RESUMEN
OBJECTIVE: To know the self-perceived quality of life by elderly patients through two evaluation instruments. METHODS: A prospective, observational, cross-sectional, and descriptive study. Successful information of 178 elder adults attending medical consultation was obtained with the purpose of evaluating the quality of life, through two validated questionnaires: Nottingham Health Profile and Coop/Wonca charts. The U Mann-Whitney and Kruskal-Wallis test were used, with a significant level of 0.05. RESULTS: The worst statistical quality of life variables in both tests were: women, widow, low studies level and no working. In relation with the coexisting chronic medical conditions for the health profile: diabetes mellitus patients showed a worse quality in all dimensions with statistical significance. As for the charts, cardiac disease patients showed the same situation. CONCLUSIONS: In both tests, similar data in relation with the factors that condition a poor quality of life were found.
Asunto(s)
Calidad de Vida , Autoimagen , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Unidades Hospitalarias , Humanos , Masculino , Persona de Mediana Edad , Atención Primaria de Salud , Estudios ProspectivosRESUMEN
OBJECTIVE: To evaluate the in vitro activities of 13 antimicrobial agents against 47 group A Streptococcus pyogenes (GAS) strains, and to determine the presence of genes encoding streptococcal pyrogenic exotoxin A (SpeA) and the M-protein serotypes. MATERIALS AND METHODS: A cross-sectional study was conducted at Centro de Salud Dr. JosÚ Castro Villagrana, during a scarlet fever outbreak occurring between December 1999 and January 2000, among 137 children at Colegio EspÝritu de AmÚrica. Minimum Inhibitory Concentrations (MICs) were obtained by the semiautomated microdilution method. Automated DNA sequencing was used for analysis of sequence variation in genes encoding the M protein, and SpeA. RESULTS: All strains were sensitive to betalactams and clindamycin. Six (12.7) were resistant to erythromycin. The M2 type was the most frequently isolated GAS (27); almost all (96) bacteria with the SpeA gene had the gene encoding the M2 protein. CONCLUSIONS: The recent resurgence of GAS infections calls for molecular epidemiology research and studies on the sensitivity to macrolides and beta-lactams.