ABSTRACT
Malaria is one of the health problems in West Southeast Maluku Regency, with Annual Parasite Incidence (API) is 15. There are not many surveys to studies conducted on vectors of malaria. This research aims to know the habitat, species of Anopheles sp., and know the malaria vector species in West Southeast Maluku area. This research was conducted between March - May 2016 in Alusi and Waturu villages. The method of collection was by man landing collections and examination on circum sporozoite protein using enzyme-linked immunosorbent assay (ELISA) technique. Result of research was obtained the samples of An. flavirostris is 2 265 mosquitoes and An. barbirostris is 32 mosquitoes, with the biting activity was found to reach its peak at 19.00p.m-23.00 p.m. having characteristics of exophilic, exophagic and antrophophilic. The life expectancy of Anopheles sp. in nature is 62-77% with the life span of Anopheles sp. in the nature is below 2-4 days. Anopheles flavirostris and An. barbirostris positively contain the circum sporozoite protein (CSP) of Plasmodium falciparum and Plasmodium vivax.
ABSTRACT
INTRODUCCIÓN: La infección respiratoria aguda es un problema de salud pública en menores de 5 años; la detección e identificación tempranas de sus signos disminuye la mortalidad en este grupo de edad y es una meta de la formación médica. OBJETIVO: Comparar en estudiantes de medicina el método educativo tradicional y el escenario simulado para el reconocimiento de signos de enfermedad respiratoria aguda en niños de 2 meses a 5 años. SUJETOS Y MÉTODOS: Se realizó un ensayo clínico para estudiantes de medicina, aleatorizados en dos grupos: A (clase teórica y ayudas audiovisuales) y B (escenario simulado). El desenlace primario fue el desempeño en la evaluación global. Se realizó prueba de Mann-Withney Wilcoxon para comparación entre grupos y Mann-Withney Wilcoxon pareada para análisis intragrupo (antes y después de la intervención). RESULTADOS: Mediante prueba de Mann-Withney Wilcoxon pareada intragrupo pre y postintervención, el grupo A mostró mejor un desarrollo de competencias en el desenlace primario (p = 0,02) y en la evaluación global del escenario simulado (p = 0,04). El grupo B logró cambios significativos en el desenlace primario (p = 0,00), la anamnesis (p = 0,00) y la evaluación global del escenario simulado (p = 0,00). En la evaluación postintervención no se encontraron diferencias significativas en el desenlace primario ni secundario. CONCLUSIONES. La comparación postintervención entre los grupos A y B no mostró diferencias significativas en ninguna de las variables estudiadas entre ambos grupos
INTRODUCTION: The acute respiratory infection is a public health problem in children under 5 years of age. The early detection and identification of its signs reduces the mortality rates in these age groups and is an objective in medical education. AIM. To compare the traditional teaching method with the simulated-scenario teaching method in the acquisition of skills necessary to recognize respiratory distress in children between 2 months and 5 years of age by medical students. SUBJECTS AND METHODS: A clinical trial was done for medical students and they were divided into two randomized groups: group A which used the traditional teaching method and group B, which used the simulated-scenario method. The primary outcomes were seen in the global evaluation performances. A Mann-Withney Wilcoxon test was used for the comparison among groups and a paired Mann-Withney Wilcoxon test was used for the intra-group analysis (before and after the intervention). RESULTS: When using the paired Mann-Withney Wilcoxon intragroup test pre and post intervention, group A showed a better skill development in the primary outcome (p = 0.02) and the global evaluation in simulated scenario (p = 0.04). On the other hand, group B reached significant changes on the primary outcomes (p = 0.00), anamnesis (p = 0.00) and global evaluation with the simulated-scenario method (p = 0.00). It was observed that in the post-intervention evaluation there werent any significant differences between the primary and secondary outcomes. CONCLUSIONS: The post-intervention comparison between groups A and B didnt show significant differences in the studied variables between both groups
Subject(s)
Humans , /methods , Education, Medical/methods , Severe Acute Respiratory Syndrome/diagnosis , Respiration Disorders/diagnosis , Respiratory Insufficiency/diagnosis , Respiratory Tract Diseases/diagnosis , Computer Simulation , Models, Theoretical , Symptom Assessment/methods , Diagnosis, DifferentialABSTRACT
El objetivo de este trabajo es determinar la influencia de la alimentación complementaria y el aporte de los micronutrientes en los niños. Es conocida la falta de un aporte nutricional adecuado en la población más vulnerable de nuestro país, como son los lactantes y pre-escolares, debido a un conjunto de factores socioeconómicos que derivan en estados carenciales importantes.
