Study of 138 vulvar lichen sclerosus patients and the malignant risk transformation.

Objective: To report the prevalence of malignant transformation of vulvar lichen sclerosus (VLS) and possible risk factors.

Methods: This is a cohort study with data analysis from medical records of 138 patients with histological diagnosis of VLS registered at the Vulvar Pathology Outpatient Clinic of the University Hospital, between 2007 and 2017. Predominance of risk factors was performed using logistic regression analysis.

The hidden severity of the COVID-19 pandemic in children and adolescents in Brazil: a territorial analysis of hospital mortality.

This article aims to describe the geographical distribution of hospital mortality from COVID-19 in children and adolescents during the 2020-2021 pandemic in Brazil. Ecological, census study (SIVEP GRIPE) with individuals up to 19 years of age, hospitalized with SARS due to COVID-19 or SARS not specified in Brazilian municipalities, stratified in two ways: 1) in the five macro-regions and 2) in three urban agglomerations: capital, municipalities of the metropolitan region and non-capital municipalities. There were 44 hospitalizations/100,000 inhabitants due to COVID-19 and 241/100,000 when including unspecified SARS (estimated underreporting of 81.

Relationship between soft tissue dimensions and tomographic radial root position classification system for immediate implant installation.

The aim of this study was to evaluate the relationship between soft tissue dimensions and radial root position (RRP) classification for immediate implant placement on maxillary anterior teeth. Maxillary anterior teeth (n = 420) were analyzed in the radial plane of cone beam computed tomography (CBCT) scans. Each tooth was classified according to its RRP: class I, (IA, IB); class II (IIA, IIB) class III; class IV, and class V.

Biological and behavioral features and colonization of the sylvatic mosquito Sabethes identicus (Diptera: Culicidae).

Mosquitoes of the genus Sabethes are exclusively sylvatic species occurring in Central and South Americas, where they play a role in the transmission of arbovirus. Sabethes identicus, a common bamboo-breeder species, has been found naturally infected with yellow fever virus. Our study aimed to describe biological and behavioral features of Sa.

Hospital mortality from covid-19 in children and adolescents in Brazil in 2020-2021.

Objective: To describe cases, deaths, and hospital mortality from covid-19 in children and adolescents in Brazil, according to age group, during the evolving phases of the pandemic in 2020 and 2021.

Methods: Census of patients aged up to 19 committed with severe acute respiratory syndrome, due to covid-19 or unspecified, notified to the Brazilian Influenza Epidemiological Surveillance Information System, from January 1, 2020, to December 31, 2021. The two years were divided into six phases, covering the spread of the disease-first, second and third wave-as well as the impact of vaccination.

Gingival landmarks and cutting points for gingival phenotype determination: A clinical and tomographic cross-sectional study.

Background: This cross-sectional study assessed the role of gingival landmarks (GLs) and cutting points (CPs) for gingival phenotype (GP) determination.

Methods: Six maxillary anterior teeth (70 subjects) were evaluated using soft tissue cone-beam computed tomography (ST-CBCT). Gingival thickness was measured at different GLs: 1) tissue zone (gingival margin [GM], 1 and 2 mm apical to GM, cemento-enamel junction, above the bone crest); 2) bone zone (buccal bone crest [BBC], 1, 2, and 3 mm apical to BBC).

Sustainability of the Breastfeeding-Friendly Primary Care Initiative: a cross-sectional study.

Objectives: to assess the sustainability of the Breastfeeding-Friendly Primary Care Initiative by analyzing compliance with the Ten Steps in accredited units; and association with maternal satisfaction and exclusive breastfeeding.

Methods: a cross-sectional study conducted in 2016. An assessment of compliance, conducted by interviews with health professionals, pregnant women, and mothers.

[Impact assessment of an educational intervention in pharmacies that use commercial promotion of products competing with maternal breastfeeding].

The Brazilian Code of Marketing of Infant and Toddlers Food, Nipples, Pacifiers, and Baby Bottles (Federal Law n. 11,265/2006) aims to control the abusive marketing of products that compete with breastfeeding. The objective was to assess the impact of an educational intervention on compliance with this law by pharmacies.

Mometasone furoate is not superior to saline for chronic rhinitis in the elderly.

Introduction: Prevalence of diseases associated with ageing is rising; among these are the rhinologic problems. Chronic rhinitis appears as one of the most common worrisome nasal disorders in this age group. At the same time, the allergic form diminishes because of the immunosenescence.

Prevalence and factors associated with violence against elderly committed by strangers, Brazil, 2013.

Objective: to analyze the association between sociodemographic, behavioral and health characteristics and the prevalence of violence against the elderly committed by strangers.

Methods: cross-sectional study with data from the 2013 National Health Survey on individuals aged 60 years and over; a log-linear Poisson model was used.

Results: 11,143 elderly individuals were included in the study; the prevalence of violence committed by strangers in the 12 months prior to the interview was 1.

[Training of health professionals in breastfeeding and its association with knowledge, skills and practices].

A cross-sectional study was conducted in the 15 hospitals with over 1000 deliveries/year in Rio de Janeiro, Brazil, to verify the association between training of health professionals in breastfeeding and professional knowledge, skills and practices. Interviews were staged with 215 health professionals, 48.4% working in Baby-Friendly Hospitals, by means of a questionnaire adapted from the revalidation instrument of the initiative.

Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis.

Context And Objectives: Urinary tract infections are the most common cause of hospital-acquired infections, and the use of indwelling urinary catheters is a predisposing factor for their development. The aims of this study were to estimate the frequency of pre and postoperative bacteriuria, identify the microorganisms involved, count the colony-forming units, determine the antibiotic sensitivity profile and compare the results from pre and postoperative urinalyses among women undergoing gynecological surgery with implantation of a urinary catheter.

Design And Setting: Non-controlled prospective observational single-cohort epidemiological study carried out at a university hospital.

[Effect of the type of urinary incontinence on the quality of life of patients in the public healthcare system in Southeastern Brazil].

Purpose: To identify the impact of urinary incontinence (UI) on quality of life (QoL), to compare the scores of QoL domains in women with stress urinary incontinence (SUI), overactive bladder (OAB) and mixed incontinence (MUI) and to establish the association between the clinical type of UI and the impact on QoL.

Methods: Data of 181 incontinent women attended at a public hospital were collected regarding age, body mass index (BMI) and co-morbidities. King's Health Questionnaire (KHQ) was applied and patients were classified into two groups according to the self-assessment of incontinence impact.

[Breastfeeding-Friendly Primary Care Unit Initiative and the relationship with exclusive breastfeeding].

Objective: To analyze the prevalence of exclusive breastfeeding and the association with the Breastfeeding-Friendly Primary Care Unit Initiative.

Methods: Cross-sectional study, whose data source were research on feeding behaviors in the first year of life conducted in the vaccination campaigns of 2003 and 2006, at the municipality of Barra Mansa, RJ, Southeastern Brazil. For the purposes of this study, infants under six months old, accounting for a total of 589 children in 2003 and 707 children in 2006, were selected.

Prevalence of self-reported systemic arterial hypertension in urban and rural environments in Brazil: a population-based study.

The aims of this paper were to estimate the prevalence rates of self-reported high blood pressure among adults in urban and rural environments in Brazil and identify possible associations stratified according to household location. Data from the Brazilian National Household Sample Survey (PNAD) was used, incorporating information from the sampling plan. Logistic regression was used to obtain the odds ratio (OR) as a measure of association between variables and the outcome.

[Effect of sampling plan on ordinal logistic models: an analysis of self-rated health status among Brazilian adults based on the National Household Sample Survey (PNAD 2008)].

Studies that draw on individual and environmental variables to explain differences in self-rated health status have increased gradually in Brazil, but are still limited in number. Due to time and cost issues, many studies use a complex sample design involving features (stratification, clustering, and different sample weights) that, when ignored, can influence odds ratios and standard errors in the statistical models. Using the National Household Sample Survey (PNAD 2008), this paper assesses the impact on these measurements when some or all of these features are not taken into account in fitting ordinal logistic models to establish associations between adults' self-rated health and various individual and environmental factors.

[Relationship between health care insurance and Papanicolaou exam: a propensity score application using a complex sample inquiry].

Cervical uterine cancer is the second most common malignancy affecting women worldwide. Papanicolaou smear is a simple screening test that can detect the disease at an early and curable stage. Although indicated to every adult woman, Pap smear screening covers less than 70% of Brazilian women.

[Use of medical consultations and the occurrence of systemic arterial hypertension in urban and rural areas of Brazil, according to PNAD data 2008].

The use of medical consultations is influenced by determinants such as healthcare needs and service characteristics, which depend on whether the environment is urban or rural. The scope was to estimate the proportions of individuals attending medical consultations over the previous 12 months with and without self-reported systemic arterial hypertension (SAH) living in urban and rural areas, and to analyze the patterns of consultation use and associations. This was a sectional study, using PNAD 2008.

[Association between self-reported state of health among adults and the location of the home: ordinal logistic regression analysis using PNAD 2008].

The urban environment influences human health and behavior, and a clearer understanding of the health determinants of populations living in cities is needed. Using data from the National Household Sampling Survey (PNAD) 2008, with ordinal logistic models incorporating the sampling plan, this study assessed the association between the location of the home (urban or rural) and the self-reported state of health of the adult Brazilian population, taking into account a set of individual and environmental factors inside and outside the home. The results indicated that after allowing for individual and environmental factors, the association between the location of the home and the self-reported state of health is changing (going from OR = 1.