Sh2-206: medio interestelar y formación estelar

The analysis of the interstellar matter around the HII region Sh2-206 shows extended emission in a region of more than 30 pc from the optical nebula detected both in the radio continuum and in the far IR. The distribution of dust, atomic and molecular gas, is compatible with the fact that the nebula is density bounded towards the east, and ionization bounded towards the south and west. This region is consistent with the champagne model.Investigamos la distribución del gEl análisis del medio interestelar en la región HII Sh2-206 muestra emisión extendida a más de 30 pc de la nebulosa óptica en el continuo de radio y en el IR lejano. La distribución del polvo y del gas neutro atómico y molecular es compatible con el hecho de que la nebulosa está limitada por densidad hacia el este, y limitada por ionización hacia el sur y el oeste. El modelo de champagne se ajustaría a esta región.Fil: Martin, Maria Cristina. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomia; ArgentinaFil: Cappa, Cristina Elisabeth. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomia; Argentina. Universidad Nacional de la Plata. Facultad de Ciencias Astronómicas y Geofísicas; Argentin

The Spanish Long-term Care System. ENEPRI Research Report No. 88, 15 June 2010

Launched in January 2009, ANCIEN is a research project that runs for a 44-month period and involves 20 partners from EU member states. The project principally concerns the future of long-term care (LTC) for the elderly in Europe and addresses two questions in particular: 1) How will need, demand, supply and use of LTC develop? 2) How do different systems of LTC perform? This case study on Spain is part of the first stage in the project aimed at collecting the basic data and necessary information to portray long-term care in each country of the EU. It will be followed by analysis and projections of future scenarios on long-term care needs, use, quality assurance and system performance. State-of-the-art demographic, epidemiologic and econometric modelling will be used to interpret and project needs, supply and use of long-term care over future time periods for different LTC systems

Infecção neonatal por Streptococcus do grupo B no Rio Grande do Sul, Brasil

Group B Streptococcus is the most common pathogen found in neonatal sepsis in North America. OBJECTIVES: We describe 15 cases of neonatal infections by Group B Streptococcus (Streptococcus agalactiae) at a Neonatal Intensive Care Unit of a public and teaching hospital. METHODS: We conducted a study at Hospital de Clínicas de Porto Alegre, from January 1st, 1996 to June 30, 1999. Diagnosis of neonatal infection was established according to the findings of Group B Streptococcus in blood culture associated with alterations resembling sepsis on the basis of clinical picture and laboratory findings. RESULTS: Fifteen cases of neonatal infections by Group B Streptococcus were detected. Eleven cases consisted of early-onset sepsis, 2 cases of occult bacteremia and 2 cases of late-onset sepsis. Eight cases had septic shock (53%), 8 cases had pneumonia (53%), and 4 cases had meningitis (27%). Fourteen cases were diagnosed from a positive blood culture, and 1 case from evidence of these bacteria in pulmonary anatomopathological examination. Thirteen cases (87%) were diagnosed before 72 hours of life. We had 3 deaths (20%), and 3 cases of meningitis developing neurological deficits. CONCLUSIONS: Streptococcus Group B is one of the most important pathogens in the etiology of early-onset neonatal sepsis at our hospital, with high mortality and morbidity. However, we do not know the incidence of GBS neonatal infections at other hospitals. More data are needed to establish a basis for trials of different strategies to reduce these infections.FUNDAMENTOS: Streptococcus do grupo B é o principal agente etiológico responsável pela sepse neonatal na América do Norte. OBJETIVOS: Relatar 15 casos de infecção neonatal por Streptococcus do grupo B (Streptococus agalactiae) ocorridos na Unidade de Tratamento Intensivo Neonatal de um hospital público e universitário. MÉTODO: O estudo foi realizado no Hospital de Clínicas de Porto Alegre no período de 1º de janeiro de 1996 a 30 de junho de 1999. O diagnóstico de infecção neonatal foi feito a partir do isolamento e identificação de Streptococcus do grupo B em hemocultura combinado com alterações clínicas e laboratoriais sugestivas de sepse. RESULTADOS: Foram detectados quinze casos de infecção neonatal por Streptococcus do grupo B, sendo onze casos de sepse de origem precoce, dois casos de bacteremia oculta e dois casos de sepse de origem tardia. Oito casos tiveram choque séptico (53%), oito casos com pneumonia (53%) e quatro casos com meningite (27%). Quatorze casos foram diagnosticados a partir da hemocultura e um caso através da presença desta bactéria no exame anátomo-patológico do pulmão. Treze casos (87%) foram diagnosticados antes de três dias de vida. Ocorreram três óbitos (20%) e três pacientes com meningite ficaram com seqüelas neurológicas. CONCLUSÃO: O Streptococcus do Grupo B é uma das bactérias mais importantes na etiologia da sepse neonatal de início precoce em nosso hospital com elevada mortalidade e também com elevada morbidade. Entretanto, não se conhece sua incidência em outros hospitais. São necesssários outros estudos para determinar seu papel na sepse neonatal e assim estabelecer diferentes estratégias para sua redução

Molecular gas related to the ring nebula RCW 78 around HD 117688

We investigate the distribution of the interstellar gas related to RCW 78 based on ^{12}CO(1-0) observations carried out with the SEST telescope and on data belonging to the NANTEN survey. Complementary HI 21-cm line data from the SGPS and radio data at 4.85 GHz were also used. We report the detection of molecular gas having velocities in the range [-56,-33] km/s associated with the western section of RCW 78. The CO emission distribution is compatible with the interpretation that the western section of the nebula originated in the photodissociation and ionization of the molecular gas by the UV photons of the WN7 star HD 117688, which, along with the action of the stellar winds, carved the molecular cloud.Investigamos la distribución del gas interestelar asociado a RCW 78 utilizando observaciones de 12CO(1-0) obtenidas con el telescopio SEST y datos pertenecientes al relevamiento de NANTEN. Se utilizan tambi´en datos complementarios de la línea de 21 cm del Hi extraídos del SGPS y del continuo de radio en 4.85 GHz. Reportamos la detección de gas molecular con velocidades en el intervalo [–56,–33] km s−1 asociado con el sector oeste de RCW 78. La distribución del CO es compatible con la interpretación de que la nebulosa se originó en la fotodisociación e ionización del gas molecular por los fotones ultravioletas de la estrella WN7 HD 117688, los cuales, junto con la acción de los vientos estelares, socavaron la nube molecular.Fil: Cappa, Cristina Elisabeth. Universidad Nacional de la Plata. Facultad de Ciencias Astronómicas y Geofísicas; Argentina. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomia; ArgentinaFil: Rubio, Mónica. Universidad de Chile; ChileFil: Martin, Maria Cristina. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomia; ArgentinaFil: Romero, Gisela Andrea. Universidad Nacional de la Plata. Facultad de Ciencias Astronómicas y Geofísicas; Argentina. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomia; Argentin

Cost-effectiveness of a nurse-led ORIF ankle care programme

In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12% saving can be achieved when comparing total staffing costs and X-ray costs between the two groups

Discursive Representations of Controversial Issues in Medicine and Health

This editorial is meant to introduce a thematic issue of LCM that addresses representations of controversial issues in medicine and health from the perspective of discourse analysis. Due to their high relevance in everybody’s lives, it comes as no surprise that such issues figure prominently in public debates. Some of the most controversial among them are abortion, medical use of marijuana, euthanasia and assisted suicide, end-of-life care, life support for the terminally ill, gene editing, genomic medicine, donor insemination, surrogacy, to name but a few, in a context where the production and the consumption of scientific information involve, affect and (dis)connect multiple actors, stakeholders and multiple publics, sub-publics as well as counter-publics. It is a picture of remarkable complexity where different values, opinions and beliefs are shaped by a multiplicity of social and cognitive factors. This editorial deals with a few general aspects, providing some background to the more specific studies presented in the articles included in the issues.3reservedmixedGiuliana Elena Garzone; Maria Cristina Paganoni; Martin ReisglGarzone, GIULIANA ELENA; Cristina Paganoni, Maria; Reisgl, Marti