Guía del empleado para : seguridad en los espacios cerrados (Espacios confinados)

Guía para el empleado que explica la clase de procedimientos que hacen falta para la seguridad al trabajar dentro de espacios cerrados y alrededor de ellosA guide for the employee that explains the kind of procedures that are necessary for safety when working inside and around closed spacesIntroducción -- Las normas de OSHA -- La entrada en los espacios cerrados -- Pruebas en espacios cerrados -- El trabajo dentro de espacios cerrado

Guía del empleado para : seguridad con respiradores

La guía brinda información acerca de la seguridad con los respiradores, cómo debe ser usado, tipos de respiradores, cuando debe ser usado y manejo del equipoThe guide describes how to inspect a forklift, how to operate it, safety in operation and safety guidelines to prevent damage to people, products and equipmentResponsabilidades del usuario -- Los peligros -- Tipos de respiradores -- ¿Cuándo se necesita un respirador? -- ¿Quién puede llevar un respirador? -- Posibles problemas -- Cuidado, limpieza y almacenaje -- Selección del respirador -- Respiradores purificadores de air

A case report of chondrocalcinosis of the temporomandibular joint: Surgical management and literature review

Background: Chondrocalcinosis is a metabolic disorder characterized by non-infectious joint inflammation with intra- or periarticular calcification. Temporomandibular (TMJ) chondrocalcinosis is rare and not usually included in the differential diagnosis of TMJ and facial pain disorders. Case report: A 67-year-old woman presented with a calcified mass in the right TMJ between the condyle and glenoid fossa, eroding into the floor of the middle cranial fossa due to calcium pyrophosphate deposition in the TMJ. She underwent surgical excision of the mass with immediate econstruction with a custom-made prosthesis. On follow-up, there was complete clinical resolution, with no evidence of recurrence. Literature related to surgical treatment of chondrocalcinosis of TMJ and its treatment was reviewed. Surgery is the most commonly used treatment. A custom-made device allowed us to bridge the defect caused by the destructive disease process. Conclusion: Custom-made prostheses can be considered a safe and effective solution in erosive forms of chondrocalcinosis, replacing the TMJ to restore functionality and correct the anatomical defect

Double osseous flaps for simultaneous midfacial and mandible reconstruction: Automation in surgical complexity within an entirely computerized workflow

Introduction: Broad maxillofacial surgical resections involving both the midface and the mandible represent a challenge in terms of reconstruction. Although several papers have explored the possibility of simultaneously using two microsurgical flaps, reports on the implementation of a dual osseous flap strategy are limited, and mainly addressed to static anatomical reconstruction, regardless of functional implications. In particular, there is a lack in the literature of a unifying protocol which illustrates how technology including virtual planning, statistical shape modeling, virtual occlusion, 3D-printing and patient-specific implants can address the functional and accuracy needs required for an optimal reconstruction. Materials and methods: In this paper, the Authors present their preliminary experience in a two-center study, showing how broad maxillofacial defects, requiring a simultaneous reconstruction in both the mandible and the midface, can be successfully reconstructed using the combination of two osseous flaps in an automated sequence in which all steps are anticipately defined in a virtual plan, accounting for the optimal alignment of temporomandibular joint, predicting the final occlusion and defining a mandibular shape according to a statistical shape model. Results: Average RMSE for the iliac bone crest flap was of 3.2 ± 0.36 mm; for the fibula flap, RMSE value was of 2.3 ± 0.65 mm, for patient-specific implants, for mandibular prostheses the average RMSE was 2.46 mm with 0.76 mm standard deviation. Temporomandibular joint function increased when a TMJ prosthesis was placed. Conclusions: Double bone free flap is a valuable resource to reconstruct wide defects that simultaneously involve two thirds of the cranio-maxillo-facial skeleton, but a careful virtual planning study should be always performed before approaching this surgical option