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

The doctor-patient relationship a vital human bond is contextualized towards meeting the conscious or unconscious patient demands. It is an interaction that influences the patient's perception about the quality of care and their willingness to return to a following query, facilitating consensus decision-making, leaving the ultimate satisfaction of both parties for the service provided / received.

All people are social beings and that contact defines our personality by the way we behave in the environment where we live. Social behavior is not random, it is influenced by the appearance of traits or not that are inherited through the genes.

The achievements of Dr. Armando Sánchez, the foundation of the Section (Chair) of Rural Medicine at UCLA, his visit to the Government of the Amazon, the creation of CAICET and other achievements in health are briefly described.

We arrived at the second issue of the Revista Venezolana de Salud Pública (RVSP), thanking all our readers for the enormous reception this journal has received, mainly in professionals and students of the Health Sciences, both national and foreign, acceptance that is evident in the more than two thousand consultations per month.

A descriptive study was conducted in order to establish patterns of resistance and sensitivity of seventy-five (75) Pseudomonas aeruginosa strains isolated from patients hospitalized in the Central Hospital Universitario "Dr. Antonio Maria Pineda "(HCUAMP) Barquisimeto. Lara. This bacterial species is the primary cause of nosocomial infections, their habitat is the human being and the environment, as well as survive in extreme conditions, can have a high resistance to most antibiotics marketed, the sample for the study were seventy-five (75) Pseudomonas aeruginosa strains isolated from infected patients, for the selection of antibiotics was carried out the following procedure: a) Check to three (3) experts in the field, b) a survey of seven inpatient hospital services for obtain updated information on treatment in patients infected with the bacterial species. We selected sixteen (16) antibiotics for susceptibility testing used the Kirby-Bauer technique, the control strain ATCC 27853 was used in the analysis of the antibacterial effect results in resistance patterns were: ceftazidime (83.56% ) Meropenem (64%), Cefoperazone (60.81%), Ticarcillin (58.66%), Moxifloxacin (56, oo%) Aztreonam (54.66%), amikacin (54.66%), gentamicin (53.33%), Cefepime (52%), Ofloxacin (52, oo%). In patterns Sensitivity: colistin (86.66%), piperacillin-tazobactam (70.27%), piperacillin (64.00%), Netilmicin (58.66%), imipenem (52.00%) and levofloxacin (52, 00%). Of the strains tested was observed that most are resistant to the antibiotics used, which is higher than that reported in other studies, the use of antibiotics rotary could benefit patients infected with this bacterium.

     Intestinal parasites are a public health problem and cabbage is a possible vehicle. In order to determine the enteroparasites contamination of cabbages marketed in major cities of Lara, Yaracuy and Portuguesa States, during the period from July to November 2012, we conducted a cross-sectional study with a convenience sample accidental, in 120 cabbages using the Alvarez technique modified by Traviezo et al. It was found that 10.83% had presence of intestinal parasites. The frequency in Yaracuy State was 17,50%, 12,50% Lara and Portuguesa 2,50%. The species found were Blastocystis hominis, Chilomastix mesnili, Entamoeba histolytica, Balantidium coli, Endolimax nana and Strongyloides sp., Dipylidium caninum, Blastocystis hominis being the most common pathogen enteroparasites with 38,46%. Depending on the source of the contaminated samples were from 12,50% MERCABAR, whose exact origin is unknown, followed by those who came from Mérida with 11.10%. Depending on the type of establishment, it was found that 16,70% of the samples were contaminated acquired by enteroparasites markets, 11,10% supermarket and 7,60% for supplies. In relation to the hygiene of the establishment, it was observed that were contaminated by enteric 13,51% of the samples acquired local poor sanitation, 10% in the optimum, 7,14% in good and 4,54% in regular. Conclude that the percentage of enteroparasites contamination of cabbages in the region was low, however, constitutes a risk factor for the development of food-borne parasitic diseases.

This paper has as a goal to present the reconstruction of an experience in the setting of a University Extension project, its critical analysis as well as the knowledge and lessons learned through the systematization of facts and activities carried out in itself over four years, in its two major themes a) Management and Promotion from the Direction of University Extension, projects that improve life condition of the population, strengthening the social capital and citizen construction in the Lara state communities and b) Implementation within specific extension projects of the conditions for the practice of the social capital own elements, such as: nets formation, capacities production, spread of the application of values like trust, solidarity, cooperation, besides promoting civic conscience in its participants. Results are presented as the orderly reconstruction of the experience and lessons learned in theorical-conceptual, methodological aspects.

The aim of the present study is to determine the epidemiological characteristics of mortality related to in Lara State during the period 2000-2010; through a retrospective longitudinal descriptive investigation. We checked the mortality information of Regional Epidemiology of the MPPS. We studied 823 deaths corresponding to the code C53 of ICD-10. The deaths by cervical cancer represented 1% of the total amount of deaths by all the causes during the studied period. 98.7% was due to not specified uterine neck malignant tumor; the 65 years group and even more has high risk of dying because of this cause with a rate of 59,34 per 105 hab., the 55-64 years group was the next (32,59 per 105 hab.). The areas with high mortality risk are Iribarren and Urdaneta municipalities (rate of 100,22 per 105 hab. and 112,25 per 105 hab. respectively). 36,8 % of deaths which took place at Iribarren municipality belong to the Juan de Villegas area. The biggest risk of dying occurred during 2005 and 2008 (rates of 12.26 per 105 hab. and 10.02 per 105 hab. respectively). We demonstrate due to this fact 2.690 PYLL get lost. This study will be important to other investigations; it is going to contribute information to the sector health to facilitate the capture of decisions in the control and prevention of the cervical cancer.

The difficulty of accurately express the concept of health needs requires the review of the different positions in the conceptions about this construct, in order to conduct effective actions to meet these requirements when concerned. So we reviewed the literature of the subject and determine the ontological, epistemological and methodological prevalent to study and define health needs. To ensure identification of studies on the subject, it was made sure to consult only the publications of peer-reviewed journals and indexed in the area and presented in various databases. As a result of this recognition, it was studied a total of 26 articles, moreover twenty-three publications addressed the area of interest from the quantitative or positivist approach and three from the qualitative approach that tried to capture the complexity of the phenomenon. The variables more studied were employment status, age, place of origin and source of assistance to health services. For the analysis, descriptive statistics expressed as absolute frequencies or regression. We conclude that persist a positivist approach when studying the diverse in interpretation of human needs in health and well it is perceived that there is no consensus or standard that defines how to prioritize their assessment.  

It discusses the importance of knowing the intention of studying reality, for it is about showing how this process of knowing depends on the philosophical foundation that supports this intention. This particular form of knowledge production is a scientific theory and a deep reflection on the phenomenon paradigmatic linked the researcher has dealt with the conscious of postures oriented in their work. Therefore, selecting a research topic means implicitly define a line of work, supported by a body of knowledge of a group of researchers who share an epistemological methodology oriented in a working line. Consequently, this paper tries to establish links between what should be a knowledge production with an epistemological position, generated doctoral studies and the complex relationship between science and technology and society.