Working conditions of Chagas' disease patients in a large Brazilian city

This study evaluated the working conditions of Chagas' disease patients in the city of Campinas, São Paulo, focusing on two-hundred-fifty patients with steady employment and treated at the University Hospital (HC-FCM/Unicamp): 98% were working-age and 77.6% were men. The origin of the patients reflected the migratory process occurring among this population. Most of the patients had limited professional skills, while 63.6% had not finished primary school and 21.6% were illiterate. However, 63.6% were regularly employed under duly processed work contracts. Their jobs were mainly in general services (21.6%) and heavy industry (21.2%). Some 55% of the patients reported a monthly income less than or equal to U$100.00, and 40.4% reported having been fired at least once during the last ten years, in 8.9% of the cases because of a diagnosis of Chagas' disease. Of the patients undergoing pre-hiring physical examinations (57.2%), 9.1% were refused, 92.3% of whom due to positive serology for T. cruzi. Finally, 78.4% reported not belonging to a labor union. The study demonstrated the precarious working conditions and discrimination experienced by workers with Chagas' disease.

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Procedimentos invasivos e sepse em recém-nascidos de muito baixo peso: estudo descritivo

Online Brazilian Journal of Nursing ◽

10.17665/1676-4285.20165414 ◽

2016 ◽

Vol 15 (4) ◽

pp. 704

Author(s):

Flavia do Valle Andrade Medeiros ◽

Valdecyr Herdy Alves ◽

Cristina Ortiz Sobrinho Valete ◽

Eny Dórea Paiva ◽

Diego Pereira Rodrigues ◽

...

Keyword(s):

Birth Weight ◽

Medical Records ◽

Neonatal Intensive Care ◽

Secondary Data ◽

Delivery Room ◽

University Hospital ◽

Central Catheter ◽

The Mean ◽

The University ◽

The City

Aim: To identify the type of sepsis which affected newborns withvery low birth weight and invasive care procedures to which they were subjected in a university hospital in the city of Niterói, between the years 2008 and 2012. Method: This is a retrospective descriptive study using secondary data research in the medical records of newborns admitted to the Neonatal Intensive Care Unit of the University Hospital Antônio Pedro. Results: Of the 49 infants studied, 35 were diagnosed with early sepsis, eight with early and late sepsis and six late. The mean gestational age was 30.5 weeks and the weight 1.176,1 kg. The most frequently performed care procedures were: peripheral venipuncture (87.8%), central catheter peripheral venipuncture (81.6%), assistance to ventilation in the delivery room (69.4%) and intubation in the delivery room (28.6%). Conclusion: It is inferred that the lower birth weight is associated with the higher incidence of sepsis.

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Management of Traumatic Injuries of Road Traffic Accident Victims in the City of Ouagadougou at the University Hospital Trauma Emergency Department-Yalgado Ouédraogo

Open Journal of Orthopedics ◽

10.4236/ojo.2019.910022 ◽

2019 ◽

Vol 09 (10) ◽

pp. 212-223

Author(s):

Alexandre S. Korsaga ◽

Anatole J. I. Ouedraogo ◽

Sayouba Tinto ◽

Ives R. Kieno ◽

Mamoudou Sawadogo ◽

...

Keyword(s):

Emergency Department ◽

Road Traffic Accident ◽

Traffic Accident ◽

Road Traffic ◽

University Hospital ◽

Traumatic Injuries ◽

The University ◽

The City

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SARS-CoV-2 outbreak in a tri-national urban area is dominated by a B.1 lineage variant linked to mass gathering events

10.1101/2020.09.01.20186155 ◽

2020 ◽

Cited By ~ 3

Author(s):

Madlen Stange ◽

Alfredo Mari ◽

Tim Roloff ◽

Helena MB Seth-Smith ◽

Michael Schweitzer ◽

...

Keyword(s):

Epidemiological Data ◽

University Hospital ◽

Contact Tracing ◽

Phylogenetic Study ◽

Mass Gathering ◽

Travel History ◽

First Case ◽

The University ◽

The City ◽

Family Transmission

AbstractBackgroundThe first case of SARS-CoV-2 in Basel, Switzerland was detected on February 26th 2020. We present a phylogenetic study to explore viral introduction and evolution during the exponential early phase of the local COVID-19 outbreak from February 26th until March 23rd.MethodsWe sequenced SARS-CoV-2 naso-oropharyngeal swabs from positive 746 tests that were performed at the University Hospital Basel in the timeframe of our study. We successfully generated 468 high quality genomes from unique patients and called variants with our COVID-19 Pipeline (COVGAP). We analysed viral genetic diversity using PANGOLIN taxonomic lineages. To identify introduction and dissemination events we incorporated global SARS-CoV-2 genomes and inferred a time-calibrated phylogeny. We used epidemiological data to aid interpretation of phylogenetic patterns.FindingsThe early outbreak in Basel was dominated by lineage B.1 (83·6%), detected from March 2nd, although the first lineage identified was B.1.1. Within B.1, a clade defined by the SNP C15324T contains 68·2% of our samples (‘Basel cluster’), including 157 identical sequences at the root of the ‘Basel cluster’, suggesting local spreading events. We infer the origin of the ‘Basel cluster’ defining mutation to mid-February in our tri-national region. The remaining genomes map broadly over the global phylogenetic tree, evidencing several events of introduction from and/or dissemination to other regions of the world via travellers. We also observe family transmission events.InterpretationA single lineage variant dominated the outbreak in the City of Basel while other lineages such as the first (B1.1) did not propagate. We identify mass gathering events and less so travel returners and family transmission as causes for the local outbreak. We highlight the importance of adding specific questions to the epidemiological questionnaires that are collected, to obtain data on attendance of large gathering events and locations as well as travel history to effectively identify routes of transmissions in up-coming outbreaks. This phylogenetic analysis enriches epidemiological and contact tracing data, allowing, even retrospectively, connection of seemingly unconnected events, and can inform public health interventions.

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Building the Universidad Nacional de Colombia Hospital: Reconciling social and academic aspects

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v62n4.46187 ◽

2015 ◽

Vol 62 (4) ◽

pp. 641-646 ◽

Cited By ~ 1

Author(s):

Juan Carlos García-Ubaque

Keyword(s):

Quality Care ◽

The Elderly ◽

Chronic Illnesses ◽

University Hospital ◽

Academic Needs ◽

Care Needs ◽

National University ◽

Epidemiological Profile ◽

The University ◽

The City

In the process of building the National University Hospital, an analysis of the changing epidemiological profile of the population of Bogotá was undertaken, which examined the health care needs of the city, the academic needs of the university and institutional possibilities. It was made an analysis of the demographic and epidemiological profile of the population of Bogotá. It was concluded that there were factors associated with the epidemiological transition of aging, such as a low availability of health services for the elderly and diseases related to that care. Just as in the university, the hospital needs to develop all aspects of patient care to be able to adequately respond to the needs of this demographic from an interdisciplinary perspective, ensuring quality care based on the criteria of timeliness, accessibility, relevance, sufficiency, and continuity.A proposal is outlined concluding that the first phase of the portfolio of services that the University Hospital offers must be geared towards geriatric care and chronic illnesses, due to the aging of the general population as a result of a decline in fertility and mortality. This care would cater towards so-called permanent conditions that result in disability, or not easily reversible physiopathological conditions that require longterm care, as well as special training in secondary prevention and rehabilitation for the patient and the family.

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Associated factors with otitis externa in the city of Antsiranana, Madagascar

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201668 ◽

2020 ◽

Vol 6 (5) ◽

pp. 810

Author(s):

Patrick M. Randrianandraina ◽

Mamy J. J. Razafimahatratra ◽

Corinne E. Solo ◽

Angelo H. Valisoa ◽

Nathalie C. Razay ◽

...

Keyword(s):

Medical Practice ◽

Otitis Externa ◽

Protective Factor ◽

University Hospital ◽

Contributing Factors ◽

Cotton Swab ◽

History Of ◽

Exposure Ratio ◽

The University ◽

The City

Background: Otitis externa is common in medical practice. This study aims to identify the contributing factors of otitis externa in the city of Antsiranana, Madagascar.Methods: This is an analytical case-control type study, concerning patients with otitis externa, seen from January to July 2019, at the university hospital of place Kabary and at the grand Pavois medical practice, all in Antsiranana. The epidemiological, behavioural and clinical parameters were evaluated. Results: We included 153 patients, among which 51were cases and 102 controls. The average age was 32.9 years (±19.41). The occurrence of otitis externa was significantly associated with the existence of a history of otitis externa, as well as ear cleaning 4 to 6 times per week (p=0.00; OR=46.17; CI=5.90-361.02). The diabetes exposure ratio was 18.79 in the ‘cases’ (p=0.00; CI=2.27-154.88), this ratio was 10.71 in the event of repeated swimming in pool (p=0.00; CI=2.22-51.70), 3.94 in case of ear cleaning with the cotton swab (p=00; CI=1.34-11, 60), and 2.23 when using headphones (p=0.02; CI=1.05-4.75). The treatment of a previous otological pathology was a protective factor against otitis externa (OR=0.1500, p=0.0159, CI=0.0259-0.8689).Conclusions: The occurrence of otitis externa is related to well define daily behaviours and to other associated clinical factors. Managing these risk factors is the first step in treatment of otitis externa.

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Profile of patients undergoing cataract surgery

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0509201106 ◽

2011 ◽

Vol 5 (9) ◽

pp. 2111

Author(s):

Ana Lucia De Faria ◽

Tábata De Abreu Pires ◽

Teresa Celia de Mattos Moraes dos Santos ◽

Flávio Moreira Pires

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

University Hospital ◽

Pathology Classification ◽

Peribulbar Block ◽

Posterior Capsule Rupture ◽

The University ◽

The City ◽

Underlying Pathology ◽

Late Postoperative Period

ABSTRACTObjective: to identify the profile of patients undergoing cataract surgery at university hospital in the city of Taubaté-SP. Method: this is about a retrospective, documentary study, from quantitative approach, approved by the Ethics in Research of the University of Taubaté, Taubaté-SP, protocol number 066/09. Were evaluated 252 records (100%) of patients undergoing cataract surgery, a total of 291 eyes, in the period 2008. Results: the age group 70-79 years, females predominant 135 (53.57%), caucasian in 140 (55.55%), occupation was retired in 160 (63 49%). The prevalent type of cataract, as the morphology was the corticonuclear in 311 (60.39%), visual impairment was found in 190 (62.09%) patients, among the systemic diseases, hypertension appeared in 111 (42.21%). Anesthesia was predominant peribulbar block in 288 (98.97%), the most widely used surgical technique, phacoemulsification, in 185 (63.57%). Conclusion: predominantly females, between 70 and 79 years, Caucasian, most retirees, and type of cataract was corticonuclear. Visual acuity preoperative was counting fingers at meters; the corrective surgery, phacoemulsification; anesthesia, peribulbar; hypertension was the underlying pathology; visual acuity in the late postoperative period, 1.0; and the complication was posterior capsule rupture. Descriptors: nursing; pathology; classification; etiology; complications. RESUMOObjetivo: identificar o perfil dos pacientes submetidos a cirurgia de catarata no hospital universitário da cidade de Taubaté-SP. Método: pesquisa retrospectiva, documental, quantitativa, aprovada pelo Comitê de Ética em Pesquisa da Universidade de Taubaté, Taubaté-SP, número de protocolo 066/09. Foram avaliados 252 prontuários (100%) de pacientes submetidos a cirurgia de catarata, totalizando 291 olhos, no período de 2008. Resultados: a faixa etária foi 70 a 79 anos; o gênero feminino predominante 135 (53,57%), etnia branca, em 140 (55,55%); ocupação foi de aposentados, em 160 (63,49%). O tipo de catarata prevalente, quanto à morfologia, foi a corticonuclear, em 311 (60,39%); baixa acuidade visual foi encontrada em 190 (62,09%) pacientes; dentre as doenças sistêmicas, a hipertensão arterial apareceu em 111 (42,21%). A anestesia predominante foi bloqueio peribulbar, em 288 (98,97%); a técnica cirúrgica mais utilizada, facoemulsificação, em 185 (63,57%). Conclusão: predominou o gênero feminino, entre 70 e 79 anos, etnia branca; maioria de aposentados, e o tipo de catarata foi o corticonuclear. A acuidade visual no pré-operatório foi conta dedos a metros; a cirúrgica, a facoemulsificação; anestesia, bloqueio peribulbar; hipertensão foi a patologia de base; acuidade visual no pós-operatório tardio, de 1,0; e, a complicação foi a ruptura da cápsula posterior. Descritores: enfermagem; patologia; classificação; etiologia; complicações. RESUMEN Objetivo: identificar el perfil de los pacientes submetidos a la cirurgia de catarata en el hospital universitario de la ciudad de Taubaté-SP. Método: la investigación retrospectiva, documental, cuantitativa, aprobados por el Comité de Ética de la Universidad Taubaté, Taubaté-SP, número de protocolo 066/09. Fueron avaliados 252 prontuários (100%) de pacientes submetidos a la cirurgia de catarata, totalizando 291 ojos, en el período de 2008. Resultados: el grupo de edad fué 70 a los 79 aõos; el género femenino predominante en 135 (53,57%), etnia blanca, en 140 (55,55%); ocupación fué de los jubilados, en 160 (63,49%). El tipo de catarata frecuente, cuanto a la morfologia, fué la corticonucleares, en 311 (60,39%); baja agudeza visual fué encontrada en 190 (62,09%) pacientes; dentro de las enfermedades sistémicas, la hipertension arterial apareció en 111 (42,21%). La anestesia predominante fué bloqueado peribulbar, en 288 (98,97%); la técnica cirúrgica mas utilizada, facoemulsificación, en 185 (63,57%). Conclusión: predominó el género feminino, entre 70 y 79 anos, etnia blanca; mayoria de jubilados, y el tipo de catarata fué la corticonucleares. La agudeza visual en el pré operatório fué contado a dedos a metros; la cirúrgica, la facoemulsificação; anestesia, el bloqueo peribulbar; hipertensión fué la patologia de base; adudez visual en el pós operatório tardio, de 1,0; y, la complicación fué la ruptura de la cápsula posterior. Descritores: enfermeria; patología; clasificación; etiología; complicaciones.

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Lower limb amputations: Registration of all lower limb amputations performed at the University Hospital of Trondheim, Norway, 1994–1997

Prosthetics and Orthotics International ◽

10.1080/03093640108726600 ◽

2001 ◽

Vol 25 (3) ◽

pp. 181-185 ◽

Cited By ~ 18

Author(s):

E. Witsø ◽

H. Rønningen

Keyword(s):

Diabetes Mellitus ◽

Vascular Disease ◽

Peripheral Vascular Disease ◽

Lower Limb ◽

Annual Incidence ◽

University Hospital ◽

Peripheral Vascular ◽

The University ◽

The City

The authors consecutively recorded all lower limb amputations performed at the University Hospital of Trondheim from January 1st, 1994 to January 1st, 1997. A total of 215 primary lower limb amputations were carried out in the study period: 40 partial foot amputations, 2 ankle disarticulations, 51 trans-tibial amputations, 68 knee disarticulations, 50 trans-femoral amputations and 4 hip disarticulations.Seventy-four (74) (34%) of the amputees had diabetes mellitus, 113 (53%) had peripheral vascular disease and 28 (13%) of the amputees had various diagnoses. In those who were amputated due to diabetic and peripheral vascular disease the overall reamputation rate was 19% and 20%, respectively. The rates of reamputation at the trans-tibial and knee level were similar. In the city of Trondheim the annual incidence of primary amputations was 34 per 100,000 and 4.4 per 1,000 diabetic subjects. The incidence of lower limb amputations was 25 times higher in diabetic subjects compared to non-diabetic subjects.

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Congenital Chagas disease of second generation in Santiago, Chile. Report of two cases

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652001000400011 ◽

2001 ◽

Vol 43 (4) ◽

pp. 231-232 ◽

Cited By ~ 19

Author(s):

Hugo SCHENONE ◽

María GAGGERO ◽

Jorge SAPUNAR ◽

María del C. CONTRERAS ◽

Antonio ROJAS

Keyword(s):

Latin America ◽

Chagas Disease ◽

Second Generation ◽

Fatal Case ◽

Urban Residents ◽

Blood Transfusions ◽

Positive Serology ◽

Triatomine Bugs ◽

The City ◽

Spleen Enlargement

Congenital Chagas disease (CChD) has been reported in different countries, mostly in Latin America. In 1987 a fatal case of CChD of second generation (CChDSG) was published. Within a period of six months - 1989-1990 - two cases of CChDSG were diagnosed and studied in the city of Santiago. Two premature newborns, sons of two sisters, with moderate liver and spleen enlargement, were found to have positive serology for Chagas disease and xenodiagnoses. The mothers, urban residents all their lives, without antecedents of triatomine bugs contact or blood transfusions, showed positive serology and xenodiagnoses. Their mother (grandmother of the infants), lived 20 years in a Northern rural Chagas disease endemic locality, in a triatomine infested house. Afterwards, she moved to Santiago, where she married and has resided up to now. Serology and xenodiagnoses were also positive. All the Trypanosoma cruzi infected individuals were successfully treated with nifurtimox.

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Doppler Ultrasonography Screening of the Lower Limbs in Patient with Coronary Artery Disease

10.31487/j.cdm.2020.01.05 ◽

2020 ◽

pp. 1-6

Author(s):

Rachid Merghit ◽

Mouloud AIT Athmane ◽

Ikhlas Gueriane ◽

Abdelhak Lakehal

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Doppler Ultrasonography ◽

Lower Limbs ◽

University Hospital ◽

Long Time ◽

Ultrasound System ◽

Artery Disease ◽

The University ◽

The City

Introduction: For patient with coronary artery disease (CAD), peripheral artery disease (PAD) is really underestimated. Objectives: Establish a mapping of atherosclerotic involvement of the lower limbs using ultrasound exploration, by working on a sample of coronary artery disease (CAD) patients, recruited in cardiology at the university hospital centers of the city of Constantine. Patients and Methods: Our study is descriptive, transversal, and multi-centric carried out in unit of cardiovascular explorations of the University Hospital of Constantine. The patients involved had at least one significant coronary lesion ≥ 50 on a principal coronary artery. All of our patients benefited from a lower limb Doppler ultrasonography using a 12L linear scanning probe on a General Electric vivid E9 ultrasound system. The data processing and processing used epi info 8 software. Results: Atheromatous affection and implication of the lower limbs is very common and usual in patient with coronary artery disease (CAD), mostly on the infra popliteal floor. 34.67% have a hemodynamic lesion ≥ 50% on the arterial axes of the lower limbs. Taking the lion’s share, with more than half of our population had predominantly distal mediacalcosis lesions. Conclusion: Atherothrombotic disease or atherothrombosis demands a global patient care since for a long time and for as long as anyone can remember, the clinical translations and manifestations of atherothrombosis were treated in isolation and compartmentalized.

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Social reinsertion: comparative study between the hospital assistance and in the caps under the point of view of the user

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1092-9547-1-le.0404201016 ◽

2010 ◽

Vol 4 (4) ◽

pp. 1695

Author(s):

Karlla Kelline De Lima Barbosa ◽

Monique Feitosa De Souza ◽

Iracema Da Silva Frazão ◽

Fernanda Jorge Guimarães

Keyword(s):

Mental Health ◽

Mental Disease ◽

Psychiatric Hospitals ◽

Point Of View ◽

University Hospital ◽

The Social ◽

Salud Mental ◽

The University ◽

The City

ABSTRACT Objective: analyze the opinion of users assisted in the CAPS in the city of Camaragibe/Pernambuco, about the way the social reinsertion is approached in the psychiatrics hospitals and substitutive services. Method: it is a research with quantitative approach, done with 33 users in treatment in the regimen non intensive in CAPS, having among other criteria of inclusion, users, with historic of internship in psychiatric hospitals. Data were collected through questionnaire, which were tabulated in Excel and analyzed with the aid of SPSS 15.0 program. This study was approved by the Ethics Committee of the University Hospital Oswaldo Cruz (protocol number 005/08). Results: the users interviewed perceived the CAPS as a service that contributes for the reinsertion in the family and in the community. In this therapeutic set, they receive qualifications to develop financial autonomy, while in the closed hospitals does not seem to exist such worry. Conclusion: it can be perceived that the users interviewee have clarity about the role of the CAPS, that is revealed as an efficient strategy in the treatment of people with mental disease, because besides doing the clinical attendance, it facilitates the social insertion of their users. Descriptors: mental health; mental health services; rehabilitation; deinstitutionalization; mental health assistance.RESUMOObjetivo: analisar a opinião dos usuários assistidos no CAPS do município de Camaragibe/Pernambuco, sobre a forma como a reinserção social é abordada nos hospitais psiquiátricos e serviços substitutivos. Método: pesquisa de abordagem quantitativa, realizada com 33 usuários em tratamento no regime não intensivo no CAPS, tendo como outros critérios de inclusão, usuários com histórico de internamento em hospital psiquiátrico. Os dados foram coletados por meio de questionário, os quais foram tabulados no Excel e analisados com o auxílio do programa SPSS 15.0. Estudo aprovado pelo Comitê de Ética em Pesquisa do Hospital Universitário Oswaldo Cruz (número de protocolo 005/08). Resultados: os usuários entrevistados perceberam o CAPS como um serviço que contribui para a reinserção na família e na comunidade. Nesse set terapêutico, eles recebem capacitações para desenvolverem autonomia financeira, enquanto que nos hospitais fechados não lhes parece existir tal preocupação. Conclusões: percebe-se que os usuários entrevistados têm clareza sobre o papel do CAPS, que se revela como uma estratégia eficaz no tratamento de pessoas com transtorno mental, pois além de realizar o acompanhamento clínico, favorece a reinserção social dos seus usuários. Descritores: saúde mental; serviços de saúde mental; reabilitação; desinstitucionalização; assistência em saúde mental.RESUMENObjetivo: analizar la opinión de los usuarios asistidos en el CAPS del municipio de Camaragibe/Pernambuco, acerca de la forma como la reinserción social es abordada en los hospitales psiquiátricos y en los servicios substitutivos. Método: se trata de una investigación con abordaje cuantitativo, realizada con 33 usuarios en tratamiento en régimen no intensivo, teniendo entre otros criterios de inclusión, usuarios con histórico de internación en hospital psiquiátrico. Los datos fueron recolectados a través de cuestionario, que fueron tabulados en Excel y analizados con la ayuda del programa SPSS 15.0. Este estudio fue aprobado por el Comité de Ética de la Hospital Universitario Oswaldo Cruz (número de protocolo 005/08). Resultados: los usuarios entrevistados percibieron el CAPS como un servicio que contribuye para la reinserción en la familia y en la comunidad. En ese espacio terapéutico, ellos se capacitan para desarrollar autonomía, mientras que en los hospitales cerrados no les parece existir tal preocupación. Conclusiones: los usuarios tienen claridad acerca del papel del CAPS, que es visto como una estrategia eficaz en el tratamiento de personas con transtornos mentales, ya que además de realizar el acompañamiento clínico, favorece la reinserción social de sus usuarios. Descriptores: salud mental; servicios de salud mental; rehabilitación; desinstitucionalización; asistencia en salud mental.

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