Nuevas ocurrencias y descripción del hábitat de la rana endémica del sur de Ecuador Atelopus exiguus (Anura: Bufonidae) en un punto crítico de conservación en los altos Andes

Atelopus species are classified as a priority taxon for monitoring and conservation, of these A. exiguus is endemic to southern Ecuador and is classified as critically endangered, however, within its known geographic range, little attention has been given to identifying new localities particularly across the páramo ecosystem (> 3500 m a.s.l.). Therefore, in the páramo landscape of Macizo del Cajas Biosphere Reserve, a conservation hotspot, we intensively searched for A. exiguus across 15 localities (elevation range: 3550 – 3800 m a.s.l.). In one year of monitoring (2020 – 2021), we recorded four individuals of A. exiguus (two were tadpoles) in two localities. The localities are characterized by a higher proportion of páramo grassland in association with shrubby páramo as well as cushion páramo; this riparian habitat is related to relatively good water quality (according to Andean Biotic Index), relatively low water temperatures and relatively low water flow. Our findings, accompanied by a detailed monitoring protocol, suggest habitat requirements for A. exiguus. Further intensive surveys beyond the limits of protected areas of Azuay province, especially across the páramos, is emerging as an urgent step to improve conservation decisions.Las especies del género Atelopus están clasificadas como un taxón prioritario para su monitoreo y conservación, de ellas A. exiguus es endémica del sur de Ecuador y está clasificada como en peligro crítico de extinción. Sin embargo, dentro de su área de distribución geográfica conocida, poca atención se ha prestado en identificar nuevas localidades, especialmente en el ecosistema del páramo (> 3500 m de altitud). Por lo tanto, en el paisaje de páramo de la Reserva de la Biosfera Macizo del Cajas, un punto caliente de conservación, buscamos intensamente la especie en 15 localidades (rango de elevación: 3550 – 3800 m de altitud). En un año de monitoreo (2020 – 2021), registramos cuatro individuos de A. exiguus (dos fueron renacuajos) en dos localidades. Las localidades se caracterizan por una mayor proporción de pastizales de páramo en asociación con páramo arbustivo, así como páramo de almohadilla; este hábitat ribereño está relacionado con una calidad de agua relativamente buena (según el Índice Biótico Andino), temperaturas de agua relativamente bajas, así como un flujo de agua relativamente bajo. Nuestros hallazgos, acompañados de un protocolo de monitoreo detallado, sugieren los requerimientos de hábitat para A. exiguus. La realización de más estudios intensivos más allá de los límites de las áreas protegidas de la provincia de Azuay, especialmente a través de los páramos, se considera como urgente para mejorar las decisiones de conservación

Atividade antimicrobiana de baccharis dracunculifolia dc (alecrim-docampo) combinado com nisina e nanoencapsulado

A crescente busca por alimentos naturais e com alto teor de nutrientes, incentiva pesquisas sobre antimicrobianos naturais, como uma forma de conservação de alimentos alternativa aos antimicrobianos sintéticos e a altas temperaturas. Neste estudo, foi investigada a atividade antimicrobiana de bioativos de Baccharis dracunculifolia DC, planta popularmente conhecida como Alecrim-do-campo. Inicialmente, foi avaliada a ação do óleo essencial (OE) e extrato hidroalcóolico (EH) de B. dracunculifolia DC contra 32 cepas de bactérias e 3 cepas de leveduras, através do teste disco-difusão, para selecionar a formulação com maior espectro de ação para os testes subsequentes. O OE e o EH apresentaram atividade antibacteriana, e o OE apresentou maior espectro. Na sequência, o OE foi combinado com nisina, para avaliar seu efeito sinérgico frente a Listeria monocytogenes, Staphylococcus aureus, Bacillus cereus e Salmonella Enteritidis. O sinergismo foi avaliado através da curva de crescimento microbiano em caldo Brain Heart Infusion (BHI) por 24 h a 37 oC. O OE e a nisina tiveram efeito sinérgico sobre todas cepas, por apresentar uma diferença superior a 4 log UFC/mL em relação aos antimicrobianos individuais as 24 h. Por último, foram desenvolvidas nanopartículas de Eudragit® RS100 carregadas de OE (N-OE) pela técnica de nanoprecipitação, seguida pela sua caracterização e avaliação da atividade antimicrobiana. As N-OE, apresentaram tamanho de 151,6 nm, índice de polidispersão (PDI) de 0,08, potencial zeta (ζ) de + 51,7 mV, e eficiência de encapsulação (EE) de 99,4%. A ação antimicrobiana das N-OE e do OE, foi avaliada através da curva de crescimento microbiano, em caldo BHI, leite ultrapasteurizado integral e desnatado a 37 oC por 24 h. No meio sintético, o efeito foi testado contra L. monocytogenes, S. aureus, B. cereus e S. Enteritidis, e observou-se que a ação das N-OE foi mais lenta em relação ao OE, por não ter se detectado nenhuma célula viável na contagem de colônias para todas cepas em 24 h, tendo o OE alcançado o mesmo efeito as 4 h, sugerindo-se uma liberação controlada do OE encapsulado. No leite, a ação foi testada contra L. monocytogenes, onde no integral as N-OE e o OE não demostraram efeito antimicrobiano, enquanto que no leite desnatado as N-OE e o OE apresentaram efeito bacteriostático, e o OE foi o mais ativo, por reduzir a contagem de células em 2 log UFC/mL em relação aos controles em 24 h. A partir dos resultados deste estudo, o B. dracunculifolia DC pode ser considerada uma potencial fonte de antimicrobianos naturais. O sinergismo verificado entre o OE e a nisina permitiria reduzir a concentração do OE quando aplicado em alimento, o que reduziria os seus efeitos organolépticos indesejáveis do OE. A nanoprecipitação permitiu encapsular com sucesso o OE desta planta, devido as ótimas características físico-quimicas, alta eficiência de encapsulação, e a atividade antimicrobiana observada em meio de cultura sugestiva de liberação destas nanopartículas e a sua liberação controlada. No entanto, a redução do efeito antimicrobiano das N-OE observada no leite, sugere-se mais estudos sobre a interação dessas nanoestruturas com os componentes do alimento.Increased demand for natural and high nutrient content foods, encourages research on natural antimicrobials, as food preservation alternative to both synthetic antimicrobials and use of high temperatures. In this study was investigated the antimicrobial activity of bioactive compounds coming from Baccharis dracunculifolia DC, a plant popularly known as Alecrim-do-campo. Initially, was evaluated the action of B. dracunculifolia DC essential oil (EO) and hydroalcoholic extract (EH) against against 32 strains of bacteria and 3 strains of yeast, using the disc diffusion test, to select the formulation with the greatest spectrum of action for subsequent tests. The EO and EH presented antibacterial activity, and the EO presented larger spectrum. Thus, the EO was combined with nisin to evaluate its synergistic effect against Listeria monocytogenes, Staphylococcus aureus, Bacillus cereus and Salmonella Enteritidis. Synergism was evaluated by the microbial growth curve in Brain Heart Infusion (BHI) broth for 24 h at 37°C. The EO and nisin have shown a synergistic effect up to all the tested strains, presenting a difference greater than 4 log CFU/mL compared to individual antimicrobials at 24 h. Successively, EO-loaded Eudragit® RS100 nanoparticles (N-EO) were developed by the nanoprecipitation technique, followed by characterization and antimicrobial activity evaluation. The N-EO shown size of 151.6 nm, a polydispersity index (PDI) of 0.08, a zeta potential (ζ) of + 51.7 mV, and an encapsulation efficiency (EE) of 99.4%. The antimicrobial action of N-OE and OE was evaluated through the microbial growth curve, in BHI broth, ultra-pasteurized whole milk and skimmed at 37 oC for 24 h. In the synthetic medium, the effect was tested against L. monocytogenes, S. aureus, B. cereus and S. Enteritidis, and it was observed that the action of encapsulated essential oil (N-EO) was slower in comparison to the free essential oil (EO), by no detected viable cell in the colony count for all strains within 24 h, with the EO achieving the same effect at 4 h, suggesting a controlled release of the encapsulated EO. In milk, the action was tested against L. monocytogenes, in the latter medium the N-EO and EO showed no antimicrobial effect in the whole milk, while in the skimmed milk the N-EO and EO showed bacteriostatic effect, highlighting the free EO more active compared to the N-EO, by reducing the cell count around 2 log CFU/mL compared to the controls at 24 h. From the results of this study, B. dracunculifolia DC can be considered a potential source of natural antimicrobials. The synergism between nisin and EO may reduce the concentration of the EO when applied in foods, minimizing organoleptic effects that may be undesirable. Nanoprecipitation has successfully encapsulated the EO of this plant due to its excellent physicochemical characteristics, high encapsulation efficiency, and the antimicrobial activity observed in culture media suggestive of release of these nanoparticles and their controlled release. However, the reduced antimicrobial effect of N-OE observed in milk suggests further studies on the interaction of these nanostructures with food components

Auditoría financiera a la empresa Construgypsum Cía. Ltda., periodo 2019

El presente proyecto integrador se ha enfocado en realizar una Auditoría Financiera a la empresa Construgypsum Cía. Ltda., por el período 2019, cuyo propósito es determinar la razonabilidad de los valores presentados en sus estados financieros. El mismo se desarrolla de la siguiente manera: El proyecto este compuesto por cuatro capítulos, en el primero y segundo se detalla brevemente a la empresa, luego, se realiza una revisión bibliográfica acerca de la auditoría financiera. En un tercer capítulo se aplica el examen de auditoría el mismo que abarca las etapas de planificación preliminar y específica, las cuales consisten en un reconocimiento general de la empresa, así, como de la evaluación del sistema de control interno. Seguidamente se realiza la ejecución, en esta etapa se aplican los procedimientos a los componentes identificados en las etapas anteriores con el fin de obtener evidencia suficiente y adecuada de tal forma que el auditor pueda respaldar su opinión. Finalmente, la etapa de comunicación de resultados en donde se da a conocer a través de un dictamen los resultados alcanzados. El cuarto capitulo consta de las respectivas conclusiones y recomendaciones de la realización del proyecto integrador. En este proyecto se utilizará una metodología de enfoque mixto, pues se aplicarán métodos cualitativos en la revisión de documentación, conocimiento general de la empresa, información bibliográfica, normativa aplicable, etc. Y el enfoque cuantitativo para procedimientos numéricos entre ellos, análisis de estados financieros, ratios financieras, determinación de materialidad y error tolerable y procedimientos estadísticos para la determinación de la muestra.This integrative project has focused on conducting a financial audit to the company Construgypsum Cia. Ltda., for the period 2019, whose purpose is to determine the reasonableness of the values presented in its financial statements. The same is developed as follows: The project is composed of four chapters, in the first and second briefly details about the company, likewise a literature review about the financial audit is performed. Then, in a third chapter the audit examination is applied, which covers the stages of preliminary and specific planning, which consist of a general recognition of the company, as well as the evaluation of the internal control system. This is followed by execution, i.e., at this stage, procedures are applied to the components identified in the previous stages in order to obtain sufficient and adequate evidence so that the auditor can support his opinion. Finally, the stage of communication of results where the results achieved in the execution are made known through an opinion. The fourth chapter consists of the respective conclusions and recommendations of the implementation of the integrative project. For the realization of the project a mixed approach methodology will be used, qualitative methods will be applied in the review of documentation for the general knowledge of the company, bibliographic information, applicable regulations, etc. And the quantitative approach for numerical procedures among them, analysis of financial statements, financial ratios, determination of materiality and tolerable error and statistical procedures for the determination of the sample.Contador Público AuditorCuenc

Evaluación de diversidad, captura de carbono y material particulado de las especies forestales ornamentales en la zona urbana de Gualaceo

La vegetación en las zonas urbanas es de suma importancia debido a los servicios ecosistémicos que brindan, entre ellos, el almacenamiento de carbono y la intercepción de material particulado provenientes de los diferentes procesos antropogénicos en las ciudades. En la ciudad de Gualaceo no se han realizado estudios sobre estos contaminantes capturados por las especies forestales ornamentales; es por ello, que nuestro objetivo fue determinar la diversidad de especies, la cantidad de carbono aéreo y el material particulado capturado. Se estudiaron 3 parques de la zona urbana: parque del Niño, Simón Bolívar y 10 de Agosto y el biocorredor del río Santa Bárbara. Se establecieron parcelas acordes al área muestral de cada sitio, se identificó la riqueza mediante los diferentes índices de diversidad, para el carbono almacenado se usaron ecuaciones alométricas y el material particulado por lavado foliar. Posteriormente, se realizaron análisis estadísticos y correlaciones para determinar si existe relación entre las variables. Se obtuvo un total de 209 individuos de los cuales corresponden a 20 especies; presentaron significancia las especies Salix humbolditiana (11896,7 gC/planta) y Jacaranda mimosifolia (7972,63 gC/planta) en la captura de carbono, para el material particulado fueron las especies Hibiscus rosa sinensis (18,23 g/KgMS) y Eriobotrya japonica (25,39 g/KgMS) las que presentaron significancia. Las correlaciones indicaron una relación lineal positiva entre la variable carbono con DAP (k=0,82; p=0,0007) y altura (k=0,67; p=0,0054), y una relación lineal negativa entre el material particulado con la altura (k=-0,445; p=0,0663).Urban vegetation is of utmost importance as it provides ecosystem services such as carbon storage and removal of particulate matter from various anthropogenic processes in cities. In Gualaceo City, no studies have been conducted on of these pollutants captured by ornamental forest species. Our objective was therefore to determine the biodiversity, the amount of airborne carbon and the fine dust particles captured. His three parks in urban areas were investigated Parque del Niño, Simon Bolivar, 10 de Agosto, the biological corridor of the Santa Barbara River. Plots were plotted according to sample area at each site, abundance was identified using different diversity indices, and allometric equations were used for stored carbon and particle mass from leaf washing. Statistical analyzes and correlations were then performed to determine whether there was an association between variables. A total of 209 individuals were obtained, corresponding to 20 species. Salix humboldtiana (11896,7 gC/plant) and Jacaranda mimosifolia (7972,63 gC/plant) were significant in carbon sequestration. Hibiscus rosa sinensis (18,23 g/KgMS) and Eriobotrya japonica (25,39 g/KgMS) were significant in particulate matter. The correlations are positive linear relationships between carbon variables and DAP (k=0,82; p=0,0007) and altitude (k=0,67; p=0,0054) and negative linear relationships between particulate matter and altitude (k=−0,445; p=0,0663).0000-0002-2225-788

Frecuencia de positividad de anticuerpos anti péptido citrulinados en enfermedades autoinmunes de pacientes del Hospital Vicente Corral Moscoso, año 2019

ANTECEDENTES: Las enfermedades autoinmunes se caracterizan por no distinguir a los antígenos de los anticuerpos, generando un contraataque hacia el propio organismo, en el cual la salud del paciente resulta deteriorada. Es por ello que, la detección de los anticuerpos anti péptido citrulinados resultan un criterio de importancia clínica ante la identificación de la artritis reumatoide, sin embargo, en ciertos estudios se lo ha relacionado con otras enfermedades autoinmunes, en las cuales su presencia está asociada con daño articular en etapas tempranas, lo que ha permitido al paciente optar por un tratamiento oportuno y eficaz. OBJETIVO GENERAL: Determinar la frecuencia de positividad de anticuerpos anti péptido citrulinados en enfermedades autoinmunes de pacientes del Hospital Vicente Corral Moscoso, año 2019. METODOLOGÍA: El presente estudio fue de tipo descriptivo, transversal. Los datos fueron recolectados mediante formularios y tabulados en el programa SPSS V26 y Microsoft Excel, mediante los cuales se obtuvieron tablas simples para las variables: edad, sexo, procedencia y enfermedad autoinmune, y tablas cruzadas para la asociación de las variables planteadas con la variable anticuerpos anti-CCP, obteniendo de esta manera los resultados de frecuencia y porcentaje para su respectiva interpretación. RESULTADOS: Se registró un total de 439 pacientes, de los cuales 126 (28.7%) dieron positivo para anticuerpos anti-CCP. La mayor cantidad de casos estuvo comprendida entre las edades de 41 a 50 años n=36 (8.2%), predominado por el sexo femenino n=101 (23%), originarios de la provincia del Azuay n=71 (16.2%). De los 126 pacientes positivos, el 87.3% tenía diagnóstico de artritis reumatoide. CONCLUSIONES: La positividad de anti CCP es frecuente en mujeres adultas con artritis reumatoide, sin embargo, también se evidenció su presencia en otras patologías como indicativo de daño articularBACKGROUND: Autoimmune diseases are characterized by not distinguishing antigens from antibodies, thus generating a counterattack against the body itself in wich the patient´s health is impaired. For this reason, the detection of anticitrullinated peptide (anti-CCP) antibodies has clinical importance for the identification of rheumatoid arthritis, however, in many studies it has been related to other autoimmune diseases, in which its presence is associated with joint damage in early stages that has allowed the patient to opt for timely and effective treatment. GENERAL OBJETIVE: To determine the frequency of positivity of anticitrullinated peptide antibodies in autoimmune diseases of patients at the Vicente Corral Moscoso Hospital, year 2019. METHODOLOGY: This study was descriptive, cross-sectional. The data was collected through forms, and tabulated in the SPSS V26 and Microsoft Excel program, through simple tables for the variables as: age, sex, origin and autoimmune disease were obtained, and cross tables were used for the association of the variable raised with the variable anti-CCP antibodies, thus obtaining the results of frequency and their respective interpretation. RESULTS: A total of 439 patients were registered of which 126 (28.7%) tested positive for anti-CCP antibodies. The largest number of cases was between the ages of 41 to 50 years n=36 (8.2%), predominantly female n=101 (23%), originating from the province of Azuay n=71 (16.2%). Of the 126 positive patients, 87.3% had a diagnosis of rheumatoid arthritis. CONCLUSIONS: The positivity of anti-CCP is more frequent in adult women with rheumatoid arthritis, however, its presence was also evidenced in other pathologies as indicative of joint damageLicenciado en Laboratorio ClínicoCuenc

Helicobacter pylori en materia fecal de estudiantes de la Escuela de Tecnología Médica de la Universidad de Cuenca. 2017

ANTECEDENTES: Helicobacter Pylori (H. Pylori), es una bacteria estudiada desde las últimas tres décadas, ya que produce problemas gastrointestinales. Es la enfermedad bacteriana crónica más extensa en el mundo, reflejando mayor prevalencia en los países subdesarrollados (80-90%). OBJETIVO. - Identificar la prevalencia de H. Pylori en materia fecal de estudiantes de la Escuela de Tecnología Médica de la Universidad de Cuenca. METODOLOGÍA: Estudio descriptivo de corte transversal, se realizó en un universo de 776 estudiantes, con una muestra de 210 estudiantes. El análisis se realizó en el Laboratorio Clínico del Centro de Diagnóstico, cumpliendo con normas de bioseguridad y control de calidad. Para el análisis de la información se utilizó el programa SPSS versión 15 y Microsoft Excel. RESULTADOS: El 54,3% de los estudiantes presentaron H. Pylori positivo, predominando en el sexo masculino (54,4%). La edad con mayor frecuencia fue de 17 a 21 años (71,9%). CONCLUSIÓN: Se determinó que de los casos positivos el 9,6% no desayuna, el 20,2% almuerza a veces y el 4% no merienda. El 12,3% consume alimentos preparados en la calle. En cuanto a hábitos de higiene el 7,9% no se lava las manos antes de comer, el 5.3% no lo hace después de ir al baño, el 72,8% ingiere agua directamente de la llave, el 3,5% no lava las frutas y verduras antes de consumirlas. De acuerdo a la sintomatología el 40,4% presentó hinchazón abdominal, el 29,8% dolor abdominal y el 15,8% náuseas.BACKGROUND: Helicobacter pylori (H. pylori), is a bacterium which has been studied since the last three decades because it produces gastrointestinal problems. It is the most extensive chronic bacterial disease in the world, reflecting a higher prevalence in the third world countries (80-90%). Is the direct cause of chronic gastritis, peptide ulcers, gastric cancer and MALT type lymphoma. OBJECTIVE: Identify the prevalence of H. pylori in faecal matter of students of the School of Medical Technology of the University of Cuenca. METHODOLOGY: A descriptive cross-sectional study was carried out in a universe of 776 students, with a representative sample of 210 students. The participants signed up the informed consent and they filled out a form, which allowed associating the results with the study variables. The analysis of the samples was carried out in the Clinical Laboratory of the Diagnostic Center, complying with biosafety and quality control standards. For the analysis of the information we used the SPSS program version 15 and Microsoft Excel. RESULTS: 54.3% of students presented positive H. Pylori, predominating in the male sex with 54.4%. The age with greater frequency was from 17 to 21 years, 71.9%. CONCLUSION: It was determined that students with H. pylori positive, 9.6% did not eat breakfast, 20.2% had lunch sometimes and 4% did not snack. 12.3% consume prepared foods in the streets. Regarding hygiene habits, 7.9% do not wash their hands before eating, 5.3% do not do it after going to the bathroom, 72.8% ingest water directly from the tap, 3.5% Do not wash fruits and vegetables before consuming them. According to the presence of symptoms, 40.4% presented abdominal swelling, 29.8% abdominal pain and 15.8% nausea.Licenciado en Laboratorio ClínicoCuenc

Provision of medical supply kits to improve quality of antenatal care in Mozambique: a stepped-wedge cluster randomised trial

Background High levels of maternal and newborn mortality and morbidity remain a daunting reality in many low-income countries. Several interventions delivered during antenatal care have been shown to improve maternal and newborn outcomes, but stockouts of medical supplies at point of care can prevent implementation of these services. We aimed to evaluate whether a supply chain strategy based on the provision of kits could improve quality of care. Methods We did a pragmatic, stepped-wedge, cluster-randomised controlled trial at ten antenatal care clinics in Mozambique. Clinics were eligible if they were not already implementing the proposed antenatal care package; they served at least 200 new pregnant women per year; they had Maternal and Child Health (MCH) nurses; and they were willing to participate. All women attending antenatal care visits at the participating clinics were included in the trial. Participating clinics were randomly assigned to shift from control to intervention on prespecified start dates. The intervention involved four components (kits with medical supplies, a cupboard to store these supplies, a tracking sheet to monitor stocks, and a one-day training session). The primary outcomes were the proportion of women screened for anaemia and proteinuria, and the proportion of women who received mebendazole in the first antenatal care visit. The intervention was delivered under routine care conditions, and analyses were done according to the intention-to-treat principle. This trial is registered with the Pan African Clinical Trial Registry, number PACTR201306000550192. Findings Between March, 2014, and January, 2016, 218 277 antenatal care visits were registered, with 68 598 first and 149 679 follow-up visits. We found significant improvements in all three primary outcomes. In first visits, 5519 (14·6%) of 37 826 women were screened for anaemia in the control period, compared with 30 057 (97·7%) of 30 772 in the intervention period (adjusted odds ratio 832·40; 99% CI 666·81–1039·11; p<0·0001); 3739 (9·9%) of 37 826 women were screened for proteinuria in the control period, compared with 29 874 (97·1%) of 30 772 in the intervention period (1875·18; 1447·56–2429·11; p<0·0001); and 17 926 (51·4%) of 34 842 received mebendazole in the control period, compared with 24 960 (88·2%) of 28 294 in the intervention period (1·88; 1·70–2·09; p<0·0001). The effect was immediate and sustained over time, with negligible heterogeneity between sites. Interpretation A supply chain strategy that resolves stockouts at point of care can result in a vast improvement in quality during antenatal care visits, when compared with the routine national process for procurement and distribution of supplies. Funding Government of Flanders and the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction.Fil: Betrán, Ana Pilar. Organizacion Mundial de la Salud; ArgentinaFil: Bergel, Eduardo. World Health Organization; Suiza. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Griffin, Sally. International Centre For Reproductive Health; MozambiqueFil: Melo, Armando. Mozambique Ministry Of Health; MozambiqueFil: Nguyen, My Huong. World Health Organization; SuizaFil: Carbonell, Alicia. World Health Organization; SuizaFil: Mondlane, Santos. Consultório de Estatística E Serviço de Soluções; MozambiqueFil: Merialdi, Mario. World Health Organization; SuizaFil: Temmerman, Marleen. World Health Organization; SuizaFil: Gülmezoglu, A Metin. World Health Organization; SuizaFil: Aleman, Alicia. World Health Organization; SuizaFil: Althabe, Fernando. World Health Organization; Suiza. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Biza, Adriano. World Health Organization; SuizaFil: Crahay, Beatrice. World Health Organization; SuizaFil: Chavane, Leonardo. World Health Organization; SuizaFil: Colomar, Mercedes. World Health Organization; SuizaFil: Delvaux, Therese. World Health Organization; SuizaFil: Dique Ali, Ussumane. World Health Organization; SuizaFil: Fersurela, Lucio. World Health Organization; SuizaFil: Geelhoed, Diederike. World Health Organization; SuizaFil: Jille-Taas, Ingeborg. World Health Organization; SuizaFil: Malapende, Celsa Regina. World Health Organization; SuizaFil: Langa, Célio. World Health Organization; SuizaFil: Osman, Nafissa Bique. World Health Organization; SuizaFil: Requejo, Jennifer. World Health Organization; SuizaFil: Timbe, Geraldo. World Health Organization; Suiz

Perfiles de pacientes asociados con intento de suicidio impulsivo que acudieron al hospital Homero Castanier Crespo de ciudad de Azogues en el periodo 2010-2012

En el presente trabajo se estudiaron 172 pacientes que acudieron al Hospital Homero Castanier Crespo de la ciudad de Azogues en el periodo 2010-2012 con diagnóstico de intento de suicidio, con el fin de describir, analizar y encontrar el perfil del paciente asociado con el intento de suicidio del tipo impulsivo, para ello se estudiaron 20 variables independientes y su asociación con la variable tipo de intento de suicidio, adicionalmente se realizó una segmentación bajo la metodología de árboles de decisión de los pacientes obteniendo asociados con el tipo de intento de suicidio.Palabras clave: Intento de suicidio, perfiles de pacientes, prevalencia, suicidio impulsivo.En el presente trabajo se estudia a 172 pacientes que acudieron al Hospital Homero Castanier Crespo de la ciudad de Azogues en el periodo 2010-2012 con diagnóstico de intento de suicidio, con el fin de describir, analizar y encontrar el perfil del paciente asociado con el intento de suicidio del tipo impulsivo, para ello se estudiaron 20 variables independientes y su asociación con la variable tipo de intento de suicidio, adicionalmente se realizó una segmentación bajo la metodología de árboles de decisión de los pacientes obteniendo segmentos asociados con el tipo de intento de suicidio . Palabras claves: Intento de suicidio, perfiles de pacientes, prevalencia, suicidio impulsivo

Using Participatory Mapping to Inform a Community-Randomized Trial of HIV Counseling and Testing

Participatory mapping and transect walks were used to inform the research and intervention design and to begin building community relations in preparation for Project Accept, a community-randomized trial sponsored by the U.S. National Institute of Mental Health (NIMH). NIMH Project Accept is being conducted in five sites within four countries including Thailand, Zimbabwe, South Africa and Tanzania. Results from the mapping exercises informed decisions about the research design such as defining community boundaries, and identifying appropriate criteria for matching community pairs for the trial. The mapping also informed intervention related decisions such as where to situate the services. The participatory methods enabled each site to develop an understanding of the communities that could not have been derived from existing data or data collected through standard data collection techniques. Furthermore, the methods lay the foundation for collaborative community research partnerships

Illuminating hydrological processes at the soil-vegetation-atmosphere interface with water stable isotopes

Funded by DFG research project “From Catchments as Organised Systems to Models based on Functional Units” (FOR 1Peer reviewedPublisher PDFPublisher PD