ObjectiveTo investigate the association between maternal anemia and low/insufficient birth weight.DesignA prospective cohort study of pregnant women who underwent prenatal care at the healthcare units in a municipality of northeast Brazil together with their newborn infants was carried out. The pregnant women were classified as having anemia when the hemoglobin level was below 11 g/dl. Infants who were born full term weighing less than 2500 grams were classified as low birth weight, and those weighing between 2500 and 2999 grams were classified as insufficient weight. The occurrence of maternal anemia and its association with birth weight was verified using crude and adjusted Relative Risk (RR) estimates with their corresponding 95% confidence intervals (95%CIs).ResultsThe final sample was comprised of 622 women. Maternal anemia was considered a risk factor for low/insufficient birth weight, after adjusting the effect measurement for maternal age, family income, urinary infection, parity, alcoholic beverage consumption during pregnancy and gestational body mass index: RRadjusted = 1.38 [95% CI: 1.07 to 1.77].ConclusionsMaternal anemia was associated with low/insufficient birth weight, representing a risk factor for the gestational outcomes studied.

ResultsThe following clinical parameters were used to establish the diagnosis criteria: probing depth, the distance between gingival margin and cementum enamel junction measurement, clinical attachment AbstractThis article in an updated of its original version was published in the journal intitled "Jornal Brasileiro de Clínica Odontológica Integrada", volume 9, pages 88 and 89, in 2005. Due to improved knowledge concerning human health, and changes in the clinical diagnostic criteria for periodontal diseases that occurred after the study period, the need for some updates became evident.The frequency of periodontitis in the sample varied from 17.24% to 66.92%. Conclusions:the results of the present study indicate the need to use different diagnostic criteria of periodontal diseases depending on the type of study to be developed and population investigated. Taking care to use the appropriate diagnostic criteria, besides allowing the standardization of the definition of the diseases, contributes to improving the comparability between the findings of scientific studies in this field of health, since a diversity of clinical criteria exist.

Background There exists a diverse range of criteria used in epidemiological studies for the diagnosis of periodontitis. The results from these studies should be evaluated with consideration to the diagnostic criteria used, and this may account for differences between studies especially in some population groups such as pregnant females. The objective is to evaluate the diagnostic criteria used in a variety of epidemiologic studies of periodontitis in pregnant females. Methods An accuracy study with cross‐sectional design was performed out from a database of 671 pregnant females, using six different sets of criteria for the diagnosis of periodontitis. Women were classified for periodontitis, as follows: Center for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP, 2012 criterion), the gold standard, Gomes‐Filho et al.(2018) criterion, Albandar et al.(2007) criterion, Bassani et al.(2007) criterion, López et al.(2002) criterion, and Nesse et al.(2008) criterion. For comparison amongst the gold standard and the other criteria, sensitivity, specificity, predictive values, and likelihood ratio were determined. Results The frequency of periodontitis ranged from 25.0% to 90.2%. The Bassani et al. (2007) criterion was found to be more sensitive among the studies, and thus more suitable for diagnostic screening studies. Gomes‐Filho et al.(2018), Albandar et al. (2007), López et al. (2002), and Nesse et al. (2008) criteria were considered more specific, which makes them more useful for studies of periodontitis with the aim of using diagnosis for confirmation of disease. Conclusions A variation in the occurrence of periodontitis was observed. The criterion must be chosen according to the research aims and population characteristics.

Objective: To assess the factors associated with overweight and obesity among women of childbearing age in Brazil. Design: Cross-sectional study Setting: Using the National Health Survey (PNS) database, from the year 2013. The socioeconomic and demographic factors analyzed were age, race/skin color, region, marital status, education level, employment and family income. Concerning health history: diagnoses of hypertension, diabetes mellitus, high cholesterol, heart attack, stroke, chronic kidney disease, menarche, parity, and depression were evaluated. For lifestyle information: health status, alcoholic beverage consumption, smoking, and physical activity were included. The outcomes were obesity and overweight. The association of excess weight with socioeconomic-demographic factors, health history, and lifestyle characteristics was investigated according to the appropriate theoretical-conceptual model for the topic. Participants: The sample size was 17,109 women aged 18 to 49 years. Results: The prevalence of women with excess weight was 55.20%, with 33.26% being overweight and 21.94% with obesity. The factors associated with excess weight were: age, non-white skin color, having a partner, family income of up to two minimum wages, menarche before the age of 12, multiparity, diabetes mellitus, depression, hypertension, high cholesterol, stroke, and heart attack. Conclusion: The results showed an association between excess weight and sociodemographic factors, both determinants of general and reproductive health history. Implementation of effective public health policies is necessary to prevent unfavorable outcomes related to the health of women of childbearing age with excess weight.

INTRODUÇÃO: Os determinantes sociais podem refletir na ocorrência, prognóstico e mortalidade do câncer oral. OBJETIVO: Analisar as principais características sociodemográficas e hábitos de vida, assim como a relação com o óbito por câncer oral em uma Unidade de Alta Complexidade em Oncologia no município de Feira de Santana, Bahia, no período de 2010 a 2016. MÉTODOS E MATERIAIS: Estudo transversal realizado através da revisão de prontuários clínicos, seguida de uma análise descritiva das principais variáveis e análise bivariada entre as covariáveis consideradas determinantes sociais e o óbito pela doença. Todas as análises foram realizadas com o programa SPSS 22 e Stata 14.0. RESULTADOS: Foram diagnosticados 282 casos de carcinomas de células escamosas, na maioria em idosos (87,6%), do sexo masculino (79,6%), de origem urbana, que residiam em municípios de grande e médio porte, negros e pardos, casados, com baixa escolaridade, com ocupação, tabagistas (89,6%) e etilistas (85,0%). As lesões estavam localizadas principalmente na região de língua (37,9%), eram moderadamente diferenciadas (48,9%), diagnosticados em estádios avançados (III e IV) (84,7%), tratados em sua maioria com quimioterapia e radioterapia (34,3%) e 35,7% dos casos foram a óbito.  A variável raça/cor apresentou significância estatística com o óbito pela doença (p = 0,006).  CONCLUSÃO: Os resultados do presente estudo revelaram que dentre as covariáveis sociodemográficas e de hábitos de vida a raça/cor apresentou significância com relação ao óbito, indicando um pior prognóstico relacionado a pacientes negros e pardos.

Objetivo: Investigar as características individuais e alimentares em indivíduos em tratamento quimioterápico de câncer do trato gastrointestinal (TGI) atendidos em uma Unidade de Alta Complexidade em Oncologia. Método: Estudo transversal, quantitativo, descritivo e exploratório, a partir de dados secundários de um estudo prévio que usou um questionário próprio e informações de prontuários médicos e o teste “Como está sua Alimentação?” do Ministério da Saúde do Brasil. Foram obtidas frequências absolutas e relativas e o p-valor de todas as variáveis incluídas. Resultados: Foram observados 22 participantes com câncer do TGI, sendo que a maioria tinha raça/cor autorreferida como preta ou parda, sexo feminino, com companheiro, com até dois filhos, menor densidade domiciliar, menor escolaridade e sem ocupação. Observou-se maior consumo de frutas e leguminosas, baixo consumo de hortaliças, carne, laticínios e carboidratos em geral, além de alto consumo de doces e gorduras. A prática de atividade física foi pouco frequente e o etilismo frequente na amostra estudada. Os participantes relataram boa qualidade da alimentação, e referiram predominantemente realizarem quatro ou mais refeições ao dia. Considerações Finais: Resultados apontam o alto consumo de alimentos de alto teor energético e pouco nutritivos, como gorduras e doces, além de reduzidas proporções de alimentos reguladores. Faz-se necessária, adequada intervenção nutricional nesses indivíduos durante e após o tratamento quimioterápico. Em síntese, ressalta-se o papel de um perfil alimentar inadequado, o qual associado a um estilo de vida sedentário configura um fator de risco para doenças crônicas como o câncer.

A Doença Falciforme (DF) é uma hemoglobinopatia de predominância da hemoglobina S nas hemácias, de caráter genético. O objetivo deste trabalho foi descrever o perfil epidemiológico e clínico de 64 usuários com DF do Centro Municipal de Referência à pessoa com DF no município de Feira de Santana/BA, no período de novembro de 2016 a março de 2017. O presente estudo foi submetido e aprovado por um comitê de ética em pesquisa. A predominância foi do sexo feminino, raça/cor foi parda/preta, escolaridade menor que 8 anos de estudo, renda menor ou igual um salário mínimo e sem ocupação. Quanto às condições clínicas, a maioria teve diagnóstico médico de anemia falciforme e a descoberta da doença ocorreu via teste do pezinho. Embora a maioria não possuísse comorbidades, um elevado número de participantes apresentou algum tipo de complicação referente à doença, sendo mais frequentes as crises álgicas, pneumonia, síndrome torácica aguda e sequestro esplênico. Os resultados apresentados podem ser usados pelo serviço como instrumento para traçar um plano de cuidado para essa população de acordo com o perfil epidemiológico e clínico dos usuários, bem como, reforça a importância de estratégias como a educação em saúde, para minimizar a ocorrência das complicações.

Introduction: Cytopathological examination is the main method for the screening of cervical cancer, its occurrence can be prevented or minimized through screening, with good coverage, quality of collection and analysis and women's adherence to the examination. Objective: To describe the quality of cytopathological exams performed at a family health unit in Salvador - Bahia during the years 2015 and 2016. Method: A cross-sectional study, of an exploratory descriptive character, was conducted, using a database from a previous study carried out in a health unit in Salvador / BA and approved by the Ethical Committee from State University of Feira de Santana. Results: Preventive gynecological exams of 1,350 women were analyzed, but 330 (24.4%) of them could not be evaluated due to the absence of the report in the health unit and the presence of acellular or hypocellular material that prevented the analysis. From 1020 exams, 45 (3.3%) presented an unsatisfactory sample, without conditions for analysis, while 589 (43.19%) showed only squamous cells. From 392 (29.0%) reports with an adequate study sample, 150 (%) were women with a mean age of 38.49 years. These were located and composed the final sample of the present investigation. Final Considerations: We suggest the need for investments in continuing education for professionals involved in performing cytopathological exams, in order to ensure the right of women to comprehensive and quality health care.