http://hdl.handle.net/11422/115 Wed, 08 Apr 2026 11:35:36 GMT 2026-04-08T11:35:36Z http://hdl.handle.net/11422/28191 Title: Perfil do atendimento ao adolescente no setor de doenças sexualmente transmissíveis da Universidade Federal Fluminense Author(s)/Inventor(s): Isolan, Tomaz Barbosa; Carvalho, Altamiro Vianna e Vilhena de; Almeida Filho, Gutemberg Leão de; Passos, Mauro Romero Leal; Bravo, Renato de Souza; Pinheiro, Vandira Maria dos Santos Abstract: Introduction: The relevance of STDs for the teenage age group manisfests itself due to the increasing precocity of sexual relations, the increase in the number of sexual partners and the lack of constancy in the use of preservatives. OMS data report an increase in the frequency of STDs among teenagers. One third of all STDs occur in this age group, and one adolescent in four contracts an STD before becoming an adult. Objective: To describe the care given to teenagers of both sexes at the STD Sector of the Universidade Federal Fluminense during the year 1995. Methodology: Data were collected from a analysis of all teenage patient records seen at the STD Sector on 1995. Data collected included: sex; age; age at the first sexual relation; color; marital status; residential district; contraceptive use and method; how the patient was referred to the Sector; profession; fidelity to the partner; number of visits to the Sector; number of gestations; chief complaint; previous STDs and diagnosed disease. Results: In 1995, of the 1187 patients seen at the STD Sector, 201 were teenagers - 16.9% of the total; 3 were children - 0.2% of the total. The rest were adults - 82.9%. Among the teenagers, 57 were male (28.4%) and 144 female (71.6%). Of all adolescents, 44.6% lived in the city of Niterói, 43.2% in the city of São Gonçalo and 12.2% lived in other districts of the state of Rio de Janeiro. The median age at the time of the first sexual relation was 14.3 years. 73% reported having only one partner (45% of the male and 84.4% of female adolescent patients). Friends and other patients referred 28.7% of all teenagers to the Sector; doctors from private clinics referred 4.2% of the total (12.8% of male and 0.8% of female patients). Concerning contraceptive use, 35.2% of the girls reported not using any method; 22.8% used oral contraceptives and 13.8% were pregnant. Only 10.5% of the girls reported condoms were routinely used for their sexual relations; 86% informed condoms were not used. 8 female adolescents reported having had an abortion. Of all teenagers, 2.7%, all of them female, informed having been victims of sexual violence. 6% reported previous genital infection, being 5 cases of syphilis and 3 of gonorrhoea. 32% of all female adolescents sought medical care at the Sector for vaginal discharge; 35% of the male adolescents for urethritis. 57% of the girls had vulvovaginitis diagnosed, 9.6% HPV infection, 9% syphilis, 3.6% gonorrhoea and one of them was HIV-positive. 11 female patients had more than one genital infection. 23.9% of the male adolescents had gonorrhoea, 20.7% HPV infection, 10.4% syphilis. None was HIV-positive. The return rate was 58%. Conclusion: The total of 201 teenagers represented 16.9% of all patients seen in 1995. The majority (55.4%) of teenagers were from outside the district of Niterói; 51.3% were students; 30.8% workers; 32.5% of all teenagers did not use any contraceptive method; 8.3% reported being virgin; 86% denied using preservatives; 13.9% of the female adolescents were pregnant at the time of the first visit to our Sector; 2.7% of the girls reported having been victims of sexual violence; the most common diagnosis was vulvovaginitis among females and urethritis among males; 10% of the female and 17.3% of the male teenagers presented no genital infections. As many did not have clinical STDs or other infections the return rate of 58% was considered excellent. Publisher: Sociedade Brasileira de Doenças Sexualmente Transmissíveis Type: Artigo Mon, 01 Jan 2001 00:00:00 GMT http://hdl.handle.net/11422/28191 2001-01-01T00:00:00Z http://hdl.handle.net/11422/28171 Title: Condilomatose na gestação Author(s)/Inventor(s): Assad, Tricia de Mello; Passos, Mauro Romero Leal; Bravo, Renato de Souza; Almeida Filho, Gutemberg Leão de; Pinheiro, Vandira Maria dos Santos Abstract: With the clinical detection of cases of condyloma in pregnant women in the Sector of Sexually Transmitted Diseases, a relevant theme was discovered. This study explained the epidemiology of condyloma on pregnancy, once the women Human Papillomavirus infection presented itself as the most prevalent STD in the studies elaborated in pregnant women in our care. For this reason, a retrospeclive study was initiated to examine the behavior of HPV infection in pregnancy. The study was executed through the analysis of patients' records of the first clinical visit during the period of January 1999 through July 2000 at the referred clinic, 1344 records were examined and 569 of the selected were female patients. Among these women, 12,5% were pregnant. Among those that were included in the selection, a small amount didn't show clinical signs of a STD (two patients) while 48 patients showed the papillomavirus infection. The study focused on the analysis of the frequency of STD during pregnancy (specifically condyloma), characterizing its epidemiological profile and clinical characteristics in this period of women's life. The results of the study show that these women have an average age of 19.5 years, most are single, but in exclusive relationships. Average education level is slow, 85% of these women have some high School education at most. Along this line, 52,1% of the subject are unemployed, most being in charge of family and domestic duties. The majority of the subjects (66.2%) live in households were the average income in less than 5 minimum salaries. The study showed that 59.1 % of the subjects are first time pregnancies and 16.9% of the subjects had aborted or miscarried in the past. The most prevalent diagnoses were condyloma, which was present in 67.6% of the subjects, with the majority of the cases in the second half of the pregnancy. lt was discovered that vaginal infection was shown to be contaminated in 45.8% of the condyloma case while association with alterations with cervical intraepithelial neoplasia (CIN) occurred in 10,4%. 85,4% of the subjects displayed external genital lesions and 43.7% showed a multicentered characteristic. From these results we can conclude that the ectoscopic evaluation of the external genitalia of an ante-natal care subject, by a trained team, can easily diagnose the specific characteristic of the HPV infection and can provide simple and inexpensive treatment of one of the most common STD of this time. Publisher: Sociedade Brasileira de Doenças Sexualmente Transmissíveis Type: Artigo Mon, 01 Jan 2001 00:00:00 GMT http://hdl.handle.net/11422/28171 2001-01-01T00:00:00Z http://hdl.handle.net/11422/28120 Title: Presença da proteína p53 como prognóstico de recidiva/progressão de neoplasia intra-epitelial vulvar III Author(s)/Inventor(s): Guimarães, Isabel Cristina Chulvis do Val; Almeida Filho, Gutemberg Leão de; Carvalho, Maria da Glória da Costa; Takiya, Christina Maeda; Reis, Aldo Franklin Ferreira; Valiante, Paulo Marcos; Gondim, Maria Consuelo Abstract: Unavailable. Publisher: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia Type: Artigo Tue, 01 Jan 2002 00:00:00 GMT http://hdl.handle.net/11422/28120 2002-01-01T00:00:00Z http://hdl.handle.net/11422/28115 Title: Prevalência das neoplasias intra-epiteliais cervicais e das lesões induzidas pelo HPV no trato genital inferior em mulheres HIV soro-positivas/AIDS Author(s)/Inventor(s): Fialho, Susana Cristina Aidé Viviani; Almeida Filho, Gutemberg Leão de; Maldonado, Paula M.; Guimarães, Isabel Cristina Chulvis do Val; Andrade, Ângela Cristina Vasconcelos Abstract: Introduction: the totality of notification in Brazil until 2002 is 237.588 and the number of HIV infected women is the important fact in the HIV epidemic. Objective: to study the prevalence of cervical intraepithelial neoplasia and HPV induced lesions in HIV seropositive/AIDS women, the distribution of these lesions in the lower genital tract and its degrees, correlating them with the CD:+ T Iymphocyte count. Methods: in this study, 130 HIV infected women cases have been analyzed from may 1998 to october 2000, with directed biopsy of the lower genital tract, evaluating lhe distribution of the lesions and its degrees with the CDs + T Iymphocyte count. Results: the prevalence of CIN was 30% and CIN | was the main histologic degree. The histologic degree increased with the reduction of the CD: + T lymphocyte count, except for CIN HI The pure HPV infection was the main finding in the histopathological examination of the vagina, vulva and perianal region with 64,9%, 87,2% and 81,1%, respectively. The main site of infection of the HPV was lhe vulva (34,0%) and of the intraepithelial neoplasias was the uterine cervix (79,5%). Conclusion: there was a high prevalence of CIN among the cervical intracpithelial neoplasias, the CIN | was the main histopathological finding, the impact of the immunosupression influenced the histopathological degrees, excepted CIN II, the main site of the intraepithelial neoplasias was the uterine cervix and of the HPV induced lesions. the vulva, and in both sites the lesions tended to be unicentric. Publisher: Sociedade Brasileira de Doenças Sexualmente Transmissíveis Type: Artigo Tue, 01 Jan 2002 00:00:00 GMT http://hdl.handle.net/11422/28115 2002-01-01T00:00:00Z