ABSTRACT
O objetivo deste artigo e abordar a interelacao entre o uso de hormonios e a atuacao do sistema imune na defesa contra infeccoes, particularmente...
Subject(s)
Humans , Female , Genital Diseases, Female/immunology , Reproduction/immunology , Steroids , Antibody Formation , Hormones , Immune SystemABSTRACT
To evaluate care provided to women living with HIV in São Paulo, Brazil, based on their own experiences, patients from HIV/AIDS reference clinics answered a questionnaire on circumstances of HIV testing, health personnel's attitudes at diagnosis, adherence to follow-up, services provided by care centers and access to laboratory monitoring. From September 1999 to February 2000, 1,068 women were interviewed. Most had over 8 years of education and reported having regular sexual partners, being mothers and family caregivers. They were diagnosed as HIV-infected for 4.36 +/- 3.15 years. The majority had been referred to testing without counseling. Post-test counseling was provided depending on the testing center. Neither pre-test nor post-test counseling were associated to time since diagnosis. Some patients reported having felt indifference, discrimination or criticism at diagnosis, depending on where testing occurred. Compliance to medical follow-up was associated to adherence to antiretrovirals and to shorter time since diagnosis, but not with having a primary caregiver or with commuting time to the care center. Psychological support, nutrition care and oral health were women's less addressed needs. Access to gynecological care was associated with counseling on mother-to-child transmission and on safe sex. Access to CD4+ cell counts and HIV viral loads was concordant with guidelines, but the understanding of their meaning was incomplete. We conclude that women living with HIV/AIDS in São Paulo, Brazil have limited HIV risk perception and unmet care needs. Better training of professionals in charge of diagnosis and integrating women's health and family-planning actions to AIDS programs may enhance care.
Subject(s)
HIV Infections/prevention & control , HIV Infections/therapy , Women's Health Services/standards , Adolescent , Adult , Attitude of Health Personnel , Brazil , Female , HIV Infections/transmission , Humans , Infectious Disease Transmission, Vertical/prevention & control , Middle Aged , Patient Compliance , Pregnancy , Pregnancy Complications, Infectious/prevention & control , Program Evaluation , Surveys and QuestionnairesABSTRACT
O objetivo deste estudo foi a revisäo de aspectos históricos, epidemiológicos, diagnósticos (clinico e laboratorial) e terapêuticos das ulceras genitais de transmissäo sexual de maior frequência (sífilis, cancro mole, donovanose, linfogranuloma venereo e herpes genital)
Subject(s)
Humans , Female , Genital Diseases, Female/classification , Sexually Transmitted Diseases/diagnosis , Chancre/etiology , Genital Diseases, Female/therapy , Sexually Transmitted Diseases/epidemiology , Granuloma Inguinale/etiology , Herpes Genitalis , Lymphogranuloma Venereum , Syphilis/etiologyABSTRACT
O objetivo deste trabalho foi estudar a flora microbiana cervicovaginal, e outras variaveis da rotina ginecologica em mulheres infectadas pelo HIV, com contagem de linfocitos T CD4+ maior ou igual a 200 celulas/mm3, comparados as mulheres nao infectadas. Os resultados demonstraram frequencias similares no exame ginecologico, microbiologia cervicovaginal, citologia, vaginoscopia e exame anatomopatologico. Nas pacientes infectadas pelo HIV, observaram-se diferencas estatisticamente significativas no que se refere a inversao de leucocitos e Bacilos de Doderlein a bacterioscopia, achados colposcopicos e vulvoscopicos, indicando a necessidade de maior cuidado no exame dessas pacientes
Subject(s)
Humans , Female , Adult , Middle Aged , Physical Examination/methods , HIV/pathogenicity , Medical History Taking , Case-Control Studies , Colposcopy , HIV Infections/epidemiology , WomenABSTRACT
O objetivo do estudo foi a revisao de aspectos epidemiologicos, imunologicos, fisiopatologicos e manifestacoes clinicas da infeccao pelo HIV particulares ao sexo feminino. O estudo da microbiologia vaginal envolveu analise deste conteudo quanto aos seus componentes, com especial atencao aos microorganismos presentes, que caracterizam a flora microbiana em fisiologica ou patologica
Subject(s)
Humans , Female , HIV Infections/diagnosis , Vagina/virology , HIV Infections/physiopathology , HIV Infections/immunology , Vagina/microbiologyABSTRACT
Trata das doenças causadas por clamídias, sob os aspectos da epidemiologia, microbiologia, diagnóstico laboratorial, manifestaçöes mais comuns, patogenia e tratamento. (MC)
Subject(s)
Chlamydia Infections , Chlamydia trachomatis , Chlamydia Infections/diagnosis , Chlamydia Infections/epidemiology , Chlamydia Infections/microbiology , Chlamydia Infections/prevention & controlABSTRACT
No Setor de Ginecologia Endocrina e Climaterio do Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo foram estudadas 353 mulheres portadoras de amenorreia hipergonadotropica com o objetivo de analisar, retrospectivamente, os niveis alterados de gonadotropinas, e, tentar estabelecer correlacao entre possiveis padroes gonadotropicos e a etiopatogenia da amenorreia...
Subject(s)
Humans , Female , Adult , Middle Aged , Amenorrhea/metabolism , Gonadotropins/metabolism , Amenorrhea/etiology , Follicle Stimulating Hormone/analysis , Luteinizing Hormone/analysisABSTRACT
Foram estudadas 49 pacientes com diagnóstico clínico e microscópico de candidíase vaginal tratadas com 5 g de tioconazol creme 2 por cento durante três dias consecutivos. Os resultados foram considerados excelentes ou bons em 90 por cento dos casos como sete dias após o tratamento; 96 por cento das pacientes classificaram a terapêutica, fácil e cômoda de ser seguida; 12 por cento das pacientes apresentaram reaçöes adversas de leve intensidade e apenas duas interromperam a medicaçäo por efeitos adversos severos.
