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Giardia intestinalis: estado nutricional y hematimétrico en niños escolares del cantón Tenguel, Ecuador 肠道贾第虫:厄瓜多尔滕格尔州学童的营养和血象状况
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.003
Leonardo Abril Merizalde, Mariana Jesús Guallo Paca, Mercy Nathaly Alarcón Sánchez
Enteroparasitosis is a public health problem, whose global epidemiological behavior has been demonstrated at the expense of protozoa. Giardia intestinalis being one of the most frequent pathogens. Giardiasis is more prevalent in children, the pathogenic action of the parasite can cause malabsorption syndrome, intolerance to sugars and vitamins and, as a consequence, anemia and nutritional alterations. A cross-sectional epidemiological investigation was carried out to estimate the prevalence of G. intestinalis, anemia, and nutritional status in 129 school children from Carton Tenguel, Ecuador. The variables were considered: weight, size, age-related body mass index; blood count parameters (Hb, Hto, VCM, MCH, MCHC). Coproparasitology was performed using the direct method (0.9% saline solution and Lugol's). The results showed prevalence of moderate anemia in 10.12% and 31.23% of schoolchildren at risk of malnutrition, the latter more frequent in males, with a statistically significant difference (p<0.05). A 72.87% prevalence of enteroparasites was determined, with G. intestinalis being the most prevalent species (24, 806%). No relationship was found between the presence of infection with G. intestinalis, in relation to anemia and nutritional alterations. It is concluded, despite the fact that no statistical association was shown, giardiasis together with socioeconomic risk factors suggests a synergism that favors anemia and nutritional alterations. It is recommended to carry out educational interventions aimed at prophylactic measures and epidemiological investigations that guide intervention strategies that must be supported by State policies.
肠寄生虫病是一个公共卫生问题,其全球流行病学行为已被证明是以牺牲原生动物为代价的。肠贾第虫是最常见的病原体之一。贾第虫病在儿童中更为普遍,寄生虫的致病作用可引起吸收不良综合征,对糖和维生素不耐受,并因此导致贫血和营养改变。采用横断面流行病学调查方法,对厄瓜多尔卡登腾圭尔129名学龄儿童的肠球菌患病率、贫血和营养状况进行了评估。这些变量包括:体重、体型、与年龄相关的体重指数;血细胞计数参数(Hb、Hto、VCM、MCH、MCHC)。采用直接法(0.9%生理盐水加Lugol’s)进行粪寄生实验。结果显示,中度贫血患病率为10.12%,营养不良高危学童为31.23%,后者以男生多见,差异有统计学意义(p<0.05)。调查结果显示,肠道寄生虫检出率为72.87%,其中以大肠弧菌(G. ninteinalis)最高,检出率为24,806%。没有发现感染肠弧菌与贫血和营养改变之间的关系。综上所述,尽管没有统计学上的关联,但贾第虫病与社会经济风险因素提示了一种有利于贫血和营养改变的协同作用。建议开展旨在预防措施和流行病学调查的教育干预措施,以指导必须得到国家政策支持的干预战略。
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引用次数: 0
Accidentes por arañas del género Loxosceles en Perú, 2019-2021 2019-2021年秘鲁Loxosceles蜘蛛事故
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.020
Claudia Daniela Mengoa Gómez
n Peru, accidents due to spiders of the genus Loxosceles are on the rise in urban and peri-urban areas, being a major public health problem due to the social repercussions they generate, not only due to the number of cases or deaths, but also due to amputations or permanent sequelae that they cause. As an objective, it was proposed to know the number of accidents by spiders of the genus Loxosceles that occurred in Peru during the period 2019-2021. The research was of a retrospective descriptive type during the period 2019-2021. As a data collection instrument, the secondary databases of the notification sheets of the Ministry of Health of Peru for cases of loxoscelism were used, with specifications according to the Epidemiological Bulletin 2019, 2020 and 2021 and the reports of the situational room-CDC. The data was stored in Microsof Excel and epidemiological indicators such as frequencies, incidence rate per 100,000 inhabitants and fatality rate were applied. The results were shown in tables and figures for better reading comprehension. As a result, a total of 3,639 cases of accidents involving spiders of the genus Loxosceles were found, distributed in 52.65% (1916/3639) for the year 2019, 26.30% (957/3639) for 2020 and 21.05%. (766/3639) 2021, the incidence rate per 100,000 inhabitants was 3.69 in 2019, 1.88 in 2020 and 1.37 in 2021, the fatality rate was 0.10% (2/1916) for the year 2019 and 0, 00% for 2020 and 2021, it was possible to show that San Martin, Lima and Arequipa were the areas with the most reported cases.
在秘鲁,由Loxosceles属蜘蛛引起的事故在城市和城郊地区呈上升趋势,这是一个重大的公共卫生问题,因为它们产生的社会影响,不仅是因为病例或死亡的数量,而且还因为它们造成的截肢或永久性后遗症。作为一个目标,它提出要知道在2019-2021年期间在秘鲁发生的Loxosceles属蜘蛛事故的数量。该研究在2019-2021年期间为回顾性描述性研究。作为一项数据收集工具,使用了秘鲁卫生部关于脑残症病例通报单的二级数据库,其规格根据《2019年、2020年和2021年流行病学公报》以及疾病预防控制中心情景室的报告。数据存储在microsoft Excel中,并采用流行病学指标,如频率、每10万居民发病率和死亡率。结果以表格和图表的形式显示,以提高阅读理解能力。结果发现,涉及Loxosceles属蜘蛛的事故共3639例,2019年占52.65%(166 /3639),2020年占26.30%(957/3639),2020年占21.05%。(766/3639) 2021年,2019年每10万居民的发病率为3.69,2020年为1.88,2021年为1.37,2019年的死亡率为0.10%(2/1916),2020年和2021年为0.00%,有可能表明圣马丁、利马和阿雷基帕是报告病例最多的地区。
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引用次数: 0
La telemedicina como herramienta para abordaje la salud mental de personas con enfermedades tropicales desatendidas 远程医疗作为解决被忽视热带病患者心理健康问题的工具
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.012
Betsy Nordie Pardo Alarcon
Neglected tropical diseases (NTDs) have been linked to poor socioeconomic conditions. In addition, its sequelae can cause chronic affectations, from physical disability to psycho-emotional, associated with social and individual stigma, due to physical appearance. Therefore, a descriptive study was carried out to assess the impact of the use of technologies in the mental health (SM) approach in 182 patients with EDT from endemic areas. Data was collected using mobile and landline phones. A survey was used to assess mental well-being (both subjective and objective), as well as their familiarity with and perspectives on ICTs. After establishing a baseline for the SM status of the community and linking the stigmas surrounding WBS. Patients were asked to complete a survey to express their feelings about the impact of stigma on MS in the community. The results showed that people living with EDT are more concerned about the limiting conditions of living and do not value the emotional and mental aspects as part of health and well-being, probably because they consider more relevant the organic alterations and physical sequelae they suffer from of their illness that limits and incapacitates them to work. However, the female sex turned out to be more vulnerable to presenting psychological alterations. In conclusion, the participants consider telemedicine a good tool that will help them face social stigma and reduce self-esteem; It will improve therapist-patient communication by providing them with adequate and timely treatment.
被忽视的热带病与恶劣的社会经济条件有关。此外,其后遗症可引起慢性影响,从身体残疾到心理情绪,与社会和个人的耻辱有关,由于外表。因此,对来自流行地区的182名EDT患者进行了一项描述性研究,以评估在精神卫生(SM)方法中使用技术的影响。数据是通过移动和固定电话收集的。一项调查用于评估心理健康(主观和客观),以及他们对信息通信技术的熟悉程度和看法。在建立了社区SM状况的基线并将WBS周围的污名联系起来之后。患者被要求完成一项调查,以表达他们对社区中对MS的耻辱感的影响的感受。结果表明,患有EDT的人更关心生活的限制条件,不重视情感和精神方面作为健康和福祉的一部分,可能是因为他们认为更相关的是他们所遭受的疾病的有机改变和身体后遗症,限制和丧失工作能力。然而,女性被证明更容易出现心理变化。总之,参与者认为远程医疗是一个很好的工具,可以帮助他们面对社会耻辱和降低自尊;它将通过为他们提供适当和及时的治疗来改善治疗师与患者的沟通。
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引用次数: 0
Colitis y absceso hepático amebiano sin antecedentes epidemiológicos 无流行病学病史的阿米巴结肠炎和肝脓肿
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.001
Lino Arturo Rojas Pérez, Blanca Herminia Cruz Basantes
Amoebiasis is a parasitic infection caused by the intestinal protozoan Entamoeba histolytica. Globally, an estimated 40 million people are infected annually, although these estimates are confounded by the inclusion of the morphologically identical but non-pathogenic species such as Entamoeba dispar. Infection with E. histolytica occurs when mature cysts are ingested, usually through fecally contaminated food or water, more frequently in the developing world. When the parasite reaches the small intestine, excystation occurs, releasing trophozoites that then penetrate the colonic mucosa. Clinical features of symptomatic amoebic infection may include blood and mucus in diarrheal stools, which are phenotypes of dysentery; in some cases, the parasite invades the liver and forms abscesses that can occur months or years after traveling to or residing in a geographic region where amoebiasis is endemic. Amebic liver abscesses are the most common site of extraintestinal infection, occurring in less than 1% of E. histolytica infections. In this sense, this work seeks to establish cases of colitis and amoebic liver abscess without determined epidemiological history in the IESS Ambato Hospital, Ambato, Ecuador in order to establish appropriate diagnostic methodology and establish the corresponding health protocols. The data obtained showed that male patients had a higher incidence (66.31% of the cases studied), and the most affected age group was between 40 and 49 years of age. The diagnosis could have been obtained at times less than 10 days, but in some cases, it reached more than 30 days.
阿米巴病是一种由肠道原生动物溶组织内阿米巴引起的寄生虫感染。在全球范围内,估计每年有4000万人感染,尽管这些估计因包含形态相同但非致病性的物种(如分布内阿米巴)而混淆。当成熟的囊肿被摄入时,通常通过受粪便污染的食物或水感染溶组织大肠杆菌,在发展中国家更为常见。当寄生虫到达小肠时,就会出现囊肿排出,释放滋养体,然后穿透结肠粘膜。症状性阿米巴感染的临床特征可能包括腹泻粪便中的血液和粘液,这是痢疾的表型;在某些情况下,寄生虫侵入肝脏并形成脓肿,可能在前往或居住在艾虫病流行的地理区域数月或数年后发生。阿米巴肝脓肿是肠外感染最常见的部位,发生在不到1%的溶组织大肠杆菌感染中。从这个意义上说,这项工作旨在确定厄瓜多尔安巴托IESS安巴托医院中没有确定流行病学史的结肠炎和阿米巴肝脓肿病例,以建立适当的诊断方法并制定相应的健康方案。获得的数据显示,男性患者的发病率更高(占研究病例的66.31%),受影响最严重的年龄组在40至49岁之间。诊断有时不到10天就可以得到,但在某些情况下,诊断时间超过了30天。
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引用次数: 0
Análisis actuarial de la pérdida del seguimiento de pacientes VIH/SIDA acorde a la capacidad contributiva 根据缴款能力对艾滋病毒/艾滋病患者随访损失进行精算分析
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.010
Wilde Raúl Montejo Sánchez, Ronald Tinta Paricahua, Juan Carlos Williams Marcelo Caballero, José Manuel Armada Pacheco
HIV/AIDS remains one of the leading causes of death worldwide. According to a 2011 joint survey on HIV/AIDS, the report by WHO, UNAIDS and UNICEF, there are an estimated 34 million people living with HIV/AIDS worldwide. Different studies reported that viral load, age, sex, CD4 cell count, total lymphocyte count (TLC), body mass index (BMI), adherence to antiretroviral treatment (TAR), and baseline hemoglobin level were determinants of mortality. Although studies have identified these factors, they are just as variable with context and dynamic over time. Thus, it is necessary to generate data to provide evidence that indicates which factors are those that determine the mortality of HIV-positive people who attend TAR. In this work, we studied the effect generated by interruption of consultations for three months or more in a population of patients with HIV/AIDS virus with antiretroviral treatment under an actuarial system. The results show that the age groups that tend to leave the treatment are between 19 and 59 years old (more than 89%), the majority of them men with a university level of education (40%), employed (57%) as workers. or employees (40%), with access to health services (47%) and homosexually infected (72%). Most of these patients who discontinued treatment had a viral load greater than 50 copies and treatment failure (47%).
艾滋病毒/艾滋病仍然是全世界死亡的主要原因之一。根据世界卫生组织、联合国艾滋病规划署和联合国儿童基金会2011年关于艾滋病毒/艾滋病的联合调查报告,估计全世界有3400万艾滋病毒/艾滋病患者。不同的研究报告称,病毒载量、年龄、性别、CD4细胞计数、总淋巴细胞计数(TLC)、体重指数(BMI)、抗逆转录病毒治疗的依从性(TAR)和基线血红蛋白水平是死亡率的决定因素。尽管研究已经确定了这些因素,但它们也随着环境的变化而变化,并随着时间的推移而变化。因此,有必要生成数据来提供证据,表明哪些因素决定了参加TAR的艾滋病毒阳性者的死亡率。在这项工作中,我们研究了在精算系统下接受抗逆转录病毒治疗的艾滋病毒/艾滋病患者群体中,咨询中断三个月或更长时间所产生的影响。结果显示,倾向于放弃治疗的年龄组在19岁至59岁之间(超过89%),其中大多数是受过大学教育的男性(40%),受雇(57%)为工人。或雇员(40%)、获得医疗服务(47%)和同性恋感染者(72%)。这些停止治疗的患者中,大多数病毒载量超过50个拷贝,治疗失败(47%)。
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引用次数: 0
Presencia de Leptospira spp, en roedores sinantrópicos en la urbanización La Arborada El Tambor Huancayo, 2021 2021年La Arborada El Tambo-Huancayo城市化中突触啮齿动物中钩端螺旋体的存在
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.018
William Gil Castro Paniagua
Leptospirosis is one of the most widespread zoonotic diseases in the world. Patients generally present with a nonspecific self-limited febrile state; however, a variable proportion of cases develop so-called Weil's disease, characterized by jaundice, acute renal failure, bleeding diathesis, and severe pulmonary hemorrhagic syndrome. Synanthropic rodents: Rattus norvegicus, R. rattus and Mus musculus are considered important sources of infection, among which Rattus norvegicus is the main host of L. interrogans serovar Copenhageni, which is one of the most pathogenic Leptospira species for human infections. Given the importance of rodents as a source of infection of pathogenic Leptospira for humans, and due to the lack of pathological information in naturally infected rodents, the objective of this study was to evaluate the degree of infection of this disease in rodents located in the Urbanization La Arborada, Huancayo, Peru. A total of 750 traps were placed inside houses that presented rodent infestation (presence of traits) in 75 points, with 10 traps each per house. From the installation they remained 7 continuous days, with periodic revisions every 24 hours. The results show that three quadrants of the zoning presented a high level of risk with more than 20% trapping. The most common rodents were R. rattus and R. norvegicus. Six areas presented a medium risk level (more than 13%) with a greater presence of M. musculus, and 8 quadrants had a low risk (more than 5%) with a greater presence of M. musculus.
钩端螺旋体病是世界上传播最广的人畜共患疾病之一。患者一般表现为非特异性自限性发热状态;然而,不同比例的病例发展为所谓的韦尔病,其特征是黄疸、急性肾功能衰竭、出血性素质和严重的肺出血性综合征。褐家鼠、家鼠和小家鼠被认为是重要的感染源,其中褐家鼠是对人类感染致病性最高的钩端螺旋体之一——哥本哈根钩端螺旋体的主要宿主。鉴于啮齿动物是致病性钩端螺旋体对人类的重要感染源,同时由于缺乏自然感染啮齿动物的病理信息,本研究的目的是评估秘鲁万卡约市La Arborada城市化地区啮齿动物对该病的感染程度。共有750个陷阱被放置在75个点显示鼠患(存在特征)的房屋内,每个房屋10个陷阱。从安装开始,它们保持连续7天,每24小时定期修改一次。结果表明:分区中3个象限的捕集率均在20%以上,呈高风险;最常见的啮齿动物为家鼠和褐家鼠。6个区域为中等风险水平(超过13%),有较多的肌肉分枝杆菌存在,8个象限为低风险水平(超过5%),有较多的肌肉分枝杆菌存在。
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引用次数: 0
Infección perineal según episiotomía en pacientes puérperas del centro de salud Maritza Campos Díaz Zamacola, Arequipa-2019 Maritza Campos diaz Zamacola健康中心产妇会阴感染,Arequipa-2019
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.005
Karina Novoa Barbadillo, Jannet Maria Escobedo Vargas, Alberto Cáceres Huambo, Ruth Mirian Rosas Gamarra, Jorge Layme Incalupe
Episiotomy is a surgical procedure on the vulva to facilitate the delivery of the fetus and avoid third and fourth degree perineal tears. However, it is used at discretion due to the possible complications it can cause. One of the most frequent and serious is the infection of the soft tissues of the perineum caused by microorganisms that penetrate through the surgical wound, which can come from the vaginal, intestinal or skin flora of the woman or from the hospital environment. In this cross-sectional comparative observational study, the objective was to determine the occurrence of perineal infection according to the practice of episiotomy in patients treated at the "Maritza Campos Díaz" Health Center - Zamácola. The sample consisted of 80 women between 19 and 29 years of age, during the postpartum period, who attended the 30-day control, 40 who underwent mediolateral episiotomy and another 40 without episiotomy with second-degree perineal tear that met the criteria Inclusion and exclusion criteria. The frequency of infections was recorded only within the group of patients with episiotomy, with a percentage of 12.5%. Although it was possible to determine a statistical difference (p<0.05) in the occurrence of 5/9 presumptive clinical manifestations of infection among the patients according to episiotomy, it was not possible to determine the association between episiotomy and perineal infection, by obtaining an OR of 12.55 (0.67-235.01).
会阴切开术是一种在外阴上进行的手术,以方便胎儿分娩,避免会阴三度和四度撕裂。然而,由于它可能会引起并发症,因此可以酌情使用。其中最常见和最严重的是由穿透手术伤口的微生物引起的会阴软组织感染,这些微生物可能来自女性的阴道、肠道或皮肤菌群,也可能来自医院环境。在这项横断面比较观察研究中,目的是根据在Zamácola“Maritza Campos Díaz”健康中心接受治疗的患者的会阴切开术,确定会阴感染的发生率。样本包括80名19至29岁的产后妇女,她们参加了为期30天的对照,40名接受了会阴中侧切开术,另有40名未接受会阴切开术的会阴二度撕裂,符合纳入和排除标准。感染频率仅在会阴切开术患者组中记录,占12.5%。尽管根据会阴切开术可以确定患者中5/9推定感染临床表现的发生率存在统计学差异(p<0.05),无法通过获得12.55(0.67-235.01)的OR来确定会阴切开术和会阴感染之间的关联。
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引用次数: 0
Prevalencia y factores asociados a Strongyloides stercoralis en escolares de Manabí, 2022 2022年马纳比学童与粪圆线虫相关的患病率和因素
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.017
Lester Wong Vázquez
Strongyloides stercoralis causes strongyloidiasis, an endemic soil-transmitted helminthiasis in tropical and subtropical countries responsible for approximately 30 and 100 million cases worldwide, a neglected disease that also affects the school population. As an objective, it was proposed to determine the prevalence and factors associated with Strongyloides stercoralis in schoolchildren from Manabí, Ecuador, 2022. The study was descriptive, experimental, cross-sectional. The sample consisted of 138 schoolchildren aged between 6-12 years. As a data collection instrument, a sociodemographic survey was applied in addition to the delivery of a collection container with explicit indications for the collection of the sample, evaluating its physical and chemical characteristics, directly with saline solution, Lugol, modified Bermann method and agar culture for nematodes. For data analysis, Microsfot Excel and the SPSS 20.0 statistical package were used to obtain prevalences and Chi-square calculations with p < 0.05. As a result, a general prevalence of S. stercoralis of 3.62% was found, the female sex was the most affected (2.17%) whose outstanding age group was 6 to 8 years (1.45%), compared to risk factors, 10.71% did not wear shoes and 8.33% had animals at home, both with statistical significance of 0.047 and 0.035 (<0.05) respectively. In conclusion, despite being a neglected disease, it is not without lethality within endemic populations, therefore, diagnosis and timely treatment for strongyloidiasis is necessary to save lives
粪类圆线虫引起圆线虫病,这是热带和亚热带国家的一种地方性土壤传播的蠕虫病,在全世界造成约3000万至1亿例病例,这是一种被忽视的疾病,也影响到学校人口。作为一项目标,建议确定2022年厄瓜多尔Manabí小学生中粪类圆线虫的患病率及其相关因素。本研究为描述性、实验性、横断面研究。样本包括138名年龄在6-12岁之间的学童。作为数据收集工具,除了提供明确指示收集样本的收集容器外,还采用了社会人口统计学调查,直接使用生理盐水、Lugol、改良Bermann法和线虫琼脂培养来评估其物理和化学特性。数据分析采用microsoft Excel和SPSS 20.0统计软件包计算患病率,并进行χ 2计算,p < 0.05。结果发现,总感染率为3.62%,其中以女性感染率最高(2.17%),突出年龄组为6 ~ 8岁(1.45%),与危险因素相比,未穿鞋者占10.71%,家中有动物者占8.33%,差异均有统计学意义(分别为0.047、0.035,<0.05)。总之,尽管是一种被忽视的疾病,但在流行人群中并非没有致命性,因此,对圆线虫病的诊断和及时治疗对于挽救生命是必要的
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引用次数: 0
Contribución metodológica a la epidemiologia y vigilancia genómica tropical: Desde las macrohabilidades del inglés 对流行病学和热带基因组监测的方法学贡献:从英语的宏观技能来看
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.021
Johanna Isabel Barriga Fray
In the last two decades, there has been a commitment of political will and financial resources for the reduction of neglected tropical diseases. NTDs affect approximately 1 billion people, the majority of whom are poor. In the case of many of these tropical diseases, efforts have focused on expanding treatment coverage through mass drug administration. The disappointing reality is that in all geographic regions, some diseases persist. This has led the WHO to call for breakthroughs and new tools to accelerate progress in reducing the substantial burden such as genomics. Genomic surveillance is commonly employed as an important tool to understand the sources of outbreaks of viral and bacterial infections. However, despite the great advances in genomics, many medical students are not familiar with the appropriate terms, basically due to their low command of English, which is the language that dominates the scientific field. To learn about this reality, a diagnostic test was applied to Spanish-speaking students in the areas of medical sciences with the aim of estimating the students' ability to understand, dexterity or macro-skills in English in the context of epidemiology and tropical genomic surveillance. The results show that students have reading ability from good to excellent in more than 70% of the population studied, in contrast, the lowest domain is writing ability with 41.176% at a low-regular level.
在过去的二十年里,人们一直致力于减少被忽视的热带疾病的政治意愿和财政资源。NTD影响大约10亿人,其中大多数是穷人。在许多热带疾病的情况下,努力通过大规模药物管理扩大治疗范围。令人失望的现实是,在所有地理区域,一些疾病仍然存在。这导致世界卫生组织呼吁取得突破和新工具,以加速在减轻基因组学等重大负担方面取得进展。基因组监测通常被用作了解病毒和细菌感染爆发来源的重要工具。然而,尽管基因组学取得了巨大进步,但许多医学生并不熟悉合适的术语,主要是因为他们对英语的掌握程度较低,而英语是主导科学领域的语言。为了了解这一现实,对医学领域的西班牙语学生进行了诊断测试,目的是评估学生在流行病学和热带基因组监测背景下的英语理解能力、灵活性或宏观技能。研究结果表明,在70%以上的研究人群中,学生的阅读能力从良好到优秀,而写作能力最低,只有41.176%处于低水平。
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引用次数: 0
Actitud ante el aborto terapéutico por causas infecciosas en estudiantes de la carrera de medicina de UNIANDES Ecuador 2022 2022年厄瓜多尔Uniandes医学院学生对感染性治疗性堕胎的态度
Q4 Immunology and Microbiology Pub Date : 2023-01-30 DOI: 10.52808/bmsa.8e7.631.015
Irvin Ricardo Tubón Usca
Infection is the third most common cause of pregnancy-related mortality worldwide, accounting for approximately 10.7% of pregnancy-related deaths in low- and middle-income countries, and 4.7% of all deaths in high-income countries. The incidence of puerperal sepsis has increased over the last decade, in some cases doubling with increasing rates of severe sepsis contributing to mortality. Faced with this situation, future new doctors must have clear concepts related to therapeutic abortion resulting from infections, since they could compromise the health of the pregnant patient and be accused of malpractice, and on the other hand, they must be attentive to the laws and policies of each country in order not to violate them. In this sense, a descriptive cross-sectional study was carried out between January and June 2022 on 105 medical students in the last years of their studies to find out the attitude of the students towards therapeutic abortion due to infection, through the application of 2 measurement instruments measurement. The first questionnaire is a Semantic Differential and the second questionnaire is a Likert Type Scale. The results revealed that the adjectives used in the Sematic Differential and Likert-type questionnaires showed a high development of the attitude of medical students related to the practice of therapeutic abortions, keeping in mind the health of the patient and being vigilant of the specific laws, in this case of Ecuador.
感染是全球妊娠相关死亡的第三大常见原因,约占中低收入国家妊娠相关死亡人数的10.7%,占高收入国家所有死亡人数的4.7%。在过去十年中,产褥期败血症的发病率有所增加,在某些情况下,随着严重败血症导致死亡率的增加,发病率翻了一番。面对这种情况,未来的新医生必须对感染导致的治疗性流产有明确的概念,因为他们可能会损害孕妇的健康并被指控渎职,另一方面,他们必须注意每个国家的法律和政策,以免违反这些法律和政策。从这个意义上说,在2022年1月至6月期间,对105名医学生在其研究的最后几年进行了一项描述性横断面研究,通过应用2种测量仪器测量,了解学生对感染性治疗性流产的态度。第一份问卷是语义差异问卷,第二份问卷是Likert类型量表。结果显示,Sematic Differential和Likert类型问卷中使用的形容词显示,医学生对治疗性堕胎的态度高度发展,他们考虑到患者的健康,并对具体法律保持警惕,在厄瓜多尔就是这样。
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Boletin De Malariologia Y Salud Ambiental
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