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Marta Germán Díaz, José Manuel Moreno Villares, Pilar Gomis Muñoz
Introducción: la nutrición parenteral domiciliaria se ha convertido en un punto clave en el tratamiento de pacientes con fracaso intestinal crónico. A pesar de los importantes avances que se han producido en las últimas décadas, tanto en los accesos vasculares, como en las soluciones empleadas, las infecciones asociadas a catéter venoso central siguen constituyendo una de las complicaciones más importantes. Dentro de las estrategias para la prevención o el tratamiento de estas infecciones se encuentra el empleo de sellados con antisépticos, como el etanol o la taurolidina, o de antibióticos...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Ana Maria Maniero Moreira, Wanda Maria Risso Günther
OBJECTIVES: to propose a tool to facilitate diagnosis, formulation and evaluation of the Waste Management Plan in Primary Healthcare Centers and to present the results of the application in four selected units. METHOD: descriptive research, covering the stages of formulation /application of the proposed instrument and the evaluation of waste management performance at the units. RESULTS: the tool consists in five forms; specific indicators of waste generation for outpatients healthcare units were proposed, and performance indicators that give scores for compliance with current legislation...
2016: Revista Latino-americana de Enfermagem
P Armstrong, K D Nizio, K A Perrault, S L Forbes
Following a mass disaster, it is important that victims are rapidly located as the chances of survival decrease greatly after approximately 48 h. Urban search and rescue (USAR) teams may use a range of tools to assist their efforts but detector dogs still remain one of the most effective search tools to locate victims of mass disasters. USAR teams can choose to deploy human scent dogs (trained to locate living victims) or human remains detection (HRD) dogs (trained to locate deceased victims). However, little is known about the variation between live human scent and postmortem human remains scent and the timeframe during which one type of scent transitions to the other...
February 2016: Heliyon
Ivan Balán, Timothy Frasca, Mobolaji Ibitoye, Curtis Dolezal, Alex Carballo-Diéguez
: Self-testing has untapped potential as a strategy to improve access to HIV testing and to increase testing frequency. User acceptability of self-administered oral swab HIV tests is consistently high in both hypothetical and actual-use studies. We explored preferences for oral versus fingerprick HIV self-tests among men who have sex with men with a high risk profile. Participants indicated greater likelihood of using an oral swab over a blood-based test, notwithstanding lower price or quicker results from the latter...
July 20, 2016: AIDS and Behavior
Ingrid Margareth Voth Lowen, Aida Maris Peres, Karla Crozeta, Elizabeth Bernardino, Carmem Lúcia Colomé Beck
OBJECTIVE: To relate the managerial competencies required of nurses with the process of change experienced in the expansion of the Family Health Strategy (FHS). METHOD: A qualitative research conducted in primary health care in a southern Brazilian city, through interviews with 32 managerial and clinical nurses. The interviews were processed by IRAMUTEQ software. The resulting classes were examined under five managerial competencies to promote change. RESULTS: The four classes obtained from data were: the Family Health Strategy expansion process; confrontations and potentialities; mobilization for the change; innovations in medical and nursing consultations...
December 2015: Revista da Escola de Enfermagem da U S P
Pınar Üşar, Aysun Afife Kar, Güven Çıtak, Jale Maral, Şeyda Canlı
The breakage of an epidural catheter, which is usually not noticed, is a rare but important complication encountered while inserting or removing the catheter during epidural blockade. While the epidural catheter was being inserted for labor analgesia, despite no problem being encountered in advancing the catheter, it was drawn back to verify the location; it was observed that 2 cm of the distal end of the catheter was missing. A neurosurgical consultation was requested; it was reported that the broken piece would not create any problems and reintervention could be performed for labor analgesia...
August 2015: Turkish Journal of Anaesthesiology and Reanimation
Jefferson Kalil, Francisco B T Pessine, Carlos H V Fidelis, Fabio H Menezes, Paulo Cesar Rodrigues Palma
OBJECTIVE: to analyze the chemical components of the smoke from electrocautery from coagulating muscle and liver tissues of pigs. METHODS: we collected smoke produced by electrocautery applied to porcine tissue in previously evacuated bottles, with qualitative and quantitative analysis of the compounds present through the hyphenated technique gas chromatography / mass spectrometry. RESULTS: there was a majority of decanal aldehyde in the fumes from the subcutaneous, muscle and liver tissues...
March 2016: Revista do Colégio Brasileiro de Cirurgiões
Arvind Kumar Dubey, Navin Kumar, Nayan Sahu, Pankaj Kumar Verma, Ruma Ranjan, Debasis Chakrabarty, Soumit K Behera, Shekhar Mallick
Embodied study investigates the role of GRX and associated antioxidant enzymes in the detoxification mechanism between arsenic (As) sensitive (Usar-3) and tolerant cultivar (Pant Dhan 11) of Oryza sativa against As(III) and As(V), under GSH enriched, and GSH deprived conditions. The overall growth and physiological parameters in sensitive cultivar were lower than the tolerant cultivar, against various treatments of As(III) and As(V). The As accumulation in sensitive cv. against both As(III) and As(V) was lower than the corresponding treatments in tolerant cv...
February 2016: Ecotoxicology and Environmental Safety
Peter Tatham, Karen Spens
The challenges of achieving successful inter-agency logistic coordination in preparing for and responding to natural disasters and complex emergencies are both well understood and well documented. However, although many of these challenges remain unresolved, the literature reveals that the organisations that form the urban search and rescue (USAR) community have attained a high level of coherence and interoperability that results in a highly efficient and effective response. Therefore, this paper uses the idea of 'borrowing' from other fields as it explores how the processes and procedures used by the USAR community might be applied to improve humanitarian logistic operations...
April 2016: Disasters
Eduardo Sánchez de Badajoz
No abstract text is available yet for this article.
June 2015: Archivos Españoles de Urología
Carlos Polanco-González, Jorge Alberto Castañón-González, Sebastián Villanueva-Martínez, José Lino Samaniego-Mendoza, Thomas Buhse
INTRODUCTION: In most places all over the world–including our country–services in emergency rooms are oversaturated. This situation frequently forces the continuously arriving ambulances to be redirected to other medical units, delaying the admission of patients moved and thus adversely affecting their physical condition. OBJECTIVE: To introduce an improvement to the Índicede Saturación Modificado computational system, which monitors the degree of saturation of a network of emergency medical services, to include a network of ambulances, enabling in the system: (i) the effective allocation of ambulances to the site of the accident, or severe clinical event, and (ii) the remote booking of beds in the nearest and least saturated emergency room available...
May 2015: Gaceta Médica de México
Barbara E Wojcik, Wioletta Szeszel-Fedorowicz, Rebecca J Humphrey, Paul Colthirst, Alicia C Guerrero, John W Simecek, Adam Fedorowicz, Steven Eikenberg, Georgia G Rogers, Philip DeNicolo
Dental Disease and Non-Battle Injuries (D-DNBI) continue to be a problem among U.S. Army active duty (AD), U.S. Army National Guard (ARNG), and U.S. Army Reserve (USAR) deployed soldiers to Operation Iraqi Freedom/Operation New Dawn in Iraq and Operation Enduring Freedom in Afghanistan. A previous study reported the annual rates to be 136 D-DNBI per 1,000 personnel for AD, 152 for ARNG, and 184 for USAR. The objectives of this study were to describe D-DNBI incidence and to determine risk factors for dental encounters and high severity diagnoses for deployed soldiers...
May 2015: Military Medicine
Roumayne Fernandes Vieira Andrade, Maria Alix Leite Araújo, Luiza Jane Eyre de Souza Vieira, Cláudia Bastos Silveira Reis, Angélica Espinosa Miranda
OBJECTIVE To assess the prevalence and factors associated with intimate partner violence after the diagnosis of sexually transmitted diseases. METHODS This cross-sectional study was conducted in Fortaleza, CE, Northeastern Brazil, in 2012 and involved 221 individuals (40.3% male and 59.7% female) attended to at reference health care units for the treatment of sexually transmitted diseases. Data were collected using a questionnaire applied during interviews with each participant. A multivariate analysis with a logistic regression model was conducted using the stepwise technique...
2015: Revista de Saúde Pública
Luis A Menacho, Jerome T Galea, Sean D Young
A peer leader-based intervention using social media can be an effective means to encourage Peruvian gay men to test for HIV. The objective was to explore the feasibility of recruiting and training leaders to deliver a peer intervention via Facebook to promote HIV testing. Training consisted of three sessions focused on HIV epidemiology, consequences of stigma associated with HIV, and ways to use Facebook. We performed pre- and post-training evaluations to assess HIV knowledge and comfort using Facebook. We trained 34 peer leaders...
June 2015: AIDS and Behavior
M Genc, N Sahin, J Maral, E Celik, A A Kar, P Usar, B Korkut, S Guclu
In this study we aimed to explore the effects of epidural analgesia achieved by a combination of low-dose bupivacaine and fentanyl infused through an epidural catheter on mother, foetus and labour process in nulliparous at-term pregnant women during vaginal delivery. This study was designed in a prospective, randomised controlled manner. Epidural analgesia was achieved in 50 nulliparous women. Fifty nulliparous women did not undergo epidural analgesia procedure. The duration of the first stage of labour was significantly shortened, while the second stage was significantly lengthened in pregnant women who underwent epidural analgesia (p < 0...
2015: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
John W Simecek, Paul Colthirst, Barbara E Wojcik, Steven Eikenberg, Alicia C Guerrero, Adam Fedorowicz, Wioletta Szeszel-Fedorowicz, Philip DeNicolo
BACKGROUND: In the past, the U.S. Army Reserve (USAR) and Army National Guard (ARNG) have exhibited lower levels of medical and dental readiness than active duty (AD) Soldiers when activated for deployment. OBJECTIVE: The objective was to compare dental disease and nonbattle injury (D-DNBI) incidence rates and describe the most common D-DNBI diagnoses in Army AD, ARNG, and USAR Soldiers deployed to Iraq (Operation Iraqi Freedom/Operation New Dawn) and Afghanistan or Kuwait (Operation Enduring Freedom)...
June 2014: Military Medicine
Alex Carballo-Diéguez, Rebecca Giguere, Curtis Dolezal, José Bauermeister, Cheng-Shiun Leu, Juan Valladares, Lisa C Rohan, Peter A Anton, Ross D Cranston, Irma Febo, Kenneth Mayer, Ian McGowan
An applicator designed for rectal delivery of microbicides was tested for acceptability by 95 young men who have sex with men, who self-administered 4 mL of placebo gel prior to receptive anal intercourse over 90 days. Subsequently, 24 of the participants self-administered rectally 4 mL of tenofovir or placebo gel over 7 days using a vaginal applicator, and compared both applicators on a Likert scale of 1-10, with 10 the highest rating. Participants reported high likelihood to use either applicator in the future (mean scores 9...
September 2014: AIDS and Behavior
Paweł Mochalski, Julian King, Karl Unterkofler, Hartmann Hinterhuber, Anton Amann
Gas chromatography with mass spectrometric detection (GC-MS) coupled with solid phase micro-extraction as pre-concentration method (SPME) was applied to identify and quantify volatile organic compounds (VOCs) emitted by human skin. A total of 64 C4-C10 compounds were quantified in skin emanation of 31 healthy volunteers. Amongst them aldehydes and hydrocarbons were the predominant chemical families with eighteen and seventeen species, respectively. Apart from these, there were eight ketones, six heterocyclic compounds, six terpenes, four esters, two alcohols, two volatile sulphur compounds, and one nitrile...
May 15, 2014: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
Barzin Doroodgar, Yugang Liu, Goldie Nejat
Semi-autonomous control schemes can address the limitations of both teleoperation and fully autonomous robotic control of rescue robots in disaster environments by allowing a human operator to cooperate and share such tasks with a rescue robot as navigation, exploration, and victim identification. In this paper, we present a unique hierarchical reinforcement learning-based semi-autonomous control architecture for rescue robots operating in cluttered and unknown urban search and rescue (USAR) environments. The aim of the controller is to enable a rescue robot to continuously learn from its own experiences in an environment in order to improve its overall performance in exploration of unknown disaster scenes...
December 2014: IEEE Transactions on Cybernetics
M Statheropoulos, G C Pallis, K Mikedi, S Giannoukos, A Agapiou, A Pappa, A Cole, W Vautz, C L Paul Thomas
The design, development, and validation of a dynamic vapor generator are presented. The generator simulates human scent (odor) emissions from trapped victims in the voids of collapsed buildings. The validation of the device was carried out using a reference detector: a quadrupole mass spectrometer equipped with a pulsed sampling (PS-MS) system. A series of experiments were conducted for evaluating the simulator's performance, defining types and weights of different factors, and proposing further optimization of the device...
April 15, 2014: Analytical Chemistry
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