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Blastocystis hominis is an enteric emergen organism found in human it's prevalence has been increasing in the lasts years. The frequency in Mexico is from 4.0% to 62%, without reports in the Guerrero state. The aim of this study was to inform the parasitic transition to B. hominis in the Central Zone of Guerrero state. The population in this study were three communities of Guerrero state: Chilpancingo, Petaquilla and Tixtla in a total of 1,138 preschools and schools children of both sexs. Three parasitological tests were used for detection of the parasite in stool specimens: micrscopy of direct smears, concentration and flotation technique and serum-solution saline culture. Global prevalence of parasites was of 38% and B. hominis was the principal parasite with 61% on the positive tests. The 90% were only B. hominis and 10% with others parasites. A total of 58% of the children healthy with B. hominis declarated have gastrointestinal symptoms. The association of B. hominis with abdominal pain and drinking taste water had significant difference. We propuse a parasitic transition to B. hominis as principal human parasite, this can be the result of man-made intervention in the intestinal parasitosis control.

Purpose – To contribute to the search for new viewpoints that will enrich the understanding of the complex organizational phenomenon, in particular by contributing to the development of a method that allows qualifying, in the fullest possible way, whether an organization can be said to be healthy. So the objective of this work has been to experiment with the diagnostic method of the organizational health situation – proposed in a previous paper published in this journal – through applications that allowed backfeeding it and offering a new improved version of it. The paper aims to discuss these issues. Design/methodology/approach – The present work takes up the challenge of advancing in the development of the method of determining the health condition of an organization, revising the general homomorphism as well as the information that will be considered, its sources, the way of obtaining it, and the way of making the synthesis that will allow issuing the final overall judgement of healthy or not of the organization that is being studied. To that end, recourse is made to the experience obtained from eight applications made to different kinds of small organizations in the city of Santiago, Chile, from 2008 to 2012. Findings – The human-being/organization homomorphism was reformulated, going from eight component systems of the human body to 13, by reformulating some and incorporating others. Although a set of indicators may be used in different kinds of organizations, each one of them also presents a specificity that makes it highly complicated to make comparisons; the health situation of an organization is related only to itself. Consequently, the set of indicators that are selected to determine the health condition of an organization depends on itself. Not all the variables, systems and dimensions have the same weight for those interested in the overall health judgement to be issued, so this task of searching for the weights becomes a key aspect of the method: what was found to be most advisable was to set up a group of experts composed of key informants belonging to the organization itself and of external analysts. The symptoms – perceptions of the key informants – must be transformed into signs that allow objectifying the judgement of healthy or not of an organization. Originality/value – The work contributes new elements that enrich the method for diagnosing organizational health proposed earlier, starting from the homomorphism established between the way in which allopathic physicians study their patients and the way the analyst operates with an organization.

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Acute acalculous cholecystitis (ACC) is unusual. We present a case of cholecystitis associated with visceral leishmaniasis (VL) in a man in Venezuela who presented high fever, anorexia and abdominal pain. Histopathological study of the gallbladder showed Leishmania spp. ACC in VL must be kept in mind in tropical countries.

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Date Presented 4/19/2018 Occupational deprivation during incarceration is identified as a significant hindrance to successful community integration. This pilot study examined whether a correlation existed between occupational barriers during incarceration and quality of life after release of previously incarcerated adults. Primary Author and Speaker: Jerilyn Smith Additional Authors and Speakers: Julia Gonzalez, Amanda Jordan, Hilary Herd, Claire Hutter, and Mehrzad Karimabadi