检索结果-南通市图书馆

Patient Safety in the Use of Mechanical Restraints: Regulatory Compliance among Hospitals in the City of buenos aires and Proposal for Its Improvement

引用

Open Journal of Emergency Medicine 2024年第2期12卷 33-39页

作者： Martín Javier Mazzoglio y Nabar Sergio Giordano Edgardo Knopoff Lorena Onofrio Oscar Agustín Porta Romina Rodríguez Emergency Service Torcuato de Alvear Psychiatric Emergency Hospital Buenos Aires Argentina Department of Psychiatry and Mental Health Faculty of Medicine University of Buenos Aires Buenos Aires Argentina

Introduction: Mechanical or physical restraint is an exceptional therapeutic resource to immobilize a subject and thus guarantee the safety of the patient and/or third parties in the face of high-risk behaviors, but it entails multiple crossings (bioethical, philosophical, medical, psychological, legal). Framed in the so-called “safety culture” developed by the WHO, based on the Protocol for its implementation of the CABA and attentive to its frequent use in CABA by different hospital services (medical clinic, geriatrics, intensive care and medical guards) we consider it necessary its study in terms of compliance with the risks it entails and its management. Objectives: Identify regulatory compliance with the GCABA Mechanical restraint (MR) Protocol from a patient safety perspective, as well as describe the clinical and medicolegal aspects, and propose the usefulness of a tool for its management and control. Methodology: Observational, descriptive, transversal and prospective work through the analysis of Clinical Records with indication of MR using a rubric-type form. 177 cases were analyzed between September-November 2023 from three hospitals of the Government of the City of buenos aires, statistical parameters were applied and graphs were made. Results: Only 12.99% complied with the Protocol. In the mental health specialized hospital compliance was almost 5 times greater than in the general one, and in the emergency services compliance was 12 times greater than in Inpatient services. We found that the start or end time of MR was not recorded and only 43% described the causes/justifications for the indication (mostly in Emergency and Specialized hospitals), with the MR average time being shorter in Emergency. Conclusions: Only 1.3 out of 10 patients reliably completed the Protocol and it was mostly in the mental health specialized hospital and the emergency services. The results show non-compliance behavior in the application and management of the risk that the use

关键词： Mechanical Containment Patient Safety Injuries in Custody buenos aires City Check List

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Liver graft procurement in neurologically deceased donor:Hospital Italiano of buenos aires approach

引用

Hepatobiliary & Pancreatic Diseases International 2022年第1期21卷 80-82页

作者： Juan Glinka Carolina Vanetta Juan Pekolj Juan Mattera Eduardo de Santibañes Martín de Santibañes Department of General Surgery Hospital Italiano de Buenos AiresBuenos AiresArgentina Section of HPB Surgery&Liver Transplantation Unit Hospital Italiano de Buenos AiresBuenos AiresArgentina

To the Editor:Liver procurement(LP)from a neurologically deceased donor(NDD)is one of the most important spotlights in liver transplanta-tion(LT)[1,2].The commonly used approaches include the“rapid”en-bloc dissection,the in vivo normothermic dissection,or a com-bination of both,according to the preferences and/or the experi-ence of the LP/LT team.A correct LP is essential to achieve optimal *** the counterpart,defective execution of any of its steps can leave the liver graft unusable and/or cause severe complica-tions in the recipient[3].

关键词： Liver neurological dissection

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Factors associated with H pylori epidemiology in symptomatic children in buenos aires,Argentina

引用

World Journal of Gastroenterology 2006年第33期12卷 5384-5388页

作者： Cinthia Goldman Andrés Barrado Mariana Janjetic Norma Balcarce Eduardo Cueto Rua Masaru Oshiro María L Calcagno Margarita Martinez Sarrasague Julián Fuda Ricardo Weill Marcela Zubillaga Guillermo I Perez-Perez José Boccio Radioisotopes Laboratory and Laboratory of Stable Isotopes Applied to Biology and Medicine Physics Department School of Pharmacy and Biochemistry University of Buenos Aires Buenos Aires Argentina Laboratory of Stable Isotopes Applied to Biology and Medicine Physics Department School of Pharmacy and Biochemistry University of Buenos Aires Buenos Aires Argentina Gastroenterology Unit Hospital de nios "Superiora Sor María Ludovica" La Plata Argentina Health Center Di Matteo San Fernando Buenos Aires Argentina Mathematics Department School of Pharmacy and Biochemistry University of Buenos Aires Buenos Aires Argentina Agrarian Industries Department School of Agronomy University of Morón Buenos Aires Argentina Departments of Medicine and Microbiology New York University School of Medicine New York United States

AIM: To determine prevalence of H pylori infection in symptomatic children in buenos aires, Argentina, and to investigate factors associated with H pylori positivity. METHODS: A total of 395 children with upper gastrointestinal symptoms referred to the Gastroente-rology Unit of the Children Hospital “Sor Maria Ludovica” were evaluated for the presence of H pylori by the 13C-Urea Breath Test (13C-UBT). A questionnaire was applied to the recruited ***: Prevalence of H pylori infection was 40.0%in this population (mean age 9.97 ± 3.1 years). The factors associated with H pylori positivity were number of siblings (P < 0.001), presence of pet cats (P = 0.03) and birds (P = 0.04) in the household, and antecedents of gastritis among family members (P = 0.01). After multivariate analysis, number of siblings [Odds ratio (OR) = 1.39; 95% CI, 1.20-1.61] and contact with pet cats (OR = 1.76; 95% CI, 1.00-3.09) remained as variables associated with H pylori infection. CONCLUSION: The prevalence of H pylori infection in children with upper gastrointestinal symptoms in Argentina was similar to that reported in developed countries. Children from families with a higher crowding index and presence of pet cats have a higher risk of being colonized with H pylori.

关键词：流行病学幽门螺杆菌甲酮-钠除草剂阿根庭

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Triage and Risk Concept: Application Proposal for Pre-Hospital Emergencies in a Psychiatric Ambulance in the City of buenos aires

引用

Open Journal of Emergency Medicine 2023年第1期11卷 21-31页

作者： Mazzoglio Y. Nabar Martín Javier Rubén Daniel Algieri Gabriel Schraier Blanca Lopez Sergio Giordano Department of Psychiatric Emergencies “Torcuato de Alvear” Psychiatric Emergency Hospital Buenos Aires Argentina

The heterogeneity of clinical presentations in psychiatric emergencies creates difficulties in the response by interdisciplinary Mental Health teams. This is aggravated and difficult when the care is carried out on public roads or the patient’s home, that is, it is a pre-hospital context. Our Psychiatric Emergency Hospital, located in the City of buenos aires, provides pre-hospital care with a psychiatric ambulance, which is then referred to general hospitals or other health system providers. Not all effectors in the network have the same resources and, at the time of the emergency, the reasons for consultation such as the patient’s clinic are heterogeneous and require the greatest effectiveness in the intervention that is taken. The triage system is a resource that allows the systematization of approaches against the multiplicity of reasons for consultation and presentation of mental pathologies in the emergency room, in addition to providing greater effectiveness in interventions, homogeneity for the health system and consensus among the health effectors. Framed in the Mental Health Law, and especially in the concept of risk, a triage proposal was designed for pre-hospital interventions by the psychiatric ambulance dependent on Hospital Alvear and under current legal regulations with the aim of homogenizing care and referrals with the highest rate of effectiveness to provide quality interdisciplinary medicine.

关键词： Psychiatry Ambulance Emergencies Triage

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Catabolic Response Profiles, Catabolic Uniformity and Richness as Microbiological Indicators in a Soil of Pergamino, buenos aires Province, with and without Previous Application of Glyphosate

引用

Journal of Agricultural Chemistry and Environment 2016年第2期5卷 85-91页

作者： Ruth P. Ríos Lidia Giuffré Romina I. Romaniuk Mónica G. Pérez Eduardo A. Pagano School of Agriculture University of Buenos Aires Buenos Aires Argentina

Incubation assay in trays was performed with two soils with different application histories of glyphosate: no application, and previous application. The soils used were Typic Argiudolls of Pergamino, province of buenos aires, and the treatments were: control (no application), and 20, 200 and 2000 mg of active ingredient per kg of soil. Sampling was performed at the beginning (T0) and 45 days after (T45). Catabolic response profiles (CRP), catabolic richness and catabolic uniformity were determined according to the methodology based on measuring the differences in respiration induced by substrate in a short time (4 hours). The substrates used in this study were 20, namely, two amines, 5 aminoacids, two carbohydrates, and 11 carboxylic acids. The objective of this work was to compare soils with different histories of application of glyphosate, measuring its effect on catabolic response profiles, catabolic uniformity and catabolic richness. In this study, no differences were observed between catabolic richness among the different sampling times and doses of glyphosate applied. Glyphosate application affected the structure of the soil microbial communities. At the end of the test, soils with all doses of previous herbicide application showed greater catabolic uniformity than soils without previous application.

关键词： Glyphosate Catabolic Response Profiles Catabolic Uniformity and Richness

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Tillage and no-tillage effects on physical and chemical properties of an Argiaquoll soil under long-term crop rotation in buenos aires, Argentina

引用

International Soil and Water Conservation Research 2020年第2期8卷 185-194页

作者： Ana Clara Sokolowski Barbara Prack McCormick Javier De Grazia José E.Wolski Hernán A.Rodríguez Eric P.Rodríguez-Frers María C.Gagey Silvina P.Debelis Ileana R.Paladino Mónica B.Barrios Universidad Nacional de Lomas de Zamora Facultad de Ciencias AgrariasRP N°4 Km 2LlavallolCP 1836Buenos AiresArgentina

No-tillage systems are able to reduce the negative effects of agricultural intensification on soil properties. However, knowledge of long-term impacts of no-tillage systems on soil properties is insufficient. It is essential to know which soil quality indicators are the most sensitive to management practices in each particular environment. Therefore, the objective of this work is to determine which soil quality prop-erties are more sensitive to the impact of two tillage systems in a vertic Argiaquoll soil from buenos aires, Argentina. This work started in 2006 and included crop rotation and tillage systems, including both tillage and no-tillage. Physical and chemical properties were measured in three consecutive years (2013-2015) at two depths (0-10 cm and 10-20 cm). The tillage system modified soil physical and chemical properties, mainly in the surface layer. No-tillage showed significantly higher bulk density (2013-2015 p < 0.05), gravimetric moisture (2013;2014 p < 0.05), organic carbon (2013-2015 p < 0.05), and ag-gregates stability in the face of a heavy rain (2013;2015 p<0.05), than soil under tillage. Soil saturation (or total porosity) was significantly greater under tillage. The tillage system did not affect hydraulic conductivity, total nitrogen and extractable phosphorus from the surface, nor physical and chemical properties from the second depth. No-tillage alleviates, but is not enough to mitigate, the loss of soil organic carbon and aggregate stability caused by continuous cropping in this vertic Argiaquall. Bulk density, organic carbon, aggregates stability and saturation are indicators for future studies performed in environments with similar soil and climate conditions.

关键词： Tillage Direct seeding Soil quality Soil properties Long-term field experiment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Disease Prevalence and Symptoms Caused by <i>Alternaria tenuissima</i>and <i>Pestalotiopsis guepinii</i>on Blueberry in Entre Ríos and buenos aires, Argentina

引用

American Journal of Plant Sciences 2015年第19期6卷 3082-3090页

作者： Rocío L. Fernández Marta C. Rivera Bruno Varsallona Eduardo R. Wright Cátedra de Fitopatología Facultad de Agronomía Universidad de Buenos Aires Ciudad de Buenos Aires Argentina Servicio Nacional de Sanidad y Calidad Agroalimentaria (SENASA) Ciudad de Buenos Aires Argentina Instituto de Floricultura Instituto Nacional de Tecnología Agropecuaria INTA Hurlingham Buenos Aires Argentina

About 60% of blueberry (Vaccinium corymbosum) plantations in Argentina are located in the provinces of Entre Ríos and buenos aires. Alternaria tenuissima and Pestalotiopsis guepinii have been reported as pathogens of blueberry, causing leaf spots and branch cankers. The aims of this research were to estimate the prevalence of these microorganisms on leaves and fruits taken from crops located in Entre Ríos and buenos aires, as well as to differentiate leaf symptoms after target inoculations with each pathogen individually and in mixtures. Both fungi were present in blueberry fields from 2010 to 2013. A. tenuissima was the most prevalent pathogen, as most of the symptoms detected in the fields had been caused by this species. As a result of inoculations on cv. O’Neal, injured tissues showed symptoms before undamaged ones. Leaf symptoms caused by A. tenuissima differed from those caused by P. guepinii because of their predominant reddish color and the absence of drop-off of the central part of the lesions. When inoculated in a mixture, incubation period on leaves was intermediate between the registered for individual inoculations. The leaves showed reddishbrown spots typical of A. tenuissima and dark brown spots typical of P. guepinii, both with red margins. Blight, defoliation and canker symptoms caused in each case were undistinguishable.

关键词： Blueberry Diseases Alternaria tenuissima Pestalotiopsis guepinii Argentina

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Relationship between MODIS-NDVI data and wheat yield: A case study in Northern buenos aires province, Argentina

引用

Information Processing in Agriculture 2015年第2期2卷 73-84页

作者： Mariano F.Lopresti Carlos M.Di Bella Américo J.Degioanni Instituto Nacional de Tecnología Agropecuaria(INTA) EEA PergaminoRuta 32 km 4.5Pergamino 2700Buenos AiresArgentina INTA-Castelar CNIAInstituto de Clima y AguaLas Cabanas y Los Reseros S/NHurlingham 1686Buenos AiresArgentina UNRC Facultad de Agronomía y VeterinariaDepartamento de Ecología AgrariaRuta Nacional 36 km 601Río Cuarto 5800Co´rdobaArgentina CONICET–Consejo Nacional de Investigaciones Científicas y Técnicas Argentina

In countries like Argentina,whose economy depends heavily on crop production,the estimation of harvests is an elementary *** providing objectivity,the use of remote sensing allows estimating yield in *** the time of maximum leaf area in wheat corresponds with the critical period of the crop,a good relationship is expected between the Normalized Difference Vegetation Index(NDVI)and *** present study was carried out in the North of buenos aires province,*** on the type of soil,the study area can be divided into two homogeneous subzones:a subzone with lower clay content in the southwestand a subzone with higher clay content in the *** growing seasons(2003–2011)were *** the first five years,an empirical model was calibrated and validated with field-observed wheat yields and MOD13q1 product-NDVI data,whereas in the other four years,the calibrated model was applied by means of yield maps and by comparing with official *** MOD13q1 image corresponding to Julian day 289 showed the best fit between NDVI and yield to estimate wheat yield *** yield maps,better weather conditions showedhigher yields and higher soil productivity presented a greater proportion of the area occupied by higher *** department level,an R2 value of 0.75 was found after relating the estimation of the calibrated empirical model with official *** method used allows predicting wheat yield 30 days before *** yield maps,the NDVI perceived the temporal and spatial variability in the study area.

关键词： Remote sensing Wheat NDVI Yield Empirical models MODIS

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health Effects of Climate and Air Pollution in buenos aires: A First Time Series Analysis

引用

Journal of Environmental Protection 2012年第3期3卷 262-271页

作者： Rosana Abrutzky Laura Dawidowski Patricia Matus Patricia Romero Lankao Centro Nacional del Medioambiente Santiago Chile National Centre for Atmos- pheric Research Boulder Colorado USA Universidad Nacional de San Martín Buenos Aires Argentina Universidad Nacional de San Martín San Martín Buenos Aires Argentina

Background: The impact of urban air pollution and temperature changes over health is a growing concern for epidemiologists all over the world and particularly for developing countries where fewer studies have been performed. Aim: The main goal of this paper is to analyze the short term effects of changes in temperature and atmospheric carbon monoxide on daily mortality in buenos aires, Argentina. Methods: We conducted a time series study focused on three age groups, gender, and cardiovascular and respiratory mortality, with lags up to four days and temporal variables as modifiers. Results: Temperature correlates positively with total mortality for summer months, with a RR = 1.0184 (95%, CI 1.0139, 1.0229) on the same day for each 1℃ increase. In winter this relationship reverses, as 1?C temperature increase exhibit a protective effect with a RR = 0.9894 (95%, CI 0.9864, 0.9924) at the 3 day lag. Carbon monoxide correlates always positively with mortality, with a RR = 1.0369 (95%, CI 1.0206, 1.0534) for each 1 ppm increase, on the previous day. Conclusions: Climate and pollution parameters measured in buenos aires City exhibit a correlation with health outcomes. The impacts of temperature and carbon monoxide vary with age and gender, being elderly the most susceptible subgroup. One day after an increase in CO of 1 ppm, about 4% extra deaths can be expected. The correlation found between increases in CO and mortality for greater lags may be ascribed to the role of CO as a chemical marker of urban air pollution, indicating the co-presence of other pollutants.

关键词： Health Air Pollution Climate Variability Carbon Monoxide Epidemiology

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Macrobioerosion and Microbioerosion in Marine Molluscan Shells from Holocene and Modern Beaches (39°-40°S, South of buenos aires Province, Argentina)

引用

Acta Geologica Sinica(English Edition) 2017年第4期91卷 1215-1230页

作者： Melisa P. CHARO Jose L. CAVALLOTTO Guillermo ACENOLAZA Instituto Superior de Correlacion Geologica (INSUGEO/CONICET-UNT) Miguel Lillo 205 4000 Tucuman Argentina Servicio de Hidrografia Naval Av. Montes de Oca 2124 C1270ABWBuenos Aires Argentina

The marine sediments of the area of Verde Peninsula - Jabali Island （39°28＇S/62°19%V-40°28＇ S/62°11＇W） Holocene in age （3-2 ky）, and modern beaches contain a significant amount of bioeroded mollusc shells. Fifteen sites were analyzed, in which 20.11% of the mollusc shells （2168 valves） presented bioerosion traces, in 54 species （30 bivalves and 24 gastropods）. Fourteen ichnogenera were reported： Entobia, Maeandropolydora, Iramena, Caulostrepsis, Pennatichnus, Pinaceocladichnus, Trypanites, and Gastrochaenolites （Domichnia）, Gnathichnus and Radulichnus （Pascichnia）, Finichnus and Centrichnus （Fixichnia）, Oichnus （Praedicnia）（macrobioerosion）, y Semidendrina （microbioerosion）, the latter is first reported in mollusc shells in Argentina. Eleven ichnospecies were identified Finichnus peristroma, Maeandropolydora sulcans, Gnathichnus pentax, Pinaceocladichnus onubensis, Caulostrepsis taeniola, Centrichnus eccentricus, Radulichnus inopinatus, Oichnus simplex, Oichnus paraboloides, Oichnus gradatus, and Gastrochaenolites torpedo （lithic remains）. The dominant ichnogenera in the Holocene deposits are Iramena, Entobia and Oichnus. The same ichnogenera are constant with different abundance in the modern beaches, and increasing representation of Pinaceocladichnus and Pennatichnus. The dominant ichnofacies in the Holocene deposits is Trypanites, revealing a benthonic marine community composed of cheilostome bryzoans, clionaid sponges, predator gastropods, regular echinoids, polychaete annelids, bivalves, thallophytas and fungi. Generally, the area was described as a sublittoral, low-energy, stable environment with high rate of oxygenation, and sandy bottoms, with rocky bottoms at Villalonga locality.

关键词： molluscan bioerosion Holocene south of buenos aires Province

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：