... Se logró la corrección del RVU tras una inyección endoscópica en 15 casos (75%). ... y quirúr... more ... Se logró la corrección del RVU tras una inyección endoscópica en 15 casos (75%). ... y quirúrgicamente, cuando se trata de grados altos donde la tasa de curación espontánea es baja (4 ... algunas complicaciones del te.ón, como la formación de granulomas y la emigración a otros ...
The surface temperature changes for the last 4000 years in northern inland Iberia (an area partic... more The surface temperature changes for the last 4000 years in northern inland Iberia (an area particularly sensitive to climate change) are determined by a high resolution study of carbon stable isotope records of stalagmites from three caves (Kaite, Cueva del Cobre, and Cueva Mayor) separated several tens of kilometers away in N Spain. Despite the local conditions of each cave, the isotopic series show a good overall coherence, and resulted to be strongly sensitive to surface temperature changes. The record reflects alternating warmer and colder intervals, always within a temperature range of 1.6 °C. The timing and duration of the intervals were provided by 43 230Th- 234U (ICP-MS) ages. Main climatic recognized periods are: (1) 3950-3000 yr BP: warm period punctuated by cool events around ~ 3950, 3550 and 3250 yr BP; (2) 2850-2500 yr BP cold interval (Iron Age Cold Period); (3) 2500-1650 yr BP moderate warm period (Roman Warm Period), with maximum temperatures between 2150 and 1750 yr BP; (4) 1650-1350 yr BP cold interval (Dark Ages Cold Period), with a thermal minimum at ~ 1500 yr BP; (5) 1350-750 yr BP warm period (Medieval Warm Period) punctuated by two cooler events at ~ 1250 and ~ 850 yr BP; (6) 750-100 yr BP cold period (Little Ice Age) with extremes occurring at 600-500 yr BP, 350-300 yr BP, and 150-100 yr BP; and (7) the last 150 years, characterized by rapid but no linear warming (Modern Warming). Remarkably, the presented records allow direct comparison of recent warming with former warm intervals such as the Roman or the Medieval periods. That comparison reveals the 20th century as the time with highest surface temperatures of the last 4000 years for the studied area. Spectral analysis of the time series shows consistent climatic cycles of ~ 400, ~ 900 and ~ 1300 yr, comparable with those recognized in the North Atlantic marine record, the Greenland ice cores, and other terrestrial records for the middle-late Holocene, suggesting common climate forcing mechanisms related to changes in solar irradiance and North Atlantic circulation patterns.
International Journal of Health Care Quality Assurance, 2011
Medication errors (MEs) are important in terms of their magnitude and severity, and there are num... more Medication errors (MEs) are important in terms of their magnitude and severity, and there are numerous systems in place to reduce their occurrence. However, the ideal system has not yet been identified. The authors' institution uses three different medication prescription-dispensation systems which operate simultaneously. ME rates were compared, overall and by phase (prescription, transcription and administration) and their overall and specific clinical impact. The administration of medicinal products was observed directly and compared with medical and nursing prescriptions. Errors and adverse events were classified by a consensus of experts. In the traditional system the error prevalence rate was 13.59 per cent, (99 per cent CI, 12.15-14.61 per cent), in the single dose system it was 6.43 per cent (99 per cent CI, 5.53-7.32) and in the electronic prescription system it was 8.86 per cent (99 per cent CI, 7.33-10.17). The highest error rates in all phases were found in the traditional system. The phase affected by most errors in all three models was transcription, and the least affected was administration, except for the single dose system, in which prescription was the worst. The effects of errors in the administration phase are greater, although less so than with the automated system. The dispensation phase was not analyzed. A study of errors will enable us to reduce their occurrence if we know the most frequent types and in which phase they are produced, we will be able to prioritise the areas in which to work and select the necessary preventive measures. It is possible that automated medication dispensation systems reduce error rates and the severity of their effects.
... Se logró la corrección del RVU tras una inyección endoscópica en 15 casos (75%). ... y quirúr... more ... Se logró la corrección del RVU tras una inyección endoscópica en 15 casos (75%). ... y quirúrgicamente, cuando se trata de grados altos donde la tasa de curación espontánea es baja (4 ... algunas complicaciones del te.ón, como la formación de granulomas y la emigración a otros ...
The surface temperature changes for the last 4000 years in northern inland Iberia (an area partic... more The surface temperature changes for the last 4000 years in northern inland Iberia (an area particularly sensitive to climate change) are determined by a high resolution study of carbon stable isotope records of stalagmites from three caves (Kaite, Cueva del Cobre, and Cueva Mayor) separated several tens of kilometers away in N Spain. Despite the local conditions of each cave, the isotopic series show a good overall coherence, and resulted to be strongly sensitive to surface temperature changes. The record reflects alternating warmer and colder intervals, always within a temperature range of 1.6 °C. The timing and duration of the intervals were provided by 43 230Th- 234U (ICP-MS) ages. Main climatic recognized periods are: (1) 3950-3000 yr BP: warm period punctuated by cool events around ~ 3950, 3550 and 3250 yr BP; (2) 2850-2500 yr BP cold interval (Iron Age Cold Period); (3) 2500-1650 yr BP moderate warm period (Roman Warm Period), with maximum temperatures between 2150 and 1750 yr BP; (4) 1650-1350 yr BP cold interval (Dark Ages Cold Period), with a thermal minimum at ~ 1500 yr BP; (5) 1350-750 yr BP warm period (Medieval Warm Period) punctuated by two cooler events at ~ 1250 and ~ 850 yr BP; (6) 750-100 yr BP cold period (Little Ice Age) with extremes occurring at 600-500 yr BP, 350-300 yr BP, and 150-100 yr BP; and (7) the last 150 years, characterized by rapid but no linear warming (Modern Warming). Remarkably, the presented records allow direct comparison of recent warming with former warm intervals such as the Roman or the Medieval periods. That comparison reveals the 20th century as the time with highest surface temperatures of the last 4000 years for the studied area. Spectral analysis of the time series shows consistent climatic cycles of ~ 400, ~ 900 and ~ 1300 yr, comparable with those recognized in the North Atlantic marine record, the Greenland ice cores, and other terrestrial records for the middle-late Holocene, suggesting common climate forcing mechanisms related to changes in solar irradiance and North Atlantic circulation patterns.
International Journal of Health Care Quality Assurance, 2011
Medication errors (MEs) are important in terms of their magnitude and severity, and there are num... more Medication errors (MEs) are important in terms of their magnitude and severity, and there are numerous systems in place to reduce their occurrence. However, the ideal system has not yet been identified. The authors' institution uses three different medication prescription-dispensation systems which operate simultaneously. ME rates were compared, overall and by phase (prescription, transcription and administration) and their overall and specific clinical impact. The administration of medicinal products was observed directly and compared with medical and nursing prescriptions. Errors and adverse events were classified by a consensus of experts. In the traditional system the error prevalence rate was 13.59 per cent, (99 per cent CI, 12.15-14.61 per cent), in the single dose system it was 6.43 per cent (99 per cent CI, 5.53-7.32) and in the electronic prescription system it was 8.86 per cent (99 per cent CI, 7.33-10.17). The highest error rates in all phases were found in the traditional system. The phase affected by most errors in all three models was transcription, and the least affected was administration, except for the single dose system, in which prescription was the worst. The effects of errors in the administration phase are greater, although less so than with the automated system. The dispensation phase was not analyzed. A study of errors will enable us to reduce their occurrence if we know the most frequent types and in which phase they are produced, we will be able to prioritise the areas in which to work and select the necessary preventive measures. It is possible that automated medication dispensation systems reduce error rates and the severity of their effects.
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