Abstract

The structural analysis and reinforcement project is presented for a city complex consisting of 31 houses with obvious signs of failure, built in the city of Barquisimeto in 2008 on unconstrained land. The results of the analysis showed insufficient responsiveness to service stresses, high seismic vulnerability, and deficiencies in the amount and distribution of reinforcing steel. The reinforcement of the superstructure was proposed by means of the construction of panel walls, and micro piles and / or reinforced solid slab for the infrastructure, using values of resistance of the concrete obtained in the destructive tests, soil parameters from the geotechnical study and the settlements Differentials derived from topographic leveling.

Abstract

Abstract

La ciudad de siempre ha visto con ojos de agradecimiento las cosas que la han hecho sentir honrada y profundamente humana. Y ve como ha sido altamente positiva la llegada a San Felipe (estado Yaracuy, Venezuela) de la Congregación de las Hermanas Recoletas del Sagrado Corazón de Jesús y el funcionamiento del Hospital “San Agustín”, el primero de la ciudad.

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Con la incorporación del Dr. Placido Daniel Rodríguez Riveroa la Academia Nacional de la Historia con su obra “Origen yDesarrollo de San Felipe El Fuerte”, se conocieron reveladorasverdades sobre la historia de la vieja ciudad colonial, gracias alintenso trabajo investigativo realizado por este eminentesanfelipeño que llego incluso a ser presidente de la AcademiaNacional de Medicina y rector de la Universidad Central deVenezuela.

Abstract

Sr Director. Hemos realizado, con interés, un seguimiento de las acciones de la Dra. Susana Raffalli, nutricionista y activista venezolana que ha realizado cuantiosas investigaciones tanto a nivel nacional como internacional, evaluando los riesgos de desnutrición en infantes, adolescentes y adultos en zonas de alto riesgo y pobreza extrema de países como Filipinas, Camboya, Pakistán y Angola, entre otros 1 . La Dra. Raffalli realizó sus estudios en la Universidad  Central de Venezuela (UCV), donde se graduó como nutricionista, aunque su carrera estudiantil no termina ahí, ya que una amiga le recomendó el considerar una maestría en Nutrición Internacional Pública en la Escuela de Salud Pública de John Hopkin.

Abstract

The Sustainable Development Goals (SDGs) represent a group of goals that make up a plan agreed by all the countries of the world with the aim of improving the quality of life of millions of people who inhabit our planet. The second of these objectives, which is framed within the United Nations Development Program (UNDP), is "to end hunger, achieve food security and improve nutrition and promote sustainable agriculture" or also known as "HUNGER ZERO." More than 1,000 million people subsist on less than a dollar a day and approximately 795 million people suffer from chronic malnutrition worldwide, with the child population being the most severely affected.

Abstract

Urinary infections frequently presents recurrences, justifying repeated treatments that can lead to bacterial resistance, which has become a public health problem. The objective of this work is to determine the sensitivity patterns of bacterial strains isolated from patients with mild urinary tract infection in Barquisimeto, Lara state in the period January - July 2017. This is a quantitative, descriptive and transversal research. The universe consisted of 715 patients with suspected urinary infection. The sample selected was 525 patients who attended the clinic of the Cooperativa Cecosesola. Samples were processed according to CLSI procedures for culture and antibiogram. The results were analyzed with the Microsoft Excel 2010 program. In 33% (175) of the samples, bacterial growth was obtained. The female gender predominated in 85% of the samples analyzed. The results obtained indicated that the isolated bacterial strains were Escherichia coli (75%), Enterobacter cloacae (10%), Proteus species (7%), Klebsiella pneumoniae (4%), Pseudomonas aeruginosa (2%) and others (2%; cocos Gram Positives and Candida spp). 85% of the strains of E. coli were sensitive to quinolones, 80% to aminoglycosides, 75% to nitrofurantoin, 50% to trimethoprim sulfate and only 40% to cephalexin. The data obtained indicates that antimicrobials useful in the treatment of urinary tract infections in the study population are quinolones, aminoglycosides and nitrofurantoin as a third option.

Abstract

Malnutrition and the food crisis are facts that affect the majority of people living in Venezuela; this situation has been mentioned in this magazine on several occasions through research articles, as a public health problem. On the other hand, the Caritas Organization of Venezuela, estimates that in our country 280,000 children could die from malnutrition. In this sense, the studies reveal that during the year 2017, between five and six children died weekly due to lack of food, and that at least 33% of the child population had a delay in their growth1. In addition, malnutrition increases the risk of infections, viruses and bacteria, which leads to the appearance of various diseases typical of poorly nourished people; Among them are infections that in some cases, especially children, require prolonged hospital stays that affect their psychomotor development. One is Kwashiorkor, common in babies and children suffering from a strong protein deficiency; Its consequences are diarrhea, edema, liver damage and lack of growth. On the other hand, Marasmus is a type of malnutrition that occurs when the person's diet is insufficient in both calories and proteins; children with this malnutrition are very thin, with enlarged eyes

Abstract

In accordance with the last editorial of the Venezuelan Public Health Magazine1, we can add that by the year 2018 tuberculosis is emerging as one of the ten (10) main causes of mortality in the world2 presenting a moderate rate of 26.1 in Venezuela. per 100,000 inhabitants. The Delta Amacuro state represents one of the highest caseloads in Venezuela, especially in indigenous populations such as the Warao ethnic group where prevalence has been achieved in children with up to 60% pulmonary tuberculosis in populations such as San Francisco del Guayo in the Orinoco Delta3; also in indians of the Colombian Orinoquía, there have been rising rates of tuberculosis greater than 1% of the population. Among the main causes of this increase are the increase in the resistance of the causative agent to the drugs, the increase in the number of cases of HIV patients, the weakening of the epidemiological surveillance programs, the presence of cases of pulmonary tuberculosis. diagnosed and untreated, delay in the diagnosis, treatment and follow-up of the disease, as well as the persistence of malnutrition and overcrowding which are expressions of economic vulnerability in this group of patients4. Tuberculosis is considered the second cause of death globally and the first among infectious diseases5. On September 18, 2017, the World Health Organization (WHO) published the global tuberculosis report revealing that in 2016 in Venezuela there were 10,952 cases of this disease5, number of cases that has been growing in recent years . For the same year, Venezuela had notified the agency 8,592 cases, which showed that in just 12 months, the number of infected with tuberculosis increased by 28%, that is, there were more than 2,400 cases in just one year5. The incidence of tuberculosis was also reflected in the latest report of the body attached to the United Nations (UN) such that, by the year 2016, the incidence rate in Venezuela was 32 per 100 thousand inhabitants

Abstract

Mr. Editor: On several occasions, between the end of 2015 and January 2016, in dental operatives, healthcare and free, presented the opportunity to meet with the residents and representatives of the Navasanuka jungle population and surrounding communities, located in the Lower Delta of the Orinoco River, Antonio Díaz municipality, Delta Amacuro State, Venezuela (LN 09 ° 08 '11.9 "and LO 061 ° 03'31.2"), an area no higher than 2 meters above sea level, with silty soils and tropical climate, with average annual rainfall of 2,221 mm and an average annual temperature of 26.1 ° C1. In these exploratory meetings, it was possible to confirm the oral state and certain habits and beliefs that the patients attended have, of the Warao ethnic group, in terms of health and oral status. Firstly, it was observed that dental caries and edentulism are common characteristics in most of the patients seen in the Dental Service during the operations; from here it is said that villagers wanted to "extract teeth", perform restorations and put on dentures, also appreciating that there is in some residents of this community Warao, the cosmological belief in "evil spirits" that generate the disease, regardless of the conditions of health and habits of dental hygiene, and even some pointed "the power" of some seeds called "Tears of San Pedro", with which they make necklaces, which, according to their belief, are placed on the neck to patients with toothache for that, in an effective way, the pain will be relieved