Leishmaniose visceral (LV) é uma doença grave que pode apresentar letalidade de 95%, é provocada pelo protozoário Leishmania infantum chagasi, transmitido pelas fêmeas de flebotomíneos do gênero Lutzomyia sp. e que afeta o homem e os animais, particularmente o cão doméstico. O objetivo deste estudo foi descrever a perfil epidemiológico de pacientes com (LV) notificados em hospital de referência de Teresina-PI, no período de 2007 a 2016. A pesquisa foi realizada no Núcleo de Vigilância Epidemiológica do hospital de estudo utilizando-se o banco de dados do Sistema de Informação de Agravos e Notificação – SINAN. Os dados foram estruturados em questionário, compreendendo as variáveis, como: idade, sexo, município de residência, escolaridade, evolução do caso e presença de outros agravos como o HIV. Os resultados apontam que há relação entre infecção por (LV) e HIV, relação com o gênero, acometendo principalmente o sexo masculino, escolaridade abordando pessoas com o ensino fundamental incompleto e idade onde os pacientes são menores de 10 anos. Os notificados em sua maioria são de Teresina. Considera-se a necessidade de programas de combate à (LV), podendo-se pontuar a necessidade de novas investigações para subsidiar tais programas no Brasil, e contribuir para compreensão da epidemiologia desta doença.Palavras-chave: Leishmania. Zoonoses. Diagnóstico. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH VISCERAL LEISHMANIOSIS NOTIFIED IN REFERENCE HOSPITAL IN TERESINA – PIABSTRACT: Visceral leishmaniasis (LV) is a serious disease that may present lethality of 95%, is caused by the protozoan Leishmania infantum chagasi, transmitted by females of sand flies of the gender Lutzomyia sp. and which affects man and animals, particularly the domestic dog. The objective of this study was to describe the epidemiological profile of patients with (LV) reported in a reference hospital in Teresina-PI in the period from 2007 to 2016. The research was carried out at the Center for Epidemiological Surveillance of the study hospital using the database of the System of Information of Injuries and Notification – SINAN. The data were structured in a questionnaire, including variables such as: age, sex, municipality of residence, schooling, case evolution and presence of other diseases such as HIV. The results indicate that there is a relationship between (LV) infection and HIV. related to gender, affecting mainly males, schooling addressing people with incomplete primary education and age where the patients are younger than 10 years. Most of them are from Teresina. It is considered the need of programs to combat (LV), and it is possible to point out the need for new research to subsidize such programs in Brazil, and contribute to the understanding of the epidemiology of this disease.Keywords: Leishmania. Zoonoses. Diagnosis.
Background: The Breast Imaging-Reporting and Data System (BI-RADS ® ) is an international classification developed to systematize breast assessment, exam interpretation, and the preparation of reports of specific breast imaging exams. Objective: The objective of this study was to validate with experts a booklet directed to medical and nursing professionals in the Family Health Strategy on the categorization of Breast Imaging Reporting and Data System in order to describe the reports of mammography. Methods: This was a technology-validation study of the methodological-development type. The evaluation was performed with 11 experts, including seven radiologists and four mastologists, four men and seven women, with a mean age of 45 years, meantime of being in the profession of 22 years, and an average 15 years of working experience of in the field. Results: The individual, mean, and global Content Validity Index (CVI) was calculated. The booklet was validated with a CVI of 0.89. The suggestions of the experts were analyzed, and some of them were implemented for the final version of the booklet. Conclusion: The booklet was validated and will contribute significantly to the daily activities of medical and nursing professionals in the Family Health Strategy in relation to the interpretation of the mammographic report and the orientation regarding the referral, agility, and qualification of the patient to the specialized service.
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