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1.
Rev. cuba. salud pública ; 45(3): e1924, jul.-sep. 2019. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1058433

RESUMO

Introducción: El manejo responsable de los productos químicos peligrosos tiene relación directa con el conocimiento, comprensión y percepción de riesgo que tengan los individuos involucrados. Objetivo: Evaluar el nivel de seguridad en el manejo de los productos químicos peligrosos en la comunidad Mantilla y compararlo con el estudio que se realizó en la comunidad Pogolotti-Finlay-Belén en La Habana, entre 2013-2015. Métodos: Investigación descriptiva exploratoria, que se realizó en el Consejo Popular Mantilla de Arroyo Naranjo en 2016, con una población de 1338 practicantes sistemáticos en el manejo de los productos químicos peligrosos. Se escogió una muestra no probabilística de 200 personas, que se seleccionaron de forma intencional. Se confeccionó una lista de verificación para evaluar el nivel de seguridad, con objetivos específicos y contenidos para esta comunidad. Se evaluaron los aspectos de seguridad, se determinaron los perfiles de riesgo con el software ASeC, y se realizó un análisis de sensibilidad en la comunidad Mantilla. Se efectuó un estudio comparativo entre los resultados del análisis de sensibilidad para la comunidad de Mantilla y la de Pogolotti-Finlay-Belén mediante diagrama de Venn. Resultados: Los resultados por aspectos de seguridad en la comunidad de Mantilla fueron evaluados de negativos y no mostraron diferencias significativas con los obtenidos en la comunidad de Pogolotti-Finlay-Belén. Conclusiones: La identificación de los focos de peligro en la comunidad Mantilla resultó crítica. Ambas comunidades no demostraron la capacidad funcional para enfrentar una emergencia y desconocen las acciones y consecuencias que tiene para la población y el medio ambiente los accidentes con productos químicos peligrosos(AU)


Introduction: Responsible management of hazardous chemical products has direct relation with the knowledge, comprehension and perception of the risk that the individuals involved have. Objective: To evaluate the safety level in the management of hazardous chemical products in Mantilla community, Havana, Cuba and compare it with the assessment performed in Pogolotti-Finlay-Belén community of the same province, from 2013 to 2015. Methods: Exploratory-descriptive research conducted in Mantilla community, Arroyo Naranjo municipality, Havana, Cuba in 2016, over a population of 1338 systematic practitioners in the handling of hazardous chemical products. The sample was of 200 people; and it was non-probabilistically and intentionally selected. An exhaustive checklist was prepared for applying the safety level assessment method with specific objectives and contents for the community. The safety aspects were assessed, the risk profile was determined by using ASeC software, and a sensitivity analysis for Mantilla community was performed. A comparison of the sensitivity analysis results was also carried out for both Mantilla and Pogolotti-Finlay-Belén communities using the Venn diagram. Results: The results by safety aspects of Mantilla community were assessed with negative values. When compared them with the results obtained on a previous research in the Pogolotti-Finlay-Belén community, some irrelevant differences where obtained. Conclusions: The hazard focus identification in Mantilla community became critical. Both communities didn't show functional capability for facing an emergency, and they didn't know what actions and consequences could have an accident related to hazardous chemical products in the population and the environment(AU)


Assuntos
Humanos , Características de Residência , Substâncias, Produtos e Materiais Perigosos , Estudo Comparativo , Epidemiologia Descritiva
2.
Farm. hosp ; 42(4): 152-158, jul.-ago. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-174833

RESUMO

Objetivo: La presencia de fármacos peligrosos en los Servicios de Farmacia se ha evaluado internacionalmente. Este estudio analiza la presencia de fármacos peligrosos en áreas de preparación de los Servicios de Farmacia y la influencia de determinados factores en la misma. Método: Se realizó un muestreo transversal en superficies de elaboración de los Servicios de Farmacia de diez hospitales españoles. Se cuantificaron los niveles de ciclofosfamida, ifosfamida y 5-fluorouracilo. Un laboratorio independiente cuantificó los fármacos peligrosos seleccionados. Se registró el número de preparaciones anuales y del día de muestreo para cada fármaco, los procedimientos de limpieza y/o descontaminación y los sistemas de transferencia de fármacos utilizados en cada centro. Resultados: Se analizaron 204 muestras. Se confirmó la presencia de los fármacos peligrosos analizados en todos los centros participantes, con un porcentaje de muestras positivas de ciclofosfamida, ifosfamida y 5-fluorouracilo del 49%, 23% y 10%, respectivamente, y con niveles mediana (primer-tercer cuartil) de 0,05 ng/cm2 (0,03-0,23), 0,03 ng/cm2 (0,03-0,06) y 0,31 ng/cm2 (0,3-0,59), respectivamente. Conclusiones: El presente estudio confirma la presencia de fármacos peligrosos en las áreas de preparación de los Servicios de Farmacia españoles. Se observó una variabilidad significativa de niveles de contaminación entre los hospitales participantes, así como entre los diferentes lugares muestreados. Las localizaciones con mayor número de positivos fueron los sumideros de aire de las cabinas y los suelos frente a las mismas. No se evidenció asociación entre el número de preparaciones y los niveles de contaminación presentes para ningún fármaco peligroso


Objective: Hazardous drugs presence at Hospital Pharmacies has been demonstrated in numerous studies. This study aims to analyze the presence and levels of hazardous drugs at Spanish Hospital Pharmacies and the influence of different aspects on them. Method: We developed a cross test at Hospital Pharmacies hazardous drugs compounding surfaces of ten Spanish hospitals. An independent laboratory determined cyclophosphamide, iphosphamide and 5-fluorouracile levels in samples recovered. Annual number of hazardous drugs compounded, as well as the number of preparations developed the testing day was registered. We also registered cleaning and decontamination processes and the drug transfer device used at each hospital. Results: 204 samples were analyzed. Hazardous drugs presence was confirmed in all participant hospitals. We observed a 49%, 23% and 10% of positive samples for cyclophosphamide, iphosphamide and 5-fluorouracile. Median levels (first-third quartile) of cyclophosphamide, iphosphamide and 5-fluorouracile were 0.05 ng/cm2 (0.03-0.23), 0.03 ng/cm2 (0.03-0.06) y 0.31 ng/cm2 (0.3-0.59) respectively. Conclusions: Present study confirms hazardous drugs presence on compounding areas at Spanish Hospital Pharmacies departments. We observed a significant variability between participant hospitals, as well as between tested locations. Samples with more positive results were cabine airfoils and floors in front of them. The number of preparations had no influence on results observed. Variability observed points outs the need to standardized compounding hazardous drugs processes


Assuntos
Serviço de Farmácia Hospitalar , Composição de Medicamentos , Substâncias, Produtos e Materiais Perigosos , Poluição Ambiental , Exposição Ocupacional/estatística & dados numéricos , Antineoplásicos/química
3.
Washington, D.C.; PAHO; 2014.
em Inglês | PAHO-IRIS | ID: phr-34976

RESUMO

[Introduction]. This guide was created to address the vulnerability of hospitals to fires. All possible steps should be taken to minimize the hazard of fires in hospitals and to stress the need for evacuation. Hospitals Don’t Burn! Hospital Fire Prevention and Evacuation Guide is applicable to existing hospitals that can be retrofitted to improve safety against fires as well as proposed or newly built facilities. The document is formatted into four main sections, namely: Prevention, Suppression, Evacuation, Evacuation Training Drills. The primary aim of a hospital facility is to not evacuate patients unless absolutely necessary. Hence, special attention should be focused on proper prevention and suppression techniques to avoid this worst-case scenario. That being said, evacuation training and preparedness is of paramount importance to avoid and/or minimize loss of life. Section 3 provides a guide on hospital evacuation. It is not a fixed plan that completely details the tasks and responsibilities of each member of the evacuation team. Indeed, the components and personnel suggested in this guide may vary depending on the particular hospital for which the evacuation plan is being developed.


Assuntos
Emergências , Substâncias, Produtos e Materiais Perigosos , Prevenção e Proteção contra Incêndios , Resgate, Assistência e Proteção em Desastres , Equipamentos e Provisões em Desastres
4.
Rev. derecho genoma hum ; (22): 85-102, ene.-jun. 2005.
Artigo em Es | IBECS | ID: ibc-054963

RESUMO

El 24 de marzo de 2005 fue aprobada por el Presidente de la República Federativa de Brasil la Nueva Ley de Bioseguridad. Esta ley contiene aspectos tan diversos, como los organismos genéticamente modificados, la manipulación genética de embriones humanos o la liberalización durante el periodo 2004-2005 del cultivo de soja transgénica. Este artículo trata de analizar y criticar el contenido de esta ley, resaltando la investigación y experimentación genética, los OGM y su repercusión en el medio ambiente y la responsabilidad penal que de todo esto se deriva. Así mismo, deja plena libertad al lector para sus propias conclusiones, se plantea el dilema moral sobre si es legítimo tomar decisiones gubernamentales teniendo únicamente en cuenta los intereses económicos y políticos, dejando al margen la opinión de la sociedad


On 24 March 2005, the President of the Federative Republic of Brazil approved the New Law on Biosecurity. This law has very diverse aspects, ranging from the genetically modified organisms to the genetic manipulation of human embryos or the liberalisation of the transgenic soy crops during 2004-2005. This article tries to analyse and criticise the content of the law, highlighting the genetic research and experimentation, the GMOs and their effect in the environment and the criminal responsibility derived from such actions. Likewise, it leaves rooms for the reader to reach his/her own conclusions. The author poses the moral dilemma on whether it is legitimate to make governmental decisions solely taking into account the economic and political interests, leaving aside the opinion of society


Assuntos
Humanos , Direito Sanitário , Substâncias, Produtos e Materiais Perigosos , Acidentes e Eventos Biológicos , Medidas de Segurança/legislação & jurisprudência , Legislação como Assunto/tendências , Brasil , Direitos Humanos
5.
Rev. derecho genoma hum ; (22): 85-102, ene.-jun. 2005.
Artigo em Es | IBECS | ID: ibc-62253

RESUMO

El 24 de marzo de 2005 fue aprobada por el Presidente de la República Federativa de Brasil la Nueva Ley de Bioseguridad. Esta ley contiene aspectos tan diversos, como los organismos genéticamente modificados, la manipulación genética de embriones humanos o la liberalización durante el periodo 2004-2005 del cultivo de soja transgénica. Este artículo trata de analizar y criticar el contenido de esta ley, resaltando la investigación y experimentación genética, los OGM y su repercusión en el medio ambiente y la responsabilidad penal que de todo esto se deriva. Así mismo, deja plena libertad al lector para sus propias conclusiones, se plantea el dilema moral sobre si es legítimo tomar decisiones gubernamentales teniendo únicamente en cuenta los intereses económicos y políticos, dejando al margen la opinión de la sociedad


On 24 March 2005, the President of the Federative Republic of Brazil approved the New Law on Biosecurity. This law has very diverse aspects, ranging from the genetically modified organisms to the genetic manipulation of human embryos or the liberalisation of the transgenic soy crops during 2004-2005. This article tries to analyse and criticise the content of the law, highlighting the genetic research and experimentation, the GMOs and their effect in the environment and the criminal responsibility derived from such actions. Likewise, it leaves rooms for the reader to reach his/her own conclusions. The author poses the moral dilemma on whether it is legitimate to make governmental decisions solely taking into account the economic and political interests, leaving aside the opinion of society


Assuntos
Humanos , Direito Sanitário , Substâncias, Produtos e Materiais Perigosos , Acidentes e Eventos Biológicos , Medidas de Segurança/legislação & jurisprudência , Legislação como Assunto/tendências , Brasil , Direitos Humanos
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