Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/106814 https://doi.org/10.14195/2182-7982_36_4 |
Resumo: | Syphilis is a chronic sexually or congenitally transmitted infection, with a well-documented clinical past, having been one of the major public health problems in Europe. In Portugal, there is a lack of data regarding the number of individuals infected by syphilis, or even about the characteristics of the disease and the infected people, in past official statistics. Hence, the main purpose of this study was to appraisal some of these omissions in order to extend our knowledge of this infection in the past. The aim was to obtain data about the disease in the first years of the 20th century, as well as the demographic and the socioeconomic profile of the affected individuals. The intention was also to characterize the disease, identifying the most frequent lesions and their locations in the human body. Among the patients who were hospitalized in the Hospitals of the University of Coimbra (HUC) between 1904 and 1937, 5.9% were diagnosed with syphilis. Most of them (89.3%) with the acquired form of the disease, which affected mainly single young adults (20–39 years) independently of their sex. Congenital syphilis was detected mainly in children (0–4 years). Most hospitalizations for congenital syphilis (53.9%) occurred when the disease was in its tertiary form, which did not happen in the acquired form of the disease (29.5%). The most frequent forms of tertiary syphilis were malignant, affecting 33.4% of patients with the disease at its most advanced stage. |
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Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the diseaseSífilis em Coimbra no início do século XX. A importância dos registos hospitalares para o estudo da doençaPaleopathologyhistory of medicinearchivesHospitals of the University of CoimbraPaleopatologiahistória da medicinaarquivosHospitais da Universidade de CoimbraSyphilis is a chronic sexually or congenitally transmitted infection, with a well-documented clinical past, having been one of the major public health problems in Europe. In Portugal, there is a lack of data regarding the number of individuals infected by syphilis, or even about the characteristics of the disease and the infected people, in past official statistics. Hence, the main purpose of this study was to appraisal some of these omissions in order to extend our knowledge of this infection in the past. The aim was to obtain data about the disease in the first years of the 20th century, as well as the demographic and the socioeconomic profile of the affected individuals. The intention was also to characterize the disease, identifying the most frequent lesions and their locations in the human body. Among the patients who were hospitalized in the Hospitals of the University of Coimbra (HUC) between 1904 and 1937, 5.9% were diagnosed with syphilis. Most of them (89.3%) with the acquired form of the disease, which affected mainly single young adults (20–39 years) independently of their sex. Congenital syphilis was detected mainly in children (0–4 years). Most hospitalizations for congenital syphilis (53.9%) occurred when the disease was in its tertiary form, which did not happen in the acquired form of the disease (29.5%). The most frequent forms of tertiary syphilis were malignant, affecting 33.4% of patients with the disease at its most advanced stage.A sífilis é uma infeção sexualmente transmissível, crónica e com transmissão congénita que constituiu um sério problema de saúde pública na Europa. Em Portugal pouco se sabe sobre os números de indivíduos afetados, bem como sobre a caracterização da doença e dos doentes. Desta forma, os objetivos principais deste trabalho visam tentar entender e, se possível, colmatar estas falhas, apresentando-se os reais números da doença nos primeiros anos do século XX, bem como a caracterização demográfica e socioeconómica dos indivíduos afetados. Por outro lado, pretende-se proceder a uma caracterização da doença, nomeadamente do tipo de lesões mais frequentes e da sua localização no organismo. De entre os internamentos efetuados nos Hospitais da Universidade de Coimbra (HUC) entre 1904 e 1937, 5,9% foram diagnosticados com sífilis. A maioria dos doentes (89,3%) com a forma adquirida, a qual afetou sobretudo jovens adultos solteiros (20–39 anos), sem distinção entre sexos. A sífilis congénita foi detetada sobretudo em crianças (0–4 anos). A maioria dos internamentos por sífilis congénita (53,9%) ocorreu quando a doença se apresentava na sua forma terciária, o mesmo não sucedendo na forma adquirida da doença (29,5%). As formas de sífilis terciária mais frequentes foram as malignas, afetando 33,4% dos portadores da doença no seu estádio mais avançado.Universidade de Coimbra2019info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/106814http://hdl.handle.net/10316/106814https://doi.org/10.14195/2182-7982_36_4eng2182-79820870-0990Lopes, Céliainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-04-24T10:47:50Zoai:estudogeral.uc.pt:10316/106814Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:23:12.810164Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease Sífilis em Coimbra no início do século XX. A importância dos registos hospitalares para o estudo da doença |
title |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
spellingShingle |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease Lopes, Célia Paleopathology history of medicine archives Hospitals of the University of Coimbra Paleopatologia história da medicina arquivos Hospitais da Universidade de Coimbra |
title_short |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
title_full |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
title_fullStr |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
title_full_unstemmed |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
title_sort |
Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease |
author |
Lopes, Célia |
author_facet |
Lopes, Célia |
author_role |
author |
dc.contributor.author.fl_str_mv |
Lopes, Célia |
dc.subject.por.fl_str_mv |
Paleopathology history of medicine archives Hospitals of the University of Coimbra Paleopatologia história da medicina arquivos Hospitais da Universidade de Coimbra |
topic |
Paleopathology history of medicine archives Hospitals of the University of Coimbra Paleopatologia história da medicina arquivos Hospitais da Universidade de Coimbra |
description |
Syphilis is a chronic sexually or congenitally transmitted infection, with a well-documented clinical past, having been one of the major public health problems in Europe. In Portugal, there is a lack of data regarding the number of individuals infected by syphilis, or even about the characteristics of the disease and the infected people, in past official statistics. Hence, the main purpose of this study was to appraisal some of these omissions in order to extend our knowledge of this infection in the past. The aim was to obtain data about the disease in the first years of the 20th century, as well as the demographic and the socioeconomic profile of the affected individuals. The intention was also to characterize the disease, identifying the most frequent lesions and their locations in the human body. Among the patients who were hospitalized in the Hospitals of the University of Coimbra (HUC) between 1904 and 1937, 5.9% were diagnosed with syphilis. Most of them (89.3%) with the acquired form of the disease, which affected mainly single young adults (20–39 years) independently of their sex. Congenital syphilis was detected mainly in children (0–4 years). Most hospitalizations for congenital syphilis (53.9%) occurred when the disease was in its tertiary form, which did not happen in the acquired form of the disease (29.5%). The most frequent forms of tertiary syphilis were malignant, affecting 33.4% of patients with the disease at its most advanced stage. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/106814 http://hdl.handle.net/10316/106814 https://doi.org/10.14195/2182-7982_36_4 |
url |
http://hdl.handle.net/10316/106814 https://doi.org/10.14195/2182-7982_36_4 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2182-7982 0870-0990 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade de Coimbra |
publisher.none.fl_str_mv |
Universidade de Coimbra |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134119566770176 |