Calidad de vida y función sexual en mujeres con disfunción del piso-pélvico del sur de Chile

Antecedentes/Objetivos: La disfunción del piso pélvico (DPP) es muy prevalente, afectando a un tercio de las mujeres adultas. Estas patologías no suponen un riesgo vital, pero sus síntomas pueden interferir con las actividades de la vida diaria incluyendo aspectos físicos, sociales y sexuales. En el sur de Chile, en el Hospital de alta complejidad (Regional-Concepción), se ha implementado la Unidad de Piso Pélvico (UPP). No hay evidencia sobre el efecto que supone en la calidad de vida y la función sexual de las mujeres que la padecen Describir la calidad de vida y función sexual de mujeres controladas en la Unidad de Piso Pélvico de un Hospital de alta complejidad en Chile. Métodos: Estudio transversal. Población: usuarias con DPP de la UPP del H. Regional-Concepción. Muestra 173. Variables: Caract. sociodemográficas, antecedentes obstétricos, tipo de DPP, Variables de Calidad de Vida (percepción del estado de salud, limitación emocional, limitación de actividades cotidianas, alteraciones de actividades sociales) (Short Form-12 Health Survey) y función sexual (PISQ-12). Análisis: medidas de dispersión, frecuencia absoluta- relativa. Resultados: Edad media 57 años, 88% con ingreso menor a 357€. 91% con IMC-sobrepeso y obesidad, 64% ≥ 3 hijos. Tipos DPP: 53% incontinencia de orina (IO), 35% prolapso vaginal (Pp), 12% IO+Pp. Calidad de vida (n = 173): Mala percepción de salud: 95%. Limitación emocional: 37%. Limitación de actividades cotidianas: 67%. Alteraciones de actividades sociales: 57% Función sexual (n = 95): Disfunción alta: 8,4%, moderada: 41,1%, baja 50,5%. El 15% nunca tuvo deseo-sexual los últimos 6 meses. El 14% admite no haber alcanzado el orgasmo en los últimos 6 meses, el mismo porcentaje admite no sentir excitación en el mismo período. El 19% admite no estar satisfechas con las actividades sexuales actuales, el 15% siente dolor durante las relaciones sexuales, el 40% admite sufrir de pérdidas de orina durante la actividad sexual, y el mismo número admite restringir su vida sexual debido al miedo de pérdida de orina durante el acto sexual. El 27% admite tener reacciones emocionales negativas durante las relaciones sexuales. El 10% y el 13% admite que sus parejas sufrían de disfunción eréctil y eyaculación, respectivamente. Por último, el 42% de las mujeres admite que sus orgasmos en los últimos 6 meses son más intensos. Conclusiones: Las mujeres con DPP presentan una alteración negativa de su calidad de vida y de su función sexual, aunque existe cierta incongruencia al valorar positivamente la calidad de los orgasmos cuando los demás aspectos de la vida sexual son negativos

Is ultra-violet radiation the main force shaping molecular evolution of varicella-zoster virus?

<p>Abstract</p> <p>Background</p> <p>Varicella (chickenpox) exhibits a characteristic epidemiological pattern which is associated with climate. In general, primary infections in tropical regions are comparatively less frequent among children than in temperate regions. This peculiarity regarding varicella-zoster virus (VZV) infection among certain age groups in tropical regions results in increased susceptibility during adulthood in these regions. Moreover, this disease shows a cyclic behavior in which the number of cases increases significantly during winter and spring. This observation further supports the participation of environmental factors in global epidemiology of chickenpox. However, the underlying mechanisms responsible for this distinctive disease behavior are not understood completely. In a recent publication, Philip S. Rice has put forward an interesting hypothesis suggesting that ultra-violet (UV) radiation is the major environmental factor driving the molecular evolution of VZV.</p> <p>Discussion</p> <p>While we welcomed the attempt to explain the mechanisms controlling VZV transmission and distribution, we argue that Rice's hypothesis takes lightly the circulation of the so called "temperate VZV genotypes" in tropical regions and, to certain degree, overlooks the predominance of such lineages in certain non-temperate areas. Here, we further discuss and present new information about the overwhelming dominance of temperate VZV genotypes in Mexico regardless of geographical location and climate.</p> <p>Summary</p> <p>UV radiation does not satisfactorily explain the distribution of VZV genotypes in different tropical and temperate regions of Mexico. Additionally, the cyclic behavior of varicella does not shown significant differences between regions with different climates in the country. More studies should be conducted to identify the factors directly involved in viral spreading. A better understanding of the modes of transmissions exploited by VZV and their effect on viral fitness is likely to facilitate the implementation of preventive measures for disease control.</p

Evaluation of the efficacy and safety of text messages targeting adherence to cardiovascular medications in secondary prevention: the txt2heart Colombia randomised controlled trial (Preprint)

Background: Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of mortality in the world. Prevalence is estimated at around 100 million patients worldwide. There is evidence that antiplatelet agents and antihypertensive medication reduce the risk of new vascular events in this population, but treatment adherence is very low. Objective: We developed an intervention based on behavioral modification techniques delivered via mobile short message services (SMS) to increase the adherence to pharmacologic treatment on patients with prior history of ASCVD. Methods: We conducted a randomized controlled clinical trial for patients with a prior diagnosis of cardiovascular event such as acute myocardial infarction, unstable angina, cerebrovascular disease or peripheral artery disease in one centre in Colombia. Patients randomized to the intervention arm were assigned to receive SMS daily for the first 4 weeks, five SMS on week 5: three SMS per week from week 6, and one SMS from 8th week until 52nd week. Patients in the control arm received a monthly SMS reminding them of the next study appointment, requesting information about changes in phone number, thanking them for participating in the study and reminding them of the importance of the study. Primary endpoint was change in Low Density Lipoprotein-Cholesterol (LDL-C) and the secondary endpoints were change in thromboxane B2 levels, heart rate, systolic and diastolic blood pressure. Medication adherence was measured with the Medication Adherence Report Scale (MARS 5), mortality and new cardiac hospitalization were assessed at one year end point. A logistic regression analysis and bivariate testing was performed. Results: Nine hundred and thirty patients were randomized, 805 (87%) completed follow up, and were analyzed for the primary endpoint. There was no difference between arms in change of LDL-C at 12 months (P=.41). or for any of the secondary outcomes. No adverse events were reported. Conclusions: In our study we did not find evidence that a behavior modification intervention delivered by SMS improved LDL-C, blood pressure levels or adherence at 12 months. More research is needed to evaluate whether different SMS strategies including personalized messages and with different timing are effective; future studies should include mixed methods to understand better why, for whom and in which context (e.g. health system, social environment) SMS interventions work (or not) to improve adherence in patients with ASCVD. Clinical Trial: Clinicaltrial.gov NCT03098186. Date of registration: March 31st 201

Diagn?stico de los conocimientos en educaci?n sexuales de los estudiantes en etapa de adolescencia de la instituci?n educativa Julio Ernesto Andrade del municipio de Rovira

61 p. Recurso Electr?nicoEl presente trabajo de investigaci?n, consiste en fortalecer los conocimientos en derechos sexuales y reproductivos en los estudiantes en etapa de adolescencia de la instituci?n educativa chili la selva del municipio de Rovira. El problema de investigaci?n fue analizar qu? conocimientos sobre derechos sexuales y reproductivos poseen los estudiantes en etapa de adolescencia de la Instituci?n Educativa Julio Ernesto Andrade. Dicho an?lisis ayudar? a dise?ar estrategias de mejora en la aplicaci?n de talleres, charlas etc. Que favorezcan a los estudiantes y se puedan prevenir situaciones como lo son embarazos adolescentes, que conllevan a una deserci?n escolar etc. Y que afectan a la poblaci?n estudiantil. La investigaci?n se realiz? en base a la metodolog?a cualitativa y descriptiva, tomando como instrumento la encuesta, se analizan dos variables como lo son la adolescencia y conocimiento sobre derechos sexuales. Lo anterior favoreci? para la formulaci?n de conclusiones, las cuales pretenden ayudar a la instituci?n a tener una visi?n general de las falencias para mejorar y/o fortalecer los conocimientos en derechos sexuales y reproductivos

Mid-Infrared Laser Spectroscopy Applications I: Detection of Traces of High Explosives on Reflective and Matte Substrates

Mid-infrared (MIR) lasers have revolutionized infrared vibrational spectroscopy, converting an already dominant spectroscopic analysis technique into an even more powerful, easier to use, and quicker turn-around cadre of versatile spectroscopic tools. A selection of applications, revisited under the umbrella of MIR laser-based properties, very high brightness, collimated beams, polarized sources, highly monochromatic tunable sources, and coherent sources, is included. Applications discussed concern enhanced detection, discrimination, and quantification of high explosives (HEs). From reflectance measurements of chemical residues on highly reflective metallic substrates to reflectance measurements of HEs deposited on non-reflective, matte substrates is discussed. Coupling with multivariate analyses (MVA) techniques of Chemometrics allowed near trace detection of HEs, with sharp discrimination from highly MIR absorbing substrates

The Large Aperture GRB Observatory

The Large Aperture GRB Observatory (LAGO) is aiming at the detection of the high energy (around 100 GeV) component of Gamma Ray Bursts, using the single particle technique in arrays of Water Cherenkov Detectors (WCD) in high mountain sites (Chacaltaya, Bolivia, 5300 m a.s.l., Pico Espejo, Venezuela, 4750 m a.s.l., Sierra Negra, Mexico, 4650 m a.s.l). WCD at high altitude offer a unique possibility of detecting low gamma fluxes in the 10 GeV - 1 TeV range. The status of the Observatory and data collected from 2007 to date will be presented.Comment: 4 pages, proceeding of 31st ICRC 200

Water Cherenkov Detectors response to a Gamma Ray Burst in the Large Aperture GRB Observatory

In order to characterise the behaviour of Water Cherenkov Detectors (WCD) under a sudden increase of 1 GeV - 1 TeV background photons from a Gamma Ray Burst (GRB), simulations were conducted and compared to data acquired by the WCD of the Large Aperture GRB Observatory (LAGO). The LAGO operates arrays of WCD at high altitude to detect GRBs using the single particle technique. The LAGO sensitivity to GRBs is derived from the reported simulations of the gamma initiated particle showers in the atmosphere and the WCD response to secondaries.Comment: 5 pages, proceeding of the 31st ICRC 200

Mid-Infrared Laser Spectroscopy Applications in Process Analytical Technology: Cleaning Validation, Microorganisms, and Active Pharmaceutical Ingredients in Formulations

Mid-infrared (MIR) lasers are very high-brightness energy sources that are replacing conventional thermal sources (globars) in many infrared spectroscopy (IRS) techniques. Although not all laser properties have been exploited in depth, properties such as collimation, polarization, high brightness, and very high resolution have contributed to recast IRS tools. Applications of MIR laser spectroscopy to process analytical technology (PAT) are numerous and important. As an example, a compact grazing angle probe mount has allowed coupling to a MIR quantum cascade laser (QCL), enabling reflectance-absorbance infrared spectroscopy (RAIRS) measurements. This methodology, coupled to powerful multivariable analysis (MVA) routines of chemometrics and fast Fourier transform (FFT) preprocessing of the data resulted in very low limits of detection of active pharmaceutical ingredients (APIs) and high explosives (HEs) reaching trace levels. This methodology can be used to measure concentrations of surface contaminants for validation of cleanliness of pharmaceutical and biotechnology processing batch reactors and other manufacturing vessels. Another application discussed concerns the enhanced detection of microorganisms that can be encountered in pharmaceutical and biotechnology plants as contaminants and that could also be used as weapons of mass destruction in biological warfare. In the last application discussed, the concentration of APIs in formulations was determined by MIR laser spectroscopy and was cross validated with high-performance liquid chromatography