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[PMID]:29480876
[Au] Autor:Tsuda K; Tanimoto T; Sakaue S; Sato T; Kouno K; Hamaki T; Hosoda K; Ohnishi M; Komatsu T; Kami M; Kusumi E
[Ad] Endereço:Department of Hematology and Rheumatology, Teikyo University Chiba Medical Center, Chiba.
[Ti] Título:Patients' demographics of a convenient clinic located in a large railway station in metropolitan Tokyo area.
[So] Source:Medicine (Baltimore);97(2):e9646, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hidden barriers to visit a medical facility especially for young busy workers have been neglected in the aging society. The aim of this cross-sectional study is to analyze demographics of patients who had visited the first known convenient clinic located inside a railway station, which is adjusted to the lifestyle of working generations.We analyzed de-identified data of patients who had visited the department of internal medicine of a clinic, which is located inside a railway station building and offers primary care with after-hours accessibility in Tokyo, between August 2013 and June 2016. Data were collected on patients' sex, age, time of visit, waiting time, presence or absence of an appointment, diagnosis, and patients' addresses using the electronic health and billing records.Overall, 28,001 patients visited 87,126 times. Number of visits increased in winter season compared with the other seasons. Sixty-one percent were women and the median age of all patients was 38 years (range, 0-102). The number of visits on Mondays was the highest in a week and the most frequent visiting time was between 6 and 7 p.m. The number of visits of working generations (from 15 to 65 years old) and men increased after 6 p.m. and on weekends. The 3 most common diagnoses were upper respiratory tract infection (22,457), allergic rhinitis (20,916), and hypertension (4869). The number of individuals who were referred to other medical institutions was 1022 (1.2%). The median waiting time was 748 seconds (range, 2-5344). The number of visits from within 2-, 5-, and 10-mile radius from our clinic was 41,696 (50.6%), 63,190 (76.7%), and 75,015 (91.1%), respectively, and patients' addresses were mainly located along the railway network.The locational and temporal convenience of our clinic has attracted the unmet medical demands especially for young workers who have difficulty in visiting conventional medical institutions.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/utilização
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos Transversais
Emprego
Feminino
Geografia Médica
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Ferrovias
Fatores Sexuais
Fatores de Tempo
Tóquio
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009646


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[PMID]:28462934
[Au] Autor:Ronca E; Scheel-Sailer A; Koch HG; Gemperli A; SwiSCI Study Group
[Ad] Endereço:Rehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
[Ti] Título:Health care utilization in persons with spinal cord injury: part 2-determinants, geographic variation and comparison with the general population.
[So] Source:Spinal Cord;55(9):828-833, 2017 Sep.
[Is] ISSN:1476-5624
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To investigate annual rates and geographic variation of health care utilization in persons with spinal cord injury (SCI), and to identify factors associated with health care utilization. SETTING: Community setting, entire country of Switzerland. METHODS: Annual rates of planned and emergency visits to the general practitioner (GP), planned and emergency outpatient clinic visits and in-patient hospitalizations were compared between individuals with chronic SCI, over 16 years of age residing in Switzerland between late 2011 and early 2013 and a population sample (2012) of the Swiss general population. Risk factors for increased health service utilization were identified by means of regression models adjusted for spatial variation. RESULTS: Of 492 participants (86.2% response rate), 94.1% visited a health care provider in the preceding year, with most persons visiting GPs (88.4%) followed by outpatient clinics (53.1%) and in-patient hospitals (35.9%). The increase in utilization as compared with the general population was 1.3-, 4.0- and 2.9-fold for GP, outpatient clinic and in-patient hospital visit, respectively. GP utilization was highest in persons with low income (incidence rate ratio (IRR) 1.85) and old age (IRR 2.62). In the first 2 years post injury, health service visits were 1.7 (GP visits) to 5.8 times (emergency outpatient clinic visits) more likely compared with those later post injury. CONCLUSIONS: People with SCI more frequently use health services as compared with the general population, across all types of medical service institutions. GP services were used most often in areas where availability of specialized outpatient clinic services was low.
[Mh] Termos MeSH primário: Aceitação pelo Paciente de Cuidados de Saúde
Traumatismos da Medula Espinal/epidemiologia
Traumatismos da Medula Espinal/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Assistência Ambulatorial/utilização
Doença Crônica
Estudos Transversais
Serviços Médicos de Emergência/utilização
Feminino
Geografia Médica
Hospitalização
Seres Humanos
Masculino
Meia-Idade
Análise de Regressão
Fatores de Risco
Suíça
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1038/sc.2017.38


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[PMID]:29200149
[Au] Autor:Bastos LNV; Silveira JC; Luna CF; Lucena-Silva N
[Ad] Endereço:Public Health Department.
[Ti] Título:Childhood and Adolescent Cancer in the State of Pernambuco, Brazil: Incidence, Geographical Distribution, and Association With Environmental Health Indicators.
[So] Source:J Pediatr Hematol Oncol;40(1):7-14, 2018 Jan.
[Is] ISSN:1536-3678
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cases of childhood and adolescent cancer diagnosed from 2009 to 2012 in the state of Pernambuco, Brazil, were analyzed considering the patients' sex and age, the type of cancer and the municipality of living to determine the incidence, geographical distribution, and association with environmental health indicators. The spatial distribution pattern of the cancer incidence was estimated using the Global Moran's index. The association between environmental health indicators and cancer incidence was evaluated by multiple regression. From 2009 to 2012, 1261 new cases of cancer were diagnosed in patients younger than 20 years old in the state of Pernambuco. Leukemia/lymphoma were the most common type of cancer contemplating 45.28% of the cases. The average age-adjusted incidence rate was 113 cases per million with no spatial distribution pattern. The municipalities were clustered according to their degree of inequality (P=0.017), human development index (P=0.001), population growth rate (P=0.008), urbanization level (P=0.001), number of agricultural crops per capita (P=0.001), and number of industries per capita (P=0.030). However, only urbanization level was positive correlated with incidence of pediatric cancer (P=0.009) likely because in more developed cities, people are more exposed to potential oncogenic factors, such as air and water pollution and processed and ultraprocessed food. The better access to specialized health services, which increases the chances of early diagnosis, may also contributes for a higher number of cases in more developed cities.
[Mh] Termos MeSH primário: Exposição Ambiental/efeitos adversos
Saúde Ambiental
Geografia Médica
Neoplasias/epidemiologia
Fatores Socioeconômicos
[Mh] Termos MeSH secundário: Adolescente
Brasil/epidemiologia
Criança
Pré-Escolar
Poluição Ambiental/efeitos adversos
Feminino
Ingredientes de Alimentos/efeitos adversos
Seres Humanos
Incidência
Masculino
Neoplasias/etiologia
Fatores de Risco
Saúde da População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Food Ingredients)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.1097/MPH.0000000000001017


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[PMID]:29250946
[Ti] Título:Review of global influenza activity, October 2016­October 2017.
[Ti] Título:Bilan de l'activité grippale mondiale d'octobre 2016 à octobre 2017..
[So] Source:Wkly Epidemiol Rec;92(50):761-79, 2017 Dec 15.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Saúde Global/estatística & dados numéricos
Influenza Humana/epidemiologia
[Mh] Termos MeSH secundário: África/epidemiologia
Ásia/epidemiologia
Australásia/epidemiologia
Europa (Continente)/epidemiologia
Geografia Médica
Seres Humanos
Vacinas contra Influenza/imunologia
Influenza Humana/mortalidade
Influenza Humana/transmissão
América do Norte/epidemiologia
América do Sul/epidemiologia
Clima Tropical
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


  5 / 598 MEDLINE  
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[PMID]:29052409
[Ti] Título:Recommended composition of influenza virus vaccines for use in the 2018 southern hemisphere influenza season.
[Ti] Título:Composition recommandée des vaccins antigrippaux pour la saison grippale 2018 dans l'hémisphère Sud..
[So] Source:Wkly Epidemiol Rec;92(42):625-33, 2017 10 20.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Vacinas contra Influenza/imunologia
Influenza Humana/prevenção & controle
Influenzavirus A
[Mh] Termos MeSH secundário: Animais
Antivirais/uso terapêutico
Aves
Farmacorresistência Viral
Geografia Médica
Seres Humanos
Vírus da Influenza B/genética
Vírus da Influenza B/imunologia
Influenza Aviária/epidemiologia
Influenza Aviária/virologia
Influenza Humana/epidemiologia
Influenza Humana/virologia
Influenzavirus A/genética
Influenzavirus A/imunologia
Neuraminidase/antagonistas & inibidores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiviral Agents); 0 (Influenza Vaccines); EC 3.2.1.18 (Neuraminidase)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171021
[St] Status:MEDLINE


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[PMID]:28938013
[Au] Autor:Melo HA; Rossoni DF; Teodoro U
[Ad] Endereço:Postgraduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil.
[Ti] Título:Spatial distribution of cutaneous leishmaniasis in the state of Paraná, Brazil.
[So] Source:PLoS One;12(9):e0185401, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The geographic distribution of cutaneous leishmaniasis (CL) makes it a disease of major clinical importance in Brazil, where it is endemic in the state of Paraná. The objective of this study was to analyze the spatial distribution of CL in Paraná between 2001 and 2015, based on data from the Sistema de Informação de Agravos de Notificação (Information System for Notifiable Diseases) regarding autochthonous CL cases. Spatial autocorrelation was performed using Moran's Global Index and the Local Indicator of Spatial Association (LISA). The construction of maps was based on categories of association (high-high, low-low, high-low, and low-high). A total of 4,557 autochthonous cases of CL were registered in the state of Paraná, with an annual average of 303.8 (± 135.2) and a detection coefficient of 2.91. No correlation was found between global indices and their respective significance in 2001 (I = -0.456, p = 0.676), but evidence of spatial autocorrelation was found in other years (p< 0.05). In the construction and analysis of the cluster maps, areas with a high-high positive association were found in the Ivaí-Pirapó, Tibagi, Cinzas-Laranjinha, and Ribeira areas. The state of Paraná should keep a constant surveillance over CL due to the prominent presence of socioeconomic and environmental factors such as the favorable circumstances for the vectors present in peri-urban and agriculture áreas.
[Mh] Termos MeSH primário: Leishmaniose Cutânea/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Brasil/epidemiologia
Criança
Pré-Escolar
Análise por Conglomerados
Feminino
Geografia Médica
Seres Humanos
Incidência
Lactente
Masculino
Meia-Idade
Análise Espacial
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185401


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[PMID]:28835397
[Au] Autor:Fullard ME; Thibault DP; Hill A; Fox J; Bhatti DE; Burack MA; Dahodwala N; Haberfeld E; Kern DS; Klepitskava OS; Urrea-Mendoza E; Myers P; Nutt J; Rafferty MR; Schwalb JM; Shulman LM; Willis AW; Parkinson Study Group Healthcare Outcomes and Disparities Working Group
[Ad] Endereço:From the Departments of Neurology (M.E.F., D.P.T., A.H., N.D., A.W.W.) and Biostatistics and Epidemiology (D.P.T., A.H., A.W.W.), University of Pennsylvania School of Medicine; Dan Aaron Parkinson's Rehabilitation Center (J.F.), Leonard Davis Institute of Health Economics (A.W.W.), and Center for Cl
[Ti] Título:Utilization of rehabilitation therapy services in Parkinson disease in the United States.
[So] Source:Neurology;89(11):1162-1169, 2017 Sep 12.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine rehabilitation therapy utilization for Parkinson disease (PD). METHODS: We identified 174,643 Medicare beneficiaries with a diagnosis of PD in 2007 and followed them through 2009. The main outcome measures were annual receipt of physical therapy (PT), occupational therapy (OT), or speech therapy (ST). RESULTS: Outpatient rehabilitation fee-for-service use was low. In 2007, only 14.2% of individuals with PD had claims for PT or OT, and 14.6% for ST. Asian Americans were the highest users of PT/OT (18.4%) and ST (18.4%), followed by Caucasians (PT/OT 14.4%, ST 14.8%). African Americans had the lowest utilization (PT/OT 7.8%, ST 8.2%). Using logistic regression models that accounted for repeated measures, we found that African American patients (adjusted odds ratio [AOR] 0.63 for PT/OT, AOR 0.63 for ST) and Hispanic patients (AOR 0.97 for PT/OT, AOR 0.91 for ST) were less likely to have received therapies compared to Caucasian patients. Patients with PD with at least one neurologist visit per year were 43% more likely to have a claim for PT evaluation as compared to patients without neurologist care (AOR 1.43, 1.30-1.48), and this relationship was similar for OT evaluation, PT/OT treatment, and ST. Geographically, Western states had the greatest use of rehabilitation therapies, but provider supply did not correlate with utilization. CONCLUSIONS: This claims-based analysis suggests that rehabilitation therapy utilization among older patients with PD in the United States is lower than reported for countries with comparable health care infrastructure. Neurologist care is associated with rehabilitation therapy use; provider supply is not.
[Mh] Termos MeSH primário: Doença de Parkinson/reabilitação
Modalidades de Fisioterapia/utilização
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Geografia Médica
Seres Humanos
Modelos Logísticos
Masculino
Medicare/estatística & dados numéricos
Doença de Parkinson/etnologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170917
[Lr] Data última revisão:
170917
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170825
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004355


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[PMID]:28813451
[Au] Autor:Gazzinelli A; Oliveira-Prado R; Matoso LF; Veloso BM; Andrade G; Kloos H; Bethony JM; Assunção RM; Correa-Oliveira R
[Ad] Endereço:Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
[Ti] Título:Schistosoma mansoni reinfection: Analysis of risk factors by classification and regression tree (CART) modeling.
[So] Source:PLoS One;12(8):e0182197, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Praziquantel (PZQ) is an effective chemotherapy for schistosomiasis mansoni and a mainstay for its control and potential elimination. However, it does not prevent against reinfection, which can occur rapidly in areas with active transmission. A guide to ranking the risk factors for Schistosoma mansoni reinfection would greatly contribute to prioritizing resources and focusing prevention and control measures to prevent rapid reinfection. The objective of the current study was to explore the relationship among the socioeconomic, demographic, and epidemiological factors that can influence reinfection by S. mansoni one year after successful treatment with PZQ in school-aged children in Northeastern Minas Gerais state Brazil. Parasitological, socioeconomic, demographic, and water contact information were surveyed in 506 S. mansoni-infected individuals, aged 6 to 15 years, resident in these endemic areas. Eligible individuals were treated with PZQ until they were determined to be negative by the absence of S. mansoni eggs in the feces on two consecutive days of Kato-Katz fecal thick smear. These individuals were surveyed again 12 months from the date of successful treatment with PZQ. A classification and regression tree modeling (CART) was then used to explore the relationship between socioeconomic, demographic, and epidemiological variables and their reinfection status. The most important risk factor identified for S. mansoni reinfection was their "heavy" infection at baseline. Additional analyses, excluding heavy infection status, showed that lower socioeconomic status and a lower level of education of the household head were also most important risk factors for S. mansoni reinfection. Our results provide an important contribution toward the control and possible elimination of schistosomiasis by identifying three major risk factors that can be used for targeted treatment and monitoring of reinfection. We suggest that control measures that target heavily infected children in the most economically disadvantaged households would be most beneficial to maintain the success of mass chemotherapy campaigns.
[Mh] Termos MeSH primário: Schistosoma mansoni
Esquistossomose mansoni/epidemiologia
Esquistossomose mansoni/parasitologia
[Mh] Termos MeSH secundário: Adolescente
Animais
Brasil/epidemiologia
Criança
Pré-Escolar
Feminino
Geografia Médica
Seres Humanos
Masculino
Modelos Estatísticos
Fatores de Risco
Esquistossomose mansoni/transmissão
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182197


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[PMID]:28813443
[Au] Autor:García-Bocanegra I; Cano-Terriza D; Vidal G; Rosell R; Paniagua J; Jiménez-Ruiz S; Expósito C; Rivero-Juarez A; Arenas A; Pujols J
[Ad] Endereço:Departamento de Sanidad Animal, Universidad de Córdoba-Agrifood Excellence International Campus (ceiA3), Córdoba, Spain.
[Ti] Título:Monitoring of Schmallenberg virus in Spanish wild artiodactyls, 2006-2015.
[So] Source:PLoS One;12(8):e0182212, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Schmallenberg disease is an emerging disease that affects domestic and wild ruminants in Europe. An epidemiological survey was carried out to assess exposure to Schmallenberg virus (SBV) in wild artiodactyls in Spain between 2006 and 2015. A total of 1751 sera from wild artiodactyls, including 1066 red deer, 304 fallow deer, 192 mouflon, 109 wild boar, 49 roe deer and 31 Spanish ibex were tested for antibodies against SBV by ELISA and confirmed by virus neutralization test. SBV was not detected between the 2006/2007 and the 2010/2011 hunting seasons. Overall seroprevalence (including samples collected between the 2011/2012 and 2014/2015 hunting seasons) was 14.6% (160/1099; 95%CI: 12.7-16.6). Mean SBV seroprevalence was 13.3±2.6% in red deer, 23.9±4.2% in fallow deer, 16.4±6.1% in mouflon and 2.8±3.1% in wild boar. No antibodies against SBV were found in roe deer or Spanish ibex. The presence of SBV RNA was confirmed in three of 255 (1.2%) spleen samples from wild ruminants analysed by rRT-PCR. In a multivariate mixed-effects logistic regression model, the main risk factors associated with SBV seroprevalence were: species (fallow deer, red deer and mouflon), age (adults) and interactions between hunting areas of more than 1000 hectares and hunting season (2012/2013, 2013/2014 and 2014/2015). The hypothesis of endemic circulation of SBV in the last few years is supported by the detection of SBV RNA in animals sampled in 2011 and 2015, as well as antibodies detected at low level in juveniles in 2012, 2013 and 2014. The results indicate that SBV circulated in wild ruminant populations in Spain during the same period when the virus was first reported in northern Europe, and at least five months before the first case was officially reported in livestock in Spain.
[Mh] Termos MeSH primário: Doenças dos Animais/epidemiologia
Doenças dos Animais/virologia
Animais Selvagens
Infecções por Bunyaviridae/veterinária
Orthobunyavirus
Vigilância em Saúde Pública
Ruminantes
[Mh] Termos MeSH secundário: Doenças dos Animais/história
Animais
Geografia Médica
História do Século XXI
Orthobunyavirus/genética
Orthobunyavirus/imunologia
Prevalência
Fatores de Risco
Estudos Soroepidemiológicos
Espanha/epidemiologia
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182212


  10 / 598 MEDLINE  
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Biondo, Alexander Welker
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[PMID]:28732033
[Au] Autor:Benitez ADN; Martins FDC; Mareze M; Santos NJR; Ferreira FP; Martins CM; Garcia JL; Mitsuka-Breganó R; Freire RL; Biondo AW; Navarro IT
[Ad] Endereço:Laboratory of Zoonoses and Public Health, Londrina State University, Londrina, Paraná, Brazil.
[Ti] Título:Spatial and simultaneous representative seroprevalence of anti-Toxoplasma gondii antibodies in owners and their domiciled dogs in a major city of southern Brazil.
[So] Source:PLoS One;12(7):e0180906, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Toxoplasmosis, caused by Toxoplasma gondii, has traditionally been considered an important water and foodborne protozoonosis with important public health considerations. Although felids play a well-established role as definitive hosts, canine epidemiological involvement in the parasite's life cycle remains questionable and controversial. The increasing closeness of the human-dog bond, particularly seen in urban settings, has been recognized as a historically unprecedented worldwide movement. Sharing daily lives in the same households, dogs may be exposed to similar associated risks of T. gondii infection as their owners. Thus, epidemiological assessment of the intra-domiciled environment, especially among socio-economically different human populations, may provide novel information regarding the actual role of dogs in animal and human toxoplasmosis. Despite spatial approaches being recently used for other water and foodborne diseases, no study has been conducted on the simultaneous spatial seroprevalence of both human and animal IgG anti-T. gondii antibodies in urban areas of major cities. Accordingly, the aim of the present study was to assess the seroprevalence and associated variables of Toxoplasma infection in owners and their domiciled dogs in Londrina, southern Brazil. Human and canine seroprevalence rates and variables associated with seroprevalence were investigated through representative random sampling among 564 households, which included 597 owners and 729 dogs. Overall, statistically significant differences between the seroprevalence of human and dog anti-T. gondii antibodies were found by Immunofluorescence Antibody Testing in 248/597 (41.54%) owners and 119/729 (16.32%) dogs. Through multiple analysis, significant concomitant variables for seropositivity of household individuals (people and dogs) were determined, including public sewer service, yard cleaning frequency, and having a dirty yard. Although no statistically significant multiple logistic model was observed among owners, univariate analysis detected associations with monthly income, soil contact, and occupation. Among dogs, the absence of other dogs and the absence of a dirty yard were concomitant significantly protective associated factors. Age differences between seropositive and seronegative individuals was significant only for human beings, with the median age of negative individuals significantly higher than positive individuals. Although no spatial clusters were identified for humans or residences, a significant cluster was identified for dogs. In conclusion, characteristics of urban toxoplasmosis may include significantly higher owner seroprevalence than their owned dogs, with canine seroprevalence directly associated with having more dogs and a dirty backyard, and spatial differences in both human and dog exposures. Although not a good indicator for human foodborne diseases, dogs may be a reliable sentinel for environmental infection. Moreover, such a holistic approach may provide crucial information for more focused prevention and monitoring programs, particularly in households with multiple pets and trash-filled backyards.
[Mh] Termos MeSH primário: Anticorpos Antiprotozoários/sangue
Doenças do Cão/epidemiologia
Toxoplasma/imunologia
Toxoplasmose Animal/epidemiologia
Toxoplasmose/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Animais
Brasil
Gatos
Cães
Feminino
Geografia Médica
Seres Humanos
Higiene
Masculino
Meia-Idade
Animais de Estimação/sangue
Animais de Estimação/imunologia
Estudos Soroepidemiológicos
Fatores Socioeconômicos
Toxoplasmose/imunologia
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Protozoan)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180906



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