Objetivo: Relatar a experiência no atendimento a um paciente com incontinência fecal pós cirurgia de reconstrução do trânsito intestinal e o uso da irrigação transanal. Método: Estudo descritivo, do tipo relato de caso, realizado em janeiro de 2022, durante o estágio de residência em Saúde Pública. Resultados: Com a finalidade de reconstituir o domínio sobre a eliminação intestinal, utiliza-se a técnica da irrigação transanal, que corresponde a administração de água na temperatura corporal, através do ânus, permitindo ao paciente programar suas evacuações e manter o cólon vazio por períodos mais longos. O treinamento para efetuar este procedimento é realizado pelo enfermeiro estomaterapeuta ou profissional capacitado que orientará o procedimento para ser realizado no ambiente domiciliar. Evidenciou-se a importância da capacitação na utilização do dispositivo para irrigação intestinal adaptado para irrigação intestinal transanal, uma vez que os pacientes conseguem manipulá-lo com facilidade e de forma independente, após o treinamento. Considerações finais: O procedimento de irrigação intestinal transanal obteve sucesso, visto tolerância pelo paciente, o que pode levar a uma significativa melhora da função intestinal e da qualidade de vida.

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Background: Hematophagous mites affect numerous bird species, causing severe injuries to the budgerigars. Some species can cause dermatitis in humans. Aims: The purpose was to morphologically identify the mites related to budgerigars (Melopsittacus undulatus) and their nests in Yucatan, Mexico. Methods: In May 2022, a private budgerigar hatchery was visited and mites were collected from the bodies of the birds and their nests. The morphological traits of the mites were confirmed by scanning electron microscopy. Results: Four of 30 birds showed severe clinical signs of mite infestation. The Budgerigars revealed lesions in the cere, nostrils, eyelids, beak, and paws. The bird's skin showed signs of dryness and beige colouring. The birds with severe damage also presented anorexia and had deformed paws and beaks. The parasitosis was caused by the "burrowing mites", Knemidocoptes pilae (Lavoipierre and Griffiths, 1951). The burrowing mites and the Grallacheles bakeri (De Leon 1962) were recovered and identified from paw scabs. To eliminate mites, a topical application of Ivermectin was administered to the necks of the birds. The dose was a single, which has a residuality of 21 days. Two drops (0.115mg/ml) of ivermectin were applied to each bird. A gradual reduction in crusted lesions due to mite mortality was noted. The "tropical fowl mite" Ornithonyssus bursa (Berlese, 1888) was identified in the nests, which represent the first record in Mexico. Conclusions: Three species of mites were discovered in a single budgerigar hatchery. This emphasizes the importance of deworming birds and keeping a clean environment in their cages to reduce the potential for parasitic mite infestation.

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Background According to United Nations, 'Philippines has become one of eight countries that account for more than 90 percent of new HIV infections in the region'. (Regencia, 2018) Nonetheless, despite interventions adopted, challenges persist that hinder the efficient implementation of HIV/AIDS program. Methods The method employed is the Descriptive Correlational Method, a standardized questionnaire on stigma and researcher made questionnaire, to assess level of care and characteristics. Respondents were physicians, nurses, HIV/AIDS Core Team and medical technologists from three different training hospitals in Cagayan de Oro City that underwent Cluster Sampling. Results were statistically analyzed through Spearman Rho for the correlation between characteristics, Stigma and Level of Care and Mean frequency for variables among three training hospitals. Results Majority of the respondents had an average age of 26 to 30 years old (41.2%), female (62.2%), Roman Catholic (72.5%) and College graduates (72.9%), followed by medical degree holders at 8.4%. Nurses comprised 69.3% followed by physicians at 9.2%, a majority with an average of one (1) to five (5) years in practice (51.4%). Religion, profession, workplace and years of experience were significantly correlated with Stigma and years of practice and place of work showed significant relationship with Level of Care. Stigma was inversely correlated with Level of care. Stigma among three hospitals, public and two private hospitals scored average with the highest mean coming from one private hospital at 113.42 compared to a public hospital with a mean of 107.25. Conclusion It can be determined that there is marked stigma among healthcare workers in Northern Mindanao towards HIV/AIDS patients with a correlate effect on the care and services provided. Disclosure No significant relationships.