Variation between Point-of-Care and Laboratory HbA1cTesting in Clinical Practice

Aims: The aim of this study was to identify potential disparities between Point-Of-Care Testing (POCT) and laboratory hemoglobinH bA1c reporting at a Federally Qualified Health Center (FQHC).Methods: The electronic medical record was reviewed to identify POCT HbA1c done at a FQHC and centralized laboratory HbA1c performed on the same day. Manual data extraction was used to identify potential variables that could account for disparities between POCT and laboratory testing.Results: A total of 42 samples in 40 patients were identified. The median HbA1c difference was 1.5mmol/mol (0.15%) and ranged from -26-52 mmol/mol (-2.4 to 4.8%). Of the patients in the study, two had underlying co morbidities that could affect the POCT HbA1c.Conclusion: Point-of-care HbA1c testing should not be used in solidarity to diagnosis pre-diabetes and diabetes. When using HbA1c results to guide therapy, self-monitoring of blood glucose and symptoms of both hypo- and hyperglycemia should be correlated to help determine appropriate therapy

Monitoring Pharmacy Student Adherence to World Health Organization Hand Hygiene Indications Using Radio Frequency Identification

Objective. To assess and improve student adherence to hand hygiene indications using radio frequency identification (RFID) enabled hand hygiene stations and performance report cards. Design. Students volunteered to wear RFID-enabled hospital employee nametags to monitor their adherence to hand-hygiene indications. After training in World Health Organization (WHO) hand hygiene methods and indications, student were instructed to treat the classroom as a patient care area. Report cards illustrating individual performance were distributed via e-mail to students at the middle and end of each 5-day observation period. Students were eligible for individual and team prizes consisting of Starbucks gift cards in $5 increments. Assessment. A hand hygiene station with an RFID reader and dispensing sensor recorded the nametag nearest to the station at the time of use. Mean frequency of use per student was 5.41 (range: 2-10). Distance between the student’s seat and the dispenser was the only variable significantly associated with adherence. Student satisfaction with the system was assessed by a self-administered survey at the end of the study. Most students reported that the system increased their motivation to perform hand hygiene as indicated. Conclusion. The RFID-enabled hand hygiene system and benchmarking reports with performance incentives was feasible, reliable, and affordable. Future studies should record video to monitor adherence to the WHO 8-step technique

Análise da evolução da profundidade de carbonatação em estruturas de concreto ao longo do tempo

Artigo submetido ao Curso de Engenharia Civil da UNESC como requisito parcial para obtenção do Título de Engenheiro Civil.Além de apresentar características mecânicas muito satisfatórias, o concreto armado, tem demonstrado possuir uma durabilidade adequada para a maioria dos usos a que se destina. Esta durabilidade é o resultado natural que o concreto exerce sobre o aço, por uma parte, através do cobrimento de concreto, que é uma barreira física que garante, por impermeabilidade, a proteção deste ao ataque de agentes agressivos externos, e por outra, a elevada alcalinidade do concreto que desenvolve sobre o aço uma camada passiva que o mantém inalterado por um tempo indefinido. Ainda que o cobrimento das armaduras seja uma barreira, esta é permeável em certa medida e permite o acesso de elementos agressivos até o aço. Um destes elementos é o dióxido de carbono (CO2), que quando em contato com o hidróxido de cálcio (Ca (OH)2) presente no concreto, reduz a alcalinidade do mesmo. Este processo é denominado carbonatação, e é o tema de estudo deste trabalho que teve como principal objetivo a análise da profundidade de carbonatação em obras de diferentes idades. Esta profundidade foi obtida através de um indicador de pH, fenolftaleína, que apresenta coloração diferente em concreto carbonatado e não carbonatado. Ensaios complementares foram realizados, sendo eles o de dureza superficial do concreto, que permite obter um fck estimado para cada obra obtidos através do esclerômetro de Schmidt, e também o ensaio de difração de raios-x (DRX) que apresenta a microestrutura do concreto através da determinação de suas fases cristalinas, sendo capaz de comprovar a presença da carbonatação. Analisando os resultados obtidos quanto a profundidade de carbonatação e ao fck,est de cada obra, percebe-se que não há uma similaridade entre o tempo de exposição (idade da obra) e a resistência, com a profundidade encontrada. Isto se dá devido a vários fatores que alteram as propriedades de cada concreto. Por fim, os ensaios de DRX apresentaram, todas as fases cristalinas presentes, sendo possível identificar as responsáveis pela resistência do concreto, e também a fase responsável pela carbonatação

Sitagliptin Associated Pancreatic Carcinoma: a Review of the FDA AERS Database

Purpose: Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor used in the treatment of type 2 diabetes mellitus in adults, as adjunct to diet and exercise to improve glycemic control. During phase III studies, sitagliptin was shown to cause toxicity to the pancreas, including pancreatitis. To date there is limited information available regarding its association with pancreatic carcinoma. Our goal was to qualitatively and quantitatively review available information in the AERS database in order to provide clinicians with a general understanding of the comparative occurrence of sitagliptin use and pancreatic carcinoma and any clinically relevant characteristics that may be useful in identifying patients at risk

Agrio et Emulsio – development of fruity mustard creams

Agrio et Emulsio project (POCI-01-0145-FEDER-023583) presents an proposal in the areas of vinegar products and food emulsions. Combining technical features with mediterranean traditions and Nouvelle Cuisine, two prototypes of fruity mustards are undergoing final development, valuing regional raw materials and profiling into the gourmet/vegan/veggie markets. Mustard creams are oil-in-water emulsions but its practice is linked to vinegar traditions since the thirteenth century, in France, with the foundation of the first confraternity of Maîtres Vinaigrier-Moutardier. Thus, by applying the ancestral practice, mustard (seeds, fragments, powder) was first submitted to maturation studies, varying the type of vinegar and the time of immersion/contact. Maturation reached equilibrium on the 16th day, but pH evolution shows a practically stationary state from the 7th. Best results were obtained with seeds and powdered mustards in red wine vinegar, 4 %(m/v) acidity. The assays were carried out at room temperature using Sinapis Alba (Linnaeus) mustard species. Prototyping articulated technical, analytical (physicochemical, rheological, microbiological) and sensory tests. Each final prototype has a distinct profile of ingredients, mustard, fruits (raspberry and beet or blueberry), olive oil, water, salt, sugar, honey and spices. Both creams retain the sui generis taste of mustard tinted with the fruit flavour plus an innovative pink colour.info:eu-repo/semantics/publishedVersio

Pharmacy-Student Outreach: Bridging the Gap from an Inner-City High School to Pharmacy School

A poster describing a program at Thomas A. Edison High School that aimed to educate students on the educational requirements for pharmacy school and career opportunities within the profession

Distalização de Molares com Ancoragem Esquelética

O objetivo deste estudo foi revisar a literatura acerca da utilização de ancoragem esquelética na distalização de molares, que constitui um desafio ortodôntico na correção da má oclusão de Classe II em tratamentos sem extrações dentárias e sem avanço mandibular. Há uma crescente busca por dispositivos que substituam os aparelhos extrabucais, pois estes demandam grande colaboração por parte do paciente e podem comprometem a estética, comprometendo assim os resultados desejados. A ancoragem esquelética, especialmente os mini-implantes, associada a dispositivos de distalização surgiu como uma alternativa desta mecânica de distalização, proporcionando uma série de vantagens quando comparada à aparelhos extrabucais ou intrabucais com uma maior previsibilidade e efetividade ao tratamento e conforto e estética ao paciente

Transforming global health education during the COVID-19 era:Perspectives from a transnational collective of global health students and recent graduates

Inspired by the 2021 BMJ Global Health Editorial by Atkins et al on global health (GH) teaching during the COVID-19 pandemic, a group of GH students and recent graduates from around the world convened to discuss our experiences in GH education during multiple global crises. Through weekly meetings over the course of several months, we reflected on the impact the COVID-19 pandemic and broader systemic inequities and injustices in GH education and practice have had on us over the past 2 years. Despite our geographical and disciplinary diversity, our collective experience suggests that while the pandemic provided an opportunity for changing GH education, that opportunity was not seized by most of our institutions. In light of the mounting health crises that loom over our generation, emerging GH professionals have a unique role in critiquing, deconstructing and reconstructing GH education to better address the needs of our time. By using our experiences learning GH during the pandemic as an entry point, and by using this collective as an incubator for dialogue and re-imagination, we offer our insights outlining successes and barriers we have faced with GH and its education and training. Furthermore, we identify autonomous collectives as a potential viable alternative to encourage pluriversality of knowledge and action systems and to move beyond Western universalism that frames most of traditional academia.</p

La biblioteca roja

"La biblioteca roja" es una experiencia interdisciplinaria que aborda la recuperación de la memoria de una biblioteca enterrada en Argentina en la última Dictadura Militar. A partir de un trabajo de recuperación de testimonios, este proyecto artístico emprende la primera exhumación realizada en Argentina de una biblioteca enterrada en la década del ´70. El proyecto revisa y resignifica el rol del pensamiento, los libros y los alcances de la violencia en el plano de la vida cotidiana. Cruzando la crónica, la poesía, el dibujo, la fotografía y la antropología forense, el proyecto toma la forma de libro, exposición e investigación.Exposición y presentación del libro “La Biblioteca Roja. Brevísima relación de la destrucción de los libros” de Alzogaray Vanella, Halac y Berti, es una actividad de la convocatoria a Actividades de Producción e Investigación en Artes CePIAbierto 2018 (RHCD N° 103/2018).Fil: Berti, Agustín. Universidad Nacional de Córdoba. Facultad de Artes; Argentina.Fil: Fierro, Rodrigo. Universidad Nacional de Córdoba. Facultad de Artes; Argentina.Fil: Argüello Pitt, Cipriano. Universidad Nacional de Córdoba. Facultad de Artes; Argentina.Fil: Torres, Sebastián. Universidad Nacional de Córdoba. Facultad de Filosofía y Humanidades; Argentina