897 resultados para road trauma


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Discurso pronunciado por el Secretario de Programación y Presupuesto de México el día 10 de mayo.

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Includes bibliography

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Even though community-acquired methicillin resistant Staphylococcus aureus (CA-MRSA) was described a decade ago, reports from Brazil are scarce and cases occurred in large urban centers. We report MRSA sepsis in a 16-year-old male from a small town and who had no history of exposure to healthcare or recent travel. After trauma during a soccer match, he presented swelling in the right thigh, which evolved in a month to cellulitis complicated by local abscess, orchitis and pneumonia. The patient presented severe sepsis, with fever and respiratory failure. Laboratory findings included blood leukocyte counts above 40,000/mm3 and thrombocytopenia. He was submitted to mechanical ventilation and therapy with vancomycin and imipenem. He had a slow but favorable response to therapy and was discharged after six weeks of hospitalization. MRSA grew from blood cultures and respiratory aspirates obtained before antimicrobial therapy. The isolate belonged to sequence type 5, spa type t311, harbored SCCmec type IV and genes for Panton-Valentine leukocidin and Enterotoxin A. The pulsed-field gel electrophoresis pattern was distinct from North American classic CA-MRSA clones. However, the sequence type and the spa type revealed that the clone belong to the same clonal complex isolated in Argentina. This is the first CA-MRSA infection reported in that region, with significant epidemiologic and clinical implications. © 2013 Elsevier Inc.

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Pós-graduação em Bases Gerais da Cirurgia - FMB

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Spanish version available at the Library

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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This issue of the FAL Bulletin addresses energy efficiency and its challenges in terms of freight transport by road. To this end, different national plans for energy efficiency in transport were reviewed, for both developed countries and for Latin America.

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A seminar on competition and complementarity between road and rail transport in the carriage of freight was conducted at ECLAC Headquarters on 6-7 November 2001. The seminar was attended by experts on transport matters from a range of countries, and their presentations covered the current state of integration of transport in countries like Argentina, Brazil, Chile and Mexico. Also in attendance was an expert from Central America, who spoke about modal integration of freight transport in that region. Three round-table discussions were held with the participation of representatives of the trucking and rail sectors, drawn from both the private and public spheres.