Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

In order to determine the prevalence of Burnout Syndrome, occupational risk to develop it in the health personnel and the user's  opinion about on medical attention, a descriptive cross-sectional study was carried out in San Francisco's Type I Ambulatory. The sample consisted of 17 workers and 120 users. Two instruments were used to collect data addressed to health personnel: ISTAS questionnaire (CoPsoQ) 2000 short version and Maslach Burnout Inventory and a third questionnaire to users that measured opinion about medical care. For Psychosocial Risk in the staff, a favorable level was found in the categories active work and self-development possibilities with 88.2% as well as a social support and quality of leadership of 64.7%; the unfavorable level was presented in the categories insecurity 58.8%, double presence 47% and estimated 47%. Likewise, it was highlighted that no worker presented Burnout syndrome since the dimensions of personalization and depersonalization with 88.2% were located at a low level. In turn, 90.9% of the users felt totally satisfied with the medical care, deducting that the factors that contributed to feelings of exhaustion or stress did not influence the quality of care provided in the premises. This served to project new studies and make new references regarding the Burnout syndrome and its scope, giving the pertinent recommendations, both to the community and to the ambulatory staff to reduce the risks of developing the disease.

 Dengue es una de las arbovirosis más importantes en el mundo en términos de morbi-mortalidad. En América, destaca Venezuela donde son afectados niños, mujeres y hombres, en todos sus estados, en particular Lara, en el cual se desarrolló una investigación para determinar los factores de riesgo de dengue en cuatro parroquias del municipio Juan Guillermo Iribarren del estado en el año 2006. La muestra quedó constituida por 516 viviendas, se aplicó un cuestionario a los jefes de familia o persona mayor de edad de la vivienda seleccionada. Entre los resultados: la prevalencia de dengue fue 11,4% (IC95%:8,59 -14,23), en el grupo de edad de 1-29 años, 43,4% tuvo dengue (ORa =21, IC95%:10,7- 41,1), en el género femenino 15,3% fue afectado (ORa=1,9, IC95%: 0,9-3,5). Entre quienes desconocían sobre la transmisión de dengue, 13.3% lo padecieron (ORa=1,48,  IC95%: 0,7-2,9). Con relación a las variables ambientales, se encontró que en las viviendas con presencia de criaderos de larvas de Aedes aegypti, 15,3% de los entrevistados presentaron dengue (ORa=2,1, IC95%: 1- 4,7). Los resultados evidenciaron que existe asociación significativa (c2; p<0.05) entre las variables Edad, Género, Criaderos de larvas de Aedes Aegypti y Tiempo de almacenamiento de agua en la vivienda y peri domicilio con Dengue, sólo que la variable edad fue la única que se comportó como factor de riesgo (estadísticamente significativo) para la prevalencia de la enfermedad, por lo que las medidas de prevención y promoción para la salud deben priorizar la atención a estos factores determinantes de la transmisión 

The objectives of this work were the identification of a triatomine captured within a home located at 9 ° 17'2 "LN and 70 ° 25¨49" LO in the capital city of Trujillo State and the characterization of an entomopathogenic fungus found on the Integument and articulations of the captured specimen. For the isolation of the entomopathogen the insect was placed in a humid chamber for four days for a greater sporulation and for the development and isolation was used potato, Dextrose, Agar (PDA) culture medium. On the basis of the morphological characteristics of the specimen studied, these correspond to Rhodnius pictipes according to the pictorial key of triatomines (Hemiptera: Triatominae) from Venezuela. No eggs or nymphs were found inside the house to discuss possible colonization. As for the fungus, this was characterized as Beauveriabassiana whose characteristics are more noticeable its pattern of development of white color, turning to a yellowish coloration on the back of the plates, with conidiogenic globose to sub globose cells. In this work, we refer for the first time to the state Trujillo, Venezuela the invasion of Rhodnius pictipes to a house and its infestation with the entomopatógeno Beauveria bassiana.

In order to develop intelligent traps as vector control mechanisms for the prevention and reduction of metaxenic diseases, a physiological parameter is determined as the wingbeat frequency used for later characterization by genus of the Aedes aegypti mosquito in Venezuelan strains. For this, acoustic records were made with wild samples collected in rainwater reservoirs and emerged under controlled conditions in the laboratory. The recordings were made during one minute, in more than a hundred mosquitoes of this species and in both sexes, using a particle speed microphone connected to the audio input of a portable computer and a specialized program for acoustic records. A spectral analysis of the samples was carried out, determining that the average fundamental frequency of flutter for females corresponded to 454.78 ± 55.19 Hz and for males 688.39 ± 40.82 Hz, concluding that the groups were very separated in Its fundamental frequency, with which this parameter is a characteristic that can be used for the detection and classification of mosquitoes of this species, using artificial intelligence in capture devices for vector monitoring and control.

A descriptive transversal investigation was conducted with the aim of evaluating the exposure to psycho-social risks in a stratified sample of 556 workers of the main areas of economic activities in Lara State, Venezuela. The questionnaire for evaluation of psychosocial risk in the workplace (ISTAS) was applied for the identification and measurement of exposure of workers to psychosocial demands related to claims about labor and control over job content. The results indicate that the proportion of workers exposed to situations most unfavourable to health is low (9% to 27%) prevailing dimensions of double presence and psychological demands. The rate exposure for intermediate situations is relatively high (55% to 69%) in the psychological demands dimension, active work, skill development and also compensation. Workers with higher exposures are those belonging to financial, insurance and real estate industries, shops, restaurants and hotels. The results from this study suggest that the workers whose activity involves customer interactions are exposed to higher psychological (cognitive and emotional) demands and they are limited to make decisions about their tasks, have almost no chance of skill development or control over their working time. Workers under community, social and personal service activities perceive that compensations received (stability and esteem) are not in accordance with their efforts. Social support and leadership was the dimension perceived as the most favorable for the health of all workers.

The Warao indigenous community in the Delta Amacuro state, Venezuela, without intending it, became historical internationally, when the English writer, Daniel Defoe, published in 1719, the adventures of Robinson Crusoe (autobiographical and fictional), considered the first English novel1; This pre-Columbian community, whose name comes from its own language: Wa, boat and Arao, people (canoe people), presented a series of public health needs (2-5) that motivated a diverse group of professionals, headed by the Doctors Raúl Arocha, Gerardo Sánchez, Gustavo Báez and Gloria Álvarez to place all their knowledge and skills in the solution of these diseases, is how the Non-Governmental Organization and apolitical "Na'Waraos" is created, which selects the population of Nabasanuka (Naba: pipe or river, and Sanuka: small) located at the geographic coordinates of LN 09 ° 08 '11.9 "and LO 061 ° 03'31.2", to be the epicenter of the control of endemic and epidemic diseases of its inhabitants and others 30 nearby towns such as Wisidatu, Joarotu, Bajanarotu and Araguabici

Los reportes epidemiológicos periódicos en Salud Publica son fundamentales para el buen desempeño de los sistemas de salud en un país. Los  programas, planes de salud y  la respectiva atención y resolución de estos problemas sanitarios ameritan de sistemas de información  confiables y  emitidos de forma periódica, continua y completa. Recientemente fue publicado en la página Web oficial del Ministerio del Poder Popular para la Salud, los Boletines Epidemiológicos Semanales de las 25 últimas semanas del año 2015 y de las 52 semanas del 2016, con una mora de casi dos años. En ellos llama la atención un aumento de la mortalidad materna del 2014 al 2015 del 15%, así como la aparición de 324 casos de difteria, reportados en el Boletín Epidemiológico Semanal número 52, patología no reportada en Boletines anteriores hasta el 2012. De igual manera se notifican 240.637 casos de malaria en 2015, con un aumento considerable tomando como referencia el 2012 cuando se reportaron 136.402 casos

Health conceived as a complex phenomenon constitutes a circuit where the effects retroact on the causes and the health disease process as a product, reproduces its causes in a reiterative way so its approach should not be made from a simplified but multidimensional and interdisciplinary logic. In the same way, the paradigm of complexity proposes to articulate the interdependencies of disciplinary or specialized knowledge, and conceives an organization or systemic complexity between the whole and the parts, which allows it to be capable of self-echo-reproduction and regeneration when relating to others. with its environment or environment. Under this approach, public health becomes a crucible where many disciplines can converge to understand and address the problems that affect the well-being of the population from that complex view of their environment that includes the physical, psychological, anthroposocial, spiritual, cultural and the politically and ideologically constructed

The present study aims to determine the clinical and epidemiological characteristics of gunshot injuries or stab enteringthe University Central Hospital "Antonio Maria Pineda", Barquisimeto, Lara state. A study was conducted descriptive,transversal. The population consisted of 269 injured patients admitted to the emergency room of Hospital in the periodSeptember-October 2012. The data were collected in a structured form in parts III, among the findings, we found a higherpercentage of injuries among males (94.1%) in the age group of 20 and 35 years (60.2%), in workers (53.2%) andin IV (69.1%). Sunday was the day with the highest number of injuries (23.4%), the time of day with the highestoccurrence was the night (44.6%). The 97.4% occurred in Lara state of which 64.5% were in the municipality Iribarren,being the Juan de Villegas parish which has the highest percentage of injuries (25.4%). The most common place ofoccurrence was in the street (72.9%) ̧ moreover, theft (48.7%) was the main reason for aggression, predominantly used afirearm (85.5%) mostly short (60.9%) injuries were complicated in 83.6% of cases, compromising the neurovascularsystem with 73.8% in the degree of contamination was demonstrated 39.4% of contaminated and clean-contaminated, themost affected anatomical region corresponded to multiple body regions (20.4%). This research provides data for thedevelopment of protocols for the immediate care of the gunshot or stabbed patient.  

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