RESUMO

Neste estudo, são analisadas as atividades de vigilância e controle do Aedes aegypti, vetor da dengue, executadas por municípios selecionados da região do Litoral Sul do Estado de São Paulo. Método: Análise de dados secundários extraídos do programa informatizado referente às atividades de vigilância e controle do Aedes aegypti. Resultados: Índice de Infestação Predial: foram realizadas 31 medidas, com valores médios inferiores a 2,0; Casa-a-casa: as maiores coberturas foram observadas nos segundos quadrimestres de cada ano, devido ao comprometimento das equipes com a transmissão no primeiro semestre;Pontos Estratégicos: houve redução do número de imóveis trabalhados nos últimos quatro anos, positividade média foi de 33,8% com tendência de aumento; Imóveis Especiais: registrou-se diminuição no número de imóveis trabalhados nos últimos dois anos, e a positividade média foi de 24,7%...

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In this study, the activities of surveillance and control of Aedes aegypti, the dengue vector, are analyzed, as carried out by selected municipalities in the Southern Coast of São Paulo State. Method: Analysis of secondary data extracted from computerized program activities related to the surveillance and control of Aedes aegypti. Results: Infestation Index Building: 31 measurements were performed, with average values below 2.0; house-to-house: the largest coverage was observed in the second four-month periods of each year due to the commitment of the teams with the transmission in the first semester, Strategic Buildings: there was a reduction in the number of properties worked in the past four years, average positivity was 33.8% with an upward trend; Special Buildings: there was a decrease in the number of properties worked in the last two years, and the average positivity was 24.7%...

Assuntos

Animais , Aedes/crescimento & desenvolvimento , Controle de Vetores de Doenças , Dengue/prevenção & controle

RESUMO

OBJECTIVE - To assess the incidence of fatal pulmonary embolism (FPE), the accuracy of clinical diagnosis, and the profile of patients who suffered an FPE in a tertiary University Hospital. METHODS - Analysis of the records of 3,890 autopsies performed at the Department of General Pathology from January 1980 to December 1990. RESULTS - Among the 3,980 autopsies, 109 were cases of clinically suspected FPE; of these, 28 cases of FPE were confirmed. FPE accounted for 114 deaths, with clinical suspicion in 28 cases. The incidence of FPE was 2.86%. No difference in sex distribution was noted. Patients in the 6th decade of life were most affected. The following conditions were more commonly related to FPE: neoplasias (20%) and heart failure (18.5%). The conditions most commonly misdiagnosed as FPE were pulmonary edema (16%), pneumonia (15%) and myocardial infarction (10%). The clinical diagnosis of FPE showed a sensitivity of 25.6%, a specificity of 97.9%, and an accuracy of 95.6%. CONCLUSION - The diagnosis of pulmonary embolism made on clinical grounds still has considerable limitations.