{"id":74647,"date":"2018-03-09T23:19:45","date_gmt":"2018-03-09T23:19:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-epidemiologico-sobre-la-hepatitis-c-en-el-centro-penitenciario-de-alicante-i-influencia-de-la-coinfeccion-por-el-vih\/"},"modified":"2018-03-09T23:19:45","modified_gmt":"2018-03-09T23:19:45","slug":"estudio-epidemiologico-sobre-la-hepatitis-c-en-el-centro-penitenciario-de-alicante-i-influencia-de-la-coinfeccion-por-el-vih","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-epidemiologico-sobre-la-hepatitis-c-en-el-centro-penitenciario-de-alicante-i-influencia-de-la-coinfeccion-por-el-vih\/","title":{"rendered":"Estudio epidemiologico sobre la hepatitis c en el centro penitenciario de alicante i. influencia de la coinfeccion por el vih."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Manuel Murcia Zaragoza <\/strong><\/h2>\n<p>Objetivos: conocer la preValencia de hepatitis c cr\u00f3nica (hcc), enfermedad hep\u00e1tica moderada-grave (ehmg) y factores de riesgo asociados en la poblaci\u00f3n reclusa de un centro penitenciario del sur de epa\u00f1a.  sujetos y m\u00e9todo: estudio observacional de tipo transversal, se incluyeron a todos los internos presentes en julio del 2001. Definimos hcc por la presencia de serolog\u00eda para vhc positiva realizada mediante eia de tercera generaci\u00f3n y viremia de vhc positiva detectada mediante pcr cualitativa. definimos ehmg a la presencia en la biopsia hep\u00e1tica de una actividad necroinflamatoria mayor de 8 puntos seg\u00fan el \u00edndice de knodell y\/o fibrosis grado 3 \u00f3 4. en todos los reclusos se recogieron variables sociodemogr\u00e1fica. Aquellos con hcc se recogi\u00f3  adem\u00e1s variables relacionadas con el encarcelamiento y drogadicci\u00f3n (edad ingreso en prisi\u00f3n, meses totales en prisi\u00f3n, edad de inicio en el consumo de drogas intravenosas, a\u00f1os de consumo de drogas intercambio de jeringuillas en prisi\u00f3n, ingesta de alcohol, meses consumo de alcohol durante los \u00faltimos 5 a\u00f1os), anal\u00edticas, virol\u00f3gicas (genotipo del vhc, carga viral plasm\u00e1tica(cvp) del vhc, cvp del vih),   relacionadas con la infecci\u00f3n por el vhc (tiempo evoluci\u00f3n de la hcc)  y el vih (recuento de linfocitos cd4+\/mm3).  A los reclusos con hcc se les ofert\u00f3  la realizaci\u00f3n de una biopsia hep\u00e1tica.  Se realiz\u00f3 un estudio estad\u00edstico univariante y multivariante.  resultados: la preValencia de hhc hallada fue del 34.2% (intervalo de confianza (ic) del 95%: 30.8%-37.8%).  El antecedente de adicci\u00f3n a drogas por v\u00eda intravenosa (advp) y la nacionalidad espa\u00f1ola se asociaron de forma significativa a la presencia de hcc tanto en el an\u00e1lisis univariante y el multivariante (p&lt;0.001; or(ic)95%: 51.7:31-86 y 14.2:5.9-34 respectivamente). Se encontr\u00f3 una relaci\u00f3n estad\u00edticamente significativa entre ehmg  y tiempo de consumo de drogas por  v\u00eda intravenosa, aumento de ast, a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio epidemiologico sobre la hepatitis c en el centro penitenciario de alicante i. influencia de la coinfeccion por el vih.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio epidemiologico sobre la hepatitis c en el centro penitenciario de alicante i. influencia de la coinfeccion por el vih. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Manuel Murcia Zaragoza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/06\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Joaquin Portilla Sogorb<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Perez mateo regadera <\/li>\n<li>Santiago Moreno guillen (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Sanchez tapias (vocal)<\/li>\n<li>enrique Ortega gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Manuel Murcia Zaragoza Objetivos: conocer la preValencia de hepatitis c cr\u00f3nica (hcc), enfermedad hep\u00e1tica moderada-grave (ehmg) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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