https://paraguay.bvsalud.org/base_bdnpar?q=&filter=indexed_database%3A%22BDNPAR%22+AND+publication_year%3A%222016%22 Mon, 16 Mar 2026 15:42:36 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referencesource.1342345
SUMMARY The diets served in a hospital must guarantee the maintenance of the nutritional state, must serve as a reference and try to be the most pleasant and appetizing. With the aim of evaluating the level of satisfaction of the hospital menu by the patients of the “Juan Max Boettner” Institute in the month of September 2016, a descriptive observational cross-sectional study with a mixed approach is proposed. The sample consisted of 100 pulmonary patients with a hospital stay of more than three days, 54% female and 46% male, the average age was 49.4 years; the highest percentages correspond to those of room 3 (54%), with a hospitalization time of 7 to 15 days (26%) and 16 to 1 month (25%) and with previous hospitalizations (69%). 47% received a free diet and 46% a low sodium diet and only 10% had supplementation. The criteria evaluated reflect a very good acceptability of the hygiene of the food service (96%), the size of the portions (94%), the variability of the meals (84%) and the predisposition of those who deliver the food ( 84%). Good acceptability was obtained for the appearance and presentation of the meals (79%) and the corresponding food temperature; and finally, an acceptable acceptability was obtained regarding the good taste of the food (64%). However, dissatisfaction was also found in terms of flavor and appearance (5% respectively), temperature (2%) and variety of dishes (1%). It was observed that most consume all 3 meals offered by the hospital, however, those who do not consume indicated for lack of appetite (18%), for studies or procedures (5%) and because they do not like it (4%) and only 1% because it falls heavy or for presenting gastrointestinal problems. The consumption of other foods in addition to the ration offered by the hospital was verified, 48% are purchased from the street vendors installed at the entrance and 40% are brought from the house, 59% indicated that the doctor recommended this practice. The most preferred dish was rice stew (25%). In conclusion it is worth mentioning that they need to make some modifications to obtain a better acceptance regarding the flavor and appearance of the dishes offered, and ensure that the hot preparations reach the correct temperature; Food intake should also be controlled and the recommendations for each patient should be indicated, since it was found that a high percentage consume other foods in addition to the ration delivered by the hospital. Key words: acceptance, hospital menus, food service]]> 1342345 Tue, 26 Oct 2021 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.982712
The Luehea divaricata Mart. is a plant native, popularly known in Paraguay as "ovetîka'a”or “ovetîka'aPytá" of the region used as herbal medicines. The aim of this study was toinvestigate the protective effect of aqueous extract from the leaves of L. divaricata versuscyclophosphamide chemotherapy. The animals were divided in 4 groups and each grouphave 5 animals, Group I, negative control, which received 200 uL of water, orally; Group II,which received 200 uL of aqueous extract of L. divaricata; Group III, which received 200 uLof the aqueous extract of L. divaricata and cyclophosphamide, 50 mg / kg animal weight;Group IV, positive control, cyclophosphamide received 50mg / kg / animal weight. Theaqueous extract of L. divaricata was orally administered and the treatment wasadministered for 48 hs, cyclophosphamide was administered intraperitoneal and had 24hours of treatment. Bone marrow of the animals is removed and micronucleus assay wasperformed on all samples. The results indicated that aqueous extract of L. divaricata showedno mutagenic activity and when combined with the mutagen agent induces a reduction ofup to 41% in the frequency of micronucleus, when compared to treatment withcyclophosphamide, suggesting a potential protective effect against toxic agents.]]> 982712 Tue, 19 Mar 2019 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.982713
Creation and dissemination of research in Paraguay are some of the tools for theimprovement of population health. This work describes the characteristics of the scientificproduction published in the Journal Memorias del Instituto de Investigaciones en Ciencias dela Salud in the period 2005 to 2015. This was a descriptive study that analyzed all thearticles published from December 2005 to December 2015 including original articles, casereports, current issues, review articles, and short communications. Publication year, articletype, articles number, authors number, thematic area, signatory institution, main authorsorigin and citations amount of the original articles in Google Scholar were analyzed. In thestudy period, 208 articles of 457 authors and 37 institutions were published. The meannumber of articles published per number was 19 and the median of the number of authorsper article was 4.5. There was a predominance of the thematic focus of Epidemiology with28 articles (13.5%). The largest contribution was from the Instituto de Investigaciones enCiencias de la Salud of the Asuncion National University with 111 articles (52.9%). Themaximum citations received by an original article was 10, according to Google Scholar. The journal has the collaborations of authors from various institutions but endogamy stillpersists making difficult the indexation of the journal into data bases like Pubmed.]]> 982713 Tue, 19 Mar 2019 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referencesource.1290508 1290508 Mon, 06 Sep 2021 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869095 869095 Wed, 08 Nov 2017 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869096
Two cases of incidentally diagnosed chronic hepatitis B of probable vertical transmissionare reported. The first case is a 32 year-old pregnant patient referred to our center for fetalmonitoring due to oligohydramnios; during her hospitalization the patient went into labor,the professional assisted her without gloves and there was an important contact with blood.Serological tests were performed to the patientrevealing to be a HBsAg carrier, but negativefor HBeAg, positive for anti-HBe Ac and HBcIgG, negative for anti HBs and HBc Ac IgM. Thesecond case is a patient with Systemic Lupus Erythematosus under immunosuppressivetreatment, with a history of having a deceased mother and two siblings with HBV infection.Serology revealedHBsAg (+) with viral load of 113 copies, HBeAg (-),hepatitis C (-), HBcIgG(+), HBcIgM (-), anti-HBe (+). The patient received treatment with ten of ovir. Bothpatients were incidentally diagnosed and considered to be chronic inactive hepatitis Bcarriers due to probable vertical transmission based on their family history. These two casesconstitute a wake-up call about the vertical transmission of the virus and the importance ofperforming the screening in all pregnant women in the first prenatal care.]]> 869096 Wed, 08 Nov 2017 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869097
Leishmania/HIV coinfection is frequent and generally they are visceral leishmaniasis cases(VL). However, Leishmania infantum, the etiological agent, could also cause cutaneousforms in HIV-positive patients. The parasites reach the skin through diffusion, a newinfection or a reactivation of a latent infection. There are molecular techniques that confirmthe diagnosis and characterize Leishmania species. These patients also present otheropportunistic infections like histoplasmosis, well known as an AIDS marker and caused byHistoplasma capsulatum. In this work, we describe one HIV/histoplasmosis/VL coinfectioncase associated to cutaneous lesions. The patient was a male, adult, coming from the city ofJ.A. Saldívar, HIV positive (since 2010), without antiretroviral treatment. He was hospitalized in 2012 at the Instituto de Medicina Tropical (IMT) with fever, anemia,hepatosplenomegaly, bone marrow smear and rK39 both negative for Leishmania. He wastreated with Amphotericin B. In 2013, he presented a prolonged febrile syndrome andLeishmania amastigotes were observed in the bone marrow. In 2014, the patient presentedulcerations on the face where H. capsulatum fungal spores and Leishmania amastigoteswere observed. L. infantum was confirmed by molecular methods. In the case under studywe can conclude that the dermal manifestation was caused by L. infantuma ccording to thecharacterization by molecular techniques, and simultaneously H. capsulatum was presentdue to his immunological status. It should be emphasized the importance of the differentialdiagnosis in order to apply the right treatment and also the uncommon clinicalmanifestation that is not associated to this Leishmania species.]]> 869097 Wed, 08 Nov 2017 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869098
Due to its impact on maternal and child health, syphilis demands quality in preventionand treatment. The rapid test is an appropriate screening tool with a sensitivity of 84-97%and specificity from 84%. In Paraguay, rapid tests have been validated and incorporatedinto health programs. The performance of a rapid test for syphilis was evaluated comparedwith Treponema particle agglutination assay (TPHA) in samples of puerperal women sent tothe Central Laboratory of Public Health from birthing hospitals of the Capital City, and threedepartments: Central, Concepción and Alto Paraná between 2011 and 2012. Of the 334samples tested, 108 were positive by both tests (rapid test and TPHA test), and 182 werenegative by both. The rest presented discordant results (23 positive with the rapid test andTPHA negative and 21 negative by rapid test and positive for TPHA). The sensitivity of therapid test compared with the TPHA was 83.72% (95% CI 75.96 to 89.42%) and specificity88.78% (95% CI 83.45 to 92.61).]]> 869098 Wed, 08 Nov 2017 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869099
Research skills have been recognized as an essential part of medical education at thepostgraduate level. The objective of this pilot study was to evaluate the attitudes andperceived challenges of family medicine residents toward research. This was anobservational, descriptive and cross-sectional pilot study, of non-probabilistic sampling, which included 20 medical residents. A questionnaire on attitudes and perceived challengeson research was used. Descriptive statistics were performed for all variables. The resultswere expressed as frequencies, percentages, means and standard deviations. Of the totalparticipants, only 7 (35%) participated in a research project during residency, mainly indescriptive studies (30%) and case reports (15%). Sixty percent of participants respondedthat their residency did not develop a specific program of research training, although mostagreed that research was essential for the development of an academic career (95%),improved patient healthcare (75%) and that the study of research techniques should bemandatory in the academic curriculum (70%). Paraguayan medical residents have positiveattitudes and recognize the importance of research. However, only 35% have conductedresearch during their residency program; being the main challenge they face, the need for aprotected time for research. It is considered necessary to redesign the curriculum of theFamily Medicine residency program of the National University of Asuncion, in order toinclude research training in a transversal way.]]> 869099 Wed, 08 Nov 2017 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.869100
The Gran Chaco is an eco-region that includes Argentina, Bolivia and Paraguay; where the vectorial transmission of Chagas disease by Triatoma infestans (main vector) is a public health problem up to date. The Paraguayan Chaco occupies 25% of this region, characterized by low population density and dispersed locations. The aim of this study wasto determine the potential role of the specie Triatoma sordida (secondary vector) in the domestic cycle of transmission of Trypanosoma cruzi. Molecular techniques associated with entomological and epidemiological indicators were applied in 436 specimens of T. sordida captured in 147 dwellings of the Paraguayan Chaco. Infestation rate and colonization by T. Sordida was detected in the intradomicile and peridomiciliary in 12 (8.2%) and 79 (53.7%)of the 147 dwellings, respectively. In 12 houses were colonization was observed, at leastone specimen was PCR-T. cruzi positive, and in two of them genotype TC2 of T. cruzi were detected innymphs by molecular characterization. Adults and nymphs in the peridomiciliary of 4 houses were positive for genotype TC1.A high risk of indoor transmission of T. cruzi isestimated in 87%. These results demonstrate adaptive capacity of this specie in the intradomicile, and increased vector potential to transmit Chagas disease in the Paraguayan Chaco.]]> 869100 Wed, 08 Nov 2017 00:00:00 UTC