4,607 research outputs found
Utilización de la densidad de incidencia, en la valoración de faciores de riesgo de la infección nosocomial
ResumenEn la literatura se han propuesto las medidas de densidad de incidencia para la valoración de la infección nosocomial. A través de una cohorte retrospectiva de 843 pacientes se realiza una comparación entre la razón de densidades de incidencia (RDI) y el cociente de incidencias acumuladas o riesgo relativo (RR) en la cuantificación de factores de riesgo de la infección hospitalaria. Las variables que se analizaron fueron la intervención quirúrgica, su duración, el tipo de cirugía, la gravedad de la enfermedad subyacente y la edad. En todas las situaciones la RDI fue inferior al RR, al eliminar la prolongación de estancia producida por los distintos factores de riesgo. Ejemplos de ello fueron el que la RDI para la operación fue de 2,78, mientras que el RR ofreció valores de 6,46, o en la edad, donde los mayores de 60 años presentaron un RR significativo de 1,67, mientras que la RDI fue de 0,96. Esto sugiere que el empleo de la RDI facilitaría la comparabilidad de los resultados entre diferentes centros en la cuantificación de factores de riesgo para la infección nosocomial, aparte de cuantificar con más exactitud los distintos factores de riesgo, lo que tiene importancia a la hora de establecer las medidas de control.SummarySeveral authors have suggested that incidence density should be used in studying nosocomial infection. We assess several risk factors for hospital infection by two ratios, the incidence density ratio (IDR) and the relative risk (RR), in an historical cohort of 843 patients. The variables analyzed were: operation, its length, type of surgical wound, severity of underlying disease, and age. The IDR figures were always lower than those yielded by the RR. For example, the IDR for operated patients was 2.78, whereas RR yielded a figure of 6.46, or the IDR for patients >60 years old was 0.96, whereas the RR achieved a significant value of 1.67. This suggests that the use of IDR lo analyze risk factors for nosocomial infection improves comparability of results obtained in different hospital settings. Also, it may allow a more exact quantification of an effect. These facts influence implementation of nosocomial infection control measures
La formación en España de médicos especialistas en Medicina Preventiva y Salud Pública
Producción CientíficaEl modelo moderno de formación médica especializada en España se definió en 19841 y se basa en el programa de Médicos Internos Residentes (MIR). En 1999 se produjo el acceso al título de especialista de buena parte de la gran bolsa de médicos que trabajaban en el sector sin tener título oficial de especialista (denominados médicos especialistas sin título oficial (MESTOS) mediante una convocatoria excepcional del Consejo Nacional de Especialidades Médicas2. Desde entonces, la oferta de formación mediante la convocatoria MIR es el esquema predominante, aunque persiste la vía excepcional y sea factible la homologación de títulos de especialista obtenidos en el extranjero. Este modelo se ha perfeccionado en los últimos tiempos3, destacando la aprobación en 2005 del programa de la especialidad de Medicina Preventiva y Salud Pública(MPySP)4,5, y avanzando en una mayor definición del funcionamiento de las unidades docentes, de las comisiones de docencia, y de los tutores6,7.
Al redactar este documento nos proponemos proporcionar algunos elementos de información sobre la oferta de formación médica especializada en MPySP. La información descriptiva se ha extraído de las últimas convocatorias publicadas en el Boletín Oficial del Estado (BOE), correspondientes al periodo 2007-10. El esbozo de elementos para la evaluación procede de reflexiones compartidas por los miembros de la Comisión Nacional de la Especialidad (CNE) a lo largo del período 2010-11, los cuales son especialistas. Independientemente de que puedan darse progresos en la sistematización de la formación especializada de otras profesiones implicadas en la salud pública, algo muy deseable8, nos concentramos aquí en la situación de esta especialidad médic
Electromagnetic multipole moments of elementary spin-1/2, 1, and 3/2 particles
We study multipole decompositions of the electromagnetic currents of
spin-1/2, 1, and 3/2 particles described in terms of Lagrangians designed to
reproduce representation specific wave equations which are second order in the
momenta and which emerge within the recently elaborated Poincar\'e covariant
projector method. We calculate the electric multipoles of the above spins for
the spinor, the four-vector, and the four-vector--spinor representations,
attend to the most general non-Lagrangian spin-3/2 currents which are allowed
by Lorentz invariance to be of third order in the momenta and construct the
linear current equivalent of identical multipole moments of one of them. We
conclude that such non-Lagrangian currents are not necessarily more general
than the two-term currents emerging within the covariant projector method. We
compare our results with those of the conventional Proca-, and Rarita-Schwinger
frameworks. Finally, we test the representation dependence of the multipoles by
placing spin-1 and spin-3/2 in the respective (1,0)(0,1), and
(3/2,0)(0,3/2) single-spin representations. We observe representation
independence of the charge monopoles and the magnetic dipoles, in contrast to
the higher multipoles, which turn out to be representation dependent. In
particular, we find the bi-vector to be characterized by an
electric quadrupole moment of opposite sign to the one found in ,
and consequently, to the boson. Our finding points toward the possibility
that the meson could transform as part of an antisymmetric tensor with
an meson-like state as its representation companion.Comment: 27 pages, 2 figure
Peculiar properties of chlorophyll thermoluminescence emission of autotrophically or mixotrophically grown Chlamydomonas reinhardtii
The microalgae Chlamydomonas reinhardtii and Chlorella sp. CCAP 211/84 were grown autotrophically and mixotrophically and their thermoluminescence emissions were recorded above 0 °C after excitation by 1, 2 or 3 xenon flashes or by continuous far-red light. An oscillation of the B band intensity according to the number of flashes was always observed, with a maximum after 2 flashes, accompanied by a downshift of the B band temperature maximum in mixotrophic compared to autotrophic grown cells, indicative of a dark stable pH gradient. Moreover, new flash-induced bands emerged in mixotrophic Chlamydomonas grown cells, at temperatures higher than that of the B band. In contrast to the afterglow band observed in higher plants, in Chlamydomonas these bands were not inducible by far-red light, were fully suppressed by 2 μM antimycin A, and peaked at different temperatures depending on the flash number and growth stage, with higher temperature maxima in cells at a stationary compared to an exponential growth stage. These differences are discussed according to the particular properties of cyclic electron transfer pathways in C. reinhardtii.Ministerio de Educación y Cultura BFU2007-68107-C02-01/BMCJunta de Andalucía PAIDI CVI-26
Estudio óptico del tamaño y forma de las partículas de polvos de talco
Sorne dusting powders tale have been studied by optic methods. The investigation of the shapes and sizes of the particles, has served to establish two index, which we are named roundish rate and fmeness rateo. These results are very interesting at the topie aplication of the dusting powders tale, because they permit to appreciate a possible irritative action in the skin.Han sido estudiados algunos polvos de talco por métodos opticos. La investigación de las formas y tamaños de las partículas, ha servido para establecer dos índices que hemos denominado, grado de redondearniento y grado de finura. Estos resultados son muy interesantes en la aplicación tópica de los polvos de talco, porque permiten la estimación de una posible acción irritante de la piel
A 0.8-2.4 microns spectral atlas of Active Galactic Nuclei
Aims: We present a near-infrared spectral atlas of 47 active galactic nuclei
(AGN), of all degrees of activity, in the wavelength interval of 0.8-2.4
microns, including the fluxes of the observed emission lines. We analyze the
spectroscopic properties of the continuum and emission line spectra of the
sources Methods: In order to exclude aperture and seeing effects we use
near-infrared spectroscopy in the short cross-dispersed mode (SXD, 0.8-2.4
microns), taking the JHK-bands spectra simultaneously. Results: We present the
most extensive NIR spectral atlas of AGN to date. This atlas offers a suitable
database for studying the continuum and line emission properties of these
objects in a region full of interesting features. The shape of the continuum of
QSOs and Seyfert 1's are similar, being essentially flat in H and K band, in
the J band, a strong variation is found. In Seyfert 2 galaxies, the continuum
in the F_lambda X lambda space smoothly decreases from 1.2 microns redwards in
almost all sources. In J, it smoothly rises bluewards in some sources while in
others a small decreased in flux is observed. The spectra are dominated by
strong emission features of H I, He I, He II, [S III] and conspicuous forbidden
lines of low and high ionization species. Molecular lines of H2 are common
features to most objects. The absence of O I and Fe II lines in Seyfert 2
galaxies give observational support to the fact that these lines are formated
in the outermost portion of the broad line region. [P II] and coronal lines are
detected in all degrees of activity. The [Fe II] 12570A/16436A line ratio
becomes a reliable reddening indicator for the narrow-line region of Seyfert
galaxies.Comment: 39 pages, 17 figures, accepted for publication in Astronomy and
Astrophysics (15/05/2006
A Real Space Renormalization Group Approach to Field Evolution Equations
A new operator formalism for the reduction of degrees of freedom in the
evolution of discrete partial differential equations (PDE) via real space
Renormalization Group is introduced, in which cell-overlapping is the key
concept. Applications to 1+1-dimensional PDEs are presented for linear and
quadratic equations which are first order in time.Comment: 8 pages, 10 ps figures. Accepted for publication in Phys. Rev.
Factores personales y ambientales asociados con el desplazamiento activo al colegio de los escolares españoles
The purpose of this study was to analyse the associations of personal and environmental factors with mode of commuting to school in children. A total of 745 schoolchildren (363 girls) aged 6-12 years from the province of Granada (Spain) participated in the study. Participants completed a questionnaire about mode of commuting to school, personal factors (i.e. barriers to walking to school, enjoyment on the way to school, who they go to school with) and environmental factors (i.e. time from house to school, distance to school, and safety on the way). A total of 57.2% children walked to school, 40.3% used the car, 1.2% motorcycled, .7% used the bus and .6% bicycled. Travelling alone to school [Odds ratio (OR), 10.049; 95% confidence interval (CI), 3.950 - 25.567], living close to the school (OR, 16.439; 95%CI, 5.717- 47.271) and perceiving a safe way to school (OR, 2.365; 95%CI, 1.665- 3.360) were associated with active commuting to school
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