Reutilização de perfurocortantes na insulinoterapia e sua associação com infecções estafilocóccicas

Background and Objectives: Multiple dose insulin is one of the treatments used for diabetes. The management of syringes, needles and pens in insulin therapy has been described as a risk factor for the development of infectious processes, causing damage to skin integrity and tissue injuries, facilitating the penetration of opportunistic pathogens. Therefore, the objective of this research was to evaluate the practice of reuse of these instruments in insulin therapy and their relation with the emergence of Staphylococcus sp. contamination in needles and risks of infections. Methods: Semi-structured interviews were carried out with the participants of the study on the aspects of insulin therapy. The research interviewed 15 diabetic individuals, of which 13 (86.7%) were female, and 20 needles were collected and sent to the microbiology laboratory at Faculdade Santa Maria. Results: 53.3% of the participants reported adopting some hygiene care at the application site, 80% reused the needle from one to > 7 days, ranging from 2 to > 15 applications, and 66.7% felt some reaction at the application site. A total of nine reused needles were contaminated withStaphylococcus sp. after culturing, Gram stain, catalase and coagulase tests. Conclusion: According to the results, it can be verified that there is a potential risk of infection by Staphylococcus sp. associated with insulin therapy. Keywords: Self-care. Contamination. Staphylococcus Infections.Justificación y Objetivos: Se utiliza la insulinización de múltiples dosis como uno de los tratamientos para la diabetes. El manejo de jeringas, agujas y plumas de injección en la insulinoterapia se considera como un factor de riesgo para el desarrollo de procesos infecciosos, siendo la causa de daños a la piel y de lesiones tisulares, lo que facilita la entrada de patógenos oportunistas. Por lo anterior, esta investigación busca evaluar la práctica de reutilización de estos aparatos en la insulinoterapia y su relación con el surgimiento de contaminación por Staphylococcus sp. en agujas y de riesgos de infecciones. Métodos: Para la recopilación de datos, se realizaron entrevistas semiestructuradas con los participantes de la investigación acerca de los aspectos de la terapia con insulina. En el estudio se entrevistó 15 diabéticos, de los cuales 13 (un 86,7%) son del sexo femenino, y se recolectó 20 agujas para enviarlas a análisis en el Laboratorio de Microbiología de la Facultad Santa Maria. Resultados: Se constató que el 53,3% de los participantes relataron adoptar algún cuidado de higiene en el lugar de aplicación; el 80% reutilizó la aguja de 1 a > 7 días, oscilando de 2 a > 15 aplicaciones, y el 66,7% tuvo alguna reacción en el lugar de aplicación. El total de nueve agujas reutilizadas estaban contaminadas con Staphylococcus sp. después de la realización de cultivo, tinción de Gram, prueba de la catalasa y coagulasa. Conclusión: A partir de los resultados, se comprobó que existe un potencial riesgo de infección por Staphylococcus sp. asociado a la terapia con insulina. Palabras clave: Autocuidado. Contaminación. Infecciones Estafilocócicas.Justificativa e Objetivos: A insulinização de múltiplas doses é um dos tratamentos utilizados para diabetes. O manejo de seringas, agulhas e canetas na insulinoterapia têm sido descrito como um fator de risco ao desenvolvimento de processos infecciosos, causando dano a integridade da pele e lesões tissulares, facilitando a penetração de patógenos oportunistas. Diante disso, o objetivo desta pesquisa foi avaliar a prática de reutilização desses dispositivos na insulinoterapia e sua relação com o surgimento de contaminação por Staphylococcus sp. em agulhas e riscos de infecções. Métodos: Para a coleta de dados foram realizadas entrevistas semi-estruturadas com os participantes da pesquisa acerca dos aspectos da terapia insulínica. A pesquisa entrevistou 15 diabéticos, dos quais 13 (86,7%) do sexo feminino, sendo coletadas 20 agulhas com posterior envio para análise no laboratório de microbiologia da Faculdade Santa Maria. Resultados: Foi constatado que 53,3% dos participantes relataram adotar algum cuidado de hiegiene no local da aplicação, 80% reutilizaram a agulha de um a > 7 dias, variando de dois a > 15 aplicações, e 66,7% sentiram alguma reação no local da aplicação. Um total de nove agulhas reutilizadas mostraram-se contaminadas por Staphylococcus sp. após realização de cultura, coloração de Gram, teste da catalase e coagulase. Conclusão: Diante dos resultados, pode-se constatar que existe um potencial risco de infecção por Staphylococcus sp. associado à insulinoterapia. Descritores: Autocuidado. Contaminação. Infecções Estafilocócicas

Dunes City comprehensive plan update

127 pp. Maps, tables. Published May 9, 1979. Scanned by UO April, 2009.This Comprehensive Plan is a general plan for the logical and orderly development of Dunes City over the years. [From the Plan]"Authorization and funding by the Land Conservation and Development Commission of the State of Oregon

Dunes City Notice of Adopted Amendment (2013-10-18)

49 pages. Comprehensive Plan Text Change

Dunes City Notice of Adopted Amendment (2011-11-18)

59 pp. Adopted 2011-11-18. Department of Land Conservation and Development Notice of Adopted AmendmentOrdinance Number 211A repeals Ordinance Number 203 "Septic System Maintenance" from Title 15, Chapter 157 of the land use code and directs the city to establish an educational program to ensure proper septic system maintenance

Dunes City Notice of Adopted Amendment (2007-08-24)

14 pp. Adopted 2007-08-24. Department of Land Conservation and Development Notice of Adopted AmendmentTo establish standards and practices to restrict sediments reulting from land disturbance from intruding intoany public water bodies or onto any right-of-ways or crossing ownership property lines. The objective is to control erosion at its source in order to maintain and improve water quality and reduce downstream impacts

Dunes City Notice of Adopted Amendment (2007-01-25)

3 pp. Adopted 2007-01-25. Department of Land Conservation and Development Notice of Adopted Amendmen

The brand management system : mediator in the relationship between market orientation and brand performance

Les systèmes de management de marque (BMS) sont d’une importance centrale pour contrôler de façon efficace le management de marque et mettre en valeur la performance de l’entreprise. Une difficulté actuelle concerne l’évaluation des pratiques des managers de marque et leurs contributions à la performance. Cette recherche doctorale tente de pallier cette limite de plusieurs manières : (1) en identifiant les pratiques saillantes et composantes du BMS ; (2) en définissant une échelle de mesure du BMS ; (3) en testant son rôle médiateur dans la relation entre le concept d’orientation marché et la performance marque ; (4) en déterminant globalement , mais aussi sectoriellement, les pratiques saillantes du management de marque qui contribuent à la performance marque mesurée de façon subjective et objective, ainsi que les effets ; (5) en étudiant le rôle de variables qui pourraient modérer cet effet médiateur. Les résultats d’une analyse de sentier auprès de 359 managers de marque confirment l’existence de l’effet médiateur du système de management de marque. Nous démontrons qu’il existe également un chemin médiateur passant par cet effet et ayant un impact sur la performance subjective de la marque puis la performance financière objective. Les analyses multi-groupes mettent en avant des différences sectorielles dans la valorisation des pratiques du management de marque et de l’orientation marché, fournissant ainsi des éléments d’information pour la prise de décision du top management.Brand management systems (BMSs) are of prime importance to monitor an effective brand management and enhance firms’ performance. The lack of research about brand management practices makes the evaluation of their impact on performance difficult to assess. In order to fill this gap, this doctoral research tries to: (1) identify the BMS’s main practices and components; (2) define a BMS scale; (3) test the BMS mediating role in the relationship between market orientation and brand performance; (4) determine to what extent brand management systems contributes to brand performance, measured at subjective and objective levels, globally and in five sectors; (5) study the moderating effects of firms’ and sectors’ characteristics. The research was carried out with a sample of 359 managers. The results demonstrate the mediating effect of BMS on subjective brand performance to objective financial performance. Multigroup analyses show moderating effects which influence BMS and market orientation valuation, which provides relevant information for top managers’ decision making

Dunes City Notice of Adopted Amendment (2006-12-22)

174 pp. Adopted 2006-12-22. Department of Land Conservation and Development Notice of Adopted AmendmentAdopt revised Land Use Regulations. These regulations have been reorganized and expanded for clarity and easier usage, and also updated to include ORS 197.522 - approval/denial criteria and ORS 197.360 thru 380 - Expedited Land Divisions. Also added Limited Land Use, and mad

Dunes City Notice of Adopted Amendment (2006-07-20)

12 pp. Adopted 2006-07-20. Department of Land Conservation and Development Notice of Adopted Amendment1. Denial of portion of the application modifying the Dunes City Comprehensive Plan and re-zoning tax lots 200 and 201. 2. Amended code section 156.093(b)(2) to provide additional protections to Booth Island from adverse impactsfromresidential developments