Calidad de atención por operadores de justicia y satisfacción de servicio en las víctimas de violencia sexual, Arequipa 2021

La presente investigación tuvo como objetivo general determinar la relación entre la calidad de atención por operadores de justicia y la satisfacción de servicio de víctimas de violencia sexual en la región Arequipa, 2021. Se encuadró dentro de la línea de investigación gestión de políticas públicas. La presente investigación ha tenido un enfoque cuantitativo, no experimental de corte transversal y de tipo correlacional; se consideró una población de 78 personas que sufrieron violencia sexual y que por lo menos fueron atendidas por tres servicios públicos según competencia y función desde el proceso de su denuncia, se trabajó con una muestra de 66 víctimas, siendo que a conveniencia de la investigadora se trabajó con un muestreo no probabilístico, aplicándose un cuestionario de 36 preguntas, 18 de la cuales correspondían al análisis de la variable calidad de atención y las 18 restante para la variable satisfacción de servicio, cuya evaluación se realizó a través del uso de la escala de Likert. Los correspondientes resultados descriptivos se tradujeron en las en tablas y figuras y los resultados del análisis inferencial a través de la correlación de Pearson para contrastar la hipótesis. De estos resultados se ha concluido que existe una correlación positiva moderada, entre la calidad de atención por operadores de justicia y la satisfacción de servicio de víctimas de violencia por delitos sexuales. Asimismo, existe una correlación positiva moderada entre la confiabilidad del servicio y la satisfacción del mismo por parte de los usuarios. De otra manera, se ha evidenciado también y una correlación positiva moderada entre la cultura de trato desplegada por los operadores de justicia al momento de la atención y la satisfacción de las víctimas al recibirla, siendo que por último, se aprecia que existe una correlación positiva moderada, entre la aplicación de los protocolos de atención, por parte de operadores al momento de brindarla y la satisfacción de la victimas al recibirla

Potential species distribution and richness of ixodidae ticks associated with wild vertebrates from Michoacán, Mexico

Ticks are regarded as the most relevant vectors of disease-causing pathogens in domestic and wild animals. The diversity of Ixodidae is known for a very small number of genera. Ixodes are repre- sented by 26 species, and in 2007 the first reported ticks vectors in Mexico for the causal agent of Lyme disease. Recent rise in tick-borne disease in many parts of the world is a phenomenon in need of an explanation. The main objective of the present work was to map at a regional scale (1:2,000,000) of the distribution of ticks of the family Ixodidae that are potentially present on the wild fauna of state of Michoacan, Mexico. We compiled all available literature on ticks at a national level together with complete cartographic and bibliographic georeferenced information of the distribution of hosts in order to build a spatial database in ArcView 3.3. The results indicated that the wild fauna in the state’s territory could potentially include 31 species of ticks of Ixodidae. The map of potential species richness of ixodid ticks on the wild fauna of the state can be categorized into five classes of species richness. The highest potential concentration of ixodid species on wild fauna occurs in the volcanic area of Pico de Tancítaro

Primer análisis filogenético de Ehrlichia canis en perros y garrapatas de México. Estudio preliminar

RESUMEN Objetivos. Caracterizar filogenéticamente Ehrlichia canis a partir de perros naturalmente infectados y sus garrapatas, mediante PCR y secuenciación del gene 16SrRNA para compararlos con diferentes aislados encontrados en el continente Americano. Material y métodos. Se colectaron muestras sanguíneas de 139 perros con manifestaciones clínicas sugestivas a Ehrlichiosis, y que estuvieran infestados con garrapatas; una parte del gene 16SrRNA, fue secuenciada y alineada junto con las 17 secuencias reportadas en los países de América. Se construyeron dos árboles filogenéticos utilizando el método de Máxima verosimilitud compuesta, y Máxima parsimonia. Resultados. Fueron positivos  a E. canis 25/139 (18.0%) perros y 29/139 (20.9%) garrapatas colectadas sobre los perros. Las manifestaciones clínicas presentadas fueron fiebre, astenia, depresión y vómito. Las garrapatas Rhipicephalus sanguineus, Dermacentor variabilis y Haemaphysalis leporis-palustris fueron positivas para E. canis. El análisis filogenético mostró que las secuencias 16SrRNA de Ehrlichia canis aisladas de perros y garrapatas en este estudio forman un tercer grupo que diverge de las secuencias de Sudamérica y EUA. Conclusiones. Es el primer análisis filogenético de E. canis en México. Hay diferencias entre las secuencias de este estudio, con las reportadas en otros países de Sudamérica y en EUA. Esta investigación sienta las bases para profundizar en el estudio de la variabilidad genética

Characterization of Fusarium spp., A Phytopathogen of avocado (Persea americana Miller var. drymifolia (Schltdl. and Cham.)) in Michoacán, México

Avocado has great socioeconomic importance in Mexico because of the benefits it generates for the production chain participants and the significant foreign exchange earnings engendered by the export of its fruit. However, this crop has phytosanitary problems, caused mainly by fungi, among which the genus Fusarium stands out. The objective of this study was to characterize Fusarium species that caused root rot in avocado trees in Michoacan, Mexico. In 19 isolates of Fusarium spp., polymerase chain reactions (PCR) with primers coding for elongation factor and calmodulin genes were performed. These sequences were compared in homology using BLAST analysis and aligned in MEGA 6.0. Cladograms were created based on maximum verisimilitude. The pathogenicity of the isolates was evaluated based on their virulence and severity in the avocado plants. Morphological and molecular analyses showed that 15 isolates belonged to F. oxysporum Schl and four to F. solani Mart. All isolates were pathogenic, with virulence ranging from 16 to 56 days. All isolates produced root rot and yellowing of leaves, with 63% producing wilting and 16% producing apical necrosis, the latter being the most severe. Highlights From: Fusarium spp. is reported in avocado in Michoacán, México. With the morphological and molecular methods, two species of the gender Fusarium; F. oxysporum and solani, were identified in avocado crops. The species found in avocado can cause death of nursery seedlings and trees of various ages due to the destruction of their root system. The gender Fusarium is found in all the crops in Michoacán, México, considerably decreasing the production for the damage inflicted in the root, causing significant losses in the production of its fruit.Avocado has great socioeconomic importance in Mexico because of the benefits it generates for the production chain participants and the significant foreign exchange earnings engendered by the export of its fruit. However, this crop has phytosanitary problems, caused mainly by fungi, among which the genus Fusarium stands out. The objective of this study was to characterize Fusarium species that caused root rot in avocado trees in Michoacan, Mexico. In 19 isolates of Fusarium spp., polymerase chain reactions (PCR) with primers coding for elongation factor and calmodulin genes were performed. These sequences were compared in homology using BLAST analysis and aligned in MEGA 6.0. Cladograms were created based on maximum verisimilitude. The pathogenicity of the isolates was evaluated based on their virulence and severity in the avocado plants. Morphological and molecular analyses showed that 15 isolates belonged to F. oxysporum Schl and four to F. solani Mart. All isolates were pathogenic, with virulence ranging from 16 to 56 days. All isolates produced root rot and yellowing of leaves, with 63% producing wilting and 16% producing apical necrosis, the latter being the most severe. Highlights From: Fusarium spp. is reported in avocado in Michoacán, México. With the morphological and molecular methods, two species of the gender Fusarium; F. oxysporum and solani, were identified in avocado crops. The species found in avocado can cause death of nursery seedlings and trees of various ages due to the destruction of their root system. The gender Fusarium is found in all the crops in Michoacán, México, considerably decreasing the production for the damage inflicted in the root, causing significant losses in the production of its fruit

Primer registro de Acalitus Orthomera (Keifer) (Acari: Eriophyidae) asociado al cultivo de la zarzamora (Rubus fruticosus var. tupy) en Ziracuaretiro, Michoacán, México

Acalitus orthomera (Keifer) es registrado por primera vez en el Municipio de Ziracuaretiro, Michoacán, México, asociado a brotes vegetativos en cultivos de zarzamora; se proporciona información sobre su daño y su importancia en este cultivo es discutida.Acalitus orthomera (Keifer) es registrado por primera vez en el Municipio de Ziracuaretiro, Michoacán, México, asociado a brotes vegetativos en cultivos de zarzamora; se proporciona información sobre su daño y su importancia en este cultivo es discutida

Mites associated with blackberry (Rubus sp. cv. Tupy) in two areas of Michoacan, México.

Damage caused by phytophagous mites is one of the main phytosanitary problems on blackberry crop. The mite species identification is a very significant activity to implement a program of integrated pest management. The aim of this study was to identify the species of phytophagous mites, predators, and other mites associated with blackberry crop in two locations of Michoacan, Mexico. The research was performed in two blackberry orchards located at Ziracuaretiro and Tacambaro municipalities, which had different type of management: conventional and non-conventional, respectively. In each orchard, 18 samples were collected at 15 d-intervals during an annual cycle, from June 2015 to May 2016. The collected mites were mounted in permanent slide for their taxonomic determination with specific keys with specific keys. Seventeen mite species belonging to ten families were identified, which six were phytophagous species, six were predatory, and five had varied habits. Six of the 17 taxa identified are new records of mites associated with blackberry crop. Most of the mites were collected in the conventional crop (65.4 %), while the abundance of predator mites was highest in the no-conventional crop

Implications of climate change on the distribution of the tick vector Ixodes scapularis and risk for Lyme disease in the Texas-Mexico transboundary region

BACKGROUND: Disease risk maps are important tools that help ascertain the likelihood of exposure to specific infectious agents. Understanding how climate change may affect the suitability of habitats for ticks will improve the accuracy of risk maps of tick-borne pathogen transmission in humans and domestic animal populations. Lyme disease (LD) is the most prevalent arthropod borne disease in the US and Europe. The bacterium Borrelia burgdorferi causes LD and it is transmitted to humans and other mammalian hosts through the bite of infected Ixodes ticks. LD risk maps in the transboundary region between the U.S. and Mexico are lacking. Moreover, none of the published studies that evaluated the effect of climate change in the spatial and temporal distribution of I. scapularis have focused on this region. METHODS: The area of study included Texas and a portion of northeast Mexico. This area is referred herein as the Texas-Mexico transboundary region. Tick samples were obtained from various vertebrate hosts in the region under study. Ticks identified as I. scapularis were processed to obtain DNA and to determine if they were infected with B. burgdorferi using PCR. A maximum entropy approach (MAXENT) was used to forecast the present and future (2050) distribution of B. burgdorferi-infected I. scapularis in the Texas-Mexico transboundary region by correlating geographic data with climatic variables. RESULTS: Of the 1235 tick samples collected, 109 were identified as I. scapularis. Infection with B. burgdorferi was detected in 45% of the I. scapularis ticks collected. The model presented here indicates a wide distribution for I. scapularis, with higher probability of occurrence along the Gulf of Mexico coast. Results of the modeling approach applied predict that habitat suitable for the distribution of I. scapularis in the Texas-Mexico transboundary region will remain relatively stable until 2050. CONCLUSIONS: The Texas-Mexico transboundary region appears to be part of a continuum in the pathogenic landscape of LD. Forecasting based on climate trends provides a tool to adapt strategies in the near future to mitigate the impact of LD related to its distribution and risk for transmission to human populations in the Mexico-US transboundary region

Memorias del Séptimo Foro de la Enseñanza de las Matemáticas

En el Séptimo Foro de Enseñanza de las Matemática Ibero 2017 se abordaron temas relacionados con el uso de la historia de las matemáticas en el aula, las transformaciones en las habilidades, destrezas y conocimientos en los alumnos universitarios en la primera década del 2000, el uso de plataformas digitales en la enseñanza de las matemáticas; se expuso sobre situaciones problema en la vida cotidiana relacionados con las matemáticas escolares y la modelación matemática, sobre la historia de la enseñanza de las matermáticas, entre otros temas.ITESO, A.C.Universidad Iberoamericana, Campus Santa F

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication