This chapter discusses the global public health implications posed by Mycobacterium bovis as a source of human tuberculosis; the implications of the well-known characteristics of M. bovis that must be considered when attempting to improve the prevention, diagnosis and treatment of human TB, presents data that have become available in the past three years and provides information regarding recent activities implemented at a global scale supporting the design and implementation of strategies aiming to address the major challenges remaining related to the prevention, diagnosis and treatment of human TB.
Introduccion: el cancer de mama constituye un gran problema de salud, ocupando la tercera causa mas frecuente de cancer en el mundo; mucho se ha investigado y escrito acerca de esa patologia, cuyo alcance como problema de salud es muy significativo. Objetivo: describir la frecuencia con que se presentan ciertos aspectos clinicos y epidemiologicos en un grupo de pacientes diagnosticados y tratados quirurgicamente por enfermedad mamaria Metodo: se realizo un estudio descriptivo, retrospectivo y transversal en pacientes con cancer de mama, los cuales recibieron tratamiento quirurgico en el Hospital General Docente “Aleida Fernandez Chardiet”, durante el periodo de enero de 2001 a junio de 2005, en el municipio Guines, provincia Mayabeque. El universo estuvo conformado por todas los pacientes que fueron intervenidas quirurgicamente, por alguna afeccion mamaria La muestra la constituyo los pacientes que fueron operados en este periodo, pero que presentaron alguna enfermedad maligna de la mama. Algunas de las variables analizadas fueron: la edad, el color de la piel, el autoexamen de mama. Resultados: el mayor porcentaje de pacientes estuvieron comprendidos entre 46-65 anos, predominando el sexo femenino (98,1%), color blanco de la piel (88,5 %). Elevado por ciento de nodulos y dolor mamario como motivo de consulta; el 53,8 % se realizaba autoexamen de mama. El 66,4 % tuvo una sobrevida mayor de 5 anos y actualmente mas de la mitad (54,8 %) se encuentran vivas. Conclusiones: los pacientes diagnosticados con cancer de mama y tratados quirurgicamente en el area de salud, se asocian a un tiempo de sobrevida muy favorable, siendo el mayor motivo de consulta la presencia de nodulos y el dolor mamario.
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