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Nutritional status of children under five years of age in Rondônia, Brazil Northern region and in Brazil: 2008 to 2019
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LIMA, Paola Tristão de

; PEREIRA, Priscilla Perez da Silva

; FREITAS, Jeanne Lúcia Gadelha de

; LEMKE, Geysa Maria Malaquias do Nascimento

; OLIVEIRA, Luna Mares Lopes de

; FIGUEIREDO, Ana Claudia Morais Godoy

Revista de Nutrição

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2022, Volume 35 elocation e210211

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Descrever o perfil nutricional de crianças menores de cinco anos no estado de Rondônia comparando com dados da Região Norte e do Brasil. Métodos Estudo ecológico do tipo série temporal. Os dados foram coletados do Sistema de Vigilância Alimentar e Nutricional e utilizou-se o Índice de Massa Corporal por idade, sexo e local de moradia. Foi realizada análise de tendência temporal por meio de regressão linear aplicando a técnica de Prais-Winsten e verificação de autocorrelação serial por meio do teste de Durbin e Watson no Stata®16.0. Resultados Houve tendência anual crescente para a magreza, risco de sobrepeso, sobrepeso e obesidade independente do sexo, idade e local, e para a magreza extrema com exceção das meninas e para a idade de dois a cinco anos, que tiveram tendência estacionária. Entre os meninos e crianças menores de dois anos, as tendências de crescimento foram mais elevadas para o estado nutricional não eutrófico quando comparado aos outros grupos. As taxas de crescimento de agravos nutricionais encontradas na região Norte foram superiores ao estado de Rondônia e ao Brasil. Conclusão É necessário rever as políticas de saúde visando a promoção e prevenção de agravos nutricionais considerando a atualidade e onde coabitam extremos como a magreza e obesidade, com atenção especial às crianças com menos de dois anos e do sexo masculino.

ABSTRACT Objective To describe the nutritional profiles of children under five years of age in the state of Rondônia, comparing them with those from the Northern Region of Brazil and from Brazil. Methods This was a time series ecological study. Data were collected from the Food and Nutrition Surveillance System. The information concerned Body Mass Index by age, gender and place of residence. A time-trend analysis was performed using linear regression applying the Prais-Winsten technique and serial autocorrelation verification using the Durbin and Watson test in Stata®16.0. Results There was an annual increasing trend for the thinness, risk of overweight, overweight and obesity regardless of gender, age and location and for extreme thinness, with the exception of girls and for the age of 2 to 5 years, which revealed a stationary trend. Among boys and children of both genders under two years of age, annual growth trends were higher for non-eutrophic nutritional status when compared to the other groups. The growth rates of nutritional disorders found in the Northern region were higher than in the state of Rondônia and in Brazil. Conclusion It is necessary to review health policies aiming at the promotion and prevention of nutritional problems considering the current situation where extreme conditions such as thinness and obesity coexist, with special attention to male children under 2 years of age.

https://doi.org/10.1590/1678-9865202235e210211

Ocorrência de eventos adversos após o uso da vacina adsorvida difteria, tétano e pertussis (acelular) – dTpa –, São Paulo, SP, 2015-2016
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Gattás, Vera Lúcia

; Luna, Expedito José Albuquerque

; Sato, Ana Paula Sayuri

; Fernandes, Eder Gatti

; Vaz-de-Lima, Lourdes R.A.

; Sato, Helena Keiko

; Castilho, Euclides A. de

Epidemiologia e Serviços de Saúde

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2020, Volume 29 N. 2 elocation e2019280

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo descrever a ocorrência de eventos adversos pós-vacinação (EAPV) com a vacina dTpa durante a gestação. Métodos estudo descritivo, com dados de relatos das participantes de estudo de efetividade e imunogenicidade realizado em dois hospitais de São Paulo, SP, Brasil, entre 2015 e 2016. Resultados das 201 mães incluídas no estudo, 48 (23,9%) apresentaram pelo menos um EAPV; foram identificados 60 sintomas relacionados ao uso da dTpa – dor (22,4%), inchaço (2,5%), febre (1,5%), sono (1,0%), vermelhidão (0,5%), vômito (0,5%), dor de cabeça (0,5%), reação local (0,5%) e cansaço (0,5%); não foram registrados eventos adversos raros, muito raros ou extremamente raros; todos os eventos foram considerados esperados e estão descritos em bula; todos tiveram desfecho para cura sem sequelas. Conclusão a dTpa, na forma adotada pelo Programa Nacional de Imunizações (PNI), é segura; não foram identificados eventos adversos inesperados entre as gestantes imunizadas com a vacina.

Abstract Objective to describe occurrence of adverse events following immunization (AEFI) with Tdap vaccine during pregnancy. Methods this was a descriptive study using data from reports by participants in an effectiveness and immunogenicity study conducted in two hospitals in São Paulo, SP, Brazil, from 2015 to 2016. Results of the 201 mothers included in the study, 48 (23.9%) had at least one AEFI; 60 symptoms related to Tdap use were identified – pain (22.4%), swelling (2.5%), fever (1.5%), somnolence (1.0%), redness (0.5%), vomiting (0.5%), headache (0.5%), local reaction (0.5%), and fatigue (0.5%); no rare, very rare, or extremely rare adverse events were reported; all events were considered to be expected, as they are described in the vaccine package insert; outcome of all events was recovery without sequelae. Conclusion Tdap vaccine in the form adopted by the National Immunization Program is safe; no unexpected adverse events were identified among vaccinated pregnant women.

Resumen Objetivo describir el aparecimiento de eventos adversos posvacunación (EAPV) con la vacuna dTpa durante el embarazo. Métodos estudio descriptivo con datos de relatos de las participantes del estudio de efectividad e inmunogenicidad realizado en dos hospitales de São Paulo, SP, Brasil, entre 2015 y 2106. Resultados de las 201 madres del estudio, 48 (23,9%) tuvieron al menos un EAPV; se identificaron 60 síntomas relacionados al uso de dTpa – dolor (22.4%), hinchazón (2.5%), fiebre (1.5%), somnolencia (1.0%), enrojecimiento (0.5%), vómitos (0.5 %), dolor de cabeza (0.5%), reacción local (0.5%) y cansancio (0.5%) –; no se informaron eventos adversos raros, muy raros o extremadamente raros; todos los eventos se consideraron esperados y se describen en el prospecto; todos tuvieron resultados curativos sin secuelas. Conclusión el estudio mostró que la vacuna dTpa utilizada por el Programa Nacional de Inmunización (PNI) es segura y no se identificaron eventos adversos inesperados entre las mujeres embarazadas vacunadas.

https://doi.org/10.5123/s1679-49742020000200027

Ocorrência de eventos adversos após o uso da vacina adsorvida difteria, tétano e pertussis (acelular) – dTpa –, São Paulo, SP, 2015-2016
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Gattás, Vera Lúcia

; Luna, Expedito José Albuquerque

; Sato, Ana Paula Sayuri

; Fernandes, Eder Gatti

; Vaz-de-Lima, Lourdes R.A.

; Sato, Helena Keiko

; Castilho, Euclides A. de

Epidemiologia e Serviços de Saúde

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2020, Volume 29 N. 2 elocation e2019280

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.5123/s1679-49742020000200027 1219 downloads

Recomendaciones para el uso racional de la prueba 25-hidroxivitamina D Resumen de política
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Herrera-Molina, Emilio

; González, Nancy Yomayusa

; Low-Padilla, Eduardo

; Oliveros-Velásquez, Juan David

; Mendivelso-Duarte, Fredy

; Gómez-Gómez, Olga Victoria

; Castillo, Ana María

; Barrero-Garzón, Liliana Isabel

; Álvarez-Moreno, Carlos Arturo

; Moscoso-Martínez, Ernesto Augusto

; Ruíz-Blanco, Pilar Cristin

; Luna-Ríos, Joaquín Gustavo

; Ortiz, Natasha

; Herrera, Emiliano Mauricio

; Guevara-Santamaría, Fabián

; Moreno-Gómez, Jairo Enrique

; Cárdenas-Ramírez, Héctor Mauricio

; González-González, Camilo Alberto

; Jannauth, María José

; Patiño-Pérez, Adulkarin

; Pinto, Diego Alejandro

; Acevedo, Juan Ramon

; Torres, Rodolfo Eduardo

; Montero, Jairo Camilo

; Acevedo, Andrés David

; Caceres, Ximena Adriana

; Acuña-Olmos, Jairo

; Arias, Carlos Andrés

; Medardo-Rozo, José

; Castellanos-Parada, Jeffrey

; López-Miranda, Ángelo Mauricio

; Pinzón-Serrano, Estefanía

; Rincón-Sierra, Oswaldo

; Isaza-Ruget, Mario

; Suárez-Ramos, María del Pilar

; Vargas-Rodríguez, Johanna

; Mejia-Gaviria, Natalia

; Moreno-Marín, Sandra Yadira

; García-Guarín, Bibiana María

; Cárdenas, Martha Lucía

; Chavarro, Luis Fernando

; Ronderos-Bernal, Camila

; Rico-Landazabal, Arturo

; Coronado-Daza, Jorge Antonio

; Alfaro-Tejeda, Mercedes Teresa

; Yama-Mosquera, Erica

; Hernández-Sierra, Astrid Patricia

; Restrepo-Valencia, César Augusto

; Arango-Álvarez, Javier

; Rosero-Olarte, Francisco Oscar Fernando

; Medina-Orjuela, Adriana

; Robayo-García, Adriana

; Carballo-Zarate, Virgil

; Rodríguez-Sánchez, Martha Patricia

; Bernal, Dora P.

; Jaramillo, Laura

; Baquero-Rodríguez, Richard

; Mejía-Gaviria, Natalia

; Aroca, Gustavo

Revista Colombiana de Nefrología

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dec 2019, Volume 6 N. 2 Pages 179 - 192

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract The exponential increase in the request for laboratory tests of 25-Hydroxyvitamin D or [25 (OH) D has ignited the alarms and generated a strong call for attention, since it may reflect deficiencies in the standardization of clinical practice and in the use non-systematic scientific evidence for decision-making in real life, which allows to analyze the indications of the test, its frequency, interpretation and even to assess the impact for health systems, especially when contrasted with the minimum or almost. No effects of the strategy of screening or supplying indiscriminately to the general population, without considering a comprehensive clinical assessment of risks and needs of people. From a purely public health impact point of view, the consequence of massive and unspecified requests is affecting most of the health systems and institutions at the global level. The primary studies that determined average population intake values have been widely used in the formulation of recommendations in Clinical Practice Guidelines, but unfortunately misinterpreted as cut points to diagnose disease and allow the exaggerated prescription of nutritional substitution. The coefficient of variation in routine tests to measure blood levels of 25 (OH) D is high (28%), decreasing the overall accuracy of the test and simultaneously, increasing both the falsely high and falsely low values. The most recent scientific evidence analyzes and seriously questions the usefulness and the real effect of the massive and indiscriminate practice of prescribing vitamin D without an exhaustive risk analysis. The available evidence is insufficient to recommend a general substitution of vitamin D to prevent fractures, falls, changes in bone mineral density, incidence of cardiovascular diseases, cerebrovascular disease, neoplasms and also to modify the growth curve of mothers' children. They received vitamin D as a substitute during pregnancy. The recommendations presented in the document are based on the critical analysis of current evidence and the principles of good clinical practice and invite to consider a rational use of 25 (OH) D tests in the context of a clinical practice focused on people and a comprehensive assessment of needs and risks. The principles of good practice suggest that clinicians may be able to justify that the results of the 25 (OH) D test strongly influence and define clinical practice and modify the outcomes that interest people and impact their health and wellness. Currently there is no clarity on how to interpret the results, and the relationship between symptoms and 25 (OH) D levels, which may not be consistent with the high prevalence of vitamin D deficiency reported. For this reason, it is suggested to review the rationale of the request for tests for systematic monitoring of levels of 25 (OH) D or in all cases where substitution is performed. Consider the use of 25 (OH) D tests within the comprehensive evaluation of people with suspicion or confirmation of the following conditions: rickets, osteomalacia, osteoporosis, hyper or hypoparathyroidism, malabsorption syndromes, sarcopenia, metabolic bone disease.

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Histological characterization of reproductive tract and fetal annexes of the West Indian Manatee (Trichechus manatus) from Brazil
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Bezerra, Arielle R.

; Salmito-Vanderley, Carminda S.B.

; Bersano, Paulo R.O.

; Carvalho, Vitor L.

; Meirelles, Ana C.O.

; Attademo, Fernanda L.N.

; Luna, Fábia O.

; Silva, Lúcia D.M.

Pesquisa Veterinária Brasileira

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nov 2018, Volume 38 N. 11 Pages 2166 - 2174

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: O peixe-boi marinho (Trichechus manatus) é um dos mamíferos aquáticos mais ameaçados do Brasil e, atualmente é classificado como “em perigo” (MMA). O objetivo deste estudo foi caracterizar histologicamente o trato reprodutor e os anexos fetais de peixes-bois marinhos encalhados no Nordeste do Brasil. Foram coletadas amostras de tecidos do trato reprodutor de 23 peixes-bois marinhos (T. manatus), que foram fixadas em formol tamponado a 10%, processados usando protocolos histológicos padrão e corados com hematoxilina eosina. Foi realizada a descrição qualitativa das características histológicas e histomorfométricas de cada estrutura. Foram analisados seis ovários. Em quatro ovários, foi encontrado um grande número de folículos primordiais e primários. Dois ovários eram diferentes dos outros: um tinha infiltração inflamatória e o outro tinha um espessamento no córtex e ausência de folículos. Também foram analisadas sete amostras uterinas (das quais quatro estavam na fase proliferativa, duas na fase secretória e uma na fase de recuperação), quatro placentas, uma vagina, seis testículos (quatro na fase imatura, um na fase puberal e um na fase madura), dois epidídimos, dois pênis e um cordão umbilical. Os achados histológicos e morfométricos em nosso trabalho apoiarão futuras análises do trato reprodutivo de T. manatus do Brasil.

ABSTRACT: The West Indian manatee (Trichechus manatus) is one of the most threatened aquatic mammals in Brazil, and is currently classified as “endangered” (MMA). The objective of this study was to characterize histologically the reproductive tract and fetal annexes of stranded manatees in northeastern Brazil. Tissue samples were collected from the reproductive tract of 23 manatees, which were fixed in 10% buffered formalin, processed using standard histological protocols and stained with hematoxylin eosin. We qualitatively described the histological and histomorphometric characteristics of each structure. Six ovaries were analyzed. In four ovaries, we found a large number of primordial and primary follicles. Two ovaries were different from the others: one had inflammatory infiltration and the other had a thickening in the cortex and absence of follicles. We also analyzed seven uteri (of which four were in the proliferative phase, two in the secretory phase, and one in the recovery phase), four placentas, one vagina, six testes (four were in the immature phase, one in the pubertal phase, and one in the mature phase), two epididymides, two penises, and one umbilical cord. The histological and morphometric findings in our work will support future analyses of the reproductive tract of T. manatus from Brazil.

https://doi.org/10.1590/1678-5150-pvb-5707 1154 downloads

Schistosomiasis and hepatopulmonary syndrome: the role of concomitant liver cirrhosis
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Gonçalves-Macedo, Liana

; Lopes, Edmundo Pessoa

; Domingues, Ana Lucia Coutinho

; Markman Filho, Brivaldo

; Mota, Vitor Gomes

; Luna, Carlos Feitosa

Memórias do Instituto Oswaldo Cruz

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jul 2017, Volume 112 N. 7 Pages 469 - 473

Abstract: En | Text: En | PDF: En

BACKGROUND Hepatopulmonary syndrome (HPS) is defined as an oxygenation defect induced by intrapulmonary vasodilation in patients with liver disease or portal hypertension. It is investigated in patients with liver cirrhosis and less frequently in those with portal hypertension without liver cirrhosis, as may occur in hepatosplenic schistosomiasis (HSS). OBJECTIVES To investigate the prevalence of HPS in patients with HSS, and to determine whether the occurrence of HPS is influenced by concomitant cirrhosis. METHODS We evaluated patients with HSS with or without concomitant liver cirrhosis. All patients underwent laboratory testing, ultrasound, endoscopy, contrast echocardiography, and arterial blood gas analysis. FINDINGS Of the 121 patients with HSS, 64 were also diagnosed with liver cirrhosis. HPS was diagnosed in 42 patients (35%) and was more frequent among patients with concomitant liver cirrhosis than in those without cirrhosis (42% vs. 26%), but the difference was not significant (p = 0.069). HPS was more common in those with spider naevi, Child-Pugh classes B or C and high model for end stage liver disease (MELD) scores (p < 0.05 each). MAIN CONCLUSIONS The prevalence of HPS was 35% in this study. The occurrence of liver cirrhosis concomitantly with HSS may have influenced the frequency of patients presenting with HPS.

https://doi.org/10.1590/0074-02760160383 1079 downloads

Trabajos de investigación presentados en el XLIX Congreso Mexicano de Anestesiología: Zacatecas 2015. México
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Sánchez, Claudia

; Osorio-Santiago, María Arelí

; Medina-Tarango, Marco Antonio

; Fernandez De Lara, Alfredo

; Castro-Salinas, Jose Ernesto

; Salazar-Luna, Miguel Angel

; Sanchez, Placido

; Castro-Cayetano, José Esteban

; Millán Hernández, Manuel

; Almonte, Hector Asencion

; Zamora-Aguirre, Salvador A.

; Gudiño, Yocelin Montserrat

; Reyes-Valle, Roberto

; Zepeda-Olivera, Silvia

; Ferretiz-López, Giancarlo

; Salgado, Mónica

; Moctezuma-Ramírez, Luis

; Hernández-Ortiz, Israel Ivan

; Hernández-Zenteno, Norma Angelica

; Martinez, Raquel

; Sánchez-Hernández, Eloy

; Camacho-Gómez, Aldo Constantino

; Martinez, Raquel

; Chenge-Said, Jarumi

; Flores Fonseca, Elvia

; López-Centeno, Martha Alicia

; López, Angélica Yanine

; Jiménez-Ramos, Adriana

; Velasco-Sordo, Luis Ramón

; Hurtado-Reyes, Ignacio Carlos

; Castellanos, Antonio

; Rojas-Peñaloza, Janeth

; Zapién-Madrigal, Jesús Miguel

; Sánchez, Placido

; Sánchez-López, Eric Mauricio

; Mendoza- García, María Isabel

; Calzada-Grijalba, José Francisco

; Hernandez, Israel Ivan

; Castellanos De León, Edgar

; Luna Medina, Cinthya Isabel

; Alvarez-Mora, Lucy Andrea

; López, Angélica Yanine

; Jiménez-Ramos, Adriana

; Velasco-Sordo, Luis Ramón

; Hurtado-Reyes, Ignacio Carlos

; Diaz, Erica Raquel

; Hernandez-Gutierrez, Deoselina

; Gargiulo, Paul Raphael

; Barragán, Maria Jimena

; Ham Mancilla, Ofelia

; Zamora- Gutiérrez, Ana Lilia

; Arteaga, Jaime

; Hernández-Gutierrez, Deoselina

; Ríos-Navarro, Ramón Alejandro

; Romo-Serrano, Erika

; Castellanos, Antonio

; Zapién-Madrigal, Jesús Miguel

; Rojas- Peñaloza, Janeth

; Garduño, Araceli Marselle

; Flores-Rodriguez, Alfonso de Jesus

; Cuervo-Ggonzalez, Alma Kenia

; Puente-Solorio, Armando

; Benitez-Rebollar, Joel Enrique

; Gaona-Valle, Laura Soraya

; Jaime, Mayra Alicia

; Ortega-Suarez, Lizbeth

; Barrientos-Quintanilla, Luis Alberto

; Alvarado-Ramos, Salomon

; Moya-Morales, Yuliana

; Ferretiz, Giancarlo

; César, Julio

; Yañez, Pablo

; Reyes-Valle, Roberto

; Colores-Velazquez, Julio César

; Luna, Arístides De Jesús

; Almonte, Hector Asencion

; Márquez-Noyola, Elizabeth Alicia

; Castellanos, Antonio

; Barrera, Lorena

; Cabrera-Sánchez, Miroslava

; Fernanández-Muñoz, Angel Fernando

; Rolón-Sánchez, Yumara Georgina

; Barragán-Hernández, Adriana Guadalupe

; Lòpez, Estefania

; Osorio-Santiago, Maria Areli

; Muñoz, Beatriz Adelaida

; Cruz-Bautista, Mayra Ivette De La

; Ripoll-Aburto, Carlos Andres

; Ortiz-Maldonado, Jessie Karolina

; Hernández-Rasgado, Javier

; Cuj-Díaz, Alberto

; Sanchez, Placido

; Sarmiento, Lina

; Peña-Olvera, Silvia

; Santiago-Poot, Nohemí

; López, Angélica Yanine

; Jiménez-Ramos, Adriana

; Hurtado-Reyes, Ignacio Carlos

; Ferretiz, Giancarlo

; Pablo-Yañez, Julio César

; Flores-Martinez, Juan Ramón

; Chavez-Contreras, Sara Idali

; Gudiño-Larios, Yocelin Montserrat

; Velazquez, Sara

; Vences-Perez, Noemi Dolores

; Ayala-Bermudez, Celina Alejandra

; Garcia-Castro, Marco Tulio

; Gordillo-Parra, Alejandra

; Barrera, Lorena

; Cabrera-Sánchez, Miroslava

; Martínez-García, Claudia Lizeth

; Zuñiga-Iñiguez, Paloma

; Anaya-Romo, Eduardo

; Antelo-Corral, Jaqueline

; Ramos, Perla Del Carmen

; Hernández-Rasgado, Javier

; Cuj-Díaz, Alberto

; Fonz-Murillo, Elma Patricia

; Cruz-Bautista, Mayra Ivette De la

; Ripoll-Aburto, Carlos Andres

; Cruz, Mayra Ivette De La

; Cuj-Díaz, Alberto

; Hernández-Rasgado, Javier

; Vega-Cano, Miguel

; Ramos-Rodríguez, Perla del Carmen

; Muñoz-Hernández, Beatriz Adelaida

; Caceres, Leonardo Andres

; Arteaga-Favela, Claudia Berenice

; Nava-Osorio, Alejandro

; Arce-Bojorquez, Brisceyda

; Urias, Emma

; Rosario-Ayala, Yuridia Del

; Salazar-Castro, Laura Elena

; Nieblas-Torres, Mariela Lizet

; Arce-Bojorquez, Brisceyda

; Prince-Angulo, Silvia Annel

; Espinoza-Quintero, Erendira

; Alzate, Ana Lizette

; Camacho, Jesus Erick

; Aviles-Lozoya, Jose Trinidad

; Urias, Emma

; Espinoza-Quintero, Erendira

; Castellanos, Antonio

; Cruz, Nora Cecilia

; Rendón-Salazar, Dafne Denisse

; González-Cordero, Gustavo

; Garduño-Chávez, Belia Inés

; Orozco, Arturo Emmanuel

; Guerrero-Morales, Fernando

; Gonzalez-Ortiz, Julio Cesar

; Casillas-Cruz, Angel Alberto

; Aquino-Tamayo, Blanca Olga

; Estrada, Haydeé Lucía

; Soberanes-Alderete, Francisco Javier

; Ojeda-Ramos, Joel

; Martinez-Flores, Carlos

; Sandoval-Rivera, Arturo Guadalupe

; Cáceres-Figeroa, Leonardo Andres

; Ortega, Columba

; Torres-Mata, Lizbeth Yareli

; Peña-Olvera, Silvia

; Huerta, Juana Geraldine

; Sarmiento-Kamar, Rodrigo Ignacio

; Espinoza, Erendira

; Gerardo-Angulo, Alma Ruth

; Nieblas-Torres, Mariela Lizet

; Martinez-Felix, Jesus Israel

; Rochin-Parra, Julia Teresa

; Chavez, Veronica

; Buendía-Roque, Daniel

; Pinales-Aguilar, Guillermina

; Sandoval, Linda Alejandra

; Ovalle-Bueno, Claudia

; Armendáriz-Salinas, Jaime

; Valdovinos, Salvador

; Castellanos, Antonio

; Sandoval, Linda Alejandra

; Medina-Piqué, Sheila

; Aguilar, Hugo

; Barrera, Eduardo

; Márquez, Elizabeth Alicia

; León, Héctor Almonte De

; Castellanos, Antonio

; Rojas-Peñaloza, Janeth

; Zapién-Madrigal, Jesús Miguel

; Paez, Nancy

; Borquez-Torres, Samantha Anabel

; Chinchillas-Chinchillas, Yanira Zelene

; Silva-Romo, Luis Julian

; Aldana, Jorge Pablo

; Hernández-Gutiérrez, Deoselina

; Sánchez-Hernández, Eloy

; Castellanos, Antonio

; Coronel, Berta

; Fuentes-González, Nalleli del Carmen

; Mendoza-García, María Isabel

; Yañez, Gonzalo

; Contreras-Salomón, José Luis

; Garcia-Simbron, Emma

; Chable-Juárez, Randy Josue

; Manriquez-Merino, Ricardo

; Martinez, Raquel

; Chenge-Said, Jarumi

; Hernández Gutiérrez, Deoselina

; Sánchez, Placido

; Arrieta-Ruiz, Marelyn

; González-Velázquez, Felipe

; Estrada-Utrera, Sandra

; Castellanos, Antonio

; Meza, Oscar Eduardo

; Jimenez-Gonzalez, Adriana Guadalupe

; Pilar-Velazquez, Estefania

; Romo-Cortes, Ramona

; Torres-Soto, Maria de la Luz

; Estrada, Maria Sandra

; Espinoza, Cinthia Yadira

; Islas-Ruz, Felix Gilberto

; Perez-Diaz, Roberto

; Manuel-Serna, Roberto Aurelio

; Arce-Bojorquez, Brisceyda

; Medina-Lopez, Francisco de Jesus

; Nieblas-Torres, Mariela Lizet

; Espinoza-Quintero, Erendira

; Ayala-Camargo, Yuridia

; Guadarrama, Hugo

; Flores-Rodriguez, Alfonso de Jesus

; Benitez-Rebollar, Joel Enrique

; Cedillo-Hernandez, Carolina

; Acevedo-Corona, Arturo

; Gaona-Valle, Laura Soraya

; Morfin, Cecilia

; Flores Rodriguez, Alfonso de Jesus

; Cortes-Aceves, Hector Omar

; Rodríguez-Martínez, José Carlos

; Puente Solorio, Armando

; Gaona-Valle, Laura Soraya

; Reyes, Agustin

; Uscanga-Villa, Maria Nieves

; Molina-Rodriguez, Gloria

; Aquino-Tamayo, Blanca Olga

; Cabrera, Francisco

; Motta-Amezquita, Luis Gerardo

; Castellanos-Olivares, Antonio

; Joffre-Mora, Oscar Paul

; Moncada, Adriana Patricia

; Hernandez-Baez, Humberto Trinidad

; Cecilia, Nora

; Garduño-Chávez, Belia Inés

; González-Cordero, Gustavo

; Palacios-Ríos, Dionicio

Anestesia en México

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apr 2016, Volume 28 N. 1 Pages 46 - 96

Abstract: Es | Text: Es | PDF: Es

5425 downloads

Prevalencia del tabaquismo en adolescentes de la Secundaria Básica "Argenis Burgos"
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Quinzán Luna, Ana María

; Solano Quinzán, Yailen

; López Vantour, Ana Caridad

; Pérez Prada, Lucia Antonia

; Ramón Jiménez, Ruth

MEDISAN

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oct 2015, Volume 19 N. 10 Pages 1232 - 1237

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

An observational, descriptive and cross-sectional study of 131 students from the "Argenis Burgos" junior high school, assisted in the Stomatological Department of Julián Grimau García" University Polyclinic in Santiago de Cuba, was carried out from April, 2013 to the same period of 2014, to determine the prevalence of nicotine addiction among ninth-grade students, for which an anonymous questionnaire was applied. The percentage was used as a summary measure. Smoking habit predominated in the series, without differences related to sex, and lack of knowledge about the damage caused by nicotine addiction to the general and oral health

Se realizó un estudio observacional, descriptivo y transversal de 131 estudiantes de la Secundaria Básica "Argenis Burgos", atendidos en el Servicio de Estomatología del Policlínico Universitario "Julián Grimau García" de Santiago de Cuba, desde abril de 2013 hasta igual periodo de 2014, a fin de determinar la prevalencia del tabaquismo en alumnos de noveno grado, para lo cual se aplicó un cuestionario anónimo. Se utilizó el porcentaje como medida de resumen. En la serie predominaron el hábito de fumar, sin diferencias en relación con el sexo, y el desconocimiento de los daños causados por el tabaquismo a la salud general y bucal

136 downloads

A home and ambulatory artificial nutrition (NADYA) Group Report, Home Parenteral Nutrition in Spain, 2013
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Wanden-Berghe, Carmina

; Cuerda Compes, J. Cristina

; Burgos Peláez, Rosa

; Gómez Candela, Carmen

; Virgili Casas, Nuria

; Pérez de la Cruz, Antonio

; Moreno Villares, José Manuel

; Carabaña Pérez, Fátima

; Garde Orbaiz, Carmen

; Martínez Faedo, Ceferino

; Penacho Lázaro, M.ª ángeles

; Gonzalo Marín, Montserrat

; García Luna, Pedro Pablo

; Matía Martín, Pilar

; Sanz Paris, Alejandro

; Luengo Pérez, Luis Miguel

; Martín Folgueras, Tomás

; García Zafra, María Victoria

; álvarez Hernández,

; Campos Martín, Cristina

; Suárez Llanos, José Pablo

; Zugasti, Ana

; Apezetxea Celaya, Antxón

; Urgeles Planella, Juan Ramón

; Laborda González, Lucía

; Sánchez-Vilar Burdiel, Olga

; Joaquín Ortiz, Clara

; Martínez Costa, Cecilia

; Vidal Casariego, Alfonso

; Leyes García, Pere

; Ponce González, Miguel Angel

; Gil Martínez, M.ª Carmen

; Sánchez Martos, Eva ángeles

; Olmo García, M.ª Dolores del

; Díaz Guardiola, Patricia

Nutrición Hospitalaria

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jun 2015, Volume 31 N. 6 Pages 2533 - 2538

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Aim: to communicate the results of the Spanish Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE group for the year 2013. Material and Methods: data was recorded online by NADYA group collaborators that were responsible of the HPN follow-up from 1st January to 31st December 2013. Results: a total of 197 patients and 202 episodes of HPN were registered from 35 hospitals that represents a rate of 4,22 patients/million habitants/year 2013. The median age was 53 years (IQR 40 - 64) for 189 adult patients and 7 months (IQR 6 - 35,5) for children. The most frequent disease in adults was neoplasm (30,7%) followed by other diseases (20,1%) and mesenteric ischemia (12,7%). Short bowel syndrome and intestinal obstruction (25,9%) were in 35.7% cases the indications for HPN. The most frequent diagnosis for children were the congenital intestinal disorders and other diagnosis, both with a (37,5%) and short bowel syndrome and intestinal obstruction were the indication for treatment, each was present in 50% of the sample. Tunneled catheters (50%) and subcutaneous reservoirs (27,7%) were frequently used. The septic complications related with catheter were commonly frequent with a rate of 0.74 infections/1000 HPN days. HPN duration presented a median of 1,69 days. A total of 86 episodes finalized during the year, death was the principal reason (45%), followed by "resumed oral via" (43,75%) while it happened inversely for children, 66,7% of them resumed oral via and 16,7% deceased. Fifteen per cent were considered for intestinal transplant, children were proportionally candidates, p-value 0.002. Conclusions: the number of participating centers and registered patients increased progressively respect to preceding years. Since 2003 Neoplasm is still being the principal pathological group. Death is adult's principal reason for finalizing HPN and "resuming oral via" for children. Despite that NADYA registry is consolidate as a essential source of relevant information about the advances in Home Artificial Nutrition in our country, currently is in an improvement process of the available information about patients characteristics with a special emphasis on children even though they still being a minority group.

Objetivo: comunicar los datos del registro de Nutrición Parenteral Domiciliaria (NPD) del grupo de trabajo NADYA-SENPE del años 2013. Material y Métodos: recopilación de los datos del registro "on-line" introducidos por los colaboradores del grupo NADYA responsables del seguimiento de la NPD desde el 1 de enero de 2013 al 31 de diciembre de 2013. Resultados: se registraron 197 pacientes, procedentes de 35 hospitales, lo que representa una tasa de 4,22 pacientes/ millón habitantes/año 2013, con 202 episodios de NPD. La edad media de los 189 pacientes mayores de 14 años fue de 53 años (IIQ 40 - 64), y en los niños de 7 meses (IIQ 6 - 35,5). La patología más frecuente en los adultos fue la neoplasia (30,7%) seguida por otras patologías (20,1%) y la isquemia mesentérica (12,7%). En el 35,4% de los casos el motivo de indicación fue el síndrome de intestino corto, seguido de la obstrucción intestinal (25,9%). En los niños el diagnóstico más frecuente fueron las alteraciones congénitas intestinales y 'otros diagnósticos', ambas con un 37,5 %, y la causa de la indicación el síndrome de intestino corto y la obstrucción intestinal, que se repartieron el 50% de la muestra. Los catéteres más utilizados fueron los tunelizados (50%) y los reservorios subcutáneos (27,7%). Las complicaciones más frecuentes fueron las sépticas, relacionadas con el catéter, con una tasa de 0,74 infecciones/1.000 días de NPD. La duración de la NPD presentó una mediana de 1,69 años. Durante el año finalizaron 86 episodios, la principal causa de la finalización en adultos fue el fallecimiento (45%) seguido del 'paso a la vía oral' (43,75%) y en los niños a la inversa 66,7% pasan a vía oral y 16,7% fallecen. Se consideraron candidatos para trasplante intestinal el 15% de los pacientes, siendo proporcionalmente los candidatos niños, p-valor 0,002. Conclusiones: se observa un aumento progresivo de los centros participantes y de los pacientes registrados respecto a años anteriores. El principal grupo patológico sigue siendo oncológico, ocupando el primer lugar desde 2003. La principal causa de finalización de la NPD es en los adultos el fallecimiento y en los niños el 'paso a vía oral'. Aunque el registro NADYA es un registro consolidado y ha sido y es fuente imprescindible de información relevante para el conocimiento de los avances de la Nutrición Artificial Domiciliaria en nuestro país, se encuentra en proceso de mejorar la información que ofrece sobre las características de los pacientes, con especial atención en el grupo de niños, aunque estos siguen siendo un número reducido.

https://doi.org/10.3305/nh.2015.31.6.9052 122 downloads

10.

CORRELATION BETWEEN PLATELET COUNT AND BOTH LIVER FIBROSIS AND SPLEEN DIAMETER IN PATIENTS WITH SCHISTOSOMIASIS MANSONI
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MEDEIROS, Tibério B

; DOMINGUES, Ana Lucia C

; LUNA, Carlos F

; LOPES, Edmundo P

Arquivos de Gastroenterologia

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mar 2014, Volume 51 N. 1 Pages 34 - 38

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Contexto Estudos vem descrevendo correlação entre o número de plaquetas e o grau de fibrose hepática na hepatite viral crônica, mas poucas publicações estudaram esta correlação em pacientes com Esquistossomose mansoni. Objetivos Correlacionar a contagem de plaquetas com o padrão de fibrose periportal e com o diâmetro do baço, avaliados pela ultrassonografia em pacientes com Esquistossomose mansoni. Métodos Os pacientes com Esquistossomose mansoni foram avaliados pela ultrassonografia abdominal, por um único examinador, para determinação do padrão de fibrose periportal (classificação de Niamey) e do diâmetro do baço. A contagem de plaquetas foi realizada em contador automatizado. Resultados Cento e oitenta e sete pacientes com Esquistossomose mansoni com média de idade de 50,2 anos foram incluídos no estudo, 114 (61%) dos quais eram mulheres. De acordo com a classificação de Niamey, a ultrassonografia revelou que 37, 64, 64 e 22 pacientes exibiam padrões C, D, E e F, respectivamente. Nestes quatro grupos, o número médio de plaquetas foi 264, 196, 127 e 103 x 109/L, respectivamente, e o diâmetro médio do baço foi 9,2, 11,9, 14,9 e 16,2 centímetros, respectivamente. Observou-se, portanto, redução significativa na contagem de plaquetas associada à progressão da fibrose periportal e ao aumento do tamanho do baço. Conclusões Neste estudo verificou-se que a contagem de plaquetas foi inversamente correlacionada com o padrão de fibrose periportal, como também com o diâmetro do baço nos pacientes com Esquistossomose mansoni.

Context Studies have described the correlation between platelet count and the stages of fibrosis in chronic viral hepatitis, but few publications have studied this correlation in Schistosomiasis mansoni. Objectives Therefore, this study aimed to correlate platelet count with both the periportal fibrosis pattern and spleen diameter evaluated by ultrasound exam in patients with Schistosomiasis mansoni. Methods Patients with Schistosomiasis mansoni were evaluated by abdominal ultrasound by a single examiner for the determination of periportal fibrosis pattern (Niamey classification) and spleen diameter. Platelet counts were performed in an automated cell counter. Results One hundred eighty-seven patients with Schistosomiasis mansoni (mean age: 50.2 years) were included in the study, 114 of whom (61%) were women. Based on the Niamey classification, the ultrasound analysis revealed that 37, 64, 64 and 22 patients exhibited patterns C, D, E and F, respectively. In these four groups, the mean number of platelets was 264, 196, 127 and 103 x 109/L and mean spleen diameter was 9.2, 11.9, 14.9 and 16.2 centimeters, respectively. A reduction in platelet count was significantly associated with both the progression of the periportal fibrosis and the increase in spleen size. Conclusions Platelet count in patients with Schistosomiasis mansoni was inversely correlated with the severity of periportal fibrosis and spleen diameter.

https://doi.org/10.1590/S0004-28032014000100008 3097 downloads

11.

Assessment of toxicity of a biosurfactant from Candida sphaerica UCP 0995 cultivated with industrial residues in a bioreactor
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Bezerra de Souza Sobrinho, Humberto

; de Luna, Juliana Moura

; Rufino, Raquel Diniz

; Figueiredo Porto, Ana Lúcia

; Sarubbo, Leonie Asfora

Electronic Journal of Biotechnology

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jul 2013, Volume 16 N. 4 Pages 4 - 4

Abstract: En | Text: En | PDF: En

Background: The aim of the present study was to propose a low-cost method for the production of a biosurfactant by the yeast Candida sphaerica and assess its toxicity and phytotoxicity. The medium was formulated with distilled water supplemented with residue from a soy oil refinery (5%) and corn steep liquor (2.5%) as substrates. These two products were the sources of carbon and nitrogen as well as mineral elements to encourage the growth of the microorganism and production of a biosurfactant. Results: The isolated biosurfactant yield was 6.364 g/l. The biosurfactant exhibited an excellent ability to reduce surface tension (26 mN/m) and demonstrated no toxicity against seeds of Brassica oleracea, Chicoria intybus and Solanum gilo or the micro crustacean Artemia salina employed as a bioindicator. The biosurfactant exhibited no antimicrobial activity against the fungi and bacteria tested. Conclusions: The promising results obtained in this study indicate the feasibility of producing biosurfactants from powerful non-toxic organic residues and their application in the bioremediation of contaminated soil and water.

https://doi.org/10.2225/vol16-issue4-fulltext-4 2150 downloads

12.

Horizontal transmission and effect of the temperature in pathogenicity of Beauveria bassiana against Diatraea saccharalis (Lepidoptera: Crambidae)
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Svedese, Virgínia Michelle

; Lima, Elza Áurea de Luna Alves

; Porto, Ana Lúcia Figueiredo

Brazilian Archives of Biology and Technology

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jun 2013, Volume 56 N. 3 Pages 413 - 419

Abstract: En | Text: En | PDF: En

The aim of this work was to evaluate the effect of temperature on the pathogenicity of Beauveria bassiana against Diatraea saccharalis and evaluate the horizontal transmission capacity among the sugarcane borer larvae. The strains were most pathogenic at 26ºC, followed by 32ºC than at 20ºC, with respective mortalities of 100, 50 and 30.3%. The lethal time was also affected by the temperature, with the shortest LT 50 observed at 26ºC (2.2 days) and the longest at 20ºC (16.2 days). The URM2915 strain appeared most effective in all the experiments as having potential for deployment in biological control programs for the sugarcane borer. Results in horizontal transmission of B. bassiana showed that this procedure could also be adopted as control strategy for the sugarcane borer.

2483 downloads

13.

Conocimientos de los alumnos de últimos años de Medicina y residentes sobre indicadores de riesgo epidemiológico utilizados en ensayos clínicos
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Zea-Vera, Alonso

; Liendo-Caro, Carola

; Luna-Carrillo, Lucía

; Prevost-Ruiz, Yolanda

; Castañeda-Guarderas, Ana

; Málaga, Germán

Revista Peruana de Medicina Experimental y Salud Pública

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jun 2012, Volume 29 N. 2 Pages 218 - 222

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

A cross-sectional study evaluated 182 students in the last two years of medical school and 70 residents of a national hospital in Peru on the risk indicators used for reporting results in clinical trials. A questionnaire was used to assess the ability to recognize and calculate risk indicators most widely used in the epidemiological literature. From the participants, 19.4% did not recognize any of the indicators and 81.4% was not able to calculate them. The relative risk reduction was the most recognized indicator (55.2%), followed by the number needed to treat (51.6%), the absolute risk reduction (26.6%), and the hazard ratio (9.5%). In conclusion, medical students in the last two years of school and medical residents do not recognize or are able to calculate properly the risk indicators used in clinical trials.

Estudio que evaluó el conocimiento de 182 estudiantes de los dos últimos años de medicina y 70 residentes de un hospital nacional de Perú, sobre los indicadores de riesgo utilizados en la presentación de resultados en ensayos clínicos. Se realizó un estudio transversal en el que se aplicó un cuestionario que evaluó la capacidad de reconocer y calcular los indicadores de riesgo epidemiológico más utilizados en la literatura médica. El 19,4% no reconoció ninguno de los indicadores y el 81,4% no logró calcularlos. La reducción de riesgo relativo fue el indicador más reconocido (55,2%), seguida del número necesario a tratar (51,6%); reducción de riesgo absoluto (26,6%), y hazard ratio (9,5%). En conclusión, los alumnos de los dos últimos años de medicina y los residentes, no reconocen ni calculan adecuadamente los indicadores de riesgo utilizados en ensayos clínicos.

1656 downloads Cited 1 time in SciELO

14.

Conocimientos de los alumnos de últimos años de medicina y residentes sobre indicadores de riesgo epidemiológico utilizados en ensayos clínicos
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Zea-Vera, Alonso

; Liendo-Caro, Carola

; Luna-Carrillo, Lucía

; Prevost-Ruiz, Yolanda

; Castañeda-Guarderas, Ana

; Málaga, Germán

Revista Peruana de Medicina Experimental y Salud Publica

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jun 2012, Volume 29 N. 2 Pages 218 - 222

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Cited 1 time in SciELO

15.

Óbitos atribuídos à tuberculose no Estado do Rio de Janeiro
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Selig, Lia

; Belo, Márcia

; Cunha, Antônio Jose Ledo Alves da

; Teixeira, Eleny Guimarães

; Brito, Rossana

; Luna, Ana Lucia

; Trajman, Anete

Jornal Brasileiro de Pneumologia

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aug 2004, Volume 30 N. 4 Pages 335 - 342

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

INTRODUÇÃO:Em 1998, o Rio de Janeiro era o estado de maior incidência e mortalidade por tuberculose do Brasil. O Sistema de Informação de Agravos de Notificação em Tuberculose (SINAN-TB-RJ) não era confiável. OBJETIVO: Utilizar o estudo dos óbitos por tuberculose como instrumento de avaliação do programa de controle de tuberculose. MÉTODO: Foram realizados estudos descritivos do SINAN-TB-RJ e do Sistema de Informação de Mortalidade em tuberculose do Rio de Janeiro (SIM-TB-RJ) e os dois bancos de dados foram cruzados utilizando-se o programa Reclink. Foi também realizado um estudo baseado em prontuários dos cinco hospitais onde ocorreu o maior número de óbitos por tuberculose. RESULTADOS: Em 1998 foram registrados no SINAN-TB-RJ 16.567 casos de tuberculose em maiores de 14 anos. A forma pulmonar estava presente em 13.989 (84,5%) casos, dos quais 8.223 (56,8%) tiveram baciloscopia positiva. A sorologia anti-HIV, recomendada para todos os pacientes com tuberculose, foi solicitada em apenas 4.141 (25%) casos. No SIM-TB-RJ foram registrados 1.146 óbitos, dos quais 478 (41,7%) casos haviam sido notificados no SINAN-TB-RJ, entre 1995 e 1998. Dos 302 prontuários estudados, em 154 (50,9%) o período de internação foi inferior a 10 dias. O tempo entre o início dos sintomas e o diagnóstico foi superior a 60 dias em 143 (47,3%) pacientes. Dos 125 pacientes em re-tratamento, para apenas 43 (34,4%) foi prescrito o esquema RHZE recomendado pelo Ministério da Saúde. CONCLUSÃO: O estudo demonstra que a tuberculose é sub-notificada, o diagnóstico é tardio, a utilização dos exames laboratoriais recomendados é baixa e as normas do Ministério da Saúde não são cumpridas.

BACKGROUND: In 1998, tuberculosis incidence and mortality rates in the state of Rio de Janeiro (RJ) were the highest in Brazil. However, the RJ tuberculosis database (SINAN-TB-RJ) has proven unreliable. OBJECTIVE: To evaluate the current tuberculosis control program by analyzing tuberculosis-attributed deaths. METHODS: Descriptive studies of the SINAN-TB-RJ and tuberculosis mortality (SIM-TB-RJ) databases were carried out. Both databases were linked using the Reclink program. A study based on medical records was performed in the five hospitals where the greatest numbers of tuberculosis deaths occurred. RESULTS: In the SINAN-TB-RJ database, 16,567 cases were registered in adults (> 14 years of age). Pulmonary disease was present in 13,989 (84.5%), of whom 8223 (56.8%) presented sputum smears that were positive for acid fast bacilli. Anti-HIV testing, recommended for all patients with tuberculosis, was performed in only 4141 (25%) of tuberculosis cases. The SIM-TB-RJ database showed 1146 deaths that were attributed to tuberculosis. Only 478 (41.7%) of those had been reported to the health care system (SINAN-TB-RJ). Among the 302 medical records analyzed, 154 (50.9%) recorded hospitalizations of up to 10 days and 143 (47.3%) had respiratory symptoms for more than 60 days before diagnosis. Among 125 cases of retreatment, the RHZE regimen recommended by the Brazilian Ministry of Health was prescribed for only 43 (34.4%). CONCLUSION: This study demonstrates weakness in the RJ tuberculosis control program, characterized by delayed diagnosis, limited use of the recommended tests, poor reporting, and non-compliance with the Ministry of Health guidelines.

8755 downloads Cited 23 times in SciELO

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