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1.
Rev. esp. quimioter ; 31(2): 152-155, abr. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-174511

RESUMO

Introducción. La enseñanza de la medicina tropical, salud internacional o salud global en las Facultades de Medicina y Farmacia españolas se desconoce. El objetivo de este estudio es mostrar el panorama actual de la docencia en grado y post-grado. Material y métodos. Se revisan los planes de estudio, identificando aquellas asignaturas y postgrados con la denominación “Medicina Tropical”, “Salud Internacional”, “Salud Global” o “Enfermedades Importadas”. Resultados. En 15 de las 40 (37,5 %) facultades de Medicina se imparte durante el grado la materia de Medicina Tropical, Salud Internacional o Salud Global. En 14 de ellas (93,3%) con carácter optativo y en 1 (6,7%) con carácter obligatorio. En 4 de las 22 (18,1%) facultades de Farmacia se imparte en el grado la materia de medicina tropical, salud internacional o salud global. Conclusión. La docencia en Medicina Tropical, Salud Internacional y Salud Global en las facultades de Medicina y Farmacia tienen una presencia limitada actualmente


Background. The teaching of tropical medicine, international health or global health in the Spanish Schools of Medicine and Pharmacy is unknown. The objective of this study is to show a current overview of teaching in degree and post-graduate. Material and methods. The curricula are reviewed, identifying those subjects and postgraduate courses with the denomination “Tropical Medicine”, “International Health”, “Global Health” or “Imported Diseases” Results. In 15 of the 40 (37.5%) schools of Medicine the subject of Tropical Medicine, International Health or Global Health is taught during the degree. In 14 of them (93.3%) with an optional character and in one (6.7%) with obligatory character. In 4 out of 22 (18.1%) Pharmacy schools are taught in the degree of Tropical Medicine, International Health or Global Health. Conclusions. The teaching in Tropical Medicine, International Health and Global Health in the Schools of Medicine and Pharmacy in Spain has, currently, a limited presence


Assuntos
Humanos , Saúde Global/educação , Medicina Tropical/educação , Universidades/estatística & dados numéricos , Currículo , Educação Médica Continuada/estatística & dados numéricos , Faculdades de Medicina , Espanha , Estudantes de Medicina , Ensino
2.
Artigo em Inglês | IBECS | ID: ibc-171416

RESUMO

In a global world, knowledge of imported infectious diseases is essential in daily practice, both for the microbiologist-parasitologist and the clinician who diagnoses and treats infectious diseases in returned travelers. Tropical and subtropical countries where there is a greater risk of contracting an infectious disease are among the most frequently visited tourist destinations. The SEIMC considers it appropriate to produce a consensus document that will be useful to primary care physicians as well as specialists in internal medicine, infectious diseases and tropical medicine who help treat travelers returning from tropical and sub-tropical areas with infections. Preventive aspects of infectious diseases and infections imported by immigrants are explicitly excluded here, since they have been dealt with in other SEIMC documents. Various types of professionals (clinicians, microbiologists, and parasitologists) have helped produce this consensus document by evaluating the available evidence-based data in order to propose a series of key facts about individual aspects of the topic. The first section of the document is a summary of some of the general aspects concerning the general assessment of travelers who return home with potential infections. The main second section contains the key facts (causative agents, diagnostic procedures and therapeutic measures) associated with the major infectious syndromes affecting returned travelers [gastrointestinal syndrome (acute or persistent diarrhea); febrile syndrome with no obvious source of infection; localized cutaneous lesions; and respiratory infections]. Finally, the characteristics of special traveler subtypes, such as pregnant women and immunocompromised travelers, are described (AU)


En el mundo global, el conocimiento de las enfermedades infecciosas importadas es esencial en la práctica diaria, tanto para el microbiólogo-parasitólogo como para el clínico en enfermedades infecciosas que atiende a viajeros internacionales. Entre los destinos turísticos más visitados se encuentran muchos países tropicales o subtropicales, donde el riesgo de contraer una enfermedad infecciosa es más elevado. La SEIMC ha considerado pertinente la elaboración de un documento de consenso que sirva de ayuda tanto a médicos de Atención Primaria como a especialistas en Medicina Interna, Enfermedades Infecciosas y Medicina Tropical que atienden a viajeros que regresan con infecciones tras un viaje a zonas tropicales y subtropicales. Se han excluido de forma explícita los aspectos de prevención de estas y las infecciones importadas por inmigrantes, objeto de otros documentos de la SEIMC. Varios tipos de profesionales (clínicos, microbiólogos y parasitólogos) han desarrollado este documento de consenso tras evaluar los datos disponibles basados en la evidencia para proponer una serie de datos clave acerca de este aspecto. Inicialmente se revisan los aspectos generales acerca de la evaluación general del viajero que regresa con una potencial infección. En un segundo bloque se señalan los datos clave (agentes causales, procedimientos diagnósticos y medidas terapéuticas) de los síndromes infecciosos principales en el viajero que regresa (síndrome gastrointestinal (diarrea aguda o persistente), síndrome febril sin foco aparente, lesiones cutáneas localizadas e infecciones respiratorias). Finalmente se describen las características en viajeros especiales como la viajera embarazada y el viajero inmunodeprimido (AU)


Assuntos
Humanos , Masculino , Feminino , Doenças Transmissíveis/epidemiologia , Doenças Transmissíveis/microbiologia , Consenso , Eosinofilia/epidemiologia , Doenças do Sistema Nervoso/epidemiologia , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Microbiologia , Microbiologia/organização & administração , Saúde do Viajante , Medicina de Viagem/organização & administração
3.
Enferm Infecc Microbiol Clin ; 36(3): 187-193, 2018 03.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28396090

RESUMO

In a global world, knowledge of imported infectious diseases is essential in daily practice, both for the microbiologist-parasitologist and the clinician who diagnoses and treats infectious diseases in returned travelers. Tropical and subtropical countries where there is a greater risk of contracting an infectious disease are among the most frequently visited tourist destinations. The SEIMC considers it appropriate to produce a consensus document that will be useful to primary care physicians as well as specialists in internal medicine, infectious diseases and tropical medicine who help treat travelers returning from tropical and sub-tropical areas with infections. Preventive aspects of infectious diseases and infections imported by immigrants are explicitly excluded here, since they have been dealt with in other SEIMC documents. Various types of professionals (clinicians, microbiologists, and parasitologists) have helped produce this consensus document by evaluating the available evidence-based data in order to propose a series of key facts about individual aspects of the topic. The first section of the document is a summary of some of the general aspects concerning the general assessment of travelers who return home with potential infections. The main second section contains the key facts (causative agents, diagnostic procedures and therapeutic measures) associated with the major infectious syndromes affecting returned travelers [gastrointestinal syndrome (acute or persistent diarrhea); febrile syndrome with no obvious source of infection; localized cutaneous lesions; and respiratory infections]. Finally, the characteristics of special traveler subtypes, such as pregnant women and immunocompromised travelers, are described.


Assuntos
Doenças Transmissíveis Importadas/diagnóstico , Doenças Transmissíveis Importadas/terapia , Humanos , Viagem
4.
Enferm. infecc. microbiol. clín. (Ed. impr.) ; 34(6): 384-389, jun-jul. 2016. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-153736

RESUMO

Los helmintos presentes en el suelo, Ascaris lumbricoides, Trichuris trichiura, uncinarias (Ancylostoma duodenale y Necator americanus) y Strongyloides stercoralis, infestan a millones de personas que habitan sobre todo en áreas rurales y deprimidas de regiones tropicales y subtropicales. Los grandes flujos migratorios han facilitado su extensión a todo el mundo. Además de ser debilitantes y causar una mortalidad significativa, conllevan una alta morbilidad y afectan al desarrollo físico e intelectual de millones de niños que viven en áreas deprimidas. Junto con los benzimidazoles albendazol y mebendazol, las campañas internacionales de prevención y tratamiento a gran escala, han conseguido disminuir el número de afectados, pero la reinfestación y la resistencia a los benzimidazoles son frecuentes, por lo que es muy aconsejable mantener la atención sobre estos parásitos olvidados (AU)


Millions of people in in rural areas and deprived tropical and subtropical regions are infected by soil-transmitted helminths: Ascaris lumbricoides, Trichuris trichiura, hookworms (Ancylostoma duodenaleand Necator americanus), and Strongyloides stercoralis. Large migratory flows have made their worldwide distribution easier. Besides being debilitating and producing a significant mortality, they cause high morbidity, leading to physical and intellectual impairment in millions of children who live in poverty. Along with the use of benzimidazoles (albendazole and mebendazole), large-scale international campaigns for treatment and prevention have decreased the number of affected individuals. However, re-infestations and benzimidazole-resistance are frequent, so there needs to be awareness about the importance and consequences of these neglected parasites (AU)


Assuntos
Humanos , Helmintos/isolamento & purificação , Microbiologia do Solo , Análise do Solo , Poluição Ambiental , Miíase/epidemiologia , Áreas de Pobreza , Tricuríase/epidemiologia , Infecções por Uncinaria/epidemiologia , Estrongiloidíase/epidemiologia
5.
Med. clín (Ed. impr.) ; 146(8): 354-358, abr. 2016. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-150414

RESUMO

La malaria es, globalmente, la enfermedad parasitaria más importante, representando un problema de salud pública en más de 90 países. En los últimos años se ha observado un aumento en la incidencia de las complicaciones pulmonares. Su forma clínica más grave es el síndrome de distrés respiratorio agudo, que tiene una elevada mortalidad a pesar de un adecuado abordaje terapéutico. Se presenta como un cuadro de disnea súbita, tos e hipoxemia refractaria, requiriendo ingreso en unidades de cuidados intensivos, tratamiento antipalúdico parenteral precoz, y soporte ventilatorio y hemodinámico. Todo paciente con malaria que presente disnea requiere vigilancia estrecha, ya que el desarrollo de distrés respiratorio es un factor de mal pronóstico (AU)


Malaria is the most important parasitic disease worldwide, being a public health challenge in more than 90 countries. The incidence of pulmonary manifestations has increased in recent years. Acute respiratory distress syndrome is the most severe form within the pulmonary complications of malaria, with high mortality despite proper management. This syndrome manifests with sudden dyspnoea, cough and refractory hypoxaemia. Patients should be admitted to intensive care units and treated with parenteral antimalarial drug treatment and ventilatory and haemodynamic support without delay. Therefore, dyspnoea in patients with malaria should alert clinicians, as the development of respiratory distress is a poor prognostic factor (AU)


Assuntos
Humanos , Masculino , Feminino , Malária/complicações , Malária/epidemiologia , Malária/prevenção & controle , Dispneia/complicações , Antimaláricos/uso terapêutico , Plasmodium falciparum/isolamento & purificação , Radiografia Torácica/métodos , Doenças Respiratórias/complicações , Infecções Respiratórias/complicações , Edema Pulmonar/complicações , Respiração Artificial/métodos , Respiração Artificial , Prognóstico
6.
Enferm Infecc Microbiol Clin ; 34(6): 384-9, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-26980233

RESUMO

Millions of people in in rural areas and deprived tropical and subtropical regions are infected by soil-transmitted helminths: Ascaris lumbricoides, Trichuris trichiura, hookworms (Ancylostoma duodenale and Necator americanus), and Strongyloides stercoralis. Large migratory flows have made their worldwide distribution easier. Besides being debilitating and producing a significant mortality, they cause high morbidity, leading to physical and intellectual impairment in millions of children who live in poverty. Along with the use of benzimidazoles (albendazole and mebendazole), large-scale international campaigns for treatment and prevention have decreased the number of affected individuals. However, re-infestations and benzimidazole-resistance are frequent, so there needs to be awareness about the importance and consequences of these neglected parasites.


Assuntos
Helmintíase , Solo/parasitologia , Populações Vulneráveis/estatística & dados numéricos , Ancylostoma , Ancylostomatoidea , Animais , Ascaris lumbricoides , Helmintíase/diagnóstico , Helmintíase/epidemiologia , Helmintíase/terapia , Helmintíase/transmissão , Humanos , Necator americanus , População Rural , Trichuris , Clima Tropical
7.
Med Clin (Barc) ; 146(8): 354-8, 2016 Apr 15.
Artigo em Espanhol | MEDLINE | ID: mdl-26897507

RESUMO

Malaria is the most important parasitic disease worldwide, being a public health challenge in more than 90 countries. The incidence of pulmonary manifestations has increased in recent years. Acute respiratory distress syndrome is the most severe form within the pulmonary complications of malaria, with high mortality despite proper management. This syndrome manifests with sudden dyspnoea, cough and refractory hypoxaemia. Patients should be admitted to intensive care units and treated with parenteral antimalarial drug treatment and ventilatory and haemodynamic support without delay. Therefore, dyspnoea in patients with malaria should alert clinicians, as the development of respiratory distress is a poor prognostic factor.


Assuntos
Malária Falciparum/complicações , Síndrome do Desconforto Respiratório do Adulto/parasitologia , Terapia Combinada , Humanos , Prognóstico , Síndrome do Desconforto Respiratório do Adulto/diagnóstico , Síndrome do Desconforto Respiratório do Adulto/mortalidade , Síndrome do Desconforto Respiratório do Adulto/terapia
8.
Med. clín (Ed. impr.) ; 145(10): 446-451, nov. 2015. ilus
Artigo em Espanhol | IBECS | ID: ibc-145256

RESUMO

La podoconiosis, o «elefantiasis endémica no filariásica», es una enfermedad geoquímica que produce un tipo de linfedema de los miembros inferiores relacionado directamente con caminar descalzo por terrenos de origen volcánico en áreas con un alto índice pluviométrico anual. Posee una distribución geográfica concreta, afecta aproximadamente a un 5% de la población de las áreas endémicas, es debilitadora y desfigurante y con frecuencia lleva a la marginación social de los que la sufren. Es una enfermedad prevenible y, una vez establecida, puede mejorar con medidas terapéuticas sencillas (AU)


Podoconiosis, mossy foot or endemic non-filarial elephantiasis, is a geochemical disease that causes lower limb lymphedema; it is directly related to walking barefoot over soils of volcanic origin, in areas with a high pluviometric annual index. It has a specific geographical distribution, affecting around 5% population in areas where it is endemic. It is debilitating and disfiguring disease, which frequently leads to social margination. Podoconiosis is totally preventable and, once a diagnosis is established, it may improve with simple therapeutic measures (AU)


Assuntos
Feminino , Humanos , Masculino , Hiperceratose Epidermolítica/metabolismo , Hiperceratose Epidermolítica/patologia , Prevenção Primária/educação , Prevenção Primária/métodos , Geologia/economia , Geologia/história , Epidemiologia/economia , Guatemala/etnologia , África/etnologia , Hiperceratose Epidermolítica/complicações , Hiperceratose Epidermolítica/diagnóstico , Prevenção Primária , Prevenção Primária/normas , Geologia/classificação , Geologia/estatística & dados numéricos , Epidemiologia/estatística & dados numéricos , Guatemala/epidemiologia , África/epidemiologia
9.
Med Clin (Barc) ; 145(10): 446-51, 2015 Nov 20.
Artigo em Espanhol | MEDLINE | ID: mdl-25726310

RESUMO

Podoconiosis, mossy foot or endemic non-filarial elephantiasis, is a geochemical disease that causes lower limb lymphedema; it is directly related to walking barefoot over soils of volcanic origin, in areas with a high pluviometric annual index. It has a specific geographical distribution, affecting around 5% population in areas where it is endemic. It is debilitating and disfiguring disease, which frequently leads to social margination. Podoconiosis is totally preventable and, once a diagnosis is established, it may improve with simple therapeutic measures.


Assuntos
Elefantíase , Doenças Negligenciadas , Diagnóstico Diferencial , Elefantíase/diagnóstico , Elefantíase/epidemiologia , Elefantíase/etiologia , Elefantíase/terapia , Saúde Global , Humanos , Doenças Negligenciadas/diagnóstico , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/etiologia , Doenças Negligenciadas/terapia , Fatores de Risco
12.
Med Clin (Barc) ; 141(5): 210-6, 2013 Sep 07.
Artigo em Espanhol | MEDLINE | ID: mdl-23522729

RESUMO

Globalization has facilitated the movement of large number of people around the world, leading modern clinicians to attend patients with rare or forgotten diseases. In the last few years many doctors are working in developing countries as volunteers or expatriates. The aim of this article is to summarize the basic epidemiological, clinical and therapeutic knowledge of the main cardiovascular diseases that a medical doctor from a developed country may attend in a tropical rural hospital, or with challenging diseases in patients coming from developing countries.


Assuntos
Doenças Cardiovasculares/epidemiologia , Saúde Global , África , Ásia , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/tratamento farmacológico , Comorbidade , Países Desenvolvidos , Países em Desenvolvimento , Emigrantes e Imigrantes , Doenças Endêmicas , Grupos Étnicos , Infecções por HIV/epidemiologia , Humanos , Internacionalidade , Prevalência , População Rural , Viagem , Medicina Tropical
16.
Enferm. infecc. microbiol. clín. (Ed. impr.) ; 26(supl.5): 22-30, mayo 2008.
Artigo em Espanhol | IBECS | ID: ibc-177793

RESUMO

La presencia de inmigrantes con infección por el virus de la inmunodeficiencia humana es un fenómeno creciente en nuestro medio. Los pacientes son susceptibles de presentar infecciones bacterianas por micobacterias, hongos y parásitos. En el presente trabajo, se hace una profunda revisión de las infecciones bacterianas y fúngicas, con especial énfasis en las enfermedades que no son autóctonas en nuestro medio


The number of HIV infected immigrants has increased sharply in Spain. These patients are prone to contracting several different types of opportunistic infections, including bacterial, mycobacterial, fungal and parasitic infections. The present article provides an in-depth review of bacterial and fungal infections, with particular emphasis on those not endemic in our country


Assuntos
Humanos , Síndrome de Imunodeficiência Adquirida/complicações , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Síndrome de Imunodeficiência Adquirida/terapia , Soroprevalência de HIV , Síndrome de Imunodeficiência Adquirida/etnologia , Migração Humana/estatística & dados numéricos , Grupos de Risco
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