[Digestive pathology in 1950; intestinal amebiasis].
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In a study conducted in the province of Cienfuegos, it was proved by using immunological and biomolecular tools that intestina amebiasis in that province was an overdimensioned health problem. A survey on knowledge, perceptions and practices applied to those physicians related to the diagnosis, treatment and control of this parasitosis showed that the overdimensioning may be associated with an inadequate perception of the problem and with a marked lack of knowledge about important aspects of this entity. To contribute to the solution of the ovedimensioning and of its consequences, a set of actions were taken in that province. After a year, a second survey was done, whose results are published in this document, allowing to know about a significant improvement of the surveyed in almost all the evaluated cognitive and perceptual aspects (6.73 and 11.23 means of correct answers before and after the intervention, respectively).
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A clinical-therapeutic assay carried out at the "William Soler" pediatric teaching hospital in children admitted due to an acute diarrheic syndrome and treated with aminosidine sulfate is presented. Histolytic ameba is still an element to be considered in the origin of gastroenteritis. The therapeutic action of aminosidine is evaluated.
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Fibrocolonoscopy findings from 131 diarrhea patients proved the procedure valuable for early diagnosis of amebiasis and control of the treatment efficacy. Fibrocolonoscopy helps to establish the true picture and the scope of the colon mucosa involvement, identification of dysenteric ameba trophozoites in the mucosal bioptic specimens being the final diagnostic criterion. The procedure facilitates regulation of the treatment duration. In the study the recovery in the mild disease was documented 25-30 days after the treatment onset, in moderate-severity contamination it took 40-45 days to eliminate the infection.
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