Epidemiological and oral manifestations of HIV-positive patients in a specialized service in Brazil

The purpose of this study was to evaluate the prevalence of oral lesions in HIV-positive patients attending the Specialized Service for Infectious-contagious Diseases and Parasitoses of the Health Secretariat of the State of Pará (URE-DIPE/SESPA), in the city of Belém, PA, Brazil. A total of 79 HIV-positive patients (53 males and 26 females) were examined. Clinical and epidemiological evaluations were done by correlating the lesions with gender, race, chronological age, risk behavior and prevailing immune status (CD4+ cells count). Lesion location and the presence of associated factors, such as alcohol use, smoking and denture wearing, were quantified individually for each type of lesion using a diagnostic pattern based on the clinical aspects. Approximately 47% of the patients (n=37) presented some type of oral lesion. Candidiasis (28%) and periodontal disease (28%) were the most common, followed by cervical-facial lymphadenopathy (17.5%). Other lesions observed were hairy leukoplakia, melanin hyperpigmentation, ulcerative stomatitis (aphthous), herpes simplex, frictional keratosis and pyogenic granuloma. This analysis presented some relevance as to the statistical data. Concerning CD4+ cells, most lesions manifested with the reduction of the CD count. There were a larger number of HIV-positive female heterosexual patients. Alcohol and/or smoking were strongly associated with the occurrence of hairy leukoplakia in these patients. Candidiasis and periodontal disease were the most common oro-regional clinical manifestations in the patients.

Serological Evidence of HTLV-I and HTLV-II Coinfections in HIV-1 Positive Patients in Belém, State of Pará, Brazil

ABSTRACT: The occurrence of HTLV-I/II and HIV-1 coinfections have been shown to be frequent, probably in consequence of their similar modes of transmission. This paper presents the prevalence of coinfection of HTLV among HIV-1 infected and AIDS patients in Belém, State of Pará, Brazil. A group of 149 patients attending the AIDS Reference Unit of the State Department of Health was tested for the presence of antibodies to HTLV-I/II using an enzyme immunoassay and the positive reactions were confirmed with a Western blot that discriminates between HTLV-I and HTLV-II infections. Four patients (2.7%) were positive to HTLV-I, seven (4.7%) to HTLV-II and one (0.7%) showed an indeterminate pattern of reaction. The present results show for the first time in Belém not only the occurrence of HTLV-II/HIV-1 coinfections but also a higher prevalence of HTLV-II in relation to HTLV-I. Furthermore, it also enlarges the geographical limits of the endemic area for HTLV-II in the Amazon region of Brazil.

Estudo eletroquímico de ligas metálicas alumínio-silício em meio ácido

As ligas a base de alumínio-silício apresentam baixo peso específico, boa resistência mecânica e resistência à corrosão, têm sido amplamente utilizadas como substitutas de algumas ligas ferrosas na fabricação de peças em diversos segmentos industriais. Nesta pesquisa estudou-se o comportamento eletroquímico do alumínio e suas ligas alumínio-silício 0,3 e 0,7% em massa, em elétrólitos de ácido sulfúrico e ácido clorídrico, ambos a 0,1 mol/L. Os resultados das técnicas eletroquímicas mostraram que o Si provocou um deslocamento para valores mais positivos do potencial de corrosão, observou-se uma região de passividade nas curvas anódicas dos eletrodos em ácido sulfúrico, este fenômeno de passivação não ocorreu em ácido clorídrico. Os diagramas de Nyquist apresentaram dois arcos,um capacitivo na região de altas frequências, relacionado à formação da camada óxida e, um indutivo em baixas frequências, atribuído a adsorção de ânions na superfície metálica, as semelhanças nos diagramas mostram que os fenômenos eletroquímicos são idênticos e independentes da adição de Si. Os diagramas de impedância, também, mostraram menor resistência de polarização das ligas Al-Si. Considerando, apenas, os estudos eletroquímicos pode-se afirmar que os eletrodos não apresentaram diferenças relevantes entre si e a suscetibilidade a corrosão nestas soluções ácidas não implica em uma característica desfavorável a sua aplicação.