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Copyright of Revista Facultad Nacional de Agronomía Medellín is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Facultad Nacional de Agronomía Medellín is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of BIOAGRO is the property of Revista BIOAGRO and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Apuntes Universitarios: Revista de Investigación is the property of Universidad Peruana Union Filiar Tarapoto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Moraines that dam proglacial lakes pose an increasing hazard to communities in the Andes and other mountain ranges. The moraines are prone to failure through collapse, overtopping by lake waters or the effect of displacement waves resulting from ice and rock avalanches. Resulting floods have led to the loss of thousands of lives in the Cordillera Blanca mountains of Peru alone in the last 100 years. On 22 April 2002 a rock avalanche occurred immediately to the south‐west of Laguna Safuna Alta, in the Cordillera Blanca. The geomorphic evidence for the nature, magnitude and consequences of this event was investigated in August 2002. Field mapping indicated that the avalanche deposited 8–20 × 106 m3 of rock into the lake and onto the surface of the frontal region of Glaciar Pucajirca, which flows into the lake. Repeated bathymetric surveying indicated that ∼5 × 106 m3 of this material was deposited directly into the lake. The immediate effect of this event was to create a displacement wave that gained in height as it travelled along the lake basin, overtopping the impounding moraine at the lake's northern end. To achieve overtopping, the maximum wave height must have been greater than 100 m. This, and subsequent seiche waves, caused extensive erosion of both the proximal and distal faces of the impounding terminal moraine. Further deep gullying of the distal face of this moraine resulted from the supply of pressurized water to the face via a relief overflow tunnel constructed in 1978. Two‐dimensional, steady‐state analysis of the stability of the post‐avalanche moraine rampart indicates that its proximal face remains susceptible to major large‐scale rotational failure. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Objective. The DoTT (Decreasing Time to Therapy) project aimed to minimize the interval between fever onset and medical interventions for children with febrile neutropenia. The objective of this study was to determine the effect of implementing the DoTT project on the hospital time to antibiotic (TTA) and patient time to arrival (PTA) at the hospital in children with febrile neutropenia admitted to the emergency department. Methods. The DoTT project was implemented at a Peruvian hospital and followed the World Health Organization (WHO) multimodal improvement strategy model. Components included creating a healthcare delivery bundle and antibiotic selection pathways, training users of the bundle and pathways, monitoring patient outcomes and obtaining user feedback, encouraging use of the new system, and promoting the integration of DoTT into the institutional culture. Emergency room providers were trained in the care delivery for children with cancer and fever and taught to use the bundle and pathways. DoTT was promoted via pamphlets and posters, with a view to institutionalizing the concept and disseminating it to other hospital services. Results. Admission data for 129 eligible patients in our registry were analyzed. The TTA and PTA were compared before and after the DoTT intervention. The median TTA was 146 minutes (interquartile range [IQR] 97--265 minutes) before the intervention in 99 patients, and 69 minutes (IQR 50--120 minutes) afterwards in 30 patients (p < 0.01). The median PTA was reduced from 1 483 minutes at baseline to 660 minutes after the intervention (p < 0.01). Conclusions. Applying the WHO multimodal improvement strategy model to the care of children with febrile neutropenia arriving at the hospital had a positive impact on the PTA and TTA, thus potentially increasing the survival of these patients. [ABSTRACT FROM AUTHOR]