Dipylidium caninum, Ancylostoma spp., and Trichuris spp. Contamination in Public Parks in Mexico

Background : Zoonotic parasitoses are a public health problem because they are distributed worldwide. Soil contamina- tion with dog faeces is an important worldwide problem because it facilitates the transmission of zoonotic parasites. It has been reported in different studies that soil contamination by parasites represents a risk factor for the population (mainly children) to acquire parasitic diseases caused by Dipylidium caninum , Ancylostoma spp., and Trichuris spp. Therefore, the objectives of the present study were to analyse soil samples collected from fi ve public parks in the city of Nezahualcoyotl, Mexico for the presence of canine soil-transmitted parasites. Materials, Methods & Results : A total of 1726 soil samples were obtained from fi ve public parks in Nezahualcoyotl County, Mexico and analysed for Dipylidium caninum , Ancylostoma spp., and Trichuris spp. eggs. Sampling was carried out in summer 2009 with the permission of the Parks and Public Gardens Nezahualcoyotl Offi ce. Samples were evaluated using a fl otation method, using microscopic observation for egg identifi cation. The data were analysed with the Kruskal- Wallis test and average mean percentages of contamination between the parks means were compared using the Nemenyi test. There were differences in the degree of contamination among the parks, but the soil characteristics were not correlated with the presence of parasite eggs. Contamination with Dipylidium caninum and Trichuris spp. were positively correlated (r = 0.32, P < 0.0001). Overall, there was a substantial frequency of Ancylostoma spp. (23.7%) and Dipylidium caninum (21.7%), with minor presence of Trichuris spp. (15.3%) in the parks. Discussion : Several studies have shown that the close relationship between resulting from the human-animal bond provides benefi ts for socialisation, mental health, and even physical well-being. However, owning a pet also allows potential health risks for the human population. Incidence studies of parasites in the soil of public parks provide greater insight regarding their zoonotic potential, and revealed that the soil of public parks is a source of infection and transmission of parasitic diseases. The reports on soil parasites contamination vary depending on where in the in the world were conducted. Studies in Brazil and Argentina had twice the levels of contamination for Ancylostoma spp. eggs andlower levels of D. caninum . However, the degree of contamination for Trichuris spp. in this report was higher than that observed in public parks in other countries (Croatia, Nigeria, and Brazil). These studies indicate that the risk of acquiring a zoonotic parasitic infec- tion is extremely high, since the soil is highly contaminated with infectious eggs of parasites. The study of the prevalence of parasites in dogs and understanding of the life cycle, epidemiology, and risk factors involved require the establishment of prevention programs for public health reason. Therefore, it is important to implement measures for the collection of excreta in public parks and promote dog deworming programs and hygiene measures to prevent infection in paratenic hosts. The results of this research revealed that the soil of public parks were a source of parasitic zoonoses, because dogs play an important role in the contamination of soils by excreting intestinal parasites through their faeces, constituting a public health problem

Soil contamination by Toxocara spp. eggs in a University in Mexico City

The contamination levels of Toxocara spp. eggs in soil samples from a university campus in Mexico City were evaluated and analysed according to garden size, and were related with the percentage of Toxocara spp. eggs and its viability according to the soil characteristics. A total of 1458 soil samples collected in 15 gardens (six large and nine small) were analysed by sedimentation-flotation with zinc sulphate solution on at 33%. Contamination was low (12.9%), and egg viability was high (65.5%). The size of the garden had no influence on the presence and viability of Toxocara spp. eggs. Contamination was negatively correlated with the percentage of vegetation (r = 0. 61, P < 0.01) and the viability was negatively associated with the percentage of clay in the soil samples (r = 0.51, P < 0.04). The size of the garden did not influence the presence and viability of Toxocara spp. eggs

Ocurrence of Toxocara canis in Students of Veterinary and Graphic Design in a Mexican University

Background: Human toxocariosis is a parasitic zoonosis caused by larval forms of the genus Toxocara. The eggs hatch after being ingested, penetrate the intestinal wall and migrate via the blood stream through to the liver, hence spread to other organs. Erratic larval migration by the different soft tissues in humans, generates four syndromes, Visceral Larva Migrans, Ocular Larva Migrans, neurotoxocariosis and covert toxocariosis. A seroprevalence study of Toxocara canis among students from Veterinary Medicine and Graphic Design in Mexico City was conducted, as the Veterinary student has regular contact with animals was compared with students who have no contact with animals in their study program. Materials, Methods & Results: In both groups of students blood samples were collected and centrifuged to obtain the serum was evaluated by Toxocara serology ELISA (enzyme-linked immunosorbent assay). All participants completed a questionnaire supplying personal data and specifics regarding dog ownership and hygiene practices. Serology data and results from the questionnaire were analyzed using the Fisher´s exact test, Chi-square and odds ratio (OR) test. The frequency of Toxocara infection tended to be greater (P = 0.11) in veterinary students than in those from graphic design (13 % and 7.0 % respectively). Some of the risk factors that were considered were: do not wash your hands after eating, frequent contact with dogs, has dog at home, eating on the street and dewormed your dog, neither factor was associated nor were risk factors for Toxocara antibodies present. Discussion: The fact that almost twice as many veterinary students were seropositive indicates a higher risk of Toxocara canis infection in those individuals, which may be due to veterinary students having greater contact with sources of infection (animals, feces, soil, hair, and farms), regardless of the ownership of dogs. In a study in Canada researchers found no differences among veterinarians and other professionals in anti-Toxocara antibodies, finding similar values (8.8% and 9.6% respectively) in both, and also found no association between dog ownership and anti-Toxocara antibodies a study in Austria found that veterinarians were the second occupational groups that had more antibodies (27%) compared to the control group (2%) and the main source of infection was identified as cats and dogs. Many studies have shown that risk factors are very important in the epidemiology of toxocariosis, primarily the presence of dogs and cats living together with people. It has been reported higher infection in individuals who were in contact with dogs. In several cities of Mexico, highest percentages of dogs infested with Toxocara were reported, with a mean of 35.5% and a range from 19.0 to 63.36%. It has been reported up to 100% of stray puppies can be contaminated with Toxocara in samples collected from dorsal and perianal hair which constitutes a great potential of infection considered that 94% of the Toxocara eggs were embrionated. Other studies show less contamination of hair with eggs of T. canis (40.9%) but still shows the importance as a potential source of infection for humans. Eating in the street or poor hygiene before eating were not factors related to the disease. Although no association was found with the lack hand washing and Toxocara, other researchers have identified this problem as a risk factor associated with Toxocara. It can be assumed that depending on the degree of contamination by Toxocara exposed to each individual, the hygiene practices may have different impact on the presence of the parasite. The results indicate that veterinary students are more prone to infection with Toxocara

Spatial analysis of bovine tuberculosis in the State of Mexico, Mexico

Bovine tuberculosis (bTB) is a chronic infectious disease that affects both domestic animals and wildlife. Veterinary epidemiology studies evaluate bTB using geographic information systems (GIS), which can characterise the spatial and temporal distribution of diseases and identify the geographic areas and animal populations at risk of contracting a disease. The present study used space‑time permutation scan statistic to identify the spatial and temporal distribution of bTB from 2005 to 2010 in the State of Mexico with the goal of creating a similarity model using Mahalanobis Distance to identify areas suitable for bTB occurrence. Three significant clusters were identified using space‑time permutation scan statistic and the similarity model identified several areas with suitable environmental and demographic characteristics. The results demonstrate that the occurrence of bTB in the State of Mexico is not randomly distributed

Neurophysiology of learning in basic skills of laparoscopic surgery in undergraduate students

Background: The development and progress in laparoscopic surgery requires greater emphasis on surgical skills, developing skills in undergraduate students allows them to be at the forefront in health demands.Methods: An experimental and descriptive study of a group of 30 undergraduate students of the Faculty of Medicine. They attended 30 hours of theoretical and practical sessions distributed by 10 sessions, supported by basic simulators minimally invasive, being evaluated by checklist. Their brain activity was monitored with an electroencephalography before and after the development of skills.Results: It was observed that the average necessary for the acquisition of skills is 5 sessions. The competition in which further progress was observed is video assistance. There is an increase in the activity of the prefrontal cortex on the electroencephalography.Conclusions: A series of neurophysiologic processes involved in learning of laparoscopic surgery are described. Laparoscopic skills development lies in keeping them updated on the teaching-learning, where the use of simulators is growing

Open radical nephrectomy for early treatment of renal cell carcinoma: a case report and review

We report the case of a 46-year-old male with no previous medical background. He complained of abdominal right-sided flank pain, spreading to ipsilateral flank, thermal hikes, hematuria, and positive giordano. The ultrasound found a 5 x 5 cm mass located in right kidney upper pole, which did not compromised renal capsule and presented a fresh bruise, suggesting a malignant tumor. Radical nephrectomy was satisfactory performed; sending the whole kidney to pathology and the patient was discharged within 72 hours. The histopathologic report concluded a conventional clear cell renal cell carcinoma tumor (5.5 x 4.8 cm) Fuhrman grade II, limited to the renal parenchyma. We concluded that the best treatment for this type of cancer is the radical nephrectomy even though you lose a part of the renal function. Radical nephrectomy guarantees the extraction of the whole tumor and avoids dissemination, one of the most common complications

Comparison of early complications using regular mesh versus Atramat® Neoflex 25 mesh in inguinal, umbilical and post incisional hernias

Background: Hernias are one of the most common reasons of primary health care with subsequent surgery and this has led to search new techniques to approach them. Comparing traditional techniques with polypropylene mesh versus one bioabsorbible mesh there has been a decrease in postoperative complications.Methods: 100 patients with inguinal hernia, umbilical and post incisional were surgically intervened and divided into two groups according to mesh material used. The patients were tracked for two months after surgery.Results: Traditional mesh was used to repair hernias in 50 patients and Atramat® Neoflex 25 mesh was used in the other half.  Two patients developed infection with traditional mesh and one patient using Atramat® Neoflex 25 mesh (p 0.558). Hernias recurred in 4 patients with traditional mesh compared with 0 patients with Atramat® Neoflex 25 mesh ( p.041 ) , seroma formation was found with a 6: 1 ratio, traditional mesh: Atramat® Neoflex 25 mesh ( p.050 ) and hematoma in a 2:1 ratio (p .558). The total of complications showed a total of 14 using traditional mesh and 3 with Atramat® Neoflex 25 mesh. The use of mesh made from absorbable materials is a better alternative to reduce chronic pain and recurrence due to its high biocompatibility.Conclusions: Using Atramat® Neoflex 25 mesh demonstrated a significant reduction of complications (recurrence and seroma formation) and length of hospital stay (2 days vs 1 day in abdominoplasty after surgery).   

Current perspective in the treatment of bile duct injuries

The laparoscopic cholecystectomy is considered the gold standard for the treatment of benign gallbladder disease, which is associated with an increased incidence of biliary injuries. These types of injuries are multicausal, and anatomical variations or anatomical perception errors are the most common risk factors. The objective of this study is to describe the evolution in the management of bile duct injuries and actual, diagnostic tools, incidence, prognosis and treatment. A literature research about diagnosis and treatment of iatrogenic bile duct injuries as well as their impact on the incidence of morbidity and mortality, based on a 30-year period, was performed on Medline, Cochrane, Embase, MedScape and PubMed database, for all studies that met the eligibility criteria. A thorough quality assessment of all included studies was performed. Synthesis of the results was achieved by narrative review. The bile duct injury is a complication that requires a complex therapy and multidisciplinary management. Reconstruction and treatment techniques have been evolving. The selection of adequate treatment will impact on the patient´s quality of life. The results of the existing studies reporting on iatrogenic bile duct injuries are useful; because the iatrogenic bile duct injuries are complex alterations and constitute one of the most serious complications of a cholecystectomy and require a comprehensive approach, immediate repair, proper drainage and timely referral to adequate treatment to improve long-term prognosis. According to the literature review, currently there better treatments such as absorbable prosthesis, which improve the prognosis and patient´s quality of life, and represent less risk of complications in short/long term.

Acute abdomen secondary to dependent rectus sheath hematoma: a case report

The rectus sheath hematoma as a rare clinical entity and self-limited, resulting from the accumulation of blood within the sheath of the rectus abdominis, secondary to breakage the epigastric artery higher or lower, or direct damage by fiber tear of rectus abdominis muscle. Female patient, 37 years old, enters the service of emergencies by refer abdominal pain of sudden onset, diffuse, with 5 hours of evolution with irradiation to lumbar region ipsilateral. In the CT scan in single stage and with IV contrast, it was reported an asymmetry in the thickness of the muscles of the anterior wall at the expense of a lesion of occupying space dependent anterior rectus muscle, as diagnostic impression is concluded a intramuscular injury dependent of the right anterior abdominal straight; likely bruising of the sheath of the straight abdominal by what is being decided its income to operating room to perform surgical drainage and epigastric vessel ligation. for the general doctor, specialist and it is important to take into account the pathology, symptoms, diagnostic and therapeutic strategy for a hematoma dependent of the rectus abdominis muscle, due to the high percentage of error diagnosis in patients who are admitted to the emergency department with acute abdominal pain, because you can Confused with other abdominal pathologies, which shows the importance of an appropriate differential diagnosis, and treatment prescribed, which optimize and reduce unnecessary intervention as well as morbidity and mortality of this disease

Matemáticas en contexto

El libro compila estrategias didácticas derivadas del programa de formación complementario escritas por instructores técnicos de diferentes regionales del país, describe la forma en que se incorpora el conocimiento matemático en campos específicos de diferentes áreas de formación laboral basado en las teorías didácticas y reflexiones pedagógicas de instructores.The book compiles the didactic strategies derived from the complementary training program by the technical instructors of the regional media of the country, describes the way in which mathematical knowledge is incorporated in the fields of different areas of work training based on theories didactic and pedagogical reflections of instructors.Consideraciones frente al aprendizaje de las matemáticas -- Perspectiva constructivista -- Teoría de las situaciones didácticas -- Modelación matemática -- Mediación tecnológica -- Pensamiento numérico variacional -- Pensamiento numérico -- Pensamiento variacional -- Diseño de modelo matemático con aplicación de costos de producción -- Modelo matemático del consumo de gas en un artefacto afectado por su presión de trabajo -- Planeación de la producción agrícola: Caso plan óptimo de siembra que permita alcanzar la máxima rentabilidad del cultivo -- Estudio del Álgebra de Boole -- Diseño de un modelo de inventarios para una pequeña empresa de calzado de dotación -- Estudio de la Ley de Ohm mediante herramienta interactiva -- Pensamiento métrico-geométrico -- Pensamiento geométrico -- Pensamiento métrico -- Caso de optimización de recursos en el sector industrial de la confección -- Optimización de espacios para huertas urbanas -- Optimización de los costos del espacio de almacenamiento en microempresas y pequeñas empresas de acuerdo con las normas de seguridad vigentes -- Unidad de medida métrica para confección de ropa exterior femenina -- Optimización de recursos aplicando el proceso administrativo -- Pensamiento aleatorio -- Estadística Básica para Articulación con la Media -- Evaluación del impacto de la accidentalidad en la implementación del Sistema de Gestión de Seguridad y Salud en el Trabajo (sg-sst) por medio de indicadores -- Identificar los aspectos de la declaración de renta para una persona natural no obligada a llevar contabilidad -- Fortalecimiento de la estadística: caso de las unidades productivas del Centro de Biotecnología Agropecuaria -- Estadística dinámica -- Resultados preliminaresna[270 páginas