Browsing by Author "Faria, Henrique Pereira"
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Item Talcosis in soapstone artisans : high-resolution CT findings in 12 patients.(2014) Faria, Henrique Pereira; Veiga, A. de Souza; Teixeira, Luísa Coutinho; Bezerra, Olívia Maria de Paula Alves; Carneiro, Ana Paula Scalia; Ferreira, C. S.; Marchiori, ElenaAIM: To describe the high-resolution computed tomography (HRCT) features of pneumoconiosis observed in soapstone artisans. MATERIALS AND METHODS: The present study included 12 soapstone artisans with chest radiography abnormalities consistent with the diagnosis of pneumoconiosis, in accordance with the International Labour Office classification. All patients had undergone HRCT, and the images were retrospectively analysed by two chest radiologists, who reached decisions in consensus. RESULTS: All patients presented with interlobular septal thickening. Small centrilobular nodules (75%) and ground-glass opacities (67%) were also common findings. The distributions of abnormalities were predominantly diffuse. No pleural abnormality was found. CONCLUSION: The HRCT abnormalities observed in this group of soapstone artisans are similar to those of pure talc pneumoconiosis.Item Ultrasound evaluation of schistosomiasis-related morbidity among the Xakriabá people in the state of Minas Gerais, Brazil.(2020) Marinho, Carolina Coimbra; Nicolato, Aline Joice Pereira Gonçalves; Reis, Vivian Walter dos; Santos, Rosiane Cristina dos; Silva, Jaime Costa da; Faria, Henrique Pereira; Coelho, George Luiz Lins MachadoObjective: To use ultrasound to investigate the morbidity related to schistosomiasis in the Xakriabá indigenous population. Materials and Methods: This was a field-based census study conducted in the territory of the Xakriabá people. A total of 166 individuals were invited, and 148 (≤ 77 years of age) agreed to participate. Most participants underwent abdominal ultrasound, physical examination, and stool examination. Mann-Whitney U and chi-square tests were used for comparisons. We determined risk by calculating odds ratio (OR) and performed logistic regression analysis. Results: Schistosoma mansoni eggs were found in 31 (26.7%) of the 116 stool samples examined, 22 (70.9%) of the 31 being from individuals 4–16 years of age. The median count was 144 eggs/g of feces (interquartile range, 264). Of the 105 participants examined with ultrasound, 68 (64.8%) had hepatomegaly (left lobe), 6 (5.7%) had splenomegaly, and 4 (3.8%) had portal hypertension. Egg-positive stool samples were more common in those with an enlarged left lobe (OR = 3.4; 95% confidence interval (CI): 1.1–11.2; p = 0.043). Periportal fibrosis was found in 30 participants (28.6%), of whom 9 (30%) had pattern C, 10 (33.3%) had pattern D, and 11 (36.7%) had pattern Dc. Age was the only independent risk factor for fibrosis (p = 0.007). Fibrosis was up to nine-fold more common in alcohol drinkers than in nondrinkers (OR = 9.28; 95% CI: 2.60–33.06; p < 0.001). Among the 138 participants in whom the clinical form was classified, the chronic hepatic form was identified in 54 (39.1%), of whom 32 (59.2%) were under 30 years of age and one (1.8%) was hepatosplenic. Conclusion: Schistosomiasis in the Xakriabá population is characterized by a high frequency of egg-positive stool samples, predominantly in children/adolescents, and by chronic hepatic form in the young, especially among alcohol drinkers.