ABSTRACT
Objetivo: Se Identificaron los factores de riesgo para sífilis congénita, relacionados con los antecedentes deinfecciones de transmisión sexual, las prácticas sexuales de la madre y su pareja, la asistencia al control prenatal,tratamiento para sífilis y vía del parto, en un grupo de puérperas, registradas en la IPS San Luis, las Américas y elHospital Universitario de Sincelejo entre los años 2007 a 2010. Metodología: Se desarrollo un estudio descriptivo y de corte con una selección muestral intencional de 34 madres cuyos hijos tuvieron pruebas de VDRL y FTA - abspositivos, que residían en Sincelejo y que fue posible su ubicación, quienes firmaron el consentimiento informado. Se aplicó un instrumento dirigido a la madre del niño con sífilis congénita, que fue tabulado en una base de SPSS 15.0.Resultados: Se encontró que la mayoría de las madres eran de estrato uno y dos, que no alcanzaron un nivel de educación media; 68,0% tenía entre 16 y 24 años de edad, 55,8% de los compañeros sexuales no se hizo la prueba para el diagnostico de Sífilis y 88,2% no usó preservativo antes ni durante el tratamiento. Conclusiones: La inasistencia o la asistencia irregular a las consultas prenatales y la poca adherencia a las medidas de protección sexual por parte de la pareja, fueron aspectos que interfirieron con un tratamiento eficaz de las gestantes. Los contactos de las madres infectadas y tratadas no están siendo diagnosticados en un alto porcentaje, lo que refleja una falla en el seguimiento a los contactos de las gestantes para evitar la reinfección.
Objectives: To identify risk factors for congenital syphilis associated with a history of sexually transmitted infections, sexual practices of the mother and her partner, attendance for prenatal care, treatment for syphilis and type of delivery, in a group of postpartum women, registered in San Luis, Las Americas IPS's and the Hospital Universitario de Sincelejo from 2007 to 2010. Methodology: We developed a descriptive and cross-sectional study with an intentional selection of 34 mothers whose children had VDRL and FTA-ABS positive, residing in Sincelejo and were possible to locate, that signed the informed consent. An instrument is directed to the mother of the child with congenital syphilis, which was tabulated on a foundation of SPSS 15.0. Results: We found that most mothers were in strata one and two, that did not reach the middle school level; 68,0% were between 16 and 24 years old, 55.8% of sexual partners did not test for the diagnosis of syphilis and 88.2% did not use condoms before or during the treatment. Conclusions: The absence or irregular attendance at the prenatal care program and poor adherence to protective measures of sexual partners, are issues that interfere with effective treatment for pregnant women. Thecontacts of the infected and treated mothers are not being diagnosed in a large percentage, reflecting a failure in the following up of the contact of pregnant women to avoid re-infection.
Subject(s)
Pregnancy , Reproduction , Syphilis, Congenital/epidemiologyABSTRACT
The determination of cyanogenic compounds in plants is often performed by HPLC. However, in this analysis, interferences due to compounds in the matrix, such as tannins and other pigments, are encountered, especially in roots and leaves. A new method is proposed for determining the cyanogenic glycosides amygdalin (D-mandelonitrile beta-D-gentiobioside) and prunasin (D-mandelonitrile beta-D-glucoside) in almond tree tissues, using poly(vinylpyrrolidone) or active carbon as scavengers for extracting cyanogenic compounds from roots or leaves, respectively. A new chromatographic approach for conducting the analysis is also discussed herein. The advantages of a Hypercarb column for the analysis of prunasin in roots are shown. The correlation coefficient with a reference method is high (>0.99), and statistical tests prove that the two methods are equivalent. In addition, the results provide evidence that prunasin is the only cyanoglycoside present in almond tree roots.
Subject(s)
Amygdalin/analysis , Chromatography/methods , Graphite , Nitriles/analysis , Plant Extracts/chemistry , Prunus/chemistry , Cyanides/analysis , Plant Leaves/chemistry , Plant Roots/chemistry , Seeds/chemistry , Sensitivity and SpecificityABSTRACT
Cholesterol granuloma of the petrous apex is an inflammatory granulation tissue response to the presence of cholesterol crystals. It is not generally associated with middle-ear pathology. CT and MRI are fundamental for diagnosis. MRI is more specific and shows a well-circunscribed mass with high signal intensity on both T1 and T2 weighted images. We present a case of cholesterol granuloma of the petrous apex that was previously diagnosed as cholesteatoma. We emphasize the importance of preoperatory differentiation of the lesion from cholesteatoma. Cholesterol granuloma does not require full excision of the lesion. Drainage and permanent aeration is usually sufficient.
