RECUPERACIÓN DE PERCLORETILENO EN INDUCALSA

A recovery system for perchlorine ethylene from hazardous liquid waste (Ministry Agreement 026 MAE) which stems from shoe making polyurethane sole washing has been designed (Brito H. / Rodríguez B., 2014). Such waste is directly disposed into the environment, causing losses in flora and fauna (GUARIN, O. / RUEDA, G. / PEREZ, H. 2010). Besides contributing with environmental liabilities, the recovered perchlorine ethylene complies the requirements of the DIRSA safety card, because of what it is reutilized in the manufacture process, which contributes to the decrease of production costs and the conservation of the ecosystem. This hazardous waste should be delivered to an environmental manager before paying for its transportation and final disposal (90 USD per kg of waste). For this reason, INDUCALSA along with ESPOCH researchers carried out a scaling of the recovery system by working with 20 samples of perchlorine ethylene – silicone during a lapse of four weeks. An initial characterization was followed by in – lab recovery to measure the variables (temperature, time, input and output flow) with whom the process was scaled for 45,73 Kg/h of waste. The pH, density, viscosity and IR spectrum of the obtained product were analyzed. They showed the purity of the solvent (Disolventes Reunidas, S.A., 2003), which is acceptable because of its high economic value in the market as well as the contribution to the change of the productive matrix in Ecuador (SENPLADES, 2012)

Estrategia educativa mediante las TIC para incrementar las prácticas obstétricas beneficiosas en la provincia del Azuay-Ecuador

La aplicación de prácticas no basadas en evidencias científicas, el incumplimiento de normas de atención establecidas por el Ministerio de Salud Pública (MSP), registro incompleto de datos, escasa capacitación del personal y dificultades en la comunicación, constituyen factores que han obstaculizado el mejoramiento continuo de la calidad de la atención, que se expresa tanto en la aplicación de prácticas inefectivas en la atención materna y neonatal, como en el deficiente cumplimiento de los estándares e indicadores. En estas circunstancias las tasas de mortalidad y morbilidad materna y neonatal continúan elevadas, cuyas causas en su mayoría son prevenibles. En el Ecuador, según el Instituto Ecuatoriano de Estadísticas y Censos (INEC) en el año 2009 murieron 208 mujeres por causas del embarazo, parto y puerperio (96.3 x 100.000 nacidos vivos) como consecuencia de inequidades económicas, sociales, culturales, carencia de recursos en salud y deficiencias en la calidad de la atención. En el estudio “Evaluación de los servicios de cuidados obstétricos y neonatales de emergencia” realizado en las provincias de Azuay y Guayas durante los años 2006 y 2007, con el auspicio de la OPS/OMS, se encontró deficiencias en la calidad de la atención, registros e informes de las atenciones incompletos y desarticulados del sistema de vigilancia epidemiológico provincial. Por otro lado, mediante análisis de bases de datos del SIP de 9000 partos atendidos en los Hospitales Pablo Arturo de Quito,Vicente Corral de Cuenca y Matilde Hidalgo de Guayaquil,se verificaron deficiencias en el cumplimiento de las normas de atención, tales como: uso de administración de hierro y folatos durante el embarazo (48%), VIH solicitado (17.6%), uso de oxitocina en el tercer período del parto (45%), posición supina del recién nacido (53.9%), acompañante durante el parto (27.3%), parto en posición acostada (90.9%), episiotomía (32%), ligadura precoz del cordón (41.3%), cesárea (21.1%)

Structural and Electronic Properties of Graphene Oxide for Different Degree of Oxidation1

In the last year, the investigation of two-dimensional materials as graphene oxide is a fundamental goal to produce innovative devices with wide range of applications in many areas. In the present work, we report a systematic study of structural and electronic properties of graphene oxide for different oxidations levels (25%, 50%, 75%, 100%) using density functional calculations for electronic ground state and a statistical approach on carbon-carbon bond length obtained after the geometric optimization of graphene covered with epoxide and hydroxyl functional groups. The theoretical models proposed and studied here are accord with the well-known experimental data. Our statistical results of the carbon-carbon bond length shown that hydroxyl groups disturbs the structure of graphene more than epoxide groups, however, both hydroxyl and epoxide groups are responsible of the change of hybridization sp2 to sp3, while the degree of oxidation increase. In addition, our electronic structure calculations confirm that with low degree of oxidation, the graphene oxide is semiconductor, and with full degree of oxidation graphene oxide is an insulating material. The minimum of total energy is found when the graphene oxide has full coverage. This work can contribute to understand the plasticity and ductility properties of graphene oxide recently reported

Manejo De Residuos Sólidos Hospitalarios En La Unidad Oncológica Solca-Chimborazo

It was determined that the handling of the solid waste generated by the SOLCA – Chimborazo cancer hospital was not appropriate, both internally and externally. Because of that, the classification, transport, storage, deactivation, and intermediate disposition are inconvenient. Thus, it was realized that it is important to have the requirements and documents to follow and comply the objectives that are specified within the management, focusing on feedback and continuous improvement. To learn about the nature of the generated residuals, they were characterized in the hospital. Common, infectious, radioactive, organic and sharp residuals were found during the months of September, November and December. The common waste is comprised of cardboard, paper and plastic. The per-capita production of residuals was 0.76 kg/patient/day. The environmental impact caused by the generation of hospital solid waste was 56% severe impacts and 44% moderate impacts, which could elicit health problems in the population surrounding the hospital. For this reason, the appropriate management of solid waste allowed to obtain large environmental benefits and reduce the pollution generated by the hospital solid waste. It is recommended to SOLCA-Chimborazo and other health institutions the implementation of an adequate solid waste management, which will allow them to comply with all the requirements enforced by the environmental regulations

Systematic Review of the Measurement Properties of Tools Used to Measure Behaviour Problems in Young Children with Autism

BackgroundBehaviour problems are common in young children with autism spectrum disorder (ASD). There are many different tools used to measure behavior problems but little is known about their validity for the population.ObjectivesTo evaluate the measurement properties of behaviour problems tools used in evaluation of intervention or observational research studies with children with ASD up to the age of six years.MethodsBehaviour measurement tools were identified as part of a larger, two stage, systematic review. First, sixteen major electronic databases, as well as grey literature and research registers were searched, and tools used listed and categorized. Second, using methodological filters, we searched for articles examining the measurement properties of the tools in use with young children with ASD in ERIC, MEDLINE, EMBASE, CINAHL, and PsycINFO. The quality of these papers was then evaluated using the COSMIN checklist.ResultsWe identified twelve tools which had been used to measure behaviour problems in young children with ASD, and fifteen studies which investigated the measurement properties of six of these tools. There was no evidence available for the remaining six tools. Two questionnaires were found to be the most robust in their measurement properties, the Child Behavior Checklist and the Home Situations Questionnaire—Pervasive Developmental Disorders version.ConclusionsWe found patchy evidence on reliability and validity, for only a few of the tools used to measure behaviour problems in young children with ASD. More systematic research is required on measurement properties of tools for use in this population, in particular to establish responsiveness to change which is essential in measurement of outcomes of intervention.PROSPERO Registration NumberCRD4201200222

A study of oil-paper insulation voltage dependency during frequency response analysis

People often believe that power factor/dissipation factor testing at power frequency (50/60 Hz) usually exhibits a flat response as a function of test voltage if the insulation is in good condition. Dielectric Frequency Response, DFR is the extension of power factor testing except that the measurement is performed from 1 kHz down to typically 1 mHz. It is a very useful tool for evaluating the moisture content in solid insulation of HV and EHV components such as power transformers, bushings, instrument transformers and PILC cables. The voltage dependent phenomenon also called “the Garton effect”, caused by paper absorbing electric charges in oil is investigated. The application of DFR in HV and EHV substations required a conceptual analysis of the phenomenon to better interpret the condition of the insulation system while increasing the signal to noise ratio to minimize the effect of surrounding interference. As a result of this work, authors provide practical recommendations regarding test voltages and frequency ranges to be used under high interference environments. The wide application of the method is supported with experimental field data.Instituto de Investigaciones Tecnológicas para Redes y Equipos Eléctrico

Has decentralisation affected child immunisation status in Indonesia?

Background: The past two decades have seen many countries, including a number in Southeast Asia, decentralising their health system with the expectation that this reform will improve their citizens’ health. However, the consequences of this reform remain largely unknown. Objective: This study analyses the effects of fiscal decentralisation on child immunisation status in Indonesia. Design: We used multilevel logistic regression analysis to estimate these effects, and multilevel multiple imputation to manage missing data. The 2011 publication of Indonesia's national socio-economic survey (Susenas) is the source of household data, while the Podes village census survey from the same year provides village-level data. We supplement these with local government fiscal data from the Ministry of Finance. Results: The findings show that decentralising the fiscal allocation of responsibilities to local governments has a lack of association with child immunisation status and the results are robust. The results also suggest that increasing the number of village health centres (posyandu) per 1,000 population improves probability of children to receive full immunisation significantly, while increasing that of hospitals and health centres (puskesmas) has no significant effect. Conclusion: These findings suggest that merely decentralising the health system does not guarantee improvement in a country's immunisation coverage. Any successful decentralisation demands good capacity and capability of local governments

Total Intravenous Anesthesia Including Ketamine versus Volatile Gas Anesthesia for Combat-related Operative Traumatic Brain Injury

Background: Traumatic brain injury is a leading cause of death and severe neurologic disability. The effect of anesthesia techniques on neurologic outcomes in traumatic brain injury and potential benefits of total intravenous anesthesia (TIVA) compared with volatile gas anesthesia (VGA), although proposed, has not been well evaluated. The purpose of this study was to compare TIVA versus VGA in patients with combatrelated traumatic brain injury. Methods: The authors retrospectively reviewed 252 patients who had traumatic brain injury and underwent operative neurosurgical intervention. Statistical analyses, including propensity score and matched analyses, were performed to assess differences between treatment groups (TIVA vs. VGA) and good neurologic outcome. Results: Two hundred fourteen patients met inclusion criteria and were analyzed; 120 received VGA and 94 received TIVA. Good neurologic outcome (Glasgow Outcome Score 4 -5) and decreased mortality were associated with TIVA compared with VGA (75% vs. 54%; P ‫؍‬ 0.002 and 5% vs. 16%; P ‫؍‬ 0.02, respectively). Multivariate logistic regression found admission Glasgow Coma Scale score of 8 or greater (odds ratio, 13.3; P < 0.001) and TIVA use (odds ratio, 2.3; P ‫؍‬ 0.05) to be associated with good neurologic outcomes. After controlling for confounding factors using propensity analysis and repeated one-to-one matching of patients receiving TIVA with those receiving VGA with regard to Injury Severity Score, Glasgow Coma Scale score, base deficit, Head Abbreviated Injury Score, and craniectomy or craniotomy, the authors could not find an association between treatment and neurologic outcome. Conclusion: Total intravenous anesthesia often including ketamine was not associated with improved neurologic outcom