ABSTRACT
Introducción. La pandemia por COVID-19 ha evidenciado la importancia de la metodología epidemiológica, por lo que es significativo fortalecer su aprendizaje en todos los niveles formativos del área de ciencias de la salud. Objetivo. Aplicar metodología epidemiológica de carácter descriptivo y analítico para el estudio de una base de datos de casos COVID-19 en la República Mexicana. Material y métodos. Se realizó una búsqueda de bases de datos en sitios web oficiales sobre los casos de COVID-19, y se recuperó un archivo en formato Excel con la información de 65,536 casos al día 10 de abril del 2021 a las 01:14hrs. Posteriormente, se realizó análisis estadístico de las diferentes variables mediante el programa SPSS, versión 21 en español, consistente en cálculo de prevalencias, razón de productos cruzados (RPC) y medidas de asociación, en lo cual participaron alumnos del cuarto semestre de enfermería. Resultados. La prevalencia para el género masculino fue de 53 %, y para el femenino de 47 %, con una media aritmética de edad de 35 años. La Chi cuadrada entre género y resultado de laboratorio positivo fue de 6527.9, con un 99 % de probabilidad de que haya asociación entre las variables. Asimismo, para la relación hipertensión y resultado de laboratorio positivo la Chi cuadrada fue de 51.97. La RPC para diabetes y resultado de laboratorio positivo fue de 1.4. Conclusiones. La aplicación de indicadores epidemiológicos básicos representa una herramienta importante para el fenómeno epidemiológico COVID-19, pues establece una caracterización de la epidemia en nuestro país.
Introduction: The COVID-19 pandemic has evidenced the importance of epidemiological methodology, so it is significant to strengthen its learning at all educational levels in the area of health sciences. Objetive. Apply descriptive and analytical epidemiological methodology for the study of a database of COVID-19 cases in the Mexican Republic. Material and methods: A search of databases on official websites on COVID-19 cases was carried out, and an Excel format file was recovered with the information of 65,536 cases as of April 10, 2021 at 01:14 a.m. Subsequently, a statistical analysis of the different variables was carried out using the SPSS program, version 21 in Spanish, consisting of calculation of prevalence, ratio of cross products (RPC) and measures of association, in which fourth semester nursing students participated. Results: The prevalence for the male gender was 53%, and for the female 47%, with an arithmetic mean age of 35 years. The Chi square between gender and positive laboratory result was 6527.9, with a 99% probability of an association between the variables. Likewise, for the relationship between hypertension and a positive laboratory result, the Chi square was 51.97. The RPC for diabetes and positive laboratory result was 1.4. Conclusions: The application of basic epidemiological indicators represents an important tool for the epidemiological phenomenon COVID-19, since it establishes a characterization of the epidemic in our country.
Subject(s)
Humans , Male , Female , Adult , Young Adult , Indicators of Morbidity and Mortality , Database , COVID-19ABSTRACT
The somatic cell count (SCC) is a screening test for the evaluation of intramammary infection; however, changes in mammary secretion during colostrogenesis can promote a physiological increase in the SCC, potentially reducing its reliability in the diagnosis of mastitis. Therefore, the aim of this study was to evaluate bovine colostrum SCC as an indicative parameter of breast infection in Holstein periparturient cows. A total of 80 samples were harvested from the first milking colostrum of 20 cows and were subjected to manual SCC and bacteriological examination. Bacterial growth was present in 36.62% of the crops; coagulase-negative Staphylococcus (CNS) was the predominant microorganism (76.92%). The median SCC in infected cows (1.8 × 106 cells/mL) was significantly higher than in uninfected cows (0.9 × 106 cells/mL) (p = 0.0451). The sensitivity (10015%), specificity (1002.2%), and false positive (1002.2%) of the SCC decreased gradually when thresholds of 0.210.0 × 106 cells/mL were adopted. In contrast, the proportion of false negatives (084.6%) revealed an opposite trend. The threshold of greatest concordance between SCC and bacteriological examination was 10.0 × 106 cells/mL; however, the sensitivity rates (15.4%), specificity (2.2%), and false positive (2.2%) were very low. Based on these results, we conclude that SCCs increased prior to the infectious processes of the mammary gland, particularly in the CNS group. However, physiological changes caused by colostrogenesis resulted in poor concordance between the SCC and bacteriological examination of the colostrum...
A contagem de células somáticas (CCS) é um teste de triagem para avaliação de infecção intramamária, porém, as alterações na composição do colostro observadas durante a colostrogênese podem promover o aumento fisiológico da CCS e inviabilizar o uso desta prova para diagnóstico da mastite. Assim, o objetivo desta pesquisa foi avaliar a CCS do colostro como parâmetro indicativo de infecção mamária em vacas Holandesas periparturientes. Para tanto, foram colhidas 80 amostras de colostro de primeira ordenha, provenientes de 20 vacas, para a CCS manual e exame bacteriológico (EB). Observou-se crescimento bacteriano em 36,62% dos cultivos, com predomínio de Staphylococcus coagulase-negativa (SCN) (76,92%). O valor mediano da CCS de vacas infectadas (1,8 x106 células/mL) foi maior do que o obtido para as vacas sadias (0,9 x106 células/mL) (P=0,0451). A sensibilidade (100 a 15%), especificidade (100 a 2,2%) e falso-positivo (100 a 2,2%) diminuíram gradativamente quando os limiares de 0,2 a 10,0 x106 células/mL foram adotados. Em contrapartida, a proporção de falso-negativo (0 a 84,6%) apresentou perfil inverso. O limiar de maior concordância entre a CCS e EB foi de 10,0 x106 células/mL, porém os índices de sensibilidade (15,4%), especificidade (2,2%) e falso-positivo (2,2%) foram muito baixos. Com base nos resultados encontrados, conclui-se que a CCS apresentou elevação diante dos processos infecciosos da glândula mamária (GM), causados especialmente por bactérias do grupo SCN. No entanto, as alterações fisiológicas decorrentes da colostrogênese resultaram em baixa concordância entre a CCS e o exame bacteriológico do colostro...
Subject(s)
Animals , Female , Pregnancy , Cattle , Colostrum/microbiology , Mastitis, Bovine/diagnosis , Mammary Glands, Animal/microbiology , Mammary Glands, Animal/pathologyABSTRACT
Se presenta la justificación y el procedimiento de cálculo de la esperanza de vida ajustada por discapacidad, indicador que resume la salud de una población de una manera especialmente intuitiva. Se comenta la interdependencia entre este indicador y los años de vida ajustados por discapacidad (AVAD), los cuales se utilizan de manera creciente a nivel nacional e internacional para evaluar la carga de enfermedades y sus secuelas, y la carga de los principales factores de riesgo que propician esas enfermedades y secuelas. Se ilustra el procedimiento de cálculo mediante un ejemplo, y se comentan las posibles interpretaciones y análisis factibles de realizarse con este indicador. Finalmente, se discuten los principales requerimientos informativos que el cálculo adecuado y periódico de estos indicadores demanda.
The justification and the procedure of disability-adjusted life expectancy, an indicator that summarizes the health status of a population in a specially intuitive way, is presented. Coments are made on the interdependence between this indicator and the disability- adjusted life years (DALY), which are increasingly used at the national and international level to evaluate the burden of diseases and their sequelae, and the burden of the main risk factors propitiating these diseases and sequelae. The calculation procedure is illustrated by an example and the possible interpretations and analyses that can be made with this indicator are discussed. Finally, the main information requirements demanded by the adequate and periodical calculation of these indicators are dealt with..