34 research outputs found
Platinum and palladium complexes with 2,4-Dinitrophenylhydrazine: synthesis and cytotoxic activity
New complexes of platinum and palladium were isolated with 2,4-dinitrophenylhydrazine (2,4-DNPH). These complexes were characterized and the results shown that the ligand is coordinated to platinum or palladium by the basic nitrogen of NH2 group and have the general structure cis-[M(2,4- DNPH)2Cl2 ].H2O where M = Pt or Pd. The thermal stability of the complexes was followed in the temperature range 25-850 ºC. The antitumor activity of the synthesized compounds has been studied and the compound cis-[Pt(2,4-DNPH)2Cl2 ], was found to display cytotoxicity (IC50 = 4.6 μmol/L) against K562 tumoral cell line. This work is the first to describe the cytotoxic activity of complexes containing 2,4-dinitrophenylhydrazineColegio de Farmacéuticos de la Provincia de Buenos Aire
The aftermath of adverse events in spanish primary care and hospital health professionals
Background
Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims.
Methods
A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals.
Results
A total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio –OR- 1.1, 95% Confidence Interval –CI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o.6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p?=?0.019) and hospital (p?=?0.019) settings.
Conclusions
Adverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon
Interventions in health organisations to reduce the impact of adverse events in second and third victims
Background
Adverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims.
Methods
A cross-sectional study was conducted in healthcare organizations assessing: safety culture; health organization crisis management plans for serious AE; actions planned to ensure transparency in communication with patients (and relatives) who experience an AE; support for second victims; and protective measures to safeguard the institution’s reputation (the third victim).
Results
A total of 406 managers and patient safety coordinators replied to the survey. Deficient provision of support for second victims was acknowledged by 71 and 61 % of the participants from hospitals and primary care respectively; these respondents reported there was no support protocol for second victims in place in their organizations. Regarding third victim initiatives, 35 % of hospital and 43 % of primary care professionals indicated no crisis management plan for serious AE existed in their organization, and in the case of primary care, there was no crisis committee in 34 % of cases. The degree of implementation of second and third victim support interventions was perceived to be greater in hospitals (mean 14.1, SD 3.5) than in primary care (mean 11.8, SD 3.1) (p?<?0.001).
Conclusions
Many Spanish health organizations do not have a second and third victim support or a crisis management plan in place to respond to serious AEs
Oxidação da pirita e seus efeitos em argamassas de cimento Portland sujeitas ao ataque por sulfatos de origem interna
RESUMO O ataque por sulfatos de origem interna é resultante da reação química entre os íons Fe2+ e SO4 2-, provenientes da oxidação de agregados sulfetados, e os compostos da pasta cimentícia, e tende a promover a degradação do concreto devido formação de produtos expansivos que geram fissuração e desagregação do material. Neste trabalho, a morfologia da pirita, presente em alguns tipos de agregado, foi avaliada. O mineral foi utilizado em substituição parcial à areia (10%, em massa) na dosagem de argamassas, para estudo das modificações microestruturais e da variação dimensional linear sob envelhecimento natural durante 42 dias. A caracterização microestrutural foi executada em equipamento FEG/SEM com sonda analítica de EDS. Verificou-se, na superfície da pirita oxidada, a formação de óxidos de ferro, os quais afetaram a interface entre a pasta de cimento e o agregado nos materiais produzidos com a pirita. Quanto a variação dimensional, a argamassa apresentou apenas contrações durante o período de estudo. Verificou-se a ocorrência de fissuração e a predominância na formação de cristais aciculares de etringita aos 42 dias enquanto aos 90 dias a presença de gipsita predomina. Óxidos de ferro oriundos da oxidação da pirita são evidentes nas argamassas aos 90 dias