ABSTRACT
We report five male patients, aged 35 to 63 years who suffered from paretic neurosyphilis. The clinical course was that of a subacute dementia with a frontal syndrome, with more apathy than euphoria. All were HIV negative and four were heterosexual. In all, the cerebrospinal fluid had a mononuclear pleocytosis and a positive VDRL. EEG was abnormal in the 3 cases in whom it was performed. One patient in whom a brain angiography was performed, had images of vasculitis. Treatment with 18-24 million units of penicillin per day during two weeks or more, was partially effective.
Subject(s)
Dementia , Neurosyphilis , Adult , Dementia/complications , HIV Seronegativity , Humans , Male , Middle Aged , Neurosyphilis/complications , Neurosyphilis/diagnosis , Neurosyphilis/drug therapy , Penicillins/therapeutic useABSTRACT
We report five male patients, aged 35 to 63 years who suffered from paretic neurosyphilis. The clinical course was that of a subacute dementia with a frontal syndrome, with more apathy than euphoria. All were HIV negative and four were heterosexual. In all, the cerebrospinal fluid had a mononuclear pleocytosis and a positive VDRL. EEG was abnormal in the 3 cases in whom it was performed. One patient in whom a brain angiography was performed, had images of vasculitis. Treatment with 18-24 million units of penicillin per day during two weeks or more, was partially effective.
Subject(s)
Adult , Humans , Male , Middle Aged , Dementia , Neurosyphilis , Dementia/complications , HIV Seronegativity , Neurosyphilis/complications , Neurosyphilis/diagnosis , Neurosyphilis/drug therapy , Penicillins/therapeutic useABSTRACT
En Guatemañla y Panamá se efectuaron en 1983-1984 y 1984-1985, respectivamente, dos encuestas mediante entrevistas, diseñadas para evaluar la medida en que se utilizan los servicios de salud maternoinfantil. En la encuesta panameña se obtuvieron entrevistas completas de 8 240 mujeres de 15 a 49 años de edad, mientras que en la encuesta guatemalteca se realizaron entrevistas completas a 3 670 mujeres de 15 a 44 años de edad. Estas entrevistas se realizaron principalmente para estimar la prevalencia del uso de la contracepción y para proveer datos basados en la población sobre el uso de servicios de salud maternoinfantil, entre ellos los de vacunación a todos los niveles, con objeto de medir el impacto del programa en cada país. Para los propósitos de este análisis, la muestra de la encuesta en ambos países se limitó a mujeres de 15 a 44 años de edad que estuvieran casadas en el momento de la entrevista y que hubieran dado a luz un hijo vivo dentro de los cinco años anteriores. En Panamá, un porcentaje mucho mayor que en Guatemala de mujeres casadas de 15 a 44 años informaron que utilizaban los servicios de salud maternoinfantil. En ambos países, un porcentaje relativamente alto de mujeres que residían en las zonas urbanas dijeron que hacían uso de estos servicios, mientras que las mujeres indígenas de ambos países informaron que hacían un uso relativamente escaso de ellos. Además, se encontraron asociaciones entre la utilización de dichos servicios y el grado de escolaridad de la madre, su ocupación, paridad y el lugar donde tuvo a su último hijo. Asimismo, era más probable que emplearan métodos contraceptivos las mujeres que usaban los tres tipos de servicios de salud maternoinantil que las mujeres que habían dicho que utilizaban solo alguno o ninguno de ellos. En lo que se refiere al grado de cobertura de la vacunación de niños pequeños en Panamá y Guatemala, los datos de la encuesta señalaron que el grado de vacunación era relativamente mayor en Panamá...
Subject(s)
Pregnancy , Adolescent , Adult , Middle Aged , Humans , Female , Maternal Health Services , Child Health Services , Vaccination , Guatemala , Panama , Prenatal CareSubject(s)
Child Health Services , Maternal Health Services , Vaccination , Prenatal Care , Panama , GuatemalaABSTRACT
Two surveys designed to assess the extent to which maternal and child health services were being used in Guatemala and Panama were conducted in 1983-1984 and 1984-1985, respectively. The Panama survey obtained complete interviews from 8 240 women 15 through 49 years of age, while the Guatemala survey obtained complete interviews from 3 670 women 15 through 44 years of age. These surveys were conducted principally to estimate the prevalence of the use of contraception and to provide population-based data on the use of maternal and child health services, including immunization levels, in order to measure program impact in each country. For purpose of this analysis, only women 15 through 44 years of age who were married at the time of the interview and who had given birth to a live infant within the preceding five years and included. A considerably higher percentage of married women aged 15-44 reported using maternal and child health (MCH) services in Panama than in Guatemala. In both countries a relatively high percentage of women residing in the urban areas said they made use of these services, while Indian women in both countries reported making relatively tittle use of them. In addition, associations were found between use of MCH services and maternal education, maternal employment, parity, and the type of facilit
