scholarly journals Tuberculosis fatality rates in the city of Campinas - São Paulo, Brazil, from 2001 to 2009

2019 ◽  
Vol 22 ◽  
Author(s):  
Helenice Bosco de Oliveira ◽  
Letícia Marin-Léon ◽  
Nanci Michele Saita ◽  
Jonathan Eric Golub
Keyword(s):  
Statistical Significance ◽  
Case Fatality ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Delay In Diagnosis ◽  
Hiv Coinfection ◽  
Chi Square Test ◽  
The University ◽  
The City

ABSTRACT: Introduction: The mortality rate among tuberculosis patients (TB fatality) has been attributed to irregular chemotherapy, delay in diagnosis, multidrug resistance, and HIV coinfection. Objective: To analyze TB fatality rates by sex, clinical presentation and HIV coinfection in Campinas, São Paulo, Brazil. Methods: Cohorts of residents in the city of Campinas who either died during treatment for tuberculosis or had the disease confirmed after death were divided into three intervals: 2001-2003, 2004-2006, and 2007-2009. Data were obtained from the database of the Tuberculosis Surveillance System of the University of Campinas, and notifications were gathered through TB-WEB Health São Paulo Secretary. Statistical significance was determined using a chi-square test, considering p < 0.05. Results: Between 2001 and 2009, 3,416 TB patients were diagnosed: 2,827 (82.8%) were new TB cases and 589 (17.2%) were retreatments. Between the first and second triennium, the number of new patients decreased by 18%, and 23% among retreatments. Between the second and third intervals, the reduction was 5% and 21%, respectively. General case fatality rate declined from 11.4% to 9.9% across intervals, and was most significant among patients that had previously abandoned treatment (17.3% to 5.1%). Fatality rates among patients coinfected with TB-AIDS were 2-3 times that of patients not infected with TB-AIDS throughout the intervals. Fatality between the first and third triennium among TB-AIDS co-infected patients declined (24.8% to 19.5%), while increasing slightly among non-AIDS TB patients (7.3% to 8%) during this period. Conclusion: Though mortality among TB-AIDS patients declined from 2001-2009, rates among non-AIDS TB remained stagnant. Improved TB diagnosis and treatment is needed to further decrease TB mortality in Campinas.

scholarly journals PLATINO, a nine-year follow-up study of COPD in the city of São Paulo, Brazil: the problem of underdiagnosis

2014 ◽  
Vol 40 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Graciane Laender Moreira ◽  
Beatriz Martins Manzano ◽  
Mariana Rodrigues Gazzotti ◽  
Oliver Augusto Nascimento ◽  
Rogelio Perez-Padilla ◽  
...  
Keyword(s):  
Latin American ◽  
Initial Phase ◽  
Severe Disease ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Chi Square Test ◽  
Study Population ◽  
The City

OBJECTIVE: To determine the underdiagnosis rate in new COPD cases at the end of a nine-year follow-up period-in the study designated "Projeto Latino-Americano de Investigação em Obstrução Pulmonar" (PLATINO, Latin-American Pulmonary Obstruction Investigation Project)-and compare that with the underdiagnosis rate during the initial phase of the study, as well as to identify the clinical features exhibited by the subjects who were not diagnosed until the end of the follow-up phase. METHODS: The study population comprised the 1,000 residents of the city of São Paulo, Brazil, who took part in the PLATINO study. Of those, 613 participated in the follow-up phase, during which the subjects were assessed with the same instruments and equipment employed in the initial phase of the study. We used the chi-square test or the independent sample t-test to analyze the underdiagnosis rate and to identify the characteristics of the subjects who were not diagnosed until the end of the follow-up phase. RESULTS: The underdiagnosis rate for new COPD cases at the end of the nine-year follow-up period was 70.0%. The underdiagnosis rate during the follow-up phase was 17.5% lower than that reported for the initial phase of the study. The subjects who were not diagnosed until the end of the follow-up phase presented with fewer respiratory symptoms, better pulmonary function, and less severe disease than did those previously diagnosed with COPD. CONCLUSIONS: The underdiagnosis rate for new COPD cases was lower in the follow-up phase of the study than in the initial phase. The subjects who were not diagnosed until the end of the follow-up phase of the PLATINO study presented with the same clinical profile as did those who were not diagnosed in the initial phase. These findings underscore the need for spirometry in order to confirm the diagnosis of COPD and provide early intervention.

scholarly journals Oral Cancer Knowledge Assessment: Newly Graduated versus Senior Dental Clinicians

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Gisele Pavão Spaulonci ◽  
Ricardo Salgado de Souza ◽  
Vanessa Gallego Arias Pecorari ◽  
Luciano Lauria Dib
Keyword(s):  
Oral Cancer ◽  
Sao Paulo ◽  
Knowledge Assessment ◽  
São Paulo ◽  
Cancer Knowledge ◽  
Chi Square ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
The Subject ◽  
The City

The present study assessed the level of dentists’ knowledge regarding oral cancer in the city of São Paulo, Brazil. A questionnaire was used to compare the level of knowledge among newly graduated and senior clinicians. A total of 20,154 e-mails were correctly delivered to the dentists registered in the database of the Regional Dentistry Council of São Paulo, and 477 (2.36%) responses were received. This sample consisted of 84 newly graduated clinicians and 105 senior clinicians. For the statistical analysis, the chi-square test and the logistic regression analysis were performed withα = 0.05, and the results were described herein. According to their knowledge level, the results were statistically different between the groups, since 19% of the newly graduated clinicians were evaluated with knowledge grade A (excellent) in comparison to 6.7% of the senior clinicians. In spite of the results indicated that newly graduated clinicians’ knowledge regarding oral cancer was 2.1 times higher, 34.5% of the professionals in this group had regular or poor knowledge on the subject, and several questions relating to clinical characteristics and risk factors indicated that there still exist some knowledge gaps, demonstrating that there is a need for further studies and information activities addressing oral cancer.

scholarly journals Analysis of partnerships for actions intra-sectoral and inter-sectors for health in areas of high socio-environmental vulnerability in the city of São Paulo/Brazil: a mixed method study

2019 ◽  
Author(s):  
Patricia Melo Bezerra ◽  
Iara Coelho Zito Guerriero
Keyword(s):  
Social Inequalities ◽  
Statistical Significance ◽  
Well Being ◽  
Sao Paulo ◽  
Second Phase ◽  
São Paulo ◽  
Different Types ◽  
The Relationship ◽  
The City ◽  
Basic Health Units

Abstract Context Since poverty areas are socioeconomic complex and limiting environments, there is a need to develop intra-sectoral and inter-sectoral actions in the health territory in order to achieve the economic and social well-being of people and society. This research aims to understand the relationship between inter-sectorial and inter-sectoral actions for health and socio-environmental groupings of the most vulnerable health territories in the city of São Paulo, identify which are the most frequent partners of these actions and how professionals experience these partnerships in their daily lives.Method We adopted the mixed sequential and explanatory method. In the first phase, an online form is applied and identifies the Basic Health Units (BHU) that take place as intersectoral actions with more partners. In the second phase, we explored how the professionals consider the characteristics of the territory where they act to seek partnerships and how they carry out the actions.Results Analysis of quantitative data indicated that: a) More than 98% of BHUs conduct intra- and inter-sectoral partnerships and b) there is no relationship between the indices of the most vulnerable groupings and the presence of intra- and inter-sectoral actions with statistical significance p <0.05. The content analysis of literal transcriptions pointed out that: intra- and inter-sectoral practices developed in the health territories were driven by the needs of the treatment of diseases or by the precarious conditions of life of individual or collectivities. However, in order to assist different types of violence, health professionals avoid seeking partnerships, including with the Tutelary Council and the Center for Human Rights, as they fear they will suffer reprisals by those who cause this violence. There was consistency between quantitative and qualitative data, except for partnership with education, other BHUs, environment, and the Tutelary Council.Conclusion The construction of personalized partnerships for individual and collective health, in order to cope with social inequalities; of chronic diseases and by phases of the life cycle involved in socioeconomic fragilities that generate more poverty is part of the job from BHU’s professionals.

scholarly journals The spectrum of myopathies in the city of São Paulo

1976 ◽  
Vol 34 (4) ◽  
pp. 361-365
Author(s):  
José A. Levy ◽  
Abram Topczewski ◽  
Lucia Iracema Z. de Mendonça ◽  
Mayana Zatz ◽  
Ruth Blay Levisky
Keyword(s):  
Muscular Dystrophy ◽  
Myasthenia Gravis ◽  
Medical School ◽  
Sao Paulo ◽  
São Paulo ◽  
Myotonia Congenita ◽  
Progressive Muscular Dystrophy ◽  
The Past ◽  
The University ◽  
The City

A review of all myopathic patients treated at the Neurologic Clinic of the Medical School of the University of São Paulo during the past 15 years is reported. A total of 466 cases were examined and distributed as follows: 56% of progressive muscular dystrophy; 31% of myasthenia gravis; 6% of polymyositis; 4% of myotonic dystrophy; and the remainder of several different diseases (central core disease, Kearns-syndrome, myotonia congenita, adynamia episodica hereditaria, diabetic myopathy and Eaton-Lambert syndrome). Enzymatic dosages, electromyography, muscle biopsy, electrocardiography and genetic counselling are also reported.

scholarly journals Tennina, Lucía. Cuidado com os poetas! Literatura e periferia na cidade de São Paulo, translated by Ary Pimentel, Zouk, 2017.

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Kacey Carter
Keyword(s):  
Drug Trafficking ◽  
Buenos Aires ◽  
Sao Paulo ◽  
Literary Analysis ◽  
First Person ◽  
São Paulo ◽  
Literary Production ◽  
The Media ◽  
The University ◽  
The City

Cuidado com os poetas! Literatura e periferia na cidade de São Paulo shows how urban peripheral communities of the city, often all referred to erroneously as favelas in the media, are spaces where cultural and literary production flourish. A professor of literature at the University of Buenos Aires with a background in anthropology, Tennina combines literary analysis with first-person interviews to effectively counter popular discourses that associate these communities solely with criminality and drug trafficking.

scholarly journals Why deep drilling in the Colônia Basin (Brazil)?

2015 ◽  
Vol 20 ◽  
pp. 33-39 ◽  
Author(s):  
M.-P. Ledru ◽  
W. U. Reimold ◽  
D. Ariztegui ◽  
E. Bard ◽  
A. P. Crósta ◽  
...  
Keyword(s):  
Tropical Rainforest ◽  
Sao Paulo ◽  
South American ◽  
São Paulo ◽  
Deep Drilling ◽  
Scientific Drilling ◽  
Southwestern Margin ◽  
The University ◽  
The City ◽  
Drilling Project

Abstract. The Colônia Deep Drilling Project held its first International Continental Scientific Drilling Program (ICDP) workshop in September 2014 at the University of São Paulo (Brazil). Twenty-seven experts from six countries discussed the feasibility and the expectations of a deep drilling in the structure of Colônia located at the southwestern margin of the city of São Paulo. After presenting the studies performed at the site during the last decades, participants focused on the objectives, priorities and detailed planning for a full deep-drilling proposal. An excursion to the site and new auger coring showed the importance of the Colônia site for studying the evolution of a tropical rainforest and to evaluate the interplay between the South American summer monsoon, the Intertropical Convergence Zone (ITCZ) and the southern Westerlies belt during the last 5 million years. In addition, deep drilling will eventually solve the still unresolved issue of the origin of the structure of Colônia as a result of meteorite impact or endogenous processes.

scholarly journals Cartography of neoplasms in dogs from different regions of the city of São Paulo, SP, Brazil: a survey (2002-2003) of data from the Veterinary Hospital of the School of Veterinary Medicine and Animal Science of the University of São Paulo, Brazil

2015 ◽  
Vol 52 (3) ◽  
pp. 257 ◽  
Author(s):  
Kátia Cristina Kimura ◽  
Carolina Scarpa Carneiro ◽  
Renata Moris Domenico ◽  
Ricardo Augusto Dias ◽  
Jucelia Pereira ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Sao Paulo ◽  
São Paulo ◽  
Animal Science ◽  
The University ◽  
The City ◽  
Veterinary Hospital ◽  
De Medicina

<p>Avanços na medicina veterinária resultaram em benefícios significativos na vida de animais de estimação nos últimos 20 anos, e o aumento da expectativa de vida para animais levou a uma maior prevalência de neoplasias em cães. A Epidemiologia do Câncer e as ferramentas de análise espacial, embora bem desenvolvidas na pesquisa oncológica humana, estão começando a serem exploradas na Oncologia Veterinária. A cidade de São Paulo, capital do estado de São Paulo, Brasil, é dividida em cinco regiões: Norte, Sul, Leste, Oeste e centro. O Hospital Veterinário da Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (HOVET-SVMAS-USP) está localizado na região Oeste de São Paulo, Brasil, e admite casos de pequenos e grandes animais. Tumores mamários caninos são tão numerosos que não são tratados na rotina do HOVET. O objetivo deste trabalho foi realizar um estudo cartográfico para descrever a distribuição espacial dos casos prevalentes de neoplasias em cães a partir do HOVET. Dos 3.620 casos atendidos em 2002 e 2003, 380 (10,5%) casos eram de cães acometidos por tumores benignos e malignos. Não foi encontrada diferença estatística entre a distribuição dos 380 endereços entre as cinco regiões da cidade. Os resultados mostraram que o HOVET atende pacientes caninos de todas as regiões de São Paulo e que há uma distribuição espacial homogênea das neoplasias. Os autores incentivam estudos mais amplos, envolvendo vários hospitais veterinários, clínicas e laboratórios, a fim de obter dados mais precisos sobre a distribuição das neoplasias caninas em São Paulo, SP, Brasil.</p>

Factors associated with high-risk pregnancy: role of environmental contaminants, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Martins ◽  
J Fernandes ◽  
Y Pamplona ◽  
C Barbieri ◽  
J Vaz ◽  
...  
Keyword(s):  
High Risk ◽  
Environmental Contaminants ◽  
Sao Paulo ◽  
The State ◽  
High Risk Pregnancy ◽  
São Paulo ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Risk Pregnancy ◽  
Chi Square Test

Abstract Introduction The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil. Besides this, RMBS has the worst rates of environmental contamination. High-Risk Pregnancy is one of the factors that lead to a higher chance of morbidity and mortality of the mother and fetus binomial. Objective Evaluate the relationship between exposure to environmental contaminants and high-risk pregnancy. Methodology Case-control study, using a probabilistic sample composed of 402 pregnant women divided into with and without high-risk pregnancy. The instrument used was a self-administered questionnaire and secondary data on contaminated areas obtained from the Environmental Company of the State of São Paulo. Descriptive analysis, Chi-square test, univariate and multiple logistic regression analysis were performed. The participants were also georeferenced by place of residence. Results It was observed an association, by chi-square test between high-risk pregnancy and age over 35 years (p &lt; 0.05), use of insecticide (p &lt; 0.001), consumption of foods packed in plastics (p = 0.050) and manipulation with oil paint (p = 0.002). The final multiple logistic regression model demonstrated that those who live in contaminated areas are 2 times more likely to have a risk pregnancy (OR = 1.993; 95%CI: 1.02; 3.90), as well as identified as jointly important risk factors for pregnancy: working in health services (OR = 3.97 (95%CI: 1.00; 16.09)), use of insecticide (OR = 3.45 (95%CI: 1.66; 7.16)) and use of oil paint (OR = 6.96 (95%CI: 1.38; 35.09)). Conclusions Environmental contaminants play an important role in pregnancy, and mitigating measures are needed to improve the environment and reduce high-risk pregnancy in RMBS. Key messages Exposure to the environmental contaminants is an important rik factor in the pregnancy. The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil.

scholarly journals SOROPREVALENCE AND RISK FACTRORS FOR CANINE VISCERAL LEISHMANIOSIS IN ITAPORANGA-PB

2019 ◽  
Vol 16 (31) ◽  
pp. 353-364
Author(s):  
T. W. B. ALVES ◽  
F. P. de ANDRADE JÚNIOR ◽  
V. S. de A. BARBOSA
Keyword(s):  
Statistical Significance ◽  
Clinical Signs ◽  
Health Department ◽  
Absolute Number ◽  
Canine Leishmaniasis ◽  
Chi Square ◽  
Prophylactic Measures ◽  
Chi Square Test ◽  
Visceral Leishmaniosis ◽  
The City

The present study aimed to analyze the epidemiology of Visceral Canine Leishmaniasis (VCL) in the municipality of Itaporanga-PB between the years 2015 and 2016. 180 records of notification and investigation of suspected dogs deposited at the Municipal Health Department were retrieved, where the variables were analyzed using the absolute number and relative frequency, applying the chi-square test. The seroprevalence corresponded to 13,3% when associated to two diagnostic methodologies: rapid immunochromatographic test (TR DPP®) and ELISA (EI LCV). Of the 24 seropositive dogs, male (70,8%), undecided (79,2%), urban area (70,8%) and age greater than two years (70,8%) prevailed. The analysis of the clinical signs revealed statistical significance and presence of risk between alopecia (p= 0,001; OR= 7,474; PR= 4,237) and multiple wounds (p= 0,000; OR= 7,667; PR= 4,529) with seropositivity. Seroprevalence in Itaporanga-PB was compared to other municipalities in Paraíba, Northeast and Brazil, and the other variables and risk factors were discussed with the literature. Due to the epidemiological situation of the city, the continuation of canine serological surveys in subsequent years and the application of other prophylactic measures for parasitosis.

scholarly journals Anti-hepatitis A virus frequency in adolescents at an outpatient clinic in São Paulo, Brazil

2006 ◽  
Vol 48 (1) ◽  
pp. 43-44 ◽  
Author(s):  
Maria Isabel Saraiva Dinelli ◽  
Mauro Fisberg ◽  
Maria Isabel de Moraes-Pinto
Keyword(s):  
At Risk ◽  
Outpatient Clinic ◽  
Hepatitis A ◽  
Hepatitis A Virus ◽  
Age Groups ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Chi Square Test ◽  
Two Age Groups

The prevalence of hepatitis A virus (HAV) antibodies was assessed in adolescents (age ranging from 10.4 to 19.9 years) at an Adolescent Outpatient Clinic in São Paulo, Brazil. Anti-HAV was detected in 137 (54.2%) out of 253 individuals. When separated into two age groups, anti-HAV frequency was higher in the 15 to 19 year-old group (64%) in comparison to the 10 to 14 year-old group (46%) (Chi-square test: p = 0.004). These results suggest that adolescents in São Paulo are at risk of hepatitis A infection and are probably contracting HAV infection during this age period.

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