Search

Our primary objective was to describe the incidence of proven or probable invasive fungal infections (IFIs), a devastating complication of hematopoietic stem cell transplant (HSCT), in HCST in a middle-income country. Secondary objectives were to describe factors associated with IFIs and outcomes. In this single center retrospective study, pediatric patients who underwent a first allogeneic or autologous HSCT from 1998 to 2016 were included. Of the 251 HSCT recipients: 143 transplants were allogeneic and 108 were autologous. Overall, 23 (9%) experienced an IFI, mostly due to yeasts (83%). IFIs were more common in allogeneic HSCT (18/143, 13%) than in autologous HSCT (5/108, 5%; P = .045). Of the 23 patients with IFIs, 14 (61%) died, but only 1 directly from IFI (pulmonary aspergillosis). Overall survival at 3 years was 0.42 ± 0.11 in patients with IFIs and 0.60 ± 0.37 in those without IFIs (P = .049). In Argentina, IFIs during HSCT are common. Recipients of allogeneic HSCT are at higher risk, and IFI is associated with reduced overall survival. Future work should focus on interventions to reduce and improve IFI outcomes in children undergoing transplants in low- and middle-income countries.

A partir de pesquisa realizada com dez adolescentes do sexo feminino das camadas médias de Ribeirão Preto-SP, este trabalho analisa a constituição da identidade de gênero dessas adolescentes, suas relações com a família e com o grupo de pares e os vínculos afetivos com parceiros com os quais se fica e com namorados. A análise dos dados sugere que apesar da mudança nos padrões culturais e da nova posição assumida pelas mulheres, a constituição da identidade de gênero das adolescentes é marcada por ambigüidades em torno dos papéis femininos, o que contribui para que elas incorporem essas mesmas ambigüidades em sua conduta. On the basis of a survey of middle-class adolescent girls from Ribeirão Preto, the present study analyzes the constitution of gender identity of these girls, their relations with family and with peer group and the affective ties with occasional or steady boy friends. Analysis of the data suggests that, despite the change in cultural patterns and of the new positions of women, the constitution of gender identity of girls is marked by ambiguities about female roles, a fact that causes these girls to incorporate these same ambiguities into their behavior.

A partir de pesquisa realizada com dez adolescentes do sexo feminino das camadas médias de Ribeirão Preto-SP, este trabalho analisa a constituição da identidade de gênero dessas adolescentes, suas relações com a família e com o grupo de pares e os vínculos afetivos com parceiros com os quais se fica e com namorados. A análise dos dados sugere que apesar da mudança nos padrões culturais e da nova posição assumida pelas mulheres, a constituição da identidade de gênero das adolescentes é marcada por ambigüidades em torno dos papéis femininos, o que contribui para que elas incorporem essas mesmas ambigüidades em sua conduta. On the basis of a survey of middle-class adolescent girls from Ribeirão Preto, the present study analyzes the constitution of gender identity of these girls, their relations with family and with peer group and the affective ties with occasional or steady boy friends. Analysis of the data suggests that, despite the change in cultural patterns and of the new positions of women, the constitution of gender identity of girls is marked by ambiguities about female roles, a fact that causes these girls to incorporate these same ambiguities into their behavior.