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Bortoloti Faria Junior FFJ, Vedovelli de Araujo JPA, Sabbag FQ, Rocha MP, Araujo HA, Vedovelli S, Duarte IS, D'Alexandri FL, Nava D, de Melo Cabral ER. Attendences on health to riverine population living in the banks of Amazon river, Amapa, Brazil. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The riverine population resident at banks of Amazon river (Amapá, Brazil) has particularities related to health-disease process and socioepidemiologic demands, that represents a challenge for appointment of professionals in the unique health system. The project Mandic Borderless has a purpose to attend, in a complete and humanized way, populations without assistance in places of difficult access.
Objectives
Describe the experience and results obtained from the health care to riverine population in the region along Amazon River, Amapá, Brazil, attended during an expedition in 2020. Descriptive cross-sectional survey. The health-care staff that performed the consultations was composed of doctor, dentists, nurses and medical students, who work in a college located in the interior of the state of São Paulo.
Results
About 4,500 riverine populations were attended indirectly and other 1,775 directly by many medical specialties, such as: clinical medicine, gynecology, pediatrics, ophthalmology, dermatology, ultrasonography, nursery and odontology work for free. And also collective health education actions were carried out, addressing topics such as: oral health, scabies, pediculosis (lice), first aid, hypertension, diabetes, sexually transmitted diseases prevention and contraceptive methods. More than 300 patients received toothpaste kits and were instructed about oral health.
Conclusions
The expedition collected data about isolate population showing their necessary and provide an innovated experience in the medical teachings, considering the knowledge about the disease health process and the integrated and humanity care.
Key messages
Provide for medical students a vision about communities who lives in a geographic isolation. There are necessary of an upgrade in access a basic e essential services for the riverine population.
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Affiliation(s)
| | | | - F Q Sabbag
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - M P Rocha
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - H A Araujo
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - S Vedovelli
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - I S Duarte
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - F L D'Alexandri
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - D Nava
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
| | - E R de Melo Cabral
- Medicina, Faculdade de Medicina São Leopoldo Mandic Araras, Araras, Brazil
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Duarte IS, Zollner RL, Bueno SMA. In Vitro Evaluation of Biospecific and Pseudobiospecific Ligands Aimed at Extracorporeal Treatment for Immunoglobulin E Removal. Artif Organs 2006; 30:606-14. [PMID: 16911314 DOI: 10.1111/j.1525-1594.2006.00269.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This work investigated the potential use of an alternative adsorbent to anti-immunoglobulin E (IgE)-agarose for IgE selective adsorption therapy. A screening of several commercially available adsorbents (Concanavalin A, Lens culinaris[Lc], d-tryptophan, poly-l-lysine, and aminohexyl immobilized on agarose) was done through batch system assays, considering some criteria, such as adsorption capacity, selectivity, and biocompatibility. In the Lc-agarose adsorbent, total IgE, and specific IgE--for the airborne allergens Dermatophagoides pteronyssinus and Blomia tropicalis--were significantly better removed (63, 58, and 59%, respectively) than immunoglobulin G (19%), immunoglobulin A (33%), immunoglobulin M (9%), and albumin (18%). This adsorbent was packed into a column and the effect of superficial velocity, ratio of plasma volume to bed volume, number of perfusions, and temperature on IgE adsorption were evaluated. In vitro simulation of therapeutic adsorption (single perfusion) indicated that about 50% of total IgE could be eliminated.
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Affiliation(s)
- Isa S Duarte
- School of Chemical Engineering, State University of Campinas, Campinas, São Paulo, Brazil
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Abstract
A clinical case of acquired palpebral ptosis caused by a rare pathology, lymphocytoma cutis, is reported. An eyelid ptosis was characterized with the patient unable to lift the eyelid. The resection of the eyelid nodules was performed using blefaroplasty incision as access and the result of the anatomopathological examination confirmed the diagnosis: lymphocytoma cutis. The surgical result was satisfactory not only esthetically but also functionally (2-year follow-up).
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Affiliation(s)
- L M Ferreira
- Departamento de Cirurgia, Universidade Federal de São Paulo, Escola Paulista de Medicina
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Mott CB, Guarita DR, Duarte IS, Machado MC, da Cunha JE, Bettarello A. [Anatomo-pathological characterization of the pancreas in the initial acute episode of pancreatic involvement in chronic alcoholics]. Rev Hosp Clin Fac Med Sao Paulo 1979; 34:280-4. [PMID: 95130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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DE Brito T, Hoshino-Shimizu S, Neto VA, Duarte IS, Penna DO. Glomerular involvement in human kala-azar. A light, immunofluorescent, and electron microscopic study based on kidney biopsies. Am J Trop Med Hyg 1975; 24:9-18. [PMID: 46136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Glomerular involvement characterized by mesangial cell proliferation with fibrillar thickening of the axial region and deposits of immune complexes is reported in three human cases of kala-azar. IgG was seen in all 3 and Igm in 2 patients. Complement (C3) was detected in the glomeruli in all cases and fibrinogen in the only case in which it was tested for. The deposits appeared mainly along the mesangium and their staining was particularly strong for complement and IgG. Electron microscopy detected granular electron dense deposits mainly close to mesangial cells. In one case clumps made us of electron dense lamellae were seen in the glomerular basal membrane interpreted as evidence of focal membranolysis. No granulocytes were seen in the glomeruli. Attempts to demonstrate antigen were unsuccessful. The pattern of the lesion resembles that described in the kidney of human cases of hepatosplenic schistosomiasis, and the distribution of the deposits suggests that relatively large, poorly soluble complexes formed either in the presence of excess antigen or, under certain circumstances, in the presence of excess antibody, are trapped in the glomerular capillaries. The aggregates are partially shunted to the mesangial cells, which enlarge and proliferate.
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