Scientific Computing Research Next Generation Network for Science Program), the National Oceanic and Atmospheric Administration (NOAA), the National Aeronautics and Space Administration (NASA), and the National Science Foundation (NSF), the European Infrastructure for the European Network for Earth System Modeling (IS-ENES), and the Australian National University (ANU). Support also comes from other U.S. federal and international agencies. The federation works across multiple worldwide data centers and spans seven international network organizations to provide users with the ability to access, analyze, and visualize data using a globally federated collection of networks, computers, and software. Its architecture employs a series of geographically distributed peer nodes that are independently administered and united by common federation protocols and application programming interfaces (APIs). The full ESGF infrastructure has now been adopted by multiple Earth science projects and allows access to petabytes of geophysical data, including the Coupled Model Intercomparison Project (CMIP; output used by the Intergovernmental Panel on Climate Change assessment reports), multiple model intercomparison projects (MIPs; endorsed by the World Climate Research Programme [WCRP]), and the Accelerated Climate Modeling for Energy (ACME; ESGF is included in the overarching ACME workflow process to store model output). ESGF is a successful example of integration of disparate open-source technologies into a cohesive functional system that serves the needs the global climate science community. Data served by ESGF includes not only model output but also observational data from satellites and instruments, reanalysis, and generated images.

  14. Ecocardiografia-doppler e parâmetros hemodinâmicos em cardiopatias congênitas com hiperfluxo pulmonar Ecocardiografia-doppler y parámetros hemodinámicos en cardiopatías congénitas con hiperflujo pulmonar Doppler echocardiography and hemodynamic parameters in congenital heart disease with increased pulmonary flow

    National Research Council Canada - National Science Library

    Zilma Verçosa de Sá Ribeiro; Jeane Mike Tsutsui; Rogério dos Anjos Miranda; Samira Mohry; Wilson Mathias; Antonio Augusto Lopes

    2010-01-01

    FUNDAMENTO: A predição de dados de hemodinâmica pulmonar, a partir de avaliação não invasiva, poderia isentar alguns portadores de defeitos septais cardíacos congênitos da avaliação invasiva pré-operatória (cateterismo). OBJETIVO...

  15. Frecuencia y factores de riesgo asociados a desnutrición de niños con cardiopatía congénita

    OpenAIRE

    Villasís-Keever Miguel Angel; Pineda-Cruz Ricardo Aquiles; Halley-Castillo Elizabeth; Alva-Espinosa Carlos

    2001-01-01

    Objetivo. Determinar la frecuencia y factores asociados a desnutrición en niños con cardiopatía congénita (CC). Material y métodos. Estudio transversal analítico, hecho entre agosto de 1997 y mayo de 1998, en el servicio de cardiopatías congénitas del hospital de Cardiología del Centro Médico Nacional Siglo XXI, del Instituto Mexicano del Seguro Social de la Ciudad de México, México, a 244 menores de 17 años, de ambos sexos, con diagnóstico de CC y sin otras malformaciones. El estado de nutri...

  16. Problemática de las cardiopatías congénitas en México: Propuesta de regionalización

    OpenAIRE

    Calderón-Colmenero,Juan; Cervantes-Salazar,Jorge Luís; Curi-Curi,Pedro José; Ramírez-Marroquín,Samuel

    2010-01-01

    Las malformaciones congénitas más frecuentes son las cardiopatías congénitas. La prevalencia reportada a nivel mundial va de 2.1 a 12.3 por 1000 recién nacidos. En nuestro país, se desconoce su prevalencia real; como causa de muerte infantil, se ubica en el sexto lugar en menores de un año y como la tercera causa en los niños entre uno y cuatro años; con base en la tasa de natalidad, se calcula que alrededor de 10 mil a 12 mil niños nacen con algún tipo de malformación cardiaca. Es de suma im...

  17. Identificación de mutaciones puntuales del gen de la 21-hidroxilasa en pacientes afectados con hiperplasia suprarrenal congénita.

    OpenAIRE

    Dora Fonseca; Andrés Gutiérrez; Claudia Silva; Mauricio Coll; Gustavo Malo; Camilo Orjuela; Alejandro Giraldo

    2005-01-01

    lntroducción. La hiperplasia suprarrenal congénita es un trastorno autosómico recesivo debido a la inadecuada secreción de cortisol. Mas del 95% de los casos de hiperplasia suprarrenal congénita son causados por defectos del gen de la 21 hidroxilasa, CYP21A2 . Las manifestaciones clínicas incluyen la forma clásica y la forma no clásica. Objetivos. Determinar la frecuencia de las mutaciones puntuales P30L, IVS2-12AIC-G, Del 8pb, I172N, cluster Ex 6, V281L, Q318X, R356W y P453S en pacientes con...

  18. Cardiopatías congénitas más frecuentes en niños con síndrome de Down

    OpenAIRE

    Miguel A. Ruz-Montes; Cañas-Arenas, Eliana M.; María A. Lugo-Posada; Mejía-Carmona, María A.; Zapata-Arismendy, Manuela; Ortiz-Suárez, Laura; Henao-Montaño, María I.

    2017-01-01

    Introducción: El síndrome de Down es la alteración cromosómica más común entre los seres humanos, y está asociado, en su mayoría, a cardiopatías congénitas, principales causantes de mortalidad en los dos primeros años de vida. Objetivo: Describir la frecuencia de cada cardiopatía congénita y sus características clínicas en niños con síndrome de Down atendidos en la Clínica Cardio VID de Medellín. Metodología: Estudio observacional, descriptivo, de corte transversal, llevado a cabo en la...

  19. Mortalidad de niños y sífilis congénita en la Ciudad de México en 1915

    OpenAIRE

    Lourdes Márquez Morfín; María Viridiana Sosa Márquez

    2016-01-01

    En el presente estudio nos enfocamos en la estimación de la mortalidad infantil y el análisis sobre la causa de muerte relacionada con la sífilis congénita en la Ciudad de México en 1915. Las fuentes de información utilizadas son las estadísticas vitales de defunciones para ese año, que contienen información por edad, sexo y causa de muerte. Por otro lado, con el fin de corroborar la presencia de la sífilis congénita desde siglos atrás, describimos los resultados del análisis osteopatológico ...

  20. Deficiência Congénita Femural e Hemimélia Fibular – Amputação e Protetização

    OpenAIRE

    Costa, MJ

    2011-01-01

    As malformações congénitas dos membros inferiores têm uma grande variedade de apresentação clínica associada a grande leque de dismetria dos membros. As classificações de Paley para a hemimélia fibular e para a deficiência femural congénita, dão orientação para o tratamento destes doentes: cirurgia de alongamento versus cirurgia de amputação. Em qualquer das situações, as crianças têm de ser protetizadas para poderem fazer marcha, correr e brincar. A protetização de uma c...

  1. RecÃm-nascidos com malformaÃÃes congÃnitas: prevalÃncia e cuidados de enfermagem na unidade neonatal.

    OpenAIRE

    FabÃola Chaves Fontoura

    2012-01-01

    Os recÃm-nascidos (RN) com malformaÃÃo congÃnita (MC) requerem dos profissionais de enfermagem atenÃÃo e cuidados especÃficos e individualizados. O estudo objetivou avaliar a prevalÃncia dos recÃm-nascidos com malformaÃÃes congÃnitas em instituiÃÃes pÃblicas e a assistÃncia de enfermagem prestada a essas crianÃas internadas na Unidade Neonatal (UN) nas primeiras 24 horas de vida. Estudo descritivo, transversal, quantitativo, realizado em trÃs Unidades Neonatais de instituiÃÃes hospitalares (A...

  2. Access control infrastructure for on-demand provisioned virtualised infrastructure services

    NARCIS (Netherlands)

    Demchenko, Y.; Ngo, C.; de Laat, C.; Smari, W.W.; Fox, G.C.

    2011-01-01

    Cloud technologies are emerging as a new way of provisioning virtualised computing and infrastructure services on-demand for collaborative projects and groups. Security in provisioning virtual infrastructure services should address two general aspects: supporting secure operation of the provisioning

  3. Perfil epidemiológico dos pacientes com ptose congênita no hospital regional de São José

    Directory of Open Access Journals (Sweden)

    Astor Grumann Júnior

    2011-12-01

    Full Text Available OBJETIVO: Traçar um perfil epidemiológico dos pacientes com ptose congênita no Hospital Regional de São José (HRSJ, descrevendo as características gerais das ptoses congênitas, incluindo a coexistência de estrabismo e a prevalência de ambliopia. MÉTODOS: Foi realizado um estudo epidemiológico com delineamento transversal, baseado na análise dos prontuários de pacientes com ptose congênita atendidos no Departamento de Plástica Ocular e Órbita do HRSJ, no período de julho de 1998 a julho de 2008. RESULTADOS: Foram analisados 42 pacientes (56 olhos. A idade média foi de 7,2 anos e o gênero mais prevalente foi o masculino (66,7%. Foi encontrado unilateralidade da ptose em 66,7% dos casos, associação com estrabismo em 19% e fenômeno de Marcus Gunn em 9,5%. Ambliopia foi encontrada em 17% dos olhos afetados. Na classificação, 38,5% dos olhos tinham ptose severa e 63% tinham excursão do elevador fraca ou ausente. A conduta foi cirúrgica para 57,2% dos casos e a técnica mais prevalente foi elevação ao Frontal (75%. CONCLUSÃO: No presente estudo, a prevalência de ambliopia nos pacientes com ptose congênita foi maior que da população geral, reforçando a importância de uma avaliação oftalmológica precoce destes pacientes.

  4. Syntactic networks, do they contribute valid information on syntactic development in children?. Comment on "Approaching human language with complex networks" by J. Cong and H. Liu

    Science.gov (United States)

    Ninio, Anat

    2014-12-01

    In the target article [1] Cong and Liu provide a clear and informative introduction to the use of complex networks in research studying language. I would like to add the perspective of a researcher of language acquisition who has been hopeful that network theory illuminates processes of development [2,3], but feels a certain difficulty with studies applying network analysis to the development of syntax.

  5. Hipotireoidismo congênito: influência para as habilidades linguísticas e comportamentais: estudo de revisão

    Directory of Open Access Journals (Sweden)

    Fernanda da Luz Anastácio-Pessan

    2014-12-01

    Full Text Available O hipotireoidismo congênito é um distúrbio do metabolismo sistêmico caracterizado pela produção deficiente dos hormônios tireoidianos. A literatura apresenta que estas crianças podem apresentar alterações cognitivas, linguísticas e problemas comportamentais, mesmo quando o diagnóstico e o tratamento iniciaram precocemente. O objetivo do presente trabalho foi descrever as alterações de linguagem, de cognição, de habilidades psicolinguísticas e/ou de comportamento em sujeitos com hipotireoidismo congênito, a partir de estudos já publicados pela comunidade científica, no período de 2004 a 2013. O levantamento bibliográfico foi realizado por meio de pesquisa em bases de dados nacionais e internacionais: LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde, MEDLINE (MEDlarsonLINE-Literatura Internacional e Scielo (Scientific Eletronic Library Online. A literatura evidencia que a gravidade das alterações no desenvolvimento das habilidades motoras, cognitivas e linguística, esteve relacionada à idade da criança ao receber o diagnóstico e ao iniciar o tratamento. Entretanto, alterações nestas habilidades têm sido observadas em crianças com hipotireoidismo congênito, mesmo quando o diagnóstico foi precoce e o tratamento foi considerado dentro de padrões adequados. A magnitude de tais alterações depende de alguns fatores como a etiologia do hipotireoidismo congênito, época de seu início (pré ou pós-natal, gravidade da deficiência hormonal e idade da criança ao iniciar o tratamento de reposição hormonal.

  6. Autismo infantil, transtorno bipolar e retardo mental em portador de síndrome da rubéola congênita: relato de caso

    OpenAIRE

    Assumpção Jr. Francisco Baptista; Kuczynski Evelyn

    2002-01-01

    Descrevemos o caso de paciente masculino, autista, portador de síndrome da rubéola congênita, em cuja evolução foi diagnosticado transtorno bipolar, discutindo as possíveis implicações terapêuticas e diagnósticas.We describe an autistic male adolescent with congenital rubella who has developed bipolar disorder, discussing possible diagnostic and therapeutic implications.

  7. Dynamic Collaboration Infrastructure for Hydrologic Science

    Science.gov (United States)

    Tarboton, D. G.; Idaszak, R.; Castillo, C.; Yi, H.; Jiang, F.; Jones, N.; Goodall, J. L.

    2016-12-01

    Data and modeling infrastructure is becoming increasingly accessible to water scientists. HydroShare is a collaborative environment that currently offers water scientists the ability to access modeling and data infrastructure in support of data intensive modeling and analysis. It supports the sharing of and collaboration around "resources" which are social objects defined to include both data and models in a structured standardized format. Users collaborate around these objects via comments, ratings, and groups. HydroShare also supports web services and cloud based computation for the execution of hydrologic models and analysis and visualization of hydrologic data. However, the quantity and variety of data and modeling infrastructure available that can be accessed from environments like HydroShare is increasing. Storage infrastructure can range from one's local PC to campus or organizational storage to storage in the cloud. Modeling or computing infrastructure can range from one's desktop to departmental clusters to national HPC resources to grid and cloud computing resources. How does one orchestrate this vast number of data and computing infrastructure without needing to correspondingly learn each new system? A common limitation across these systems is the lack of efficient integration between data transport mechanisms and the corresponding high-level services to support large distributed data and compute operations. A scientist running a hydrology model from their desktop may require processing a large collection of files across the aforementioned storage and compute resources and various national databases. To address these community challenges a proof-of-concept prototype was created integrating HydroShare with RADII (Resource Aware Data-centric collaboration Infrastructure) to provide software infrastructure to enable the comprehensive and rapid dynamic deployment of what we refer to as "collaborative infrastructure." In this presentation we discuss the

  8. Hérnia Diafragmática Congênita: Relato de Caso/ Congenital Diaphragmatic Hernia: Case Report

    Directory of Open Access Journals (Sweden)

    Lucas Tavares dos Santos

    2013-03-01

    Full Text Available Introdução: A hérnia diafragmática congênita é a falha do fechamento embrionário do músculo diafragmático, resultando em um defeito de continuidade. Esta patologia pode ocorrer pela passagem de estruturas do abdome através de um defeito no diafragma, ou haver herniação parcial do estômago através do hiato esofágico, paralisia frênica com deslocamento do conteúdo abdominal para cima, mas sem herniação, e, eventração do diafragma. Casuística: Foi relatado um caso de hérnia diafragmática congênita, hérnia de Bochdalek, em um recém – nascido do sexo feminino, que nos ultra-sonografias da gestante apresentavam sem alterações. O diagnóstico da patologia foi feito apenas após a realização de raios-X de tórax e abdome para confirmar a posição do cateterismo umbilical venoso. Discussão/Conclusão: A apresentação clínica da hérnia de diafragmática congênita inclui desconforto respiratório moderado a grave com repercussão sistêmica. O diagnóstico, em cerca de 80% dos casos, é feito por ultrassom pré-natal. O tratamento proposto foi intubação endotraqueal com ventilação mecânica e programação para correção cirúrgica da hérnia. Após correção cirúrgica da patologia, a paciente permaneceu na unidade de terapia intensiva neonatal por 21 dias para acompanhamento de pós – operatório e intercorrências na evolução. Introduction: Congenital diaphragmatic hernia is the failure of embryonic closure of the diaphragm, resulting in a lack of continuity. This condition can occur by passing structures of the abdomen through a defect in the diaphragm, or be part herniation of the stomach through the esophageal hiatus, phrenic paralysis with displacement of abdominal contents up but no herniation, and eventration of the diaphragm. Case Report: We report a case congenital diaphragmatic hernia, such as Bochdalek hernia, in a new - born female that in ultrasounds of pregnant women showed without change

  9. Discromatopsias congênitas e condução de veículos Congenital dyschromatopsias and driving

    Directory of Open Access Journals (Sweden)

    Mário Teruo Sato

    2002-01-01

    Full Text Available Objetivo: Apresentar a importância do uso da tabela de Ishihara para o diagnóstico das discromatopsias congênitas e avaliação da incidência em motoristas, observando-se os erros mais comuns no teste da Caixa de Cores. Além disso, abordar a relação entre discromatopsias congênitas, condução de veículo e acidentes de tráfego. Métodos: Foram examinados 523 motoristas, seguindo as normas da resolução 734/89 do Contran. Os motoristas foram submetidos ao teste de cores com a Tabela de Ishihara, e os que tinham discromatopsias foram submetidos ao teste da Caixa de Cores, com luzes dispostas como em um semáforo. Resultados: Encontrou-se uma incidência de discromatopsias de 5,5% (29 pacientes. Destes, 3 pacientes foram excluídos do estudo, 16 possuíam o grau forte e 10, o grau moderado. Desse último grupo, 7 apresentaram-se com deuteranomalia e 3 com protanomalia. Dos 7 com deuteranomalia, 3 apresentaram alterações no teste da Caixa de Cores. Dos 3 com protanomalia, 1 paciente teve exame alterado. Dos pacientes de grau forte, 14 possuíam deuteranopia e 2 protanopia, sendo que todos apresentaram alterações no teste da Caixa de Cores. Conclusão: Todos os pacientes com discromatopsias de grau forte e metade dos pacientes com grau moderado cometeram erros no teste da Caixa de Cores. Conclui-se que não haveria necessidade de ser realizado o teste para diferenciar as cores, desde que se faça o uso da tabela de Ishihara para diagnosticar as discromatopsias congênitas.Purpose: To determine the importance of the Ishihara test for the diagnosis of congenital dyschromatopsias and evaluate their incidence in a population of drivers, to assess the most common mistakes in the Color Box test and to study the relationship between dyschromatopsia, driving and traffic accidents. Methods: 523 drivers were examinated, in conformity with Contran resolution 734/89. The drivers were submitted to the color test with Ishihara plates, and those who

  10. Prevalencia de defectos congénitos en recién nacidos Prevalence of congenital defects in newborns

    Directory of Open Access Journals (Sweden)

    Olga Lidia Delgado Díaz

    2007-09-01

    Full Text Available Aún hoy, las malformaciones congénitas continúan siendo un problema de salud a nivel mundial. Cuba constituye un ejemplo en su diagnóstico prenatal gracias a los programas de pesquisaje materno infantil. Realmente, aunque su prevalencia en el país es baja, anualmente se notifican casos. Por tales razones se realizó la presente investigación, en la que, mediante un estudio observacional, de corte transversal, se realiza una caracterización clínica y epidemiológica de los 389 recién nacidos con malformaciones congénitas en la provincia La Habana entre enero de 2000 y junio de 2003. La prevalencia fue de 131,4 x 10 000 nacimientos, con un aumento porcentual de 43,5 %, un promedio de aumento anual de 14,5 % y una tasa media para el período de 135,6. El mayor por ciento de defectos se presentó en su forma aislada (78,7 % y dentro de ellos, los más frecuentes fueron la polidactilia (15,4 %, las cardiopatías (6,7 % y la hipospadia (6,4 %. El síndrome de Down fue el defecto múltiple más frecuentemente observado. Según los resultados obtenidos se concluyó que la prevalencia al nacimiento de los defectos congénitos en la provincia no difiere a los reportados en el registro cubano y en los estudios internacionales al respecto.Even today, congenital malformations be still a health problem al world level. Cuba is an example in its prenatal diagnosis thanks to maternal-infantile screening programs. Really, although its national prevalence is low, yearly cases are reported. That is why we performed present research, in which by means of a observation and transversal study, it was possible to made a clinical and epidemiological characterization of the 389 newborns presenting with congenital malformations in Havana province from January 200 to June 2003. Prevalence was of 131.4 x 10 000 births with a percentage increase of 43.5 %, a yearly increase average of 14.5 %, and a mean rate for a period of 135.6. Great percentage of defects was

  11. Remiksēšanas kultūra virtuālajā vidē: mēmu lietošanas un veidošanas vietņu analīze

    OpenAIRE

    Vilsone, Paula

    2013-01-01

    Bakalaura darba “Remiksēšanas kultūra virtuālajā vidē: mēmu lietošanas un veidošanas vietņu analīze” mērķis ir izpētīt interneta mēmu lietotāju un veidotāju mēmu patērēšanas paradumus. Darbam izvirzīts pētnieciskais jautājums, vai latviešu mēmu lietotājiem un veidotājiem ir interneta vietne, kura lokālā līmenī spējīga konkurēt ar populārām pasaules mēroga mēmu lietošanas un veidošanas vietnēm? Kā arī apakšjautājumi – ja ir, tad kas to padara konkurētspējīgu; ja nav, tad kāpēc un vai tāda viet...

  12. Nevo melanocítico congénito gigante: presentación de tres casos Giants congenital melanocytic nevus: Report of three cases

    Directory of Open Access Journals (Sweden)

    V Estrella

    Full Text Available Los Nevos Melanocíticos Congénitos (NMC son lesiones pigmentarias, que pueden aparecer en el nacimiento, aunque hay casos comunicados hasta el primer año de vida (Nevo Melanocítico Congénito Tardío. Presentan ciertas características clínicas y evolutivas de gran importancia: el compromiso estético de las formas gigantes, la asociación con melanocitosis meníngea y su transformación maligna de la lesión cutánea o meníngea. Presentamos tres casos de nevos melanocíticos congénitos gigantes. Cabe destacar, que el objetivo de este artículo es realizar una revisión del tema, orientar al seguimiento y control de los mismos y destacar la dificultad para su tratamiento debido a su gran tamaño.The Congenital Melanocytic Nevus are lesions melanocytic pigmented. Already apparent at birth but there are cases reported to the first year of life (Late Congenital Melanocytic Nevus. Certain features and evolution clinics that are important: the great compromise of aesthetic forms giant, meningeal melanocitosis association and its malignant transformation. We present three cases of Giants Congenital Melanocytic Nevus. It should be noted, that the purpose of this article is a review of the issue and guide the monitoring and control of them and point out the difficult treatment.

  13. The EPOS e-Infrastructure

    Science.gov (United States)

    Jeffery, Keith; Bailo, Daniele

    2014-05-01

    The European Plate Observing System (EPOS) is integrating geoscientific information concerning earth movements in Europe. We are approaching the end of the PP (Preparatory Project) phase and in October 2014 expect to continue with the full project within ESFRI (European Strategic Framework for Research Infrastructures). The key aspects of EPOS concern providing services to allow homogeneous access by end-users over heterogeneous data, software, facilities, equipment and services. The e-infrastructure of EPOS is the heart of the project since it integrates the work on organisational, legal, economic and scientific aspects. Following the creation of an inventory of relevant organisations, persons, facilities, equipment, services, datasets and software (RIDE) the scale of integration required became apparent. The EPOS e-infrastructure architecture has been developed systematically based on recorded primary (user) requirements and secondary (interoperation with other systems) requirements through Strawman, Woodman and Ironman phases with the specification - and developed confirmatory prototypes - becoming more precise and progressively moving from paper to implemented system. The EPOS architecture is based on global core services (Integrated Core Services - ICS) which access thematic nodes (domain-specific European-wide collections, called thematic Core Services - TCS), national nodes and specific institutional nodes. The key aspect is the metadata catalog. In one dimension this is described in 3 levels: (1) discovery metadata using well-known and commonly used standards such as DC (Dublin Core) to enable users (via an intelligent user interface) to search for objects within the EPOS environment relevant to their needs; (2) contextual metadata providing the context of the object described in the catalog to enable a user or the system to determine the relevance of the discovered object(s) to their requirement - the context includes projects, funding, organisations

  14. Issues in infrastructure and environmental planning

    NARCIS (Netherlands)

    Linden, Gerardus; Ike, Paul; Voogd, Henk; Linden, Gerard; Voogd, Henk

    2004-01-01

    This chapter focuses on issues of Environmental and Infrastructure planning (EIP). The object of EIP is illustrated with the help of the three layers of the Environmental Layer Concept (ELC) – the Ground Layer, the Infrastructure Layer and the Occupancy Layer. The Ground Layer represents the natural

  15. Key performance indicators of charging infrastructure

    NARCIS (Netherlands)

    Helmus, J.; van den Hoed, R.

    2016-01-01

    The Netherlands are one of the frontrunners in stimulating electric mobility in Europe when it comes to the charging infrastructure density and electric vehicle adoption. Municipalities play an instrumental role in the rollout of public charging infrastructure while they have little insight in the

  16. Upgrading Technology Infrastructure in California's Schools

    Science.gov (United States)

    Gao, Niu; Murphy, Patrick

    2016-01-01

    As California schools move into online testing and online learning, an adequate technology infrastructure is no longer an option, but a necessity. To fully benefit from digital learning, schools will require a comprehensive technology infrastructure that can support a range of administrative and instructional tools. An earlier PPIC report found…

  17. Infrastructuring When You Don’t

    DEFF Research Database (Denmark)

    Bolmsten, Johan; Dittrich, Yvonne

    2011-01-01

    infrastructures. Such infrastructures enable integration between different applications and tasks but, at the same time, introduce constraints to ensure interoperability. How can the ad vantages of End-User Development be kept without jeopardizing the integration between different applications? The article...

  18. Using Cloud Services for Library IT Infrastructure

    OpenAIRE

    Erik Mitchell

    2010-01-01

    Cloud computing comes in several different forms and this article documents how service, platform, and infrastructure forms of cloud computing have been used to serve library needs. Following an overview of these uses the article discusses the experience of one library in migrating IT infrastructure to a cloud environment and concludes with a model for assessing cloud computing.

  19. Using Cloud Services for Library IT Infrastructure

    Directory of Open Access Journals (Sweden)

    Erik Mitchell

    2010-03-01

    Full Text Available Cloud computing comes in several different forms and this article documents how service, platform, and infrastructure forms of cloud computing have been used to serve library needs. Following an overview of these uses the article discusses the experience of one library in migrating IT infrastructure to a cloud environment and concludes with a model for assessing cloud computing.

  20. Critical Infrastructure Protection: Maintenance is National Security

    Directory of Open Access Journals (Sweden)

    Kris Hemme

    2015-10-01

    Full Text Available U.S. critical infrastructure protection (CIP necessitates both the provision of security from internal and external threats and the repair of physically damaged critical infrastructure which may disrupt services. For years, the U.S. infrastructure has been deteriorating, triggering enough damage and loss of life to give cause for major concern. CIP is typically only addressed after a major disaster or catastrophe due to the extreme scrutiny that follows these events. In fact, CIP has been addressed repeatedly since Presidential Decision Directive Sixty-Three (PDD Sixty-Three signed by President Bill Clinton on May Twenty-Second, 1998.[1] This directive highlighted critical infrastructure as “a growing potential vulnerability” and recognized that the United States has to view the U.S. national infrastructure from a security perspective due to its importance to national and economic security. CIP must be addressed in a preventive, rather than reactive, manner.[2] As such, there are sixteen critical infrastructure sectors, each with its own protection plan and unique natural and man-made threats, deteriorations, and risks. A disaster or attack on any one of these critical infrastructures could cause serious damage to national security and possibly lead to the collapse of the entire infrastructure. [1] The White House, Presidential Decision Directive/NSC–63 (Washington D.C.: The White House, May 22, 1998: 1–18, available at: http://www.epa.gov/watersecurity/tools/trainingcd/Guidance/pdd-63.pdf. [2] Ibid, 1.

  1. Infrastructure Management : Dynamic control of assets

    NARCIS (Netherlands)

    Verlaan, J.G.; Schoenmaker, R.

    2013-01-01

    The infrastructure in the Netherlands is crucial for economic development on a national scale. Dramatic increases of transport and mobility accelerate ageing of infrastructure. The GNP of the Netherlands is strongly related to transport and to the two main ports (Port of Rotterdam and Amsterdam

  2. Improving the visibility of bicycle infrastructure

    NARCIS (Netherlands)

    Fabriek, E.; De Waard, D.; Schepers, P.

    2012-01-01

    The visual characteristics of road infrastructure play a major role in a substantial number of single-bicycle crashes. The focus of this research was on finding the most common situations that result in a poorly visible bicycle infrastructure, and investigating how to improve these conditions for

  3. Does Infrastructure Matter In Tourism Development? | Seetanah ...

    African Journals Online (AJOL)

    This paper investigates the significance of infrastructure as a factor in destination development. The classical demand for international tourism function is extended to include a proxy for infrastructure. An application involving the island of Mauritius is presented whereby total tourist arrivals as well as arrivals from ...

  4. Smart Cyber Infrastructure for Big Data processing

    NARCIS (Netherlands)

    Makkes, M.X.; Cushing, R.; Oprescu, A.M.; Koning, R.; Grosso, P.; Meijer, R.J.; Laat, C. de

    2014-01-01

    The landscape of research cyber infrastructure is rapidly changing. There is a move towards virtualized and programmable infrastructure. The cloud paradigm enables the use of computing resources in different places and allows for optimizing workflows in either bringing computing to the data or the

  5. Smart Green Infrastructure in Tiger Range Countries

    OpenAIRE

    Quintero, Juan D.; Roca, Roberto; Morgan, Alexis; Mathur, Aradhna; Shi, Xiaoxin

    2010-01-01

    This report presents the results of extensive work of the smart green infrastructure task force commissioned by the World Bank under the Global Tiger Initiative (GTI). The report benefited from advice, ideas, and information about tigers and tiger-friendly infrastructure development from staff at the World Bank, and from several institutions that promote tiger and biodiversity conservation...

  6. South Africa's School Infrastructure Performance Indicator System

    Science.gov (United States)

    Gibberd, Jeremy

    2007-01-01

    While some South African schools have excellent infrastructure, others lack basic services such as water and sanitation. This article describes the school infrastructure performance indicator system (SIPIS) in South Africa. The project offers an approach that can address both the urgent provision of basic services as well as support the…

  7. Future Naval Use of COTS Networking Infrastructure

    Science.gov (United States)

    2009-07-01

    continuous process improvement in support of NGEN and CANES under the Information Technology Infrastructure Library ( ITIL ) model. In addition, the Navy...Shipboard Network System IT Information Technology IT-21 Information Technology for the 21st Century ITIL Information Technology Infrastructure

  8. Geographic Hotspots of Critical National Infrastructure.

    Science.gov (United States)

    Thacker, Scott; Barr, Stuart; Pant, Raghav; Hall, Jim W; Alderson, David

    2017-06-12

    Failure of critical national infrastructures can result in major disruptions to society and the economy. Understanding the criticality of individual assets and the geographic areas in which they are located is essential for targeting investments to reduce risks and enhance system resilience. Within this study we provide new insights into the criticality of real-life critical infrastructure networks by integrating high-resolution data on infrastructure location, connectivity, interdependence, and usage. We propose a metric of infrastructure criticality in terms of the number of users who may be directly or indirectly disrupted by the failure of physically interdependent infrastructures. Kernel density estimation is used to integrate spatially discrete criticality values associated with individual infrastructure assets, producing a continuous surface from which statistically significant infrastructure criticality hotspots are identified. We develop a comprehensive and unique national-scale demonstration for England and Wales that utilizes previously unavailable data from the energy, transport, water, waste, and digital communications sectors. The testing of 200,000 failure scenarios identifies that hotspots are typically located around the periphery of urban areas where there are large facilities upon which many users depend or where several critical infrastructures are concentrated in one location. © 2017 Society for Risk Analysis.

  9. Asset Management in Infrastructure in Indonesia

    OpenAIRE

    2016-01-01

    This April edition of Prakarsa takes a closer look at one of Indonesia's infrastructure challenge that is too often overlooked –asset management. The feature articles present asset management issues in the road and water and sanitation sectors. These articles propose a number of key steps and recommendations to improve infrastructure asset management.

  10. Congés… pour « prières » Prayers and days off

    Directory of Open Access Journals (Sweden)

    Claudine Viard

    2009-04-01

    Full Text Available Les premiers combats de la classe ouvrière se sont portés sur la demande d’une journée de repos, qui par tradition chrétienne a été fixée le dimanche en 1906. Quatre journées de congé à caractère chrétien ont en outre été retenues par le législateur. L’exercice du culte est donc concrètement garanti pour les chrétiens. Avec l’arrivée sur le territoire de la République  de populations de confessions variées, cette organisation du travail apparaît inégalitaire, voire de nature à porter atteinte à la liberté religieuse. Il a été proposé de reconnaître les jours de prières d’autres confessions. Pour l’instant, le législateur n’a pas adopté ces propositions. Mais la question reste posée. Or, la jurisprudence des tribunaux judiciaires et administratifs admet le droit de prier des fidèles des cultes minoritaires, ils peuvent prétendre à un congé lors des fêtes de leur religion dans la mesure où cela n’occasionne pas de perturbation. La consécration de cette jurisprudence souple par le législateur serait de nature à calmer le débat.At the turn of the century, the working classes fought for a day off in the week, which was granted on Sundays by the legislator in 1906. Four additional christian holidays are also legal. So the right to pray is garanteed for christians. As different populations with various faiths settled in France, this organisation has seemed to violate the principle of equality, and religious freedom. There has been a debate on the question whether some of the days of minority religions should also be observed by all the population. But so far, the legislator has not voted any of these proposals. It remains an issue. The French judge has consistently decided that the people of non christian faiths had the right to be granted a day off to pray on these special days, provided it would not cause prejudice to the organisation they work for. It might help to calm the debate if this

  11. Sévices à des enfants ou insensibilité congénitale à la douleur?

    Science.gov (United States)

    Escard, E; Barret, L

    2003-01-01

    L’insensibilité congénitale à la douleur est une affection rare qui peut être responsable de l’apparition accidentelle de lésions externes et internes chez l’enfant. Dans un contexte de présomptions de sévices à des enfants, le fait de connaître l’existence de cette affection peut compliquer l’interprétation médico-légale de nos constatations. Le diagnostic d’insensibilité congénitale à la douleur, dans la forme qui nous intéresse, nécessite plusieurs éléments : l’absence de sensibilité à la douleur depuis la naissance, l’atteinte de la totalité de la surface corporelle, l’intégrité des réflexes ostéo-tendineux et des autres modes de sensibilité, la négativité des examens paracliniques, y compris histologiques. Nous présentons un cas de deux enfants de la même fratrie, examinés dans le cadre d’une procédure judiciaire d’urgence au sein de l’unité de médecine légale du Centre hospitalo-universitaire de Grenoble, en France. L’interprétation médicolégale des faits et de l’examen doit être prudente en cas de complications judiciaires et faire suite à une analyse des problèmes médico-sociaux de l’enfant depuis sa naissance et de ceux de sa famille. Le soutien socio-éducatif de ces familles et la transmission d’information sur cette maladie doivent être une priorité afin d’éviter tout dépassement dans la prise en charge et la surveillance de l’enfant et tout quiproquo face aux autres. PMID:20020013

  12. O conduto valvulado bovino contegra, um biomaterial para o tratamento cirúrgico de cardiopatias congênitas

    Directory of Open Access Journals (Sweden)

    Shi-Min Yuan

    Full Text Available O Contegra, um enxerto de veia jugular bovina, tem sido amplamente utilizado como biomaterial de preferência no tratamento cirúrgico das cardiopatias congênitas, especialmente como um conduto para a reconstrução da via de saída ventricular direita. Este artigo tem como objetivo fazer uma revisão abrangente sobre os desfechos clínicos do Contegra. Foram recuperados, coletados e analisados, relatos de Contegra publicados desde 2002. Havia 1.718 Contegra, aplicados em 1.705 pacientes. Os tamanhos dos condutos foram de 8-22 mm. As idades dos pacientes foram de recém-nascidos até 74,5 anos, com prevalência de pacientes pediátricos. O diagnóstico primário foi cardiopatia congênita em todos os casos, sendo os três diagnósticos principais: tetralogia de Fallot, tronco arterioso e atresia pulmonar, que representaram 25,6%, 16,7% e 13,1%, respectivamente. O Contegra foi utilizado como enxerto tubular na posição pulmonar em 1635 (95,9% pacientes, como remendo monocúspide em 12 (0,7%, como enxerto na posição da valva pulmonar ou monocúspide em 40 (2,3%, e, como conduto artéria pulmonar-veia cava inferior na operação de Fontan, em 18 (1,1% pacientes, respectivamente. O reimplante de conduto foi realizado em 141 (8,3% pacientes, 33,8 ± 37 (8,6-106,8 meses após a inserção do conduto inicial. A plástica do conduto foi necessária em seis (0,4% e a reintervenção em 83 (4,9% dos pacientes. As indicações do reimplante do conduto incluíram estenose importante da anastomose distal, pseudoaneurisma da anastomose proximal e regurgitação importante do conduto. Quanto ao bom desempenho, disponibilidade e longevidade, o Contegra é um biomaterial adequado para a reconstrução da via de saída ventricular direita e como remendo para reparo de comunicação interventricular, mas não é apto para a operação de Fontan.

  13. Anestesia no cardiovascular en el paciente con cardiopatía congénita y flujo pulmonar aumentado

    Directory of Open Access Journals (Sweden)

    Lincoln de la Parte Pérez

    2003-12-01

    Full Text Available Los lactantes y dentro de éstos los de menor edad y peso corporal, que padecen de cardiopatías congénitas con flujo pulmonar aumentado y son sometidos a anestesia para procedimientos quirúrgicos no cardiovasculares, tienen un gran riesgo anestésico, por lo que es necesario enfatizar que estos pacientes presentan habitualmente múltiples alteraciones anatómicas y de la fisiología cardiovascular con repercusión en diferentes órganos y sistemas, diversas enfermedades asociadas que empeoran el pronóstico y necesitan frecuentemente tratamiento médico con digitálicos, diuréticos y fármacos vasoactivos desde muy temprano, de modo que la evaluación preoperatoria, incluidas las investigaciones no invasivas, deben ser realizadas por cardiólogos experimentados y cuando se programan para procedimientos quirúrgicos, deben ser remitidos para un centro con recursos y la experiencia necesaria en el manejo de los pacientes con cardiopatías congénitas. Se presenta una revisión bibliográfica actualizada sobre el manejo anestésico de estos pacientes.Infants and among them the youngest and with the least body weight suffering from congenital heart diseases with increased pulmonary flow and who receive anesthesia to undergo noncardiovascular surgical procedures, are at a great anesthetic risk . That's why, it is necessary to make emphasis on the fact that these patients usually present multiple anatomical alterations and cardiovascular physiology disorders with repercussion on different organs and systems, diverse associated diseases that worsen the prognosis, and that they frequently need medical treatment with digitalis, diuretics and vasoactive drugs very early. Taking this into account, the preoperative evaluation, including non-invasive research should be carried out by experienced cardiologists and when they are scheduled for surgical procedures, they should be referred to a center with resources and the necessary experience in the

  14. EEW Implementation into Critical Infrastructures

    Science.gov (United States)

    Zulfikar, Can; Pinar, Ali

    2016-04-01

    In FP7 MARsite project WP9, the integration algorithm of existing strong motion networks with the critical infrastructures strong motion networks have been studied. In Istanbul, the existing Istanbul Earthquake Early Warning (IEEW) strong motion network consists of 15 stations including 10 on land and 5 ocean bottom stations. The system provides continuous online data and earthquake early warning alert depending on the exceedance of the threshold levels in ground motion acceleration in certain number of station within the certain time interval. The data transmission is provided through the fiber optic cable and satellite line alternatively. The early warning alert is transmitted to the critical infrastructures of Istanbul Natural Gas distribution line and Marmaray Tube Tunnel line in order to activate the local strong motion networks for the automatic shut-off mechanism. Istanbul Natural Gas distribution line has 1.800km steel and 15.200km polyethylene in total 18.000km gas pipeline in Istanbul. There are in total 750 district regulators in the city where the gas pressure is reduced from 20bar to 4bar and from there the gas is transmitted with polyethylene lines to service boxes. Currently, Istanbul Natural Gas Distribution Company (IGDAS) has its own strong motion network with 110 strong motion stations installed at the 110 of 750 district regulators. Once the IGDAS strong motion network is activated by the IEEW network, depending on the exceedance of the ground motion parameters threshold levels the gas flow is stopped at the district regulators. Other than the Earthquake Early Warning operation in IGDAS strong motion network, having the calculated ground motion parameters in the network provides damage maps for the buildings and natural gas pipeline network. The Marmaray Tube Tunnel connects the Europe and Asian sides of Istanbul City by a rail line. The tunnel is 1.4km length and consists of 13segments. There is strong motion monitoring network in the tunnel

  15. Data Centre Infrastructure & Data Storage @ Facebook

    CERN Multimedia

    CERN. Geneva; Garson, Matt; Kauffman, Mike

    2018-01-01

    Several speakers from the Facebook company will present their take on the infrastructure of their Data Center and Storage facilities, as follows: 10:00 - Facebook Data Center Infrastructure, by Delfina Eberly, Mike Kauffman and Veerendra Mulay Insight into how Facebook thinks about data center design, including electrical and cooling systems, and the technology and tooling used to manage data centers. 11:00 - Storage at Facebook, by Matt Garson An overview of Facebook infrastructure, focusing on different storage systems, in particular photo/video storage and storage for data analytics. About the speakers Mike Kauffman, Director, Data Center Site Engineering Delfina Eberly, Infrastructure, Site Services Matt Garson, Storage at Facebook Veerendra Mulay, Infrastructure

  16. Developing a grid infrastructure in Cuba

    Energy Technology Data Exchange (ETDEWEB)

    Lopez Aldama, D.; Dominguez, M.; Ricardo, H.; Gonzalez, A.; Nolasco, E.; Fernandez, E.; Fernandez, M.; Sanchez, M.; Suarez, F.; Nodarse, F.; Moreno, N.; Aguilera, L.

    2007-07-01

    A grid infrastructure was deployed at Centro de Gestion de la Informacion y Desarrollo de la Energia (CUBAENERGIA) in the frame of EELA project and of a national initiative for developing a Cuban Network for Science. A stand-alone model was adopted to overcome connectivity limitations. The e-infrastructure is based on gLite-3.0 middleware and is fully compatible with EELA-infrastructure. Afterwards, the work was focused on grid applications. The application GATE was deployed from the early beginning for biomedical users. Further, two applications were deployed on the local grid infrastructure: MOODLE for e-learning and AERMOD for assessment of local dispersion of atmospheric pollutants. Additionally, our local grid infrastructure was made interoperable with a Java based distributed system for bioinformatics calculations. This experience could be considered as a suitable approach for national networks with weak Internet connections. (Author)

  17. Infrastructural urbanism that learns from place

    DEFF Research Database (Denmark)

    Carruth, Susan

    2015-01-01

    The development of renewable energy infrastructures in response to climatic change, calls of ‘peak oil’, environmental degradation, and geopolitical instabilities is a global challenge, and innumerable organisations and disciplines are working towards a transition to zero-carbon energy systems...... and relationships, proposing that landscape itself is infrastructural with the capacity to simultaneously host and connect ecological, economical, and environmental processes. Concurrently, cultural anthropology has critically revised understandings of infrastructure to encompass semantic and sociocultural...... dimensions, pointing towards not only the cultural impact of infrastructure, but also the influence of culture on infrastructure. With some notable exceptions these two bodies of research have, however, remained largely disconnected: architecture pushing towards the ‘systemic’, and anthropology pulling...

  18. Sífilis materna e congênita: ainda um desafio Sífilis materna y congénita: un desafío Maternal and congenital syphilis: a persistent challenge

    Directory of Open Access Journals (Sweden)

    Iracema de Mattos Paranhos Calderon

    2013-06-01

    Full Text Available Este estudo descritivo coletou informações sociodemográficas, obstétricas e relacionadas ao diagnóstico e tratamento da gestante/puérpera e parceiro das 67 gestantes/puérperas notificadas no Sistema Nacional de Agravos de Notificação, usuárias de maternidades públicas do Distrito Federal, Brasil, entre 2009 e 2010. As informações do acompanhamento clínico e laboratorial recebido pela criança vieram do prontuário médico hospitalar, fichas de notificação compulsória e Cartão da Criança. Das gestantes, 41,8% foram adequadamente tratadas, o principal motivo para a inadequação foi a ausência (83,6% ou inadequação do tratamento do parceiro (88,1%. Mais de um terço necessitou de novo tratamento na maternidade por falta de documentação terapêutica no pré-natal. Dos recém-nascidos com sífilis congênita, 48% fizeram estudo radiográfico, 42% passaram por punção liquórica e 36% deles não receberam qualquer tipo de intervenção. Nota-se, assim, que a qualidade do pré-natal recebido pela gestante não é suficiente para garantir o controle da sífilis congênita e o alcance da meta de incidência da doença.El presente estudio descriptivo está basado en datos sociodemográficos, obstétricos, además se encuentra relacionado con el diagnóstico y tratamiento de la embarazada, así como de su pareja, en un grupo de 67 gestantes inscritas en el Sistema Nacional de Vigilancia Sanitaria, usuarias del servicio de maternidad público en el Distrito Federal, Brasil, a partir de 2009 hasta 2010. La información, seguimiento clínico y de laboratorio recibidos sobre los niños provenían de historiales hospitalarios. Un 41,8% de las mujeres embarazadas fueron tratadas correctamente, no obstante, la razón principal de la inadecuación en el tratamiento fue la ausencia del mismo en un 83,6% o el tratamiento inadecuado del compañero en un 88,1%. Más de un tercio tuvo que ser sometida a un nuevo tratamiento en la maternidad

  19. Perfil clínico y epidemiológico de los niños con cardiopatías congénitas atendidos en el Hospital Infantil de Morelia “Eva Sámano de López Mateos”

    OpenAIRE

    Zavala Solares, Jimena De Montserrat

    2012-01-01

    GENERALIDADES Las malformaciones congénitas en general representan en la actualidad una alta incidencia en su presentación. Entre el 3% y el 4% de todos los recién nacidos presentan una malformación importante al nacer, siendo las cardiopatías congénitas las malformaciones más frecuentes y ocurriendo en el 0,5% al 1% de los recién nacidos vivos, se dice que se produce cardiopatía congénita aproximadamente en 8 de cada 1000 nacidos vivos.1 Se define como cardiopatía congén...

  20. Fluxnet Synthesis Dataset Collaboration Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    Agarwal, Deborah A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Humphrey, Marty [Univ. of Virginia, Charlottesville, VA (United States); van Ingen, Catharine [Microsoft. San Francisco, CA (United States); Beekwilder, Norm [Univ. of Virginia, Charlottesville, VA (United States); Goode, Monte [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jackson, Keith [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Rodriguez, Matt [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Weber, Robin [Univ. of California, Berkeley, CA (United States)

    2008-02-06

    The Fluxnet synthesis dataset originally compiled for the La Thuile workshop contained approximately 600 site years. Since the workshop, several additional site years have been added and the dataset now contains over 920 site years from over 240 sites. A data refresh update is expected to increase those numbers in the next few months. The ancillary data describing the sites continues to evolve as well. There are on the order of 120 site contacts and 60proposals have been approved to use thedata. These proposals involve around 120 researchers. The size and complexity of the dataset and collaboration has led to a new approach to providing access to the data and collaboration support and the support team attended the workshop and worked closely with the attendees and the Fluxnet project office to define the requirements for the support infrastructure. As a result of this effort, a new website (http://www.fluxdata.org) has been created to provide access to the Fluxnet synthesis dataset. This new web site is based on a scientific data server which enables browsing of the data on-line, data download, and version tracking. We leverage database and data analysis tools such as OLAP data cubes and web reports to enable browser and Excel pivot table access to the data.