ResumoIntrodução: Sintomas psiquiátricos são freqüentes após o parto, momento marcado por alterações hormonais e mudanças no caráter social, na organização familiar e na identidade feminina. A Escala de Depressão Pós-Parto de Edimburgo (EPDS) é instrumento de auto-avaliação para rastrear depressão após a gestação, nem sempre adequadamente reconhecida pelos profissionais de saúde. O objetivo deste estudo foi avaliar prevalência de depressão pós-parto em mulheres atendidas em unidades básicas de saúde. Métodos: Estudo transversal com aplicação da EPDS em 292 mulheres que se encontravam entre 31 e 180 dias após o parto. Adotamos o ponto de corte < 12 na EPDS como depressão. Resultados: Do total, 115 (39,4%) apresentaram escores < 12, na EPDS, foram consideradas deprimidas; 177 (60,6%), com escores < 12, foram consideradas não-deprimidas. Mulheres com menor escolaridade, maior número de gestações, maior paridade, maior número de filhos vivos e menor tempo de relacionamento apresentaram mais depressão. Conclusão: A elevada freqüência de depressão pós-parto está relacionada com fatores sociais, demonstrando a importância dos profissionais de atenção básica na detecção precoce da depressão, tendo como auxílio instrumentos como a EPDS, pela sua eficácia e praticidade. Descritores: Depressão pós-parto, epidemiologia, escala de Edimburgo. AbstractIntroduction: Psychiatric symptoms are frequent in the postpartum period, a moment marked by hormonal alterations and changes in social character, family organization and women's identity. The Edinburgh Postnatal Depression Scale (EPDS) is a selfreporting instrument to track depression after pregnancy, unfortunately not always properly supported by health care professionals. This study aimed at verifying the prevalence of postpartum depression in women receiving care at basic health units. Methods: Cross-sectional study including 292 women in the postpartum period (from day 31 to 180) who answered the EPDS questionnaire. Cut-off point < 12 for EPDS depression was used. Results: A total of 115 women (39.4%) had scores < 12 in EPDS, classified as depressive; 177 (60.6%) had scores < 12 and were not considered depressive. Women with lower education, higher number of pregnancies, higher parity, higher number of live children and shortest relationship time had more depression. Conclusion: High frequency of postpartum depression is associated with social factors, which shows the importance of health care professionals in early detection of depression, with the aid of instruments such as EPDS, due to its efficacy and practicability.

ResumoObjetivos: comparar a incidência de partos pré-termos e de recém-nascidos de baixo peso entre adolescentes primíparas de duas faixas etárias. Métodos: estudo clínico, comparativo e transversal, cuja amostra é composta por um universo de 522 adolescentes primíparas, cujos partos ocorreram com idade gestacional entre 25 e 42 semanas. Tais adolescentes foram divididas e avaliadas em dois grupos, de acordo com a faixa etária -Gprec: de 10 a 15 anos completos (n=104); Gtard: de 16 a 19 anos completos (n=418). Os dados da pesquisa foram obtidos por meio de entrevista individualizada, sigilosa e ética, no puerpério imediato, e mediante questionário escrito, composto por perguntas em relação ao tempo de gestação em semanas completas e ao peso do recém-nascido. A idade gestacional foi calculada no dia do parto, de acordo com a data da última menstruação confi ável, sendo ainda confi rmada pela ultra-sonografi a mais precoce, de até 20 semanas, ou pelo índice de Capurro do recém-nascido, quando na dúvida dos parâmetros anteriormente descritos. Considerou-se pré-termo todo recém-nascido com menos de 37 semanas completas de idade gestacional no parto. Consideraram-se de baixo peso ao nascimento todos os recém-nascidos com menos de 2.500 gramas, sendo que o peso dos neonatos foi aferido pelo serviço de neonatologia logo após o parto. Dessa forma, comparamos a taxa de prematuridade e o baixo peso ao nascimento entre recém-nascidos de adolescentes puérperas primíparas. Para a análise estatística, foi empregado o teste χ² e, para as diferenças localizadas, teste da partição do χ². Adotou-se o nível de signifi cância de 0,05 (alfa=5%), de forma que níveis descritivos (p) inferiores a esse valor foram considerados signifi cantes. Resultados: a taxa de prematuridade não foi diferente entre os grupos da pesquisa (5,8 e 2,6%). A incidência de baixo peso ao nascimento no Gprec (13,5%) foi signifi cativamente maior em relação ao Gtard (3,1%). Conclusões: o grupo de adolescentes primíparas na faixa etária mais jovem (inferior a 15 anos) revelou-se de risco signifi cantemente maior para a ocorrência de RN de baixo peso. Não se verifi cou diferença signifi cante na incidência de partos pré-termos entre os grupos estudados. PALAVRA-CHAVE:Gravidez na adolescência; Prematuro; Recém-nascido de baixo peso Abstract Purpose: to compare the incidence of preterm deliveries, and of low birth weight newborns, among primiparous adolescents, from two age groups.Methods: this is a comparative, cross-sectional clinical study composed of 522 primiparous adolescents whose deliveries occurred at the gestational age of 25 to 42 weeks. The adolescents were divided into 2 groups according to their age; Gprec: from 10 to 15 complete years old (n=104); Gtard: from 16 to 19 complete years old (n=418). The research data were obtained by an individualized, confi dential and ethical interview, soon after delivery; and by a written questionnaire with questions about the gestational age in complete weeks, and about the newborns birth weight. The gestational ag...

Objective: to analyze the sexual behavior of the elderly women treated at the gynecological outpatient clinic over a period of one year, estimating the proportion of sexually active women, those with an interest in sex, and those who considered the activity of sex important for quality of life, among other findings. Method: a cross-sectional, descriptive, and exploratory study was performed. A pilot study was carried out in order to adjust and validate the data collection instrument. A convenience sample of 100 women was considered for the evaluation of socio-demographic characteristics and sexual behavior, including questions relating to sexual practice and interfering factors. The data were analyzed using frequencies and percentages, and the associations were verified by Pearson's Chi-squared test, considering a significance of 5%. Results: it was observed that 60.0% of the elderly women felt sexual desire, although 26.0% were sexually active. While 75.5% reported that aging does not improve the quality of sex, 83.0% believed that it is important for quality of life and 78.0% affirmed that there is no age limit for sexual activity. The cultural view of the elderly may interfere with the maintenance of a sexual life, since 51.0% reported feeling sexual prejudice due to their age. Conclusion: sexuality is directly related to the perception of quality of life and as it is a vital human function, can interfere in the social, professional, physical and psychic performance of the individual. The practice of and the desire for sex are not extinguished with aging, which contradicts the myth that the elderly person is an asexual being.Analysis of the sexual behavior of elderly women 725

Osteoporosis is a disease of ascending character in the world population; in this context, bone biomarkers are being increasingly studied in order to aid in the diagnosis and monitoring of these patients. The main objective of this study was a literature review of articles whose main theme was the use of biomarkers for bone formation and degradation, and to evaluate their possible applicability in clinical practice. Literature review was performed through articles indexed and published in the last five years in the PubMed database. The findings of this study showed that most of the previously selected articles were published in the last two years, and the most cited markers were bone resorption, C-terminal collagen telopeptide (CTX), showing the highest correlation with the dynamics of bone, and the biomarker of bone formation, bone-specific alkaline phosphatase (BAP), which is increased in the event of fracture or may suggest another bone disease. There was an increase in published articles, associating different bone biomarkers and their clinical applicability, especially for treatment control. Our findings suggest that in recent years there has been significant increase in publications evaluating the use of bone turnover biomarkers for bone formation and resorption and their possible clinical applicability, especially in the monitoring of treatment. Still, we believe that further studies need to be conducted to confirm these findings, given the advantages that bone biomarkers can deliver in the clinical management of the disease.

Chronic mucocutaneous candidiasis is a rare disorder characterized by persistent and recurrent infections by Candida due to changes in cellular immunity and may be associated with autoimmune endocrine disorders. It is refractory to the usual antifungal treatments, which merely control it with imidazole derivatives. This reports the case of a 50-year-old female patient who referred vaginal discharge associated with vulvar ulcerated lesions and whitish plaques on oral and genital mucous membranes of onset in adolescence besides cutaneous horns in nipples. The clinical picture, family history, culture and anatomopathological studies were consistent with chronic infection by candida. Treatment with systemic antifungals obtained partial response of lesions characterizing a clinical picture of Chronic Mucocutaneous Candidiasis.

No abstract

Gorlin-Goltz syndrome is a hereditary pathology that includes numerous clinical manifestations. Diagnosis is clinical and genetic confirmation is unnecessary.

Gigantomastia is a breast disorder that is associated with an exaggerated, rapid growth of the breasts, generally bilaterally. Since the pathology is rare and has seldom been described, its etiology has yet to be fully established, although there are speculations that a hormonal component may play an important role. Treatment is aimed at improving the clinical and psychological symptoms; however, the best therapeutic option varies from case to case. The present report describes a case of gestational gigantomastia seen at the Department of Obstetrics and Gynecology of the Hospital da Santa Casa de Misericórdia, Vitória, Espírito Santo, Brazil, in a primigravida in the second trimester of pregnancy. The report follows this patient from her diagnosis until the completion of treatment with a third and final surgical procedure.