Intervención breve en accidentados con alcoholemia positiva desde un centro de traumatología

E1 objetivo principal de la investigación es comprobar la efectividad de la intervención breve para reducir el consumo de alcohol en accidentados de tráfico adultos con alcoholemia positiva y sin dependencia del alcohol.En objetivo de la etapa piloto es comprobar la viabilidad estructural del proyecto (capacitación de los profesionales y viabilidad del cribado e intervención desde un centro de traumatología, así como una estimación aproximada de la prevalencia y perfil de los lesionados de tráfico con presencia de alcohol. Material: Se elabora un programa de formación con material de apoyo. Se aplica un método de detección del alcohol en saliva en lesionados de tráfico que acuden a urgencias de traumatología. A los pacientes con saliva positiva se les ofrece una intervención breve. Se recoge la opinión del personal sobre la eficacia percibida y viabilidad estimada del proyecto gobal (cribado e intervención) mediante cuestionarios de opinión. Se estudian la prevalencia y perfil de los pacientes con saliva positiva a partir del análisis comparativo de variables seleccionadas.Resultados: El personal entrenado considera (80%) útil y adecuada la formación recibida. Las enfermeras consideran (89%) que el método es fácil, no plantea demasiados problemas (55%) y es bien aceptado por el paciente (53%). El personal entrenado se ha sentido cómodo y eficiente (67%) al realizar la intervención. 261 de 264 pacientes aceptaron el cribado y el 11% tenía alcohol en saliva. Sólo 2 pacientes rechazaron la intervención, que fue practicada en 16 lesionados. Los pacientes con saliva positiva acuden más en fines de semana (p 0,005) y quedan ingresados con mayor frecuencia (p 0,05) que aquéllos con saliva negativa. Conclusión: el programa está bien estructurado, es viable y aceptado por el paciente. El estudio definitivo incluirá la determinación del alcohol en orina, en pacientes con saliva seca, y reforzará el cribado en fines de semana y politraumáticosMain research objective is to verify the effectiveness of brief intervention to reduce alcohol consumption in non-dependent adults injured in a traffic crash, presenting at the emergency department with a positive saliva alcohol test. The aim of the pilot study is to verify the feasibility of the project (staff training, screening and intervention at a trauma centre) and to roughly estimate the prevalence and profile of alcohol-attributable traffic casualties. Method: Training programme and support material are delivered. Saliva alcohol screening is performed by nurses in patients attending the emergency department because of a traffic crash. Positive patients are offered brief intervention. Staff's opinion on training, esteemed self-efficacy and feasibility of the whole procedure (screening and intervention) is collected by opinion surveys. Prevalence and profile of patients with positive saliva is drawn up by comparative analysis of selected variables. Results: Trained staff considers (80%) training useful and matching objectives. Nurses consider that, despite the nonvalid results in case of mouth dryness, the saliva test is easy (89%), doesn't pose major problems (55%), and is well accepted by the patient (53%). Trained staff have felt comfortable and self-effective (67%) in delivering the intervention. 261 out of 264 patients accepted screening and 28 (11%) had a positive result. Only 2 patients refused intervention, which was performed on 16. Patients with a positive test present more frequently in the weekends (p: 0.005) and are more hospitalised (p: 0.05) than those with a negative test. Conclusion: The programme is well designed, feasible and accepted by the patient. Main study will use urine alcohol test on patients with dry mouth, and will reinforce screening in the weekends and in sever injured patient

Geochemistry of Precordillera serpentinites, western Argentina : evidence for multistage hydrothermal alteration and tectonic implications for the Neoproterozoic-early Paleozoic

Serpentinites are a powerful tool to evaluate mantle composition and subsequent alteration processes during their tectonic emplacement. Exposures of this type of rocks can be found in the Argentine Precordillera (Cuyania terrane) and Frontal Cordillera, both located in central-western Argentina, within the Central Andes. In these regions a Neoproterozoic to Devonian mafic-ultramafic belt composed of serpentinites, metabasaltic dikes/sills, pillow lavas (with an Enriched to Normal Mid-Ocean Ridge Basalts (E- to N-MORB) geochemical signature) and mafic granulites crop out, spatially associated with marine metasedimentary rocks. The serpentinite bodies consist of lizardite/chrysotile+brucite+magnetite, with scarce pentlandite and anhedral reddish-brown Cr-spinel (picotite, pleonaste and spinel sensu stricto) as relict magmatic phases. The original peridotites were moderately-depleted harzburgites (ultramafic cumulates) with an intermediate chemical signature between a mid-ocean ridge and an arc-related ophiolite. Whole-rock Rare Earth Elements (REE) patterns of serpentinites exhibit enriched REE patterns ((La/Yb)CN=13-59) regarding CI chondrite with positive Eu anomalies. These features are the result of an interaction between hydrothermal fluid and serpentinites, in which moderate temperature (350º-400ºC), CO2-rich, mildly basic hydrothermal fluid was involved and was responsible for the addition of Ca, Sr and REE to serpentinites. The presence of listvenites (silica-carbonate rocks) in the serpentinite margins allow us to infer another fluid metasomatism, where lowtemperatures (<250ºC), highly-oxidized, highly-acid fluid lead to the precipitation of silica. The association of these metasomatized serpentinite bodies with neoproterozoic continental margin sucessions and MORB magmatism at the suture zone of the Cuyania and Chilenia terranes suggests the development of an oceanic basin between them during the Neoproterozoic-early Paleozoic

Implementation experience of a patient monitoring solution based on end-to-end standards

Proceeding of: 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBS), Cité Internationale, Lyon, France, August 23-26, 2007.This paper presents a proof-of-concept design of a patient monitoring solution for Intensive Care Unit (ICU). It is end-to-end standards-based, using ISO/IEEE 11073 (X73) in the bedside environment and EN13606 to communicate the information to an Electronic Healthcare Record (EHR) server. At the bedside end a plug-and-play sensor network is implemented, which communicates with a gateway that collects the medical information and sends it to a monitoring server. At this point the server transforms the data frame into an EN13606 extract, to be stored on the EHR server. The presented system has been tested in a laboratory environment to demonstrate the feasibility of this end-to-end standardsbased solution.This research work has been partially supported by projects TSI2005-07068-C02-01 and TSI2004-04940-C02-01 from Ministerio de Educación y Ciencia (Spanish Government), and a personal grant to both M.Galarraga and M. Martínez-Espronceda from Navarre Regional Government

Evidence of Late Ediacaran Hyperextension of the Laurentian Iapetan Margin in the Birchy Complex, Baie Verte Peninsula, Northwest Newfoundland: Implications for the Opening of Iapetus, Formation of PeriLaurentian Microcontinents and Taconic – Grampian Orogenesis

The Birchy Complex of the Baie Verte Peninsula, northwestern Newfoundland, comprises an assemblage of mafic schist, ultramafic rocks, and metasedimentary rocks that are structurally sandwiched between overlying ca. 490 Ma ophiolite massifs of the Baie Verte oceanic tract and underlying metasedimentary rocks of the Fleur de Lys Supergroup of the Appalachian Humber margin. Birchy Complex gabbro yielded a Late Ediacaran U–Pb zircon ID–TIMS age of 558.3 ± 0.7 Ma, whereas gabbro and an intermediate tuffaceous schist yielded LA–ICPMS concordia zircon ages of 564 ± 7.5 Ma and 556 ± 4 Ma, respectively. These ages overlap the last phase of rift-related magmatism observed along the Humber margin of the northern Appalachians (565–550 Ma). The associated ultramafic rocks were exhumed by the Late Ediacaran and shed detritus into the interleaved sedimentary rocks. Psammite in the overlying Flat Point Formation yielded a detrital zircon population typical of the Laurentian Humber margin in the northern Appalachians. Age relationships and characteristics of the Birchy Complex and adjacent Rattling Brook Group suggest that the ultramafic rocks represent slices of continental lithospheric mantle exhumed onto the seafloor shortly before or coeval with magmatic accretion of mid-ocean ridge basalt-like mafic rocks. Hence, they represent the remnants of an ocean – continent transition zone formed during hyperextension of the Humber margin prior to establishment of a mid-ocean ridge farther outboard in the Iapetus Ocean. We propose that microcontinents such as Dashwoods and the Rattling Brook Group formed as a hanging wall block and an extensional crustal allochthon, respectively, analogous to the isolation of the Briançonnais block during the opening of the Alpine Ligurian–Piemonte and Valais oceanic seaways.Le complexe de Birchy de la péninsule de Baie Verte, dans le nord-ouest de Terre-Neuve, est constitué d’un assemblage de schistes mafiques, de roches ultramafiques et de métasédiments qui sont coincés entre des massifs ophiolitiques d’ascendance océanique de la Baie Verte au-dessus, et des métasédiments du Supergroupe de Fleur de Lys de la marge de Humber des Appalaches en-dessous. Le complexe de gabbro de Birchy a donné une datation U-Pb sur zircon ID-TIMS correspondant à la fin de l’Édiacarien, soit 558,3 ± 0,7 Ma, alors qu’un gabbro et un schiste tufacé intermédiaire montrent une datation LA-ICP-MS Concordia sur zircon de 564 ± 7,5 Ma et 556 ± 4 Ma, respectivement. Ces datations chevauchent la dernière phase de magmatisme de rift observée le long de la marge Humber des Appalaches du Nord (565-550 Ma). Les roches ultramafiques associées ont été exhumées vers la fin de l’Édiacarien et leurs débris ont été imbriqués dans des roches sédimentaires. Les psammites de la Formation de Flat Point susjacente ont donné une population de zircons détritiques typique de la marge laurentienne de Humber des Appalaches du Nord. Les relations chronologiques et les caractéristiques du complexe de Birchy et du groupe de Rattling Brook adjacent, permettent de penser que ces roches ultramafiques pourraient être des écailles de manteau lithosphérique continental qui auraient été exhumées sur le plancher océanique peu avant ou en même temps que l’accrétion magmatique de roches mafiques basaltiques de type dorsale médio-océanique. Par conséquent, elles seraient des vestiges d’une zone de transition océan-continent formée au cours de l’hyper-extension de la marge de Humber avant l’apparition d’une dorsale médio-océanique plus loin au large dans l’océan Iapétus. Nous proposons que des microcontinents comme de Dashwoods et du groupe de Rattling Brook ont constitués respectivement un bloc de toit et un allochtone crustal d’extension, de la même manière que le bloc Briançonnais a été isolé lors de l’ouverture des bras océaniques alpins de Ligurie-Piémont et de Valais.Fil: Van Staal, Cees R.. Geological Survey of Canada; CanadáFil: Chew, Dave M.. Trinity College Dublin; IrlandaFil: Zagorevski, Alexandre. Geological Survey of Canada; CanadáFil: Mcnicoll, Vicki. Geological Survey of Canada; CanadáFil: Hibbard, James. North Carolina State University; Estados UnidosFil: Skulski, Tom. Geological Survey of Canada; CanadáFil: Castonguay, Sébastien. Geological Survey of Canada; CanadáFil: Escayola, Monica Patricia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Estudios Andinos; ArgentinaFil: Sylvester, Paul J.. Memorial University Of Newfoundland; Canad

Proposal of an ISO/IEEE11073 platform for healthcare telemonitoring: plug-and-play solution with new use cases

Proceeding of: 29th Annual International Conference of IEEE Engineering in Medicine and Biology Society, (EMBS 2007), Lyon, France, 23-26th august 2007.Remote patient monitoring in e-Health is everyday closer to be a mature technology / service. However, there is still a lack of development in areas such as standardization of the sensor’s communication interface, integration into Electronic Healthcare Record systems or incorporation in ambient-intelligent scenarios. This work identifies a set of use cases involved in the personal monitoring scenario and highlights the related features and functionalities, as well as the integration and implementation difficulties found when these are to be implemented in a system based on the ISO/IEEE11073 (X73) standard. It is part of a cooperative research effort devoted to the development of an end-to-end standards-based telemonitoring solution. Standardization committees are working towards adapting the X73 standard to this emerging personal health devices market and use case identification is essential to direct these revisions.This research work has been partially supported by projects TSI2005-07068-C02-01 and TSI2004-04940-C02-01 from Ministerio de Educación y Ciencia (Spanish Government), and a personal grant to both M.Galarraga and M. Martinez-Espronceda from Navarre Regional Governmen

The age and tectonic setting of the Puncoviscana Formation in northwestern Argentina: An accretionary complex related to Early Cambrian closure of the Puncoviscana Ocean and accretion of the Arequipa-Antofalla block

TIMS and SHRIMP U-Pb zircon geochronology of selected parts of the Puncoviscana Formation suggest its deposition took place mainly during the Early Cambrian, coeval with 540-535. Ma calc-alkaline Pampean arc volcanism mainly preserved as tuff beds in the oldest identified parts of this unit. Syn- to post-tectonic plutons constrains the Tilcarian-Pampean orogeny to have occurred between ca. 530. Ma and deposition of the unconformably overlying Middle-Upper Cambrian Meson Group. Deposition of the Puncoviscana Formation continued after the onset of the Tilcarian-Pampean orogeny. We propose that the Puncoviscana Formation rocks older than 530. Ma were deposited in the arc-trench gap of the west-facing Pampean arc and/or the associated trench, whereas the rocks younger than 530. Ma were deposited in a syn-collision foreland basin. The Puncoviscana Formation rocks were progressively assembled into a west-younging accretionary complex, consistent with the style of deformation and low-grade metamorphism. The age of the syn-collision plutons (≤530. Ma) suggest the foredeep deposits record the transition from trench to foreland basin, due to arrival of the Arequipa-Antofalla block at the west-facing trench at ca. 530. Ma. Our geochronological and Pb-isotope investigations suggest that the Arequipa-Antofalla terrane was a coherent, ribbon-shaped crustal block that also included the western part of the Pampia terrane. A compilation of existing U-Pb zircon studies suggests that the Pampean arc extended along the length of the proto-Andean margin of West Gondwana, represented by the previously amalgamated Amazonia and Rio de La Plata cratons, and probably was initiated during the late Ediacaran after 600. Ma.Following earlier workers, we reaffirm that the Arequipa-Antofalla block was originally separating Laurentia and Amazonia in Rodinia. It probably rifted from Laurentia during the Ediacaran between 600 and 570. Ma, following an earlier departure of Amazonia (∼650. Ma?). The separation of Arequipa-Antofalla from Amazonia and Laurentia opened the Puncoviscana and Iapetus oceans respectively.Fil: Escayola, Monica Patricia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Estudios Andinos "Don Pablo Groeber". Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Estudios Andinos "Don Pablo Groeber"; ArgentinaFil: van Staal, Cees R.. Geological Survey of Canada; CanadáFil: Davis, William J.. Geological Survey of Canada; Canad

Grado Industrial de las Cromitas de Córdoba, Génesis Tectomagmática

Fil: Villar, L.M. CONICET. Dirección Nacional de Minería y Geología; Argentina.Fil: Segal, Susana J. Dirección Nacional de Minería y Geología; Argentina.Fil: Puglisi, Celia. Instituto Nacional de Tecnología Industrial; Argentina.Fil: Escayola, M. Universidad Nacional de Córdoba. Cátedra de Petrología Ignea; Argentina