Estratificação de Indivíduos com HIV/AIDS Considerando Aspectos Demográficos e Contagem de Células Cd4/Cd8 em Hospital Provincial de Angola, África

Author(s):  
Sandra Augusta Pedro Alberto ◽  
Janete Lane Amadei

Angola, país Africano, registra perdas consideráveis relacionadas às doenças transmissíveis e às mortes prematuras e evitáveis, principalmente, de mulheres e de crianças, agravadas pela desestruturação da qual o país foi vítima ao longo do conflito armado. No diagnóstico da AIDS, os exames laboratoriais de contagem de células T CD4+, CD8+ e carga viral são usados como parâmetros para monitorar a saúde dos pacientes, que utilizam a terapia antirretroviral e avaliar o momento certo para iniciar ou modificar esta terapia. Estudo desenvolvido com objetivo de analisar exames para HIV/Aids realizados em Hospital Provincial de Lubango, Angola – África. Estudo descritivo, retrospectivo compreendendo o período de janeiro a junho de 2014. Foram analisados 981 resultados de exames com uma média de 163,5 por mês. A idade média obtida foi de 35 anos, com resultados médios de 385,1/mm3 para CD4+ e 1060,0/ mm3 para CD8+. Os itens que apresentaram significância com p<0,01 foram: procedência ambulatorial; menores valores de CD4+ para os homens, com idade de 60 anos ou mais seguido de 30 a 60 anos. O monitoramento de linfócitos T CD4+ apresentou  valores baixos na maioria da população que realizou os exames, implicando em indicação de terapia antirretroviral e progressão da patologia com comprometimento da saúde das pessoas analisadas. Palavras-chave: Síndrome da Imunodeficiência Adquirida. Gestão de Saúde. Sistema de Saúde. Atendimento Secundário AbstractAngola, an African country, has considerable losses related to communicable diseases and premature and preventable deaths mainly of women and children, aggravated by the destructuring of which the country has been victimized during the armed conflict.The progression of Human Immunodeficiency Virus (HIV) characterized by numerous pathological changes in the cellular immune system. Study designed to analyze tests for HIV / AIDS held in Hospital Provincial  laboratory Lubango, Angola - Africa. Descriptive, retrospective study conducted in Hospital Provincial covering the period from January to June 2014. 981 test results were analyzed spread between the months from January to June 2014 with an average of 163.5 per month. The average age obtained was 35 years, with average scores of 385.1 / mm3 for CD4+ and 1060.0 / mm3 for CD8+. The items which were significant highlights are lower CD4+ values for men aged 60 years or more followed 30-60 years; with outpatient origin. Monitoring of CD4+ T lymphocytes are underestimated in most of the population who performed the tests. This involves antiretroviral therapy indication of the pathology affecting the analyzed people’s health living with HIV / AIDS . Keywords: Acquired Immunodeficiency Syndrome. Health Management. Health System. Secondary Care.

2020 ◽  
Vol 3 (1) ◽  
pp. 37-46
Author(s):  
Robinson Simanungkalit

It is important to explain some important things on Human Immunodeficiency Virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS). This study was aimed to to provide a proper understanding on the HIV/AIDS. Consequently, this study described what the HIV/AIDS is, the history of the emergence of HIV/AIDS, the transmission of HIV/AIDS, and the effects of HIV/AIDS on infected human. People infected with HIV and AIDS are referred to as PLWHA (People living with HIV and AIDS). They may be church citizens. Therefore, the church must not "turn a blind eye", but is required to be proactive in responding to people who have infected with HIV/AIDS.BAHASA INDONESIA ABSTRACT: Sangatlah penting untuk menjelaskan beberapa hal penting tentang HIV/AIDS guna memberikan pemahaman yang benar tentang HIV/AIDS. Dibutuhkan penjelasan tentang apa itu HIV/AIDS, Sejarah munculnya HIV/AIDS, Penularan HIV/AIDS dan dampak yang ditimbulkan oleh HIV/AIDS terhadap orang- orang yang terinfeksi. Orang yang terinfeksi HIV dan AIDS itu disebut sebagai ODHA (Orang yang hidup dengan HIV dan AIDS). Mungkin saja mereka adalah warga gereja dan karena itu gereja tidak boleh “menutup mata” tetapi dituntut untuk proaktif dalam menyikapi keberadaan warganya yang terinfeksi HIV/AIDS.Keywords: HIV/AIDS, ODHA


2014 ◽  
Vol 2 (2) ◽  
pp. 6-10 ◽  
Author(s):  
S Subedi ◽  
P Chalise ◽  
TK Aich ◽  
DK Thapa

HIV/AIDS epidemic remains among the most significant challenges to public healthcare systems worldwide . There are approximately 50,200 people living with HIV/AIDS (PLHA) in Nepal among the total 33 million PLHAs . Human Immunodeficiency Virus (HIV) infection/Acquired Immunodeficiency Syndrome (AIDS) is a significant cause of death and disability, especially in developing countries. Studies have shown that there is a bidirectional link between Mental illness and HIV/AIDS. However, mental illnesses are under detected in HIV/AIDS care settings. In spite of a good financial support from international partners, PLHA in Nepal do not receive necessary psychiatric services. Psychiatric illness in patients with HIV/AIDS has been associated with negative health behaviors and poorer clinical outcomes. This article, therefore, aims to highlight this issue among the stakeholders by reviewing the research on the topic in Nepal and making them aware of the need to DOI: http://dx.doi.org/10.3126/jpan.v2i2.9718  J Psychiatrists’ Association of Nepal Vol.2, No.2, 2013 6-10


Author(s):  
Analice Cristhian Flavio Quintanilha ◽  
Valdir Aragão Nascimento ◽  
Albert Schiaveto de Souza

The human immunodeficiency virus (HIV) was discovered in the 1980s, it affects the immune system and when not treated with appropriate medications it can lead the person to develop acquired immunodeficiency syndrome (AIDS). The antiretroviral therapy (ART) that makes HIV undetectable was discovered in 1990. However, despite the free ART in Brazil, there is still a challenge regarding the adherence of people (100%) living with HIV/AIDS (PLWHA), because the abandonment of the medication or the non-regular use reduces future treatment options which cause illness and death. The objective of this research was to understand the perception of the person living with HIV/AIDS and their family members, regarding the care offered in the infectious and parasitic diseases unit. In addition, the anxiety and depression rate that affects them during the hospitalization period will be considered. This study was carried out in the Infectious and Parasitic Inpatient Sector DIP Infirmary (Enf/DIP), which is part of the Infectious and Parasitic Diseases Unit (UNIDIP) of the Hospital Maria Aparecida Pedrossiam (HUMAP), in the municipality of Campo Grande - MS. The prospective collection of primary data was obtained through questionnaires that were replaced by words and expressions in the title and in the content. Changes were made and elaborated with the objective of improving the understanding of the sentences, which became a semantic evaluation of content by a committee of evaluators. Thus, before the final application of the questionnaire to the participants, all the steps cited constituted the methodological strategies for capturing data.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249025
Author(s):  
Lara Youssef ◽  
Souheil Hallit ◽  
Hala Sacre ◽  
Pascale Salameh ◽  
Michelle Cherfan ◽  
...  

Background Up till today, studies carried in Lebanon have focused more on the prevalence of HIV and behaviors and quality of life of infected individuals, however, none of these studies discussed the degree of stigma towards these populations. Therefore, the aim of this study is to measure the rate of stigma in terms of knowledge, attitude and practice towards patients living with Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) (PLWHA) and examine the factors associated with this stigma. Methods A cross-sectional survey, enrolling 862 participants, was carried across the five governorates in Lebanon: Beirut, Mount Lebanon, North, South and Bekaa. The survey was a self-administered questionnaire which covered information about participants’ general demographics, their knowledge, attitudes, practices and awareness towards HIV/AIDS in Lebanon., attitudes towards PLWHA, practices related to HIV/AIDS and awareness regarding HIV/AIDS situation in Lebanon. Results The response rate to the survey was 78.36% (862 participants). Being Muslim (Beta = -2.56) or Druze (Beta = -2.64) compared to Christians were significantly associated with lower knowledge towards HIV/AIDS, whereas having a secondary (Beta = 2.71) and a university (Beta = 3.04) levels of education compared to illiteracy and higher age (Beta = 0.05) were significantly associated with higher knowledge. Higher knowledge (Beta = 0.66) was significantly associated with better attitude, whereas higher age (Beta = -0.14) and being Muslim compared to Christian (Beta = -3.44) were significantly associated with worse attitude. Better attitude (Beta = 0.02) was significantly associated with better practice, whereas females compared to males (Beta = -0.39), having a secondary level of education compared to illiteracy (Beta = -0.88) and being Muslim compared to Christian (Beta = -0.32) were significantly associated with worse practice. Conclusion Our results stress the need for educational programs, advocacy campaigns and policies to help reduce HIV stigma. This will then help start developing interventions and strategies for a possible reduction in the stigmatization level.


2018 ◽  
Vol 12 (4) ◽  
pp. 1103 ◽  
Author(s):  
Sebastiao Silveira Nunes Junior ◽  
Suely Itsuko Ciosak

RESUMOObjetivo: descrever a evolução histórica da terapêutica para o HIV/AIDS, as mudanças ocorridas e protocolos atuais. Método: estudo descritivo, informativo, com análise dos protocolos clínicos de diretrizes terapêuticas e busca nas bases LILACS e MEDLINE, abrangendo artigos na integra, publicados de 1996 a 2017. Resultados: O acesso ao tratamento em alguns países permitiu o aumento e melhoria da sobrevida. A estratégia de unir três drogas em apenas um comprimido, uma das mais recentes, dentre outros benefícios, busca fortalecer a adesão à terapia antirretroviral. Conclusão: a história da adesão à terapia antirretroviral e seu impacto na prevenção do HIV/AIDS continua sendo um grande desafio, cuja meta é o controle e erradicação da epidemia. Nesse sentido, faz-se necessário uma maior conscientização dos profissionais de saúde para fazer parte desta luta, na qual a enfermagem tem importante participação. Descritores: Síndrome da imunodeficiência adquirida; Vírus da imunodeficiência humana; Terapia antirretroviral potente (HAART); Enfermagem; Evolução clínica; Protocolos.ABSTRACTObjective: to describe the historical evolution of HIV/AIDS therapy, the changes, and current protocols. Method: descriptive and informative study with analysis of the clinical protocols of therapeutic guidelines and search in the LILACS and MEDLINE databases, assessing full articles published from 1996 to 2017. Results: access to treatment in some countries has promoted survival increase and improvement. The strategy of linking three drugs in just one tablet, one of the most recent, among other benefits, seeks to strengthen compliance with antiretroviral therapy. Conclusion: the history of compliance with antiretroviral therapy and its impact on HIV/AIDS prevention remains a major challenge, the goal of which is to control and eradicate the epidemic. In this sense, it is necessary to increase the awareness of health professionals to be part of this fight, in which nursing has an important participation. Descriptors: Acquired Immunodeficiency Syndrome; Human immunodeficiency virus; Potent antiretroviral therapy (HAART); Nursing; Clinical evolution; Protocols.RESUMENObjetivo: describir la evolución histórica de la terapia para el VIH/SIDA, los cambios ocurridos y los protocolos actuales. Método: estudio descriptivo e informativo con análisis de los protocolos clínicos de directrices terapéuticas y búsqueda en las bases LILACS y MEDLINE, analizando artículos completos publicados de 1996 a 2017. Resultados: el acceso al tratamiento en algunos países permitió el aumento y mejora de la sobrevida. La estrategia de unir tres drogas en un sólo comprimido, una de las más recientes, entre otros beneficios busca fortalecer la adhesión a la terapia antirretroviral. Conclusión: la historia de la adhesión a la terapia antirretroviral y su impacto en la prevención del VIH/SIDA sigue siendo un gran desafío, cuyo objetivo es el control y erradicación de la epidemia. En ese sentido, se hace necesaria una mayor concientización de los profesionales de salud para formar parte de esta lucha, en la cual la enfermería tiene una importante participación. Descriptores: Síndrome de Inmunodeficiencia Adquirida; Virus de la Inmunodeficiencia Humana; Terapia antirretroviral altamente activa (HAART); Enfermería; Evolución clínica; Protocolos.


2021 ◽  
pp. 239448112110203
Author(s):  
Lalrempui Khawlhring ◽  
Lily Sangpui ◽  
Kanagaraj Easwaran

The association of human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) with stigma and discrimination remain a challenge in combating HIV/AIDS. It pushes people to remain hidden with the potential to manifest in the future. This study aims to examine the agencies and mechanisms of social inclusion and exclusion among people living with HIV/AIDS (PLWHA) in the state of Mizoram. The study covers two districts of Mizoram, Lunglei and Saiha districts, selected purposively. Respondents were identified through different gateways like non-governmental organisations (NGOs) and hospital. A total of sixty respondents were interviewed, thirty respondents from each district selected proportionately. The study reveals that the same agencies which cater to the inclusion of PLWHA can also exclude them through different mechanisms. Agencies at primary and secondary level adopted a mixture of both inclusionary and exclusionary measures. At tertiary level NGOs, hospitals staff are seen to be more inclusionary than social institutions such as the church and youth associations. The study highlights the need for greater awareness on HIV/AIDS at the individual and community level.


2017 ◽  
Vol 5 (2) ◽  
pp. 1-12
Author(s):  
Nur Syamsi NL

AIDS (Acquired Immunodeficiency Syndrome) adalah syndrom yang timbul akibat adanya virus HIV (Human Immunodeficiency Virus) yang menyerang sistem kekebalan tubuh manusia. HIV/AIDS dapat menular melalui darah, sperma, cairan vagina, dan ASI (Air Susu Ibu). Penelitian ini dilakukan di Akademi Kebidanan Sandi Karsa Makassar yang terletak di jalan Bung lorong 2, Kelurahan Tamalanrea, Kecamatan Tamalanrea Jaya, Makassar. Jenis penelitian yang digunakan dalam penelitian ini bersifat deskriptif. Besarnya sampel yang digunakan adalah 30 responden dari 600 populasi yang dipilih secara Total Sampling. Di mana dalam pengambilan data digunakan instrumen berupa kuesioner yang dibagikan kepada responden. Dari keseluruhan responden didapatkan tingkat pengetahuan mahasiswa Akademi Kebidanan Sandi Karsa Makassar yang diteliti didapat 15 mahasiswa (50%) yang tingkat pengetahuan baik tentang HIV/AIDS dan terdapat 14 mahasiswa (46,7%) yang tingkat pengetahuan cukup tentang HIV/AID dan terdapat 1 mahasiswa (3,3%) yang tingkat pengetahuan kurang tentang HIV/AIDS


2010 ◽  
Vol 50 (3) ◽  
pp. 154-155
Author(s):  
B L Meel

Traditional healers contribute significantly to the level of health-care systems in Africa. They could play an important role in the prevention and care of patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the community. The traditional healing system deals with psychosocial stress associated with HIV/AIDS as well as herbal medications. Sometimes, herbal medicine causes serious life-threatening complications. Two case reports are presented in this article. The first is a 48-year-old woman with HIV who was made to drink a large volume of a herbal decoction to stimulate vomiting in the belief that cleansing the bowel would rid the system of the disease. The second is a 25-year-old young man who had a herbal enema, which resulted in gangrene of the large bowel. The case histories, mechanism of action and causes of death are discussed.


2021 ◽  
Vol 2 (1) ◽  
pp. 55-63
Author(s):  
Machria Rachman

HIV (Human Immunodeficiency Virus)  dan AIDS (Acquired Immunodeficiency Syndrome masih menjadi ancaman kesehatan masyarakat secara global. Prevalensi HIV/AIDS di Kabupaten Banyuwangi juga cukup tinggi yakni 4.557 kasus. Cara penularan HIV terbesar adalah melalui hubungan seksual (71 %). Sejumlah 18,23% orang dengan HIV/AIDS (ODHA) adalah wanita pekerja seks (WPS). Meskipun lokalisasi di Banyuwangi telah resmi ditutup pada tahun 2013, namun praktik prostitusi masih terselubung dijalankan. Hubungan seksual tanpa kondom menjadi mata rantai penyebaran HIV/AIDS di masyarakat. Tujuan penelitian ini adalah untuk mengetahui korelasi pengetahuan dan sikap WPS dengan persuasi penggunaan kondom di eks lokalisasi Gempol Porong Kabupaten Banyuwangi. Desain penelitian adalah analitik kuantitatif dengan menggunakan pendekatan cross sectional. Sampel penelitian yaitu WPS di Eks Lokalisasi Gempol Porong berjumlah 32 orang yang diambil dengan teknik Total sampling. Pengambilan data dengan metode angket dan dianalisis statistik menggunakan SPSS 20.0 version. Hasil penelitian menunjukkan bahwa WPS yang memiliki pengetahuan rendah dalam penanggulangan HIV/AIDS sebanyak 56,2 %, sikap negatif sebesar 53,1% dan sebanyak 59,4% tidak melakukan persuasi penggunaan kondom. Analisis uji chi-Square menunjukkan ada hubungan antara pengetahuan WPS dalam penanggulangan HIV/AIDS dengan persuasi penggunaan kondom (ρ = 0,002α), serta ada hubungan antara sikap WPS dalam upaya penanggulangan HIV/AIDS dengan persuasi penggunaan kondom (nilai ρ = 0,000α). Variabel yang berpengaruh terhadap penanggulangan HIV/AIDS dengan persuasi penggunaan kondom adalah sikap, dengan  probabilitas sikap negatif WPS sebesar 78%. Penelitian ini diharapkan dapat memberikan masukan pihak terkait guna peningkatan 100% penggunaan kondom sehingga dapat menekan angka pertumbuhan HIV/AIDS di Kabupaten Banyuwangi.


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