Composition of the electrocautery smoke: integrative literature review

Abstract OBJECTIVE To identify the composition of the smoke produced by electrocautery use during surgery. METHOD Integrative review with search for primary studies conducted in the databases of the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences, covering the studies published between 2004 and 2014. RESULTS The final sample consisted of 14 studies grouped into three categories, namely; polycyclic aromatic hydrocarbons, volatile compounds and volatile organic compounds. CONCLUSION There is scientific evidence that electrocautery smoke has volatile toxic, carcinogenic and mutagenic compounds, and its inhalation constitutes a potential chemical risk to the health of workers involved in surgeries.

Exercise and nonspecific low back pain: a literature review.

We reviewed the literature to clarify the effects of exercise in preventing and treating nonspecific low back pain. We evaluated several characteristics of exercise programs including specificity, individual tailoring, supervision, motivation enhancement, volume, and intensity. The results show that exercise is effective in the primary and secondary prevention of low back pain. When used for curative treatment, exercise diminishes disability and pain severity while improving fitness and occupational status in patients who have subacute, recurrent, or chronic low back pain. Patients with acute low back pain are usually advised to continue their everyday activities to the greatest extent possible rather than to start an exercise program. Supervision is crucial to the efficacy of exercise programs. Whether general or specific exercises are preferable is unclear, and neither is there clear evidence that one-on-one sessions are superior to group sessions. Further studies are needed to determine which patient subsets respond to specific characteristics of exercise programs and which exercise volumes and intensities are optimal.

Girls’ Education: Keeping Girls in School. ( A Literature Review with Implications for Girls’ School Attendence in Cape Verde)

Education plays a very important role in society’s development in order to promote good citizenship and individual rights and freedom. To this end, it is fundamental that girls be included in the education process. Inmost developed and developing countries, theoretically, both males and females have access to education. Cape Verde is no exception; however, the reality is that even in Cape Verde, promoting girls’ education and creating conditions to motivate girls to stay in school remains a challenge. Whereas girls have access to education many girls drop out for gender-related reasons. This paper will investigate girls’ education initiatives in general, and Cape Verde specific to offer recommendations and strategies to keep girls in school.

O Repto da ‘Diversidade de Conhecimentos’ em Cabo Verde: Do Colonial/ Moderno ao Moderno/ Pós-colonial

É propósito desse ensaio fazer, em primeiro lugar, uma retrospectiva crítica, de como o “trauma” e/ ou “herança” da colonização tem sido, por um lado, explorado para aumentar o fosso entre o “Norte” e “Sul”, servindo, actualmente, os interesses da globalização de cariz neoliberal e dos países que o lideram, e, por outro lado, de como a “exportação” da ciência moderna para o Sul tem funcionado como suporte legitimador dessa exploração. Em simultâneo procura-se fazer um exercício desmistificador do discurso dominante da ciência e da democracia apresentando uma visão crítica da sua associação à presente globalização de cariz neoliberal. Depois, centrando-se no caso de Cabo Verde, tendo como base o actual processo de construção e consolidação do ensino superior universitário, pretende-se perspectivar como é que uma das suas componentes fundamentais, a “investigação”, pode figurar como uma das alavancas de combate ao perpetuar do domínio dos cânones modernos da ciência e da democracia e, por outro lado, poder contribuir para o descerramento e visibilidade de outras ciências, e conhecimentos imbuídos de grande potencial emancipatório. Na sequência, por fim, este pequeno estudo mira, também, englobar, de forma breve, o lançar de pistas ou de prospectivas para uma (s) ciência (s)/ saber (es)/ conhecimento (s) de alta intensidade em Cabo Verde e no hemisfério Sul em geral.

A PRIMEIRA ELITE COLONIAL ATLÂNTICA Dos «homens honrados brancos» de Santiago à «nobreza da terra» (Finais do séc. XV – início do séc. XVII)

Na tese, que agora se apresenta, ocupamo-nos da formação e desenvolvimento da elite, que, desde o século XV até ao século XVII, evoluiu num processo em que se evidencia uma vincada mudança social. Durante o primeiro século da História do arquipélago, os “homens brancos honrados” de Santiago ocuparam a cimeira da sociedade da ilha. Estes homens, - brancos/reinóis, muitas vezes nobres, armadores, comerciantes e funcionários da administração central - formaram a primeira elite do arquipélago que estruturou a sociedade cabo-verdiana conforme os seus interesses económicos, as suas práticas culturais, políticas e ideológicas. Acontece que esta elite se organiza, se fortalece, e desaparece, não propriamente porque é desalojada numa ruptura abrupta, mas porque é substituída num processo pacífico. É este processo que consideramos específico da sociedade cabo-verdiana e procurámos esclarecer na tese apresentada. Os filhos ilegítimos mulatos dos “homens brancos honrados” serão devedores de seus progenitores e viriam a ocupar o lugar cimeiro na economia e no poder local santiaguense como membros da elite endógena cabo-verdiana, mas sem as facilidades que o comércio lucrativo com a Costa da Guiné propiciava. É essa herança que leva a que os homens dessa elite sejam conhecidos por “brancos da terra” e, não sendo nobres reinóis, façam parte do grupo restrito da “nobreza da terra”. É esta elite que vai evoluir até à Independência de Cabo Verde, sem grandes rupturas que a transforme de forma semelhante ao que sucedeu no período de que nos ocupamos. Daí a importância desta tese para o conhecimento da sociedade cabo-verdiana ao longo dos tempos.

Review of the literature on reference pricing

This paper reviews the literature on reference pricing (RP) in pharmaceutical markets. The RP strategy for cost containment of expenditure on drugs is analyzed as part of the procurement mechanism. We review the existing literature and the state-of-the-art regarding RP by focusing on its economic effects. In particular, we consider: (1) the institutional context and problem-related factors which appear to underline the need to implement an RP strategy; i.e., its nature, characteristics and the sort of health care problems commonly addressed; (2) how RP operates in practice; that is, how third party-payers (the insurers/buyers) have established the RP systems existing on the international scene (i.e., information methods, monitoring procedures and legislative provisions); (3)the range of effects resulting from particular RP strategies (including effects on choice of appropriate pharmaceuticals, insurer savings, total drug expenditures, prices of referenced and non-referenced products and dynamic efficiency; (4) the market failures which an RP policy is supposed to address and the main advantages and drawbacks which emerge from an analysis of its effects. Results suggest that RP systems achieve better their postulated goals (1) if cost inflation in pharmaceuticals is due to high prices rather than to the excess of prescription rates, (2) when the larger is the existing difference in prices among equivalent drugs, and (3) more important is the actual market for generics.

General trends in world biogeographic literature: a preliminary bibliometric analysis

Records with the search string biogeograph* were collected from the Science Citation Index (SCI). A total of 3456 records were downloaded for the 1945-2006 period from titles of articles and reviews, and 10,543 records were downloaded for 1991-2006, taking into consideration also abstracts and keywords. Temporal trends of publications, geographical and institutional distribution of the research output, authorship, and core journals were evaluated. There were as many as 122 countries carrying out biogeographic research; in the most recent period, USA is the top producing country, followed by the United Kingdom, Australia, France, Germany, Spain, and Canada. There were 17,493 authors contributing to the field. During 1991-2006 there were 4098 organizations with authors involved in biogeographic research; institutions with higher number of papers are the Natural History Museum (United Kingdom), the University of California, Berkeley (USA), the Museum National d'Histoire Naturelle (France), the Universidad Nacional Autónoma de México (Mexico), the American Museum of Natural History (USA) and the Russian Academy of Sciences (Russia). Research articles are spread over a variety of journals, with the Journal of Biogeography, Molecular Phylogenetics and Evolution, Molecular Ecology, and Biological Journal of the Linnean Society being the core journals. From 28,759 keywords retrieved those with the highest frequency were evolution, phylogeny, diversity, mitochondrial DNA, pattern(s), systematics, and population(s). We conclude that publications on biogeography have increased substantially during the last years, especially since 1998. The preferred journal for biogeographic papers is the Journal of Biogeography. Most frequent keywords seem to indicate that biogeography fits well within both evolutionary biology and ecology, with molecular biology and phylogenetics being important factors that drive their current development.

Finasteride-related Leydig cell tumour: report of a case and literature review.

Leydig cell tumours (LCTs) of the testis are rare. Their origin is still unknown. This case report describes a potential relationship between LCT and prolonged exposure to Finasteride.

Sweet diversity: Colonial goods and the rise of European living standards after 1492

When did overseas trade start to matter for living standards? Traditional real-wage indices suggest that living standards in Europe stagnated before 1800. In this paper, we argue thatwelfare rose substantially, but surreptitiously, because of an influx of new goods as a result ofoverseas trade. Colonial luxuries such as tea, coffee, and sugar transformed European diets afterthe discovery of America and the rounding of the Cape of Good Hope. These goods became household items in many countries by the end of the 18th century. We use three different methodsto calculate welfare gains based on price data and the rate of adoption of these new colonialgoods. Our results suggest that by 1800, the average Englishman would have been willing to forego 10% or more of his income in order to maintain access to sugar and tea alone. These findings are robust to a wide range of alternative assumptions, data series, and valuation methods.