Apresentação

Chequer, Pedro

doi:10.1590/s0034-89102008000800002

Cited by 3 publications

(5 citation statements)

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“…Our study showed a male/female ratio of 2.6:1, close to the 2:1 ratio in the State of do Rio de Janeiro during the same period for AIDS, the principal risk factor for cryptococcosis. The fact that we did not observe a difference in the mean age between men and women, unlike reports from the literature, in which female cases are significantly younger 5,8 , mirroring the age profile for HIV infection, could be explained by the persistent increase observed since 1998 in AIDS incidence among Brazilian women over 24 years of age 36 .…”

Section: Resultscontrasting

confidence: 93%

“…Case-fatality greater than 40% is close to that observed in African countries 11 . For AIDS, the principal risk factor for cryptococcosis, a reduction in case-fatality was observed in the State of Rio de Janeiro beginning in 1997, shortly after the introduction of HAART, with subsequent stabilization beginning in 1999 36 . Evidence suggests that combination antiretroviral treatment can also alter the evolution of AIDS-associated conditions, since this treatment partially recovers the patient's immune defenses 9 .…”

Section: Resultsmentioning

confidence: 99%

“…The underreporting of various diseases is well known in Brazil 33,36 and should always be taken into consideration. As for cryptococcal meningitis, an active search showed 24.4% of cases not recorded by the Advisory Board on Meningitis from 2000 to 2004 25 .…”

Section: Resultsmentioning

confidence: 99%

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Cryptococcal meningitis in Rio de Janeiro State, Brazil, 1994-2004

Leimann¹,

Koifman

2008

Cad. Saúde Pública

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Section: Resultscontrasting

confidence: 93%

Section: Resultsmentioning

confidence: 99%

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Cryptococcal meningitis in Rio de Janeiro State, Brazil, 1994-2004

Leimann¹,

Koifman

2008

Cad. Saúde Pública

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“…Contudo, no Brasil, esse perfil foi predominante no período compreendido entre 1980 e 1992; desde então a população masculina passou a apresentar aumento na incidência de casos entre os heterossexuais, que hoje totalizam a maioria dos casos de AIDS do país 22 .…”

Section: Discussionunclassified

Diferenças de gênero ao acolhimento de pessoas vivendo com HIV em serviço universitário de referência de São Paulo, Brasil

2007

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O número de mulheres brasileiras vivendo com HIV aumentou, exigindo dos serviços especializados atenção às demandas femininas. Neste estudo avaliaram-se diferenças de gênero ao acolhimento em serviço de referência no cuidado a pessoas vivendo com HIV em São Paulo, com revisão de 1.072 prontuários de pacientes atendidos entre 1998 e 2002. As mulheres eram mais jovens, mais freqüentemente casadas e heterossexuais e apresentavam menor escolaridade do que os homens à admissão. Enquanto 36% das mulheres realizaram teste anti-HIV por possuírem parceiro soropositivo, 43% dos homens o fizeram por apresentarem sintomas. Ao acolhimento, 55% dos homens e 38% das mulheres tinham AIDS. As mulheres apresentaram contagem de linfócitos CD4+ mais elevada e, mais freqüentemente, carga viral indetectável. Não houve diferença entre os sexos no acesso ao tratamento anti-retroviral após estratificação por estádio clínico. Embora as diferenças sócio-demográficas observadas à admissão apontem para a vulnerabilidade social das mulheres, estas buscaram cuidado especializado em estágios clínicos menos avançados. O conhecimento de características distintivas entre homens e mulheres ao acolhimento pode contribuir para estruturar serviços, aprimorar a assistência e otimizar os benefícios do cuidado.

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“…O fenômeno da pauperização, identificado como uma das principais alterações do perfil dos infectados, caracteriza-se pela mudança nos estratos sociais de maior para menor escolaridade, com progressiva disseminação do HIV, evidenciada a partir dos anos de 1990, fato difundido pelo PN-DST/Aids (Fonseca et al, 2000;Rodrigues Júnior, Castilho, 2004;Chequer, 2005;Farias, Cardoso, 2005).…”

Section: A Epidemia De Aids E As Mulheresunclassified

Projeto transmissão vertical zero: expectativas e ações de pais soropositivos para o HIV à espera do diagnóstico do filho

Almeida¹

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The work carried out by the Zero Vertical Transmission Project in Sorocaba, SP, and the high number of children exposed to the aids virus in the country motivated this quantitative/qualitative study whose general objective is to understand the experience the parents live while waiting for the definite diagnosis of the infant exposed to the HIV vertical transmission. This research had the Medical Anthropology as theoretical reference and the Narrative as methodological reference. The data were collected in 2006. The study quantitative moment was when we characterized the pregnant women enrolled in the above mentioned project, from 1998 to 2004. The qualitative moment counted on the participation of 11 mothers and 7 fathers of infants exposed to the HIV. The data in this phase were collected through the projective technique (collage) with recording of the reports about the meaning attributed to the construction. When treating the qualitative data, six topics came up : Hope and confidence feelings; Anxiety and expectation; Spirituality and religiosity; Support; Concerns about the child's health; Prejudice and Making an analogy, which enabled us to identify the expectations and actions adopted by the parents while waiting for the child's diagnosis confirmation. The results showed that the family nucleus experience is characterized by an intense mobilization of feelings, concern about the child's health and belief in the treatment. The prejudice and stigma to aids turned out to be the main stressful sources, causing suffering and a sense of guilt that the parents have to struggle against to adjust to the Coping in each daily new situation. Therefore, the Coping came up as the central theme and showed that the daily life of the binomial mother-father is lived with ambiguity of feelings. Accepting the adversity and the disorders is motivated by the affection and dedication to the child. The way to face and withstand the misfortune made up the Coping that generates palliative attitudes or social isolation, represented by the search for spiritual and religious support, besides the social support. For the binomial attended in the Zero Vertical Transmission Project, the main strength for the Coping while the child's diagnosis is not defined is represented by the religious faith and by the belief in a Superior Being. These findings' implications are important for the nursing which may implement a care based on the culture, with the possibility of interventions more suitable to the customers.

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Apresentação

Cited by 3 publications

References 0 publications

Cryptococcal meningitis in Rio de Janeiro State, Brazil, 1994-2004

Cryptococcal meningitis in Rio de Janeiro State, Brazil, 1994-2004

Diferenças de gênero ao acolhimento de pessoas vivendo com HIV em serviço universitário de referência de São Paulo, Brasil

Projeto transmissão vertical zero: expectativas e ações de pais soropositivos para o HIV à espera do diagnóstico do filho

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