scholarly journals Sociocultural descriptions of febrile syndromes in rural areas of Urabá, Colombia: An exploration of “tick fever”

2019 ◽  
Vol 29 (3) ◽  
Author(s):  
JUAN CARLOS QUINTERO VÉLEZ ◽  
JAVIER MIGNONE ◽  
LISARDO OSORIO QUINTERO ◽  
CARLOS ROJAS ARBELÁEZ

Abstract Introduction: In 2006 and 2008 there were two lethal outbreaks of rickettsioses in the rural areas of Urabá, characterized by the lack of immediate diagnosis and antibiotic treatment. Objective: Describe sociocultural aspects about knowledge, attitudes and practices in relation to febrile syndromes and “tick fever” in rural areas of Urabá. Materials and methods: We conducted an exploratory study using knowledge, attitudes, and practices questionnaires and semi-structured interviews about febrile syndromes and “tick fever”. We surveyed 246 heads of households and interviewed nine individuals. Results: We observed that people tended to identify febrile syndromes with signs and clinical symptoms of dengue, malaria, leptospirosis and rickettsioses. A considerable proportion of individuals (32.93%) knew very little about “tick fever”, thinking that is was transmitted by mosquitos. They mentioned intestinal parasitoids, malaria, dengue, and “evil eye” among the causes of febrile syndromes. “Tick fever” is linked by its name to the bite of the tick. Furthermore, the treatments for febrile syndromes mentioned by interviewees are associated to those commonly used in western medicine and medicinal plants. Conclusions: There is a need for educational programs in rural areas, to raise awareness about these potential lethal conditions that can be effectively treated.

2021 ◽  
pp. 2518-2526
Author(s):  
Saifur Rehman ◽  
Fedik Abdul Rantam ◽  
Abdul Rehman ◽  
Mustofa Helmi Effendi ◽  
Aamir Shehzad

Background and Aim: Rabies is an important viral zoonotic disease that is mostly transmitted through the bite of a rabid dog. Despite serious efforts regarding its control, rabies is still endemic in many provinces of Indonesia. The study aims to assess the knowledge, attitudes, and practices (KAP) related to rabies in urban and rural areas in three provinces of Indonesia. Materials and Methods: A total of 432 respondents of different age groups, educational levels, geographical areas, and occupations participated in this study. Data were collected using a pre-designed questionnaire with online and offline modes to assess the KAP of rabies among the respondents. A series of Chi-square tests and frequency distribution analyses were performed to determine associations between response variables. Results: Of the 432 participants, 56.9% were aware of the clinical signs of rabies. Excepting for people at high risk of contracting the disease (e.g., veterinarians), most respondents (83.1%) were not vaccinated against rabies. Surprisingly, 79.4 % of those who were bitten by an infected dog did not seek medical care from the doctor and approximately 71.8% had poor knowledge of rabies control and vaccine campaigns. Of all respondents, 64% (p<0.05, odds ratio=1.63) were vaccinated after an infected dog bite. Similarly, 32% (p<0.05, odds ratio=1.59) were aware of surveys and vaccinations in their areas. In contrast, 20.7% (p<0.05, odds ratio=0.593) reported that rabid dogs were killed in their areas. The majority (89.60%) of the respondents were aware of the fact that rabies can cause death. Most of the respondents (93%) knew that rabies is caused by an infected dog bite. The overall levels of KAP among the respondents were good. Conclusion: The findings of the current study generally show that participants had good knowledge about clinical signs based on their frequency percentage, but lacked knowledge regarding medical treatment and surveys for awareness and vaccination of rabies. Overall, a significant (p<0.05, odds ratio>1) relationship was found among the KAP of participants. This depicts that the majority of the population is aware of rabies and factors involved in its transmission.


2021 ◽  
Vol 9 ◽  
Author(s):  
Teresa Aumala ◽  
Maria Cardenas ◽  
Daniel Vergara ◽  
Monserrate Vasconez ◽  
Ivan Palacios ◽  
...  

Background: In an elderly population with hypertension, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with a higher incidence of mortality and a protracted course of clinical symptoms.Objective: To assess the perceived risk of infection and complications due to COVID-19 in people with hypertension living in a semi-urban city of Ecuador.Methods: A cross-sectional telephone survey of adult outpatients with a previous diagnosis of hypertension in the semi-urban community of Conocoto in Quito, Ecuador was conducted from August to December 2020.Results: A total of 260 adult outpatients, aged 34–97 years, completed telephone surveys. Of total, 71.5% (n = 186) of respondents were women and 28.5% (n = 74) of respondents were men. Overall, 18.1% believe that their risk of infection is “very high,” 55.4% believe that their risk of infection is “high,” 21.5% believe that their risk of infection is “low,” and 5% believe that their risk of infection is “very low.” The perceived risk of complications, if infected by COVID-19, revealed that 21.9% believe that their risk of complication is “very high,” 65.0% believe that their risk of complication is “high,” 10.4% believe that their risk of complication is “low,” and 2.7% believe that their risk of complication is “very low.”Conclusion: Patients with hypertension are aware of the risks posed by COVID-19 infection and its impact on their health. However, the health system must educate the population on health practices and behaviors to avoid COVID-19 infection until the majority of the population of Ecuador can be vaccinated.


2017 ◽  
Vol 16 (2) ◽  
pp. 159
Author(s):  
Maria De Fátima Cordeiro Trajano ◽  
Daniela Tavares Gontijo ◽  
Monique Wanderley Da Silva ◽  
Jael Maria De Aquino ◽  
Estela Maria Leite Meireles Monteiro

Objective:  to  identify  how  nursing  workers  perceive  interpersonal relationships established within the multiprofessional team working in a surgical center. method:  qualitative,  descriptive  and  exploratory  study  conducted  in the  surgical  center of  a  large  university  hospital  located  in  recife,  pernambuco,  brazil. twenty-five  nursing workers  participated in the  study  through  semi-structured  interviews.  content  thematic analysis was used to treat the data. results: three thematic categories emerged, namely: conception  of  interpersonal  relationships;  factors  that  negatively  impact  interpersonal relationships;  and  attitudes  and  practices  that  strengthen  interpersonal  relationships. conclusion:  reflecting  upon  the  interpersonal  relationships  established  among  the workers  in  the  surgical  center  can  provide  tools  for  managers  to  establish  coping strategies and ensure a harmonious work environment to favor integral, humanized and safe care for patients in critical conditions.


1991 ◽  
Vol 91 (11) ◽  
pp. 1398-1401
Author(s):  
Colleen A. Fischer ◽  
Susan J. Crockett ◽  
Karen E. Heller ◽  
Lois H. Skauge

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