RESUMO
Se efectúa un estudio analítico de casos y controles en niños con enfermedad diarreica aguda menores de un año en el hospital provincial Dr. Antonio Luaces Iraola de la provincia de Ciego de Avila, Cuba. Se estudian 37 casos y 185 controles efectuándose el apariamiento por grupos de edades, sexo o procedencia urbana o rural. Fuente de informaciónde las variables analizadas fueron encuestas aplicadas a las madres y la revisión de la historia clínic. Se aplicó el programa Epinfo versión 6 para el cálculo de Odds Ratio (OR). Se detectaron como factores de riesgo el uso de la lactancia mixta o artificial, la presencia de animales domésticos en la vivienda y el lavado de las manos por las madres antes de preparar los alimentos. (AU)
Assuntos
Criança , Cryptosporidium , Criança , CubaRESUMO
The recognition and differentiation of conversion and factitious disorders could be difficult when they coexist with physical problems and their psychopathology is not evident. We present two illustrative cases of patients who share the existence of neurological disorders and present a similar psychiatric semiology, which is phenomenologically different related with their physical deficits. The psychopathological assessment was made by means of a standardized instrument for diagnosis (SCAN) and suitable paraclinical techniques for each case. The test MMPI (Minnesota Multiphasic Personality Inventory) was used in both cases, and an exploration with Thiopental was carried out in one of them. The pertinent differential diagnosis, the advantages of coordinated interdisciplinary interventions in order to elucidate these mental disorders, and the convenience of using appropriated psychometric instruments and exploratory methods are expounded in the present paper.
