Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 9 de 9
Filtrar
1.
Sud Med Ekspert ; 61(4): 28-31, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30168525

RESUMO

The present article deals with the problems pertaining to the forensic medical diagnostics of the HIV-associated pathological conditions taking into consideration the materials available from the Moscow City Centre for AIDS Prophylaxis and Control with special reference to the number and structure of the diagnosed HIV-associated diseases. We undertook the analysis of co-morbid HIV/AIDS causes of violent and sudden deaths documented at the Bureau of Forensic Medical Expertise of the Moscow Health Department during the period from 2013 till 2016. The study revealed the tendency toward a rise in the number of deaths from the HIV-associated infections including tuberculosis, pneumonias, chronic immunodeficiency conditions refractory to the treatment, and from malignant neoplasms. A peculiar feature of the aforementioned period was the increased age of the deceased subjects. In the cases of violent deaths, the HIV-associated conditions were diagnosed as the concomitant diseases, with the markedly predominant ones being acute drug and alcohol intoxication, injures, and attempts at suicide. The available results of the studies give evidence of the necessity and importance of the cooperative work of the specialists for the further improvement of forensic medical diagnostics and monitoring of HIV-associated conditions.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS , Síndrome da Imunodeficiência Adquirida , Infecções por HIV/complicações , Infecções Oportunistas Relacionadas com a AIDS/mortalidade , Infecções Oportunistas Relacionadas com a AIDS/patologia , Síndrome da Imunodeficiência Adquirida/etiologia , Síndrome da Imunodeficiência Adquirida/mortalidade , Síndrome da Imunodeficiência Adquirida/patologia , Adulto , Autopsia/estatística & dados numéricos , Causas de Morte , Prova Pericial , Feminino , Medicina Legal/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Moscou/epidemiologia
2.
Sud Med Ekspert ; 58(5): 4-8, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26710506

RESUMO

The objective of the present study was the retrospective analysis of the cases of rapid diagnostics of the HIV status of the corpses referred to the pathologo-anatomical departments of Moscow. The standard statistical methods were used for this purpose. The structure of H IV infections is described in terms of age and sex of the affected subjects as well as stages of the disease. It was shown that cooperation of forensic medical services with AIDS control and prevention centres is of primary importance for the substantiation of the diagnosis, improvement of the quality of the relevant statistical information about the causes of death, enhancement of the objective value of epldemiological data on the occurrence of HIV infection and HIV-associated diseases in the city of Moscow.


Assuntos
Prova Pericial/métodos , Infecções por HIV/epidemiologia , HIV , População Urbana , Causas de Morte/tendências , Humanos , Morbidade/tendências , Moscou/epidemiologia
5.
Klin Med (Mosk) ; 87(10): 59-60, 2009.
Artigo em Russo | MEDLINE | ID: mdl-20017354

RESUMO

The sole universally recognized diagnostic criterion for the affection of central nervous system by immunodeficiency virus is AIDS-dementia complex. Its main pathognomonic feature is progressive intellect failure although most patients do not experience intellect deficit. Instead, they present with other disorders in the central nervous system. This article focuses on their early diagnosis.


Assuntos
Anticorpos Anti-HIV/análise , Infecções por HIV/complicações , HIV/imunologia , Doenças do Sistema Nervoso/epidemiologia , Progressão da Doença , Infecções por HIV/virologia , Humanos , Incidência , Inteligência , Doenças do Sistema Nervoso/diagnóstico , Doenças do Sistema Nervoso/etiologia , Prevalência , Testes Psicológicos , Federação Russa/epidemiologia
6.
Artigo em Russo | MEDLINE | ID: mdl-19708596

RESUMO

The monitoring of conditions of HIV-infection spreading includes qualitative research methods to reveal specified information from people relating immediately to the problem of HIV-infection prevalence. The acquired information can be used both for monitoring of the conditions of HIV-infection spreading (morbidity, prevalence, mortality) and adjustment of preventive activities at the level of specific administrative territory.


Assuntos
Infecções por HIV/prevenção & controle , Medicina Preventiva/organização & administração , Técnicas Sociométricas , Infecções por HIV/epidemiologia , Humanos , Morbidade , Federação Russa/epidemiologia
7.
Ter Arkh ; 80(11): 10-7, 2008.
Artigo em Russo | MEDLINE | ID: mdl-19143183

RESUMO

AIM: To analyse structure, clinical features, diagnosis of opportunistic and concomitant diseases in patients with HIV infection admitted to infection hospital of Moscow. MATERIAL AND METHODS: A total of 4155 patients with HIV infection (1518 of them with AIDS) most of them (89%) at the age of 20-39 years were treated in Moscow AIDS hospital in 2006-2007. The examination included standard blood and urine tests, device diagnosis, immunological, bacteriological and molecular investigations of biological materials for detection of opportunistic infections. Cell-mediated immunity was also studied. HIV infection resulted in a lethal outcome in 255 (6.1%) inpatients. RESULTS: Leading causes of hospitalization of patients at early stages of HIV infection were bacterial bronchitis or pneumonia, hepatic pathology (chronic viral hepatitides, alcohol-associated diseases), sepsis. One-third of the inpatients were at AIDS stage characterized by tuberculosis (66.3%), visceral candidosis (12%), manifest cytomegalovirus infection (10.1%), cerebral toxoplasmosis (9.2%), pneumocystic pneumonia (5.5%). The number of HIV-infected persons with atypical mycobacteriosis, lymphoproliferative diseases, brain tumors increased. Chronic hepatitis C prevailed among liver damage cause in HIV infection, it also often caused hospitalization and death of patients. 60.3% patients having HIV infection who died without AIDS stage had hepatic cirrhosis. Tuberculosis was a leading cause of severe pulmonary pathology, most frequent opportunistic disease, main cause of death in patients with HIV infection. One-third of patients had generalized tuberculosis. Tuberculosis was diagnosed in more than 40% HIV-infected patients with pulmonary lesion, in 65% AIDS patients, 36% dead AIDS patients. CONCLUSION: To render effective anti-HIV treatment, infection hospital must be equipped with facilities providing device tests, molecular diagnosis, modern etiotropic and pathogenetic medication.


Assuntos
Infecções por HIV , Hospitalização/estatística & dados numéricos , Infecções Oportunistas , Admissão do Paciente/estatística & dados numéricos , Síndrome da Imunodeficiência Adquirida/diagnóstico , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/reabilitação , Adulto , Área Programática de Saúde , Comorbidade , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/epidemiologia , Infecções por Citomegalovirus/reabilitação , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Infecções por HIV/reabilitação , Humanos , Infecções Oportunistas/diagnóstico , Infecções Oportunistas/epidemiologia , Infecções Oportunistas/reabilitação , Federação Russa/epidemiologia , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/epidemiologia , Tuberculose Pulmonar/reabilitação , Adulto Jovem
8.
Artigo em Russo | MEDLINE | ID: mdl-12506626

RESUMO

Retrospective analysis of the epidemic of HIV infection in Moscow allowed to mark out two periods: the first--from 1987 to 1993 and the second one--from 1994 to 2000. The characteristic feature of the first period of the epidemic was the sexual transmission of the agent mainly among homosexuals; the most affected group were persons aged 20-39 years and the number of AIDS patient decreased with a simultaneous growth in lethality. During the second stage of the HIV infection epidemic changes in the prevailing transmission routes of the agent occurred: injection drug addicts took the leading role. Changes in the ratio of HIV-infected men and women took place along with active involvement of persons aged 13-18 years into the epidemic process. The established changes in the epidemiological situation require corrections in the strategy and tactics of epidemic control and prophylactic measures.


Assuntos
Surtos de Doenças/estatística & dados numéricos , Infecções por HIV/epidemiologia , HIV-1 , População Urbana/estatística & dados numéricos , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/mortalidade , Síndrome da Imunodeficiência Adquirida/transmissão , Adolescente , Adulto , Distribuição por Idade , Feminino , Infecções por HIV/transmissão , Homossexualidade , Humanos , Incidência , Masculino , Moscou/epidemiologia , Estudos Retrospectivos , Distribuição por Sexo , Abuso de Substâncias por Via Intravenosa/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/complicações
9.
Artigo em Russo | MEDLINE | ID: mdl-2741605

RESUMO

The anonymous survey of the population for the presence of human immunodeficiency virus (HIV) carried out in Moscow in 1987 revealed 4 seropositive persons among 10, 117 persons subjected to examination. These 4 persons belonged to typical risk groups with respect to the acquired immunodeficiency syndrome (AIDS). The questioning of the persons coming for examination made it possible to find out that a large percentage of them really had a risk of contacting HIV infection; besides, a considerable proportion of the visitors proved to have signs of AIDS phobia.


Assuntos
Anticorpos Anti-HIV/análise , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/transmissão , Adolescente , Adulto , Bissexualidade , Feminino , Homossexualidade , Humanos , Masculino , Pessoa de Meia-Idade , Moscou , Fatores de Risco , Comportamento Sexual , Transtornos Relacionados ao Uso de Substâncias , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...