[Pigs as reservoirs of Blastocystis spp. in a rural community of the state of Bolivar, Venezuela].
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Biomedical subjects
Publications and source records attributed to V Velásquez.
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One-hundred forty-five cases of medical liability lawsuits originating in Chile from January 1987 to June 1991 and studied at the Medico Legal Service, were reviewed. A persistent increase in the number of accusations is observed in these five years. The principal medical specialties involved are Obstetrics and Gynecology (32%), General Surgery (18%), Internal Medicine (15%) and Pediatrics (9%). Seventy seven percent of implicated physicians were accredited specialists. Fifty percent of cases originated from Santiago and 60% from public hospitals. Eighty three percent of analyzed medical records were complete and in 70% the number of laboratory tests requested was adequate. The most frequent conditions that motivated lawsuits were acute fetal distress and puerperal sepsis in Obstetrics and Gynecology, acute abdomen and intra-operatory cardiac arrests in Surgery and sepsis in Internal Medicine. The risk of an unfavorable consequence that may lead to a lawsuit is present in every clinical condition, even in seemingly simple situations.
The principal legal resolutions about medical liability lawsuits in Chile are analyzed. The causes for the accusations and for the increase in the number of suits in Chile, according to research performed by the authors, are described. An improvement in patient-physician relationships, a better alliance among physicians, a correct certification of medical specialties, the demand of adequate technological and humans resources to perform medical functions optimally, the supervision of medical work and the legal support and advice of medical societies are recommended strategies to prevent these lawsuits.
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Balantidium coli is the etiologic agent of balantidiasis, an infrequent zoonose of worldwide distribution. The objective of the present study was to determine the clinical and epidemiological aspects of balantidiasis in a rural community in the Bolivar State in Venezuela. Fifty persons and 12 pigs were evaluated. Fecal samples were analyzed by direct examination and by the methods of Faust and Willis. The global rate of intestinal parasitoses detected was 88.0% for the human population and 83.3% for the pigs. The prevalence of human and porcine balantidiais was 12.0% (6/50) and 33.3% (4/12), respectively. The disease was only detected in children, all of them with multiple parasites and with clinical manifestations. Deficient environmental sanitation, absence of basic services in the dwellings, low socioeconomic level, and the presence of pigs infected with B. coli are the factors that explain and maintain the conditions favorable to the transmission of balantidiasis in the population studied.