21 research outputs found
A deterministic model of home and community care client counts in British Columbia
Capacity planning, At home care, Residential care, Deterministic multi-state Markov model,
Aspectos epidemiolĂłgicos, clĂnicos e parasitolĂłgicos da doença de Chagas em Mato Grosso do Sul Epidemiological, clinical and parasitological aspects of Chagas' disease in Mato Grosso do Sul State
Com o objetivo de avaliar aspectos epidemiolĂłgicos, clĂnicos e parasitolĂłgicos da doença de Chagas crĂ´nica, em pacientes do Hospital Universitário da Universidade Federal de Mato Grosso do Sul, realizamos um estudo seccional envolvendo 120 chagásicos e 120 controles nĂŁo-chagásicos, de ambos os sexos, com idades de 16 a 82 anos. Os aspectos epidemiolĂłgicos foram avaliados por questionário, a cardiopatia por exame clĂnico, eletrocardiograma convencional, radiologia e ecodopplercardiograma e a presença de Trypanosoma cruzi no sangue por xenodiagnĂłstico e teste da reação em cadeia da polimerase. Os resultados mostraram predominância de alĂłctones com baixa escolaridade e referĂŞncia de contato prĂ©vio com triatomĂneos entre os chagásicos. Abortamento espontâneo foi mais freqĂĽente nas mulheres chagásicas. A cardiopatia devido ao componente chagásico foi estimada em 20,2%. Apresentou-se com 7,5% de cardiomegalia, 6,2% de aneurisma de ventrĂculo esquerdo e com predominância de dispnĂ©ia, palpitações e hipertensĂŁo arterial. O xenodiagnĂłstico foi positivo em 26,1% dos chagásicos enquanto a PCR foi positiva em 53,7%. A análise dos resultados indicou que a doença de Chagas no grupo estudado apresenta caracterĂsticas clĂnicas e parasitolĂłgicas que revelam peculiaridades regionais.<br>With the objective of evaluating epidemiologic, clinical and parasitologic aspects of chronic Chagas' disease in patients from the University Hospital of the Federal University of Mato Grosso do Sul, a cross-sectional study was performed with groups of 120 chagasic and non-chagasic patients aged from 16 to 82 years. Epidemiologic aspects were evaluated by means of a questionnaire, cardiopathy by clinical examination, conventional electrocardiogram, radiology and Doppler echocardiograms (only in chagasic patients) and the presence of Trypanosoma cruzi in the blood stream by way of xenodiagnosis and polymerase chain reaction test. The results obtained indicated that the chagasic patients are predominantly alloctones with low-grade schooling, and were exposed to triatomines. The frequency of spontaneous abortion was higher in chagasic women. Chronic chagasic cardiopathy, estimated to occur in 20.2% of the patients, showed 7.5% cardiomegaly, 6.2% aneurysm of the left ventricle, and with a predominance of dyspnea, palpitations and arterial hypertension. Xenodiagnosis was positive for 26.1% of the chagasics and the PCR was positive for 53.7%, and was significantly higher in males and alloctones. An analysis of the results shows that Chagas' disease, in the group studied, presented clinical and parasitologic characteristics demonstrating significant regional differences