Navegando por Palavras-chave "Síndrome De Imunodeficiência Adquirida"
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- ItemSomente MetadadadosAnálise dos fatores associados à mortalidade em uma coorte de pacientes diagnosticados com Sarcoma de Kaposi(Universidade Federal de São Paulo (UNIFESP), 2021) Carvalho, Danilo Luiz Marques De [UNIFESP]; Ferreira, Paulo Roberto Abrao [UNIFESP]; Universidade Federal de São PauloObjectives: identification of factors associated with the death rate of people living with HIV/AIDS and Kaposi Sarcoma. Methods: this study is a retrospective analysis of a cohort of patients, regularly consulted at Centro de Referência e Treinamento em DST/AIDS de São Paulo. The data were collected through the analysis of medical records, with the evaluation of factors associated with the death rate in all the patients with confirmed diagnosis of Kaposi Sarcoma, indication of chemotherapy, and when it was possible, the evaluation of medical records (hardcopy or eletronical) from 2004 to 2014. Results: this study analyzed 338 patients with HIV+ diagnosis of Kaposi Sarcoma. There is a register of 45 deaths in patients with HIV+ and Kaposi Sarcoma. It was identified that the death rate on those patients was independently associated with the adherence to the TARV, (p=0,008) the observation of Kaposi Sarcoma on the upper digestive tract (p=0,006) and the Karnofsky scoring below 70 (p=0,011). Conclusions: the variables associated with the death rate identified reinforce the importance of an early diagnosis of Kaposi sarcome and the adherence to the TARV, avoiding the appearance of other opportunistic infections besides the sarcoma that increases the mortality on those patients. The presence of visceral diseases is an important complicating factor in patients with Kaposi Sarcoma and must be tracked even in patients with skin lesions without respiratory or gastrointestinal symptons.
- ItemSomente MetadadadosAvaliação Quantitativa Da Extensibilidade Da Musculatura Do Assoalho Pélvico De Gestantes Com Medidor Da Elasticidade Perineal(Universidade Federal de São Paulo (UNIFESP), 2017-10-30) Paschoal, Aline [UNIFESP]; Nakamura, Mary Uchiyama [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The objective of this study was to compare the measurements of the pregnant women pelvic floor muscles extensibility between those obtained by the Epi-no® device and Perineal Elasticity Gauge (MEP). Methods: An observational cross-sectional study was done with a consecutive sample, in which 62 healthy pregnant women between 20 and 40 years old and more than 35 weeks gestational age were included. Patients with cognitive impairment and/or neurological disease, urogenital malformation, vulvovaginitis, latex allergy and candidates to cesarean section in this current pregnancy, such as iterative cesarean section, were excluded. The evaluation of perineal extensibility methods were the Epi-no® and the MEP. A formula based on a linear regression method was developed. This equation calculates an adjusted Epi-no® value from the MEP values. In addition, Pearson's correlation was applied to verify the degree of relationship between both variables. Results: The studied population has predominance of brown and white, married or mixed, nonprimigravida, multiparous and with complete secondary education. Regarding the measurements obtained from the Epi-no® balloon perimetry, an average of 18.9 cm was observed. The Pearson correlation analysis was performed in the normal distribution data. The obtained value (0.621) shows that there is a moderate correlation between the variables. However, this finding was identified as mild correlation by the Kappa correlation test, when the measurements were classified into three groups (restrictive perineum, moderate extensibility and good extensibility). Conclusion: Comparing the measurements of the pregnant women pelvic floor musculature extensibility obtained by Epi-no® device with those obtained by the MEP, there is a relationship between both, from a mild to moderate agreement.
- ItemSomente MetadadadosQuando A Boca Fala Mais Que A Boca: A Construção De Uma Ação Educativa Em Saúde Bucal Em Um Ambulatório De Ist/Aids Na Baixada Santista - São Paulo(Universidade Federal de São Paulo (UNIFESP), 2017-08-03) Parola, Gustavo Barbosa [UNIFESP]; Zihlmann, Karina Franco [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)People living with HIV/Aids (PVHA) have an oral health vulnerable due to characteristics of the infection. Most patients live with poor oral health, which is particularly harmful to PVHA. The professional training of dentistry, which is traditionally objective, technical and procedure-centered – can result in numbness/indifference subjective demands of patients, especially those who live with a infectious and contagious disease with complex interfaces of psychological, social, emotional, economic, legal, among others. With this, the proposal of Permanent Education showed up as a coherent frame of reference that can bring contributions to positive changes in how those involved in the process of oral health care of PVHA understand the notion of care and health care. Objectives: To investigate the perception of adults living with HIV/Aids, users of an outpatient service in IST/Aids the Baixada Santista area, about your oral health, as well as your perception about the role and expectations established with the dental professional and the relationship of care established with this health care professional. From the survey, propose a educational action with the dental professionals in general, especially addressed to professionals who serve patients living with HIV/Aids, in order to allow for a reflection on their daily practices, difficulties and limitations of your work and, in addition, allow theconstruction of welfare practices that comprise the unique needs of these subject, beyond the perspective traditionally adopted in this field to know. Methods: We used the qualitative method with the use of various strategies, research and desk research, focus groups, semi-structured interviews and diaries of field. Were selected in a convenience sample of 12 (twelve) PVHA of a dentistry service IST/Aids clinic of the Baixada Santista, in two groups: PSBP (PVHA with poor oral health) and PSBA (PVHA with proper oral health). The research data were categorised from the thematic analysis of content of Bardin (1977). Results and discussion: The PSBA presented greater recognition of the importance of oral health with more complete and complex concepts. However the PSBP, although present simpler notions, reported basic knowledge and the consequences of carelessness. Therefore the PSBP had access to information, but not necessarily adopted practical measures of oral care. This requires a reflection about the actual effects of information when it is offered to purely technical, objective manner or context. In addition, both as reported their PSBA and PSBP experiences with HIV, being that the PSBP were unanimous in feeling that the oral health worsened after diagnosis of HIV/Aids, while PSBA were divided. There was a subtle distinction in speeches about self- care because PSBP have a higher tendency to clear accountability for own oral health, with highest expression of passivity, fear and shame of being judged, while the PSBA have less tendency toward passivity and more commitment to self-care, as well as a more critical about the rights of PVHA. Final considerations: The purpose of this work is a process of idealization technical disruption of the care and the ability to look beyond the mouth organ, recognising that it is necessary to allow the mouth can also "speak" and, thus, from the speech of the subject, take a real position of oral health care. It is a quest to meet those people – care targets – in what they actually need and it makes sense for them, considering their experiences and views.