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La primera parte es una recopilación de conocimientos médicos que se pueden aplicar en caso de emergencia en un buque (incluye medicina psiquiátrica). la segunda parte es un diseño de prácticas para adquirir ciertas técnicas específicas (como rcp o posición lateral de seguirdad entre otras).

Området submarin miljö och dentala förhållanden finns det få studier inom. Detta ger behandlare svårigheter att ta evidensbaserade behandlingsbeslut för grupper som utsätts för hyperbariskt tryck. För att kunna föra fram kvalitativa studier och odontologisk kunskap krävs tillförlitliga metoder. Syfte: Syftet är att utvärdera om den presenterade metoden är tillförlitlig när det gäller att utvärdera exponering för tryck över atmosfärstryck har en inverkan på mikroläckage av temporära restaureringsmaterial. Material och metod: 27 extraherade tänder utan visuella defekter, preparerades under standardiserade former och fyllda med glasjonomermaterial. Dessa objekts rötter kapades och två lager av bonding applicerades som blockering av infärgning. Dessa 27 objekt delades in i 3 grupper trycktes i tryckkammare till 1, 3, respektive 5 bar, liggandes i infärgning med 2% metylenblått. Dessa sektionerades och granskades visuellt enligt binära mätmetoder under förstoringsobjektiv. Resultat: Resultatet var liknande mellan grupperna oavsett utsatt tryck. Samtliga testade objekt visade på permeabilitet i tand-fyllningsgränsen. 77,8-100% av objekten hade infärgningsläckage från dentintubuli via pulpakavum sett till alla grupper. Glasjonomerfyllningar visade ingen mätbar permeabilitet i något objekt. Persisterande glasjonomer-glaze noterades på 55,6-66,6% av testobjekten beroende på testgrupp. Slutsats: Några av faktorerna inkluderade i den presenterade metoden behöver övervägas på nytt och möjligtvis ändras innan en mer tillförlitlig metod för syftet kan etableras. De faktorer som här syftas till är relaterade till termocykling, sektionering av testobjekt, utvärdering av testresultat, blockering av permeabilitet-indikator, mätning av läckage av permeabilitet-indikator, och användning av glasjonomer-glaze., There are few studies in the area of ​​dental material science concerning submarine environments. This gives practitioners difficulties in making evidence-based decisions in the treatment of the group of patients who are exposed to hyperbaric pressures. In order to carry out qualitative studies and further odontologic knowledge in this field, reliable methods are required. Aim: The purpose of this study is to evaluate whether the presented method is reliable and accurate in evaluating and measuring micro-leakage of temporary restoration materials exposed to hyperbaric pressures. Materials and methods: 27 extracted teeth without visual defects were prepared under standardized forms and filled with glass ionomer material. The roots of the teeth were cut, and two layers of bonding were applied in the pulpal cavities as blockage for the dye. The teeth were divided into 3 groups, the groups were pressurized to 1, 3 and 5 bar respectively, lying in 2% methylene blue dye. The teeth were sectioned and visually inspected according to binary criteria standards under magnification lens. Results: Similar results irrespective of what pressurized environment they had been subject to were seen. Every test object displayed permeability along both the tooth-filling interface. A high incidence rate(=77,8-100%) of dye permeability via dentinal tubules through the open pulpal cavities was seen in all groups. The glass-ionomer material body showed no significant permeability of the dye for either of the subjects. Persistent glass-ionomer glaze was noted in each group, with an incidence of 55,6-66,6%. Conclusions: Some of the factors included in the presented method need to be reevaluated and perhaps be changed before a more reliable method for the purpose can be established. These considered factors are related to thermal cycling, slicing of test objects, test result evaluation, blockage of permeability indicator, measurement of permeability indicator leakage, and usage of glass-ionomer

Området submarin miljö och dentala förhållanden finns det få studier inom. Detta ger behandlare svårigheter att ta evidensbaserade behandlingsbeslut för grupper som utsätts för hyperbariskt tryck. För att kunna föra fram kvalitativa studier och odontologisk kunskap krävs tillförlitliga metoder. Syfte: Syftet är att utvärdera om den presenterade metoden är tillförlitlig när det gäller att utvärdera exponering för tryck över atmosfärstryck har en inverkan på mikroläckage av temporära restaureringsmaterial. Material och metod: 27 extraherade tänder utan visuella defekter, preparerades under standardiserade former och fyllda med glasjonomermaterial. Dessa objekts rötter kapades och två lager av bonding applicerades som blockering av infärgning. Dessa 27 objekt delades in i 3 grupper trycktes i tryckkammare till 1, 3, respektive 5 bar, liggandes i infärgning med 2% metylenblått. Dessa sektionerades och granskades visuellt enligt binära mätmetoder under förstoringsobjektiv. Resultat: Resultatet var liknande mellan grupperna oavsett utsatt tryck. Samtliga testade objekt visade på permeabilitet i tand-fyllningsgränsen. 77,8-100% av objekten hade infärgningsläckage från dentintubuli via pulpakavum sett till alla grupper. Glasjonomerfyllningar visade ingen mätbar permeabilitet i något objekt. Persisterande glasjonomer-glaze noterades på 55,6-66,6% av testobjekten beroende på testgrupp. Slutsats: Några av faktorerna inkluderade i den presenterade metoden behöver övervägas på nytt och möjligtvis ändras innan en mer tillförlitlig metod för syftet kan etableras. De faktorer som här syftas till är relaterade till termocykling, sektionering av testobjekt, utvärdering av testresultat, blockering av permeabilitet-indikator, mätning av läckage av permeabilitet-indikator, och användning av glasjonomer-glaze., There are few studies in the area of ​​dental material science concerning submarine environments. This gives practitioners difficulties in making evidence-based decisions in the treatment of the group of patients who are exposed to hyperbaric pressures. In order to carry out qualitative studies and further odontologic knowledge in this field, reliable methods are required. Aim: The purpose of this study is to evaluate whether the presented method is reliable and accurate in evaluating and measuring micro-leakage of temporary restoration materials exposed to hyperbaric pressures. Materials and methods: 27 extracted teeth without visual defects were prepared under standardized forms and filled with glass ionomer material. The roots of the teeth were cut, and two layers of bonding were applied in the pulpal cavities as blockage for the dye. The teeth were divided into 3 groups, the groups were pressurized to 1, 3 and 5 bar respectively, lying in 2% methylene blue dye. The teeth were sectioned and visually inspected according to binary criteria standards under magnification lens. Results: Similar results irrespective of what pressurized environment they had been subject to were seen. Every test object displayed permeability along both the tooth-filling interface. A high incidence rate(=77,8-100%) of dye permeability via dentinal tubules through the open pulpal cavities was seen in all groups. The glass-ionomer material body showed no significant permeability of the dye for either of the subjects. Persistent glass-ionomer glaze was noted in each group, with an incidence of 55,6-66,6%. Conclusions: Some of the factors included in the presented method need to be reevaluated and perhaps be changed before a more reliable method for the purpose can be established. These considered factors are related to thermal cycling, slicing of test objects, test result evaluation, blockage of permeability indicator, measurement of permeability indicator leakage, and usage of glass-ionomer

Taula rodona sobre com afecta la salut mental i i la salut física a les tripulacions, . El moderador fou el Sr. Juan Zamora, capità de la marina mercant i periodista. La ponència va ser a càrrec de la Sra. Maria Lluïsa Canals, directora tècnica i científica de la Sociedad Española de Medicina Marítima , amb el testimoni del Sr. Salvador Godoy, cap de màquines de la marina mercant. Acte organitzat per Stella Maris i el Comitè de Benestar del Port de Barcelona i també englobat dins les XXXII Jornades de la Gent de Mar.

NAVY MEDICINE is the professional magazine of the Navy Medical Department community. Its purpose is to educate its readers on Navy Medicine missions and programs. This magazine will also draw upon the medical department's rich historical legacy to instill a sense of pride and professionalism among the Navy Medical Department community and to enhance reader awareness of the increasing relevance of Navy Medicine in and for our nation's defense.

The mission of Navy Medicine Support Command is to provide a single point of accountability for all support services within Navy Medicine and to exercise command and control, and financial management oversight over subordinate commands assigned, and to carry out the necessary courses of action to ensure the economical and effective delivery of Navy Medicine enterprise-wide support services. How well we perform our mission is critical to the success of the Navy and Marine Corps and will be evident in the execution of the Navy Medicine missions of force health protection and healthcare delivery in all venues of the globe. Just as the Navy has adopted the banner: "America's Navy, A Global Force for Good," so do we find Navy Medicine Support Command (NMSC) providing services throughout the globe in support of both The Maritime Strategy and the National Security Strategy enabling delivery of the full continuum of healthcare in all venues. As you read the guidance of our leaders, you will recognize the call to address the support functions that we provide and the mandate to take them to the next level of capability.

À partir des années 1810, la direction du service de santé de la marine de Rochefort met en place un registre des autopsies dans lequel seront consignées les différentes autopsies pratiquées sur les personnels de l’arsenal. L’objectif de cette étude sérielle des cadavres répond à un désir d’approfondissement des connaissances médicales sur le corps, ainsi qu’au perfectionnement de l’apprentissage des élèves formés dans l’hôpital-école de la marine. Pratiquées par le prévôt et les élèves les plus aguerris de l’institution, les autopsies s’intègrent dans un rituel cognitif dont il convient de décrypter les différents aspects, pour mieux expliciter la filiation historique du médecin au cadavre d’une part et au patient d’autre part., During the second decade of the 1800s, an autopsy registry was set up by the naval health service in Rochefort. The objectives were to expand medical knowledge, as well as to better educate the medical school’s students. Situated in the hospital itself, the school of medicine could easily use corpses to carry out their various projects. The present article examines this cognitive ritual so as to clarify the physician’s historical affiliation with the body.

El tema central del presente Proyecto Final de Carrera de Ingeniería Técnica Naval en Propulsión y Servicios del Buque es la profilaxis en caso de un brote de gripe A en un buque, basado principalmente en las medidas individuales y colectivas que deben adoptarse en el caso de que uno de dichos portadores asintomáticos forme parte de la tripulación. Se ha asumido que el coste-beneficio de realizar un screening previo al embarque no resulta rentable y es de difícil justificación. Frecuentemente también se tiende a descuidar, probablemente por la poca consciencia del riesgo existente, los protocolos a seguir en estos casos. El diseño de unos camarotes destinados al aislamiento de personas sospechosas de estar infectadas, así como el diseño del circuito de ventilación, el sistema de comunicación entre camarotes y la protección de las puertas son medidas que evitarían la propagación del mencionado virus. Todas las medidas y sistemas diseñados tienen el objetivo de poder ser aplicables, de la manera más fiable y efectiva posible, a otras enfermedades respiratorias contagiosas. Este trabajo se compone de cuatro partes principales: Epidemiología y bases históricas de la relación entre buques y epidemias, Profilaxis Primaria en los buques, Profilaxis Secundaria a bordo y Medidas de aislamiento.

Los objetivos de éste proyecto son elaborar un plan de actuación en barcos con una tripulación superior a 13 personas con una navegación mayor a tres días. El propósito principal es pensar en las necesidades que tienen estos barcos al tener que disponer de un hospital o bien enfermería. Centrándonos en este caso en las enfermedades cardiopulmonares y en la habilitación de un camarote para dicho uso. Nosotros queremos conseguir dar una información clara y comprensible sobre qué son las enfermedades cardiopulmonares por separado. En muchos buques no se presta un servicio médico directo y que gracias a los equipos radiofónicos se hace frente a cualquier tipo de urgencia que pueda haber. La decisión de hacer un estudio sobre como hacer frente a este tipo de enfermedades ha sido una simple curiosidad a todo lo que no se ve a simple vista pero que debe ser detectado a tiempo con ciertos conocimientos para salvar una vida. Los problemas cardíacos y pulmonares a diferencia de una herida abierta o cerrada, son más complicados de tratar ya que nunca se sabe con seguridad si no es con experiencia frente a qué caso te encuentras. El proyecto va destinado a proyectar los conceptos básicos y las maniobras necesarias para poder hacer frente a ciertas urgencias de este tipo conociendo por supuesto una teórica básica y una normativa establecida. La segunda parte hace referencia a la habilitación de un camarote destinado al uso sanitario, cualquier establecimiento que deba ser habilitado debe seguir una normativa y superar una serie de inspecciones para obtener el certificado de habilitación.

Several conifers have been considered as candidates for "Annedda", which was the source for a miraculous cure for scurvy in Jacques Cartier's critically ill crew in 1536. Vitamin C was responsible for the cure of scurvy and was obtained as an Iroquois decoction from the bark and leaves from this "tree of life", now commonly referred to as arborvitae. Based on seasonal and diurnal amino acid analyses of candidate "trees of life", high levels of arginine, proline, and guanidino compounds were also probably present in decoctions prepared in the severe winter. The semi-essential arginine, proline and all the essential amino acids, would have provided additional nutritional benefits for the rapid recovery from scurvy by vitamin C when food supply was limited. The value of arginine, especially in the recovery of the critically ill sailors, is postulated as a source of nitric oxide, and the arginine-derived guanidino compounds as controlling factors for the activities of different nitric oxide synthases. This review provides further insights into the use of the candidate "trees of life" by indigenous peoples in eastern Canada. It raises hypotheses on the nutritional and synergistic roles of arginine, its metabolites, and other biofactors complementing the role of vitamin C especially in treating Cartier's critically ill sailors.

Several conifers have been considered as candidates for "Annedda", which was the source for a miraculous cure for scurvy in Jacques Cartier's critically ill crew in 1536. Vitamin C was responsible for the cure of scurvy and was obtained as an Iroquois decoction from the bark and leaves from this "tree of life", now commonly referred to as arborvitae. Based on seasonal and diurnal amino acid analyses of candidate "trees of life", high levels of arginine, proline, and guanidino compounds were also probably present in decoctions prepared in the severe winter. The semi-essential arginine, proline and all the essential amino acids, would have provided additional nutritional benefits for the rapid recovery from scurvy by vitamin C when food supply was limited. The value of arginine, especially in the recovery of the critically ill sailors, is postulated as a source of nitric oxide, and the arginine-derived guanidino compounds as controlling factors for the activities of different nitric oxide synthases. This review provides further insights into the use of the candidate "trees of life" by indigenous peoples in eastern Canada. It raises hypotheses on the nutritional and synergistic roles of arginine, its metabolites, and other biofactors complementing the role of vitamin C especially in treating Cartier's critically ill sailors.

El objetivo de éste trabajo, en la medida de lo posible. Es generar una guía o recomendación de lo que un oficial de la marina mercante debería hacer. Basándose en lo que es legalmente posible y éticamente aceptable. Y centrándose de forma muy clara en el entorno actual de amenaza internacional que presentan las poblaciones confinadas a bordo de buques. Ésta amenaza internacional es la capacidad epidémica y pandemica que tienen muchos de los virus y bacterias patógenos para propagarse de forma rápida por las personas a bordo de un buque. Y posteriormente suponer un riesgo de propagación por las personas del país o ciudad en el cual el buque infectado haga escala. Como extensión del problema presentado en el relato anterior, también es objetivo expreso de éste trabajo generar una línea de trabajo conjunta buque-puerto para permitir un trabajo coordinado y efectivo. Así como evitar posibles repercusiones negativas sobre el entorno portuario y estatal.

This thesis attempts to map the changes to guidance and policy that have had an effect on Navy medicine's readiness program. Documents reviewed for this thesis include but are not limited to DoD, GAO, and service IG reports, studies by the RAND Corporation, Center for Naval Analysis, Institute for Defense Analysis, and Logistic Management Institute, congressional testimony, and relevant DoD and Navy directives and manuals. Interviews and electronic mail with officials associated with Navy medicine include Deputy Commander of MED-27, J-4 Medical Readiness Division Chief, RROC director, N931 Analyst, and DMRTI. Measuring medical readiness is a large and complex issue and the military medical systems use a variety of data and models in an attempt to measure readiness. The conclusions of this thesis are that many groups and individuals are providing guidance for Navy medical readiness and changes have been produced at a rapid rate. Considerable uncertainty and variety remains concerning who and how we need to train for wartime medical care. To address these problems, Navy medicine created the RROC and its subordinate task forces.

by Joseph Holt.

https://patrimoniodigital.ucm.es/r/thumbnail/737385, https://patrimoniodigital.ucm.es/r/item/5329131955

https://patrimoniodigital.ucm.es/r/thumbnail/734066, https://patrimoniodigital.ucm.es/r/item/5329131973

https://patrimoniodigital.ucm.es/r/thumbnail/731841, https://patrimoniodigital.ucm.es/r/item/5329131964

https://patrimoniodigital.ucm.es/r/thumbnail/727218, https://patrimoniodigital.ucm.es/r/item/5329188628

https://patrimoniodigital.ucm.es/r/thumbnail/726223, https://patrimoniodigital.ucm.es/r/item/5329188717

https://patrimoniodigital.ucm.es/r/thumbnail/718021, https://patrimoniodigital.ucm.es/r/item/532913237X

https://patrimoniodigital.ucm.es/r/thumbnail/710686, https://patrimoniodigital.ucm.es/r/item/5329131991

https://patrimoniodigital.ucm.es/r/thumbnail/665963, https://patrimoniodigital.ucm.es/r/item/5329188584

https://patrimoniodigital.ucm.es/r/thumbnail/665964, https://patrimoniodigital.ucm.es/r/item/5320215619

https://patrimoniodigital.ucm.es/r/thumbnail/663834, https://patrimoniodigital.ucm.es/r/item/5320215628

The purpose of this study was to determine whether Naval Medicine's current Information Assurance Policy and resultant efforts properly address federal requirements or current threats confronting Naval Medicine information technology professionals. The primary research was conducted with a survey instrument detailing thirty questions with various response categories. The findings of the survey questionnaire revealed the existing numbers of previously compromised systems were directly related to the frequency of vulnerability scanning and remediation practices in the current threat environment. This study will provide insight to anyone interested in the future assessment of Naval Medicine's information security posture. These findings have important implications for command personnel charged with the responsibility and accountability of Naval Medicine's networks and data systems, as well as other communities throughout the Navy., http://archive.org/details/networkvulnerabi109451525, Lieutenant, United States Navy, Approved for public release; distribution is unlimited.