ABSTRACT
La pandemia del COVID-19 nos ha sorprendido con una cruda realidad, la difusión a través de los noticieros de la aparición de un virus muy letal de la familia de los coronavirus, ante una carencia casi total de equipos de protección individual en que se debatían los hospitales públicos y privados. El presente estudio tuvo un diseño observacional, descriptivo y transversal. Formaron parte de la investigación 101 profesionales de salud. Se realizó un muestreo no probabilístico de conveniencia. El contacto con los participantes fue a través de medios telemáticos, se les administró un cuestionario elaborado utilizando la aplicación Google Forms. Para evaluar el estrés de los participantes, fue aplicado el cuestionario de problemas psicosomáticos y para el nivel de ansiedad la escala de trastorno de ansiedad. Los hallazgos más relevantes en cuanto a las características sociodemográficas fueron: 70,5 % de sexo femenino, 34,1 % del grupo etario de 21 a 30 años, y 65,9 % de nivel académico universitario. El 47,7 % (48) de los profesionales presentó estrés leve y 36,4 % se encontró en fase de alarma. En cuanto a la ansiedad, el 45,5 % (46) presentó ansiedad moderada y el 36,4% (37), ansiedad de nivel leve. Se concluye que la mayoría de estos profesionales de salud presentó un nivel de estrés leve en tiempo de la pandemia de COVID-19.
The COVID-19 pandemic has surprised us with a crude reality, the diffusion through the news of the appearance of a very lethal virus of the coronavirus family, in the face of an almost total lack of personal protective equipment in which public and private hospitals were struggling. The present study had an observational, descriptive and cross-sectional design. A total of 101 health professionals took part in the study. Non-probabilistic convenience sampling was used. Participants were contacted by telematic means and a questionnaire was administered using Google Forms. To evaluate the stress of the participants, the psychosomatic problems questionnaire was applied and for the level of anxiety, the Anxiety Disorder Scale was used. The most relevant findings for the sociodemographic characteristics were: 70.5 % was female, 34.1 % of the age group 21 to 30 years, with a university academic level 65.9 %. Of the professionals, 47.7% (48) presented mild stress and 36.4% was in the alarm phase. Regarding anxiety, 45.5 % (46) presented moderate anxiety and 36.4 % (37), mild anxiety. It was concluded that the majority of these health professionals presented a mild level of stress during the COVID-19 pandemic.
ABSTRACT
Sepsis is the commonest complication of small bowel transplantation. These infections are presumibly caused by bacterial translocation, due to splachnic ischemia. To study bacterial translocation in the inmediate postoperative period after small bowel transplantation in dogs and to relate it to splanchnic ischemia. Three groups of dogs were studied. In group A (n=6) spontaneous episodes of splanchnic schemia were monitored in the first 18 hrs of the postoperative period. In group B (n=5) a 60 min ischemia was induced by superior mesenteric artery occlusion, 2 hours after small bowel transplantation. In group C (n=5) a 60 min ischemia was induced by occlusion of mesenteric vein, 2 hrs after transplantation. Bacterial translocation was assessed through bacterial cultures from the mesenteric vein and splanchnic ischemia with intramucosal pH measurement (a pH<7.2 was considered indicative of ischemia). 28 of 83 cultures were positive, specially for Gram negative bacilli. The incidence of positive cultures was 14 percent for group A, 17 percent for group B and 79 percent for group C (p<0.01 cpmpared to groups A and b). The higher incidence of bacterial translocation occurred during the first 2 hours after transplantation, when the lower intramucosal pH recording were obtained. The percentage of positive cultures was 39 percent during periods of ischemia, compared to 24 percent during periods without ischemia (p=NS). Bacterial translocation occurs during the first 2 hours after intestinal transplantation in concomitance with the lower intramucosal pH readings