ABSTRACT
Pintomyia (Pifanomyia) deorsa (Pérez, Ogusuku, Monje & Young, 1991) was described on the basis of a single male; the female is being described here from specimens collected in Ollantaytambo, Cusco, Peru. Diagnoses for the Pintomyia genus, Pifanomyia subgenus, Verrucarum series and both sexes of Pi. deorsa are presented, as well as an identification key to distinguish the females of the Verrucarum series.
Pintomyia (Pifanomyia) deorsa (Pérez, Ogusuku, Monje & Young, 1991) fue descrita en base a un solo espécimen macho; la hembra es descrita aquí a partir de especímenes colectados en Ollantaytambo, Cusco, Perú. El diagnóstico para en género Pintomyia, el subgénero Pifanomyia, la série Verrucarum y ambos sexos de Pi. deorsa son presentados, así como claves para la identificación y separación de las hembras de la serie Verrucarum.
ABSTRACT
A província de La Convención, Peru, zona endêmica de leishmaniose tegumentar, apresenta a maior prevalência da doença no departamento de Cusco, no Peru. A comunidade de Aguas Calientes, do Centro de Saúde de Kepashiato, registra um número importante dos casos humanos. O presente estudo tem como objetivo ampliar os conhecimentos sobre a fauna flebotominica do Peru com base nos estudos realizados nesta comunidade. As coletas de flebotomíneos foram realizadas mediante a utilização de armadilhas Shannon em ambientes extradomiciliares e armadilhas de luz tipo CDC em ambientes intra, peri e extradomiciliares, durante a estações seca e chuvosa de 2010-2011. Foram identificadas trinta e uma espéies de flebotomíneos dos gêneros Lutzomyia e Brumptomyia com um novo registro para o Peru: Lutzomyia sericea. As espécies que se apresentaram com maior frequência foram L. yuilli yuilli (47,25 por cento) e L. octavioi (25,97 por cento) com picos de atividade horária de 21:00-23:00h e 04:00-06:00h, respectivamenteEstas duas espécies foram encontradas em todos os sítios de coletas, com predominância de L. yuilli yuilli em ambientes extradomiciliares. L. yuilli yuilli e L. octavioi foram encontradas naturalmente infectadas por Leishmania spp., mediante la técnica de PCR-mulitiplex, com índices mínimos totais de infecção de 1,27 por cento e 1,76 por cento, respectivamente. Sugere-se a participação de L. yuilli yuilli na transmissão da Leishmaniose tegumentar na área de estudo.
Subject(s)
Animals , Diptera , Insect Vectors , Leishmaniasis, Diffuse Cutaneous , Psychodidae , Polymerase Chain ReactionABSTRACT
UNLABELLED: Chronic hepatitis C is a major cause of liver-related morbidity and mortality. Epidemiological data regarding this infection in developing countries is scanty. METHODS: Prevalence of hepatitis C (HCV) infection was investigated in a random sample of Chilean general adult population older than 20 years of age. Additionally, frequency of HCV infection was assessed in group of native Chilean Amerindians (Mapuche Indians) living in an isolated locality of the Southern Chile. Incidence of HCV infection was estimated using serum samples separated by 7 years (1993-2000). RESULTS: Among 959 subjects, prevalence of anti-HCV antibodies was 1.15% (95% CI 0.48-1.82%) and 0.83% when only RIBA-confirmed cases were considered. Among these subjects, 62.5% had detectable HCV RNA in serum and 40% of them had a history of blood transfusion. Age distribution of cases showed a steadily increasing prevalence with age. Estimated incidence of new HCV infections was 15 per 100,000 subjects per year in the period 1993-2000. No cases were detected among the 145 Mapuche subjects studied. CONCLUSIONS: HCV infection is a prevalent disease in the Hispanic population of Chile with a low incidence in the last decade, whereas it was not detected in an isolated Mapuche Indian community. Age distribution of prevalence suggests that the peak of infection in Chile occurred 30 to 50 years ago.
Subject(s)
Hepatitis C/ethnology , Indians, South American/statistics & numerical data , Rural Health/statistics & numerical data , Urban Health/statistics & numerical data , Adult , Age Distribution , Aged , Chile/epidemiology , Cohort Studies , Female , Humans , Incidence , Male , Middle Aged , Prevalence , Seroepidemiologic Studies , Sex DistributionABSTRACT
El artículo que se presenta a continuación describe el Programa de Mejoramiento de la Calidad de Atención que se implementará en el Hospital Clínico de la Pontificia Universidad Católica de Chile; a partir del presente año. Se destaca en este programa la aplicación de metodologías utilizadas en Europa, especialmente en España como son: el modelo europeo de calidad Iso 9000; y los Métodos Serqual y de Pactos
Subject(s)
Humans , Total Quality Management/methods , Quality of Health Care , Strategic PlanningABSTRACT
During workshop, hepatologists analyzed and gave recomendations about gallbladder polyps. They arrived to the following agreements: gallbladder polyps of less than 10 mm should be followed with ultrasonography at 3, 6 and 12 months if there is no enlargement. If there is enlargement, a cholecystectomy should be performed. Polyps larger than 10 mm should be subjected to cholecystectomy
