RESUMO Relata-se oficina com oito pacientes soropositivos, instados a representarem seu mundo uti... more RESUMO Relata-se oficina com oito pacientes soropositivos, instados a representarem seu mundo utilizando objetos intermediários, com o objetivo de ensejar a representação, a observação e a contemplação, fora de si, do seu mundo. Os resultados apontam o benéfico uso da metodologia psicodramática, propiciando a emersão de sentimentos, emoções e sua tratativa, numa oportunidade vivencial coletiva, entre companheiros de uma luta orgânica e social. Indubitavelmente, o psicodrama favoreceu o fortalecimento das relações interpessoais, o atingimento dos objetivos da oficina e o prosseguimento, com firmeza, do seu uso.
The American Journal of Tropical Medicine and Hygiene, 2004
Co-infections with human immunodeficiency virus (HIV) and Mycobacterium leprae represent unique o... more Co-infections with human immunodeficiency virus (HIV) and Mycobacterium leprae represent unique opportunities to investigate the interaction of both pathogens. We determined the immunologic, virologic, and histopathologic characteristics of 22 co-infected Brazilian patients (median age ס 38 years, 81.8% males, 72.2% with paucibacillary leprosy, and 95.4% with acquired immunodeficiency syndrome). The HIV-1 subtypes B and BF predominated in envelope and gag heteroduplex mobility analysis. Borderline tuberculoid (BT), tuberculoid, lepromatous, and indeterminate morphology with CD3+, CD8+, and CD68+ cell distributions compatible with leprosy patients not infected with HIV were observed. Histologic evidence of nerve damage was observed in BT lesions. IgM antibody to M. leprae-specific phenolic glycolipid I was not detected. Two of six co-infected patients monitored during highly active antiretroviral therapy (HAART) developed a leprosy type 1 reaction after an increase in CD4+ cells, suggesting an immune restoration phenomenon. Clinical, immunologic, histopathologic, and virologic features among these HIVleprosy co-infected patients indicate that each disease progressed as in single infection. However, HAART immune reconstitution may trigger potential adverse effects, such as leprosy acute inflammatory episodes.
RESUMO Relata-se oficina com oito pacientes soropositivos, instados a representarem seu mundo uti... more RESUMO Relata-se oficina com oito pacientes soropositivos, instados a representarem seu mundo utilizando objetos intermediários, com o objetivo de ensejar a representação, a observação e a contemplação, fora de si, do seu mundo. Os resultados apontam o benéfico uso da metodologia psicodramática, propiciando a emersão de sentimentos, emoções e sua tratativa, numa oportunidade vivencial coletiva, entre companheiros de uma luta orgânica e social. Indubitavelmente, o psicodrama favoreceu o fortalecimento das relações interpessoais, o atingimento dos objetivos da oficina e o prosseguimento, com firmeza, do seu uso.
The American Journal of Tropical Medicine and Hygiene, 2004
Co-infections with human immunodeficiency virus (HIV) and Mycobacterium leprae represent unique o... more Co-infections with human immunodeficiency virus (HIV) and Mycobacterium leprae represent unique opportunities to investigate the interaction of both pathogens. We determined the immunologic, virologic, and histopathologic characteristics of 22 co-infected Brazilian patients (median age ס 38 years, 81.8% males, 72.2% with paucibacillary leprosy, and 95.4% with acquired immunodeficiency syndrome). The HIV-1 subtypes B and BF predominated in envelope and gag heteroduplex mobility analysis. Borderline tuberculoid (BT), tuberculoid, lepromatous, and indeterminate morphology with CD3+, CD8+, and CD68+ cell distributions compatible with leprosy patients not infected with HIV were observed. Histologic evidence of nerve damage was observed in BT lesions. IgM antibody to M. leprae-specific phenolic glycolipid I was not detected. Two of six co-infected patients monitored during highly active antiretroviral therapy (HAART) developed a leprosy type 1 reaction after an increase in CD4+ cells, suggesting an immune restoration phenomenon. Clinical, immunologic, histopathologic, and virologic features among these HIVleprosy co-infected patients indicate that each disease progressed as in single infection. However, HAART immune reconstitution may trigger potential adverse effects, such as leprosy acute inflammatory episodes.
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