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Search Results: 1 - 10 of 1313 matches for " Marinella Della; "
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Impact of macrolide therapy on mortality of HIV-infected patients with community-acquired pneumonia in a tertiary teaching hospital
Mello, Claudia Figueiredo;Negra, Marinella Della;
Brazilian Journal of Infectious Diseases , 2011, DOI: 10.1590/S1413-86702011000300014
Abstract: background: bacterial pneumonia is one of the main causes of morbidity and mortality in patients infected by the human immunodeficiency virus (hiv). the main objective of this study was to evaluate the effect of macrolide therapy in combination with a beta-lactam based empiric regimen for inpatients with community-acquired pneumonia and hiv. methods: this is a retrospective cohort study of hospitalized patients. adult patients who had received treatment with ceftriaxone or ceftriaxone plus clarithromycin were included. results: 76 patients met the inclusion criteria. among baseline characteristics analyzed, only respiratory rate showed significant difference: patients who had received clarithromycin were more likely to have a respiratory rate > 30/min than patients who received only ceftriaxone (64% versus 36%, p = 0.03). icu admission was the only outcome that showed a significant difference, more frequent in the ceftriaxone plus clarithromycin group (45% versus 20%, p = 0.03). conclusions: this study does not support the addition of a macrolide to a beta-lactam based regimen in hiv-infected patients. this is probably related to the patients' immunodeficiency status, which impairs the immunomodulatory properties of the macrolides.
Projetos de vida de adultos jovens portadores de HIV por transmiss o vertical: estudo exploratório com usuários de um ambulatório de infectologia Life projects of young adults with HIV acquired by vertical transmission: an exploratory study with patients of an infectious diseases' outpatients department
Lédice Lino de Oliveira,Marinella Della Negra,Maria Cezira Fantini Nogueira-Martins
Saúde e Sociedade , 2012,
Abstract: Esta pesquisa teve o intuito de conhecer os projetos de vida de jovens adultos que convivem com o HIV/aids a partir da transmiss o vertical, com rela o a: estudo, trabalho e constitui o familiar. Outro objetivo foi o de conhecer sua vivência no que diz respeito à assistência recebida. Como instrumentos, foram utilizados: questionário sociodemográfico e entrevista semiestruturada. Foram realizadas 16 entrevistas com jovens de idade entre 18 e 22 anos, usuários de um ambulatório de um hospital público especializado na área de Infectologia. O material obtido nas entrevistas foi analisado segundo os princípios da análise temática. Foram encontradas seis categorias temáticas: estudo e escolaridade; trabalho e emprego; sexualidade e constitui o familiar; vivência de preconceito; ades o ao tratamento; acolhimento. Os entrevistados referiram que a escola é importante meio para a inser o social e para a conquista da autonomia. O trabalho foi apresentado como principal fonte de subsistência e de independência. O exercício da sexualidade foi marcado pela situa o de existência do HIV, determinando cuidados especiais; quanto à conjugalidade, os projetos dos entrevistados s o variados: uni o informal, casamento oficial, vida sem c njuge. No que diz respeito à maternidade/paternidade, os projetos s o marcadamente influenciados pela portabilidade do HIV, despertando dúvidas e receios. Os entrevistados relataram a existência do preconceito em vários contextos. Quanto à ades o ao tratamento, revelaram a existência tanto de dificuldades como de mecanismos criados para enfrentá-las. O acolhimento por parte de familiares, amigos e profissionais da saúde foi considerado fundamental para o desenvolvimento e a manuten o de seus projetos de vida. This research had the intention to understand the life projects of young adults living with HIV/Aids infected through vertical transmission: how they deal with studies, work and with building a family. Another objective was to know their experiences regarding health assistance received. The research method was: socio-demographic questionnaires and semi-structured interviews. Sixteen interviews were performed with people between eighteen and twenty two years-old who were users of a public out patients service specialized in Infectious Diseases. Data from the interviews was analyzed according to the principles of thematic analysis. Six thematic categories were found: study and schooling; labor and employment; sexuality and family building; experiences of prejudice; adherence to treatment and reception at the health service.I Interv
Histoplasmose de laringe
Pochini Sobrinho, Fernando;Della Negra, Marinella;Queiroz, Wladimir;Ribeiro, Ulisses José;Bittencourt, Sérgio;Klautau, Giselle Burlamaqui;
Revista Brasileira de Otorrinolaringologia , 2007, DOI: 10.1590/S0034-72992007000600022
Abstract: the incidence of laryngeal histoplasmosis is low when compared to the total number of cases. less than 100 cases of laryngeal histoplasmosis have been described in the medical literature. isolated laryngeal involvement may lead to the misdiagnosis and mistreatment of tuberculosis or laryngeal cancer, according to some reports. the development of hoarseness in a patient with histoplasmosis or a laryngeal mass leading to hoarseness, might be suggestive of laryngeal histoplasmosis. when histoplasmosis is included among the differential diagnoses of a laryngeal lesion, the biopsy should be limited to a small tissue fragment, enough to perform histological tests. the laboratory technicians must be warned about the possibility of histoplasmosis, because special dyes have to be used to confirm this diagnosis.
Variations Niobé : sources et ressources du tu chez Anne Godard et Régis Jauffret
Marinella Termite
Trans : Revue de Littérature Générale et Comparée , 2009,
Abstract: Point de fuite plut t que point de vue, le tu s’impose de plus en plus dans le tissu scriptural de l’extrême contemporain fran ais comme structure romanesque grace à sa nature oblique. En tenant compte de la typologie spécifique de ce pronom et en reconstruisant les exemples prébutoriens, le roman à la deuxième personne ne met pas seulement en question le pacte narratif. L’Inconsolable de Anne Godard (2006) et Lacrimosa de Régis Jauffret (2008) permettent de dégager les n uds actuels du tu , en questionnant les sources et les ressources de ce choix. A vanishing point rather than point of view, “you” appears more and more in the scriptural texture of French extremely contemporary production as a structure of the novel thanks to its oblique nature. Considering the specific typology of this pronoun and rebuilding the examples which preceded Butor, the novel narrated in the second person is more than a mere manner to question the narrative pact. Anne Godard’s L’Inconsolable (2006) and Régis Jauffret’s Lacrimosa (2008) allow to identify present considerations around the “you”, by questioning the sources and resources of this choice. Punto de fuga más que punto de vista, el "tú" se impone cada vez más, gracias a su naturaleza oblicua, en el tejido escritural de la literatura contemporánea francesa más reciente como estructura novelesca. Teniendo en cuenta la tipología específica de este pronombre y reconstruyendo los ejemplos pre-butorianos, la novela en segunda persona no sólo pone en tela de juicio el pacto narrativo. L’Inconsolable (El inconsolable) de Anne Godard (2006) y Lacrimosa de Régis Jauffret (2008) permiten subrayar la problemática actual del "tú" al interrogar a las fuentes y los recursos de esta elección.
Intrecci d'arte Intrecci d'arte
Marinella Pigozzi
INTRECCI d'arte , 2012, DOI: 10.6092/issn.2240-7251/2528
Abstract:
Improving survival among Brazilian children with perinatally-acquired AIDS
Matida, Luiza Harunari;Marcopito, Luiz Francisco;Succi, Regina Celia de Menezes;Marques, Heloisa Helena de Souza;Della Negra, Marinella;Grangeiro, Alexandre;Hearst, Norman;
Brazilian Journal of Infectious Diseases , 2004, DOI: 10.1590/S1413-86702004000600005
Abstract: brazil was the first developing country to provide free, universal access to antiretroviral treatment for aids patients. the brazilian experience thus provides the first evidence regarding the impact of such treatment on the survival of perinatally acquired aids cases in the developing world. material and methods: this retrospective cohort study used medical record reviews to examine characteristics and trends in the survival of a representative sample of 914 perinatally acquired aids cases in 10 brazilian cities diagnosed between 1983 and 1998. results: survival time increased steadily and substantially. whereas half of the children died within 20 months of diagnosis at the beginning of the epidemic, 75% of children diagnosed in 1997 and 1998 were still alive after four years of follow-up. conclusions: advances in management and treatment have made a great difference in the survival of brazilian children with aids. these results argue strongly for making such treatment available to children in the entire developing world.
Improving survival in children with AIDS in Brazil: results of the second national study, 1999-2002
Matida, Luiza Harunari;Ramos Jr., Alberto Novaes;Heukelbach, Jorg;Sa?udo, Adriana;Succi, Regina Célia de Menezes;Marques, Heloisa Helena de Sousa;Negra, Marinella Della;Hearst, Norman;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001300010
Abstract: the objective of this study is to characterize survival in children with aids diagnosed in brazil between 1999-2002, compared with the first national study (1983-1998). this national retrospective cohort study examined a representative sample of brazilian children exposed to hiv from mother-to-child transmission and followed through 2007. the survival probability after 60 months was analyzed by sex, year of birth and death, clinical classification, use of antiretroviral therapy (art) and prophylaxis for opportunistic diseases. 920 children were included. the survival probability increased: comparing cases diagnosed before 1988 with those diagnosed from 2001-2002 it increased by 3.5-fold (from 25% to 86.3%). use of art, initial clinical classification, and final classification were significant (p < 0.001) predictors of survival. issues regarding quality of records and care were identified. the results point to the success of the brazilian policy of providing art. the improvement of clinical status contributes to quality of life, while indicating challenges, particularly practices to improve long-term care.
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil
Matida, Luiza Harunari;Ramos Jr., Alberto Novaes;Moncau, José Eduardo Cajado;Marcopito, Luiz Francisco;Marques, Heloisa Helena de Sousa;Succi, Regina Célia Menezes;Della Negra, Marinella;Hearst, Norman;,;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007001500011
Abstract: antiretroviral therapy contributes to decreasing morbidity and mortality, and ultimately to increasing survival. in brazil, there are regional differences in hiv epidemiology regarding pregnant women and children with hiv/aids. this study evaluates survival time after aids diagnosis in 914 children infected by mother-to-child transmission, reported between 1983 and 1998 and followed until 2002, in brazil's five regions. time between birth and hiv diagnosis decreased over the years, mainly in the south and southeast regions. there was a significant improvement in survival; more than 75% of cases were still living four years after diagnosis in the 1997-1998 group. this brazilian study demonstrates that even with regional inequalities in health care infrastructure it is possible for a developing country to establish an effective system of universal and free access to antiretroviral therapy that produces a significant increase in survival for children with aids.
A sexualidade de adolescentes vivendo com HIV: direitos e desafios para o cuidado
Paiva,Vera; Ayres,José Ricardo Carvalho de Mesquita; Segurado,Aluísio C; Lacerda,Regina; Silva,Neide Gravato da; Silva,Mariliza Henrique da; Galano,Eliana; Gutierrez,Pilar Lecussan; Marques,Heloisa Helena de Souza; Negra,Marinella Della; Fran?a-Jr,Ivan;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011001100025
Abstract: sexuality and reproductive healthcare represent relevant issues for comprehensive care of hiv-positive adolescents. however, public policies and health services give this issue insufficient attention. the scope of this article is to assess how hiv-positive young people and teenagers cope with their sexuality, dating and the urge to have children and start a family. in a qualitative study, in-depth interviews were staged with 21 hiv-positive (contracted by vertical, sexual or intravenous transmission) teenagers and 13 caregivers of children and youths living in sao paulo and santos. the interviews revealed the different ways teenagers cope with their sexuality and with the anxiety of hiv disclosure in this context. lack of information about hiv prevention, lack of support and skills to cope with their sexuality were revealed in the reports. furthermore, stigma and discrimination were the most frequently reported difficulties. the main challenges to be faced in brazil in regard to this issue are discussed, especially the need to consider hiv-positive youth as entitled to sexual rights. recommendations are also made for incorporating the issue into a humanized and comprehensive care approach for hiv-positive children and young people.
“A sobar”. Producción artesanal de pan en la casa Ruiz-Quevedo (Cáqueza, Cundinamarca)
Lozano Cruz Marinella
Maguaré , 2011,
Abstract:
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