ABSTRACT
Resumen El objetivo del estudio fue validar un procedimiento estandarizado de medición de actitudes implícitas frente al suicidio en estudiantes universitarios. Como criterios de validación concurrente para el Procedimiento de Evaluación Relacional Implícita (IRAP, abreviatura en inglés de Implicit Relational Assessment Procedure) hacia el suicidio (IRAP-HS), se utilizó el Inventario de Ideas Suicidas Positivas y Negativas (PANSI, abreviatura en inglés de Positive and Negative Suicidal Ideation) y la Escala de Desesperanza de Beck, aplicados a una muestra de 102 estudiantes de una universidad del Departamento de Nariño. Si bien los resultados encontrados en este trabajo carecen de la contundencia necesaria para plantearse la aplicabilidad clínica del IRAP-HS en el corto plazo, el comportamiento de las puntuaciones DIRAP (obtenidas mediante un proceso que busca contrarrestar los efectos de la variabilidad de los participantes relacionada con factores como la edad, la habilidad motriz y la inteligencia) en los diferentes grupos de comparación, definitivamente no permite descartar que la latencia de respuesta a los ensayos esté siendo afectada por el grado de coherencia entre la red verbal de los participantes y las relaciones especificadas en los arreglos contingenciales del procedimiento. Finalmente, se analizan algunas implicaciones de los resultados para la aplicabilidad del IRAP en la práctica clínica.
Abstract The purpose of the present study was to validate a standardized procedure for measuring attitudes towards suicide in university students. As the concurrent validation criteria for the Implicit Relational Assessment Procedure (IRAP) to suicide (IRAP-HS), the Positive and Negative Suicidal Ideas Inventory (PANSI) and the Beck Hopelessness Scale were administered to a sample of 102 students of the University of Nariño. Although the results found lack of a strong response to consider the clinical applicability of the IRAP-HS in the short term, the behavior of the DIRAP scores (obtained through a process that seeks to counteract the effects of participant variability related to factors such as age, motor skills and intelligence) in the different comparison groups does not definitively allow dismissing that the response latency to the trials is being affected by the degree of consistency between the verbal network of the participants and the relationships specified in the contingency arrangements of the procedure. Finally, some implications of the results for the applicability of IRAP-HS in clinical practice are analyzed.
ABSTRACT
Onchocerciasis is an endemic disease in Ondo state, Nigeria. Community directed distribution of ivermectin is currently on-going in some local government areas of the state. Randomly selected persons (2 331 males and 2 469 females) were interviewed using a modified rapid assessment procedure for Loa loa (RAPLOA) to assess community directed treatment with ivermectin. The retrospective study evaluated the coverage, impacts and adverse reactions to the drug treatment. A questionnaire was administered by house-to-house visit in six local government areas, implementing community directed treatment with ivermectin (CDTI) in this bioclimatic zone. A total of 2,398 respondents were reported to have participated in the treatment. The overall ivermectin coverage of 49.96% was recorded (range 0 - 52% in different communities). Adverse reactions from ivermectin administration were experienced in 38% of individuals. Diverse adverse reactions experienced included predominantly itching (18.50%); oedema, especially of the face and the limbs (8.2%); rashes (3.4%) and body weakness (2.4%). Expulsion of intestinal worms occurred in 0.96% of the respondents. The occurrence of adverse reactions in relation to age categories was statistically significant. Neither fatal nor severe adverse reactions were reported by respondents. Significantly, despite experienced adverse reactions, continued participation, acceptability and compliance to ivermectin treatment was expressed by the various communities. This attitude is in consonance with the African Programme for Onchocerciasis Control (APOC) objectives. Rev. Biol. Trop. 56 (4): 1635-1643. Epub 2008 December 12.
La oncocercosis es endémica en el estado Ondo, Nigeria. Se seleccionaron 4 800 personas al azar para evaluar con encuesta retrospectiva la cobertura, efectos y reacciones al tratamiento farmacológico con ivermectina administrado por la misma comunidad. La cobertura global de ivermectina fue 50 % con reacciones adversas en 38 % de los individuos. Estas fueron comezón picazón (18%), edema, especialmente de la cara y las extremidades (8%), erupciones cutáneas (3%) y debilidad (2%); dependieron de la edad y no hubo reacciones más graves. La expulsión de las lombrices intestinales se produjo en 96% de los encuestados. A pesar de las reacciones adversas, hubo continuidad, aceptación y cumplimiento del tratamiento con ivermectina, en consonancia con los objetivos del Programa Africano para el Control de Oncocercosis (APOC).