Extended Debridement and Skin Graft as Local Treatment of Cobra Snake Bite Injury: A Case Report

Snakebite is a serious issue in rural areas of developing countries as Uganda. In children above all snakebite seems to be more common. Availability of anti-venoms is very poor. Local tissue damage caused by snake venom, either cytotoxic or necrotic, can continue even after systemic crisis has expired. We report the case of a 5 years old male child, born in Kitgum district, Northern Uganda, carried in hospital for a Cobra snake bite on the right foot who could not receive anti-venom. Debridement of the bite site, wound lavage, amputation and skin graft were required. Progression of the local infection associated to the reappearance of high fever induced us to bring the debridement up to the leg almost at the level of the knee in order to prevent unset of tibial Osteomyelitis and to be able to perform skin grafting.Keywords: Snakebite, Cobra, surgical treatment, debridement, skin graft, osteomyeliti

Implementación de un proyecto de inteligencia de negocios en la empresa constructora GyM S.A.

El presente proyecto se realizó para la Empresa GyM S.A., esta organización se dedica a la construcción de obras civiles, obras electromecánicas y edificaciones, además brinda servicios a las principales Empresas del Perú y también cuenta con proyectos fuera del país. El propósito de nuestra investigación es demostrar cómo la Inteligencia de Negocios puede dar solución a la problemática actual de la corporación que, debido a la enorme cantidad de datos que procesan los sistemas con que trabajan, actualmente no cuentan con un control ni con una manera automatizada de consolidar toda esa información. Nuestra propuesta consta de integrar los sistemas de la empresa mediante técnicas presentadas por la Inteligencia de Negocios, con el fin, de que en base a la construcción de indicadores, reportes de análisis de la información, entre otras herramientas, podamos brindar una solución que sea de apoyo para la toma de decisiones en la empresa y así la alta gerencia pueda ejecutar las medidas correctivas en caso se amerite. Nuestro análisis demostrará que la solución es sumamente rentable, con respecto al costo que implica el proceso de realizar una consolidación manual de la información mensualmente, como es requerido. Así mismo, muestra efectos positivos en la utilización de Inteligencia de Negocios para la organización, debido a la calidad y mejor control de la información.Tesi

LaparostomicTreatment of Diffuse Peritonitis in Northern Uganda

No Abstract. Keywords: Bacterial infection, Diagnosis; Surgery, laparostomy, laparostomic treatment, peritonitis, uterine perforation, second look

Muon Catalyzed Fusion in 3 K Solid Deuterium

Muon catalyzed fusion in deuterium has traditionally been studied in gaseous and liquid targets. The TRIUMF solid-hydrogen-layer target system has been used to study the fusion reaction rates in the solid phase of D_2 at a target temperature of 3 K. Products of two distinct branches of the reaction were observed; neutrons by a liquid organic scintillator, and protons by a silicon detector located inside the target system. The effective molecular formation rate from the upper hyperfine state of $\mu d$ and the hyperfine transition rate have been measured: $\tilde{\lambda}_(3/2)=2.71(7)_{stat.}(32)_{syst.} \mu/s$, and $\tilde{\lambda}_{(3/2)(1/2)} =34.2(8)_{stat.}(1)_{syst.} \mu /s$. The molecular formation rate is consistent with other recent measurements, but not with the theory for isolated molecules. The discrepancy may be due to incomplete thermalization, an effect which was investigated by Monte Carlo calculations. Information on branching ratio parameters for the s and p wave d+d nuclear interaction has been extracted.Comment: 19 pages, 11 figures, submitted to PRA Feb 20, 199

Measurement of the Resonant dμtd\mu t Molecular Formation Rate in Solid HD

Measurements of muon-catalyzed dt fusion ($d\mu t \to ^4He+n+\mu^-$) in solid HD have been performed. The theory describing the energy dependent resonant molecular formation rate for the reaction $\mu t$ + HD $\to [(d\mu t)pee]^*$ is compared to experimental results in a pure solid HD target. Constraints on the rates are inferred through the use of a Monte Carlo model developed specifically for the experiment. From the time-of- flight analysis of fusion events in 16 and 37 $\mu g\cdot cm^{-2}$ targets, an average formation rate consistent with 0.897$\pm$(0.046)$_{stat}\pm$ (0.166)$_{syst}$ times the theoretical prediction was obtained.Comment: 4 pages, 5 figure