One third of the interviewees complained of some type of urinary incontinence, and half of them presented stress urinary incontinence. Cesarean section, only when not preceded by contractions, was not associated with stress urinary incontinence. The body mass index is only relevant when the stress factor is present.

Objective: The aim of this study was to evaluate the role of urodynamic test in diagnosis of urinary incontinence, comparing detailed data of history and physical examination, and some easy- to-apply clinical tests. Methods: A cross-sectional retrospective study was carried out by reviewing the medical charts of 55 patients with complaint of loss of urine, seen at the Urogynecology Service of Women's Health Outpatient Clinic of Hospital Universitário de Jundiaí, between October 2006 and March 2007. The patients answered a specific questionnaire involving the epidemiological and physical examination variables considered in this study. They were submitted to physical examination and urodynamic tests. Results: The complaint of loss of urine upon exertion, either isolated or associated with urge incontinence, was confirmed by urodynamic tests in most women, and only 4 of 49 symptomatic women had negative results. The clinical sign was present in 35 patients (63.6%), and 46 patients (83.6%) had the exertion component in the urodynamic test. The exertion component was observed in 10 (18%) out of 15 patients without symptoms (30%). The positive and negative predictive values of the clinical sign for diagnosis of any type of urinary incontinence in this studied group were 97.1 and 26.7%, respectively. As for the clinical complaint of urinary loss upon exertion, the positive and negative predictive values for any type of urinary incontinence were 92 and 40%, respectively. For the clinical complaint of urge incontinence, the positive and negative predictive values of 92.5 and 23.1%, respectively. Conclusions: It was concluded that the urodynamic evaluation is an important instrument to evaluate the severity of incontinence, although it was not necessary to diagnose loss of urine. The finding of urinary loss during physical examination had low sensitivity and specificity in diagnosis of the type of loss of urine. Urodynamic tests had better performance in demonstrating urinary incontinence in patients with complaint of incontinence upon exertion and without loss of urine seen upon physical examination than in confirming urge incontinence in patients with those symptoms.

Objective: To evaluate the knowledge of adolescents living in Vila Ana and Morada das Vinhas region, in the city of Jundiaí, State of São Paulo, Brazil, on prevention and diagnosis of the main sexually transmitted diseases (STDs) and on cervical cancer, as well as the immediate impact of educational lectures. Methods: A prospective cross-sectional study was performed to assess the knowledge of a particular group of female adolescents about STDs and cervical cancer, by means of a questionnaire applied before and after educational lectures. Results: After the lecture, there was an increased number of correct answers about sexual education, knowledge about HPV (44%), and prevention of cervical cancer (22%). Conclusion: The adolescents in our study had little knowledge about STDs and cervical cancer, but educative lectures could change this reality at a low cost to Public Health services.

O objetivo deste estudo foi estabelecer o perfil de pacientes do sexo feminino, na infância e adolescência, portadoras de câncer no Instituto de Clínicas Pediátricas Bolívar Risso (GRENDACC) - Jundiaí, bem como de que forma é feito o diagnóstico, tratamento e como ocorre a sua evolução. Foram estudados 71 prontuários, do período entre 1995 e 2006, de crianças e jovens entre 0 e 17 anos do sexo feminino. Os resultados são apresentados, com nível de significância de 5% e mostram que 75% das pacientes eram brancas, com média etária de 8 anos. A maioria delas procede de Jundiaí (52%). Em relação à função ovariana, 11% já haviam iniciado as menstruações ao diagnóstico, e quase 70% procuraram o setor terciário de saúde no primeiro mês do aparecimento da sintomatologia (52%). Quase metade dos diagnósticos são leucemias e 46% chegou em estádio clínico avançado. Levou-se menos de um mês entre o diagnóstico e o início da terapêutica para a maior parte das pacientes. O tratamento eleito em quase 90% dos casos foi a quimioterapia, e a cirurgia em um terço das pacientes. Os sinais e sintomas clínicos prevalentes foram dor óssea, anemia, febre e manchas rochas/hemorragias. Concluiu-se que a maioria das pacientes é encaminhada rapidamente. No entanto, quase metade delas chega ao hospital já com a doença em estádio avançado. Verificou-se que 47% dos casos encontram-se fora de terapia e 22,5% foram a óbito.