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Search Results: 1 - 10 of 10434 matches for " Machado Jussara Marcondes "
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Vírus da hepatite B: avalia??o da resposta sorológica à vacina em funcionários de limpeza de hospital-escola
Osti,Cristina; Marcondes-Machado,Jussara;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000700043
Abstract: viral hepatitis b is one of the major public health problems in all continents. the hepatitis-b virus is transmitted parenterally and mainly sexually. the objective of this study was to evaluate the population composing the active cleaning staff of the botucatu school of medicine hospital - unesp who had received a complete vaccination scheme against hepatitis b, to measure their levels of antibodies against aghbs (anti-hbs) and to evaluate their relationship with general epidemiological conditions, personal and professional life conditions and risk of infection by the hepatitis-b virus.
Emprego da tomografia computadorizada na detec??o de altera??es das adrenais em doentes com tuberculose
Yamashita, Seizo;Machado, Jussara Marcondes;Morceli, José;
Radiologia Brasileira , 2004, DOI: 10.1590/S0100-39842004000300006
Abstract: we evaluated the adrenals of individuals without tuberculosis (group 1 - g1) and with tuberculosis (group 2 - g2) using computed tomography. the antero-posterior length, the thickness, and the longitudinal length of the adrenals were compared in g1 and g2. the duration of the disease, the occurrence of morphologic abnormalities in g2, the distribution according to sex, age and skin color were also studied. there was difference in the antero-posterior length and thickness of right adrenal between g1 and g2. a higher prevalence of white skin male individuals was observed in g2. there was no association between duration of the disease and the occurrence of morphologic abnormalities in g2. a higher occurrence of adrenal enlargement was observed in g2. the main computed tomography findings in patients with tuberculosis were enlargement of the adrenal without calcification, enlargement of the adrenal with punctiform calcifications, and residual calcification of the adrenal.
Emprego da tomografia computadorizada na detec o de altera es das adrenais em doentes com tuberculose
Yamashita Seizo,Machado Jussara Marcondes,Morceli José
Radiologia Brasileira , 2004,
Abstract: Neste estudo foram avaliadas, por meio de tomografia computadorizada, as adrenais em indivíduos sem tuberculose (grupo 1 - G1) e com tuberculose (grupo 2 - G2). A dimens o antero-posterior, a espessura e o comprimento das adrenais foram comparados no G1 e no G2. Foram também avaliadas a dura o da doen a com a ocorrência de altera o morfológica no G2, e a distribui o segundo o sexo, a idade e a cor da pele no G1 e no G2. Neste estudo houve diferen a nas dimens es antero-posterior e espessura da adrenal direita entre o G1 e o G2. Observou-se maior ocorrência do sexo masculino e de indivíduos de pele branca no G2. N o houve associa o entre a dura o da doen a e a ocorrência de altera o morfológica no G2. Maior ocorrência da altera o morfológica tipo alargamento foi observada no G2. Os principais achados pela tomografia computadorizada, nos pacientes com tuberculose, foram alargamento da adrenal sem calcifica o, alargamento da adrenal com calcifica o puntiforme e calcifica o de aspecto residual da adrenal.
Use of a condom in sex relations by HIV carriers
Galv?o, Marli Teresinha Gimeniz;Marcondes-Machado, Jussara;
Revista da Sociedade Brasileira de Medicina Tropical , 2001, DOI: 10.1590/S0037-86822001000200005
Abstract: the frequency with which condoms are used in sex relations by subjects with hiv was determined by interviewing 132 individuals, 82 men and 50 women, most of them from s?o paulo state and some from other regions of the country, all of them seen at an outpatient clinic of the school of medicine in botucatu. the women were younger, were of lower educational level and had poorer professional qualification than men. also, a greater proportion of women were widowed, separated or divorced. we observed that 43.9% of men and 72% of women had been contaminated by the sexual route, but only 41.2% of the men and 31.8% of the women reported the use of a condom after the diagnosis of infection, with most men and women preferring sexual abstinence. the results enable the conclusion that there is still a need to continue to provide information about the use of condoms and to guarantee their free-of-charge distribution due to the low levels of education and professional qualification of the individuals studied. the data also suggest that campaigns for the dissemination of preventive measures should consider the social and cultural differences of infected women.
Use of a condom in sex relations by HIV carriers
Galv?o Marli Teresinha Gimeniz,Marcondes-Machado Jussara
Revista da Sociedade Brasileira de Medicina Tropical , 2001,
Abstract: The frequency with which condoms are used in sex relations by subjects with HIV was determined by interviewing 132 individuals, 82 men and 50 women, most of them from S o Paulo state and some from other regions of the country, all of them seen at an outpatient clinic of the School of Medicine in Botucatu. The women were younger, were of lower educational level and had poorer professional qualification than men. Also, a greater proportion of women were widowed, separated or divorced. We observed that 43.9% of men and 72% of women had been contaminated by the sexual route, but only 41.2% of the men and 31.8% of the women reported the use of a condom after the diagnosis of infection, with most men and women preferring sexual abstinence. The results enable the conclusion that there is still a need to continue to provide information about the use of condoms and to guarantee their free-of-charge distribution due to the low levels of education and professional qualification of the individuals studied. The data also suggest that campaigns for the dissemination of preventive measures should consider the social and cultural differences of infected women.
Citocinas e proteínas de fase aguda do soro como marcadores de regress?o da resposta inflamatória ao tratamento da tuberculose pulmonar
Peresi, Eliana;Silva, S?nia Maria Usó Ruiz;Calvi, Sueli Aparecida;Marcondes-Machado, Jussara;
Jornal Brasileiro de Pneumologia , 2008, DOI: 10.1590/S1806-37132008001100009
Abstract: objective: to evaluate the pattern of pro-inflammatory cytokines, anti-inflammatory cytokines and the acute phase response (apr) as markers of the response to treatment of pulmonary tuberculosis. methods: twenty-eight patients with pulmonary tuberculosis were evaluated at three time points: pretreatment (t0), treatment month 3 (t3) and treatment month 6 (t6). levels of interferon-gamma (ifn-γ), tumor necrosis factor-alpha (tnf-α), interleukine-10 (il-10) and transforming growth factor-beta (tgf-β) were determined using elisa in the supernatant of peripheral blood mononuclear cell and monocyte culture. levels of total protein, albumin, globulins, c-reactive protein (crp), alpha-1-acid glycoprotein (aag) and erythrocyte sedimentation rate (esr) were also determined. all of these parameters were also evaluated, only once, in a group of healthy controls. results: in relation to controls, patients presented cytokine levels and apr that were higher at t0, lower at t3 and either lower (tnf-α, il-10, tgf-β, aag and esr) or normal (ifn-γ and crp) at t6. conclusions: for individuals with negative smear sputum microscopy, crp, aag and esr are potential markers of pulmonary tuberculosis and of the need for treatment; crp (t0 > t3 > t6 = reference) can also be a marker of treatment response. in the patients, the th0 profile (ifn-γ, il-10, tnf-α and tgf-β), inducer of and protector against inflammation, predominated at t0, whereas the th2 profile (il-10, tnf-α and tgf-β), protecting against the harmful pro-inflammatory effect of the remaining tnf-α, predominated at t6. the behavior of ifn-γ (t0 > t3 > t6 = controls) suggests its use as a marker of treatment response.
Clinical and nutritional profile of individuals with chagas disease
Geraix, Juliana;Ardisson, Lidiane Paula;Marcondes-Machado, Jussara;Pereira, Paulo Camara Marques;
Brazilian Journal of Infectious Diseases , 2007, DOI: 10.1590/S1413-86702007000400008
Abstract: chagas disease (cd), caused by the protozoan trypanossoma cruzi, affects approximately 18 million individuals in the americas, 5 million of which live in brazil. most chronic sufferers have either the indeterminate form of the disease, without organic compromise, or the cardiac or digestive forms. despite the importance of this disease, there is no information on the effect of nutrition on cd evolution. we evaluated the clinical-nutritional profile of individuals with cd treated at the tropical diseases nutrition out-patient clinic of the botucatu school of medicine, unesp. a retrospective cohort study was performed between 2002 and 2006, on 66 patients with serum and parasitological diagnosis of cd. epidemiological, clinical, nutritional, and biochemical data were collected, including gender, age, skin color, smoking, alcoholism, physical activity, weight, stature, body mass index, abdominal circumference, glycemia, and lipid profile. fifty-three percent were male and 47% female; 96% were white skinned. mean age was 49.6±6.36 years. the predominant form was indeterminate in 71%; smoking and drinking were recorded in 23% and 17%, respectively. sedentariness predominated in 83%, and 55% presented increased abdominal circumference. most, 94%, were overweight or obese. the biochemical exams revealed hyperglycemia in 12% and dyslipidemia in 74%. these findings suggest that the chagas population presents co-morbidities and risk factors for developing chronic non-transmissible diseases, including cardiovascular diseases, making cd evolution even worse.
Avalia??o da qualidade de vida de mulheres com HIV/AIDS através do HAT-QoL
Galv?o, Marli Teresinha Gimeniz;Cerqueira, Ana Teresa de Abreu Ramos;Marcondes-Machado, Jussara;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200010
Abstract: in order to evaluate quality of life among women with hiv/aids, the hiv-aids quality of life test (hat-qol) was administered as a specific tool for individuals infected with hiv. it consists of 42 questions and is divided into nine modules with questions on different aspects of the lives of persons with hiv/aids. the scale was subjected to reverse and pre-test translation. its final form was applied to 73 women with hiv/aids. the results, following statistical analysis, indicated that the most negatively affected modules were: "financial concerns", "concerns about confidentiality", "sexual activity", and "concerns with health". these results were attributed to the fact that women demonstrated a significant socioeconomic disadvantage which (probably in addition to the infection itself) led to the negative impact on quality of life. it was concluded that the hat-qol scale was appropriate for the population of female hiv carriers in this study (despite having originated from a non-brazilian culture), since application of the scale produced results similar to those found in international publications.
Medidas contraceptivas e de prote??o da transmiss?o do HIV por mulheres com HIV/Aids
Galv?o,Marli T Gimeniz; Cerqueira,Ana Teresa de Abreu Ramos; Marcondes-Machado,Jussara;
Revista de Saúde Pública , 2004, DOI: 10.1590/S0034-89102004000200007
Abstract: objective: sexual intercourse is currently the route of transmission among women that has most contributed to the feminization of the hiv/aids epidemic. as an ongoing effort to establish more appropriate standards for health counseling, the study's purpose was to investigate the use of contraceptive methods that would also prevent hiv/aids women against disease transmission. methods: an exploratory study was developed in an outpatient clinic of a public university hospital, a reference center of hiv/aids patients in the mid-south region of the state of s?o paulo, brazil, during a 5-month-period (2000 and 2001). the study was carried out in 73 hiv/aids women. data were collected using a semi-structured questionnaire exploring subjects' sociodemographics, contraception method used and hiv status of their sex partners. a descriptive data analysis was performed and the contents of open answers were grouped into themes. fischer's exact test was applied for analyzing some variables at a 5% significance level. content analysis was carried out according to bardin's proposal.2 results: most women at reproductive age were married and had been infected almost exclusively through heterosexual contact. of them, 35.4% reported having an hiv discordant partner and 13.7% used inadequate contraceptive methods that failed to protect them against hiv transmission. conclusions: the study results call for the need of continuous education on safer sex among hiv/aids women to empower them to discuss with their partners alternative options of exercising their sexuality and to raise awareness on their contraceptive choices in a way to protect their own health, their partner's and even their unborn offspring's health.
Medidas contraceptivas e de prote o da transmiss o do HIV por mulheres com HIV/Aids
Galv?o Marli T Gimeniz,Cerqueira Ana Teresa de Abreu Ramos,Marcondes-Machado Jussara
Revista de Saúde Pública , 2004,
Abstract: OBJETIVO: Atualmente, entre as mulheres, a rela o sexual é a forma de transmiss o que mais tem contribuído para a feminiza o da epidemia de HIV/Aids. Na busca constante de se estabelecer padr es mais adequados de orienta o para saúde, investigou-se o uso de medidas contraceptivas, que também sirvam de prote o da transmiss o do HIV, entre mulheres portadoras de HIV/Aids. MéTODOS: Estudo exploratório desenvolvido em um servi o público ambulatorial de um hospital universitário, referência aos portadores de HIV/Aids da regi o centro-sul do Estado de S o Paulo, no período de cinco meses (2000 a 2001). Foram estudadas 73 mulheres portadoras da infec o pelo HIV, ou com Aids. Os dados foram obtidos por meio de um formulário que investigava a caracteriza o sociodemográfica, as formas de anticoncep o utilizada e a situa o sorológica do parceiro sexual. Os dados foram analisados descritivamente e os conteúdos das respostas abertas, agrupados em temas. Foi aplicado o teste exato de Fisher para análise de algumas variáveis, em nível de 5%. Para a análise de conteúdo utilizou-se a proposta de Bardin. RESULTADOS: A maioria das mulheres estava em fase de vida reprodutiva, eram casadas e foram contaminadas quase exclusivamente por meio da rela o heterossexual. Entre elas, 35,4% referiam parceiro sexual discordante quanto à sorologia anti-HIV, e 13,7% utilizavam formas inadequadas de anticoncep o que também n o protegiam da transmiss o do HIV. CONCLUS ES: Os resultados alertam para a necessidade de a es educativas continuadas quanto a experiências sexuais mais seguras entre portadoras de HIV/Aids, para que elas possam discutir com seus parceiros outras formas de exercerem sua sexualidade, sendo capazes de estabelecer op o contraceptiva mais consciente, de maneira a zelar pela sua saúde, do parceiro e até do concepto.
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