Parasitismo gastrointestinal en el cerdo pelón mexicano en traspatio en el estado de Yucatán, México

ResumenEl objetivo del presente estudio fue determinar la prevalencia y nivel de infección de nematodos gastrointestinales (NGI) en el cerdo pelón mexicano (CPM) criados bajo condiciones de traspatio en el estado de Yucatán, México. Se realizó el muestreo de excretas de CPM (n = 64, 35 machos castrados y 29 hembras), alojados en pisos de concreto (n = 34) y piso de tierra (n = 30). Las muestras fueron analizadas mediante la técnica de McMaster modificada y se determinó la prevalencia y niveles de infestación de endoparásitos. Se compararon las medias del conteo dehuevos por gramo (HPG) según el tipo de piso del corral (concreto y tierra) y sexo del animal a través de la prueba no paramétrica de Mann-Whitney. Se determinó la ganancia diaria de peso (GDP) de 11 CPM, los cuales fueron distribuidos en dos grupos: A) conteo <150 HPG y B) conteo >400 HPG, y se comparó la media entre ambos grupos. La prevalencia de parasitismo gastrointestinal fue de 71,9 %, el conteo de HPG tuvo un rango de 50 a 20.800. La prevalencia de los parásitos presentes fueron 71,9, 4,7, 6,3 y 3,1 % para Oesophagostomum spp., Strongyloides spp., Trichuris suis, Ascaris suum, respectivamente. Los CPM alojados en los corrales con piso de concreto tuvieron un conteo de HPG mayor (p<0,05) comparado con los cerdos alojados en piso de tierra. No se encontraron diferencias (p>0,05) en el conteo de HPG por el sexo del animal. Fue menor la GDP en los CPM que tuvieron conteos >400 HPG con respecto a los cerdos que tuvieron conteos <150 HPG (p>0,05)

The Department of Social Medicine at Montefiore and Vic Sidel

Montefiore’s Division of Social Medicine (DSM) (later a Department) was conceived and created by Martin Cherkasky, MD, in 1950 shortly before Cherkasky became the Director of Montefiore Hospital. As DSM’s first Chairman, Cherkasky understood health care as a social endeavor. The Department not only delivered first-class medical and health care, but understood the individual, the family, and the community as social entities involved in the creation of a more just and egalitarian society

The Chilean AUGE healthcare guarantees from a patient perspective: a survey of access to healthcare in rural central Chile

Objectives: In order to improve the care provided at a rural consultorio, we obtained patients’ perspectives on the successes and failures of the Chilean healthcare system under the AUGE (Acceso Universal de Garantías Explícitas, Universal Access with Explicit Guarantees) plan. Background: In 2000, Chile’s AUGE Plan established a set of guarantees for specific medical conditions. All citizens are now guaranteed access to appropriate treatment, quality care, and financial protection for what are currently 80 conditions. All registered members can access either public or private healthcare; insurance payments are based on income. However, while Chile has been successful in increasing access to care, the system still faces challenges. Methods: In order to understand the patient perspective on access to healthcare, a survey was administered in a rural general medical clinic in the public sector. The questions covered general demographic information, measures of health, satisfaction with care, and access to care. Results: Fifty patients responded to the survey. 64% of patients reported not being able to afford their preferred treatments for their illness(es) and only 59% reported knowing their rights under the national health plan. 61% reported having a doctor who knows them well. Patients reported not taking their prescribed medications due to forgetfulness (42%), not feeling sick (34%), or a belief that they were not necessary (22%). Wait times for non-urgent specialist care of up to two years were reported. 8.8% of women reported not feeling comfortable discussing domestic abuse with their physician and/or felt they would have problems finding resources elsewhere. 84% of women age 21-75 reported receiving their screening Papanicolau smear and 80% of women between age 50-75 reported receiving their screening mammogram in accordance with government guidelines. Discussion: The rural site studied has been successful at implementing women’s health screening, providing preventive care for chronic disease patients, and maintaining general patient satisfaction. However, despite explicit guarantees to quality medical care, many survey respondents indicated perceived deficiencies in the care they are receiving in the public sector clinic. Lack of patient education, preference for natural remedies, and long wait-times for specialist care appear to be challenges faced by this population. Work still remains in assuring the full delivery of AUGE’s promises and in increasing patient awareness of their rights under the national health plan

Medio ambiente y salud : tendencias y desafíos de la investigación en salud en América Latina; un horizonte

Versión en inglés disponible en la Biblioteca Digital del IDRC: Health research in Latin America : a horizon; environment and health; tendencies and challenges of health research in Latin America; a horizo

Environment and health : tendencies and challenges of health research in Latin America; a horizon

Spanish version available in IDRC Digital Library: Desafíos Futuros para la Investigación en Salud en América Latina; medio ambiente y salud; tendencias y desafíos de la investigación en salud en América Latina; un horizont