ABSTRACT
Las aguas termales son ecosistemas con microorganismos adaptados a las condiciones de estos ambientes. Se ha postulado que la microbiota de cada balneario es característica. El objetivo del trabajo fue determinar la microbiota del agua del Balneario "Piscinas El Cachaco", Provincia de Pichincha, Ecuador. Se tomaron muestras de agua en tres zonas del balneario por un periodo de dos años, En cada sitio se realizaron pruebas fisicoquímicas utilizando un equipo multiparámetro. La toma y transporte de las muestras para el estudio microbiológico se realizó según la norma ecuatoriana NTE-INEN. Se realizaron los análisis microbiológicos según la metodología AOAC (2000). Para el agua de la naciente del balneario, los valores promedios de bacterias heterótrofas fueron de 8,60 X 10 UFC/mL, bacterias coliformes totales 5,70 X 10 UFC/mL y mohos y levaduras 9,00 UFC/mL. Para el agua del tanque que alimenta la piscina termal los valores promedios fueron para bacterias heterótrofas de 5,20 X 10 UFC/mL, bacterias coliformes totales 3,00 UFC/mL y no se detectaron células de mohos y levaduras En el agua de la Piscina termal, los valores promedios fueron: bacterias heterótrofas 1,60 X 102 UFC/mL, coliformes 5,00 UFC/mL y mohos y levaduras 5,00 UFC/mL. El 50,94 % de las bacterias aisladas fueron Gram negativas, prevaleciendo el género Aeromonas, y un 49,06% fueron Gram positiva, prevaleciendo el género Staphylococcus. Se logro aislar 3 especies de mohos Aspergillus spp. Rhizopus spp y Penicillium spp. Los resultados muestran una microbiota bacteriana escasa y poco diversa en las áreas del Balneario
The thermal waters are ecosystems with microorganisms adapted to these environments. It has been postulated that microbiota of each spa is characteristic. The objective was to determine the microbiota of the water "Piscinas El Cachaco" Spa, Province of Pichincha, Ecuador. Water samples were taken in three areas of the spa for two years. At each site, physicochemical tests were performed using a multiparameter equipment. The taking and transport of the samples for the microbiological study was carried out according Ecuadorian standard NTE-INEN. The microbiological analyzes were carried out by the methodology AOAC (2000). From the source of water, the average values of heterotrophic bacteria were 8,60 X 10 CFU / mL, total coliform 5,70 X 10 CFU / mL and molds and yeasts 9,00 CFU / mL. For the water in the tank, the average values were for heterotrophic bacteria of 5,20 X 10 CFU / mL, total coliform bacteria 3,00 CFU / mL and no molds and yeasts cells were detected. In the thermal pool water, the average values obtained were: heterotrophic bacteria 1,60 X 102 CFU / mL, total coliforms 5,00 CFU / mL and molds and yeasts 5,00 CFU/ mL. 50,94 % of the isolated bacteria were Gram negative, the genus Aeromonas prevailing, while 49,06 % were Gram positive, prevailing the genus Staphylococcus. It was possible to isolate 3 species of mold Aspergillus spp. Rhizopus spp and Penicillium spp. The results show a sparse and little diverse bacterial microbiota in the spa
Subject(s)
Thermal Water , Microbiota , 24966/methods , Fungi , Yeasts , Rhizopus , Rhizopus/isolation & purification , TemperatureABSTRACT
INTRODUCTION: Visceral leishmaniasis is a public health threat in Brazil considering the high lethality rates and increasing geographical dispersion to large urban conglomerates over the past 25 years. This study aimed to confirm suspected autochthonous cases of visceral leishmaniasis reported from 2005 to 2009 among individuals living in Brasilia, Federal District. METHODS: A retrospective review of the surveillance data obtained on a regular basis and clinical records of the reported cases were performed in 2009. RESULTS: Data from entomological and canine surveys revealed the presence of both Lutzomyia longipalpis and positive serology for Leishmania in dogs within 19 of the 21 neighborhoods where human cases occurred since 2005. The review of surveillance data and medical records, together with the entomological and canine survey data, permitted confirmation of 21 autochthonous human cases in the Federal District. The disease predominantly affected children (12/21) and those from the Sobradinho region (16/21); the typical presentation of fever, hepatosplenomegaly and pancytopenia was observed in 67% of cases. Three deaths occurred during the study period. Leishmania (Leishmania) chagasi was successfully isolated from one human case and twelve canine cases. CONCLUSIONS: Visceral leishmaniasis should be considered endemic in Brasilia based on the documented epidemiological behavior herein described and the confirmed autochthony of human cases.
Subject(s)
Dog Diseases/epidemiology , Insect Vectors , Leishmaniasis, Visceral/epidemiology , Leishmaniasis, Visceral/veterinary , Psychodidae , Animals , Brazil/epidemiology , Child , Disease Notification , Dog Diseases/transmission , Dogs , Endemic Diseases , Humans , Leishmaniasis, Visceral/transmission , Retrospective StudiesABSTRACT
INTRODUCTION: Visceral leishmaniasis is a public health threat in Brazil considering the high lethality rates and increasing geographical dispersion to large urban conglomerates over the past 25 years. This study aimed to confirm suspected autochthonous cases of visceral leishmaniasis reported from 2005 to 2009 among individuals living in Brasilia, Federal District. METHODS: A retrospective review of the surveillance data obtained on a regular basis and clinical records of the reported cases were performed in 2009. RESULTS: Data from entomological and canine surveys revealed the presence of both Lutzomyia longipalpis and positive serology for Leishmania in dogs within 19 of the 21 neighborhoods where human cases occurred since 2005. The review of surveillance data and medical records, together with the entomological and canine survey data, permitted confirmation of 21 autochthonous human cases in the Federal District. The disease predominantly affected children (12/21) and those from the Sobradinho region (16/21); the typical presentation of fever, hepatosplenomegaly and pancytopenia was observed in 67 percent of cases. Three deaths occurred during the study period. Leishmania (Leishmania) chagasi was successfully isolated from one human case and twelve canine cases. CONCLUSIONS: Visceral leishmaniasis should be considered endemic in Brasilia based on the documented epidemiological behavior herein described and the confirmed autochthony of human cases.
INTRODUÇÃO: A leishmaniose visceral é uma ameaça para a saúde pública no Brasil, considerando a elevada taxa de letalidade e a sua dispersão geográfica para grandes conglomerados urbanos durante os últimos 25 anos. Este trabalho teve como objetivo confirmar a suspeita de autoctonia de casos de leishmaniose visceral notificados de 2005 até 2009 em moradores de Brasília, Distrito Federal. MÉTODOS: Foi realizado em 2009 um estudo retrospectivo dos dados da vigilância obtidos na rotina e dos registros clínicos dos casos humanos notificados. RESULTADOS: Os dados dos inquéritos canino e entomológico revelaram a presença de Lutzomyia longipalpis e de cães com sorologia positiva para Leishmania na vizinhança onde ocorreram 19 dos 21 casos humanos desde 2005. A revisão das fichas de notificação e prontuários dos pacientes, em conjunto com os dados dos inquéritos canino e entomológico permitiram a comprovação da autoctonia de 21 casos humanos no Distrito Federal. A doença afetou predominantemente crianças (12/21), da região de Sobradinho (16/21), com quadro típico de febre, hepatoesplenomegalia e pancitopenia em 67 por cento dos casos. Houve três óbitos no período. Houve sucesso no isolamento de Leishmania (Leishmania) chagasi de um caso humano e de doze casos caninos. CONCLUSÕES: A leishmaniose visceral deve ser considerada endêmica em Brasília, considerando o comportamento epidemiológico aqui descrito e a confirmação da autoctonia dos casos humanos.
Subject(s)
Animals , Child , Dogs , Humans , Dog Diseases/epidemiology , Insect Vectors , Leishmaniasis, Visceral/epidemiology , Leishmaniasis, Visceral/veterinary , Psychodidae , Brazil/epidemiology , Disease Notification , Dog Diseases/transmission , Endemic Diseases , Leishmaniasis, Visceral/transmission , Retrospective StudiesABSTRACT
UNLABELLED: Report of a learning process experience by Psychiatry residents in the Mental Health area of a public monovalent hospital of the province of Entre Ríos. This work is based on an analysis of roles played by interdisciplinary experiences such as Psychiatry, Psychology, Therapeutic Assistance, Social Work and Occupational Therapy as well as Clinical and Therapeutical perspectives (Psychosocial, Psychoeducational and Psycopharmacology), not only addressing the peculiarity of the "Folie à Famille" case but also the institutional, legal, locational and neighborhood level elements taking into account the development of the diagnostic and therapeutic strategies in the area of Mental Health. Clinical case report of the entire family from the legal admission to its final home and neighborhood reinsertion. Consisting of clinical diagnosis, legal, situational, social and therapeutic interventions during hospitalization, home and social networks restoring process, hospital release and support of outpatient treatment. A full review of the concept of "Folie à Famille" will be provided as described previously in the literature. METHOD: Observational analytic descriptive study.
Subject(s)
Shared Paranoid Disorder/diagnosis , Shared Paranoid Disorder/therapy , Humans , Internship and Residency , Patient Care TeamABSTRACT
El lupus eritematoso sistémico LES es una de las enfermedades autoinmunes que se presenta con relativa frecuencia en nuestro medio. El presente trabajo describe la patología en aspectos clínicos, exámenes de laboratorio disponibles en el Hospital Carlos Andrade Marín para confirmar su diagnóstico, complicaciones a las que puede llevar esta enfermedad cuando el paciente no recibe un adecuado tratamiento y que pueden influir negativamente en el desarrollo normal de las actividades sociales y/o laborales de los individuos que adolecen esta patología. Complementa la información con el análisis retrospectivo de la incidencia de LES atendidos en el Servicio de Medicina Interna del Hospital Carlos Andrade Marín.
Subject(s)
Lupus Erythematosus, Systemic/complications , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/pathology , Ecuador , Hospitals, StateABSTRACT
El miedo pudiera parecer, en muchos casos, un problema psicológico. Algunos profesionales de la salud mental lo consideran como un problema educacional. En consecuencia, reeducando la mente puede aceptarse el miedo como parte de la vida y no como una barrera para el éxito. Publicaciones científicas lo clasifican dentro de los transtornos de ansiedad. Este estudio exploratorio tuvo como objetivo, identificar los miedos más frecuentes, en un grupo de estudiantes del Programa para la formación de TSU en Procesos de Refinación de Petróleo. Es un estudio que constata la presencia y magnitud (intensidad) de la variable Miedo. El Universo, todos los estudiantes cursantes del Programa. La muestra de tipo internacial por accesabilidad, quedó conformada por un grupo de 47 alumnos del sexo masculino. A los efectos de recolección de la información, se elaboró un instrumento que permitió registrar la varible objeto de este estudio. El grupo estudiado expresó sus miedos de acuerdo a una escala análoga de 0 (ausencia) a 4 (terror). El miedo más frecuente resultó ser la Inseguridad Personal-Atraco, el cual fue expresado por el 51 por ciento de la muestra. De este grupo, uno de cada tres lo refirió como terror. Le sigue en orden de frecuencia la muerte propia o de un familiar, el cual fue referido por el 38 por ciento de ellos. De este grupo, casi uno de cada dos expresó la muerte personal o de un familiar como su miedo más intenso. Otros miedos, representados por fin del mundo, éxito, perder el control, encierro, animales, fueron registrados por un 19 por ciento de la muestra. En el origen de los miedos, independientemente de su diversidad e intensidad, están involucradas causas genéticas, reacciones condicionadas por aprendizaje y experiencias previas, procesos cognitivos, experiencias en la niñez, conflictos o traumas. Es de hacer notar, que algunos profesionales de la salud mental consideran, que la mayoría de las reacciones fóbicas son condicionadas, es decir, aprendidas
