scholarly journals Cryptoccoccal meningitis in post-covid 19 patient in the city of manaus: Case report

2022 ◽  
Vol 3 (1) ◽  
pp. 47-54
Author(s):  
Thulio Gonçalves da Rocha E Silva ◽  
Tammy Souza Dos Santos ◽  
Eliane Christine Silva De Souza ◽  
Edson Francisco do Espírito Santo

Cryptococcosis is a cosmopolitan and opportunistic mycosis, caused mainly by the etiological agent Cryptococcus neoformans, through the inhalation of fungal structures, especially in bird feces. The aim of this study was to report a reported case of cryptococcal meningitis in an immunosuppressed patient due to previous COVID-19 infection in the city of Manaus-AM, as well as to implement health education actions to prevent cryptococcosis in the region of the disease. Information about the case was obtained through access to the database of the Information System for Notifiable Diseases (SINAN), made available by the Center for Control of Zoonoses Dr. Carlos Durand (CCZ), an agency belonging to the Municipal Health Department of Manaus (SEMSA). The case patient, male, presented symptoms such as headache, fever, vomiting, seizures, neck stiffness, petechiae and hemorrhagic suffusions, hearing loss and signs of Kernig and Brudzinski. In a zoosanitary visit to the site of the injury, the presence of pigeon excreta on the walls of the residence was found, and cleaning was carried out without the use of personal protective equipment (PPE’s). The contact with the residents evidenced the lack of information about the zoonosis addressed, including the risk of transmission of cryptococcosis by pigeons, facts that make necessary more sanitary actions on zoonoses among the population of Manaus.

2020 ◽  
Vol 13 (11) ◽  
pp. 61
Author(s):  
J. C. Oliveira ◽  
M. A. R. Rissato ◽  
R. C. Z. Leitzke ◽  
R. G. Zampieron

With the support of the Secretaria Municipal de Saúde (Municipal Health Secretariat) until 2018, the court orders regarding the obtainment of medication was assessed descriptively and quantitatively through cross-sectional data, which included all active processes registered in the judicial support sector of the Secretariat, 355 court orders including one or more prescription drugs were analyzed. The processes contained 598 drugs, 57% of the lawsuit authors were female and the medication was targeted to 4-years-old children to 91-years-old. Most legal representatives were public agents, 82% (N=292) of them, and 14% (N=50) were private agents. 52% (N=184) of the prescriptions came from public health establishments, and 27% (N=96) from private establishments. 20% (N=73) of the requests had no medical prescription annexed to the lawsuit. 46% (N=164) of the prescriptions were made by specialized physicians and 32% (N=114) by general practitioners. In 94% (N=333) of the lawsuits, the city or the state were the defenders. Regarding the competence to supply the medication, 75% (N=452) of the solicited medication was not included in any official lists, 8% (N=48) belonged to REMUME (the official municipal medication list), and 8% (N=48) belonged to RESME (the official state list). The results suggest it is possible to see face judicialization as an elite phenomenon, if the official lists of medication supplied by SUS are properly updated and if the number of specialized physicians by prescription is emphasized. However, the lack of information compromises the technical analysis and clarifications necessary to fulfill the claims and to ensure safety, efficiency and rational use of medication. Additionally, the court decision to determine the supply of the drug by means of an injunction is supported only by the prescription or medical report without first consulting a technical team.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 557-557
Author(s):  
J. F. L.

A 5-year old boy who was poisoned by lead during his landlord's attempts to clear his apartment of lead-based paint will receive up to $1.5 million over his lifetime from the landlord's insurance company. The boy has attention deficit disorder with hyperactivity. In reports filed with the Milwaukee County Circuit Court, doctors said the disorder had either been caused by the lead poisoning or had been made worse by it. ...In the summer of 1991, the city health department discovered that the boy's blood contained lead levels that were three times the Federal health standard. In June 1992, the city ordered the owners of the apartment building, a converted 65-year-old frame house, to begin removing the lead-based paint. But instead of alleviating the victim's problem, their scraping of the paint spread lead dust throughout the home. As a result, lead levels increased to eight times the Federal standard. The family sued, contending negligence.


2017 ◽  
Vol 113 (5/6) ◽  
Author(s):  
Courtnee Clark ◽  
Calvin G. Mole ◽  
Marise Heyns ◽  
◽  
◽  
...  

There is currently a lack of information regarding the prevalence of and characteristics associated with blunt force trauma related homicides in South Africa. Information relating to the patterns of blunt force trauma could assist in the development and implementation of interventions targeted at specific areas or individuals as well as direct future research towards areas in need of investigation. This study is a 5-year retrospective review of autopsy reports obtained from Salt River Mortuary (Cape Town, South Africa). The prevalence of blunt force trauma was considered for unnatural deaths with a focus on homicide. The patterns of homicidal blunt force trauma are also presented. A total of 15 519 autopsy cases was analysed. In 1198 (7.72%) of these cases, the cause of death was found to be blunt force trauma and 828 (5.32%) of these cases were classified as homicides. Approximately 11% of blunt force homicide cases occurred in combination with sharp and/or ballistic trauma. Men from poor socio-economic areas were shown to be most at risk of blunt force homicide in the City of Cape Town.


2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s298-s308 ◽  
Author(s):  
Luiz Antonio Chaves Viana ◽  
Maria da Conceição Nascimento Costa ◽  
Jairnilson Silva Paim ◽  
Ligia Maria Vieira-da-Silva

An ecological study was carried out using information zones as units of analysis in order to assess the evolution of socio-spatial inequalities in mortality due to external causes and homicides in Salvador, Bahia State, Brazil, in 2000 and 2006. The Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and the City Health Department (Secretaria Municipal de Saúde) provided the data sources, and causes of death were reviewed and reclassified based on reports from the Institute of Legal Medicine (Instituto Médico Legal). The information zones were classified into four social strata according to income and schooling. The ratio between mortality rates (inequality ratio) was calculated and confirmed a rise of 98.5% in the homicide rate. In 2000, the risk of death due to external causes and murders in the stratum with the worst living conditions was respectively 1.40 and 1.94 times greater than in the reference stratum. In 2006 these figures were 2.02 and 2.24. The authors discuss the implications for inter-sectoral public policies, based on evidence from the study's findings.


2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Eric Bakota ◽  
Kirsten Short ◽  
Amanda Eckert

ObjectiveThis session will explore the role of the Houston Health Department(HHD) in the City of Houston’s response to the threat of Zika. Thepanelists will provide perspective from the roles of Bureau Chief,informatician, and epidemiologist and provide insight into lessonslearned and strategic successes.IntroductionZika virus spread quickly through South and Central America in2015. The City of Houston saw its first travel-related Zika cases inDecember of 2015. On January 29th, the City held the first planningmeeting with regional partners from healthcare, blood banks,petrochemical companies, mosquito control, and others. Additionallythe City activated Incident Command Structure (ICS) and designatedthe Public Health Authority as the Incident Commander.Initial steps taken by HHD included expanding the capabilityand capacity of the public health laboratory to test for Zika virus;expand surveillance efforts; created an educational campaign aroundthe “3Ds” of Zika defense (Drain, Dress, DEET) which were thendisseminated through several means, including a mass mailing withwater bills; and provided DEET to mothers through the WIC program.The Houston Health Department took the lead in authoringthe City’s Zika Action Plan. In this 3 goals and 6 strategies wereidentified. Goals included 1) Keep Houstonians and visitors aware ofthe threat of Zika; 2) minimize the spread of the virus; and 3) protectpregnant women from the virus. The 6 strategies employed were toA) develop preparedness plans; B) implement ICS within the City;C) ensure situational awareness through surveillance; D) Increasecommunity awareness; E) reduce opportunities for Zika mosquitobreeding grounds; and F) provide direct intervention to reduce thethreat of Zika.HHD was responsible for many of the action items within theplan. We conducted several community outreach events, where wedisseminated educational materials, t-shirts, DEET, and other give-aways. These events allowed frequent engagement with the public forbidrectional communication on how to approach the threat.


2019 ◽  
Vol 5 (2) ◽  
pp. 22-27
Author(s):  
LIA DWI PRAFITRI ◽  
F fitriyani ◽  
Risqi dewi aisyah

ABSTRAK MTs Muhammadiyah Pekajangan merupakan salah satu madrasah yang menyelenggarakan pendidikan bagi remaja putra dan putrid yang berada di Desa Ambukembang Kecamatan Kedungwuni. Kurangnya informasi dan pengetahuan tentang kesehatan reproduksi remaja masih menjadi permasalahan remaja khususnya di MTs Muhammadiyah Pekajangan. Perasaan malu, ketakutan, dan kecemasan menjadi masalah nagi remaja untuk mencari informasi terkait dengan kesehatan reproduksi remaja, sehingga masih banyak remaja yang belum dapat menyelesaikan permasalahan kesehatan reproduksi remaja. Upaya yang dapat dilakukan untuk meningkatkan kesehatan reproduksi remaja salah satunya yaitu dengan mengadakan promosi kesehatan. Sasaran dalam kegiatan pengabdian kepada masyarakat ini adalah remaja putra dan putrid kelas VII dan VIII. Hasil kegiatan ini adalah remaja putra dan putri dapat mengetahui tentang kesehatan reproduksi remaja dan dapat memecahkan masalah kesehatan reproduksi yang mereka alami. Diharapkan adanya peran serta dari dinas kesehatan dan pihak sekolah untuk dapat meningkatkan kesehatan reproduksi remaja dengan rutin mengadakan promosi kesehatan.   Kata Kunci : Remaja, Sehat, Reproduksi     ABSTRACT MTs Muhammadiyah Pekajangan is one of the madrassas that provides education for young men and women who are in Ambukembang Village, Kedungwuni District. Lack of information and knowledge about adolescent reproductive health is still a problem of adolescents, especially in MTs Muhammadiyah Pekajangan. Feelings of shame, fear, and anxiety become problems for adolescents to look for information related to adolescent reproductive health, so there are still many teenagers who have not been able to solve adolescent reproductive health problems. One of the efforts that can be done to improve adolescent reproductive health is by conducting health promotion. The targets in the community service activities are young men and girls in class VII and VIII. The results of this activity are young men and women can find out about adolescent reproductive health and can solve reproductive health problems they experience. It is expected that the participation of the health department and the school can improve adolescent reproductive health by regularly holding health promotions..   Keywords : Adolescents, Healthy, Reproductive


2021 ◽  
Vol 39 (1) ◽  
pp. 240
Author(s):  
Erlandson Ferreira SARAIVA ◽  
Leandro SAUER ◽  
Basílio De Bragança PEREIRA ◽  
Carlos Alberto de Bragança PEREIRA

In December of 2019, a new coronavirus was discovered in the city of Wuhan, China. The World Health Organization officially named this coronavirus as COVID-19. Since its discovery, the virus has spread rapidly around the world and is currently one of the main health problems, causing an enormous social and economic burden. Due to this, there is a great interest in mathematical models capable of projecting the evolution of the disease in countries, states and/or cities. This interest is mainly due to the fact that the projections may help the government agents in making decisions in relation to the prevention of the disease. By using this argument, the health department of the city (HDC) of Campo Grande asked the UFMS for the development of a mathematical study to project the evolution of the disease in the city. In this paper, we describe a modeling procedure used to fit a piecewise growth model for the accumulated number of cases recorded in the city. From the fitted model, we estimate the date in which the pandemic peak is reached and project the number of patients who will need treatment in intensive care units. Weekly, was sent to HDC a technical report describing the main results.


2016 ◽  
Vol 8 (1) ◽  
pp. 7
Author(s):  
MILENE DA ROCHA M. ◽  
CRISTIANO RIBEIRO F. ◽  
RANIERE GARCEZ C.S.

The Amazon has a great biodiversity, however in this regions some locations still without no research, showing the need for studies in this localities. The lack of information about the diversity of frogs and the speed of change in the landscape that have been taking place on the planet, demonstrates the urgent need to preserve the remaining resources. In this adverse scenario, live frogs that are sensitive to changes in natural forest areas, and are recognized as Bioindicator of environmental integrity. The present study had scoped to do a survey of the anuran species in a country area, near to the city of Porto Velho (RO). This land, is formed by two separate areas, one classified as secondary forests and the other as pasture area. The sampling was carried out from January to may 2012, using tools and techniques for catch in the night delimited by time, pitfall traps and frogs occasional meetings Were captured 63 specimens of Anurans, distributed in six families, where the richest in species were the Leptodactylidae (n = 6), Hylidae (n = 5), Bufonidae (n = 4), Microhylidae (n = 2), Brachycephalidae (n = 2) and Aromobatidae (n = 2), totaling 21 species identified.The most abundant species were the Leptodactylus chaquensis (n = 12) and Leptodactylus andreae (n = 8). The pasture area exhibited the greatest number of individuals captured with 65.07% of all frogs collected.


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