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1.
Plant Biol (Stuttg) ; 21(4): 662-669, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30676681

RESUMO

Several studies on cytogenetic characterisation of passion flowers are helpful to elucidate doubts about taxa relationships, delimitation and classification into more coherent groups based on karyomorphological data. Molecular and conventional cytogenetic techniques were applied to three Passiflora species with red flowers, P. coccinea, P. vitifolia and P. tholozanii, for species karyotype relationships. Additionally, for descriptive morphology, were used flowers, leaves and seeds. Results describe for the first time the karyomorphological and chromosome number (2n = 18) for P. tholozanii. anova was performed (P < 0.05) and statistical significance for average chromosome size (CV: 16.53%) between species. Genomic in situ hybridisation (GISH) proved relationships between P. coccinea and P. tholozanii, which suggests a common origin, however, we could not identify hybridisation between genomic probes from P. vitifolia in P. tholozanii chromosomes. Among the species analysed, P. tholozanii has great similarity in karyotypic and morphology to P. coccinea but not to P. vitifolia. We suggest the inclusion of P. tholozanii in the same subgenus and section as P. coccinea based on the similarity in karyomorphological and morphological traits between the species. Additionally, GISH might indicate a common or hybrid origin of P. tholozanii.


Assuntos
Passiflora/citologia , Corantes Azur , Cromossomos de Plantas/genética , Análise Citogenética , Cariotipagem , Passiflora/anatomia & histologia , Passiflora/genética , Coifa/anatomia & histologia , Coifa/citologia , Coifa/genética
2.
J Dent Res ; 93(7 Suppl): 66S-71S, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24868014

RESUMO

OBJECTIVES: The purpose of this randomized double-blinded clinical trial was to test the efficacy and tooth sensitivity promoted by the use of an in-office 15% H(2)O(2) bleaching agent containing nanoparticles of TiO_N photocatalyzed with LED/laser light (HP15) and a control of 35% H2O2 (HP35). METHODS: Forty healthy volunteers, both sexes, aged 18 to 25 yr, were randomly distributed in 2 groups: HP15 (n = 20) was treated in 3 sessions of 48 min each, and HP35 (n = 20) was treated in 3 sessions of 45 min each. The efficacy (E) was evaluated by ΔE values measured via reflectance spectroscopy. The tooth sensitivity (S) was analyzed by visual analog scale (low, average, high, very high). The absolute risk reduction and the number needed to treat index were calculated. The data were analyzed by mixed repeated measures analysis of variance with Bonferroni-correction t test (α = 0.05). RESULTS: For the efficacy, significant differences were found for number of bleaching sessions (p = .0001; [Formula: see text] = 0.73 and π = 1.000) and for the interaction of number of sessions and bleaching protocols (p = .0001; [Formula: see text] = 0.319 and π = 1.000. The tooth sensitivity level showed significant differences only between the bleaching protocols. Absolute risk reduction calculated was 52% and number needed to treat, 1.92. CONCLUSIONS: The bleaching agent with the lower concentration (HP15) promoted lower levels of tooth sensitivity and presented greater efficacy compared to the control (HP35) in patients between 18 and 25 yr old. The limitation of short-term evaluation did not provide information about the longevity of the tooth bleaching (Brazilian Clinical Trials Registry Re Bec no. U1111-1150-4466).


Assuntos
Peróxido de Hidrogênio/administração & dosagem , Nitrogênio/administração & dosagem , Fármacos Fotossensibilizantes/administração & dosagem , Titânio/administração & dosagem , Clareamento Dental/métodos , Adolescente , Adulto , Sensibilidade da Dentina/prevenção & controle , Método Duplo-Cego , Feminino , Humanos , Análise de Intenção de Tratamento , Lasers Semicondutores/uso terapêutico , Masculino , Nanopartículas/química , Medição da Dor/métodos , Espectrofotometria/métodos , Fatores de Tempo , Clareadores Dentários/administração & dosagem , Resultado do Tratamento , Adulto Jovem
3.
J Forensic Odontostomatol ; 30(1): 37-43, 2012 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-23000810

RESUMO

Genetically determined sexual dimorphism is not restricted to reproductive organs. All body structures show sexual differences which emerge during puberty and persist lifelong. The aim of this study is to obtain a reliable method for sex determination through the analysis of linear measurements of palate bones and skull base. One hundred skulls of both sexes, 50 from males and 50 from females, aged between 22 and 55 years, from the São Gonçalo Cemetery of Cuiabá, capital of Mato Grosso state, Brazil, were analyzed. Distances between the incisive foramen, right and left greater palatine foramens and the basion were measured with a digital caliper. Finally, data were tabulated and statistically analyzed. Measurements showed significant sexual dimorphism, except the distance between the right and the left greater palatine foramens. The superior expression of sex dimorphism corresponded to the distance from the basion to the incisive foramen. The authors obtained two mathematical models for sex determination, with a reliability rate of 63% and 65% respectively.


Assuntos
Palato Duro/anatomia & histologia , Determinação do Sexo pelo Esqueleto/métodos , Base do Crânio/anatomia & histologia , Adulto , Precisão da Medição Dimensional , Análise Discriminante , Feminino , Antropologia Forense/métodos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Caracteres Sexuais , Estatísticas não Paramétricas , Adulto Jovem
4.
J. venom. anim. toxins incl. trop. dis ; J. venom. anim. toxins incl. trop. dis;16(2): 285-297, 2010. tab
Artigo em Inglês | LILACS | ID: lil-548850

RESUMO

A cross-sectional study on HIV/AIDS was carried out in 108 outpatients from the university hospital of the Federal University of Mato Grosso do Sul, Campo Grande, Brazil, from July to December 2008, to investigate latent tuberculosis infection using the tuberculin skin test (TST). The prevalence of positive results was 13.9 percent. The CD4+ T cell count (p = 0.091) and the diagnosis time (p = 0.010) were statistically significant when compared with TST positivity. In the cohort of HIV/AIDS patients who had latent tuberculosis infection, the median diagnosis time was eight years. Undetectable viral load presented significant association (p = 0.046) with tuberculosis infection. The fact that numerous individuals with HIV/AIDS infection presented a negative reaction to the tuberculin skin test is probably related to alterations in the cellular immune response induced by HIV infection. The tuberculin test is a useful tool for the detection of latent tuberculosis infection and should be performed in all HIV/AIDS individuals at the time of the diagnosis and on a yearly basis, if negative. Both the early identification of the tuberculosis infection by the tuberculin skin test at the moment of immunological restoration and chemoprophylaxis in infected individuals are mechanisms to control HIV/AIDS and tuberculosis coinfection.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , HIV , Teste Tuberculínico
5.
J Eur Acad Dermatol Venereol ; 16(5): 463-8, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12428838

RESUMO

BACKGROUND: The aetiology of pityriasis alba (PA), a common dermatosis in childhood, is still controversial. The objective of this study was to assess the possible aetiopathogenic factors of this disease in infants. METHODS: Forty-four patients with PA and 31 healthy children were examined and compared. Personal hygiene habits, sun exposure, presence of Staphylococcus aureus in nasal fossae and presence of major or minor signs of atopy were assessed during anamnesis and physical examination. Susceptibility to ultraviolet (UV) B radiation was measured by the onset of a contact hypersensitivity reaction to diphenylcyclopropenone in individuals sensitized in previously irradiated areas. RESULTS: The prevalence of PA was higher in individuals with darker skin, in high phototype categories, as well as in males. The number of daily baths and sun exposure between 10.00 h and 15.00 h were significantly higher in the PA group when compared with controls (P = 0.03 and P = 0.0015, respectively). The presence of atopy signs was more common in pityriasis patients (P = 0.002). Susceptibility to UVB radiation was 29.6% in the PA group vs. 29.0% in the control group; nevertheless, important differences were found after stratification in order to control possible confounding factors. The presence of S. aureus in the nostrils was equal in both groups. CONCLUSIONS: Our results confirm that PA, in our population, is more prevalent in males and in individuals in higher phototype categories. In those with inadequate personal hygiene and sun exposure habits the disease is more accentuated, demonstrating that the xerosis presenting in individuals with atopic diathesis is an important element in the development of the disease. S. aureus is not an important aetiopathogenic factor in PA. Susceptibility to UVB becomes important when related to the patient's phototype.


Assuntos
Pitiríase/etiologia , Pitiríase/patologia , Brasil/epidemiologia , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Criança , Intervalos de Confiança , Feminino , Humanos , Higiene , Masculino , Razão de Chances , Pitiríase/epidemiologia , Prevalência , Fatores de Risco , Estações do Ano , Fatores Sexuais , Pigmentação da Pele , Raios Ultravioleta/efeitos adversos
6.
Braz J Infect Dis ; 4(4): 192-6, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11008223

RESUMO

Information is scarce on the prevalence of hepatitis B (HBV) and hepatitis C (HCV) among voluntary blood donors and patients infected with the human immunodeficiency virus (HIV) in Florianópolis, Brazil. A total of 2,678 serum samples from 2,583 blood donors and 95 HIV-infected patients, collected between April, 1994, and March, 1995, were examined for markers of HBV and HCV. All the samples were analyzed to detect HBV and HCV markers (HBsAg, anti-HBc, and anti-HCV). Hepatitis B and C prevalence among the studied blood donors reached 9.3% and 1.0%, respectively; 0.7% being seropositive for HBsAg and 9.2% for anti-HBc. It was also verified that 0.1% of blood donors were seropositive for HBsAg alone, 8.6% seropositive for the anti-HBc alone, and 0.6% presented a positive reaction for both of the HBV markers studied. Among HIV-infected patients, prevalence of 69.5% and 54.7% for hepatitis B and hepatitis C, respectively, were observed. Of these patients, 18.9% were seropositive for HBsAg, and 66.3% for the anti-HBc. The prevalence of a reaction for HBsAg alone, and for anti-HBc alone was 3.1% and 50.5%, respectively, for HIV-infected patients, whereas 15.8% were seropositive for both of the studied markers. HBV and HCV coinfection was 0.1% in blood donors, and 40% of those patients tested seropositive for HIV. Results show prevalence of HBV and HCV infection to be significantly greater among HIV-infected patients than among blood donors. These observations confirm the high frequency of HIV-infected patients exposure to these other viruses.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Infecções por HIV/complicações , HIV-1 , Hepatite B/epidemiologia , Hepatite C/epidemiologia , Brasil/epidemiologia , Feminino , Infecções por HIV/virologia , Hepatite B/imunologia , Anticorpos Anti-Hepatite B/sangue , Hepatite C/imunologia , Anticorpos Anti-Hepatite C/sangue , Humanos , Masculino , Estudos Soroepidemiológicos
7.
Eur J Cardiothorac Surg ; 18(1): 46-53, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10869940

RESUMO

OBJECTIVE: The study was designed to compare hemodynamic performance, structural failure and survival of patients undergoing aortic valve replacement (AVR) with a composite aortic stented or stentless porcine bioprosthesis. METHODS: From January 1990 to June 1999, the clinical data of 725 patients undergoing AVR with stented porcine aortic bioprosthesis were reviewed. We defined two groups of patients with similar clinical characteristics: 202 patients receiving aortic stented and 205 patients stentless valves. The two patients groups were similar in age, sex, valve lesion, valve size, preoperative New York Heart Association (NYHA) class status and follow-up. RESULTS: The number of patients available for follow-up, excluding hospital and late mortality, reoperations and patients lost to follow-up, was 157 for the stented and 175 for the stentless group. There was a higher incidence of rheumatic heart disease in the stented (59%) vs. stentless group (44%), (P=0.003). Fewer patients had prior aortic bioprosthetic dysfunction in the stented (7.6%) compared to the stentless group (25%) (P<0.001). The mean intensive care unit stay, hospital mortality and late mortality were similar (P, NS). The total complication rate was higher in the stented (12%) than the stentless (3.4%)(P=0.005). Valve related death was higher in the stented (2.5%) than the stentless (0%) (P=0. 049). Postoperatively, the aortic effective orifice area (AEOA) was larger (P<0.001) and the transvalvular peak and mean gradients were lower in the stentless group (P<0.001). The leaflet tissue degeneration analysis was 8.0% in patients at risk for stented and 0. 6% for stentless (P=0.001). Actuarial analysis disclosed no statistical difference in patient survival between groups (P=0.18). Reoperations were less frequent in the stentless group (P=0.010). CONCLUSIONS: Hemodynamic benefits in the stentless group were evident and expressed by larger AEOA, lower gradients, better left ventricular remodeling with significant decrease of the left ventricular mass. Lower complication rates, lower reoperation rates, less leaflet tissue degeneration, and lower valve related mortality rates were seen in the stentless group. A controlled clinical comparison trial with longer follow-up will be required to confirm these clinical and hemodynamic benefits.


Assuntos
Bioprótese , Próteses Valvulares Cardíacas , Adulto , Idoso , Valva Aórtica , Ponte Cardiopulmonar , Feminino , Hemodinâmica , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Estudos Retrospectivos , Stents , Resultado do Tratamento
8.
Cad Saude Publica ; 14(3): 493-9, 1998.
Artigo em Português | MEDLINE | ID: mdl-9761602

RESUMO

Child growth as measured by anthropometric indicators is an important tool for assessing children's nutritional status and society's developmental stage. This study uses the height-for-age indicator with the cutoff point at -2 Z to estimate prevalence of malnutrition in a population of six-year-old children included in the Brazilian National Survey on Health and Nutrition (PNSN). Prevalence variability was analyzed according to gender, trimestral age range, per capita family income, and region of residence. Based on estimates of mortality rates for children under five whose deaths could be ascribed to malnutrition, the survival bias correction was performed using the Boerma methodology. This correction, in turn, was more conspicuous within the low-income and less-developed segment of the population. There was an increase in the number of malnourished children in relation to those surviving at the time of investigation. When comparing less and more developed areas of the country (the Northeast and Southeast, respectively), we observed that malnutrition prevalence rates within the six-year-old group showed no change in the Southeast region, while in the Northeast they increased from 26% to 34%, thus representing a 31% increase in the malnutrition rate. Therefore, in absolute figures, these rates account for the addition of 90,100 children to the malnourished group.


Assuntos
Transtornos da Nutrição Infantil/epidemiologia , Desnutrição Proteico-Calórica/epidemiologia , Fatores Etários , Viés , Peso Corporal , Brasil/epidemiologia , Criança , Transtornos da Nutrição Infantil/mortalidade , Estudos Transversais , Inquéritos Epidemiológicos , Humanos , Modelos Teóricos , Inquéritos Nutricionais , Estado Nutricional , Desnutrição Proteico-Calórica/mortalidade , Fatores Socioeconômicos
9.
J Heart Valve Dis ; 7(2): 195-201, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9587861

RESUMO

BACKGROUND AND AIMS OF THE STUDY: The study aimed to determine the clinical performance of bovine pericardial aldehyde-treated products alone or in combination with aortic leaflets of porcine origin. These included a composite porcine stentless aortic valve attached to a scalloped pericardial tube (BSAV), and valved and non-valved bovine pericardial conduits for use in left-sided heart lesions (BPG). METHODS: For BSAV grafts, between January 1990 and August 1996, 163 patients (119 males) had their aortic valves replaced by SJM Biocor BASV. Mean age was 37.9 +/- 17.6 years (range: 1 to 76 years). Rheumatic heart disease sequelae (n = 72) and replacement of a prosthetic heart valve (n = 46) were predominant. Preoperative NYHA functional class showed 90 patients (55.2%) in class III and 50 (30.7%) in class IV. BPVC and NVPC grafts were used in 166 patients: acute aortic dissection was the main indication in 52 (31.3%) and chronic in 36 (21/7%). The ascending aorta was involved in 141 patients (84.9%); grafts were seldom used at other sites. In most patients the graft implanted was either a non-valved (n = 79) or a valved (n = 75) pericardial conduit. Twelve patients had a localized lesion and required a patch repair. RESULTS: For BASV grafts, the non-valve-related hospital mortality rate was 4.9%. There were 14.7% non-fatal complications with full recovery of all patients. Mean follow up in 141 patients was 3.0 +/- 1.4 years (range: 1 month to 7.2 years); 14 patients were lost to follow up. Late, non-conduit-related, mortality occurred in seven patients (4.9%). Eight patients underwent reoperation. The current clinical follow up of 127 patients has shown 118 (92.9%) with competent valves and nine (7.0%) with mild stable aortic insufficiency. For BPVC and NVPC grafts, hospital mortality rate was 16.9%, death being related to poor preoperative clinical condition. Postoperative follow up was accomplished in 125 patients; reoperation was necessary in seven patients. Histology showed good tissue preservation up to five years; echocardiography revealed satisfactory findings. No valved conduit had to be reoperated for valve or pericardial tissue wear. CONCLUSIONS: Clinical results of left-sided heterologous pericardial grafts have shown excellent performance over time. The BASV (over seven years) and BPVC and NVPC (eight years) have demonstrated superior results as aortic valves alone or in combination with a pericardial conduit.


Assuntos
Aorta Torácica/cirurgia , Aorta/cirurgia , Valva Aórtica/cirurgia , Bioprótese , Prótese Vascular , Implante de Prótese de Valva Cardíaca/métodos , Próteses Valvulares Cardíacas , Pericárdio/transplante , Adolescente , Adulto , Idoso , Aldeídos , Animais , Valva Aórtica/diagnóstico por imagem , Bioprótese/efeitos adversos , Bovinos , Criança , Pré-Escolar , Ecocardiografia Doppler , Estudos de Avaliação como Assunto , Feminino , Seguimentos , Próteses Valvulares Cardíacas/efeitos adversos , Implante de Prótese de Valva Cardíaca/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Falha de Prótese , Reoperação , Estudos Retrospectivos , Cardiopatia Reumática/diagnóstico , Cardiopatia Reumática/mortalidade , Cardiopatia Reumática/cirurgia , Taxa de Sobrevida , Preservação de Tecido/métodos , Resultado do Tratamento
10.
J Heart Valve Dis ; 7(1): 54-61, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9502140

RESUMO

BACKGROUND AND AIMS OF THE STUDY: This study aimed to determine the clinical performance of bovine pericardial aldehyde-treated material alone or in combination with aortic leaflets of porcine origin. These were the porcine aortic stentless pulmonary valved bovine pericardial conduit (PSPVC), and porcine aortic monocusp attached to pericardial patch (PAMC), used to correct right-sided heart lesions. METHODS: Between November 1985 and October 1995, 33 patients underwent corrective congenital surgery with PSPVC. Mean patient age was 5.7+/-4.3 years (range: 15 days to 18 years). Pulmonary atresia with ventricular septal defect (VSD) was the most frequent disease (16/33, 48%). For PAMC, 45 patients with various congenital heart malformations underwent implantation between June 1989 and April 1996. Mean patient age was 4.8+/-4.7 years (range: 2 weeks to 18 years). RESULTS: With PSPVC, hospital mortality rate was 18.2% and related to poor preoperative clinical condition in six cases. Four patients were lost to follow up; 23 (85%) were followed for 3 months to 10 years (mean 4.8+/-3.0 years). Distal anastomotic scarring in four patients was probably due to retraction of the pericardial tissue. With PAMC, hospital mortality rate was 11% and related to patients' preoperative clinical condition. Three patients were lost to follow up; 37 survivors have been followed for 6 to 88 months (mean 38.5+/-19.0 months). There were no late deaths. Two patients underwent reoperation; intra-operative observation showed well-preserved monocusps with no signs of tissue degeneration. The remaining 35 patients remain asymptomatic by clinical examination and Doppler echocardiography. The monocusps remained mobile in every case. CONCLUSION: PSPVCs have shown excellent performance and durability in young patients with a low mean age (5 years). The monocusp graft has remained functional with good leaflet motion for up to seven years.


Assuntos
Bioprótese , Implante de Prótese Vascular , Cardiopatias Congênitas/cirurgia , Pericárdio/transplante , Valva Pulmonar/cirurgia , Adolescente , Animais , Bovinos , Criança , Pré-Escolar , Feminino , Seguimentos , Mortalidade Hospitalar , Humanos , Lactente , Recém-Nascido , Masculino , Reoperação , Suínos
11.
Estud Demogr Urbanos Col Mex ; 11(2): 229-62, 419, 1996.
Artigo em Espanhol | MEDLINE | ID: mdl-12348665

RESUMO

PIP: "We study...some of the repercussions of the crisis and economic restructuring on the manufacturing labour force in the main urban areas of Mexico. Using the data of the National Survey of Urban Employment for the period 1986-1992, we set, first of all, the evolution of female and male presence in the manufacture of the country's main industrial cities. Further, some of the characteristics of the manufacturing labour force in different types of cities are examined. For this purpose, we are considering several issues: the condition of wage earner and non-wage earner workers, the size of the establishment, some sociodemographic aspects (gender, age, schooling level, and condition of the head of household), as well as different aspects related to labour conditions (length of workday, job benefits, and salary levels)." (EXCERPT)^ieng


Assuntos
Economia , Emprego , Fatores Sexuais , População Urbana , América , Demografia , Países em Desenvolvimento , Mão de Obra em Saúde , América Latina , México , América do Norte , População , Características da População
12.
J Int Med Res ; 23(5): 358-63, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8529778

RESUMO

Depression of the immune system may be related to cancer development. Allergic manifestations are due to enhanced immunological activity. Several authors have found lower rates of malignancy in atopic individuals. To elucidate the relationship between cancer and allergy, the prevalence of allergic manifestations was surveyed in 400 healthy controls and 400 patients with cancer. The number of allergies was significantly higher (P < 0.001) in the control group than in patients with cancer. Women were more atopic than men in both groups (P < 0.001) but skin colour did not affect the prevalence of allergies. The type of cancer was not related to any specific allergic manifestation. The results suggest that allergies occur less frequently in men than in women and less frequently in patients with cancer than in healthy controls but these relationships are complex and depend on other factors that need further investigation.


Assuntos
Hipersensibilidade/epidemiologia , Neoplasias/epidemiologia , Neoplasias/imunologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Prevalência , Caracteres Sexuais , Pigmentação da Pele/imunologia
13.
Cranio ; 11(3): 202-5, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8242782

RESUMO

Patients indicated for examination, evaluation and treatment of the temporomandibular joint (TMJ) in the Centro de Diagnostico e Tratamento da ATM (CDTATM) were submitted to computerized BioPAK system tests. Special attention was placed on the SonoPAK test (electrovibratography), seeking to evaluate the articular sound problem in differentiated patients for specific TMJ treatment. The percentage of sounds (148 joints, 74 patients) was high (75.67% in the opening movement and 50.00% in the closing movement) which suggests the necessity to give more attention to the TMJ sounds during a clinical exam. And also, if possible, give more attention to the utilization of specific tests to obtain a clear definition of the type of sound the patient presents.


Assuntos
Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/fisiopatologia , Adolescente , Adulto , Idoso , Auscultação/métodos , Feminino , Humanos , Masculino , Má Oclusão/complicações , Pessoa de Meia-Idade , Razão de Masculinidade , Som , Transtornos da Articulação Temporomandibular/complicações , Vibração
14.
Bol Oficina Sanit Panam ; 113(1): 19-27, 1992 Jul.
Artigo em Português | MEDLINE | ID: mdl-1642781

RESUMO

The present study compares the results of serological screening for Trypanosoma cruzi infection done at blood banks with results obtained in Chagas' disease studies undertaken by the Reference Laboratory of the Federal University of Goiás (UFG) and evaluates the use of the enzyme-linked immunosorbent assay (ELISA) for this purpose. The study was conducted with data from six of the eight blood banks in the city of Goiânia in central Brazil, an urban area in which this infection is highly endemic. The population studied consisted of 1,513 volunteers who had donated blood for the first time between October 1988 and April 1989. The sample represented 50% of all first-time blood donors during the period. Of these donors, 94% were residents of urban areas, and of these, approximately 26% had migrated from the countryside. Nearly 90% of the blood donations in the city are received at these banks, which normally use the indirect hemagglutination and complement-fixation tests. The samples selected for the study of T. cruzi antibody in first-time blood donors were assayed at the Reference Laboratory of the Federal University of Goiás using the indirect hemagglutination (IH), indirect immunofluorescence (IF), and enzyme-linked immunosorbent assay (ELISA) tests, independently of the serological classification performed by the blood banks. Comparison of the results provided by the latter with the positivity pattern established in the study (IH and IF yielded simultaneous positive results in the Reference Laboratory) revealed a relative sensitivity of 77%, with extremes ranging between 50% and 100%, depending on the blood bank studied.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Anticorpos Antiprotozoários/sangue , Doadores de Sangue , Doença de Chagas/prevenção & controle , Programas de Rastreamento , Trypanosoma cruzi/imunologia , Animais , Bancos de Sangue/normas , Brasil/epidemiologia , Doença de Chagas/sangue , Doença de Chagas/epidemiologia , Ensaio de Imunoadsorção Enzimática , Imunofluorescência , Testes de Inibição da Hemaglutinação , Humanos , Valor Preditivo dos Testes , População Urbana
15.
Bull Pan Am Health Organ ; 26(2): 157-64, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1638280

RESUMO

The study reported here compares results obtained by blood banks screening sera for chagasic (Trypanosoma cruzi) infection with results obtained by the Chagas' Disease Reference Laboratory of the Federal University of Goiás in Goiânia, Brazil. It also evaluates results obtained using the ELISA technique to screen the study sera. The survey used data from six of eight blood banks serving the city of Goiânia, an urban region of Central Brazil where Chagas' disease is highly endemic. The survey population consisted of 1,513 voluntary first-time blood donors whose donations occurred between October 1988 and April 1989. This group included 50% of all the first-time blood donors in that period. The six participating blood banks, which accounted for about 90% of all blood donations in Goiânia during the study period, routinely used indirect hemagglutination (IHA) and complement fixation (CF) tests to screen sera for antibodies to T. cruzi. Comparison of the results provided by the blood banks with the reference laboratory's results indicated a relative sensitivity of 77%, which ranged from 50% to 100% depending on the blood bank studied. The comparison, which found 12 false negative results, indicated that transfusions of infected blood might have occurred despite the serologic screening performed by the blood banks. Relative to the standard of positivity established for the study, the enzyme-linked immunosorbent assay (ELISA) technique was found to have a sensitivity of 96.3%. Considering as positive only those sera yielding positive IHA and indirect immunofluorescence (IIF) test results, the ELISA technique yielded 2 false negative and 41 false positive responses.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Doadores de Sangue/estatística & dados numéricos , Doença de Chagas/epidemiologia , Adulto , Bancos de Sangue/estatística & dados numéricos , Brasil/epidemiologia , Doença de Chagas/sangue , Doença de Chagas/prevenção & controle , Ensaio de Imunoadsorção Enzimática/normas , Feminino , Imunofluorescência/normas , Testes de Hemaglutinação/normas , Humanos , Masculino , Programas de Rastreamento , Prevalência , Sensibilidade e Especificidade , Estudos Soroepidemiológicos
16.
Temas Poblac ; 1(2): 15-25, 1991 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-12284136

RESUMO

PIP: This work reviews sociodemographic studies of the interrelationship between work and family in Mexico from 1950 to the present. 3 main themes are distinguished and examined in separate sections. The 1st are labor market studies focusing on aggregates of individuals, a trend most prominent through the mid 1970s but still somewhat in evidence. The 2nd type of studies stress the household or domestic unit as the relevant unit of analysis and often conceptualize economic participation as part of the family life strategy or survival strategy. This perspective reached its maximum development in the late 1970s and early 1980s but also still appears. The last type of study stresses the increasing heterogeneity of labor markets related to the increase in nonsalaried employment and increasing female employment. The domestic unit is present as a determinant of family-based economic activity and female employment, but differences and conflicts between generations within the household are stressed. This perspective began to gain importance in the mid-1980s. The objective of the differentiation into 3 periods and types of study is to analyze changes in theoretical elements considered, principal thematic contents, methodological tools utilized, and results. The work is based on a selective review of literature considered representative. On the theoretical level, relations between work and family are now perceived as more complex and incorporate more elements of social reality than they did in the earlier studies. Most studies of this type have concerned female employment. The belief that male employment depends less on the family context requires reassessment, especially in view of the differential employment opportunities of men and women. Quantitative sociodemographic research in Mexico has been greatly aided by the growing availability of detailed survey data. This, together with advances in statistics and computation, has allowed a greater use of multivariate analysis to clarify relationships between different variables taking into account the influence of important intervening factors. Multivariate analysis has allowed the effect of specific aspects of household structure to be identified. Increasing interest was shown in the 1980s in combining quantitative and qualitative information in Mexican sociodemographic research. This focus was apparent in studies of family formation, temporary migration, health and mortality, and abortion and contraception as well as in research on family and employment. These works attempt to complement data from censuses or surveys with a few in-depth case studies. Data from case studies and interviews has permitted the intentions of individuals to be analyzed and not just assumed. The articulation of individual and group interests in the household is more complex than a simple response to precarious socioeconomic conditions, and it may include elements of coercion.^ieng


Assuntos
Emprego , Características da Família , Relações Familiares , América , Países em Desenvolvimento , Economia , Mão de Obra em Saúde , América Latina , México , América do Norte
17.
Arq Bras Cardiol ; 56(1): 65-8, 1991 Jan.
Artigo em Português | MEDLINE | ID: mdl-1872713

RESUMO

The authors report a case of a patient presenting atypical dyspnea symptom. The physical examination, the chest roentgenogram and EKG were abnormal; the echocardiogram showed an abnormal mass compressing the outflow tract of the right ventricle (RV). These data were confirmed by a computerized tomography. The cardiac catheterization showed a heart deviation to the left and a RV outflow tract gradient of 10 mmHg. Consequently a surgery was necessary. The surgical findings presented an absence of the left pericardium and no tumor was found. This is a rare entity that may be misdiagnosed as other heart diseases but this is the first case in which a tumor of the anterior mediastinum was suspected.


Assuntos
Neoplasias do Mediastino/diagnóstico , Pericárdio/anormalidades , Adulto , Diagnóstico Diferencial , Ecocardiografia , Eletrocardiografia , Humanos , Masculino , Pericárdio/diagnóstico por imagem , Pericárdio/cirurgia , Tomografia Computadorizada por Raios X
18.
Estud Demogr Urbanos Col Mex ; 5(3): 693-710, 827, 1990.
Artigo em Espanhol | MEDLINE | ID: mdl-12284803

RESUMO

PIP: Among the major transformations affecting Mexican women in recent decades were their growing participation in the labor market and the fertility decline that began in the 1970s with widespread access to contraception. Data from 3 major Mexican fertility surveys, employment surveys, and censuses are used to analyze changes in female employment and their determinants during the years of economic recession in the 1980s. The main characteristics of the Mexican fertility decline are described, and the relationship between fertility and female employment before and during the economic recession is scrutinized for different social sectors. Suggestions for research on the affects of these changes on the social condition of Mexican women are then presented. The proportions of Mexican women over 12 years old who declared themselves economically active increased from 16% in 1970 to 21% in 1979 and 32% in 1987. Until the 1970s the majority of employed women were young and single or childless. But a clear increase occurred between 1976-87 in the economic participation of older women in union. Economic participation of low income and less educated women increased as they sought work or created their own in response to deteriorating living conditions during the recession. Young women with intermediate or higher educational levels did not increase their relative presence in the labor market in the same period. The marked increase in economic participation of less educated women in union with small children was accompanied by a significant increase in manual occupations. Between 1982-87, the proportion of women aged 20-49 in nonsalaried manual occupations rose from 7.6% to 18.5%. Mexico's fertility decline has been well documented. The total fertility rate declined from 6.3 in 1973 to 3.8 in 1986, while the percentage of women in union using a contraceptive method increased from 30.2 in 1976 to 52.7 in 1987. Fertility differentials have been declining but are still considerable. The inhibitory influence of children on female labor force participation in Mexico is clear, but in the years of economic recession the most notable increase in female workers was in women with 3 or more children of whom the youngest was under 3. It appears that the influence of children on women's employment depends on the socioeconomic status of the woman as well as on the dynamism or sluggishness of the labor market. Research is needed on the significance of changes in fertility and female employment for women's status in Mexico. Several recent works have presented results of microsocial analyses of the ways in which women experience changes in their lives resulting from fertility and employment decisions. A methodological strategy for studying these changes and their influence on women's status should focus on comparisons between different generations and birth cohorts, different types of employment, and different socioeconomic statuses. Both macrosocial and microsocial forms of analysis are needed to provide a full picture.^ieng


Assuntos
Coeficiente de Natalidade , Economia , Emprego , Fertilidade , Casamento , Mães , Filosofia , Projetos de Pesquisa , Classe Social , Direitos da Mulher , América , Demografia , Países em Desenvolvimento , Características da Família , Relações Familiares , Mão de Obra em Saúde , América Latina , Estado Civil , México , América do Norte , Pais , População , Dinâmica Populacional , Pesquisa , Fatores Socioeconômicos
19.
Estud Demogr Urbanos Col Mex ; 4(3): 465-93, 625, 1989.
Artigo em Espanhol | MEDLINE | ID: mdl-12283043

RESUMO

PIP: This article analyzes the presence of women in urban labor markets in Mexico during the 1970s in terms of the regional location of the city and the type and diversity of employment opportunities for women. 49 cities with over 100,000 inhabitants in 1980 were grouped into 3 regions, the relatively urban and industrial north, the heterogeneous center, and the less developed south. Census data for 1970 and 1980 on male and female labor force participation in the municipios containing the 49 cities were analyzed to assess urban labor markets. The cities were grouped according to whether they had higher or lower than average rates of labor force participation in the 2 study years. The cities of the north included the greatest relative number of cases of low female and male labor force participation in 1970 and 1980 and a declining trend for the 1970s. Cities of the center had the highest levels of male and female labor force participation in both 1970 and 1980 and showed a trend toward increasing female participation in the 1970s. Cities in the south were in an intermediate position, but during the 1970s a high percentage showed a trend toward increase in male participation and decrease in female participation. Typologies of the cities were then constructed based on female age specific participation rates and female occupational distribution. Urban areas with high rates of participation among young women aged 15-24 years were distinguished from those with high participation rates for younger and older women, and those with less diversified employment opportunities for women were distinguished from those with more diversity. Female participation presented marked variations between regions. In general, women participated to a greater degree in diversified labor markets that absorbed workers of different ages and degrees of qualification. There were not necessarily more female workers in cities that were more dynamic in terms of economy and male participation. Cities of 100,000 or more inhabitants in the center were characterized by a high proportion of women of different ages in the labor market. Cities in the north had lower average levels of female participation although those on the northern border had a high participation of young women in manufactures and assembly. Southern cities employed women in manual occupations, especially in commerce and services. Primarily adolescents under 15 and women over 25 were employed. Apart from the regional variations there were variations in female employment within regions. An annex discusses the study methodology in greater detail.^ieng


Assuntos
Distribuição por Idade , Fatores Etários , Censos , Coleta de Dados , Emprego , Geografia , Ocupações , Fatores Sexuais , População Urbana , América , Demografia , Países em Desenvolvimento , Economia , Mão de Obra em Saúde , América Latina , México , América do Norte , População , Características da População , Pesquisa , Classe Social , Fatores Socioeconômicos
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