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Objetivo: Analisar temporal e espacialmente as internações hospitalares por aborto no Brasil e regiões no período de 2012 a 2021. Metodologia: Estudo ecológico, com dados do Sistema de Informação Hospitalar (SIH/DATASUS) sobre internação hospitalar por aborto no Brasil e regiões de 2012 a 2021. Foram calculadas as taxas de internação hospitalar (TIH) e as Taxas Bayesianas Empíricas Espaciais (TBEE). As TIH foram utilizadas para análise de tendência temporal feita por meio do JoinPoint. As TBEE foram utilizadas para o modelo espacial, por intermédio do Índice de Moran (IM). Resultados: A tendência temporal do aborto por “outras gravidezes que terminam em aborto” foi de diminuição com Variação Percentual Anual – VPA de -0,7%, aberto espontâneo também foi de decréscimo com -3,9% e aborto por razões médicas foi de crescimento com 2,5% ao ano. O Norte foi a única região que apresentou aumento no aborto por outras gravidezes, com 2,6% ao ano, enquanto que por razões médicas o aumento foi de 8,9%. A região Sudeste apresentou predomínio de redução com -2,7% (outras gravidezes) e -4,5% (espontâneo) e Sul com -2,9% (espontâneo) e -3,9% (razões médicas). Na análise espacial foi identificado autocorrelação inversa entre o IDH e RPC e as TBEE de internação. As regiões Sul e Sudeste apresentaram predomínio de municípios com baixas taxas e altos IDH e RPC, enquanto Norte e Nordeste demonstrou altas taxas com baixos IDH e RPC. Conclusão: A tendência temporal foi diversa. O crescimento foi observado no aborto por razões médicas, principalmente no Norte, Nordeste e Centro-oeste. O Sudeste e Sul apresentaram redução. Houve correlação inversa entre os IDH e RPC dos municípios com as TBEE.

Objective: To analyze the clinical profile of obese patients with COVID-19 in ambulatory care during the first wave of the pandemic. Methods: A retrospective observational study conducted in an outpatient setting in Aracaju/SE, Brazil. The patients with COVID-19 received medical care in a referral center from April to August 2020 and were followed remotely. Clinical data was analyzed using Jamovi 1.2.27. Results: Of 1,134 patients with COVID-19, 288 (25.4%) were obese, 59.7% were women. Hypertension, diabetes, dyslipidemia, and chronic kidney disease were more frequent in the obese group. Dyspnea and diarrhea were more frequent in obese individuals, while odynophagia, nausea, and vomiting were more common in non-obese individuals. Attending physicians prescribed more antibiotics, ivermectin, corticosteroids, and heparin for obese patients. Hospital admission (6.6% vs. 3.1%; p=0.008) and use of oxygen therapy (5.1% vs. 2.1%; p=0.011) were more frequent in the obesity group. Obesity was independently associated with hospital admission in multivariate analysis (OR: 2.561, 95% CI 1.352 - 4.853; p=0.004). The lethality rate was higher in obese individuals (2.1% vs. 0.7%; p=0.049). Conclusion: In this outpatient cohort of COVID-19 patients, there were more comorbidities among obese individuals. Despite the low frequency of unfavorable outcomes overall, obesity increased the risk of hospital admission and there were more deaths among patients with obesity.

, teenager, consequences. From the universe consulted, 11 articles were selected. Results: Of the 189 eligible articles, 11 were included. The literature suggests that the consequences of sickle cell disease are caused by the occurrence of vaso-occlusive processes, which have their prevalence increased with aging. As a result of this, the consequences usually appear in adolescence and become more severe over the years. The main consequences founded were: cardiac, pulmonary, ocular and infectious. Conclusion: The literature is still scarce in relation to this material studied, making a more in-depth study necessary.