175 research outputs found

    Artritis reumatoide canina : a propósito de un caso

    Get PDF
    En el presente trabajo se analiza un caso de artritis reumatoide canina, mostrando las diferentes pruebas efectuadas para su diagnóstico, los tratamientos utilizados y los resultados obtenidos tras la aplicación de los mismos. En todas las 'revisiones, se realizaban de forma sistemática estudios radiográficos de las articulaciones afectadas, análisis sanguíneo que incluía la realización del proteinograma y estudio del líquido sinovial, lo que permitió seguir puntualmente la evolución del proceso. Tras el sacrificio del animal se efectuaron los exámenes anatomopatológicos de las articulaciones lesionadas, confirmando el diagnóstico clínico previo de artritis reumatoide canina.The present study shows a case of canine rheumatoid arhritis. Different systems of diagnosis carried out, treatment applied, and results at short and lonq-term are reviewed. In every re-examination a complete hemogram, including proteinogram, and a synovial fluid analysis were carried out, moreover radiographs of affected joints were taken. This systematic procedure allows us to know the evolution after every treatment. After patient euthanasia, pathologic lesions of affected joints were analyzed and the clinic diagnosis of rheumatoid arthritis was corroborated

    The importance of organizational variables in treatment time for patients with ST-elevation acute myocardial infarction improve delays in STEMI

    Get PDF
    Background: The time between arrival at the emergency department (ED) and balloon (D2B) in STEMI is one of the best indicators of the quality of care. Our aim is to describe treatment times and evaluate the causes of delay. Methods: This is an observational retrospective study, including all consecutive STEMI code patients ≥18 years old treated in the ED from 2013 to 2016.All the patients were stratified into two groups: delayed group with D2B > 70 min and non-delayed ≤70. The primary variable was D2B time. Findings: In total 327 patients were included, stratified according to their D2B as follows: 166 (67·48%) in the delayed group and 80 (32·52%) in the non-delayed group. The delayed group was older (p = 0·005), with more females (p = 0·060) and more atypical electrocardiogram (ECG) STEMI signs or symptoms (p = 0·058) (p = 0·087). Predictors of shorter D2B time were: typical STEMI ECG signs and short training sessions for nurses on identifying STEMI patients. Interpretation: There are delays particularly in specific groups with atypical clinical presentations. Short training sessions aimed at emergency nurses correlate with shorter delay. This suggests that continuing training for emergency nurses, along with organizational strategies, can contribute to increasing the quality of care. Clinical trial number: NCT0433338

    Risk analysis of animal–vehicle crashes: a hierarchical Bayesian approach to spatial modelling

    Get PDF
    Driving along any rural road within Western Australia involves some level of uncertainty about encountering an animal whether it is wildlife, farm stock or domestic. This level of uncertainty can vary depending on factors such as the surrounding land use, water source, geometry of the road, speed limits and signage. This paper aims to model the risk of animal–vehicle crashes (AVCs) on a segmented highway. A hierarchical Bayesian model involving multivariate Poisson lognormal regression is used in establishing the relationship between AVCs and the contributing factors. Findings of this study show that farming on both sides of a road, a mixture of farming and forest roadside vegetation and roadside vegetation have significant positive effect on AVCs, while speed limits and horizontal curves indicate a negative effect. AVCs consist of both spatial- and segment-specific contributions, even though the spatial random error does not dominate model variability. Segment 15 is identified as the highest risk segment and its nearby segments also exhibit high risk

    A new Mars Climate Database v5.1

    No full text
    International audienceWhat is the Mars Climate Database? The Mars Climate Database (MCD) is a database of meteorological fields derived from General Circulation Model (GCM) numerical simulations of the Martian atmosphere and validated using available observational data. The MCD includes complementary post-processing schemes such as high spatial resolution interpolation of environmental data and means of reconstructing the variability thereof. The GCM is developed at Laboratoire de Météorologie Dynamique du CNRS (Paris, France) [1-3] in collaboration with the Open University (UK), the Oxford University (UK) and the Instituto de Astrofisica de Andalucia (Spain) with support from the European Space Agency (ESA) and the Centre National d'Etudes Spatiales (CNES). The MCD is freely distributed and intended to be useful and used in the framework of engineering applications as well as in the context of scientific studies which require accurate knowledge of the state of the Martian atmosphere. The MCD may be accessed either online (in a somewhat simplified form) via an interactive server available at http://www-mars.lmd.jussieu.fr (useful for moderate needs), or from the complete version which includes advanced access and post-processing software (contact [email protected] and/or [email protected] to obtain a free copy). Overview of MCDv5 contents: The MCD provides mean values and statistics of the main meteorological variables (atmospheric temperature, density, pressure and winds) as well as atmospheric composition (including dust and water vapor and ice content), as the GCM from which the datasets are obtained includes water cycle [4-6], chemistry [7,8], and ionosphere [9,10] models. The database extends up to and including the thermosphere[11-13] (~350km). Since the influence of Extreme Ultra Violet (EUV) input from the sun is significant in the latter, 3 EUV scenarios (solar minimum, average and maximum inputs) account for the impact of the various states of the solar cycle

    Investigations of the Mars Upper Atmosphere with ExoMars Trace Gas Orbiter

    Get PDF
    The Martian mesosphere and thermosphere, the region above about 60 km, is not the primary target of the ExoMars 2016 mission but its Trace Gas Orbiter (TGO) can explore it and address many interesting issues, either in-situ during the aerobraking period or remotely during the regular mission. In the aerobraking phase TGO peeks into thermospheric densities and temperatures, in a broad range of latitudes and during a long continuous period. TGO carries two instruments designed for the detection of trace species, NOMAD and ACS, which will use the solar occultation technique. Their regular sounding at the terminator up to very high altitudes in many different molecular bands will represent the first time that an extensive and precise dataset of densities and hopefully temperatures are obtained at those altitudes and local times on Mars. But there are additional capabilities in TGO for studying the upper atmosphere of Mars, and we review them briefly. Our simulations suggest that airglow emissions from the UV to the IR might be observed outside the terminator. If eventually confirmed from orbit, they would supply new information about atmospheric dynamics and variability. However, their optimal exploitation requires a special spacecraft pointing, currently not considered in the regular operations but feasible in our opinion. We discuss the synergy between the TGO instruments, specially the wide spectral range achieved by combining them. We also encourage coordinated operations with other Mars-observing missions capable of supplying simultaneous measurements of its upper atmosphere

    Human Resource Flexibility as a Mediating Variable Between High Performance Work Systems and Performance

    Get PDF
    Much of the human resource management literature has demonstrated the impact of high performance work systems (HPWS) on organizational performance. A new generation of studies is emerging in this literature that recommends the inclusion of mediating variables between HPWS and organizational performance. The increasing rate of dynamism in competitive environments suggests that measures of employee adaptability should be included as a mechanism that may explain the relevance of HPWS to firm competitiveness. On a sample of 226 Spanish firms, the study’s results confirm that HPWS influences performance through its impact on the firm’s human resource (HR) flexibility
    corecore