ABSTRACT
Introduction: Sexually Transmitted Infections (STIs) are caused by viruses, fungi, bacteria, or other microorganisms, thus being a serious public health issue. Trichomonas vaginalis is the disease causative agent of trichomoniasis, a worldwide protozoan. The prevalence of trichomoniasis depends on some factors, including age, sexual activity, number of sexual partners, hygiene habits, among others. Objective: To evaluate the prevalence of Trichomonas vaginalis in gynecological cytology in a private laboratory in the city of Fortaleza, state of Ceará, Brazil. Methods: This is a retrospective, quantitative, and descriptive study carried out in a private laboratory in Fortaleza, state of Ceará. Data for the research, such as age, marital status, and symptoms, were collected from the patients' medical records as well as the prevalence of cases in liquid-based cytology (LBC) and conventional cytology (CC). Results: In 2019, 83 women were positive for trichomoniasis. The most prevalent age group was between 36 and 51 years old (41%), with an average of 39.9 years old. Regarding symptoms, 14 (16.8%) were asymptomatic and 41 (49.3%) had some symptom. Conclusion: The data obtained in this study describe the profile of women affected by Trichomonas vaginalis.
As infecções sexualmente transmissíveis são causadas por vírus, fungos, bactérias ou outros microrganismos, sendo assim um grave problema de saúde pública. O Trichomonas vaginalis, um protozoário presente em todo o mundo, é o agente etiológico causador da tricomoníase. A prevalência dessa doença depende de alguns fatores, incluindo idade, atividade sexual, números de parceiros sexuais, hábitos de higiene, entre outros. Objetivo: Avaliar a prevalência de Trichomonas vaginalis, em citologia ginecológica em um laboratório privado em Fortaleza, Ceará, Brasil. Métodos: Trata-se de estudo retrospectivo, quantitativo e descritivo realizado em laboratório privado em Fortaleza. Os dados para a pesquisa, como idade, estado civil, sintomas, foram retirados de prontuários das pacientes, assim como a prevalência de casos em citologia em meio líquido e CO. Resultados: No ano de 2019, 83 mulheres apresentaram positividade para tricomoníase. A faixa etária mais prevalente foi a de 36 a 51 anos (41%), ficando com a média de 39,9 anos. Em relação aos sintomas, 14 (16,8%), apresentaram-se assintomáticas e 41 (49,3%) apresentaram algum sintoma. Conclusão: Os dados obtidos neste estudo descrevem o perfil das mulheres acometidas pelo Trichomonas vaginalis.
Subject(s)
Humans , Trichomonas Infections , Trichomonas vaginalis , Sexually Transmitted Diseases , Women , Public Health , LaboratoriesABSTRACT
INTRODUCTION: In Spain over the last two decades, cesarean section (CS) rates have increased from 15 to 25% in the Public Health Sector and from 28 to 38% in the private sector. There are multiples causes for this rise, which are often unclear. The aim of our study is to collect and analyze all the CS rates data from a hospital network of the 42 Quirónsalud Hospitals (private sector) and to assess its distribution regarding the different types of hospitals and patient characteristics. MATERIAL AND METHODS: An observational retrospective study between 2017 and 2018 was performed. Hospitals are classified into three groups: large hospitals (11), medium hospitals (17) and small hospitals (14). The cesarean section rate was measured by patient categorization into three groups: total deliveries, low risk cesarean sections and low risk cesarean sections without previous cesarean delivery. RESULTS: We analyzed 62,685 deliveries: 42,987 were vaginal deliveries (68.6%) and 19,698 CS (31.4%). The mean age for the total number of deliveries was 34.18 years old, whilst the mean age for the low-risk group was 34.12. Of the 19,698 CS, 18.36% (3618) were in high-risk population and 81.63% (16,080) in low risk population. 69.54% (11,183) of the low-risk CS were in patients without a previous CS. CONCLUSIONS: The overall rate of CS in the Quirónsalud group is slightly higher than the one from the Public Healthcare. The older maternal age as well as the hospital resources involved in the delivery attendance can explain this difference.
Subject(s)
Cesarean Section , Private Sector , Adult , Delivery, Obstetric , Female , Hospitals , Humans , Pregnancy , Retrospective StudiesABSTRACT
INTRODUCTION: Rheumatologic care is offered by the National Health System in Spain. However, more than a quarter of health spending is carried out in private medicine. Currently, there are no data about the number of rheumatologists with private activity in Spain. OBJECTIVES: To evaluate the number of rheumatologists with private activity in Spain and to describe the profile and location of these professionals. MATERIAL AND METHODS: A survey was developed and sent from the SER Commission on Private Practice to all SER active members. Data collection ends in December 2014. A descriptive statistical analysis and comparison of results was done. RESULTS: 759 answers from a total of 980 surveys sent (77.45%) were obtained; 38% of Spanish rheumatologists have private activity; 13% exclusively private practice and 25% private practice shared with his or her public activity. The private practice rheumatologist profile is: male, 49 years old with 19 years of experience after finishing the specialty and with a working day of 42hours per week. There is a clear predominance of private practice in the Autonomous Community of Catalonia with 28% of the total, followed by Madrid 18%, Andalusia 12% and Valencia 8%. CONCLUSIONS: 38% of Spanish rheumatologists are working in private practice. The profile of professionals working in private practice is different from that of those who work exclusively in public health. Private rheumatology is located in all regions, although most private rheumatologists are located in the regions of Catalonia, Madrid, Valencia and Andalusia, representing more than 50% of the total.
Subject(s)
Private Practice/statistics & numerical data , Rheumatology/statistics & numerical data , Adult , Aged , Female , Health Care Surveys , Humans , Male , Medical Staff, Hospital , Middle Aged , Personnel Staffing and Scheduling , Private Practice/organization & administration , Rheumatology/organization & administration , Spain , Workplace/statistics & numerical dataABSTRACT
El objetivo de este estudio fue cuantificar los recursos de la medicina privada mediante un censo de unidades médicas con servicio de hospitalización, realizado en el primer trimestre de 1994 con base en la información jurisdiccional. Se registraron en todo el país 2 723 unidades médicas del sector privado con camas de hospitalización. En el Distrito Federal y los estados de México, Guanajuato, Michoacán, Baja California y Veracruz se concentra cerca de la mitad de las unidades. El total de camas censables registradas en el país de 33 937, de tal manera que la medicina privada es el principal proveedor de camas de hospitalización del Sistema Nacional de Salud; se encontraron resultados similares en cuanto al resto de recursos materiales humanos
A census of private health establishments was carried out by the Secretary of Health, in order to quantify its resources and to describe their geographical distribution. The census, conducted in 1994, was limited to private units which offered hospitalization services, and the reference period was the previous year. Results showed that there are 2 723 private hospitalization units in Mexico, and nearly a half of the units are concentrated in the Federal District, and the states of Mexico, Guanajuato, Michoacan, Baja California and Veracruz. The number of private hospitalization beds registered in the country are 33 937, these figures indicate that private medicine is the main hospital care provider in the national health system. Similar results were obtained regarding other material and human resources. It is important to stress the need for further research regarding the role of private medicine in Mexico, including aspects related to the quality of the services being provided.
