RESUMO
Objetivo: determinar si existe un patrón estacional en el número de nacimientos a nivel del mar y en la altura. Metodología: Se realizó un estudio descriptivo de los nacimientos producidos tanto a nivel del mar distrito de Trujillo 34 msnm) como en la altura (distrito de Quiruvilca 3,850), entre el 1º de enero de 1984 y el 31 de diciembre de 1993. Se utilizó el porcentaje mensual ajustado del total de nacimientos anuales. Se estudió en total 82,517 nacimientos a nivel del mar y 4,055 en la altura. Resultados: a nivel del mar y el mayor porcentaje mensual del número total de nacimientos anuales se encontró en el mes de setiembre con 9,3 y el menor porcentaje en el mes de noviembre con 7,9 por ciento. En la altura, estos valores correspondieron a los meses de agosto y diciembre (9,0 por ciento y 7,2 por ciento respectivamente). Conclusión: Se aprecia patrones de variación de nacimientos muy similares tanto a nivel del mar como en la altura, correspondiendo los mayores valores encontrados a los meses de la estación calendario de invierno y los menores a los de primavera.
Assuntos
Humanos , Feminino , Costa , Meio Ambiente , Altitude , Reprodução , Peru , Epidemiologia DescritivaRESUMO
OBJECTIVE: To inform a patient with penetrating thoracic trauma and diaphragm injury that produced stomach herniation, being reduced the hernia and repaired the injury by laparoscopy though abdominal route with excellent result. REPORT: 17-years-old male, hemodynamically stable with penetrating injury in the fifth left intercostal space, at the level of the middle auxiliary line, pneumothorax and left diaphragmatic hernia. Treatment. A pleurostomy tube was inserted. By laparoscopy 600 mL of free blood in abdominal cavity were aspired, the stomach hernia was reduced and the diaphragmatic repair was performed with nylon 3-0 running suture. The evolution was excellent, being integrated to his work at the twentieth postoperative day. COMMENTARY: Our case supports that laparoscopic surgery is at therapeutic alternative in select cases of trauma.
Assuntos
Hérnia Diafragmática Traumática/cirurgia , Laparoscopia , Traumatismos Torácicos/complicações , Ferimentos Penetrantes/complicações , Adolescente , Emergências , Seguimentos , Hérnia Diafragmática Traumática/diagnóstico por imagem , Hérnia Diafragmática Traumática/etiologia , Humanos , Masculino , Radiografia Torácica , Traumatismos Torácicos/diagnóstico por imagem , Fatores de Tempo , Ferimentos Penetrantes/diagnóstico por imagemRESUMO
A study was carried out on 200 patients divided in two groups of 100, labeled 1 and 2. They underwent vaginal secretion tests by the direct method in order to assess its appropriateness for Gardnerella vaginalis presumptive diagnosis. This study was related with patients' symptoms, such as leukorrhea and fetidity prevailing in Group 1 and lower abdomen pain prevailing in Group 2, as well as the proportions of germs isolated and the association with this symptom for defining the microorganism role in the occurrence of so-called unspecific vaginitis; Group 1 had 100% of positive plates and Group 2 had 55%, who were given adequate treatment for the couple with further confirmation of the results which were effective in 96.7% of the cases. No relation could be seen between IUD and the presence of germ, since it is likely that its existence was not taken into account on inserting IUD.
Assuntos
Gardnerella vaginalis , Vaginose Bacteriana/diagnóstico , Técnicas Bacteriológicas , Feminino , Gardnerella vaginalis/isolamento & purificação , Humanos , Leucorreia/diagnóstico , Leucorreia/microbiologia , Vagina/metabolismo , Vagina/microbiologia , Vaginose Bacteriana/microbiologiaRESUMO
A brief review of the species of the genus Triatoma that have been described in some epidemiology books is made. Triatoma rubrofasciata has been found at the Oriente province in our country. Triatoma flavida has been found at the Pinar del Río, Las Villas, Camagüey, and Oriente provinces. Both insects transmit the Chagas' disease.
Assuntos
Doença de Chagas/transmissão , Vetores de Doenças/isolamento & purificação , Triatominae/isolamento & purificação , Animais , Cuba , Humanos , Trypanosoma cruzi/isolamento & purificaçãoRESUMO
Two patients with splanchnomegaly are presented, and it is proved through experimental, clinical, anatomicopathological, and epidemiological investigations that Trypanosoma cruzi--the etiological agent of Chagas' disease--causes splanchnomegaly in those countries where this disease is endemic. It is neither assured nor denied that Trypanosome cruzi has been the causal agent of splanchnomegaly in the studied patients. It is suggested that in further investigations this problem may be cleared up.