ABSTRACT
La crisis sanitaria causada por la COVID-19 ha forzado una reorganización de los servicios de salud mental. El presente artículo describe una propuesta de reorganización aplicada en una unidad de salud mental infanto-juvenil (atención ambulatoria y comunitaria). Se exponen las estrategias concretas de intervención desarrolladas en las distintas fases de la pandemia según las medidas de restricción sanitarias y los distintos niveles de intervención requeridos (prevención, atención primaria y atención especializada). Además, se compara el número de visitas hechas durante el periodo de Marzo-Julio de 2020 con el mismo periodo en 2019. Concluimos que se ha producido una rápida adaptación del marco asistencial presencial a la metodología telemática mediante una reorganización flexible. Sin embargo, la disminución de la asistencia presencial y la cancelación de grupos terapéuticos han incrementado la presión asistencial notablemente. Se ha observado un incremento de conductas autolíticas y de problemas relacionados con la conducta alimentaria que deberán ser investigados en futuros estudios. (AU)
The heath crisis caused by COVID-19 has required a reorganization of mental health centers. This article describes the reorganization proposal that was applied in a child and adolescent mental health unit (outpatient and community care). The specific intervention strategies developed in the different phases of the pandemic are presented according to the sanitary restriction measures and the different levels of intervention required (prevention, primary care, and specialized care). In addition, the number of visits made during March-July 2020 is compared to the same period in 2019. We conclude that there has been a rapid adaptation from the face-to-face care framework to atelematic approach through a flexible reorganization. However, the decrease in face-to-face assistance and the cancellation of therapeutic groups have significantly increased the pressure of care. A rise in autolytic behaviors and eating pathologies has been observed that should be investigated in future studies. (AU)
Subject(s)
Humans , Child , Adolescent , Mental Health , Community Mental Health Centers/organization & administration , Coronavirus Infections/epidemiology , Psychology, Clinical/organization & administration , Psychology, Child/organization & administration , Pandemics , SpainABSTRACT
Peste des Petits Ruminants (PPR) is a highly infectious disease caused by a virus member of the genus Morbillivirus, which mainly affects goats, sheep and wild ruminants. It is considered one of the most significant transboundary infectious diseases and represents an animal health concern in developing countries. Spain is considered a PPR-free country. Nevertheless, given its geographical proximity to countries in North Africa where PPR virus (PPRV) has been circulating in recent years, the south of Spain can be considered a risk area for the introduction of PPRV. The aim of the present study was to assess circulation of PPRV in domestic and wild ruminant species in this country. During the period 2015-2017, a total of 910 sera from domestic, wild and captive ruminants were analysed using a commercial blocking ELISA to detect antibodies against PPRV. None of the 910 (0.0%; 95% CI: 0.0-0.3) animals tested were positive for anti-PPRV antibodies. To the best of our knowledge, this is the first serosurvey study of PPR in Spain. The results indicate absence of circulating PPRV in the south of Spain during the study period. Due to the risk of PPRV introduction into European countries of the Mediterranean basin, epidemiological surveillance should be maintained and extended in this region.
Subject(s)
Goat Diseases/epidemiology , Peste-des-Petits-Ruminants/epidemiology , Peste-des-petits-ruminants virus/isolation & purification , Sheep Diseases/epidemiology , Animals , Goat Diseases/virology , Goats , Peste-des-Petits-Ruminants/virology , Seroepidemiologic Studies , Sheep , Sheep Diseases/virology , Sheep, Domestic , Spain/epidemiologyABSTRACT
BACKGROUND: To determine the prevalence of cardiovascular risk factors (CVRF) in healthcare workers from two tertiary-care hospitals of the Mexican Institute of Social Security, as well as their association with professional activities (PA). METHODS: Descriptive study. One-thousand eighty-nine health-care workers ≥ 18 years were included. Clinical history, physical exam, and blood tests were performed. RESULTS: Mean age 41 ± 9 years, 76% women. Hypertension prevalence was 19%, diabetes mellitus 9.6%, dyslipidemia 78%, overweight and obesity 73%, metabolic syndrome (MS) 32.5%, and smoking 19%. The following significant associations (p < 0.05) were found: MS with medical asisstants (OR: 2.73, CI 95%: 1.31-5.69) and nutritionist (OR: 2.6, CI 95%: 1.31-5.24); obesity with administrative personnel (OR: 3.64, CI 95%: 1.40-7.46); dyslipidemia with medical asisstants (OR: 2.58, CI 95%: 1.15-6.34). In the whole sample, the probability to have a vascular event in the following 10 years was 10%. CONCLUSION: Prevalence of CVRF was high in this sample of health-care workers and did not seem to be different from those in general population. Medical assistants, nutritionist, and administrative personnel displayed a higher risk. It is necessary to create programs to promote healthy lifestyle and to improve the epidemiological profile of health-care workers.
Introducción: el objetivo de este trabajo es determinar la prevalencia de los factores de riesgo cardiovascular (FRCV) y su asociación con actividad laboral (AL) en trabajadores de dos hospitales de enseñanza de tercer nivel de atención del IMSS. Métodos: estudio descriptivo que incluyó a trabajadores ≥ 18 años. Se realizó historia clínica, examen físico y pruebas de laboratorio para identificar FRCV y asociarlos con AL. Resultados: se estudió un total de 1089 trabajadores, con edad de 41 ± 9 años, el 76% fueron mujeres. La prevalencia de hipertensión fue de 19%, diabetes mellitus 9.6%, dislipidemia 78%, sobrepeso y obesidad 73%; síndrome metabólico (SM) 32.5%, tabaquismo 19%. El SM se asoció con el área de asistentes médicas (OR: 2.73, IC 95%: 1.31-5.69) y nutrición/dietética (OR: 2.6, IC 95%: 1.31-5.24). La obesidad con el área administrativa (OR 3.64 IC 95%: 1.40-7.46). La dislipidemia con el área de asistentes médicas (OR 2.58, IC 95%: 1.15-6.34). La probabilidad de sufrir evento vascular en 10 años fue de 10%. Conclusiones: la prevalencia de FRCV fue alta y no es diferente a la de la población general. Las actividades laborales en riesgo fueron: asistentes médicas, nutricionistas y personal administrativo. Es necesario reorientar programas de promoción de la salud en unidades médicas para mejorar el perfil epidemiológico de los trabajadores.
Subject(s)
Health Personnel , Hypertension/epidemiology , Metabolic Diseases/epidemiology , Obesity/epidemiology , Occupational Diseases/epidemiology , Smoking/epidemiology , Adolescent , Adult , Female , Humans , Hypertension/complications , Hypertension/diagnosis , Logistic Models , Male , Metabolic Diseases/complications , Metabolic Diseases/diagnosis , Mexico/epidemiology , Middle Aged , Obesity/complications , Obesity/diagnosis , Occupational Diseases/complications , Occupational Diseases/diagnosis , Prevalence , Risk Factors , Smoking/adverse effects , Tertiary Care Centers , Young AdultABSTRACT
Previo protocolo se analizaron 27 Xero y Mastografías en el Servicio de Ginecología del Hospital Civil de la Universidad de Guadalajara (Hospital Civil) en 27 pacientes con diagnóstico histopatológico de cáncer mamario, analizándose los detalles radiográficos. Se observó microcalcificación en cinco casos (18.5%, espículas 11 casos (40.7%) bordes irregulares del tumor 18 (66,6%), engrosamiento de la piel 12 (44.4%), retracción de la piel 11 (40.7%) retracción del pezón 9 (33.3%), alteraciones vasculares 7(25.9%) disparidad clínica y Xeromastográfica en 13 (48.1%) y fueron seis casos con diagnóstico de benignidad (falso negativos) 22.2%. En toda tumoración mamaria debe realizarse una Xero o Mastografía antes de intervenirse quirúrgicamente (a excepción de pacientes jóvenes)
