RESUMEN
Com a expansäo da epidemia HIV-AIDS no Brasil, observaram-se avanços terapêuticos com aumento da sobrevida e melhoria da qualidade de vida dos portadores do vírus. Como também modificaçäo no perfil epidemiológico dos indivíduos infectados e, visíveis deslocamentos dos casos de infecçäo para o interior do País e setores marginalizados da sociedade. Objetiva conhecer se o CTA do Distrito Federal atendeu a populaçäo mais vulnerável e de risco para a infecçäo HIV
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Enfermedades de Transmisión Sexual/psicología , Infecciones por VIH/diagnóstico , Síndrome de Inmunodeficiencia Adquirida/diagnóstico , Síndrome de Inmunodeficiencia Adquirida/psicología , Consejo SexualRESUMEN
In Brazil, one of the priorities in the fight against the tuberculosis is the evaluation of laboratories' performance through the quality control of baciloscopic tests. This study was meant to evaluate the reliability of the tests carried out by the Tuberculosis Control Program of the Federal District, Brazil. It is a descriptive study, made out of revised glass slides at the reference laboratory, from 1988 up to 1999. A double-blind comparison of the results of the smear readings obtained in the outskirts and central laboratories was made. The concordances/discrepancies were analyzed through Kappa and the Confidence Interval (CI). From a total of 62,487 glass slides, we evaluated 7,756 baciloscopic tests. The discrepancy results represented 1.9% of false-positive and 0.8% of false-negative. Until 1997, 66.5% of the positive baciloscopic tests had been revised, but when the quality control was implemented the results grew up to 90.1%. The Kappa obtained a very good reliability but didn't match with the CI results. The quality control will increase the reliability of the tuberculosis diagnose although the evaluation depends on the use of sensitive reproducing tests.
Asunto(s)
Técnicas de Laboratorio Clínico/normas , Mycobacterium tuberculosis/aislamiento & purificación , Tuberculosis/diagnóstico , Brasil , Método Doble Ciego , Reacciones Falso Negativas , Reacciones Falso Positivas , Humanos , Reproducibilidad de los Resultados , Tuberculosis/microbiologíaRESUMEN
The main aim of this paper is to study the degree of association between the variables: HIV positive and negative tuberculosis patients, in relation to the location and extension of tuberculosis lesion and also to observe whether there is or not an agreement in distribution of tuberculosis disease between male and female groups, infected or not by HIV, according to their age. Seventy-eight tuberculosis/HIV positive and 2950 tuberculosis patients without HIV between 1985 and 1992 have been analyzed. The data have been collected directly from the files kept at Hemocentro and Instituto de Saude do Distrito Federal, Brasilia-DF Brazil. Statistical analysis using the X-squared and Kolmogorov Smirnov's tests have been applied. It has been observed a significant increase in the cases of pulmonary cavity and not cavity moderate tuberculosis among the tuberculosis/HIV positive patients when compared with the ones only infected with tuberculosis. In the age group below 40 years old, the male presented a higher incidence of cases when compared with the ones without HIV. In the age group below 34 years old, women showed a significative increase of the disease, when compared to men in the same age group.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/etiología , Tuberculosis/epidemiología , Adolescente , Adulto , Distribución por Edad , Brasil/epidemiología , Niño , Preescolar , Femenino , Humanos , Incidencia , Lactante , Masculino , Persona de Mediana Edad , Vigilancia de la Población , Distribución por Sexo , Estadísticas no ParamétricasRESUMEN
Com o objetivo de avaliar o crescimento pos-natal de prematuros no periodo hospitalar, foram eleboradas curvas ponderais com intervalos de 250 g. a partir do peso de nascimento, utilizando-se o peso diario. Foram estudados 232 prematuros, o que permitiu verificar a percentagem da perda de peso fisiologica, o tempo necessario para atingir o peso de nascimento e estabelecer os padroes de crescimento ponderal da populacao de Sobradinho, nesta faixa etaria