RESUMO
Objective The purpose of this study was to investigate the knowledge，attitude and behaviors (KAB) of rural residents. Methods A correlative-descriptive design was used for the study. A cluster sampling of 1952 rural residents aged 18-60 years old in 8 villages of Lantian county was selected. Results The results showed as follows. The total correct rate of knowledge was 50.9%; 43.5% believed that the prevalence of HIV/AIDS in China indicated decline of the moral value; 71.3% never use condom when having sex in the past;There were positive relationships between knowledge and attitude,using condoms during sex and using condoms during first sex respectively (P<0.01). Conclusion The attitude and behavior on HIV/AIDS of the rural residents are largely determined by their knowledge.
RESUMO
Objective To explore the clinical and laboratory feature of disseminated Penicillium marneffei(PSM) infection in patients with AIDS and to analysis treatment and prognosis. Methods Study clinical data of eight case with PSM infection in patients with AIDS in our hospital from 1999 were definite diagnosed PSM infection in patients with AIDS. Results (1)Eight patients including five females, at a mean age of 26～53, suffered from the diseases for a period of 1～4 months;(2)The most common clinical presentations include fever, stomatomycosis, lymphadenectasis papular skin lesion, anemia, abdominal pain, hepatomegaly, Plenomegaly, Herpes progenitalis, Subcutaneous nodule, Pleural effusion, bad bone ache. Laboratory examination showed elevated hepatic enzymes,coagulated dysfunction,hemocytopenia. Chest X-ray showed nonspecific include bilateval interstitial or alveolar. (3) Fungus cultured: yeast like cells were found in the culture at 37℃ or in tissues. The fungi outside the host cells were elongated, often curved, Sausage like and with clear cemral septate. When cultured at 25℃,the fungus was mycelia-like and produced a characteristic red Pigment, diffusing into the medium. (4) CD4 cell count was reduced significantly, HIV-RNA was high.(5)Mortality was high. Conclusions Definite diagnosis of disseminated Penicillium marneffei requires culture of the pathogenic fungus from clinical specimens. No specific clinical manifestation for Penicillum marneffei infection was found and Amphotericin B are effective in treating penicillosis marmeffei.
