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1. Silveira, Sarah de Lima Alloufa da [UNESP]. Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário.

Degree: 2017, Universidade Estadual Paulista (UNESP)

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INTRODUÇÃO: A incidência da sífilis congênita (SC) mais que dobrou na última década, sendo um importante problema de saúde pública e agravo de morbimortalidade perinatal. OBJETIVOS: Determinar a incidência de sífilis congênita e comparar dois períodos: 2011-2012 versus 2013-2014; Caracterizar o perfil dos recém-nascidos (RN) e suas mães; Determinar as principais formas de apresentação; Avaliar o seguimento dos expostos e estabelecer um fluxograma para o acompanhamento ambulatorial. METODOLOGIA: Estudo epidemiológico, retrospectivo, longitudinal, realizado no período de janeiro de 2011 a dezembro de 2014. Selecionados todos os casos notificados de mães com VDRL positivo e seus RN. Os dados foram coletados dos registros de notificação da Vigilância Epidemiológica e dos registros da Unidade Neonatal. Amostra de conveniência. Variáveis maternas: idade, pré-natal, uso de drogas, sorologia para sífilis, tratamento adequado, tratamento do parceiro e tipo de parto. Variáveis neonatais: peso ao nascer, idade gestacional, apgar, manifestações clínicas, sorologia para sífilis e exames complementares. Variáveis pós neonatais: líquor, avaliação auditiva, oftalmológica e sorologia aos 18 meses. Estatística descritiva com cálculo de proporções, testes não paramétricos com significancia se p<0.05. RESULTADOS: A incidência de SC foi de 21/1000 nascidos vivos (NV) aumentando entre os periodos de 18,5/1000 NV para 23,5 /1000 NV. A idade média materna foi de 24 anos (30% adolescentes), a maioria realizou pré-natal (87%). O tratamento adequado ocorreu em apenas 15% dos casos. Os parceiros foram tratados em 35% dos casos. 86% dos RN apresentaram VDRL positivo, 70% foram assintomáticos. As manifestações mais frequentes foram: neurossífilis (30%), prematuridade (25%),…

Advisors/Committee Members: Universidade Estadual Paulista (UNESP), Bentlin, Maria Regina [UNESP], Lyra, João Cesar [UNESP].

Subjects/Keywords: Recém-nascido; Sífilis congênita; Neurossífilis; VDRL; Newborns; Congenital syphilis; Neurosyphilis

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Silveira, S. d. L. A. d. [. (2017). Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário. (Masters Thesis). Universidade Estadual Paulista (UNESP). Retrieved from http://hdl.handle.net/11449/148892

Chicago Manual of Style (16th Edition):

Silveira, Sarah de Lima Alloufa da [UNESP]. “Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário.” 2017. Masters Thesis, Universidade Estadual Paulista (UNESP). Accessed April 16, 2021. http://hdl.handle.net/11449/148892.

MLA Handbook (7th Edition):

Silveira, Sarah de Lima Alloufa da [UNESP]. “Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário.” 2017. Web. 16 Apr 2021.

Vancouver:

Silveira SdLAd[. Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário. [Internet] [Masters thesis]. Universidade Estadual Paulista (UNESP); 2017. [cited 2021 Apr 16]. Available from: http://hdl.handle.net/11449/148892.

Council of Science Editors:

Silveira SdLAd[. Estudo epidemiológico da sífilis congênita: a realidade de um hospital universitário terciário. [Masters Thesis]. Universidade Estadual Paulista (UNESP); 2017. Available from: http://hdl.handle.net/11449/148892


University of Melbourne

2. Bruce, Eunice Adjoa Kwansemah. Studies of female sex workers in Port Moresby, Papua New Guinea.

Degree: 2010, University of Melbourne

Background: In Papua New Guinea (PNG) like other developing countries, female sex workers (FSWs) are the group most vulnerable to and affected by the HIV epidemic predominantly through heterosexual contact. Female sex workers are therefore a risk group considered to play a significant role in the transmission of HIV including other sexually transmissible infections (STIs). Since the advent of the HIV epidemic in PNG, the government has implemented several strategies to curb the epidemic. Despite the strategies that include a nationwide awareness campaigns, access to free condoms and other prevention measures, the prevalence of HIV is steadily rising and condom use remains inconsistent and low. This thesis documents risk behaviors and contextual factors that create vulnerability to HIV in FSWs. The thesis adds to the body of research knowledge; strategies to reduce vulnerability and prevent transmission based on intervention linked approaches. The overall aim of the thesis is to make this information readily accessible to a wider audience, so as to contribute to programmatic efforts to scale up effective HIV interventions in FSWs in resource constrained settings. Methods: Data were collection from March 2003 to September 2004 and involved a series of approaches that included reviewing published and unpublished literature, mapping of sex workers sites to estimate the population of sex workers using nomination technique, a cross sectional KAPB survey to document risk behaviors, clinical trials to test other for STI diagnosis and treatment options plus a qualitative study using focus group discussions. Results: In total, 1 literature review and 5 research studies were conducted. The number of FSWs surveyed ranged from 79 – 212, from 19 different sites across Port Moresby and ranged in age between 14-43 years old. The review showed that the major risks for acquiring HIV in FSWs included high rates of inconsistent condom use with both clients (range: 0–63%) and regular sexual partners (range: 0–34%), high prevalence of sexually transmitted infections; the four most common were: Trichomonas (range: 21–56%), Gonorrhea (range: 20–39%), Syphilis (range: 16–34%) and Chlamydia (range: 14–33%). In addition, there was a steady rise in the prevalence of HIV over time; the highest 21% reported in 2004. The mapping exercise through extrapolation showed that there were approximately 2000 FSWs in 42 locations across Port Moresby, of which 212 were directly contacted through nomination and 338 through structured observation. The findings of the KAPB survey placed FSWs in Port Moresby among the predominantly young, poorly educated, least knowledgeable about STIs and HIV risks, least employed in the normal working sector, had substantial numbers of sexual partners, used condoms inconsistently, used marijuana and alcohol frequently, sought treatment services infrequently and had concerns about stigma in…

Subjects/Keywords: female sex workers; HIV; chlamydia trachomatis; neisseria gonorrhea; trichomonas vaginalis; syphilis; condom; clients; regular sexual partners; literature review; mapping; nomination; key informants; KAPB survey; STI symptoms; screening; leukocyte esterase; positive predictive value; periodic presumptive treatment; polymerase chain reaction; VDRL; TPHA; focus group discussion; HIV perception; perceived vulnerability; risk behaviours; safer sex practices; HIV policy; prevention interventions; Port Moresby; Papua New Guinea

Record DetailsSimilar RecordsGoogle PlusoneFacebookTwitterCiteULikeMendeleyreddit

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Bruce, E. A. K. (2010). Studies of female sex workers in Port Moresby, Papua New Guinea. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/35500

Chicago Manual of Style (16th Edition):

Bruce, Eunice Adjoa Kwansemah. “Studies of female sex workers in Port Moresby, Papua New Guinea.” 2010. Doctoral Dissertation, University of Melbourne. Accessed April 16, 2021. http://hdl.handle.net/11343/35500.

MLA Handbook (7th Edition):

Bruce, Eunice Adjoa Kwansemah. “Studies of female sex workers in Port Moresby, Papua New Guinea.” 2010. Web. 16 Apr 2021.

Vancouver:

Bruce EAK. Studies of female sex workers in Port Moresby, Papua New Guinea. [Internet] [Doctoral dissertation]. University of Melbourne; 2010. [cited 2021 Apr 16]. Available from: http://hdl.handle.net/11343/35500.

Council of Science Editors:

Bruce EAK. Studies of female sex workers in Port Moresby, Papua New Guinea. [Doctoral Dissertation]. University of Melbourne; 2010. Available from: http://hdl.handle.net/11343/35500

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