Introdução: A depressão pós-parto (DPP) é reconhecida como sendo o transtorno de humor mais comum entre as puérperas, sendo caracterizada como uma doença multifatorial e subdiagnosticada. O quadro clínico é variável, podendo apresentar alterações físicas, cognitivas e comportamentais. Objetivo: Sendo assim, o presente trabalho objetivou realizar uma revisão integrativa da literatura a respeito da prevalência e dos fatores de risco associados à DPP no Brasil. Método: Para tanto, foram consultadas as bases de dados PubMed e SciELO com os seguintes descritores: “postpartum depression” e “Brazil”, presentes no título ou no resumo dos artigos, nos idiomas inglês e português, dos últimos 10 anos, pesquisados de dezembro de 2019 a março de 2020. Resultado: A prevalência encontrada variou de 7,2%, no Recife/PE, a 39,4%, em Vitória/ES. Com relação aos fatores de risco, detectou-se um total de vinte fatores diferentes. Dentre eles, os que tiveram maior ocorrência foram: história prévia de transtornos psiquiátricos, grau de escolaridade materna, renda familiar, ter um parceiro e uma boa relação com ele, cor da pele (negra e parda), gravidez não planejada e multiparidade. Conclusão: Concluiu-se que a prevalência de DPP é elevada e variável, a depender da região brasileira. Além disso, histórico médico, variáveis demográficas e aspectos relacionados à gestação estão associados a essa condição.
The aim of the present study is to report a case of periodontal Ehlers–Danlos syndrome (pEDS) in early childhood. A 3-year-old child, complaining of severe tooth mobility, gingival bleeding, and early loss of deciduous teeth sought the dental clinics. The patient was diagnosed with pEDS, and no other systematic health impairments were diagnosed. It was implemented a strict supragingival biofilm control, using mechanical and chemical strategies. However, during the treatment, the patient had to receive multiple dental extractions. Scaling and root planing were performed in the remaining teeth, and the patient is included in the periodontal maintenance program to prevent recurrence of the disease. It was concluded that, although rare, severe cases of periodontitis may occur in deciduous teeth. Strict supragingival biofilm control and periodontal maintenance are strongly recommended in those patients, along with familial monitoring.
Aim: To assess the prevalence of cleft lip and/or cleft palate (CL/P) and associated variables in neonates admitted to neonatal intensive care units (ICU). Methods: Medical charts for neonates born and admitted to the ICU between 2012 and 2018 were reviewed. Obstetric and neonatal variables were collected by a trained researcher. In the case group, all neonates with CL/P were included. The control group was formed by matching sex, prematurity and month of birth using random number generation. Neonates with congenital malformations were excluded from the control group. Adjusted logistic regression was used (p<0.05). Results: The prevalence of CL/P was 0.43% (n=15). Five cases were excluded, as pairing was not possible. Twenty neonates were included in the control group. In the final multivariate model, CL/P was only associated with increased maternal age. For each year of increase in maternal age, neonates had a 35.2% higher chance of presenting CL/P (95% confidence interval: 1.021–1.792). Conclusions: Higher maternal age was associated with higher occurrence of CL/P in neonates admitted to the ICU. No other neonatal or maternal independent variables were associated with CL/P. Due to missing data, interpretation of study results must be approached with caution.
O objetivo do estudo foi realizar uma revisão sistemática de literatura sobre doenças endocrinológicas com repercussões psiquiátricas. Para isso, realizou-se uma revisão sistemática de literatura, através de uma busca nas bases de dados Latino-Americana e do Caribe em Ciências da Saúde, Google Scholar e Scientific Electronic Library Online, utilizando-se os descritores: Endocrinology, Mental Disorders, Psychiatric Symptoms, Cushing’s syndrome, Hyperthyroidism, Hypothyroidism, Addison disease. Através disso, foram selecionados 12 artigos que compunham os critérios de inclusão e exclusão do presente estudo. Dessa forma, destaca-se que os estudos evidenciaram que diversos são as repercussões psiquiátricas em pacientes com doenças endocrinológicas, variando desde transtornos de ansiedade, depressão, transtorno de déficit de atenção/hiperatividade e psicose, cabendo aos profissionais o diagnóstico correto e em tempo hábil para auxiliar na qualidade de vida do indivíduo.
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