What are the precautions to take at home to protect yourself? Professor Jérôme Etienne. To check if legionella bacteria is not present in large quantities in your hot water system, you must have the reflex to disassemble the apple from your Housweety‘s shower and check if it is not scalded. We rarely think of it and it is a wrong. Simply because tartar contains nutrients appreciated by legionella bacteria, and when there is a lot of tartar, it means that there are a lot of bacteria.
It is necessary to scrape the tartar every three months to be sure of the result. Does that mean you can get legionnaires’ disease at home? Yes. But the risk is greater in hotels because the bacteria likes to grow in stagnant water. Home, We take a shower every day, so the water flows. Conversely, in hotels, especially when they are not very full, bathrooms are rarely used, which makes the water in the pipes stagnate.
Why do many legionellosis cases also develop in hospitals? Because a number of hospitals have not yet come up to standard, according to which the water network must be “in loop”. On the other hand, the hospital welcomes sick, fragile, immune-depressed people, and these people are more likely to be infected with the bacteria than healthy people. Bathrooms are rarely used, causing water to stagnate in the pipes. Why do many legionellosis cases also develop in hospitals? Because a number of hospitals have not yet come up to standard, according to which the water network must be “in loop”.
On the other hand, the hospital welcomes sick, fragile, immune-depressed people, and these people are more likely to be infected with the bacteria than healthy people. Bathrooms are rarely used, causing water to stagnate in the pipes. Why do many legionellosis cases also develop in hospitals? Because a number of hospitals have not yet come up to standard, according to which the water network must be “in loop”. On the other hand, the hospital welcomes sick, fragile, immune-depressed people, and these people are more likely to be infected with the bacteria than healthy people. Water must be “looped”.
On the other hand, the hospital welcomes sick, fragile, immune-depressed people, and these people are more likely to be infected with the bacteria than healthy people. Water must be “looped”. On the other hand, the hospital welcomes sick, fragile, immune-depressed people, and these people are more likely to be infected with the bacteria than healthy people.
It is indisputable that the Internet has been a technological innovation in the vast majority of households, and has greatly influenced the lifestyle of many people. Due to high reliability and great access to information, people often turn to the Internet whenever they need to know about something, even when it refers to their health and that is where SEO positioning plays a key role.
When people need to visit a clinic or enjoy a medical service look for a health center that has well positioned website.
A medical web from scratch
The development and maintenance of a website , for its medical profession, could involve costs but power and propitiates the exposure of its service to an increasing number of people, besides surpassing in impact and first visits to other forms of promotion. Your website can be viewed not only by your patients, target clients, but also throughout the world, with medical tourism being a proof of this. A patient from another country will only look in hospitals or medical services through the Internet.
Another reason to establish a website is to evaluate the competitiveness of your brand compared to other professionals.By having a website with a good brisbane seo services positioning you are more exposed to people and, in turn, people also recognize it above other professionals or health centers that do not have a website , not even online advertising or Presence in social networks .
The creation and development of a website for medical practices is becoming a norm among clinics, hospitals and doctors as well as other medical professionals. And this should not be analyzed in medical terms, but from the perspective of marketing 2.0 .
When opting for a web design agency, for your website, there are important considerations that must be taken into account. These are just a few of the basic points that we believe are necessary and critical to your website’s success with SEO positioning .
- Custom – The design of medical websites should be customized according to your practice. Be wary of web developers who offer generic design, which in turn could ruin your image or reputation.
- Targeted – As a medical website , specific medical practice serves a particular place or group of people, so your site should be goal-oriented and should also be targeted directly to clients or patients residing in A certain area. Your location should be clearly defined for search engines.
- Focused – Since you develop your medical activity in a specialty, the medical website must express specific knowledge. A website focused on this specialty can be easily seen by clients looking for medical services through search engines. The design of your website should be easy to understand and easy to use for the benefit of potential patients.
- Update – One of the most important things to consider when you have a medical website is to keep it updated. All information contained on the website must be current. It is essential that these websites are based on dynamic content management systems. This way changes in information such as phone number or contact details can be done at any time, and this can be done easily if you are using a simple and self-managing platform. Not only the contact details, but also some of the contents of the web that must be changed with certain periodicity.
Positioning SEO for your medical web?
Now, you may already have a web page but it is so deep in the search results that nobody ever comes to it or, even worse, that your website is completely invisible to search engines. In this case it would be necessary to optimize your website for the search engines. The SEO positioning techniques favor the correct indexing of the web and its contents in the search engines. There are various SEO positioning techniques for optimizing a website that lead to success .
- Keywords – It is necessary to know how potential clients – patients look for the information in the search engines to offer this information in a clear and easy to find.
- Site maps – An updated sitemap helps searchers know what they call all the internal pages of a website, where they are and what links to which. It is one of the most important factors to take into account, since what Google takes into account the sitemap and if there are elaces lost in your web and are included in the sitemap can be indexed to the release. Otherwise url that are not linked and that are not in the sitemap , technically, does not exist and this can damage your SEO position.
- Titles – It is useless that the home page is titled ” Welcome “. What contributes to the content of the web? Is it relevant? Correct titles on the pages create more possibilities for them to be found by the search engines and, consequently, for their potential clients – patients.
- Addresses – It is perhaps one of the most important parts of the development of a web that improves the navigability of a site, and that offers great advantages in SEO positioning , is that the addresses of the pages are understandable both for the user and for the seeker. Little does a page within a web call itself index.php? Option = com_content & view = article & id = 1217 & Itemid = 29551 & lang = en
- Links – Both incoming links , those coming from third pages to the web, as well as outgoing links , those to which we link are very important, and it is desirable that in both cases these are of quality.
- Social Media – The growing influence of social networks such as Facebook, Twitter, Linkedin, bring a not inconsiderable traffic to websites that have value content, and favors SEO positioning . It is also important that content is easy to share from the web itself.
The environment of health services is one of the most important objectives for cleaning companies. The accumulation of microorganisms and their poor cleaning cause a greater proliferation of pathogens that cause infections and diseases.
Properly disinfected hospital surfaces can reduce up to 99% of the number of microorganisms. However, those that were simply cleaned (without having received a disinfection process) only managed to reduce the number of microorganisms up to 80%. Thus, the hospital cleaning company has to be adequate for the results needed for a place as exposed as it is a hospital.
In this article we affordable vacuum reviews will analyze all the requirements and key points that a hospital cleaning company has to carry out to carry out its work correctly and achieve optimum results.
The main services of hospital cleaning
The hospital cleaning company is in charge of the cleaning and disinfection of surfaces and areas in a hospital. The cleaning services offered by these agencies are the control measures that break the epidemiological chain of infections. The objective of the services offered by the hospital cleaning company is to guarantee a clean place with a minimum burden of habitable contamination by the patients. It contributes to reduce the possibilities of transmission of infections.
One of the main focuses of infection and requiring a special cleaning process is the different surfaces that we find in hospitals. We refer to furniture, floors, doors, windows, ceilings, screens, sanitary equipment, stretchers, sofas, sanitary facilities, air conditioners, fans, etc.
However, surfaces have minimal risk of direct transmission of infection, but may contribute to secondary cross-contamination. What is this? This concept refers to the process of non-direct infection that can happen through the hands of health professionals and the instruments or products that can be contaminated when placed on such surfaces.
Factors that cause pollution in hospitals
The hospital cleaning company has to take into account the factors that can favor the contamination inside a health center:
- Although not directly dependent on the hospital cleaning company, the hands of health professionals are in contact with infected surfaces at all times. When health professionals do not use the basic techniques of cleaning in the hospital processes and in the day to day.
- Keep the surfaces moist or wet without carrying out their entire cleaning process.
- Leave uncoated surfaces such as cupboards, shelves or tables that are not used in the day to day and can give the impression that they do not need a cleaning. However, the accumulation of dust in them can cause pollution and subsequent infection and contagion of people.
- The lack of cleaning and hygiene in walls, ceilings, windows, doors, floors, carpets …
- Maintain organic matter in different rooms or cabinets conditioned for them in hospitals.
Cleaning processes to prevent disease transmission
The hospital cleaning company must comply with a series of measures that reduce the interference of the environment in infections related to health care.
- Dust vacuum cleaners that support the lifting of suspended particles can not be used. The machinery used must comply with this standard. Vacuums that do not comply can only be used in administrative areas.
- The internal areas of hospitals and health clinics must be cleaned with wet sweeping techniques that do not cause a particle removal. It is necessary and essential that the hospital cleaning company does not perform the dry sweep.
- Surfaces – floors, walls, medical equipment, office furniture, windows … – must always be clean and dry.
- Clean all organic matter on any type of surface of the hospital.
- Perform a different cleaning in areas under renovation or under construction.
- It is imperative that the health center perform hand hygiene frequently.
- While the employees of the hospital cleaning company are doing the cleaning tasks should not wear any jewelry and should be properly uniformed.
- Strong disinfectant products may only be used on surfaces with organic material or as directed by the Hospital Infection Control Service.
- The hospital cleaning company has to ensure that it has the necessary equipment and the quality of its surface cleaning and disinfection products.
- Hygiene products, such as soap and towel, have to cover the need of the sector.
- Sterilization: It is the process by which all the microorganisms existing in an object or a surface are destroyed.
- The health personnel must follow all the processes established in their work to heal the wounds, the manipulation of the sanitary material … etc.
Different cleaning areas in hospitals
The hospital cleaning company has to take into account three different types of areas in the clinical center.
- Critical areas . The hospital cleaning company has to take into account these cleaning areas. These are environments where there is a very high risk of transmission of infections. In these areas, risk procedures are performed with or without patients. The rooms in which immunodepressed patients are found (whose systems function below the normality index) are also referred to the critical area. Some of these areas are the Intensive Care Unit, Clinical Analysis Laboratory, Transplant Unit, Surgical Center or High Risk Nursing, among others.
- Semi-critical areas . Those rooms and rooms that are occupied by patients who have diseases of low transmission infections and diseases that are not infectious. The baths, outpatients, the emergency area, the infirmaries and the corridors of the hospital are some of the areas considered as semi-critical.
- Non- critical areas . All rooms and rooms in hospitals or clinical health centers that are not occupied by patients and where no risk procedures are performed. The changing rooms, offices, administrative areas, warehouses or secretariat.
General rules in a hospital cleaning company
One of the essential requirements of the company of cleaning of hospitals is its almost total availability of the services since the health centers are in continuous movement and with activities of risk of daily way. Thus, the sanitary norms established by the public institutions are:
- Use of rubber gloves, to immediately clean blood stains, feces or other body fluids.
- Dry sweeping is strictly prohibited. The hospital cleaning company can not use swabs, dusters, vacuum cleaners or utensils that can cause the removal of dust and dirt on the floor or on different surfaces. It is really important not to cause air currents that can displace the germs to proceed to the contagion.
- It should be systematically cleaned and disinfected every day, since it is the only way to achieve permanent safety in hospitals.
- The main plan of the services of the hospital cleaning company must be based on cleaning and disinfection.
- The hospital cleaning company will use the double hub system. The first one has a soap detergent solution and the second one will have a solution with bleach or disinfectant. However, when cleaning the critical areas the content of the cubes is different so you have to be careful to modify the contents when changing zones.
- However, the cleaning material is exclusive to each risk area. The material can not be mixed in any of the areas and you have to be very careful that each room has its own material. Wipes, scouring pads or gloves need to be specific at each visit.
- It is necessary to clean all surfaces under the prescribed regulations. All floors and furniture that can accumulate dust or stained with organic debris or other fluids are susceptible.
- It is important to clean with a damp cloth with water and detergent for later with another cloth to rinse the same area and drain the water well.
- The cleaning process should range from the least contaminated areas to the most contaminated ones in a unidirectional sense. To re-examine the area, you must change the cloth and rinse it with a cloth dampened in clean, well-drained water.
- To disinfect a surface it must be completely dry.
- Computer equipment, televisions and other technology items must always be switched off.
- To disinfect a surface a solution of bleach must be used for at least 15 minutes of waiting.
General disinfection standards for the hospital cleaning company
- All products used for the disinfection of certain areas must be controlled by the management of the company and have its own sheet with the necessary data.
- The mixture used for the disinfection of the different areas needs cold water and must be done at the same time that it will be used.
- It is not possible to mix incompatible products so it is necessary to follow the manufacturer’s own instructions when using them.
- The most common disinfectant to use is bleach and never on metal surfaces as it can deteriorate later. The disinfectant must be allowed to act for 10 minutes and then clean the surface.
When does a hospital cleaning company have to perform High Level Disinfection?
High level disinfection is necessary in the process of cleaning semi-critical material, ie, one that has contact with membranes, mucous membranes or non-intact skin. A hospital cleaning company has two methods for carrying out high-level disinfection. It can be done manually by disinfecting with the immersion method or automatic disinfecting machines can be used. The best method to carry out disinfection is automatic disinfection. The hospital cleaning company must be performed in well ventilated areas and away from where the patients are and the area where there is clean material. Before disinfection it is necessary that all the material is washed previously and rinsed with abundant water.
The Center of Dermaestética of the German Hospital, dedicated exclusively to the aesthetics of the skin, counts on professionals highly qualified in the specialty and with the equipment of last generation necessary to be constituted in a place of excellence that guarantees seriousness and suitability.
It operates in the Juncal Building of the German Hospital, with independent access.
It consists of a simple, non-surgical procedure performed in the doctor’s office after individual evaluation of the patient to determine the most appropriate method.
It is used for the treatment of lines of expression of the forehead, brow, crow’s feet, eyebrows and neck region, and consists of the application of small injections in the muscles to be treated, which when contracted generate wrinkles expression.
The substance that is used is botulinum toxin that relaxes the muscles in the area where it is applied and gives greater brightness and brightness to the skin, without changing the natural expression of the face.
The first results are observed within 48-72 hours after application and the total duration of the effect is approximately 4 to 6 months.
Fillings with anti wrinkle injections melbourne cost
It is a minimally invasive technique that is used to correct wrinkles, furrows or give volume to certain areas of the face with a simple application that allows the patient to reincorporate to social and work life immediately.
The most commonly used fillers are biocompatible, resorbable and synthetic materials, which give very natural results without having long term consequences.
The most applied is Hyaluronic Acid, a natural acid found in human skin, which retains and conserves water in this tissue and whose production is reduced over the years.
It is a durable but not permanent filling, which causes an increase in volume at the site where it is injected. It is used to fill nasogenian furrows, puppet furrows, very pronounced acne scars, give volume to the lips, cheeks and other facial structures.
The changes are evident immediately after treatment and, depending on the type of skin crosslinking, the duration of the product at the application site varies between 6 and 12 months.
This procedure, which represents a great technological advance, is used for the treatment of pigmented and vascular lesions (rosacea, melasma) and for photorejuvenation (solar lentigos). No discomfort or adverse effects.
Its most frequent application is on the face and neck, but it can also be done on hands, neckline or in specific places of the body that present an injury.
AFT (Advanced Fluorescence Technology) pulsed light represents a major change over conventional pulsed light treatments. This new technology improved the classic treatments of intense pulsed light. With AFT a series of pulses of higher quality is applied on the area to treat, Protecting the skin and allowing the light pulses to penetrate the deep dermal layers to be absorbed by the blood vessels and by the pigmentary lesions causing heat that affects the different structures to be treated.
It is a non-invasive, non-painful treatment, after which the patient can resume his usual tasks immediately.
Usually between 4 and 6 sessions (15 to 30 minutes), depending on the medical indication and every 2 or 3 weeks, in which the treated lesions will be eliminated or attenuated.
It is a procedure designed to treat aged and sun damaged skin, which improves quality, texture, elasticity, wrinkles and stains, while stimulating the regeneration of collagen.
This novel resurfacing treatment is performed with a fractional ablative Erbium laser that penetrates the skin through multiple and small dots (pixel), generating a micro-injury without affecting the tissue surrounding them. From these unaffected areas it regenerates the damaged skin quickly, improving the tension and texture.
They are generally performed between 3 and 6 sessions of 30 minutes duration (every 20 days), on an outpatient basis and without the need for anesthesia.
The areas that can be treated are the face, neck, neckline and hands.
It is a treatment that allows to eliminate the superficial layers of the skin, reactivating the collagen and the cellular regeneration. By thinning the skin, surface wrinkles are also attenuated, resulting in smoother, more youthful looking skin.
Chemical peeling (Dermoexfoliation)
It consists of the controlled application of a chemical substance on the skin, causing its exfoliation.
It is ideal for dry, photodamaged skin with fine wrinkles and spots.
It can improve active acne or its aftermath. More superficial or deeper peels are achieved using different acids and different concentrations.
Mechanical Peeling (Microdermabrasion with diamond tip)
It is a controlled, precise and progressive exfoliation therapy of the horny layer of the skin, which promotes the recovery and development of healthier skin.
It can be performed at any time of the year, on any skin type and any part of the body.
The frequency with which the peeling is performed will depend on the purpose of the treatment and the substance used.
The subsequent recovery can vary from a few hours to a few days, time that will be indicated by the doctor, as well as the previous and subsequent care.
Photodynamic Therapy is a revolutionary, modern and highly effective treatment. It is a non-surgical technique and exclusive medical management in which two elements are combined: a photosensitizing substance followed by irradiation of a light, which causes the selective removal of damaged tissues.
It consists of the application of an innovative drug on the area to be treated, followed by a waiting period and then a brief session where it is illuminated with a red light specially designed for this therapy. The light employed has a wavelength capable of penetrating to the depth of the skin with an efficiency that activates the renewal of the cells and stimulates the production of collagen and elastin.
Photorejuvenation with Photodynamic Therapy is indicated in superficial wrinkles, irregular thinning of the epidermis, hyperpigmentation in the form of spots and formation of spider veins or telangiectasias. The ideal areas to apply it are face, neck and décolleté.
Depending on the medical indication, there are 1 to 3 sessions, every 3 or 4 weeks. It is a well tolerated therapy.
With Accent radio frequency dynamic technology, the skin is achieved without the need for surgery.
The radiofrequency produces a gradual warming of the skin and thus, to act on the existing collagen fibers, strengthening them. It also produces collagen formation (new collagen formation) to create a contraction effect of the skin and, thus, reduce flaccidity. You will feel a gradually increasing heat on your skin that is not painful.
This treatment is for both men and women who wish to improve the appearance of their skin. The result can be seen in two phases: the first occurs immediately upon contraction of existing collagen and the second is accentuated with the passage of weeks and a maximum effect is achieved around the first three months, With the formation of a new collagen.
Both face, neck and décolleté can be treated in facial treatments; Such as arms, abdomen, flanks, buttocks and legs, in body.
Depending on the area to be treated, sessions can last from 10 to 15 minutes to more than one hour. It is recommended that 4 to 6 sessions be spaced every 15 days from each other, but in all cases it will be determined by your doctor.
Following the success of the three previous events, the Social Events Hall of Ubeda ‘DBlanco’ will celebrate its fourth edition next weekend, from 27 to 29 January, again in the cultural center Hospital de Santiago. An ideal place in which to find, gathered in the same space, everything that surrounds the world of celebrations. To this end, preparations have already been completed from the organization, which corresponds to Alegory Art, Lechuga & Ruiz and Singular Bodas, which have the collaboration of the Department of Commerce, Industry, Crafts and Enterprise of the City of Úbeda, 2X Clouds, Luis Miguel Photographer and Alciser, and sponsored by different companies.
‘DBlanco’ is an initiative that offers a wide range of solutions and ideas for future contractors who are planning their link. For three days, all the products necessary for a unique and original wedding will be exhibited in an incomparable setting such as the Hospital de Santiago, where you will also find the necessary services for other celebrations such as communions or baptisms.
In these three days many people will pass through the city in search of services for a dream wedding. Not for nothing, Úbeda has some of the best companies in the province specialized in the sector, being a reference. In previous years, between 12,000 and 15,000 visitors were received from all over the province and even from outside, and other sectors, such as the innkeeper, will also benefit during the weekend.
Thus, the municipality will be converted for the fourth consecutive year in the venue of this event, once again a regional center in the development of social events, where to visualize all those firms that can offer services with the aim that attendees can take a Integral idea of everything they need for their ‘big day’ as well as advice in all aspects and a wide range of products.
Given the success of the three previous editions, many companies have wanted to participate in this event, leaving some of them out of space. On this occasion there will be 53 exhibitors, of which 40 are businessmen of the locality, which represents a 70%, thus demonstrating that local commerce bets on this initiative. The rest are from surrounding municipalities.
The sectors that will be present will be those of travel agencies, rent of suits, rent of vehicles, animation, floral arrangements, sweets, esthetic centers, preparation of costumes and dresses of bride and groom, photography and video, jewelry, lingerie, lists Weddings, event organizers, salons for celebrations, hairdressers, gifts, catering and catering, headgear, accessories and footwear.
‘DBIanco’ will feature exhibition areas, as well as walkways for parades and presentation rooms and multidisciplinary events. There will also be musical performances, tastings, photo shoots, wedding photobooth, raffles and much more. The entrance to the exhibition area will be free and, as a novelty, to access the parades of the auditorium will be charged a symbolic entry of 2 euros. It will be so to avoid the agglomerations of other years, and the money collected will be delivered in full to the Úbeda Solidarity Network for its projects to help the most disadvantaged. Nevertheless, in the patio of the Hospital of Santiago will be placed a giant screen in which the parades can be followed live.
The presentation ceremony was attended by Irene Moreno, as representatives of the organization, accompanied by the councilman of Commerce, Jose Luis Madueño, and the president of Alciser, Bartolomé González. As highlighted Madueño, once again this successful room counts on the collaboration of the City Council, “since this is an event that has a very positive impact in our city”. The presentation also showed that weddings are a booming sector, as future contractors are taking care of the details of this great day, which implies hairstyles, make-up, accessories, dresses, lingerie, articles of Gift, banquet place, additional services to the banquet, audiovisual services, honeymoon, etcetera. All this will be present in ‘DBlanco’.
The owner of an armory in Huesca has been gunned down this afternoon by an attempted robbery at his establishment, according to sources informed by the National Police in Europe Press.
The events took place at 20.30 hours at the Armería ‘Guara’, located on the Avenida de Monegros, number 20, in the Alto Aragon capital.
Two people who were in a vehicle have entered armed in the armory with the intention of docking the trade, although they have not managed to subtract any weapon from this store.
However, in the course of the robbery, the owner of the armory was shot and wounded. The man has been transferred to Hospital San Jorge de Huesca with a shot in the left thigh, although his condition “is not serious”.
Police have established a device in the city to try to locate the perpetrators of these events, have specified the same sources.
The owner of the Bar ‘El Punto’, a settlement near the ‘Guara’ Armory, has told Europa Press that he has heard one or two shots, even though he thought they were firecrackers, and he saw a man running. He then got into a red car, where another person was waiting for him.
The owner of the armory has left his shop, fully aware, and has taken refuge in another establishment and has sat in a chair. The events have caused great commotion in the neighborhood. Visit wikiprofessional for details.
Patients at the Hospital Clínic Quirúrgico de 10 de Octubre, located in the municipality of the same name in the Cuban capital, receive a poor service in that facility of the Ministry of Public Health for deficiencies Administrative procedures.
“In the Echeverría Pavilion there is only one bathroom available, the others are closed: one for lack of toilet bowl and the other is not known why”, complains an 80 year old patient. The old man explains that when someone uses the only bathroom there is, someone else should stay in the door to prevent a third party from entering.
But the crisis is not limited to that pavilion. A 25-year-old companion told the agency: “It is unbearable that there is no bath available, sometimes you have to take a urine or stool sample to analyze in the clinical laboratory and you have to take the patient to the Intermediate Therapy, ask for permission there after explaining the
Situation so that they let you pass to the bathroom of that place. It is also frequent that at night hours the sick go to the surroundings of the Corps of Guard and look for a place in the dark to urinate or defecate.
A 56-year-old man who is hospitalized at the Surgical Clinic on October 10 said: “I do not know what it is to take both doctors out here meanwhile, in this hospital, there are no medicines in the pharmacy, no baths , girl…”
Before 1959 the Surgical Clinic of October 10, known at that time as Clínica La Dependiente, was considered among the best medical centers in the Cuban capital, both for the modernity of its the best toilets equipment and for the hygiene of its rooms and consultations, as well As for the beautiful gardens that this facility maintained for the enjoyment of patients, companions and visitanates.
However, officials of the Ministry of Public Health now assert that “Cuba is a medical power.”
fter a year of math, language, English and other stuff, boys school ended. Well … They passed grade, as appropriate, so they deserved a prize … And they claimed it.
After a previous cancellation for one of the many rains that have been complicating us, it was possible to materialize and we arrived in San Nicolás where Gustavo was waiting for us.
Accepting the challenge of going fishing with two eight-year-olds is not for everyone, and Gus not only accepted it, but made us spend an unforgettable day.
The idea was to fish tarariras only. The chosen places were ideal and the experience was positive in every sense: the boys learned and we learned, the great ones. They fished a lot and had a lot of fun. We take care of the fish by returning them to the water with the least damage, we take care of the environment trying not to leave trash, and we take care of them especially, who were the most inexperienced, teaching them techniques to avoid accidents in the launches and in the dive that, as we all know , They may occur.
Gustavo, with his inexhaustible patience, constantly helped the boys, but also incited them, motivated them, let them fish alone … And he did it very quickly.
Sometimes the parents do not have enough patience with our own children, and so it is good to have the help of a person who can guide them on the right path, with more tranquility than sometimes a father usually has.
Gustavo made us spend a perfect day, unforgettable for us as parents and I calculate that also for our children.
A separate paragraph. Something important to mention for those who want to imitate this type of output is the issue of security . It is essential to use the protective elements: lifeguards for navigation, glasses and cap during fishing, sunscreen, repellent, good supply of drinks, especially those that provide mineral salts in hot weather. Nothing bad happened, but if it happened we were more than warned and that is the important thing. Do not lose focus. Help the kids enjoy and make them the protagonists. Priority must be given to those who fish for them, not adults.
Finally, they will ask for the title: why “Danger”?
Because these two dwarves filled us with scales!
The protagonists of this note (in alphabetical order):
Baitcaster Thomas Aprigliano (black cap – 8 years)
baitcaster Juan Saco (beige cap – 8 years)
Tararirólogo, chafalotista and doradicto, in that order. He was born in Buenos Aires in 1972. He has been fishing since he could do it and for ten years he has only done it with lures. Compulsory repayment is part of their religion. His favorite modality is Baitcasting and ultra-light spinning. The more light, according to the situation, the better.
Philips’ iconic building on the Pan American is still there as a landmark in the City, but Philips is no longer the same company. The company, which is listed on the Dutch Stock Exchange and has its headquarters in Amsterdam, has not dropped its pedestal: it continues to be one of the largest in the world, although it has faced a change that they themselves define as radical.
“We are moving from an electronic company to the health and wellness sector,” clarin David Henk, born in Holland and in charge of Latin America, told Clarín. In that way they sold the television area to the Chinese group TPV, with a renewable agreement to use the Philips brand. The audio segment was left in the hands of US Gibson who also has a license to use the Philips brand. And in the case of lighting, they are in the home and in the large-scale solutions for Led luminaires, with intelligent systems where the lamps warn of any inconvenience next to traffic lights that are regulated according to the flow of traffic.
Philips has just floated to the Dutch Stock Exchange with an increase of 25% of its capital in Amsterdam to bet on its health business. Its star products are diagnostic imaging. They lead in ultrasound. Another of its innovations are appliances that prevent snoring. And yet, they did not leave the appliances. The news? From a fryer without oil to an iron that does not burn clothes. Pulsa ahora para ver más.
-Why do you focus on health?
“As never before, health is on people’s agenda. And we cover from preventive diagnosis to care, when the person is sick in the hospital and then when he returns home.
-How do you see Latin America?
– I come to the region since 1994 and I notice that combines high volatility and great opportunities. We are concerned about Brazil, but good growth is expected in the rest of the countries. It is an important region for us, we have leadership in consumption and in the health sector. I am optimistic. And if we look at the market there are numerous solutions.
– What do they look to decide an investment in Argentina?
“It’s a strong market for us. We are developing a program of public-private participation in health. And we already applied it in Bahia, Brazil. The devices are charged according to their use. And we are in contact with the Government to apply it here. We are attentive to an open economy with the same rules for everyone. 60% of our sales in the country are products that we manufacture in our three Argentine plants.
With ten years of presence in the hospital sector, Irenas Sydney CBD Xero Services perfectly meets the standards of the hospital accounting . From legal needs finhosta to tracking by cost center, through to customer accounting, EASI Financials is the accounting software of reference for the hospitals.
Multiple integrations that will make your life easier
The integration of accounting software into the existing IT environment is one of the basic prerequisites.Numerous interfaces with the software recognized on the market are already operational. Examples include Xtenso, CPO, Wish, Corfac and Sibelmed for billing or APO and Infohos for pharmacy. Incoming invoices are scanned and archived in the accounting software. The encoding is accelerated via character recognition and / or link with receptions. The invoices then circulate electronically to the approvers in order to obtain the validations required. Once approved, they are offered in supplier payment batches.
Even easier patient management
Particular attention was paid to customer accounting. Reminders and payment facilities are available to the accounting department and can be sent in paper or by email. The patient records are made automatically by the system to facilitate sending to collection companies. The notion of dispute code allows for very accurate follow-up of patient invoices. VCS codes are recovered from invoicing or re-generated on demand during reminders, clearance plan, etc. VCS are used wisely during reconciliations with payments.
Finally, an easy stock management
EASI Purchase perfectly complements the accounting tool. Purchase orders are edited manually or automatically according to the needs of the services. Pocket PDA’s modern technology streamlines the management of the store, its stock and its inventory. The KANBAN method is one of the proposed options. Consumption is monitored and monitored accurately.
If you are on the HCG diet, you know how important it is not cheating. You have to follow the diet protocol, or you could find yourself on a plateau of serious weight loss or even gain weight. And no other time of year is more dangerous to the HCG diet than the holiday season, including Christmas and New Year. Take a look at these tips, where to buy the best hcg drops that will help you survive all parties and gatherings and stick to your HCG diet.
Eat before you go. If you can get away without eating at the party, eat a full, HCG-compatible meal before you go. If you are not hungry upon arriving at the party, you will not be so tempted by all the sweets and snacks!
Focus on activities rather than parties. Plan your own activities such as ice skating, gift giving, singing carols, decorating and playing games instead of dinners and parties. Make it a tradition, so your HCG diet strategies to lose weight can last a lifetime!
Bring your own food. This is a great idea if you go to a party and you do not know what’s in the food. Baked cinnamon baked apples make a good holiday gift.
Find a partner to help you stay responsible. Stay close to a trusted friend of family members who have entrusted you with your HCG diet goals. Focus on the mix and talk to friends instead of going out to the food table.
Re-gift of goodies and food. Your friends and loved ones have good intentions! But it will be even happier for you if we stick to your weight loss goals. Take food gifts to parties, meals and meetings. Take them to the neighbors. Make a donation to a school activity, homeless shelter, food pantry, or the hospital to spread the Christmas spirit. If worst of all, steel yourself and throw away the food. It’s better than overeating.
If you cheat, just move on. I do not give up on yourself if you have a bad time. Although you can not lose as much weight as you expected, your diet will not be ruined by a cheating episode. Get back on your feet and move on! You can still lose a lot of weight by moving forward.
Keep a safe emergency snack in your hand. When you are tempted by cookies or chocolate goodness, you need an alternate plan. Stash some portable snacks, compatible with the HCG diet like apples or sliced cucumbers in your bag, car, or desk.
Drink the water. Studies show that the more water you drink, the fewer calories you eat. Drink plenty of water throughout the day, and several cups of water before heading out to a party to help keep temptations to a minimum.
Practice saying no! This may sound silly, but a few quick role-playing games can increase your resolve. Mentally prepare some of the courtesy excuses and denials before heading out to your holiday events.
Lastly, remember this: If you can get through the holidays on the HCG diet without cheating, do not just avoid gaining weight, you will continue to lose weight. You will lose weight during the holidays! Is not it great? So go out and prove to be a master of HCG diet and achieve your weight loss dreams!
An article recently published in the New York Times: “Immigrants Facing Deportation by US Hospitals” in which hospitals mentioned deport undocumented patients. This created confusion among our community and some people commented that they will not assist hospitals to seek health services for fear of being deported.
It is important to clarify that both the state and New York City governments are pro-immigrants and our community should not be afraid to go to hospitals.
According to the mayor’s office Broomberg, these are some of the services that people without documents can receive:
* All children under 19 years are entitled to receive health insurance under SCHIP (State Children’s Health Insurance Program).
* If you have an emergency you can call 911 and request an ambulance and receive the necessary care.
* Domestic violence services.
* Prenatal care for pregnant women under the PCAP (Prenatal Care Asistanse Program).
* Emergency shelter.
* Food pantry services.
* Emergency Medicaid which covers the expenses of a person who has to be hospitalized.
* Breakfast and lunch in schools for children.
Press here for a complete list of services. NOTE: If you are a citizen, NYC resident or have documents to be in the USA then you have the right to many other services.
There is a phrase that says “better safe than sorry” and in this case applies perfectly. It is very important that you visit a hospital, health department clinic or other non-profit organization where you can take different free or low cost tests. If you do not attend on time, then it may be too late.
In the specific case of people who are tested for HIV – which is free – and get a positive result, they receive ADAP (AIDS Drug Assistance Program) which is a type of insurance that covers visits to the doctor, dentist , Eye doctor, medications, blood tests, among several other services. It is very important that you take the HIV test and find out in time if you are a carrier of the virus that causes AIDS, since this way you can prevent getting sick to the degree that you have to be hopped for a long time, which will make it more difficult Your recovery.
At present the creation of a specific sector, whose responsibility is the preparation and sterilization of all the equipment (instrumental, surgical clothing, hydrophilic material, etc.) of the hospital, is a happy reality.
This sector is the CSSD (EC)
By definition, the CSSD is the hospital service recepciona, conditions, processes, controls and distributes textiles (clothing, bandages, dressings, etc.), biomedical instruments and equipment all Sectors of the hospital with the ultimate goal of obtaining a safe input to be used with the patient.
This centralized sterilization system has the following advantages:
EFFICIENCY: properly organized, this system provides efficiency through monitoring in the cleaning, maintenance and sterilization itself.
Standardization, uniformity and coordination of procedures are facilitated as there is constant supervision by a person dedicated to this activity.
ECONOMY: the centralized economical, because it avoids the multiplied existence of expensive equipment (steam autoclaves, dry heat stoves, sealers pouches, etc.). The life of the instruments is prolonged thanks to an efficient manipulation (cleaning, conditioning, sterilization) by specialized personnel.
SAFETY: the old decentralized sterilization systems with unsupervised personnel, the possibilities of process failures increased. Example of this:
-Materials Exposed to improper methods of sterilization: no high temperature resistant elements have been destroyed by dry heat processed.
-Modification of safe process parameters: (increase in temperature and process time by dry heat to increase process safety empirically.) By centralizing the sterilization all process control systems are unified, obtaining a sterilized input with high Margins of security.
There is another system currently in place for the sterilization of materials, the so-called “sterilization unit”. Located generally in the vicinity of the surgical plant, their function is only to process, by specialized personnel, the instruments already armed in their respective boxes, as well as the special packages to support the surgeries.
The advantage of these decentralized sterilization units is associated with the decrease in the number of instruments that are circulating in the hospital, thus eliminating the risks of the transfer of such materials.
LOCATION OF THE STERILIZATION CENTER
To define the correct location of the Sterilization Plant, it is important to keep the following points in mind. It should be:
.Situated in a restricted circulation area.
.Ablished from the area of movement of people.
.Installed with ease of access to the maintenance services of the area’s own equipment.
. Located next to the main services that consume sterilized material.
.Installed with easy access to the exterior of the air extraction system, to avoid long sections of ducts.
.Remove from places that present a risk of inflammation.
The definitive location will arise from a careful evaluation of these points, then adapted to the reality of the hospital in question.
DESIGN OF THE STERILIZATION CENTRAL
In the design considerations of the Sterilization Plant, consideration should be given to the needs of a sector that effectively and specifically facilitates processes, minimizes environmental contamination and facilitates maintenance of the sterility of the material or raw material processed.
The centralization of all processes, although possible, is a complex task.
Sterilization is a complex process that requires sophisticated equipment, adequate space and qualified personnel to maintain a training program and continuous quality assessment.
Considering security and cost reduction, centralization of all processes is the most recommended, but there are particular circumstances that make this centralization impossible. In this case, firm work policies must be followed in order to maintain the ultimate goal of obtaining a sterile input to be used reliably with the patient.
Definitions of areas
Reception Area and cleaning: Area where reusable elements: instruments, equipment, etc., are received, recorded, and subjected to a cleaning process.
Support Area: Area, showers and Office and other facilities for staff.
preparation and packaging areas: Area where clean and dry elements are inspected, assembled in sets, boxes, wrapped or packaged properly selected for the sterilization process. It can be a single area or divided into two: one for conventional instruments and the other for different biomedical devices, anesthesia circuits, respirators, thermolabile mats in general.
preparing textile area: Area where reusable clean textiles(surgical lingerie), and different hydrophilic materials: gauze, bandages, etc., are inspected, armed and packed their packaging process. Inspection of the wrapping materials is also carried out in order to detect irregularities, defects, foreign objects.
This sector may be within the Sterilization Center or in a sector separate from it.
Example: Arrangement of the surgical clothing package in a sector external to the sterilization plant, for example, wardrobe.
Sterilization Area: Area where steam autoclaves are located, ethylene oxide (ETO), dry heat stoves, and all other sterilizing equipment: ormaldehído, hydrogen peroxide plasma; Including the space for loading and unloading cars.
In case of autoclaving by ethylene oxide, it must be in an area separated from the rest of the equipment.
Storage Area sterilized material: Area where materials are sterilized and previously stationed distribution.
Area raw material tank: Storage Area textiles, packaging materials and other clean products. It can be located in or out of the Sterilization Center.
3.1. 8. Administrative Area: Office chief supervisióndonde area and staff documentation CSSD, library and reference material is concentrated.
3.2 Design criteria
Prior to the design of the work areas of the Sterilization Plant, basic operations should be defined. Here are some of the specific decisions that need to be made:
3.2. 1. If cleaning of instruments will be centralized or decentralized. In the case of being centralized, it can be done with washing machines or manually.
3.2. 2. If the preparation or packaging of hydrophilic material will be centrally or not
3.2. 3. If sterilization will be no centralized or sterilization units
3.2. 4. If the assembly of boxes will be instrumental in the user of the same sector Surgical Center, Obstetric Center or CSSD.
3.2. 5. Where the prewash (first step decontamination process) of reusable materials will be patient.
3.2. 6. What elements of anesthesia and inhalation therapy will be discarded which will be reused and how and where they will be processed and stored.
3.2. 7. What level of Stock must be kept in the warehouse of sterile materials.
3.2. 8. If the disposable supplies will be stored or not in the CSSD.
3.2. 9. What kind of distribution system will be used: horizontal, vertical and if projected an increase in tasks.
3.2. 10. How much equipment will be necessary if you agree with the project work.
3.2. 11. If you do not need or creating an area for the preparation of surgical clothing package, since currently there are rental options surgical clothes and use disposable clothing.
Considering that the validation of the sterilization process involves the validation of each and every step involved in the process, all the factors mentioned above should be considered in the design of the work area in order to facilitate the tasks that in those areas Are developed.
3.3 Circulation model
The sterilization plant must be designed in such a way that the separation of areas is clearly visible: a pre-washed input is “received” in a sector for cleaning, then conditioning (“preparation sector”) and sterilized to be finally stored. All this with a unique sense of movement and no setbacks.
The design of the work area should allow a good space for everything to work properly, minimizing the distances between area and area. This limits the possible environmental contamination and, therefore, the contamination of inputs.
Transit in the areas of the Sterilization Center must be exclusive to your staff. The supervisor will define, with strict criteria, who and with what clothing they can move through the sector. This care must be taken because both staff and visitors are potential carriers of microorganisms and thus increase the risk of contamination on the sterile input.
It is also important to protect personnel from the germs present in the soiled area, from inputs that need to be washed. Consequently good practices in traffic control and the use of protection barriers are essential.
3.4 Infrastructure requirements
3.4. 1. Space Requirements: vary significantly according to the processes that perform the sterilization and are always estimated during the planning of it. The general recommendation will be 1 m2 for each hospital bed.
3.4. 2. Mechanical Systems: In addition to the mechanical requirements, electricity, water and steam sterilization processes usually require pressurized systems as compressed air, nitrogen, floor steamer and vacuum systems. A system of distillation or demineralization of the water to be used, both in cleaning and in steam autoclaves, is recommended.
3.5 General industry requirements
3.5. 1. Floors and walls: They must be constructed with washable materials that do not release fibers or particles. They should not be affected by the chemical agents usually used in cleaning.
3.5.2. Ceilings shall be constructed so as not to leave angles and present a single surface (health angles) to prevent condensation of moisture, dust and other possible causes of contamination.
3.5.3 Ventilation: Ventilation systems should be designed so that air flows from clean to dirty areas and then is released to the outside or recirculation system filter must not be less than 10 parts of air, per hour. Ventilators are not allowed in the Central Sterilization System because they generate great turbulence in the air by recycling dust and microorganisms from the floor to the work tables.
3.5.3. Temperature and humidity is desirable to be between 180 C and 220 C and a humidity between 35 and 70%. At higher temperature and humidity, microbial growth is favored and at lower temperature and humidity, certain parameters of sterilization, such as penetration of the sterilizing agent, may be affected.
3.6. Special Requirements by Areas
3.6. 1. Areas of cleaning soiled area: They must be physically separated from all other areas (preparation, processing, storage) and easily accessible from an exterior corridor. The importance of physical separation is based on the need to prevent aerosols, microdroplets and dust particles from being transported from the dirty to the cleaned area by air currents, since in this sector, due to the type of work, Develops (brushing, ultrasound) a lot of aerosols are generated.
Floors, walls, ceilings and work surfaces shall be constructed of non-porous materials that support frequent cleaning (minimum daily) and moisture conditions.
All the air of this sector must be, expelled to the outside without recirculation; Thus preventing the reintroduction of contaminating clean areas that put the patient and the personnel at risk.
3.6. 2. Area preparation: Ideally, this sector possesses aeration system with positive pressure.
3.6. 3. Processing area: Yes there is an ETO sterilizer in this sector should be paid special attention to gas removal systems abroad.
3.6. 4. Area of deposit sterilized material: must be located adjacent to the processing area and preferably in a separate area with limited access.
The tank system (open or closed shelves) should be selected based on the rotation of materials and the type of packaging material used.
The ventilation system will be designed (via positive pressure) so that the air flows out of the reservoir area.
Maintaining the sterility of the input is essential. Since most packages do not provide an absolute microbial barrier it is important that environmental contamination is minimized in order not to compromise the sterility of the material during storage.
CLEANING ROUTINE OF THE STERILIZATION CENTRAL
At least daily floors and work surfaces must be cleaned. Other surfaces (shelves, ceilings, glass, walls) will be cleaned periodically according to a regular program given by the supervisor.
Personnel must be very careful to avoid altering the integrity of the containers of the materials already processed during the cleaning process.
Cleaning will always be done from “clean” areas to “dirty” areas, in order to avoid the transfer of contaminants.
It is ideal to have cleaning implements (rags, flannels, sponges) differentiated by areas: dirty and clean.
The basic staff consists of 1 boss / supervisor and staff of procedures (technicians in sterilization, technical auxiliaries and housekeepers).
All preparation and processing of materials, including decontamination, cleaning, packaging, sterilization, storage and distribution steps, should be under the responsibility of a supervisor.
The person assigned to this task must have experience, training and education in the subject.
You should maintain ongoing training and refresher programs as well as participate in the infection control standards drafting committees of the institution in which you provide services.
It will also be within its competence the evaluation of the personnel that, in charge, will carry out its tasks in the area (auxiliary technicians, maids).
These operators will demonstrate a perfect understanding of the specific processes of sterilization used in the health area, as well as in all aspects related to such processing (cleaning, packaging, circulation).
Ornamental design and gardening of hospital green areas in accordance with the needs of patients, staff and doctors can have a health-enhancing effect. These are the dominant conclusions of a study by the MedUni Vienna, led by Renata Cervinka of the Institute for Environmental Hygiene at the Center for Public Health. Representatives of three hospitals in Lower Austria, whose gardens at the local hospital were the subject of an environmental planning analysis of psychological and free space, were involved in the study. Another result of the study: “The more natural the garden landscaping, the greater the experience,” says Cervinka.
“The gardens and green spaces of a hospital should be viewed as an balancer to the hospital itself,” explains the environmental and health psychologist. “The garden is perceived as a natural contrast to the hospital – it serves as a place of sanctuary and recovery.” This is also confirmed by the study: green, very natural ornamental gardens came as close as possible to the hospital’s ideal garden Imagined by 411 potential patients who were recognized anonymously on the Web.
This result also echoes the findings of previous studies: since 1984, Rogelio Ulrich discovered that a view from the hospital room overlooking green spaces has more of a “cure” effect than a view of a concrete wall. Patients with a view to green space spent less time in the hospital, were generally happier with their care and required less pain-relieving medication.
Just three minutes in the garden can have positive effects
“Deep breathing in a green space for just three minutes can have a positive effect,” says the co-author of the study Kathrin rodere. “The smoking switch is firmly entrenched in modern life, however mental” switch is not the “, unfortunately.”
This switch has even more impact the more the gardens and the places of the sanctuary adapt to the needs of its users. “In a General Hospital, for example, where patients do not strap for very long, even a view of the appropriate-ornamental green space can have a health-enhancing effect. For other groups, such as patients undergoing orthopedic rehabilitation, it is more important that gardens can also be enjoyed while using walkers, for example. Long-term patients, such as geriatric or psychiatric patients, benefit from activities that involve gardening. “The authors also recommend separate green areas for hospital personnel who are deprived of patients.
“The proven therapeutic effect should also counteract the trend toward consideration of green spaces as purely places of rest or building land of potential,” says Cervinka. “The value of nature is incalculable. Its worthy of it is invaluable. “With this in mind, the authors of the study also point out how crucial it is to preserve large, old trees when making extensions and conversions:” Trees have a very important role to play in recovering from stress and mental health. They are easily knocked down, however they take a long time to grow. ”
Based on the study’s conclusion, a checklist has been developed that can be used to create the ideal design for the hospital gardens – with the aim of raising the mood of its users, increasing their well-being and increasing proximity From the gardens to the nature.