900 resultados para Colombia - Asuntos sanitarios
Resumo:
Background: HIV infection leads to a decreasing immune response, thereby facilitating the appearance of other infections, one of the most important ones being HPV. However, studies are needed for determining associations between immunodeficiency caused by HIV and/or the presence of HPV during the course of cervical lesions and their degree of malignancy. This study describes the cytological findings revealed by the Papanicolaou test, laboratory characteristics and HPV molecular profile in women with and without HIV infection. Methods: A total of 216 HIV-positive and 1,159 HIV-negative women were invited to participate in the study; PCR was used for the molecular detection of HPV in cervical samples. Statistical analysis (such as percentages, Chi-square test and Fisher's exact test when applicable) determined human papillomavirus (HPV) infection frequency (single and multiple) and the distribution of six types of high-risk-HPV in women with and without HIV infection. Likewise, a logistic regression model was run to evaluate the relationship between HIV-HPV infection and different risk factors. Results: An association was found between the frequency of HPV infection and infection involving 2 or more HPV types (also known as multiple HPV infection) in HIV-positive women (69.0% and 54.2%, respectively); such frequency was greater than that found in HIV-negative women (44.3% and 22.7%, respectively). Statistically significant differences were observed between both groups (p = 0.001) regarding HPV presence (both in infection and multiple HPV infection). HPV-16 was the most prevalent type in the population being studied (p = 0.001); other viral types had variable distribution in both groups (HIV-positive and HIV-negative). HPV detection was associated with <500 cell/mm(3) CD4-count (p = 0.004) and higher HIV-viral-load (p = 0.001). HPV-DNA detection, <200 cell/mm(3) CD4-count (p = 0.001), and higher HIV-viral-load (p = 0.001) were associated with abnormal cytological findings. Conclusions: The HIV-1 positive population in this study had high multiple HPV infection prevalence. The results for this population group also suggested a greater association between HPV-DNA presence and cytological findings. HPV detection, together with low CD4 count, could represent useful tools for identifying HIV-positive women at risk of developing cervical lesions.
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35 hojas : ilustraciones, fotografías.
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57 hojas : ilustraciones.
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21 hojas : plano.
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3 hojas.
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32 hojas : Cuadros.
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3 hojas : ilustraciones.
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48 hojas.
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15 hojas.
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18 hojas : ilustraciones.
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29 hojas : ilustraciones.
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2 hojas.
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Compendio de fotografías que ilustran actividades de promoción social para el desarrollo de la artesanía, suscripción de convenios interinstitucionales, eventos feriales, visitas a municipios artesanales tradicionales, entrega de condecoraciones y reconocimientos a las destrezas de los artesanos, inauguración de ferias artesanales que en colaboración con funcionarios de la entidad fueron llevados a cabo por parte de los exgerentes de Artesanías de Colombia: Federico Echeberría Olarte (1968-1972), Graciela Samper de Bermúdez (1972-1984), María Cristina Palau de Angulo (1985-1990), Cecilia Duque Dique (01990-2005) y Paola Andrea Munñoz Jurado (2005-2009). (Herrera Rubio, Neve Enrique)
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28 hojas ; ilustraciones, fotografías.