Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713


Publication continuous and bimonthly

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Year 2003 - Volume 29  - Number 1  (January/February)


1 - Publicações em Pneumologia - Novos ou velhos rumos?

Carlos Alberto de Castro Pereira

J Bras Pneumol.2003;29(1):1-



2 - Uma simples infecção por pneumococo...

Anna Sara S. Levin

J Bras Pneumol.2003;29(1):2-3


Original Article

3 - Prevalence of Streptococcus pneumoniae resistance to penicillin in two hospital from Caxias do Sul

Prevalência de resistência à penicilina do Streptococcus pneumoniae em dois hospitais de Caxias do Sul

Wilson Paloschi Spiandorello, Fernanda Morsch, Franca Stedile Angeli Spiandorello

J Bras Pneumol.2003;29(1):15-20

Abstract PDF PT Portuguese Text

Streptococcus pneumoniae resistance to penicillin was studied in two hospitals in Caxias do Sul, Rio Grande do Sul, Brazil, between May 1998 and November 2001. From the 176 strains of invasive Streptococcus pneumoniae that were identified, 2.28% (CI 0.62-5.74) presented intermediate resistance, and 3.42% (CI 1.26-7.31) presented high-level resistance. Conclusion was that the use of penicillin in Caxias do Sul was still justified as treatment of pneumococcal pneumonia, differently from other centers where the penicillin was replaced by other antibiotics. These results confirm the statement of IDSA (Infectious Diseases Society of America) guideline for the management of community-acquired pneumonia in adults, that the choice of antimicrobial drug to treat pneumococcal pneumonia should be guided by local or regional prevalence of resistance to penicillin.


4 - Hospitalization due to tuberculosis at a university hospital

Hospitalização por tuberculose em hospital universitário

Sandra Aparecida Ribeiro, Thaís Nemoto Matsui

J Bras Pneumol.2003;29(1):9-14

Abstract PDF PT Portuguese Text

Patients with active tuberculosis (Tb) can be admitted to hospital due to other health problems, Tb not being the admission diagnosis. In this study, the authors analyzed 141 inpatients with Tb, notified to the São Paulo Hospital Central Control of Infectious Diseases, during the period of august, 1999 to April, 2001, trying to identify causes of admission, risk factors, and duration of hospitalization. Of the total number of patients, 63% were male and 37% female, mean age being 38 years-old. 28% were smokers, 23% were alcoholics, and 17% were drug addicts. 23% of them reported previous Tb. 42% were HIV positive. 54.6% of the patients presented pulmonary tuberculosis and 67.5% of them had positive sputum. 22% of the patients had side effects to Tb treatment during hospitalization, drug-induced hepatitis (65.7%) and gastric intolerance (25.7%) being the most frequent. 8.5% of the patients required intensive care, staying there for 11 days, and 54% of the patients stayed at an infirmary with respiratory isolation. 17.7% of the patients died in hospital and 52% due to Tb. The patients were hospitalized for 29 days and isolated for 18 days. Drug addicts and smokers patients had longer hospital stays. HIV positive patients who had positive sputum had the same hospitalization period as others.


6 - Psychological profile and nicotine dependence in smoking undergraduate students of UFMT

Características de personalidade e dependência nicotínica em universitários fumantes da UFMT

Regina de Cássia Rondina, Clovis Botelho, Ageo Mário Cândido da Silva, Ricardo Gorayeb

J Bras Pneumol.2003;29(1):21-27

Abstract PDF PT Portuguese Text

Introduction: Data on the relationship between personality profile and nicotine addiction may help health professionals in the design and improvement of programs for the treatment and prevention of addiction. Objective: To investigate the relationship between the personality profile and nicotine addiction in a group of smoking undergraduate students. Methods: A total of 1,245 undergraduate students were randomly selected among 10,500 students enrolled at the UFMT - Cuiabá campus in 2001. A standard questionnaire was applied for social characterization and to determine the pattern of cigarette consumption, with 80 students being considered smokers. These students were then submitted to the Fagerström Test (1978) of nicotine addiction and to the reduced version of the Comrey Personality Scale (CPS) which determines personality dimensions. Results: Analysis of the mean scores (Student t-test) revealed a marginal or inversely proportional borderline association between addiction and the Order x Lack of Compulsion scale (p = 0.06), and a negative or inversely proportional association between the CPS Extroversion x Introversion (p = 0.002) and Control of Validity scales (p = 0.04). Linear regression of the Fagerström Test points confirmed the inversely proportional borderline association between addiction and the Order x Lack of Compulsion (p = 0.06) and CPS Extroversion x Introversion scales (p = 0.02). However, controlling for interference of daily cigarette consumption, only the Extroversion x Introversion scale remained associated with addiction (p = 0.001). Conclusions: Smoker and nicotine dependent students are less extrovert than non-dependent smokers.


7 - Validation of the Airways questionnaire 20 - AQ20 in patients with chronic obstructive pulmonary disease (COPD) in Brazil

Validação do questionário de vias aéreas 20 ("Airways questionnaire 20" - AQ20) em pacientes portadores de doença pulmonar obstrutiva crônica (DPOC) no Brasil

Aquiles Camelier, Fernanda Rosa, Paul Jones, José Roberto Jardim

J Bras Pneumol.2003;29(1):28-35

Abstract PDF PT Portuguese Text

Introduction: A great emphasis has been placed on health-related quality of life of COPD patients and specific questionnaires have been developed in order to measure it. Interventions directed to improve symptoms and decrease morbi-mortality may be evaluated by such questionnaires. Objective: This study describes the language and cultural adaptation of a new (and short) disease-specific health status questionnaire developed for chronic obstructive pulmonary diseases: the Airways Questionnaire 20 (AQ20). This questionnaire has only 20 simple items, and is one of the shortest ones ever described in the literature. Methods: In order to validate this questionnaire in Brazil, an initial translation from English to Portuguese has been made. The cultural adaptation was taken into consideration and then a back translation to English was undertaken, in order to obtain a final Portuguese version. Correlations were made with FEV1, SpO2, BMI and another disease specific health status questionnaire, the Saint George Respiratory Questionnaire (SGRQ), previously validated in Brazil. To test the reproducibility of AQ20, the interclass correlation ratio was done. Results: The interclass correlation ratio for the total score was a = 0.90 (intraobserver variability) and a = 0.93 (interobserver variability). The correlation with total SGRQ score was 0.76, with p < 0.001. Conclusion: It can be concluded that the Brazilian Portuguese version of AQ20 is reproducible, with good correlation with SGRQ total score, which makes it a valid questionnaire to measure health status in obstructive patients in Brazil.


Review Article

8 - Linear growth in asthmatic children

O crescimento de crianças com asma

Maria Ângela Reis de Góes Monteiro Antonio, José Dirceu Ribeiro, Adyléia Aparecida Dalbo Contrera Toro, Aquiles Eugenico Piedrabuena, André Moreno Morcillo

J Bras Pneumol.2003;29(1):36-42

Abstract PDF PT Portuguese Text

The growth of children with asthma has attracted great interest because it is a chronic respiratory illness whose prevalence in childhood has increased during the last decades. The relationship between asthma and growth has been studied for a long time, but the great variability of diagnosis, therapy, and different methods of investigation make it difficult to disentangle the factors that are responsible for the growth retardation detected by some authors. As a result of different observations, there remain many doubts about the impact of asthma on child and adolescent growth. The aim of this paper is to provide a general view on the issue.


Case Report

9 - Sternal chondrosarcoma

Condrossarcoma de esterno

Nelson Perelman Rosenberg, Ivo Leuck Jr., Celso Schuler, Fernando Delgiovo, Eduardo Spadari de Araújo, Paula Vasconcelos Martini

J Bras Pneumol.2003;29(1):43-44

Abstract PDF PT Portuguese Text

Sternal neoplasms are very uncommon. The lack of consistent reports in the literature renders it difficult to make prospective evaluations. The authors report the case of a seventy-year old woman who presented with a chondrosarcoma of the sternum, treated at their service.


10 - Coccidioidomycosis: an unusual cause of acute respiratory distress syndrome

Coccidioidomicose: causa rara de síndrome do desconforto respiratório agudo

Kelson Nobre Veras, Bruno C. de Souza Figueirêdo, Liline Maria Soares Martins, Jayro T. Paiva Vasconcelos, Bodo Wanke

J Bras Pneumol.2003;29(1):45-48

Abstract PDF PT Portuguese Text

A male farmer, 20 years old, from the countryside of the State of Piauí, developed acute respiratory infection. Despite adequate antimicrobial therapy, there was worsening respiratory manifestations demanding mechanical ventilation. Radiographs showed diffuse pulmonary infiltrates. PaO2/FiO2 was 58. Direct microscopy and culture from tracheal aspirates disclosed Coccidioides immitis. Autochthonous cases of coccidioidomycosis have only recently been described in Brazil, most of them from the State of Piauí. C. immitis has been isolated from humans, dogs and armadillos (Dasypus novemcinctus), and also from soil samples of armadillo's burrows. Therapeutic failure to antimicrobials and patient's origin from recognized endemic areas should alert for the possibility of acute pulmonary coccidioidomycosis.


Letters to the Editor

11 - Tratamento compulsório da tuberculose: avanço ou retrocesso?

Sandra Aparecida Ribeiro

J Bras Pneumol.2003;29(1):50-52



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