ABSTRACT
Peripheral nerve lesions are the most important cause of disability in leprosy patients. Electrophysiological studies are used in the diagnosis and prognosis of neuropathy. Nerve conduction is the most frequently used electrophysiological test method to detect neuropathy, although it evaluates only a part of the peripheral nervous system. Blink reflex and H-reflex are electrophysiological tests which evaluate facial and trigeminal nerve function. This study determined the frequencies of blink reflex, H-reflex and motor and sensory nerve conduction alterations in twenty five heterogeneous, clinic patients with lepromatous leprosy and a control group of 20 healthy subjects. Study results showed a decrease in motor and sensory nerve conduction in 40% and 30%, respectively. In blink reflex (BR), right R1 was altered in latency in 20% of patients, left R1 in 20%, right ipsilateral R2 in 16%, left ipsilateral R2 in 20%, and right and left contralateral R2 were altered in 32% of patients. There was an absence of H-reflex in 16% (n = 4) and prolonged latency in 4% (n = 1).
Subject(s)
Leprosy, Lepromatous/physiopathology , Peripheral Nervous System Diseases/physiopathology , Reflex/physiology , Adult , Aged , Aged, 80 and over , Blinking/physiology , Case-Control Studies , Cross-Sectional Studies , Electromyography , Facial Nerve/physiopathology , Female , Humans , Leprosy, Lepromatous/complications , Male , Middle Aged , Peripheral Nervous System Diseases/complications , Tibial Nerve/physiopathology , Ulnar Nerve/physiopathologyABSTRACT
PURPOSE: To show the effectiveness of tension-free hernioplasty for inguinal hernia repair. METHODS: We studied 106 patients who underwent inguinal hernia repair, as conventional hernioplasty in 52 and as tension-free hernioplasty in 54. We analyzed the operation time, postoperative complications, pain, time to resume daily activities, and frequency of recurrence in the short and long term. RESULTS: The average age of the patients was 46.2 years. The operation time was significantly shorter in the tension-free group than in the conventional group, at 33 +/- 11.1 versus 49 +/- 8.8 min, respectively (P < 0.05). The overall complication rate was 10%, being 1.5% in the tension-free group and 13% in the conventional group (P = 0.4). The visual-analogue pain scores after surgery were lower in the tension-free group than in the conventional group (P = 0.01). Patients in the tension-free group returned to their normal activities sooner than those in the conventional group (P < 0.05). CONCLUSIONS: Tension-free hernioplasty resulted in less pain and allowed patients to return to their daily activities sooner than conventional hernioplasty.
Subject(s)
Hernia, Inguinal/surgery , Adult , Double-Blind Method , Female , Humans , Male , Middle Aged , Pain Measurement , Postoperative Complications , Recovery of Function , Recurrence , Surgical Procedures, Operative/methods , Treatment OutcomeABSTRACT
Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi. This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4% positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented.
Subject(s)
Chagas Disease/transmission , Insect Vectors/parasitology , Triatominae/parasitology , Trypanosoma cruzi/isolation & purification , Adolescent , Adult , Aged , Animals , Chagas Disease/diagnosis , Chagas Disease/epidemiology , Child , Child, Preschool , Female , Humans , Male , Mexico/epidemiology , Middle Aged , Prevalence , Seroepidemiologic StudiesABSTRACT
Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi. This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4 percent positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented.
Subject(s)
Humans , Animals , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Chagas Disease , Insect Vectors , Triatominae , Trypanosoma cruzi , Mexico , Prevalence , Seroepidemiologic StudiesABSTRACT
A case-control study to determine the causes of accidents in children aged 0-14 years and to analyse family environment risk factors was carried out. The variables analysed in the children were age, gender, mechanism and type of accidental injury, number of siblings, birth order of the injured child, history of sibling injury and family type. Variables analysed in the parents were mother's age, history of alcoholism, maternal and paternal education level, time mother spent at home with the child, presence or absence of parents at the time of the accident and parents' occupations. The most important risk factors were gender, time mother spends at home, level of maternal education, paternal alcoholism, birth order, more than five siblings and previous injury to a sibling.
Subject(s)
Accidents , Family , Social Environment , Accidents, Home , Adolescent , Case-Control Studies , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Odds Ratio , Parents/education , Sex Factors , Wounds and Injuries/etiologyABSTRACT
With the purpose of evaluating the risk of transmission of the Chagas disease in the State of Colima, México, an entomological survey was performed to obtain triatominae and the rate of infection by Trypanosoma cruzi determined by examination of its dejections. Two hundred eighteen houses located in 16 villages were sampled. In each house the intradomestic and peridomestic habitats were examined by the man-hour-house method, sensor boxes and mouse-baited traps. Also, 12 silvatic places were explored around the same areas using the same techniques as the ones sampled. In total, 456 specimens were captured, of which 139 correspond to Triatoma phyllosoma pallidipennis; 80 to T.p. longipennis; one specimen of T. dimidiata and 236 nymphs of Triatoma sp. Two hundred ninety seven insects were captured in the intradomestic habitat, 132 in the peridomestic and 26 in the silvatic. The index of positive houses was 27%, located in the central area of the state. The rate of natural infection with T. cruzi showed 25.6%. This results confirmed the presence of two important vectors of the Chagas disease in Colima. Its preference for the domestic habitat and its high levels of natural infection with T. cruzi suggested the existence of a significant risk for its transmission in this area of the country.
Subject(s)
Chagas Disease/transmission , Insect Vectors/parasitology , Triatoma/parasitology , Trypanosoma cruzi/isolation & purification , Animals , Housing , Humans , Mexico , Risk Factors , Triatominae/parasitologyABSTRACT
With the purpose of evaluating the risk of transmission of the Chagas disease in the State of Colima, México, an entomological survey was performed to obtain triatominae and the rate of infection by Trypanosoma cruzi determined by examination of its dejections. Two hundred eighteen houses located in 16 villages were sampled. In each house the intradomestic and peridomestic habitats were examined by the man-hour-house method, sensor boxes and mouse-baited traps. Also, 12 silvatic places were explored around the same areas using the same techniques as the ones sampled. In total, 456 specimens were captured, of which 139 correspond to Triatoma phyllosoma pallidipennis; 80 to T. p. longipennis; one specimen of T. dimidiata and 236 nymphs of Triatoma sp. Two hundred ninety seven insects were captured in the intradomestic habitat, 132 in the peridomestic and 26 in the silvatic. The index of positive houses was 27 percent, located in the central area of the state. The rate of natural infection with T. cruzi showed 25.6 percent. This results confirmed the presence of two important vectors of the Chagas disease in Colima. Its preference for the domestic habitat and its high levels of natural infection with T. cruzi suggested the existence of a significant risk for its transmission in this area of the country
Subject(s)
Humans , Animals , Chagas Disease , Insect Vectors , Triatoma , Trypanosoma cruzi , Housing , Mexico , Risk Factors , TriatominaeABSTRACT
Objetivos. Con el propósito de explorar las variables que pudieran tener mayor impacto sobre los índices larvarios de Aedes aegypti, principal vector del dengue, se realizó un estudio descriptivo y longitudinal en la ciudad mexicana de Colima, ubicada en la costa central del Pacífico. Métodos. Se inspeccionaron 187 domicilios en los que se determinó el índice de viviendas (IV) y el número de contenedores positivos por casa (C+/C) durante las temporadas lluviosa y seca. Como variables independientes se analizaron la temperatura ambiental, la temporada, la aplicación de malatión en rociados a volumen ultrabajo (ULV), el índice de calidad de la vivienda (ICV) y el grado de conocimientos, actitudes y prácticas (CAP). Resultados. Tanto el análisis de regresión logística multivariada como el de regresión lineal múltiple mostraron una reducción del IV y del C+/C atribuible a un efecto de la temporada seca. Paradójicamente, la temperatura mostró una correlación negativa con los índices larvarios, la cual se hizo más aparente en la temporada seca. El ICV tuvo la mayor asociación con el IV y con el C+/C, independientemente de las demás variables. Las nebulizaciones de malatión mostraron un discreto efecto negativo sobre los índices, mientras que los CAP no mostraron ninguna asociación con ellos. Conclusiones. Se concluye que la temperatura alta puede reducir el número de criaderos durante la temporada seca, que el ICV puede ser un buen estimador de la infestación por Ae. aegypti, que el uso de malatión ULV reduce los criaderos y que el índice de CAP presenta escasa asociación con la presencia de los mismo
Objective. In order to investigate the variables that could have the greatest impact on larval indices of Aedes aegypti, the main vector of dengue, a descriptive, longitudinal study was carried out in the city of Colima, which is located in the Mexican Pacific coastal state of the same name. Methods. A total of 187 dwellings were inspected to determine the house index (HI) and the number of positive containers per house (C+/H), during the rainy season and the dry season. The following were recorded as independent variables: the air temperature, the season, the use of ultra low volume (ULV) spraying of malathion, the Premise Condition Index (PCI), and the score on a survey of knowledge, attitudes, and practices (KAP). Results. Both the multivariate logistic regression and the multivariate lineal regression showed a reduction of HI and C+/H due to the effect of the dry season. Paradoxically, the temperature seemed to have a negative correlation with the larval indices, and this effect was more pronounced during the dry season. The PCI showed the most significant correlation with HI and C+/H, independently of the other variables. The ULV sprayings showed a small negative effect on the indices, while the KAP score did not indicate any association at all. Conclusions. Some conclusions that can be drawn from this study are as follows: higher temperatures can reduce the larval indices during the dry season, the PCI can be an adequate estimator of the Ae. aegypti infestation rate, ULV spraying reduces the number of larval breeding sites, and the KAP score has little association with the larval indices
