scholarly journals Epidemiological characterization and spatial distribution of visceral leishmaniasis cases in Três Lagoas - MS, Brazil in the period of 2007-2021

2021 ◽  
Vol 10 (16) ◽  
pp. e72101623258
Author(s):  
Giovanna Bruna de Almeida Carvalho ◽  
João Victor Camargo Caldeira ◽  
Mirian Daiane de Oliveira ◽  
Juliano Yasuo Oda ◽  
Alex Martins Machado ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Transmission Rate ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Homogeneous Distribution ◽  
Cross Sectional ◽  
Incidence And Mortality ◽  
The City

This retrospective observational cross-sectional study aimed to analyze the distribution of visceral leishmaniasis (VL) cases in Três Lagoas registered between January 2007 and August 2021, through data processed by the Epidemiological Surveillance Service based on the notification of the National System of Diseases and Notifications. In this period, 231 cases were confirmed, being 137 male (59.3%) and 94 female (40.7%). Was observed a higher prevalence of cases between ages 0-4 years (30.8%), 20-39 (22.5%) and 40-59 (19.9%). Also was observed a higher percentage of infected Caucasian individuals (45.4%) and individuals with low education: elementary school II (22.1%). The most prevalent clinical manifestations were fever (85.3%), splenomegaly (76.6%), weakness (67.1%), weight loss (65.8%) and hepatomegaly (62.8%). It was found that 80.1% of patients received pharmacological treatment, mainly using pentavalent antimonials (56.7%), and that 26 patients (11.3%) died during the period due to complications caused by VL. The spatial analysis showed a homogeneous distribution of VL cases in the city's urban perimeter without predominant regions. Finally, it was observed that the incidence and mortality by VL has been decreasing in recent years, however maintaining high rates of lethality and transmissibility, placing the municipality in the third with the highest transmission rate in the state. In view of these aspects, we conclude that VL is still a serious public health problem in the city and that despite the slight drop in incidence and mortality rates, it still presents values higher than the national average and high dissemination of the disease in the urban area.

scholarly journals Spatial distribution of leprosy cases in Ribeirão Preto, Brazil, 2004

2007 ◽  
Vol 15 (3) ◽  
pp. 460-465 ◽  
Author(s):  
Juliana Silva Gauy ◽  
Paula Hino ◽  
Claudia Benedita dos Santos
Keyword(s):  
Spatial Distribution ◽  
Cross Sectional Study ◽  
Northern Region ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Thematic Map ◽  
Map Analysis ◽  
The City ◽  
Compulsory Notification ◽  
Program Version

This cross-sectional study aimed to describe the spatial distribution of leprosy cases in Ribeirão Preto in 2004. The data collection was performed through compulsory notification records in the Epidemiological Surveillance Service of the Municipal Secretary of Health of Ribeirão Preto. The data were geo-coded through the MapInfo program version 7.8 in order to obtain the thematic map. From the 37 cases found, 62% were automatically coded, which revealed good compatibility between the database and the information in the cartographic base. The remaining 38% of the cases were geo-coded interactively. The thematic map analysis and the geo-referenced cases revealed a concentration of cases in the Northern region of the city, traditionally characterized by poor neighborhoods.

scholarly journals Outbreak of Toxoplasmosis in the City of Santa Maria, Brazil

2019 ◽  
Vol 34 (s1) ◽  
pp. s74-s74 ◽  
Author(s):  
Silvana Dal Ponte ◽  
Daniela Burguez ◽  
Giordanna Andrioli
Keyword(s):  
Acute Infection ◽  
Health Department ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Laboratory Confirmation ◽  
Acute Toxoplasmosis ◽  
Using Data ◽  
The City ◽  
Santa Maria

Introduction:In the first months of 2018, there was an increase in the number of cases of fever possibly related to toxoplasmosis in the city of Santa Maria, Brazil, reaching significant values. Toxoplasmosis is an autoimmune acute infection usually asymptomatic in 80-90% of immunocompetent adults. In this outbreak, the intensity of the symptoms presented warrants attention.Objective:To report cases of the toxoplasmosis outbreak in the city of Santa Maria, Brazil.Methods:This is a cross-sectional study using data on the outbreak of toxoplasmosis in Santa Maria published in bulletins by the Municipal Health Department of Santa Maria, Rio Grande do Sul, Brazil.Results:The outbreak of toxoplasmosis in Santa Maria was confirmed on April 19, 2018. Until June 14, 2018, 510 cases were confirmed. According to the most recent bulletin released by the State Health Department on June 8, 2018, 441 occurrences are people residing in Santa Maria. Five are residents of the districts and seven cases are patients residing in neighboring counties. In a bulletin published on May 25, 2018, 1,116 cases were reported to state epidemiological surveillance by the end of May. Of these, 766 cases were still suspected (fever, headache and/or myalgia accompanied by lymphadenopathy, weakness, arthralgia, or change in vision. In the other 460 cases, there was laboratory confirmation of acute toxoplasmosis, of which 35 were pregnant, with two fetal deaths (36 and 28 weeks), and two abortions. There are also 212 cases still pending laboratory confirmation.Discussion:The results of this research show that the current outbreak of toxoplasmosis in the city of Santa Maria, Brazil, is the largest reported in Brazil and appears to be the largest in the world. The notification to authorities by physicians was very important for the identification of this outbreak.

scholarly journals Clinical Characteristics in Patients with Rheumatoid Arthritis: Differences between Genders

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
M. Intriago ◽  
G. Maldonado ◽  
J. Cárdenas ◽  
C. Ríos
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Characteristics ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Control Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Aggressive Disease ◽  
Loss Of Appetite ◽  
The City

Objective. To compare the clinical characteristics of a group of men and women with rheumatoid arthritis (RA) and determine the differences between genders. Materials and Methods. A descriptive and comparative cross-sectional study was developed with a group of 50 men and a control group of 50 women with RA, from a rheumatology center in the city of Guayaquil, Ecuador. Data collected included clinical manifestations, comorbidities, treatment, and disease activity. Clinical and activity differences between sexes were analyzed. Results. Women were more devoted to housework (66%), while men consumed more tobacco (34%) and alcohol (38%). Fatigue (60%), loss of appetite (54%), and weight loss (44%) were more common in women. No differences were found in comorbidities or treatment. Women had higher values of DAS-28 (3.4 vs 2.5), HAQ-DI (1.1 vs 0.4), ESR (33.0 vs 23.2), painful joints (8 vs 3), swollen joints (6 vs 2), and overall physician assessment (3 vs 2). Conclusion. The results are similar to other publications that establish that women have a more aggressive disease with greater activity of the disease and disability.

scholarly journals SÍFILIS CONGÊNITA: UMA ANÁLISE DO PERFIL EPIDEMIOLÓGICO NO MUNICÍPIO DE CRICIÚMA

2018 ◽  
Vol 7 (2) ◽  
pp. 236-248
Author(s):  
Luana Rosso ◽  
Mariá Vaz Franco Martins ◽  
Maria Tereza Soratto ◽  
Ivanir Prá da Silva Thomé ◽  
Rozilda Lopes de Souza
Keyword(s):  
Pregnant Women ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Epidemiological Profile ◽  
The City ◽  
Hiv Aids

A sífilis é uma doença infecciosa sistêmica de evolução crônica e muitas vezes assintomática, transmitida principalmente por via sexual e vertical. O estudo em questão trata-se de um estudo de corte transversal, retrospectivo, descritivo de natureza quantitativa e documental, a coleta de dados se deu no Programa de Atenção Municipal as DST/HIV/AIDS (PAMDHA) do município de Criciúma, através de pesquisa documental com base nos dados da Vigilância Epidemiológico do SINAN com o objetivo de investigar os casos de sífilis congênita no município. Através da pesquisa pode-se perceber que entre os anos de 2015 e 2016 constatou 3,7% do total de casos pesquisados chegaram a óbito, dos RN nascidos com sífilis 51,9% foram assintomáticos e 3,8% sintomáticos, os demais não apresentaram características. Do total de gestantes, 66,6% realizou pré-natal e foram diagnosticadas a partir do mesmo, possibilitando o tratamento. Para que haja uma menor prevalência de casos de sífilis é necessário que os profissionais da saúde adotem, além das políticas públicas já disponíveis outros hábitos que levem ao alcance de todas as classes de gestantes, para evitar mais casos de sífilis.Palavras-chave: Gestantes. Sífilis Congênita. Recém-Nascidos. Infecções Sexualmente Transmissíveis. CONGENITAL SYPHILIS: AN ANALYSIS OF THE EPIDEMIOLOGICAL PROFILE IN THE CITY OF CRICIÚMA ABSTRACT: Syphilis is a systemic infectious disease of chronic evolution and often asymptomatic, transmitted mainly through sexual and vertical. The study in question it is a cross-sectional study, retrospective, descriptive quantitative and documentary nature, data collection took place in the Attention the Municipal STD/HIV/AIDS (PAMDHA) of the city of Criciúma, through documentary research based on Epidemiological Surveillance data from SINAN aiming to investigate the cases of congenital syphilis in the municipality. Through research you can notice that between the years 2015 and 2016 found 3.7% of total cases surveyed came to death, the RN born with syphilis 51.9% 3.8% were asymptomatic and symptomatic, the others did not show characteristics. Of the total of 66.6% pregnant women, prenatal and conducted were diagnosed from the same, allowing the treatment. So there is a lower prevalence of syphilis cases is necessary that health professionals adopt, in addition to the already available public policies other habits that lead to reach of all classes of pregnant women, to prevent more cases of syphilis.Keywords: Pregnant women. Congenital Syphilis. Newborns. Sexually Transmitted Infections.

scholarly journals Acquired Syphilis: epidemiological profile of cases in state of Pará from 2017 to 2019

2021 ◽  
Vol 11 (1) ◽  
pp. 44-50
Author(s):  
Bianca Sousa de Almeida Neves ◽  
Mariana Bastos Amanajás ◽  
Carla Andréa Avelar Pires
Keyword(s):  
Public Health Problem ◽  
Mixed Race ◽  
Health Department ◽  
Cross Sectional Study ◽  
The State ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Low Education ◽  
Epidemiological Profile

Objective: To quantify patients diagnosed with acquired syphilis and the prevalence of the disease in the state of Pará, Brazil, from January 2017 to June 2019, in addition to characterizing the demographic aspects of patients included in the sample. Methods: observational, descriptive and cross-sectional study, conducted by reviewing the database of the Notifiable Diseases Information System made available by the State Health Department of Pará, of reported cases of acquired syphilis, in the defined period. This study included patients of both sexes, aged 18 years or older, who had acquired syphilis and were notified. Results: 5,620 cases of acquired syphilis were reported, of which the majority were male (n = 3,229; 57.45%), mixed race (n = 4,058; 72.2%), low education (n = 2,250; 40%) and in the young adult range (18–30 years; n = 2,514; 44.74%). The highest concentration of cases was observed in the metropolitan mesoregion of Belém and the Lower Amazon. Conclusions: Acquired syphilis is still prevalent and is characterized as a public health problem. Epidemiological surveillance needs to be constant, and more efficient public policies need to be employed in primary care to reduce the number of cases and make early diagnoses with appropriate treatment.

scholarly journals A Retrospective Study on Snakebite Victims in a Tertiary Referral Center

2016 ◽  
Vol 10 (3) ◽  
pp. 47-50
Author(s):  
Nasim Zamani ◽  
◽  
Leila Modir-Fallah Rad ◽  
Kambiz Soltaninejad ◽  
Shahin Shadnia ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Demographic Data ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Laboratory Findings ◽  
Cross Sectional ◽  
Tertiary Referral Center

Background: Snakebite is a serious public health problem in the world. The annual incidence of snakebites ranges from 4.5-9.1 in 100,000 population in Iran. With regard to diversity of envenomation profiles in different geographical parts of Iran, the aim of this study was to determine the demographical data, clinical and laboratory findings, and the outcome of the snakebite victims referred to a tertiary referral hospital. Methods: In this retrospective, cross-sectional study in Loghman Hakim Hospital Poisoning Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, during a four-year period from March 2007 to March 2011. The demographic data, clinical manifestations, paraclinical findings, treatments performed before hospital admission, time elapsed between the bite and hospital admission, total dose of antivenom and the patients’ outcomes were investigated. Results: Seventy cases (58 males, 12 females) were evaluated. Most of the cases (79%) were older than 20 year old. The most common bite site was upper extremity (67%). Most of the patients were admitted within 5 h after the snakebite. The most common local and systemic manifestations were swelling (90%), pain (81.4%), nausea and vomiting (24.3%). Leukocytosis (35.7%) and thrombocytopenia (25.7%) were the most common laboratory abnormalities. Most of the patients (97.1%) were treated with antivenom. Fifty percent of the patients only received 3-5 vials of antivenom. The mortality rate was 1.4%. Necrosis of the toes and compartment syndrome were the only serious complications. Conclusion: The findings emphasize the importance of early admission to the hospital and treatment with antivenom to avoid morbidity and mortality.

scholarly journals NECESSIDADE DE REABILITAÇÃO ORAL E ACESSO AOS SERVIÇOS ODONTOLÓGICOS DE IDOSOS INSTITUCIONALIZADOS NO MUNICÍPIO DE FEIRA DE SANTANA-BA

2016 ◽  
Vol 7 (4) ◽  
Author(s):  
Nelia Medeiros Sampaio ◽  
Mario Cezar Oliveira ◽  
Adriana Lira Ortega ◽  
Murilo Sampaio
Keyword(s):  
Public Health Problem ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Oral Rehabilitation ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Access To Dental Care ◽  
Rehabilitation Needs ◽  
The City

Describe the sociodemographic conditions, needs for oral rehabilitation and access to dental care of institutionalized elderly in the city of Feira de Santana, Bahia. A cross-sectional study of 307 elderly people, 80 residents in long-stay institutions for the elderly (LSI) and 227 non-institutionalized. For the oral rehabilitation needs, the institutionalized had higher frequencies of individuals who did not use dental prothesis (68.35%), when used 52.0% of them were considered inadequade. Edentulism was noticed up as a public health problem of the elderly and the group formed by institutionalized elderly population showed higher oral rehabilitation needs, as well as less access to dental services when compared with the group not institutionalized in Feira de Santana-Ba.

scholarly journals Sociodemographic, income, and environmental characteristics of individuals displaying animal and object hoarding behavior in a major city in South Brazil: A cross-sectional study

2021 ◽  
pp. 3111-3118
Author(s):  
Graziela Ribeiro da Cunha ◽  
Camila Marinelli Martins ◽  
Maysa Pellizzaro ◽  
Christina Pettan-Brewer ◽  
Alexander Welker Biondo
Keyword(s):  
Public Health Problem ◽  
Cross Sectional Study ◽  
School Level ◽  
Sectional Study ◽  
Environmental Characteristics ◽  
Cross Sectional ◽  
Hoarding Behavior ◽  
Unpleasant Odor ◽  
The City ◽  
Shed Light

Background and Aim: Hoarding cases have not been researched in depth in developing countries, such as Brazil. This study aimed to describe the characteristics of people with hoarding behavior in Curitiba, Brazil. Materials and Methods: A cross-sectional study was conducted based on complaints about hoarding situations received by the City Hall. The data on sociodemographic, income, and environmental characteristics of individuals displaying animal and object hoarding behavior were obtained and analyzed using descriptive statistics and multiple correspondence analyses. Results: Out of the 113 hoarding cases reported, 69 (61.06%) were fully assessed. Most of the participants (43; 62.32%) were women, and it was observed that most of the animal hoarding cases were women (p=0.02). The average age was 62.47 years old, and most of them (44; 63.76%) had studied up to the middle school level. People associated with object hoarding belonged to the lower income category (p=0.031). In most cases, the homes had an unpleasant odor (45; 65.21%), and this was prevalent in cases involving women (p=0.004) and animals (p=0.001). The risk of fire (24 [34.78%]) and landslip (9 [13.04%]) was more frequent in the case of object hoarding (p=0.018 and 0.021, respectively). Conclusion: The description of characteristics of individuals with hoarding behavior may assist in understanding the magnitude of this public health problem in Brazil and shed light on the need to develop studies on the health conditions of people and animals that live in these situations.

scholarly journals Prevalence and factors associated to vitamin A deficiency in children attending public day care centers in the Southwest of Bahia

2016 ◽  
Vol 16 (3) ◽  
pp. 337-344 ◽  
Author(s):  
Taiane Gonçalves Novaes ◽  
Andressa Tavares Gomes ◽  
Karine Chagas Silveira ◽  
Cláudio Lima Souza ◽  
Joel Alves Lamounier ◽  
...  
Keyword(s):  
Vitamin A ◽  
Day Care ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Serum Retinol ◽  
Cross Sectional ◽  
Day Care Centers ◽  
Factors Associated ◽  
The City

Abstract Objectives: to determine the prevalence of vitamin A deficiency and factors associated to children attending public day care centers in the Southwest of Bahia. Methods: a cross-sectional study involving 303 children aged 24 to 60 months attending public day care centers in the city of Vitória da Conquista, BA. A questionnaire was applied for the parents or legal guardians to answer and the children's height and weight were measured. Blood samples were collected to analyze serum retinol taking in consideration the values below 0.70 imol/L as inadequate. The vaccination card was verified in relation to the adequacy of vitamin A supplementation. Food weighting was done to evaluate the consuming of lipids and vitamin A. The association between the variables and vitamin A deficiency was verified by logistic regression. Results: the prevalence of inadequate serum retinol levels was 13.1% (1.99 ± 1.17 imol/L); 4.3% were low height and 1.2% of thinness. Most children (91.7%) had their vitamin A doses outdated on their vaccination cards. The variables associated to vitamin A deficiency were children aged less or equal to 34 months (OR: 2.66, 95% CI: 1.23 - 5.74) and maternal age was less than 26 years (OR: 2.39; 95% CI: 1.11 - 5.17). Conclusions: vitamin A deficiency configures as a moderate public health problem in children attending public day care centers in the Southwest of Bahia.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

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