ObjectiveTo identify factors associated with maternal death in patients admitted to an intensive care unit.MethodsA cross-sectional study was conducted in a maternal intensive care unit. All medical records of patients admitted from January 2012 to December 2014 were reviewed. Pregnant and puerperal women were included; those with diagnoses of hydatidiform mole, ectopic pregnancy, or anembryonic pregnancy were excluded, as were patients admitted for non-obstetrical reasons. Death and hospital discharge were the outcomes subjected to comparative analysis.ResultsA total of 373 patients aged 13 to 45 years were included. The causes for admission to the intensive care unit were hypertensive disorders of pregnancy, followed by heart disease, respiratory failure, and sepsis; complications included acute kidney injury (24.1%), hypotension (15.5%), bleeding (10.2%), and sepsis (6.7%). A total of 28 patients died (7.5%). Causes of death were hemorrhagic shock, multiple organ failure, respiratory failure, and sepsis. The independent risk factors associated with death were acute kidney injury (odds ratio [OR] = 6.77), hypotension (OR = 15.08), and respiratory failure (OR = 3.65).ConclusionThe frequency of deaths was low. Acute kidney injury, hypotension, and respiratory insufficiency were independent risk factors for maternal death.

Functional dependence in activities of daily living has implications for the oral health status of older people.

Resumo: Objetivo: levantar a condição da saúde percebida e autorreferida de pessoas idosas no que tange à questão da renda financeira e do nível educacional. Métodos: estudo transversal e descritivo, cujo universo foi constituído por pessoas residentes no Município de Fortaleza, no Estado do Ceará - Brasil. A amostra foi constituída por um corte da população por gênero do Município de Fortaleza. A coleta de dados foi realizada mediante entrevistas individuais, em que se utilizou um questionário contendo questões fechadas (dicotômicas e de múltipla escolha) sobre dados sociodemográficos (idade, sexo, estado civil, renda, escolaridade), saúde sistêmica (doenças autorreferidas) e percepção sobre a saúde geral (excelente, razoável e/ou ruim). Resultados: o nível educacional dos idosos revelou diferenças quanto à renda e à condição de saúde autorreferida, mostrando que quanto mais anos de estudo, mais chances de melhor renda salarial e menor chance de adoecer, haja vista a diferença na percepção da saúde. Conclusão: há influencia nas condições de saúde geral dos idosos mediante o nível de renda e de educação.

BackgroundOral health is part of general health, and in adolescence, it represents a good individual health indicator. Three country-based oral health epidemiological studies have been developed in Brazil (1986, 2003 and 2010). The objective of this study was to analyze oral disease trends among Brazilian adolescents and to compare these trends to the World Health Organization’s goals with a focus on public health policies implemented between 1986 and 2010.MethodsThis is an epidemiological observational study performed with secondary data from Brazilian Oral Health surveys (1986, 2003 and 2010). The DMFT (number of decayed, missing and filled teeth) index was used for the 12-year-old and 15- to 19-year-old groups, and periodontal disease (CPI) and the percentage of individuals who needed and/or had prostheses were evaluated in the 15- to 19-year-old group.ResultsBetween 1986 and 2010, DMFT decreased from 6.65 to 2.07 (68.9 % reduction) in the 12-year-old group and from 12.68 to 4.25 (66.5 % reduction) in the 15- to 19-year-old group. In all groups, the missing component had the strongest decrease. Adolescents had a reduction of 20.3 % in access to dental care. In 2003, in the 15- to 19-year-old group, 89.5 % of teenagers had at least one decayed tooth, while in 2010, the value was 76.1 %. In 2010, the percentage of adolescents without gingival problems varied among different regions of Brazil, with 30.8 % in the North and 56.8 % in the Southeast. Regarding DMFT, the difference between the North and Southeast Regions was 84 %.ConclusionsImprovement trends regarding adolescent oral health were observed, which seem to be supported by health education and promotion activities along with the reorganization of the Brazilian health system.

The relationship between oral discomfort and SWB reveals that older people's poor oral health leads to physical, psychological, and/or social problems that directly interfere with their well-being.