Avaliação da notificação no Distrito Federal de casos de tuberculose residentes em dez municípios goianos do entorno e análise da incidência de tuberculose nestas localidades

Moreira, Maria Auxiliadora Carmo; Bello, Aline Sampaio; Alves, Maristela dos Reis Luz; Silva, Miramar Vieira da; Lorusso, V.

doi:10.1590/s1806-37132007000300012

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…That is, the incidence rate of bacilliferous pulmonary tuberculosis in the most deprived area is almost eight times higher than the incidence rate in the most privileged neighborhood. This inequality is greater than that found in other studies that measured social inequalities in tuberculosis in Brazil 22,23 . Similar results were obtained with the stratified analysis, which divided the city into four socioeconomic strata.…”

Section: Discussioncontrasting

confidence: 70%

The Porto Alegre paradox: social determinants and tuberculosis incidence

Acosta¹,

Bassanesi

2014

Rev. bras. epidemiol.

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Section: Discussioncontrasting

confidence: 70%

The Porto Alegre paradox: social determinants and tuberculosis incidence

Acosta¹,

Bassanesi

2014

Rev. bras. epidemiol.

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“…This can result in pulmonary infarctions, necrosis of the alveolar wall with consequent airway remodeling 29 , pulmonary fibrosis and progressive loss of lung function 30 , 31 . In addition, RVP may be a result of shallow breathing caused by chest pain or by structural impairments of the chest cavity due to bone infarcts, osteoporosis or osteomalacia in the vertebrae 3 .…”

Section: Discussionmentioning

confidence: 99%

“…SCD is characterized by a mutation in the gene encoding the beta chain of hemoglobin, which results in a change from the normal hemoglobin conformation (HbA) to the hemoglobin S conformation (HbS). This conformational change can lead to several hemoglobinopathies, including sickle cell anemia (HbSS), HbSC and S-thalassemia, as well as several others with lower incidence 2 , 3 . Deoxygenated hemoglobin undergoes a polymerization process that induces red blood cells to acquire a sickle-like shape, which results in cell damage and causes systemic organ dysfunction 2 , 4 - 6 .…”

Section: Introductionmentioning

confidence: 99%

“…The respiratory system is one of the most affected systems in SCD, and 20 to 30% of deaths in adults with SCD are due to pulmonary manifestations, which typically occur around the age of 20 and lead to death at approximately 40 years of age 3 . Airway obstructions and repeated pulmonary infections are among the primary causes of pulmonary involvement, and they result in obstructive or restrictive respiratory disorders, which can result in pulmonary hypertension 1 , 3 . Moreover, this population often presents with acute chest syndrome, which is characterized by chest pain, prostration, cough, dyspnea and hypoxia 2 .…”

Section: Introductionmentioning

confidence: 99%

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Lung function and six-minute walk test performance in individuals with sickle cell disease

Ohara¹,

Ruas²,

Walsh³

et al. 2014

Braz. J. Phys. Ther.

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BackgroundSickle Cell Disease (SCD), which is characterized by a mutation in the gene encoding beta hemoglobin, causes bodily dysfunctions such as impaired pulmonary function and reduced functional capacity. ObjectiveTo assess changes in pulmonary function and functional capacity in patients with SCD and to identify the relationships between these variables.MethodWe evaluated sociodemographic, anthropometric, lung function (spirometry), respiratory (manovacuometer), peripheral muscle strength (Handgrip strength - HS) and functional capacity (i.e., the six-minute walk test) parameters in 21 individuals with SCD (average age of 29±6 years). Shapiro-Wilk, paired Student's, Wilcoxon, Pearson and Spearman correlation tests were used for statistical analyses, and the significance threshold was set at p<0.05. ResultsA total of 47.6% of the study subjects exhibited an altered ventilation pattern, 42.8% had a restrictive ventilatory pattern (RVP) and 4.8% exhibited a mixed ventilatory pattern (MVP). The observed maximal inspiratory pressure (MIP) values were below the predicted values for women (64 cmH2O), and the maximum expiratory pressure (MEP) values, HS values and distance walked during the 6MWT were below the predicted values for both men (103 cmH2O, 39 Kgf and 447 m, respectively) and women (64 cmH2O; 27 Kgf; 405 m, respectively). Positive correlations were observed between maximum voluntary ventilation (MVV) and MEP (r=0.4; p=0.046); MVV and BMI (r=0.6; p=0.003); and between HS and MIP (r=0.7; p=0.001), MEP (r=0.6; p=0.002), MVV (r=0.5; p=0.015), distance walked in the 6MWT (r=0.4; p=0.038) and BMI (r=0.6; p=0.004). ConclusionsSCD promoted changes in lung function and functional capacity, including RVPs and a reduction in the distance walked in the 6MWT when compared to the predictions. In addition, significant correlations between the variables were observed.

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“…Os casos novos refletem a dinâmica com que os casos aparecem na população, por isso é fundamental a observância e o controle da tuberculose, que tem como ferramentas a detecção precoce dos casos novos e o tratamento eficaz da doença. A taxa de transferência dos casos estudados está relacionada ao fato do diagnóstico ser feito em outro município e o tratamento ser realizado de forma oportuna no município de Imperatriz-MA (MOREIRA et al, 2007).…”

Section: Discussionunclassified

Aspectos Clínicos E Epidemiológicos Da Tuberculose No Município De Imperatriz, Maranhão

Silva¹,

Pontes²,

Costa-Silva³

et al. 2016

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RESUMO A tuberculose é uma doença infecciosa que ainda provoca grande impacto social. Apesar dos dados epidemiológicos disponíveis nos sistemas de informação do Ministério da Saúde, ainda há poucos estudos que os analisem regionalmente, de modo a permitir o planejamento de novas estratégias de intervenção, bem como, avaliar as ações que vêm sendo desenvolvidas. Objetivou-se descrever o perfil clínico e epidemiológico dos casos de tuberculose notificados no período de 2009 a 2013 do município de Imperatriz, Maranhão. O estudo foi feito a partir dos casos notificados no Sistema de Informações de Agravos de Notificações. Trata-se de estudo epidemiológico, descritivo, de natureza quantitativa. Dos 364 casos notificados, houve maior incidência da doença entre homens (65,7%). Quanto à escolaridade, analfabetos e ensino fundamental representaram 71,0% (p=0,0464) dos casos. A faixa etária predominante foi de 20 a 39 anos (42,0%). O principal tipo de entrada se deu através de casos novos (85,7%). A forma clínica da doença de 89,8% das notificações foi a pulmonar. Houve associação da tuberculose principalmente com o diabetes (32,7%) e com a infecção pelo HIV (31,8%). O Tratamento Diretamente Observado foi realizado em 58,5% dos casos e a alta por cura ocorreu em 88,7% das notificações. O presente estudo revelou que é necessário maior intensificação à prevenção e ações de vigilância epidemiológica. O aprimoramento do sistema de informações sobre a doença, melhor integração dos programas de controle da tuberculose e Aids e estratégias que viabilizem maior acesso dos homens aos serviços de saúde, assim como dos grupos de maior risco. PALAVRAS-CHAVE: perfil de saúde, sistemas de informação em saúde, tuberculose.

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Avaliação da notificação no Distrito Federal de casos de tuberculose residentes em dez municípios goianos do entorno e análise da incidência de tuberculose nestas localidades

Cited by 3 publications

References 14 publications

The Porto Alegre paradox: social determinants and tuberculosis incidence

The Porto Alegre paradox: social determinants and tuberculosis incidence

Lung function and six-minute walk test performance in individuals with sickle cell disease

Aspectos Clínicos E Epidemiológicos Da Tuberculose No Município De Imperatriz, Maranhão

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