[Activities carried out by head nurses on the morning shift in 3 selected hospital institutions in Bogotá].
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Biomedical subjects
Publications and source records attributed to I Hurtado.
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Updated information on airborne particles is not currently available in Venezuela. Thus the diagnosis and treatment of respiratory allergy in this country is by necessity based on imported data and allergens. We have therefore carried out air-sampling studies in Caracas, the capital of Venezuela, a city with a tropical climate. A numerically constant pollen load was encountered in the air throughout the year. Most pollen was contributed by trees and by foreign species. A seasonal grass peak was observed in November which may be the cause of true pollinosis or hay fever. Pollen of the ragweed family was rarely observed. A great diversity of molds contributed to the annual spore count. The contribution of individual molds was rather low, thus casting some doubt on the potential role of airborne molds as allergens in the tropics. As in the case of pollen a rather constant load of mold spores was present in the air throughout the whole year.
OBJECTIVE: The objective of this study was to investigate whether early discharge from the hospital was feasible for selected very low birth weight (VLBW) infants. STUDY DESIGN: A randomized clinical trial of discharge of VLBW infants from the neonatal intensive care unit at 1300 gm versus 1800 gm was done comparing weight gain and incidence of infection. Forty-three VLBW infants treated in the neonatal intensive care unit and follow-up clinics of the Hospital Universitario del Valle, Cali, Colombia, were entered into the study at 1300 to 1350 gm when they met behavioral criteria for discharge and the family home was approved. RESULTS: There were no differences in weight gain or incidence of infection in the home group compared with the hospital group. A significant saving in hospital days and hospital costs was realized for the home group. Family cooperation was heightened in the home group. CONCLUSIONS: Early discharge from the hospital at weights as low as 1300 to 1350 gm is safe for the VLBW infant when properly selected on the basis of behavioral criteria and environmental approval. The potential savings in hospital costs should be considered when resources are allocated for continued support for these infants.