Fotografia ficção

Esse artigo busca investigar as diversas interações entre a fotografia e a performance e performatividade: a tragicidade e ambiguidade como características desse meio de expressão e as dinâmicas de poder envolvidas na criação e exposição de trabalhos fotográficos

Effect of a Mass Casualty Incident: Clinical Outcomes and Hospital Charges for Casualty Patients Versus Concurrent Inpatients

Objectives:  A mass casualty incident (MCI) may strain a health care system beyond surge capacity, affecting patterns of care for casualties and other patients. Prior studies of MCIs have assessed clinical care for casualty patients, but have not examined outcomes or expenditures for noncasualty inpatients in the same time period. Methods:  This was a retrospective analysis of administrative hospital claims in a state where an MCI with over 200 casualties occurred; two hospitals that admitted casualties of >5% of their inpatient capacity were studied. The “surge period” was defined as 7 days after the MCI. Using diagnostic codes, patients admitted on the MCI day with diagnoses of burns or inhalation injury were included in the “MCI surge cohort.” Patients admitted within a time frame of 7 days prior to 7 days after the MCI who were inpatients during the surge period were included in the “non‐MCI surge cohort.” The authors compared the MCI and non‐MCI surge cohorts to a mutually exclusive reference cohort (all inpatients during 6 weeks prior to the MCI), regarding key outcomes of hospital length of stay (LOS) and hospital charges adjusted for age, sex, race/ethnicity, and severity of illness. Results:  Fifty‐five patients met criteria for the MCI surge cohort, 1,369 for the non‐MCI surge cohort, and 5,980 for the reference group. Compared with the reference group and adjusted for covariates, the mean (±SD) hospital LOS was 4.90 (±1.85) days longer for the MCI surge cohort (95% confidence interval [CI] = 1.67 to 8.84) and 1.34 (±0.16) days longer for the non‐MCI surge cohort (95% CI = 1.00 to 1.65). The MCI cohort also had significantly longer mean hospital LOS than the non‐MCI surge cohort (difference = 3.56 days; 95% CI = 0.36 to 7.36). Also adjusted for covariates, mean (±SD) total hospital charges for the MCI surge cohort were $22,349 (±$8,342) greater than for the reference group (95% CI = $8,182 to$39,485). Mean (±SD) charges for the non‐MCI surge cohort were $4,028 (±$633) greater than for the reference group (95% CI = $2,792 to$5,196). The MCI cohort also had higher mean total charges than the non‐MCI surge cohort (difference = $18,321; 95$4,488 to $34,980). Conclusions:  When adjusted for severity of illness, casualty patients and noncasualty patients receiving concurrent hospital care have significantly longer LOS and higher charges than typical hospital patients at times unaffected by MCIs. Spillover effects from MCIs for noncasualty patients have not been previously described and have implications for clinical and hospital management in MCI and other high‐surge circumstances.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90586/1/j.1553-2712.2011.01278.x.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/90586/2/ACEM_1278_sm_DataSupplementS1.pd

Nódulo reumatóide pulmonar há 2 anos, sem desenvolvimento de artrite reumatóide em paciente masculino - Relato de caso / Pulmonary rheumatoid nodule for 2 years, without development of rheumatoid arthritis in male patient - Case report

A artrite reumatóide (AR) se caracteriza como doença auto-imune, sistêmica e de causa desconhecida. Apesar das manifestações osteoarticulares merecerem maior atenção, a AR, como doença sistêmica, pode ter acometimento visceral. O envolvimento pulmonar inclui nódulos parenquimatosos, envolvimento intersticial e doença em via aérea. O caso relatado apresenta relevância, uma vez que se refere ao aparecimento do nódulo pulmonar reumatóide sem manifestação articular como extra-articular da doença. Nódulos pulmonares reumatóides como manifestação inicial de AR são eventos raros e de interesse científico

Spatiotemporal distribution and speciation of silver nanoparticles in the healing wound

Funding: This research was supported by funds from the MIUR-FIRB project number RBFR08M6W8. Acknowledgments: ELGA LabWater is acknowledged for providing the PURELAB Option-Q and Ultra Analytic systems, which produced the ultra-pure water used for Ag determinations. Adam Douglas and Dhinesh Asogan are acknowledged for their technical support during LA-ICP-MS analysis at the University of Venice, and the authors gratefully acknowledge Bill Spence and Teledyne Cetac Technologies for the loan of the laser ablation instrumentation. Laura Molin and ISTM-CNR are acknowledged for MALDI-TOF-MS analysis. The synchrotron experiments were performed on beamline ID21 at the European Synchrotron Radiation Facility (ESRF), Grenoble, France (proposal #CH4121).Peer reviewedPostprin

Number of addictive substances used related to increased risk of unnatural death: A combined medico-legal and case-record study

<p>Abstract</p> <p>Background</p> <p>Substance use disorders have repeatedly been found to lead to premature death, i.e. drug-related death by disease, fatal intoxications, or trauma (accidents, suicide, undetermined suicide, and homicide). The present study examined the relationship between multi-drug substance use and natural and unnatural death.</p> <p>Methods</p> <p>All consecutive, autopsied patients who had been in contact with the Addiction Centre in Malmö University Hospital from 1993 to 1997 inclusive were investigated. Drug abuse was investigated blindly in the case records and related to the cause of death in 387 subjects.</p> <p>Results</p> <p>Every substance apart from alcohol used previously in life added to the risk of unnatural death in a linear way. There were independent increased risks of fatal heroin overdoses or undetermined suicide. Death by suicide and violent death were unrelated to additional abuse.</p> <p>Conclusion</p> <p>The number of drugs used was related to an increased risk of unnatural death by undetermined suicide (mainly fatal intoxications) and heroin overdose.</p