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1.
Rev. panam. salud p£blica ; 21(6): 365-372, June 2007. maps, tab
Artigo em Inglês | MedCarib | ID: med-17350

RESUMO

OBJECTIVE: To critically assess the prevalence among schoolchildren 6 to 9 years of age throughout the Dominican Republic of a bacille Calmette-Guerin (BCG) vaccination scar, and to examine the relationship between nutritional and sociodemographic factors and the likelihood of having a BCG scar. METHODS: This correlational study used the database of the Second National Census on Height and Weight of Elementary School First Grade Students, which was conducted in the Dominican Republic August 2001-May 2002, to provide a critical assessment of BCG coverage nationwide. The Census information for the children included the presence of BCG scar, their nutritional status, and basic demographic data. We developed a new sociodemographic indicator, the "Rosa Index", to examine the potential influence of poverty and other environmental characteristics on scar presence. We used logistic regression models to predict the presence of a BCG scar. RESULTS: An overall BCG scar prevalence of 55.3 percent (85 644/154 887)was found. Malnourished children were less likely to have a BCG scar than were children with adequate nutritional status (odds ratio = 0.91; 95 percent confidence interval: 0.87, 0.95, P<0.05). Children who were 7-9 years old were less likely to have a BCG scar than were children 6 years old. Children in the areas of the country more than two hours' driving distance from the capital city of Santo Domingo more often exhibited lower BCG scar prevalence levels than did children in Santo Domingo. A higher Rosa Index (better level of socioeconomic characteristics) was correlated with higher BCG scar prevalence values (r=0.54, P<0.05). CONCLUSIONS: Our study findings indicate that BCG coverage appears to be inadequate for schoolchildren in the Dominican Republic. Nevertheless, the presence of a scar in a higher proportion of younger children suggests that coverage has improved in recent years. More programmatic and economic emphasis needs to be placed on extending early BCG vaccination coverage to the areas of the country where vaccination coverage is lower, and on examining the potential role that poverty may have on vaccination effectiveness (AU)


Assuntos
Humanos , Criança , Vacina BCG , Vigilância da População , Tuberculose , Cicatriz , Vacinação , Fatores Socioeconômicos , República Dominicana , Região do Caribe
2.
In. Carpenter, Reginald A; Branday, Joseph M. Burn care. Kingston, Jamaica Burn Programme Management Committee, 1989. p.81-90.
Monografia em Inglês | MedCarib | ID: med-8374
3.
West Indian med. j ; 34(1): 59-62, Mar. 1985.
Artigo em Inglês | MedCarib | ID: med-11592

RESUMO

Fifty-four pregnancies were managed in women who had had a previous myomectomy or hysterotomy. Rupture of the uterus occurred, prior to the onset of labour, in one of 8 post-hysterotomy pregnancies (12.5 percent), and in 3 of 24 pregnancies (12.5 percent) when the uterine cavity was opened at the time of myomectomy. Careful monitoring during the last trimester of pregnancy with a view to elective Caesarean section is advocated in patients with hysterotomy or myomectomy scars extending into the endometrial cavity (AU)


Assuntos
Humanos , Adulto , Feminino , Cesárea , Histerectomia , Parto Obstétrico , Útero , Cicatriz , Leiomioma/cirurgia , Neoplasias Uterinas/cirurgia , Gravidez
4.
Radiology ; 126(1): 99-104, Jan. 1978.
Artigo em Inglês | MedCarib | ID: med-10349

RESUMO

A prospective study of the renal abnormalities on excretion urography in 189 patients with homozygous sickle cell disease is presented. Demonstrable abnormalities were present in 69 percent but there was no correlation with symptomatology. Calyceal clubbing was the most common abnormality occurring in 39 percent of cases and its incidence increased with age. An unexpected high prevalence (23 percent) of papillary necrosis occurred and both sinuses and cavities were demonstrated. The reasons for this high prevalence are discussed. The urographic findings did not correlate significantly with hematological features of the disease. (AU)


Assuntos
Humanos , Adolescente , Adulto , Masculino , Feminino , Anemia Falciforme/diagnóstico por imagem , Rim/diagnóstico por imagem , Cicatriz/diagnóstico por imagem , Rim/patologia , Cálices Renais/diagnóstico por imagem , Córtex Renal/diagnóstico por imagem
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