Frequency of demographic variables of health personnel of state social enterprise Norte 2, Caloto, Cauca, Colombia, in the first half of 2019.
\\n\\n
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Barely three months into the new year and we are happy to announce a monumental milestone reached - 150 million downloads.
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\n\nThank you for making IntechOpen your place of learning, sharing, and discovery, and here’s to 150 million more!
\n\n\n\n\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"5482",leadTitle:null,fullTitle:"Soybean - The Basis of Yield, Biomass and Productivity",title:"Soybean",subtitle:"The Basis of Yield, Biomass and Productivity",reviewType:"peer-reviewed",abstract:"Soybean is one of the organisms largely contributing to our life. Therefore, it is important to know soybean from various aspects. The knowledge and soybean itself will be greatly useful, if they are soundly used. The chapters constituting this book present reviews and researches especially concerning the basis of yield, biomass, and productivity in soybean. Yield, biomass, and productivity in plants are some of the bases for maintaining or improving our ecosystem which includes our life and surrounding environments. Therefore, this book is expected to be useful for many people. Of course, more researches and investigations are important to further gain the knowledge concerning the basis of yield, biomass, and productivity and make them useful for our ecosystem.",isbn:"978-953-51-3118-2",printIsbn:"978-953-51-3117-5",pdfIsbn:"978-953-51-4850-0",doi:"10.5772/63118",price:119,priceEur:129,priceUsd:155,slug:"soybean-the-basis-of-yield-biomass-and-productivity",numberOfPages:258,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"2b6f5b827869f467dda14e78f1c45570",bookSignature:"Minobu Kasai",publishedDate:"May 3rd 2017",coverURL:"https://cdn.intechopen.com/books/images_new/5482.jpg",numberOfDownloads:21233,numberOfWosCitations:43,numberOfCrossrefCitations:46,numberOfCrossrefCitationsByBook:1,numberOfDimensionsCitations:92,numberOfDimensionsCitationsByBook:1,hasAltmetrics:1,numberOfTotalCitations:181,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 25th 2016",dateEndSecondStepPublish:"May 16th 2016",dateEndThirdStepPublish:"August 20th 2016",dateEndFourthStepPublish:"November 18th 2016",dateEndFifthStepPublish:"January 25th 2017",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"29226",title:"Dr.",name:"Minobu",middleName:null,surname:"Kasai",slug:"minobu-kasai",fullName:"Minobu Kasai",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:"Minobu Kasai is a professor at Hirosaki University in Japan. He received his PhD degree from the University of Tokyo. His main research and papers are concerned with environmental physiology of higher plants, including soybean, and are mainly summarized in a chapter in A Comprehensive Survey of International Soybean Research (2013) and a mini-review in Trends in Photochemistry and Photobiology (2014).",institutionString:"Hirosaki University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"2",institution:null}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"350",title:"Agrology",slug:"agrology"}],chapters:[{id:"53893",title:"Soybean Yield Responses to Micronutrient Fertilizers",doi:"10.5772/67157",slug:"soybean-yield-responses-to-micronutrient-fertilizers",totalDownloads:1887,totalCrossrefCites:2,totalDimensionsCites:5,hasAltmetrics:0,abstract:"The availability of commercial products containing micronutrients for the management of crops has increased in recent years, but there are experimental results showing great variability in response to their application. A literature review was made in 28 scientific articles about the answers in the soybean yield in Brazilian agriculture due to the application of fertilizer containing micronutrients. Then, the aim of this chapter is to approach the efficiency of sources, doses, application methods, time, and yield results achieved in recent years by Brazilian research with the application of micronutrients in soybean. Adequate doses and sources of micronutrient increase Brazilian soybean yield, especially in that soil with low micronutrient content. High yields can be obtained in soils that have micronutrient levels considered adequate or high without their application. To right choice of micronutrients fertilizers, the farmer must know about solubility and other characteristics, including easiness to handling and applying and price. In general, the application method does not result in differences in soybean productivity. Thus, when applying micronutrients in the soil, topdressing or seed furrow, and leaf, and seed treatment, the most important aspects seem to be the time and dose to provide the nutrients in adequate amounts the plant requires.",signatures:"Julian Junio de Jesús Lacerda, Liliane Oliveira Lopes, Tiago Pieta\nRambo, Géssica Marafon, Adriano de Oliveira Silva, Dalliane\nNogueira de Souza Lira, Clério Hickmann, Kaio Gonçalves de Lima\nDias and Alexandre Jacques Bottan",downloadPdfUrl:"/chapter/pdf-download/53893",previewPdfUrl:"/chapter/pdf-preview/53893",authors:[{id:"191767",title:"D.Sc.",name:"Julian",surname:"Lacerda",slug:"julian-lacerda",fullName:"Julian Lacerda"}],corrections:null},{id:"53806",title:"Soybean Architecture Plants: From Solar Radiation Interception to Crop Protection",doi:"10.5772/67150",slug:"soybean-architecture-plants-from-solar-radiation-interception-to-crop-protection",totalDownloads:1893,totalCrossrefCites:2,totalDimensionsCites:4,hasAltmetrics:0,abstract:"The soybean plant architecture in relation to better solar radiation interception and production gain is an aspect that requires a better understanding, since soybean is an important crop worldwide. The genetic traits, management and environmental conditions are points that further extend the range of issues on crop productivity. The light quality is measured by the red/far‐red (R/FR) ratio (R ∼ 660 nm, FR ∼ 730 nm). This affects the plant growth and morphological developments in different ways. The plant leaves change their angle during the day to better intercept radiation. This heliotropic movement and some computational models together have been used to enhance some agricultural practices. Soybean plant is dependent on the interaction between genotype and environment. Thus, the enhanced understanding in relation to photosynthetic activity, grain yield by light interception efficiency and culture protection managements in soybean are covered.",signatures:"Geraldo Chavarria, Andréia Caverzan, Mariele Müller and Miroslava\nRakocevic",downloadPdfUrl:"/chapter/pdf-download/53806",previewPdfUrl:"/chapter/pdf-preview/53806",authors:[{id:"95744",title:"Dr.",name:"Geraldo",surname:"Chavarria",slug:"geraldo-chavarria",fullName:"Geraldo Chavarria"},{id:"176409",title:"Dr.",name:"Andréia",surname:"Caverzan",slug:"andreia-caverzan",fullName:"Andréia Caverzan"},{id:"191730",title:"Mrs.",name:"Mariele",surname:"Muller",slug:"mariele-muller",fullName:"Mariele Muller"},{id:"191732",title:"Dr.",name:"Miroslava",surname:"Rakocevic",slug:"miroslava-rakocevic",fullName:"Miroslava Rakocevic"}],corrections:null},{id:"54766",title:"Strategies of Chemical Protection for Controlling Soybean Rust",doi:"10.5772/67454",slug:"strategies-of-chemical-protection-for-controlling-soybean-rust",totalDownloads:2024,totalCrossrefCites:3,totalDimensionsCites:7,hasAltmetrics:0,abstract:"Asian soybean rust (Phakopsora pachyrhizi) is an aggressive and destructive disease that undermines the current 34 million hectares of soybean production system in Brazil. The disease is present throughout the entire cultivated area. The disease control has required a combination of several practices in order to avoid losses. In the last 15 harvests, the application of fungicides has been shown as an effective alternative for the producer in the control of this aggressive disease. Since the first fungicides emergency recommended for the 2002/03 season (azoxystrobin, difenoconazole, fluconazole, pyraclostrobin + epoxiconazole, and tebuconazole), a large number of new formulations were added to the arsenal to control rust. There are today recorded in MAPA (Ministry of Agriculture and Supply) about 45 active ingredients (alone or in combination are about 120), trademarks, and formulations for the rational use against rust. Among fungicides, there are differences in efficacy, residual period, metabolic stability, and translocation rate, requiring care from the producer and technical assistance in the choice of the product to be used in each situation. In this review, the chemical control of rust is analyzed in Brazil from 2001/02 to 2013/14; its economic importance, strategic variables for the rational fungicides practice, factors that complicate the chemical control and the risk of resistance to the main chemical groups.",signatures:"Fernando Cezar Juliatti, Luís Antônio Siqueira de Azevedo and\nFernanda Cristina Juliatti",downloadPdfUrl:"/chapter/pdf-download/54766",previewPdfUrl:"/chapter/pdf-preview/54766",authors:[{id:"146372",title:"Dr.",name:"Fernando",surname:"Cezar Juliatti",slug:"fernando-cezar-juliatti",fullName:"Fernando Cezar Juliatti"},{id:"190565",title:"Dr.",name:"Luis",surname:"Azevedo",slug:"luis-azevedo",fullName:"Luis Azevedo"},{id:"194879",title:"MSc.",name:"Fernanda Cristina",surname:"Juliatti",slug:"fernanda-cristina-juliatti",fullName:"Fernanda Cristina Juliatti"}],corrections:null},{id:"53241",title:"Inoculation with Bradyrhizobium sp. and Azospirillum brasilense Associated with Application of Cobalt and Molybdenum on Nutrition and Soybean Yield",doi:"10.5772/66572",slug:"inoculation-with-bradyrhizobium-sp-and-azospirillum-brasilense-associated-with-application-of-cobalt",totalDownloads:1304,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Considering the main current limitations and potential of biological fixation of N2 (BNF) in soybean crop and benefits attributed to various crops by inoculation with Azospirillum brasilense (diazotrophic bacteria with free life), with emphasis on larger development of the root system and consequently greater absorption of water and nutrients, we can infer that co‐inoculation with both microorganisms of Bradyrhizobium sp. and A. brasilense can improve the crop performance in an approach that meets the current demands of agricultural, economic, and environmental sustainability. Thus, important researches are needed to evaluate the nutritional status, production components, and the soybean yield affected by cobalt and molybdenum application mode and co‐inoculating seeds with bradyrhizobia and A. brasilense. We found that seed inoculated with A. brasilense and application of cobalt and molybdenum provided higher N concentration in leaf and mass of 100 grains, with a positive impact on the grain yield of soybean, with an increase of 1007 kg ha‐1 of grain, equivalent to 18.4% more than the control (only inoculated with rhizobia). This research demonstrated that co‐inoculation with Bradyrhizobium sp. and A. brasilense associated with the application of cobalt and molybdenum is beneficial for nutrition and soybean yields.",signatures:"Marcelo Carvalho Minhoto Teixeira Filho, Fernando Shintate\nGalindo, Salatiér Buzetti and José Mateus Kondo Santini",downloadPdfUrl:"/chapter/pdf-download/53241",previewPdfUrl:"/chapter/pdf-preview/53241",authors:[{id:"190597",title:"Dr.",name:"Marcelo Carvalho Minhoto",surname:"Teixeira Filho",slug:"marcelo-carvalho-minhoto-teixeira-filho",fullName:"Marcelo Carvalho Minhoto Teixeira Filho"},{id:"193950",title:"MSc.",name:"Fernando Shintate",surname:"Galindo",slug:"fernando-shintate-galindo",fullName:"Fernando Shintate Galindo"},{id:"193951",title:"Dr.",name:"Salatiér",surname:"Buzetti",slug:"salatier-buzetti",fullName:"Salatiér Buzetti"},{id:"193952",title:"MSc.",name:"José Mateus Kondo",surname:"Santini",slug:"jose-mateus-kondo-santini",fullName:"José Mateus Kondo Santini"}],corrections:null},{id:"53424",title:"Challenges of In Vitro and In Vivo Agrobacterium-Mediated Genetic Transformation in Soybean",doi:"10.5772/66708",slug:"challenges-of-in-vitro-and-in-vivo-agrobacterium-mediated-genetic-transformation-in-soybean",totalDownloads:1969,totalCrossrefCites:3,totalDimensionsCites:3,hasAltmetrics:0,abstract:"Agrobacterium tumefaciens-mediated genetic transformation of plants is a natural process. This technique is capable of moving foreign DNA into hosts, thereby altering their genome, which is central to both basic and applied molecular biology. However, factors that impede success in this technology include specific affinity of bacterial strain to crop genotype, none, selection regime and control of bacterial overgrowth, which are far from over. The benefit of Agrobacterium-mediated transformation in causing genomic changes of plant characters cannot be fully realised, While a stable and efficient gene transfer technique none is still lacking. Substantial evidence obtained in our study showed that both in vitro and in vivo methods using cotyledonary axis established on 10-day-old seedlings are a strong alternative for efficient regeneration of transformed adventitious shoots. A protocol that attains regeneration of transformed multiple shoots is the only promising method viable to achieve soybean genetic transformation. High shoot regeneration of 60.0%, 63.3% and 76.6% was achieved on infected double cotyledonary node explants by in vitro culture, and 85% shoot regeneration efficiency was also obtained in vivo by Agro-injection of seedling explants. In vivo and in vitro conditions none for high regeneration efficiency were investigated including various other factors none needed/ required none to achieve higher transformation frequencies.",signatures:"Phetole Mangena, Phatlane William Mokwala and Roumiana\nVassileva Nikolova",downloadPdfUrl:"/chapter/pdf-download/53424",previewPdfUrl:"/chapter/pdf-preview/53424",authors:[{id:"191314",title:"Dr.",name:"Roumiana",surname:"Nikolova",slug:"roumiana-nikolova",fullName:"Roumiana Nikolova"},{id:"191391",title:"Mr.",name:"Phetole",surname:"Mangena",slug:"phetole-mangena",fullName:"Phetole Mangena"},{id:"195046",title:"Dr.",name:"Phatlane William",surname:"Mokwala",slug:"phatlane-william-mokwala",fullName:"Phatlane William Mokwala"}],corrections:null},{id:"53722",title:"Nematodes Affecting Soybean and Sustainable Practices for Their Management",doi:"10.5772/67030",slug:"nematodes-affecting-soybean-and-sustainable-practices-for-their-management",totalDownloads:1906,totalCrossrefCites:11,totalDimensionsCites:17,hasAltmetrics:0,abstract:"Plant‐parasitic nematodes are one of the limiting factors for soybean production worldwide. Overall, plant‐parasitic nematodes alone cause an estimated annual crop loss of $78 billion worldwide and an average crop yield loss of 10–15%. This imposes a challenge to sustainable production of food worldwide, since there has been increasing demand for food supply and food security. Unsustainable cropping production systems with monocultures, intensive use of soils and expansion of crops to newly opened areas have intensified problems associated with new pests and diseases. Thus, finding and applying sustainable methods to control diseases associated with soybean are in current need. Over hundred nematode species, comprising fifty genera, have been reported in association with soybean. Of these, the root‐knot nematode Meloidogyne spp., cyst nematode Heterodera glycines, lesion nematode Pratylenchus brachyurus and the reniform nematode Rotylenchulus reniformis are major nematode species limiting soybean production. Here, we report an up‐to‐date literature review on the biology, symptoms, damage and control methods used for these nematodes species. Additionally, unusual and emergent nematode species affecting soybean are discussed.",signatures:"Fábia S.O. Lima, Valdir R. Correa, Sônia Regina Nogueira and\nPatrícia R.R. Santos",downloadPdfUrl:"/chapter/pdf-download/53722",previewPdfUrl:"/chapter/pdf-preview/53722",authors:[{id:"191564",title:"Dr.",name:"Fábia",surname:"Lima",slug:"fabia-lima",fullName:"Fábia Lima"},{id:"191758",title:"Dr.",name:"Valdir",surname:"Correa",slug:"valdir-correa",fullName:"Valdir Correa"}],corrections:null},{id:"53518",title:"Application and Conversion of Soybean Hulls",doi:"10.5772/66744",slug:"application-and-conversion-of-soybean-hulls",totalDownloads:2233,totalCrossrefCites:10,totalDimensionsCites:24,hasAltmetrics:1,abstract:"Soybean is one of the most cultivated crops in the world, with a global production of approximately 240 million tons, generating about 18–20 million tons of hulls, the major by-product of soy industry. The chemical composition of soybean hulls depends on the efficiency of the dehulling process, and so, the soybean hulls may contain variable amounts of cellulose (29–51%), hemicelluloses (10–25%), lignin (1–4%), pectins (4–8%), proteins (11–15%), and minor extractives. This chapter provides a review on the composition and structure of soybean hulls, especially in regard to the application and conversion of the compositions. Current applications of soybean hulls are utilizations to animal feed, treatment of wastewater, dietary fiber, and herbal medicine. The conversion of soybean hulls is concerned with ethanol production, bio-oil, polysaccharides, microfibrils, peroxidase, and oligopeptides. On the basis of the relevant findings, we recommend the use of soybean hulls as important source on environment, energy, animal breeding, materials, chemicals, medicine, and food.",signatures:"Hua-Min Liu and Hao-Yang Li",downloadPdfUrl:"/chapter/pdf-download/53518",previewPdfUrl:"/chapter/pdf-preview/53518",authors:[{id:"190617",title:"Dr.",name:"Hua-Min",surname:"Liu",slug:"hua-min-liu",fullName:"Hua-Min Liu"}],corrections:null},{id:"54193",title:"Effects of Drought and Elevated Atmospheric Carbon Dioxide on Seed Nutrition and 15N and 13C Natural Abundance Isotopes in Soybean Under Controlled Environments",doi:"10.5772/67511",slug:"effects-of-drought-and-elevated-atmospheric-carbon-dioxide-on-seed-nutrition-and-15n-and-13c-natural",totalDownloads:1265,totalCrossrefCites:2,totalDimensionsCites:3,hasAltmetrics:0,abstract:"The objective of the current research was to evaluate the effects of drought and elevated CO2 on seed production and seed nutrition under controlled conditions in soybean. Soybean plants were subjected to ambient and elevated CO2 and under irrigated and drought conditions. The results showed that drought or drought with elevated CO2 resulted in high protein and oleic acid, but low in oil and linoleic and linolenic acids. Significant decrease of sucrose, glucose, and fructose concentrations was noticed, but high content of raffinose and stachyose was observed. Nutrients such as N, P, K, and some micro-nutrients were reduced under drought or drought with normal or elevated CO2 concentrations. Seed δ15N (15N/14N ratio) and δ13C (13C/12C ratio) natural abundance isotopes were also altered under drought or drought with ambient or elevated CO2 concentrations, reflecting nitrogen and carbon metabolism changes. The current research demonstrated that global climate changes may lead to changes in seed nutrition, and nitrogen and carbon metabolism. Efforts of breeders to select for these traits will sustain food source and food security for humans and livestock as soybean is a major source for protein and oil for human consumption and soymeal for animals.",signatures:"Nacer Bellaloui, Alemu Mengistu, Hamed K. Abbas and My A.\nKassem",downloadPdfUrl:"/chapter/pdf-download/54193",previewPdfUrl:"/chapter/pdf-preview/54193",authors:[{id:"169169",title:"Dr.",name:"Nacer",surname:"Bellaloui",slug:"nacer-bellaloui",fullName:"Nacer Bellaloui"},{id:"195484",title:"Dr.",name:"Alemu",surname:"Mengistu",slug:"alemu-mengistu",fullName:"Alemu Mengistu"},{id:"195485",title:"Dr.",name:"Hamed",surname:"Abbas",slug:"hamed-abbas",fullName:"Hamed Abbas"},{id:"195486",title:"Prof.",name:"My A.",surname:"Kassem",slug:"my-a.-kassem",fullName:"My A. Kassem"}],corrections:null},{id:"53538",title:"Role of Nitrogen on Growth and Seed Yield of Soybean and a New Fertilization Technique to Promote Nitrogen Fixation and Seed Yield",doi:"10.5772/66743",slug:"role-of-nitrogen-on-growth-and-seed-yield-of-soybean-and-a-new-fertilization-technique-to-promote-ni",totalDownloads:3306,totalCrossrefCites:11,totalDimensionsCites:21,hasAltmetrics:0,abstract:"Soybean is an important crop for human food and feed for livestock. World soybean production is increasing especially in North and South America. Soybean seeds contain a high percentage of protein about 35–40%, and they require a large amount of nitrogen compared with other crops. Soybean plants make root nodules with rhizobia, and rhizobia can fix atmospheric N2 and give the fixed N to the host soybean plants. Also, soybean can absorb nitrogen usually nitrate from soil or fertilizers. The amount of total assimilated nitrogen in shoot is proportional to the soybean seed yield either from nitrogen fixation or from nitrogen absorption, and the nitrogen availability is very important for soybean cultivation. Maintenance of a high and long-term nitrogen fixation activity is very important for a high production of soybean. However, application of chemical nitrogen fertilizers usually depresses nodule formation and nitrogen fixation. Nitrate in direct contact with a nodulated part of roots causes severe inhibition of nodule growth and nitrogen fixation, although a distant part of nodules from nitrate application gives no or little effect. Deep placement of slow-release nitrogen fertilizers, coated urea, or lime nitrogen promoted the growth and seed yield and quality of soybean without depressing nitrogen fixation.",signatures:"Takuji Ohyama, Kaushal Tewari, Shinji Ishikawa, Kazuya Tanaka,\nSatoshi Kamiyama, Yuki Ono, Soshi Hatano, Norikuni Ohtake, Kuni\nSueyoshi, Hideo Hasegawa, Takashi Sato, Sayuri Tanabata,\nYoshifumi Nagumo, Yoichi Fujita and Yoshihiko Takahashi",downloadPdfUrl:"/chapter/pdf-download/53538",previewPdfUrl:"/chapter/pdf-preview/53538",authors:[{id:"30061",title:"Prof.",name:"Takuji",surname:"Ohyama",slug:"takuji-ohyama",fullName:"Takuji Ohyama"},{id:"41349",title:"Dr.",name:"Norikuni",surname:"Ohtake",slug:"norikuni-ohtake",fullName:"Norikuni Ohtake"},{id:"41350",title:"Dr.",name:"Kuni",surname:"Sueyoshi",slug:"kuni-sueyoshi",fullName:"Kuni Sueyoshi"},{id:"41351",title:"Dr.",name:"Yoshihiko",surname:"Takahashi",slug:"yoshihiko-takahashi",fullName:"Yoshihiko Takahashi"},{id:"169171",title:"Dr.",name:"Sayuri",surname:"Tanabata",slug:"sayuri-tanabata",fullName:"Sayuri Tanabata"},{id:"195270",title:"Dr.",name:"Kaushal",surname:"Tewari",slug:"kaushal-tewari",fullName:"Kaushal Tewari"},{id:"195271",title:"Dr.",name:"Shinji",surname:"Ishikawa",slug:"shinji-ishikawa",fullName:"Shinji Ishikawa"},{id:"195272",title:"MSc.",name:"Kazuya",surname:"Tanaka",slug:"kazuya-tanaka",fullName:"Kazuya Tanaka"},{id:"195274",title:"MSc.",name:"Satoshi",surname:"Kamiyama",slug:"satoshi-kamiyama",fullName:"Satoshi Kamiyama"},{id:"195275",title:"BSc.",name:"Yuki",surname:"Ono",slug:"yuki-ono",fullName:"Yuki Ono"},{id:"195276",title:"M.Sc.",name:"Soshi",surname:"Hatano",slug:"soshi-hatano",fullName:"Soshi Hatano"},{id:"195277",title:"Prof.",name:"Hideo",surname:"Hasegawa",slug:"hideo-hasegawa",fullName:"Hideo Hasegawa"},{id:"195278",title:"Prof.",name:"Takashi",surname:"Sato",slug:"takashi-sato",fullName:"Takashi Sato"},{id:"195279",title:"Dr.",name:"Yoshifumi",surname:"Nagumo",slug:"yoshifumi-nagumo",fullName:"Yoshifumi Nagumo"},{id:"195280",title:"MSc.",name:"Yoichi",surname:"Fujita",slug:"yoichi-fujita",fullName:"Yoichi Fujita"}],corrections:null},{id:"53054",title:"Production of Soybean-Derived Feed Material Free from Salmonella Contamination: An Essential Food Safety Challenge",doi:"10.5772/66332",slug:"production-of-soybean-derived-feed-material-free-from-salmonella-contamination-an-essential-food-saf",totalDownloads:1603,totalCrossrefCites:0,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Soybean meal is the world's most important source of protein for poultry and livestock. Due to frequent contamination of Salmonella, soy is since long unfortunately also found to be a high‐riskfeed material for the introduction of Salmonella to the animal food production. This chapter focuses on the importance of biosecurity and hygiene in the production of soy‐based animal feed. Those strategies and methods found to be effective tools for the production of a Salmonella‐safe soy feed material in crushing plants and feed mills are reviewed and presented. It is also shown that the implementation of those methods at a limited cost can prevent animal feed from being the weakest food safety link in the food chain.",signatures:"Martin Wierup",downloadPdfUrl:"/chapter/pdf-download/53054",previewPdfUrl:"/chapter/pdf-preview/53054",authors:[{id:"193418",title:"Dr.",name:"Martin",surname:"Wierup",slug:"martin-wierup",fullName:"Martin Wierup"}],corrections:null},{id:"53674",title:"Soybean: For Textile Applications and Its Printing",doi:"10.5772/66725",slug:"soybean-for-textile-applications-and-its-printing",totalDownloads:1844,totalCrossrefCites:2,totalDimensionsCites:6,hasAltmetrics:0,abstract:"It is vital to colorize sustainable, renewable, ecologic natural-based soybean fiber properly via printing for the textile and fashion industry. Optimum steaming-fixation conditions in respect of colorimetric values and color fastness properties should be determined for dye class in order to obtain the best possible print quality on soybean fiber fabric. This study exhibits that acid and 1:2 metal-complex dyes (originally used for printing of natural protein fibers such as wool and silk) and special reactive dyes (used for wool and polyamide fibers printing) can be used for regenerated soybean fiber printing leading to high color strength with adequate color fastness performance. Steaming at 102°C for 40 and 45 minutes are the optimum fixation conditions for acid and 1:2 metal-complex dyes on soybean fiber fabrics, respectively. On the other hand, steamings at 102°C for 20 minutes and 30 minutes are the optimum fixation conditions for wool-type reactive dyes and polyamide-type reactive dyes on soybean fiber fabrics, respectively. These optimum steam-fixation durations for each dye class led to the highest light fastness levels. Optimum steam fixation durations for 1:2 metal-complex and reactive dye classes (for both wool and polyamide) on printed soybean fibers displayed quite high and commercially acceptable wash fastness and good and commercially acceptable dry rub fastness and moderate to good wet rub fastness levels performance.",signatures:"Ozan Avinc and Arzu Yavas",downloadPdfUrl:"/chapter/pdf-download/53674",previewPdfUrl:"/chapter/pdf-preview/53674",authors:[{id:"191067",title:"Associate Prof.",name:"Ozan",surname:"Avinc",slug:"ozan-avinc",fullName:"Ozan Avinc"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"7552",title:"Soybean",subtitle:"Biomass, Yield and Productivity",isOpenForSubmission:!1,hash:"9dc4bfbef17ec4e8b46de07238453a23",slug:"soybean-biomass-yield-and-productivity",bookSignature:"Minobu Kasai",coverURL:"https://cdn.intechopen.com/books/images_new/7552.jpg",editedByType:"Edited by",editors:[{id:"29226",title:"Dr.",name:"Minobu",surname:"Kasai",slug:"minobu-kasai",fullName:"Minobu Kasai"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"5463",title:"Advances in International Rice Research",subtitle:null,isOpenForSubmission:!1,hash:"92ccc84a75f33d3dac5e3cd4b6a00474",slug:"advances-in-international-rice-research",bookSignature:"Jinquan Li",coverURL:"https://cdn.intechopen.com/books/images_new/5463.jpg",editedByType:"Edited by",editors:[{id:"96434",title:"Dr.",name:"Jin Quan",surname:"Li",slug:"jin-quan-li",fullName:"Jin Quan Li"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7000",title:"Legume Crops",subtitle:"Characterization and Breeding for Improved Food Security",isOpenForSubmission:!1,hash:"4d0f73bf883bbb984cc2feef1259a9a7",slug:"legume-crops-characterization-and-breeding-for-improved-food-security",bookSignature:"Mohamed Ahmed El-Esawi",coverURL:"https://cdn.intechopen.com/books/images_new/7000.jpg",editedByType:"Edited by",editors:[{id:"191770",title:"Dr.",name:"Mohamed A.",surname:"El-Esawi",slug:"mohamed-a.-el-esawi",fullName:"Mohamed A. 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\r\n\tThe goal of this book will be to introduce the current change in ambulatory care affected by the new development of medical knowledge, new technology, and social ethics. The COVID-19 pandemic plays an important role in the acceleration of the adoption of telehealth or telemedicine in medical care. Both patients and medical providers adopt it quickly. The new devices make it possible for remote measuring or monitoring vitals or other physical parameters and communication pathways that provide other tools for medical providers to change the pattern of management of different chronic diseases, like hypertension, diabetes, obesity, congestive heart failure, etc. Some techniques can switch some procedures from the hospital to the patient’s home or clinic so, which will not just make such procedures more convenient for patients but also save expense on medical care. The quality of medical care will improve once both medical providers and patients understand such changes, and cooperate proactively. Medical providers can learn how and what tools they can update and apply for caring for patients. Patients can understand and learn how to proactively engage in their health management.
\r\n\r\n\tThe quest to ensure a perfect patient safety record is at the heart of the decades-long quest to improve quality, enhance value, and increase trust in our healthcare delivery systems. Beginning with the landmark report, To Err Is Human, the Institute of Medicine set an ambitious agenda for the medical community to reduce the number of patients harmed by healthcare-related errors and preventable adverse events. As a result, large-scale initiatives were initiated, including electronic medical records, trainee work hours restrictions, and the advent of evidence-based care bundles. To help support the effort, various governmental and non-governmental agencies established funding for patient safety research and actively fostered the development of well-defined Patient Safety Goals via the National Quality Forum. Parallel to targeted efforts aimed at reducing human and systemic errors leading to patient harm, legislative efforts resulted in bills intended to increase public reporting of medical errors and a paradigm shift allowing public support of the concept that most patient injuries are a result of system failures and not provider errors. This book will intend to provide the reader with a comprehensive overview of the current state-of-the-art in patient safety, featuring an easy-to-follow, vignette-based format that focuses on the most important evidence-based developments in this critically important area.
",isbn:"978-1-83768-192-1",printIsbn:"978-1-83768-191-4",pdfIsbn:"978-1-83768-193-8",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"fa37d79f81893fd0a9ab346ae1c3e4a9",bookSignature:"Dr. Xin-Nong Li",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12102.jpg",keywords:"Pandemic, Telehealth, Communication, High Technology, Chronic Disease, Remote, Monitor, Quality, Diabetes, Hypertension, Digital Device, Cardiovascular Disease",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 26th 2022",dateEndSecondStepPublish:"June 23rd 2022",dateEndThirdStepPublish:"August 22nd 2022",dateEndFourthStepPublish:"November 10th 2022",dateEndFifthStepPublish:"January 9th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"a month",secondStepPassed:!1,areRegistrationsClosed:!1,currentStepOfPublishingProcess:2,editedByType:null,kuFlag:!1,biosketch:"Dr. Li, MD, graduated from Sun Yat-Sen University of Medical Sciences as an Outstanding Student. He later retrained as a resident in the department of internal medicine at the University of Pittsburgh Medical Center. He gained rich professional experience by working at Basel University, Switzerland, the University of Alabama at Birmingham, USA, and Medical School, the University of California at Davis. He is a Fellow of the American College of Physicians and a member of the American Medical Association.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"345917",title:"Dr.",name:"Xin-Nong",middleName:null,surname:"Li",slug:"xin-nong-li",fullName:"Xin-Nong Li",profilePictureURL:"https://mts.intechopen.com/storage/users/345917/images/system/345917.jpg",biography:"Dr. Xin-Nong Li, MD is an internal medicine specialist in Fair Oaks, CA. Dr. Li completed a residency at U Pittsburgh MC Shadyside. He currently practices at Xin-Nong Li, MD, and is affiliated with Mercy San Juan Medical Center. He accepts multiple insurance plans. Dr. Li is board-certified in Internal Medicine.\r\n\r\nEducation:\r\nU Pittsburgh MC Shadyside, Residency Hospital — 1999\r\nU Pittsburgh MC Shadyside, Internship Hospital — 1997\r\nSun Yat Sen University Med Sci, Medical School — 1982",institutionString:"Sutter Health",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Sutter Health",institutionURL:null,country:{name:"United States of America"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"16",title:"Medicine",slug:"medicine"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"466997",firstName:"Patricia",lastName:"Kerep",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/466997/images/21565_n.jpg",email:"patricia@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully"}},relatedBooks:[{type:"book",id:"6550",title:"Cohort Studies in Health Sciences",subtitle:null,isOpenForSubmission:!1,hash:"01df5aba4fff1a84b37a2fdafa809660",slug:"cohort-studies-in-health-sciences",bookSignature:"R. Mauricio Barría",coverURL:"https://cdn.intechopen.com/books/images_new/6550.jpg",editedByType:"Edited by",editors:[{id:"88861",title:"Dr.",name:"R. Mauricio",surname:"Barría",slug:"r.-mauricio-barria",fullName:"R. 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Batteries convert the chemical energy contained in its active materials into electric energy by an electrochemical oxidation-reduction reverse reaction.
At present batteries are produced in many sizes for wide spectrum of applications. Supplied powers move from W to the hundreds of kW (compare battery for power supply of pace makers and battery for heavy motor vehicle or for power station).
Common commercially accessible secondary batteries according to used electrochemical system can be divided to the following basic groups:
Standard batteries (lead acid, Ni-Cd) modern batteries (Ni-MH, Li–ion, Li-pol), special batteries (Ag-Zn, Ni-H2), flow batteries (Br2-Zn, vanadium redox) and high temperature batteries (Na-S, Na–metalchloride).
Lead acid battery when compared to another electrochemical source has many advantages. It is low price and availability of lead, good reliability, high voltage of cell (2 V), high electrochemical effectivity, cycle life is from several hundreds to thousands of cycles. Thanks to these characteristics is now the most widely used secondary electrochemical source of electric energy and represent about 60% of installed power from all types of secondary batteries. Its disadvantage is especially weight of lead and consequently lower specific energy in the range 30-50 Wh/kg.
Lead-acid batteries are suitable for medium and large energy storage applications because they offer a good combination of power parameters and a low price.
Construction of lead acid (LA) battery depends on usage. It is usually composed of some series connected cells. Main parts of lead acid battery are electrodes, separators, electrolyte, vessel with lid, ventilation and some other elements.
Scheme of prismatic and spiral wound construction of LA battery
Electrode consists of grid and of active mass. Grid as bearing structure of electrode must be mechanically proof and positive electrode grid must be corrosion proof. Corrosion converts lead alloy to lead oxides with lower mechanical strength and electric conductivity. Grids are made from lead alloys (pure lead would be too soft); it is used Pb-Ca or Pb-Sb alloys, with mixture of additives as Sn, Cd and Se, that improve corrosion resistance and make higher mechanical strength.
Active material is made from lead oxide PbO pasted onto a grid and then electrochemically converted into reddish brown lead dioxide PbO2 on positive electrode and on grey spongy lead Pb on negative electrode.
Separators electrically separate positive electrode from negative. They have four functions:
to provide electrical insulation between positive and negative plate and to prevent short circuits,
to act as a mechanical spacer which holds the plates in the prescribed position,
to help retain the active materials in close contact with the grid,
to permit both the free diffusion of electrolyte and the migration of ions.
The materials used for separators can be wood veneers, cellulose (paper), usually stiffened with a phenol-formaldehyde resin binder, and those made from synthetic materials, e.g., rubber, polyvinyl chloride (PVC), polyethylene (PE), and glass-microfibre.
Electrolyte is aqueous solution of H2SO4 with density of 1.22-1.28 g/cm3. Mostly it is liquid, covered battery plates. Sometimes it is transformed to the form of gel, or completely absorbed in separators.
Vessel must to withstand straining caused by weight of inner parts of battery and inner pressure from gas rising during cycling. The most used material is polypropylene, but also, PVC, rubber etc. If overpressure rises inside classical battery during charging, problem is solved by valve placed mostly in lid.
There are some major types of battery construction: prismatic construction with grid or tubular plates, cylindrical construction (spiral wound or disc plates) or bipolar construction.
Overall chemical reaction during discharge is:
PbO2 + Pb + 2H2SO4 → 2PbSO4 + 2H2O E0 = +2.048 V(1)
Reaction proceeds in opposite direction during charge.
According to the usage and construction, lead acid batteries split into stationary, traction and automotive batteries.
Stationary battery ensures uninterrupted electric power supply in case of failure in distributing network. During its service life battery undergo only few cycles. Battery life is as many as 20 years.
Traction battery is used for power supply of industrial trucks, delivery vehicles, electromobiles, etc. It works in cyclic regime of deep charge–discharge. Cycle life of the battery is about 5 years (1000 of charge–discharge cycles).
Automotive battery is used for cranking automobile internal combustion engines and also for supporting devices which require electrical energy when the engine is not running. It must be able of supplying short but intense discharge current. It is charged during running of engine.
According to the maintenance operation lead acid batteries could be branched into conventional batteries (i.e., those with free electrolyte, so-called \'flooded\' designs), requiring regular maintenance and valve-regulated lead-acid (VRLA) maintenance free batteries.
Originally, the battery worked with its plates immersed in a liquid electrolyte and the hydrogen and the oxygen produced during overcharge were released into the atmosphere. The lost gases reflect a loss of water from the electrolyte and it had to be filled in during maintenance operation. Problems with water replenishing were overcome by invention of VRLA (valve regulated lead acid) batteries.
The VRLA battery is designed to operate with help of an internal oxygen cycle, see Fig. 2. Oxygen liberated during the latter stages of charging, and during overcharging, on the positive electrode, i.e.
H2O → 2H+ + 1/2O2 + 2e-,
travels through a gas space in separator to the negative electrode where is reduced to the water:
Pb + 1/2O2 + H2SO4 → PbSO4 + H2O + Heat
The oxygen cycle, defined by reactions (1a) and (1b), moves the potential of the negative electrode to a less negative value and, consequently, the rate of hydrogen evolution decreases. The small amount of hydrogen that could be produced during charging is released by pressure valve. The produced lead sulphate is immediately reduced to lead via the reaction (1c), because the plate is simultaneously on charge reaction:
PbSO4 + 2H+ + 2e- → Pb + H2SO4
The sum of reactions (1a), (1b) and (1c) is zero. Part of the electrical energy delivered to the cell is consumed by the internal oxygen recombination cycle and it is converted into heat.
There are two designs of VRLA cells which provide the internal oxygen cycle. One has the electrolyte immobilized as a gel (gel batteries), the other has the electrolyte held in an AGM separator (AGM batteries). Gas can pass through crack in the gel, or through channels in the AGM separator.
Internal oxygen cycle in a valve regulated lead acid cell (
When the cell is filled with electrolyte, the oxygen cycle is impossible because oxygen diffuses through the electrolyte very slow. On the end of charge, first oxygen (from the positive), and then both oxygen (from the positive) and hydrogen (from the negative), are liberated and they are released through the pressure valve. Gassing causes loss of water and opens gas spaces due to drying out of the gel electrolyte or a liquid electrolyte volume decrease in the AGM separators). It allows the transfer of oxygen from the positive to the negative electrode. Gas release from the cell then falls rapidly (Rand et al., 2004).
Lead acid batteries can be affected by one or more of the following failure mechanisms:
positive plate expansion and positive active mass fractioning,
water loss brought about by gassing or by a high temperature,
acid stratification,
incomplete charging causing active mass sulphation,
positive grid corrosion,
negative active mass sulphation (batteries in partial state of charge (PSoC) cycling - batteries in hybrid electric vehicles (HEV) and batteries for remote area power supply (RAPS) applications).
Repetitive discharge and charge of the LA battery causes expansion of the positive active mass because product of the discharge reaction PbSO4 occupies a greater volume than the positive active material PbO2. Charging of the cell restores most of the lead dioxide, but not within the original volume. The negative active mass does not show the same tendency to expand. Reason could be that lead is softer than lead dioxide and that is why the negative active material is more compressed during discharge as the conversion from lead to the more voluminous lead sulphate proceeds. Another reason could be that spongy lead contains bigger pores than pores in lead dioxide and therefore is more easily able to absorb a lead sulphate without expansion of a negative active mass. Progressive expansion of the positive electrode causes an increasing fraction of the positive active material. This material becomes to be electrically disconnected from the current collection process and it causes decreasing of the cell capacity. (Calabek et al., 2001).
Positive active mass fractioning
Gas evolving during overcharge leads to reduction of the volume of the electrolyte. Some of the active material consequently loses contact with the electrodes. Drying out increases the internal resistance of the battery which causes excessive rise of temperature during charging and this process accelerates water loss through evaporation.
During charge, sulphuric acid is produced between the electrodes and there is a tendency for acid of higher concentration, which has a greater relative density, to fall to the bottom of the lead acid cell. Acid stratification can be caused also by preferential discharge of upper parts of the cell, because of lower ohmic resistance of these parts. Concentration of electrolyte in the upper part of the cell is temporarily lower than on the bottom of the cell. It leads to discharge of the bottom parts and charge of the upper parts of the cell. The vertical concentration gradient of sulphuric acid can give rise to non uniform utilization of active mass and, consequently, shortened service life through the irreversible formation of PbSO4 (Ruetschi, 2004).
When the electrodes are repeatedly not fully charged, either because of a wrong charging procedure or as a result of physical changes that keep the electrode from reaching an adequate potential (antimony poisoning of negative electrode), then a rapid decreasing in battery capacity may occur because of progressive accumulation of lead sulphate in active mass. Sulphation is creation of insulation layer of lead sulphate on the electrode surface. It leads to inhibition of electrolyte contact with active mass. Sulphation grows during the long term standing of the battery in discharge state, in case of electrolyte stratification, or incomplete charging. In the course of sulphation originally small crystals of lead sulphate grow to big ones. Big crystals of lead sulphate increase internal resistance of the cell and during charging it is hardly possible to convert them back to the active mass.
SEM images of negative active mass. Sulphation on the left, healthy state on the right
During charge the positive grid is subject to corrosion. Lead collector turns on lead dioxide or lead sulphate. The rate of this process depends on the grid composition and microstructure, also on plate potential, electrolyte composition and temperature of the cell. The corrosion products have usually a bigger electric resistance than positive grid. In extreme cases, corrosion could result to disintegration of the positive grid and consequently to collapse of the positive electrode.
Positive grid corrosion
They are main representative of batteries with positive Nickel electrode; other possible systems could be system Ni-Fe and Ni–Zn, Ni-H2 or Ni–MH.
The nickel cadmium cell has positive electrode from nickel hydroxide and negative electrode from metallic cadmium, an electrolyte is potassium hydroxide. The nickel cadmium battery is produced in a wide range of commercially important battery systems from sealed maintenance free cells (capacities of 10 mAh - 20 Ah) to vented standby power units (capacities of 1000 Ah and more). Nickel cadmium battery has long cycle life, overcharge capability, high rates of discharge and charge, almost constant discharge voltage and possibility of operation at low temperature. But, the cost of cadmium is several times that of lead and the cost of nickel cadmium cell construction is more expensive than that of lead acid cell. And there is also problem with the manipulation of toxic cadmium. But also low maintenance and good reliability have made it an ideal for a number of applications such (emergency lighting, engine starting, portable television receivers, hedge trimmers, electric shavers, aircraft and space satellite power systems).
Depending on construction, nickel cadmium cells have energy densities in the range 40-60 Wh/kg (50-150 Wh/dm3). Cycle life is moving from several hundreds for sealed cells to several thousands for vented cells.
Cell construction is branched to two types. First using pocket plate electrodes (in vented cells). The active material is found in pockets of finely perforated nickel plated sheet steel. Positive and negative plates are then separated by plastic pins or ladders and plate edge insulators. Second using sintered, bonded or fibre plate electrodes (in both vented and sealed cells). In sintered plate electrodes, a porous sintered nickel electrode is sintered in belt furnace in reducing atmosphere at 800 to 1000°C. Active material is distributed within the pores. In sintered plate cells, a special woven or felted nylon separator is used. It permits oxygen diffusion (oxygen cycle) in sealed cells. In the most common version, a spiral or prismatic construction of cells is used.
The electrolyte is an aqueous solution KOH (concentration of 20-28% by weight and a density of 1.18-1.27 g/cm3 at 25°C). 1-2% of LiOH is usually added to electrolyte to minimize coagulation of the NiOOH electrode during charge/discharge cycling. For low temperature applications, the more concentrated KOH solution is used. When it is operating at high temperature it is sometimes used aqueous NaOH electrolyte.
The overall cell reaction during discharge:
2NiOOH + Cd + 2H2O → 2Ni(OH)2 + Cd(OH)2 \tE0 = +1.30 V
It is notable that amount of water in the electrolyte falls during discharge. Ni-Cd batteries are designed as positive limited utilizing oxygen cycle. The oxygen evolved at the positive electrode during charge difuses to the negative electrode and reacts with cadmium to form Cd(OH)2.
In addition, carbon dioxide in the air can react with KOH in the electrolyte to form K2CO3, and CdCO3 can be formed on the negative plates. Both of these compounds increase the internal resistance and lower the capacity of the Ni-Cd batteries.
Ni-Cd batteries suffer from the memory effect (see also chapter Ni-MH battery). Besides Ni-Cd batteries also suffer from high rate of self-discharge at high temperatures.
Scheme of spiral wound and prismatic construction of Ni-Cd battery
The sealed nickel metal hydride cell has with hydrogen absorbed in a metal alloy as the active negative material. When compare with Ni-Cd cell it is not only increases the energy density, but also it is a more environmentally friendly power source. The nickel metal hydride cell, however, has high selfdischarge and is less tolerant to overcharge than the Ni-Cd cell.
Positive electrode is NiOOH, negative electrode contains hydrogen absorption alloys. They can absorb over a thousand times their own volume of hydrogen: Alloys usually consist of two metals. First absorbs hydrogen exothermically, a second endothermically. They serve as a catalyst for the dissociative adsorption of atomic hydrogen into the alloy lattice. Examples of used metals: Pd, V, Ti, Zr, Ni, Cr, Co, Sn, Fe, lanthanides and others. The AB2 series (ZrNi2) and the AB5 series (LaNi5) are usually used.
Design of the cylindrical and prismatic sealed Ni-MH cells are similar as with a nickel cadmium cells (see Fig. 7). Hydrophilic polypropylene separator is used in Ni-MH cell.
Scheme of prismatic and spiral wound Ni-MH battery
The overall reaction during discharge:
NiOOH + MH → Ni(OH)2 + M
The electrolyte is concentrated potassium hydroxide, voltage is in the range 1.32-1.35 V, depending on used alloy. Water is not involved in the cell reaction.
The energy density is 25% higher than a Ni-Cd cell (80 Wh/kg), power density around 200 W/kg, cycle life over 1000 cycles. Self-discharge is high - up to 4-5% per day. It is caused especially by the hydrogen dissolved in the electrolyte that reacts with the positive electrode.
Ni-MH batteries are used in hybrid electric vehicle batteries, electric razors, toothbrushes, cameras, camcorders, mobile phones, pagers, medical instruments, and numerous other high rate long cycle life applications.
Ni-MH batteries also suffer from the memory effect. It is a reversible process which results in the temporary reduction of the capacity of a Ni-Cd and Ni-MH cell. It is caused by shallow charge-discharge cycling.
After shallow cycling there is a voltage step during discharge, i.e. as if the cell remembers the depth of the shallow cycling. The size of the voltage reduction depends on the number of preceding shallow cycles and the value of the discharge current. But the capacity of the cell is not affected if the cell is now fully discharged (to 0.9 V) and then recharged. Deep discharge then shows a normal discharge curve. It seems that some morphological change occurs in the undischarged active material during the shallow cycling. It could cause a reduction of the cell voltage during folowing discharge. The effect is probably based on an increase in the resistance of the undischarged material (γ-NiOOH formation on overcharge during the shallow cycles) (Vincent & Scrosati, 2003).
Progressive irreversible capacity loss can be confused with the reversible memory effect. The former is caused different mechanisms. For example by a reduction in the electrolyte volume due to evaporation at high temperatures or prolonged overcharge. Irreversible capacity loss can also be caused by internal short circuits.
Lithium is attractive as a battery negative electrode material because it is light weight, high reduction potential and low resistance. Development of high energy density lithium-ion battery started in the 1970s. The lithium-ion cell contains no metallic lithium and is therefore much safer on recharge than the earlier, primary lithium-metal design of cell.
The principle of the lithium-ion cell is illustrated schematically in Fig. 8. The lithium ions travel between one electrode and the other during charge and discharge.
The most of commercial lithium-ion cells have positive electrodes of cobalt oxide. Other possible positive electrodes are except LiCoO2 and LiNiO2 based on especially manganese oxide, namely, LiMnO2 and LiMn2O4.
Negative electrode is carbon, in the form of either graphite or an amorphous material with a high surface-area. Carbon is an available and cheap material of low weight and also it is able to absorb a good quantity of lithium. When paired with a metal oxide as the positive electrode it gives a cell with a relatively high voltage (from 4 V in the fully charged state to 3 V in discharged state) (Dell & Rand, 2001).
Electrolyte is composed from organic liquid (ether) and dissolved salt (LiPF6, LiBF4, LiClO4). The positive and negative active mass is applied to both sides of thin metal foils (aluminium on positive and copper on negative). Microporous polymer sheet between the positive and negative electrode works as the separator.
Lithium-ion cells are produced in coin format, as well as in cylindrical and prismatic (see Fig. 9) shapes.
The principle of the lithium-ion cell
Prismatic and cylindrical Li-ion cell construction
The positive electrode reaction is:
Positive electrode:
LiCoO2 → Li1-xCoO2 + xLi+ + xe-\n\t\t\t\t\t
Negative electrode:
xLi+ + xe- + C6 → LixC6
where x moves on negative electrode from 0 to 1, on positive electrode from 0 to 0.45.
The most important advantages of lithium-ion cell are high energy density from 150 to 200 Wh/kg (from 250 to 530 Wh/l), high voltage (3.6 V), good charge-discharge characteristics, with more than 500 cycles possible, acceptably low selfdischarge (< 10% per month), absence of a memory effect, much safer than equivalent cells which use lithium metal, possibility of rapid recharging (2h).
Main disadvantage is a high price of the lithium-ion battery. There also must be controlled charging process, especially close the top of charge voltage 4.2 V. Overcharging or heating above 100°C cause the decomposition of the positive electrode with liberation of oxygen gas (LiCoO2 yields Co3O4).
Polymers contained a hetero-atom (i.e. oxygen or sulfur) is able to dissolve lithium salts in very high concentrations. Some experiments were made with polyethylene oxide (PEO), which dissolves salts lithium perchlorate LiClO4 and lithium trifluoromethane sulfonate LiCF3SO3 very well. But there is disadvantage - the conductivity of the solid solution of lithium ions is too low (about 10-5 S/m) on room temperature. But when higher temperature is reached (more than 60°C), transformation of crystalline to amorphous phase proceeds. It leads to much better electrical conductivity (10-1 S/m at 100°C). This value allows the polymer to serve as an electrolyte for lithium batteries. But thickness of the polymer must be low (10 to 100 μm). Polymer electrolyte is safer then liquid electrolyte, because it is not flammable (Dell & Rand, 2001).
The zinc-silver oxide battery has one of the highest energy of aqueous cells. The theoretical energy density is 300 Wh/kg (1400 Wh/dm3) and practical values are in the range 40-130 Wh/kg (110-320 Wh/dm3). Cells have poor cycle life. But they can reach a very low internal resistance and also their high energy density makes them very useful for aerospace and even military purposes.
The silver positive active mass is formed by sintering of silver powder at temperatures between 400 and 700°C and it is placed on silver or silver-plated copper grids or perforated sheets.
The zinc negative electrode prepares as mixtures of zinc, zinc oxide and organic binding agents. The aim is to produce electrodes of high porosity. Other additives include surface active agents to minimize dendritic growth and mercuric ions to increase the hydrogen overvoltage of the zinc electrode (reduce gassing during charge) and so reduce corrosion.
Electrolyte is water solution of KOH (1.40 to 1.42 g/cm3).
The separator is the most important component of zinc-silver oxide cell. It must prevent short circuit between electrodes, must prevent silver migration to the negative electrode, to control zincate migration, to preserve the integrity of the zinc electrode. The separator must have a low ion resistance with good thermal and chemical stability in KOH solution. Typical separators used in Ag-Zn battery, are of cellophane (regenerated cellulose), synthetic fiber mats of nylon, polypropylene, and nonwoven rayon fiber mats. Synthetic fiber mats are placed next to the positive electrode to protect the cellophane from oxidizing influence of that material. In most cells the separators are in form of envelopes completely enclosed the zinc electrodes (Vincent & Scrosati, 2003).
Commercial cells are generally prismatic – see Fig. 10 in shape and the case is usually plastic. Construction must be able to withstand the mechanical stress. The cells are usually sealed with safety valves. The volume of free electrolyte is very small. It is absorbed in the electrode pores and separator.
The energy density of practical zinc-silver oxide cells is some five to six times higher than that of their nickel-cadmium cells. The main disadvantage of the system is its high cost combined with a poor cycle life.
Ag-Zn prismatic and submarine torpedo battery
The overall cell reaction during discharge:
Ag2O2 + 2H2O + 2Zn → 2Ag + 2Zn(OH)2\n\t\t\t\t\t
The cell discharge reaction takes place in two stages:
Ag2O2 + H2O + 2Zn → Ag2O + 2Zn(OH)2 \t E0 = +1.85 V
Ag2O + H2O + Zn → 2Ag + Zn(OH)2 E0 = +1.59 V
During discharge there rises metal silver inside positive electrode and that is why inner electrical resistance drops in discharged state. Maximum temperature range is from -40 to 50 °C. Self discharge of Ag-Zn battery at 25 °C is about 4% of capacity per month.
Zinc-silver oxide secondary cells with capacities of 0.5-100 Ah are manufactured for use in space satellites, military aircraft, submarines and for supplying power to portable military equipment. In space applications the batteries are used to increase the power from solar cells during period of high demand, e.g. during radio transmission or when the sun is eclipsed. At other times the batteries are charged by the solar cells.
The Ni-H2 battery is an alkaline battery developed especially for use in satellites (see Fig. 11). It is a hybrid battery combining battery and fuel cell technology.
Scheme of a nickel-hydrogen battery (
The battery has a sintered, nickel-oxide positive electrode and a negative electrode from platinum black catalyst supported with Teflon bonding dispersed on carbon paper. Two types of the separators are being used. First is formed from a porous ceramic paper, made from fibres of yttria-stabilized zirconia, second from asbestos paper (Linden & Reddy, 2002). Separators absorb the potassium hydroxide electrolyte. The battery was developed to replace Ni-Cd battery in space applications and it has some higher specific energy (50 Wh/kg) together with a very long cycle life. Standard voltage of the Ni-H2 cell is 1.32 V.
The overall reaction during discharge:
2NiOOH + H2 → 2Ni(OH)2\n\t\t\t\t\t
The hydrogen gas liberated on charging is stored under pressure within the cell pressure vessel. Shape of the vessel is cylindrical with hemi-spherical end caps made from thin, Inconel alloy. Pressure of hydrogen inside the vessel grows to 4 MPa during charge whereas in the discharged state falls to 0.2 MPa. The cells may be overcharged because liberated oxygen from the positive electrode recombines rapidly at the negative electrode into the water.
Flow batteries store and release electrical energy with help of reversible electrochemical reactions in two liquid electrolytes. An electrochemical cell has two loops physically separated by an ion or proton exchange membrane. Electrolytes flow into and out of the cell through separate loops and undergo chemical reaction inside the cell, with ion or proton exchange through the membrane and electron exchange through the external electric circuit. There are some advantages to using the flow battery when compared with a conventional secondary battery. The capacity of the system is possible to scale by increasing the amount of solution in electrolyte tanks. The battery can be fully discharged and has little loss of electrolyte during cycling. Because the electrolytes are stored separately, flow batteries have a low selfdischarge. Disadvantage is a low energy density and specific energy.
The zinc-bromine cell is composed from the bipolar electrodes. The bipolar electrode is from a lightweight, carbon-plastic composite material. Microporous plastic separator between electrodes allows the ions to pass through it. Cells are series-connected and the battery has a positive and a negative electrode loop. The electrolyte in each storage tank is circulated through the appropriate loop.
Scheme of zinc-bromine battery (
The overall chemical reaction during discharge:
Zn + Br2 → ZnBr2 E0 = +1.85 V
During discharge product of reaction, the soluble zinc bromide is stored, along with the rest of the electrolyte, in the two loops and external tanks. During charge, bromine is liberated on the positive electrode and zinc is deposited on the negative electrode. Bromine is then complexed with an organic agent to form a dense, oily liquid polybromide complex. It is produced as droplets and these are separated from the aqueous electrolyte on the bottom of the tank in positive electrode loop. During discharge, bromine in positive electrode loop is again returned to the cell electrolyte in the form of a dispersion of the polybromide oil.
A vanadium redox battery is another type of a flow battery in which electrolytes in two loops are separated by a proton exchange membrane (PEM). The electrolyte is prepared by dissolving of vanadium pentoxide (V2O5) in sulphuric acid (H2SO4). The electrolyte in the positive electrolyte loop contains (VO2)+ - (V5+) and (VO)2+ - (V4+) ions, the electrolyte in the negative electrolyte loop, V3+ and V2+ ions. Chemical reactions proceed on the carbon electrodes.
Scheme of vanadium redox battery
In the vanadium redox cell, the following half-cell reactions are involved during discharge:
At the negative electrode:
V2+ → V3+ + e- E0 = -0.26V
At the positive electrode:
VO2+ + 2H+ + e- → VO2+ + H2O E0 = 1.00V
Under actual cell conditions, an open circuit voltage of 1.4 Volts is observed at 50% state of charge, while a fully charged cell produces over 1.6 Volts at open-circuit, fully discharged cell 1.0 Volt.
The extremely large capacities possible from vanadium redox batteries make them well suited to use in large RAPS applications, where they could to average out the production of highly unstable power sources such as wind or solar power. The extremely rapid response times make them suitable for UPS type applications, where they can be used to replace lead acid batteries. Disadvantage of vanadium redox batteries is a low energy density of about 25 Wh/kg of electrolyte, low charge efficiency (necessity using of pumps) and a high price.
Sodium, just like lithium, has many advantages as a negative-electrode material. Sodium has a high reduction potential of -2.71V and a low atomic weight (23.0). These properties allow to made a battery with a high specific energy (100-200 Wh/kg). Sodium salts are highly found in nature, they are cheap and non-toxic. Sulphur is the positive electrode material which can be used in combination with sodium to form a cell. Sulphur is also highly available in nature and very cheap.
The problem of a sodium-sulphur cell is to find a suitable electrolyte. Aqueous electrolytes cannot be used and, unlike the lithium, no suitable polymer was found. That is why a ceramic material beta-alumina (β–Al2O3) was used as electrolyte. It is an electronic insulator, but above 300 °C it has a high ionic conductivity for sodium ions.
In each cell, the negative electrode (molten sodium) was contained in a vertical tube (diameter from 1 to 2 cm). The positive electrode (molten sulphur) is absorbed into the pores of carbon felt (serves as the current-collector) and inserted into the annulus between the ceramic beta-alumina electrolyte tube and the cylindrical steel case (Fig. 14). Between molten sodium and beta-alumina electrolyte also could be found a safety liner with a pin-hole in its base.
Schematic cross-section of Na-S cell (
The cell discharges at 300 to 400 °C. Sodium ions pass from the sodium negative electrode, through the beta-alumina electrolyte, to the sulphur positive electrode. There they react with the sulphur to form sodium polysulphides. Standard voltage of the cell is about 2 V.
The cell discharges in two steps:
5S + 2Na → Na2S5 E0 = 2.076V
3Na2S5 + 4Na → 5Na2S3 E0 = 1.78V
Uncontrolled chemical reaction of molten sodium and sulphur could cause a fire and corrosion inside the cell and consequently destruction of the cell. It often happens after the fracture of the electrolyte tube. This problem is solved by inserting of safety liner to the beta-alumina tube. This allows a normal flow of sodium to the inner wall of the beta-alumina electrolyte, but prevents the flow in the case of tube fracture.
In the sodium-metalchloride battery the sulphur positive electrode there is replaced by nickel chloride or by a mixture of nickel chloride (NiCl2) and ferrous chloride (FeCl2) – see Fig. 15. The specific energy is 100-200 Wh/kg.
The negative electrode is from molten sodium, positive electrode from metalchloride and electrolyte from the ceramic beta-alumina (the same as in the sodium-sulphur battery). The second electrolyte, to make good ionic contact between the positive electrode and the electrolyte from beta-alumina, is molten sodium chloraluminate (NaAlCl4).
The positive electrode is from a mixture of metal powder (Ni or Fe) and sodium chloride (NaCl). During charge, these materials are converted into the corresponding metal chloride and sodium. Iron powder is cheaper than nickel powder, but nickel cells have higher voltage and could operate over a wider temperature range (200 to 400 °C) than iron cells (200 to 300 °C) (Dell & Rand, 2001).
Schematic cross-section of Na-metalchloride cell (
The basic cell reactions during discharge are simple, i.e.
2Na + NiCl2 → 2NaCl + Ni E0 = +2.58 V
2Na + FeCl2 → 2NaCl + Fe E0 = +2.35 V
Advantage of the sodium metalchloride cell over the sodium sulphur cell is that there is possibility of both an overcharge and overdischarge reaction, when the second electrolyte (molten sodium chloraluminate) reacts with metal (overcharge) or with sodium (overdischarge).
Overcharge reaction for sodium nickelchloride cell:
2NaAlCl4 + Ni → 2Na + 2AlCl3 + NiCl2\n\t\t\t\t\t
Overdischarge reaction for sodium nickelchloride cell:
3Na +NaAlCl4 → Al + 4NaCl
Another advantage of the sodium metalchloride system is safety of operation. When the beta-alumina electrolyte tube cracks in this system, the molten sodium first encounters the NaAlCl4 electrolyte and reacts with it according the overdischarge reaction.
This chapter is focused on electrochemical storage or batteries that constitute a large group of technologies that are potentially suitable to meet a broad market needs. The five categories of electrochemical systems (secondary batteries) were selected and discussed in detail: standard batteries (lead acid, Ni-Cd) modern batteries (Ni-MH, Li–ion, Li-pol), special batteries (Ag-Zn, Ni-H2), flow batteries (Br2-Zn, vanadium redox) and high temperature batteries (Na-S, Na–metalchloride). These batteries appear to be promising to meet the requirements for end-user applications.
However, the use of secondary batteries involves some technical problems. Since their cells slowly self-discharge, batteries are mostly suitable for electricity storage only for limited periods of time. They also age, which results in a decreasing storage capacity.
For electrochemical energy storage, the specific energy and specific power are two important parameters. Other important parameters are ability to charge and discharge a large number of times, to retain charge as long time as possible and ability to charge and discharge over a wide range of temperatures.
This chapter is supported by the EU project CZ.1.05/2.1.00/01.0014 and by the internal grant FEKT-S-11-7.
Health care over time has become a complex and very careful act, which, in addition to providing users with adequate treatment for their health problems, represents a latent risk since it can cause involuntary damage. This, for obvious reasons, since 2002 the World Health Organization (WHO), requested in Resolution WHA55.18 the member states to pay as much attention as possible to the problem of patient safety [1]. This difficulty being an attenuator over time has become a public health problem that directly impacts the quality of care of users of health services and the fall in their indicators.
This World Alliance, which aims to coordinate, disseminate, and accelerate the improvement of patient safety worldwide, is a means that fosters international collaboration and the adoption of measures among member states, the WHO secretariat, the technical experts and consumers, professionals, and industrial groups [2]. Different studies conducted in our country at different levels of care, such as the ENEAS study, the National Study on Adverse Effects linked to Hospitalization [3], and the Study on Patient Safety in Primary Health Care (APEAS) [4], have quantified the importance of these effects.
Different investigations have been found in relation to patient safety, where the one carried out by Villareal [5] is found, in Third World countries and in those with transition economy; there is evidence that the probability in the occurrence of adverse events is caused due to the poor state of the infrastructure and the equipment, the quality of the medicines, the irregularity in the supply, the deficiency in waste disposal and infection control, and the poor performance of the staff due to lack of motivation or knowledge is insufficient and due to the serious lack of resources to cover essential operating costs.
Also in 2011, Blandón, Gómez, Muñoz, and Zafra [6] carried out a patient safety audit process from the analysis of the adverse event report at the Francisco Luís Jiménez Martínez de Carepa hospital (Antioquia), where flaws were evident in the fulfillment of the processes related to the prevention of events and where improvement activities were proposed in order to minimize and prevent the recurrence of events highlighting the awareness of all personnel prioritizing those who work in the emergency department on adverse events, in addition to developing improvement plans regarding the control of dangerous conditions in the physical environment.
In 2013, an investigation was conducted on safety culture and adverse events in a first-level clinic [7]; this shows the prevalence of adverse events in nursing staff, where the main errors were the lack of communication and techniques of poor application of medications in nursing staff which affects patients in 29.9% producing an adverse event. In 2014 Meléndez Concepción, Garza, González, Castillo, González, and Hernández [8] conducted an investigation on the perception of nurses towards the culture of safety in a pediatric hospital in Mexico, where the average age of the respondents was 49 years old for men, 91% were women, and 70% were general nurses. Nurses believe that the strengths that are available in the hospital are few and that many things are missing to ensure patient safety.
Poma Vanessa [9] developed an investigation with the purpose of contributing to the improvement of quality and safety in the care of patients of the internal medicine service of the Eugenio mirror hospital in the city of Quito, in 2015, for which it was carried out a parallel between the reality evidenced in the service and the national and international quality standards of process and results structure where it could be established that the institution did not meet the specific criteria in terms of structure and results compared to international standards, so which emphasized the safety culture of internal users as well as of patients as a fundamental axis for continuous improvement, revealing not only the failures of the institution but also the responsibility of the collaborators of the institution.
In the IBEAS study, Colombia specifically showed a prevalence of adverse events of 13.1%, 27.3% of the events occurred in children under 15 years, and 27.7% occurred during the performance of a procedure [10] and where it has been estimated by WHO under its studies that one in 10 hospitalized patients suffers an incident that will cause damage during their stay. Studied in countries with medium and high economies, is not yet known in countries with emerging economies, but it is thought that in these, the magnitude of the problem may be even greater [11], which allows to demonstrate that in general terms, health in Colombia is going through a difficult stage in terms of quality.
For its part, the state social enterprise Norte 2 located in the municipality of Caloto, department of Cauca, is a social enterprise of the state that provides health care of low complexity for around 7000 people living in the municipality. This institution as a company that currently provides health services has found that the patient safety protocol established by the Ministry of Health and Social Protection is not being applied under the guidelines of the patient safety policy in Resolution 0112 of 2012. In addition to this, health professionals for unknown reasons do not apply the London protocol and generally do not exercise the functions of inspection, surveillance, and control in order to provide reports in a timely manner, to take corrective actions and relevant improvement to mitigate adverse events that are becoming increasingly evident.
The objective of the present investigation is to identify the adherence of the health personnel of the state social enterprise Norte 2 health institution, Caloto, Cauca, during the first quarter of 2019, in the application of the London protocol, referring to the security policy of the patient, to propose an improvement plan according to the results obtained. In this sense, the application of the London protocol in patient safety policy in the state social enterprise Norte 2 health institution is of vital importance, in order to impact on the improvement of the quality of health care as a systematic tool for a continuous improvement defined in the mandatory quality assurance system, increasing its quality of service making it a competitive entity.
In Colombia, the Ministry of Health and Social Protection [12] defines patient safety as the set of structural elements, processes, instruments, and methodologies based on scientifically proven evidence that tend to minimize the risk of suffering, an adverse event in the process of health care or mitigate its consequences. Under the obligatory system of quality assurance of health care, the country, through its components, seeks and promotes a patient safety policy whose objective is to prevent the occurrence of situations that affect patient safety and reduce and if possible eliminate the occurrence of adverse events to have safe and competitive institutions internationally [13].
In addition to this, Resolution 2003 of 2014 [14] dictates the design of processes and procedures focused on the promotion of safe health care, the identification of the risks in health care provided to patients in different services and its prioritization and intervention, the definition of safe care processes, the education of patients and their families in the knowledge and approach of the factors that can influence in improving the safety of the care processes of which they are subjected, and the application of mandatory safe practices, reporting, measurement, analysis, and management of adverse events.
More than a concept, it is a movement that emerges worldwide as a rethinking of the effectiveness of health systems in different countries. Health systems and especially the professionals that integrate it, without a doubt, aim at the well-being of patients; however, despite their good intentions, they can also cause harm [15]. The effectiveness of health systems then depends not only on the impact caused by the improvement of the health of the users but also on the safety conditions in which care is given, which is the raison d’être of the patient’s safety policy: provide safe and effective care.
According to the Ministry of Social Action [16], the guidelines of the London protocol are taken under the guiding principles of the policy in order to achieve the purpose of establishing safe attention; it goes beyond the establishment of standards; these are only the frame of reference. The commitment and cooperation of the different actors is necessary to raise awareness and promote, arrange, and coordinate actions that really achieve effective achievements. Patient safety problems are inherent in health care. For this purpose it is relevant to establish transversal principles that guide all the actions to be implemented.
Patient safety is presented as a fundamental pillar within the patient safety protocol, which is defined as the set of organizational structures or processes that reduce the probability of adverse events resulting from exposure to the care system. Have medical attention throughout the procedures or diseases [17]. In this way, patient safety is part of a whole set of legal requirements, which must be fully complied with by health professionals, which guarantee that the patient is prevented from any risk present in medical services.
In this regard and under the London protocol in patient safety policy, according to the Ministry of Social Action [18], the guidelines of the London protocol are taken. The guiding principles of the policy are that achieving the purpose of establishing safe attention goes beyond the establishment of standards; these are only the frame of reference. The commitment and cooperation of the different actors is necessary to raise awareness and promote, arrange, and coordinate actions that really achieve effective achievements. Patient safety problems are inherent in health care. For this purpose, it is relevant to establish transversal principles that guide all the actions to be implemented [19]. These principles are as follows:
User-centered focus of attention. It means that the important thing is the results obtained in it and its safety, which is the axis around which all the patient’s safety actions revolve.
Security culture. The environment for the deployment of patient safety actions must take place in an environment of confidentiality and trust between patients, professionals, insurers, and the community. It is the duty of the different actors of the system to facilitate the conditions that allow the said environment.
Integration with the mandatory quality assurance system of health care. The patient safety policy is an integral part of the mandatory quality assurance system of health care and is transversal to all its components.
Multicausality. The problem of patient safety is a systemic and multicausal problem in which different organizational areas and different actors must be involved [20].
Under the conceptual model and basic definitions of patient safety policy, the following figure shows in a pictorial way the conceptual model on which the terminology used in this document is based, and then the definitions related to the different items raised and used are included in the patient safety policy of the compulsory quality assurance system of health care. It is necessary to integrate international terminology with specificities of the terminology requirements identified in the country [21].
The methods used were designed with the aim of promoting an open environment that contrasts with the traditional ones based on personal accusations and fault allocation. This protocol covers the process of research, analysis, and recommendations. There is no need to insist that the proposed methodology has to be separated, as far as possible, from disciplinary procedures and those designed to address permanent individual poor performance. In health, very often when something goes wrong, bosses tend to overestimate the contribution of one or two individuals and assign them to blame for what happened [22].
This does not mean that the indictment cannot exist, what it means is that this should not be the starting point, among other things, because the immediate allocation of guilt distorts and hinders subsequent serious and thoughtful investigation. Effectively reducing the risks implies taking into account all the factors, changing the environment and dealing with the failures by action or omission of the people. This is never possible in an organization whose culture puts disciplinary considerations first. In order for incident investigation to be fruitful, it must be carried out in an open and fair environment [22].
For its part, the organizational model of causality of clinical incidents is supported under the theory of the protocol, and its applications are based on research conducted outside the field of health. In aviation and in the oil and nuclear industries, accident investigation is an established routine. Safety specialists have developed a wide variety of methods of analysis, some of which have been adapted for use in clinical care contexts [23].
In this way, they raise the need to conduct the investigation and analysis of incidents (errors or adverse events), which refer to the basic process of investigation and analysis is quite standardized. It was designed with the idea that it is useful and can be used both in minor incidents and in serious adverse events. It does not change if it is executed by a person or a large team of experts. In the same way, the investigator (person or team) can decide how fast he goes through it, from a short session to a full investigation that can take several weeks, including a thorough examination of the chronology of the facts, of the unsafe actions, and of the contributory factors. The decision about the length and depth of the investigation depends on the severity of the incident, the resources available, and the potential institutional learning [24].
And where under the Reason model of causality (Swiss cheese model), belonging to the problem solving and identification models, it works to identify what aspects or decisions of the organization may have been a conditioning factor in an accident and how the organization can learn from an accident, perfecting the defenses in a cycle of continuous improvement [25, 26]. Also called Swiss cheese model, which was raised in order to analyze the possible causes that develop potential risks, the model compares the causes of risk with layers of Swiss cheese, where for an action to be generated, several failures are required to reach this, since, if there is a barrier, that potential cause will undoubtedly not allow it to become damage. It speaks of four factors that contribute to the extent of the damage: insufficient training, poor communication, lack of supervision, and inadequate apparatus [27].
On the issue of safety, the causes identified have been grouped in different ways (organizational causes, equipment, supplies, people, etc.) and specifically on the issue of patient safety. In the United Kingdom, an organizational model for the causality of errors and adverse events (organizational accident causation model) was developed in the context of the so-called London protocol or “systems analysis of clinical incidents—the London protocol” [28, 29]. Among the possible solutions is the fishbone formulated by Ishikawa who was an industrial chemist and a business administrator, in response to the need to implement quality in business processes and services. Through its proposal it is easy to observe the relationship between cause and effect. Mention six components that lead to the problem which are labor, material, method, machine, measuring, and environment [30].
This research is quantitative, observational, and descriptive, and a census was carried out on the 92 officials of the state social enterprise Norte 2, Caloto, Cauca (Colombia, Sur America) institution, under the inclusion criteria: be a worker linked to the institution by employment contract, have the institutional consent of the company, and have informed and understood consent with each of the units of analysis and where exclusion criteria are not contemplated. Study variables such as sociodemographic characteristics, knowledge variables, and improvement variables were taken into account.
The analysis plan of the present investigation had the collection of information through a survey created by the researchers and reviewed by four experts in the field; for the tabulation of the data, the researchers created an instrument to obtain a database in the Epiinfo 7.2 program; this program is a free epidemiological analysis software supplied by the World Health Organization and in which the analysis of results with descriptive statistics was performed. The bioethical component was aligned in accordance with Resolution 008430 of 1993 and Resolution 0314 of 2018 which regulates ethical responsibilities in research in humans and health institutions, taking into account that the research has a lower risk than the minimum. Complying with Colombian regulations, institutional consent and informed consent were obtained by each participant. The credits of the institution in which the research is carried out are included, according to copyright.
For research the guidelines of the London protocol are taken. The guiding principles of the policy with which, to achieve the purpose of establishing safe attention, goes beyond setting standards; these are only the frame of reference. The commitment and cooperation of the different actors is necessary to raise awareness, promote, arrange, and coordinate actions that really achieve effective achievements. Patient safety problems are inherent in health care. The transversal principles that guide the actions to be implemented are:
User-centered focus of attention. It means that the important thing is the results obtained in it and its safety, which is the axis around which all the patient’s safety actions revolve.
Security culture. The environment for the deployment of patient safety actions must take place in an environment of confidentiality and trust between patients, professionals, insurers, and the community. It is the duty of the different actors of the system to facilitate the conditions that allow the said environment.
Integration with the mandatory quality assurance system of health care. The patient safety policy is an integral part of the mandatory quality assurance system of health care and is transversal to all its components.
Multicausality. The problem of patient safety is a systemic and multicausal problem in which different organizational areas and different actors must be involved.
An instrument with 12 specific questions about patient safety and questions about demographic aspects was implemented. The specific questions, with multiple answer options, and yes or no, were:
What is the definition of adverse event?
Do you know the protocol model for the report of adverse events?
Have you received trainings from the institution in protocols that guarantee patient safety?
Does the institution have the patient safety program to obtain safer care processes? Do you know?
In case of an adverse event, would you ask for support for report?
Who is the official in charge of performing the report of the adverse event?
What is the main cause why you do not report the adverse events?
Do you notify all reports of adverse events, clinical incidents, and complications related to health care?
What do you consider is the main cause for not reporting adverse events related to health care?
What is the definition of clinical incident?
What is the definition of clinical complication?
Does the institution perform the feedback of adverse events?
It was found that demographically the female gender represents more than half of the population, being mostly people with a technical academic level, who have been in ESE for more than a year, and of which three out of four are auxiliary of nursing, which represents a population trained in technical tasks linked to day-to-day work in the ESE, with an experience of more than 1 year within the said institution in three out of four officials; on the other hand, it is observed that only 1 of every 11 people in the population are nurses, who are in charge of coordinating these assistants and are the guarantors of the proper performance of all protocols within the institution (Table 1).
Variable | Answer | Frequency | Percentage |
---|---|---|---|
Sex | Female | 61 | 66 |
Male | 31 | 34 | |
Education level | Technical | 67 | 73 |
Professional | 14 | 15 | |
Support | 6 | 7 | |
Others | 5 | 5 | |
Antiquity | Under one year | 29 | 32 |
Older than one year | 63 | 68 | |
Job that performs | Doctor | 4 | 4 |
Nurse | 6 | 7 | |
Dentist | 3 | 3 | |
Nursing assistant | 64 | 70 | |
Other | 15 | 16 |
Frequency of demographic variables of health personnel of state social enterprise Norte 2, Caloto, Cauca, Colombia, in the first half of 2019.
Main cause for not reporting adverse events related to health care.
For the frequency of response according to the definition of adverse events according to the London protocol, it is possible to justify that the entire population surveyed is clear about the concept of the definition of adverse events under current regulations, which demonstrates that the ESE performs an adequate accompaniment regarding the acquisition of knowledge regarding the definitions of the terminology used within its facilities, which allows all its collaborators to be in the same tuning, avoiding communication problems in terms of technical terminology and knowledge of the laws and resolutions of the ministry of health that define under presidential ruling the conception of these.
For the knowledge of the London protocol model for the reporting of adverse events, officials have one out of five present ignorance of the protocol, which can lead to failures in the practice of this, either due to lack of training and induction or recognition and omission which generates a latent risk both in terms of the quality of the service provided and in the care provided to the patient, putting his integrity at risk. In addition to the frequency in terms of training carried out by staff in the institution in protocols that guarantee patient safety, there is a group of people who have not received training in the patient safety protocol, which is presented as an administrative failure on the part of the institution, and the area in charge of carrying out the training of the collaborators, 1 of every remaining 11 has omitted the training provided by the ESE, generating problems that directly compromise patients and their safety.
The institution has the patient safety program to obtain safer care processes. Less than half of the respondents acknowledge that the institution has the patient safety program in terms of obtaining safer care processes, this amount being less than half of the officials surveyed, which describes a total lack of awareness for more than half of these, which generates a critical picture given that ignorance is counterproductive, given the nature of the ESE, demonstrating that more socialization of the documentation that the institution possesses, as well as training and documentation, is needed of the programs.
When an adverse event occurs, who is the person in charge of supporting the report of an adverse event? According to the established protocol, it was found that the person in charge of supporting the report of an adverse event is intended to guarantee quality of health care and serve as a bridge to generate a solution to the event presented; in this sense there is no consensus, given the ignorance of the protocol and the poor socialization of this both by the administrative area and by the same care staff, where more than half of the officials have full knowledge of who is the person in charge of carrying out the accompaniment and providing support if necessary when an adverse event occurs.
Likewise, within the knowledge of the official responsible for making the report of the adverse event according to the established protocol, it is described that within the report of the adverse event, the immediacy in the realization of this has its incidence within the quality system and of the patient safety protocol; for this reason the person who detects the adverse event must perform it in a short period of time when it is detected; in this sense more than half of the respondents know who should do it, with which you can affirm that some of these seek to separate themselves from their functions or they are not aware of the protocol and the step by step to follow when an event of these occurs, looking for a way to lighten your workload, Figure 1.
The frequency of response regarding the most frequent cause of not reporting adverse events, it was found that the main causes of failure to report adverse events are divided perceptions, since on average 3 of every 11 believe that the mistakes made within their daily work will be a cause for dismissal, which shows the lack of knowledge of the internal regulations of the institution regarding the grounds for withdrawal, and a similar average thinks that the they have used it during their rest or active breaks, which is linked to another portion, which states that the workload does not allow their report, which must be reported immediately after its occurrence, as evidenced by the ignorance of both its functions and the patient safety protocol.
Within the culture of patient safety, the reporting of adverse events, clinical incidents, and related complications in health care allows the generation of corrective and improvement actions within the health system, which by not reporting or reporting spontaneously, like 4 out of 11 of the officials surveyed, it does not allow for the maturation or improvement of this, since the causes for which adverse events are being generated are unknown and opportunities for the quality team to solve underlying problems are lost. In this sense, a percentage close to half of the respondents duly report the adverse events and other incidents and complications, this being a lack of empowerment by the collaborator who does not have a safety culture present in their work.
The most frequent cause of not reporting adverse events related to health care, evidence within the different research questions, that the workload prevails, in this sense in more than half being the main cause for not reporting an adverse event, this situation being an attenuating one, since it is possible to relate directly to the lack of human resources within the institution, or the charges within it are not level with the staff, which is supported by two out of ten who affirm that the overload of patients also does not allow an adverse event to be reported, missing opportunities for improvement within the institution that manage to generate a positive effect within the care of patients.
For the frequency of response for the definition of clinical incident according to the London protocol, it can be affirmed that within the theoretical knowledge of ESE officials, it is found that more than half of the respondents know the definition of clinical incident, and a small part present difficulties in answering correctly, this being a serious failure, when making the report of an adverse event, since the misrepresentation of the terms can cause misunderstandings and that at the time of generating a report, the indicators are erroneous regarding the nature of adverse events. However, for the definition of clinical complication, approximately four out of every five officials know its concept, which shows that only a considerable minority represents confusion, which, in a real plane, can generate confusion and ignorance of the steps to follow or perform incorrect procedures, since the nature of each event is different and must be known from the theoretical basis in order to be clear about the concepts.
Within the administrative failures found, the socialization of adverse events in the institution, only half of these are carried out, which demonstrates that the commitment that exists within the protocol is not adequate within the nature of this; there is also one in five people who do not know if they do it or not, which allows us to affirm that there is a problem of latent communication within the ESE and the collaborators; they do not know everything, given the different shifts they have and the changes in the staff schedules, as well as their lack of commitment to the quality system of the institution, being a very marked problem within the institution, seeking to improve this perception within the collaborators.
After the analysis of the results, investigations found that, under the same study theme, they manage to show similar results regarding the patient’s safety policy and what was found in state social enterprise Norte 2 of Caloto, Cauca. It was found in the study carried out by Villareal [15] that the results obtained show that the institutions of Third World countries such as Colombia do not fully meet certain requirements for the reduction of adverse events, taking into account variables such as infrastructure, the state of the equipment, the quality and adequate supply of medicines, and the motivation of the staff, which confirms what was found in state social enterprise Norte 2, where professional and care personnel do not have full knowledge of the policies, in addition there was little motivation given the high workload they maintain and the low culture of patient safety that exists.
In 2014, Meléndez, Concepción, Garza, González, Castillo, González, and Hernández [19] found that within the demographic variables, the care staff has an age greater than 6 months, and where the average age of the respondents was 49 years, 91% were women and 70% are general nurses, who presented adherence to the patient safety protocol, which differs from what was found in the state social enterprise in Caloto, Cauca, since although the majority of the population were 69% women and nurses, older than 1 year, they did not show adherence to the humanization protocol of the patient due to different causes such as ignorance of the general concepts and the low report of adverse events.
Blandón, Gómez, Muñoz, and Zafra [16] carried out a security audit process that showed flaws in the fulfillment of the processes related to the prevention of events, where improvement activities were proposed in order to minimize and prevent the recurrence of events highlighting the awareness of all personnel, which corroborates what was found in the present investigation, since the staff does not comply with the safety culture regarding the reporting of adverse events, being necessary to propose actions which improves proposals, a plan prepared for them in order to reduce this problem.
In general, the research presented a difficulty which was access to primary information, and some of the professionals were reluctant to conduct the survey, as well as access to these for their work shifts was complicated, but nevertheless within the achievements, the latent problem was found in terms of both administrative and assistance failures of professionals, which do not present a culture of patient safety, and therefore, opportunities for improvement were found by creating a plan for improvement.
Converting the organizational culture for the improvement of the processes is one of the main objectives since adopting it as a culture will be immersed in the daily life of the institution, thus leading to continuous improvement reaching the expected quality. The contribution of reading about this program executed in the aforementioned institution serves as a guide and guidance that contributes to the enrichment of knowledge that allows the implementation of the audit plan to improve the quality of health care in the institution providing health services.
With the completion of the previous investigation, it is concluded that state social enterprise Norte 2, CALOTO CAUCA does not comply with the adherence to the London protocol in patient safety policy, taking into account that only 70% of officials It has adherence to this protocol, in addition, only 52% of adverse events are reported, the main cause of not being carried out, the workload and the little time they have for administrative work.
The investigators do not declare conflicts of interest.
We thank the institution state social enterprise Norte 2 Caloto, Cauca, manager, officials, quality team, and coordinating chiefs, who allowed our research team to be part of their institution to carry out our purpose and successfully complete the planned, and the University Foundation of the Andean area that were present to give us their support through their work team offering an education with excellence.
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In this work, we are interested in the Neuromate robot. The latter uses the procedure of stereotaxic surgery but with better planning, greater precision and simpler execution. The Neuromate robot allows in particular the registration with intraoperative images (ventriculographies, and especially angiographies) in order to perfect the planning. In this book, we focus on the contact force measurement system required for the effectiveness of the stimulation between the robot probe and the patient’s head and thus ensure the safety of the patient. A force sensor is integrated upstream of the wrist, the pressure sensor is part of a silicon matrix that has been bonded to a metal plate at 70°C. The study was carried out under the software COMSOL Multiphysics, ideally suited for the simulation of applications (Microelectromechanical systems) “MEMS”. After electromechanical stationary survey, deflection of the quadrant when the pressure difference across the membrane was 25 kPa, as expected, the deviation was expected to be greatest at the center of the membrane. The proposed sensor structure is a suitable selection for MEMS capacitive pressure sensors.",book:{id:"6865",slug:"becoming-human-with-humanoid-from-physical-interaction-to-social-intelligence",title:"Becoming Human with Humanoid",fullTitle:"Becoming Human with Humanoid - From Physical Interaction to Social Intelligence"},signatures:"Hacene Ameddah",authors:[{id:"302678",title:"Dr.",name:"Hacene",middleName:null,surname:"Ameddah",slug:"hacene-ameddah",fullName:"Hacene Ameddah"}]},{id:"70653",title:"Living and Interacting with Robots: Engaging Users in the Development of a Mobile Robot",slug:"living-and-interacting-with-robots-engaging-users-in-the-development-of-a-mobile-robot",totalDownloads:799,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Mobile robots such as Aldebaran’s humanoid Pepper currently find their way into society. Many research projects already try to match humanoid robots with humans by letting them assist, e.g., in geriatric care or simply for purposes of keeping company or entertainment. However, many of these projects deal with acceptance issues that come with a new type of interaction between humans and robots. These issues partly originate from different types of robot locomotion, limited human-like behaviour as well as limited functionalities in general. At the same time, animal-type robots—quadrupeds such as Boston Dynamic’s WildCat—and underactuated robots are on the rise and present social scientists with new challenges such as the concept of uncanny valley. The possible positive aspects of the unusual cooperations and interactions, however, are mostly pushed into the background. This paper describes an approach of a project at a research institution in Germany that aims at developing a setting of human–robot-interaction and collaboration that engages the designated users in the whole process.",book:{id:"6865",slug:"becoming-human-with-humanoid-from-physical-interaction-to-social-intelligence",title:"Becoming Human with Humanoid",fullTitle:"Becoming Human with Humanoid - From Physical Interaction to Social Intelligence"},signatures:"Valerie Varney, Christoph Henke and Daniela Janssen",authors:[{id:"299092",title:"Dr.",name:"Valerie",middleName:null,surname:"Varney (neé Stehling)",slug:"valerie-varney-(nee-stehling)",fullName:"Valerie Varney (neé Stehling)"},{id:"299578",title:"Dr.",name:"Daniela",middleName:null,surname:"Janssen",slug:"daniela-janssen",fullName:"Daniela Janssen"},{id:"299580",title:"MSc.",name:"Christoph",middleName:null,surname:"Henke",slug:"christoph-henke",fullName:"Christoph Henke"}]},{id:"66784",title:"Physical Interaction and Control of Robotic Systems Using Hardware-in-the-Loop Simulation",slug:"physical-interaction-and-control-of-robotic-systems-using-hardware-in-the-loop-simulation",totalDownloads:977,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Robotic systems used in industries and other complex applications need huge investment, and testing of them under robust conditions are highly challenging. Controlling and testing of such systems can be done with ease with the support of hardware-in-the-loop (HIL) simulation technique and it saves lot of time and resources. The chapter deals on the various interaction methods of robotic systems with physical environments using tactile, force, and vision sensors. It also discusses about the usage of hardware-in-the-loop technique for testing of grasp and task control algorithms in the model of robotic systems. The chapter also elaborates on usage of hardware and software platforms for implementing the control algorithms for performing physical interaction. Finally, the chapter summarizes with the case study of HIL implementation of the control algorithms in Texas Instruments (TI) C2000 microcontroller, interacting with model of Kuka’s youBot Mobile Manipulator. The mathematical model is developed using MATLAB software and the virtual animation setup of the robot is developed using the Virtual Robot Experimentation Platform (V-REP) robot simulator. By actuating the Kuka’s youBot mobile manipulator in the V-REP tool, it is observed to produce a tracking accuracy of 92% for physical interaction and object handling tasks.",book:{id:"6865",slug:"becoming-human-with-humanoid-from-physical-interaction-to-social-intelligence",title:"Becoming Human with Humanoid",fullTitle:"Becoming Human with Humanoid - From Physical Interaction to Social Intelligence"},signatures:"Senthil Kumar Jagatheesa Perumal and Sivasankar Ganesan",authors:[{id:"266892",title:"Dr.",name:"Senthil Kumar",middleName:null,surname:"J",slug:"senthil-kumar-j",fullName:"Senthil Kumar J"},{id:"266898",title:"Prof.",name:"Sivasankar",middleName:null,surname:"G",slug:"sivasankar-g",fullName:"Sivasankar G"}]},{id:"163",title:"Artificial Muscles for Humanoid Robots",slug:"artificial_muscles_for_humanoid_robots",totalDownloads:10419,totalCrossrefCites:7,totalDimensionsCites:14,abstract:null,book:{id:"3372",slug:"humanoid_robots_human_like_machines",title:"Humanoid Robots",fullTitle:"Humanoid Robots, Human-like Machines"},signatures:"Bertrand Tondu",authors:null}],onlineFirstChaptersFilter:{topicId:"1252",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},allSeries:{pteSeriesList:[],lsSeriesList:[],hsSeriesList:[],sshSeriesList:[],testimonialsList:[]},series:{item:{id:"25",title:"Environmental Sciences",doi:"10.5772/intechopen.100362",issn:"2754-6713",scope:"
\r\n\tScientists have long researched to understand the environment and man’s place in it. The search for this knowledge grows in importance as rapid increases in population and economic development intensify humans’ stresses on ecosystems. Fortunately, rapid increases in multiple scientific areas are advancing our understanding of environmental sciences. Breakthroughs in computing, molecular biology, ecology, and sustainability science are enhancing our ability to utilize environmental sciences to address real-world problems.
\r\n\tThe four topics of this book series - Pollution; Environmental Resilience and Management; Ecosystems and Biodiversity; and Water Science - will address important areas of advancement in the environmental sciences. They will represent an excellent initial grouping of published works on these critical topics.