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OBJETIVOS: Descrever as principais características de pacientes com câncer de mama admitidas em dois serviços de referência para o tratamento desse tipo de câncer no norte de Minas Gerais, incluindo estágio da doença ao diagnóstico e local de tratamento. MÉTODOS: Realizou-se estudo transversal e descritivo, avaliando 288 prontuários de pacientes do gênero feminino com câncer de mama, admitidas entre janeiro de 2006 a dezembro de 2009, oriundas de um serviço público e de um privado. As variáveis analisadas foram submetidas a tratamento estatístico por meio dos testes qui-quadrado e regressão logística multinomial. RESULTADOS: Observou-se que 68,1% da população analisada procediam do serviço público. Predominaram pacientes com mais de 50 anos (54,5%), casadas (59%) e com filhos (87,8%). Dentre a população estudada, a média de idade foi de 63 anos, sendo que em 42,7% dos casos prevaleceu o intervalo de tempo acima de 6 meses entre a suspeita clínica e a confirmação diagnóstica. Em 47,6% das mulheres o diagnóstico foi tardio (estágios III e IV). 20,1% tinham histórico familiar de câncer de mama; 20,8% faziam autoexame das mamas e 41% faziam mamografia. CONCLUSÃO: Verificou-se maior prevalência de pacientes nos estágios III e IV no serviço público quando comparado ao privado. O tempo prolongado entre a suspeita clínica e a confirmação diagnóstica, a ausência de história familiar de câncer de mama e a não realização de mamografia de rastreamento são observados, neste estudo, como os principais fatores associados ao diagnóstico tardio. OBJECTIVE: To describe the main characteristics, including stage of disease and local treatment of patients admitted to two reference services for the treatment of breast cancer in the North of Minas Gerais. METHODS: We conducted a cross-sectional descriptive study. We evaluated medical records of 288 female patients with breast cancer admitted between January 2006 and December 2009, referred from a public hospital and a private clinic. Variables were analyzed using the chi-square test and multinomial logistic regression. RESULTS: 68.1% of patients were referred from the public hospital. There was a predominance of patients over 50 years old (54.5%), married (59%) and with children (87.8%). The mean age of the population studied was 63 years old. Time between suspected cancer and confirmation of diagnosis was over six months in 42.7% of patients. Cancer diagnosis was late (stage III and IV) in 47.6% of patients. Family history of breast cancer was present in 20.1%, 20.8% of them had performed self-breast examination, and 41% had been submitted to a mammogram. CONCLUSION: There was a higher prevalence of stage III/IV patients from the public service when compared to the private sector. We found that the major factors associated with the late diagnosis of breast cancer were the delay between suspected and confirmed diagnosis, the absence of family history of breast cancer and not having a mammogram.

Adolescence is a stage of life when potentially harmful behaviors to health can be initiated. For this reason, the assessment of quality of life at this age is useful to identify higher risk groups that may prejudice general well-being. This study aimed to evaluate the quality of life and associated factors in a sample of 754 adolescents between the ages of 15 and 19. For the measurement of quality of life a Portuguese language version of the 12-item short-form (SF-12) Health Survey questionnaire was used. The results revealed that satisfactory levels of quality of life are higher with the frequent practice of physical activities and the absence of conditions such as work activities and the consumption of tobacco and alcohol. The female sex was correlated with lower scores in mental aspects of quality of life.

Quality of life has become an important yardstick of the impact on health. Its evaluation related to diseases and associated risk factors has increased in the population in general. This article seeks to assess the quality of life and the presence of the association with risk factors for non-communicable chronic diseases in the urban population of the city of Montes Claros in the State of Minas Gerais. It is a population-based cross-sectional study. The sample was calculated considering the prevalence of risk factors of overweight of 30% and corrected for a variation of 30%. Cluster sampling was conducted on urban census sectors. Seventeen census sectors were selected and 648 residents aged e" 18 years were interviewed. The risk factors for non-communicable chronic diseases as well as the quality of life were verified using the SF-36 questionnaire. Some risk factors were associated with the lowest scores on the SF-36 questionnaire. The presence of some risk factors for chronic diseases has an impact on quality of life.

O objetivo deste trabalho foi investigar a autopercepção das condições bucais em uma população de idosos não-institucionalizados da cidade de Montes Claros. A pesquisa objetivou ainda verificar a associação existente entre a autopercepção e as características sociodemográficas, necessidades odontológicas, condições sistêmicas e uso de medicações nos indivíduos pesquisados. Trata-se de um estudo descritivo transversal com uma amostra do tipo aleatória simples (n=204). A autopercepção foi avaliada através do Índice de Determinação da Saúde Bucal Geriátrica (GOHAI). De acordo com os resultados obtidos, 53,9% dos idosos eram do gênero feminino; 53,9% não eram casados; 57,8% possuíam idade entre 60 e 69 anos; 84,9% não eram brancos; 69,1% eram analfabetos; 56,4% tinham renda per capita > ½ salário mínimo; 59,8% foram ao dentista há três anos ou mais; 52,9% realizaram a última consulta no serviço público; 63,7% eram edêntulos; 67,2% usavam algum tipo de prótese; 77% necessitavam de prótese e 81,4% não possuíam alteração de tecido mole. Destes, 31,9% apresentavam doença periodontal; o CPO-D médio foi 29,39; 91,2% apresentavam alguma doença sistêmica; 78,4% usavam medicação e a maior parte (36,3%) autopercebeu a condição bucal como regular. Na análise multivariada, foi verificado que os idosos que necessitavam de algum tipo de prótese dentária e não possuíam cônjuge apresentaram maiores chances de ter uma baixa autopercepção das condições bucais. De maneira geral, percebeu-se que a maioria dos idosos possuía uma condição socioeconômica satisfatória; apresentava necessidades odontológicas normativas; tinha alguma doença sistêmica; usava medicação e autopercebeu a saúde bucal como regular ou ruim, condizente com a avaliação profissional. The aim of this study was to investigate the self-perception of oral health in a population of community-dwelling elderly in Montes Claros city, MG. The research aimed further to investigate the existing association between self-perception and sociodemographic characteristics, dental needs, systemic conditions and medication use in those individuals. This is a cross-sectional study with a simple random sample (n=204). The self-perception was assessed using the Geriatric Oral Health Assessment Index (GOHAI). According to the results, 53.9% of the elderly were female, 53.9% were not married, 57.8% were aged between 60 and 69 years old, 84.9% were not white, 69.1% were illiterate, 56.4% had an monthly household income > ½ minimum wage, 59.8% went to the dentist for 3 years of more, 52.9% had a last consultation in the public service, 63.7% were edentulous, 67.2% used some type of dental prosthesis, 77% needed dental prosthetic. Of them, 81.4% had no alteration in soft tissue, 31.9% had periodontal disease, the CPO-D medium was 29,39, 91.2% had systemic disease, 78.4% used medication and most (36.3%) self-perceived oral health as a regular. In the multivariate analysis, it was found that the older people that needed some kind of dental prosthesis and had no spouse were more likely to have a low self-perception of oral conditions. Overall, it was observed that most elderly people had a satisfactory socioeconomic status, had dental needs, had any systemic disease, used medication and self-perceived oral health as fair or poor, consistent with the professional assessment.

To describe the main characteristics, including stage of disease and local treatment of patients admitted to two reference services for the treatment of breast cancer in the North of Minas Gerais.We conducted a cross-sectional descriptive study. We evaluated medical records of 288 female patients with breast cancer admitted between January 2006 and December 2009, referred from a public hospital and a private clinic. Variables were analyzed using the chi-square test and multinomial logistic regression.68.1% of patients were referred from the public hospital. There was a predominance of patients over 50 years old (54.5%), married (59%) and with children (87.8%). The mean age of the population studied was 63 years old. Time between suspected cancer and confirmation of diagnosis was over six months in 42.7% of patients. Cancer diagnosis was late (stage III and IV) in 47.6% of patients. Family history of breast cancer was present in 20.1%, 20.8% of them had performed self-breast examination, and 41% had been submitted to a mammogram.There was a higher prevalence of stage III/IV patients from the public service when compared to the private sector. We found that the major factors associated with the late diagnosis of breast cancer were the delay between suspected and confirmed diagnosis, the absence of family history of breast cancer and not having a mammogram.

OBJETIVO: Identificar os fatores associados à autopercepção da saúde bucal entre idosos brasileiros. MÉTODOS: Utilizaram-se dados do Projeto SB Brasil, realizado em 20022003. Foi examinada e entrevistada amostra probabilística de 5.349 idosos de 65 a 74 anos agrupados em dentados e edentados. A variável dependente foi autopercepção da condição de saúde bucal e as independentes foram: local de moradia, características individuais, comportamentos relacionados à saúde, condições objetivas de saúde e condições subjetivas relacionadas à saúde. Foram conduzidas análises descritivas e análises de regressão linear múltipla hierárquica. RESULTADOS: Nos dois grupos a autopercepção da saúde bucal foi considerada positiva, apesar das precárias condições de saúde bucal entre os idosos. No modelo final, o local de moradia e as características individuais pouco contribuíram para explicar a variabilidade da autopercepção. Entre dentados, o uso de serviços odontológicos esteve associado ao desfecho, e as condições objetivas e subjetivas se mostraram associadas nos dois grupos. Entre dentados e edentados, o R² para o ambiente externo foi de 0,00; com o acréscimo das características individuais, respectivamente, 0,05 e 0,02; incluindo o comportamento relacionado à saúde, 0,06 e 0,03; acrescentando as condições objetivas de saúde, 0,11 e 0,04; adicionando as condições subjetivas relacionadas à saúde foram 0,50 e 0,43. Foi possível explicar 50% da variabilidade da autopercepção entre dentados e 43% entre edentados. CONCLUSÕES: Os principais fatores associados à autopercepção da saúde bucal como positiva nos dois grupos foram a autopercepção da aparência como ótima seguida pela autopercepção da mastigação como positiva. O terceiro fator associado, entre dentados, foi o relato de nenhuma necessidade de tratamento odontológico e, entre edentados, a autopercepção da fala. OBJECTIVE: To identify factors associated with self-perceived oral health among Brazilian elderly individuals. METHODS: Data from the Projeto SB Brasil (Brazilian Oral Health Project), conducted in 2002-2003, were used. A probabilistic sample of 5,349 elderly individuals, aged between 65 and 74 years, was analyzed, interviewed and subsequently grouped into dentate and edentate individuals. The dependent variable was self-perceived oral health condition, while independent variables were as follows: place of residence, individual characteristics, health-related behavior, objective health conditions and subjective health conditions. Descriptive and hierarchical multiple linear regression analyses were performed. RESULTS: In both groups, self-perceived oral health was considered positive, despite the poor oral health conditions found among the elderly. In the final model, place of residence and individual characteristics contributed little to explain the variability of self-perception. The use of dental services was associated with the outcome in dentate individuals, while objective and subjective conditions were associated in both groups. Among dentate and edentate individuals, R² for the external environment was 0.00; with the inclusion of individual characteristics, 0.05 and 0.02, respectively; with the inclusion of health-related behavior, 0.06 and 0.03, respectively; with the inclusion of objective health conditions, 0.11 and 0.04 respectively; and with the inclusion of subjective health conditions, 0.50 and 0.43, respectively. It was possible to explain 50% of the variability of self-perception in dentate individuals, and 43% in edentate ones. CONCLUSIONS: The main factors associated with self-perceived oral health in both groups were excellent self-perceived appearance, followed by positive self-perceived mastication. The third associated factor was reporting no need for dental treatment in dentate individuals, and self-perceived speech in edentate ones. OBJETIVO: Identificar los factores asociados a la autopercepción de la salud bucal entre ancianos brasileños. MÉTODOS: Se utilizaron datos del Proyecto SB Brasil, realizado en 2002-2003. Fue examinada y entrevistada muestra probabilística de 5.349 ancianos de 65 a 74 años agrupados en dentados y edentados. La variable dependiente fue autopercepción de la condición de salud bucal y las independientes fueron: lugar de residencia, características individuales, comportamientos relacionados con la salud, condiciones objetivas de salud y condiciones subjetivas relacionadas con la salud. Fueron conducidas análisis descriptivos y análisis de regresión linear múltiple jerárquica. RESULTADOS: En los dos grupos la autopercepción de la salud fue considerada positiva, a pesar de precarias condiciones de salud bucal entre los ancianos. En el modelo final, el lugar de residencia y las características individuales poco contribuyeron para explicar la variabilidad de la autopercepción. Entre dentados, el uso de servicios odontológicos estuvieron asociados al resultado y las condiciones objetivas y subjetivas se muestran asociadas en los dos grupos. Entre dentados y edentados, el R2 para el ambiente externo, fue de 0,00; adicionando las características individuales, respectivamente, 0,05 y 0,02; incluyendo el comportamiento relacionado con la salud, 0,06 y 0,03; considerando además las condiciones objetivas de salud, 0,11 y 0,04; adicionando las condiciones subjetivas relacionadas con la salud fueron 0,50 y 0,43. Fue posible explicar 50% de la variabilidad de la autopercepción, entre dentados y 43% entre edentados. CONCLUSIONES: Los factores asociados a la autopercepción de la salud bucal en los dos grupos fueron la autopercepción de la apariencia como óptima seguida por la autopercepción de la masticación positiva. El tercer factor asociado, entre dentados, fue el relato de ninguna necesidad de tratamiento odontológico y entre edentados la autopercepción del habla.

Infarto encefálico isquêmico extenso (IEIE) é a perda do suprimento sangüíneo de uma grande área cerebral, principalmente do território da artéria cerebral média. Pode evoluir com edema importante, hipertensão intracraniana e óbito em até 80% dos casos. OBJETIVO: Avaliar os resultados da craniectomia descompressiva no tratamento da hipertensão intracraniana secundária ao IEIE, comparando com os resultados de outros estudos publicados na literatura. MÉTODO: Foram analisados 34 pacientes com IEIE tratados clinicamente sem sucesso e que necessitaram de craniectomia descompressiva para controle da hipertensão intracraniana. RESULTADOS: 8 pacientes (23,52%) faleceram, 26 (76,47%) sobreviveram, sendo que 2 (7,70%) permaneceram em estado vegetativo. CONCLUSÃO: Os fatores idade acima de 50 anos e sexo masculino se associaram a maior risco de evolução para óbito. O nível de consciência à admissão e a área do retalho ósseo apresentaram valores próximos de significância estatística. The large ischemic cerebral infarction (LICI) is a brain supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases. OBJECTIVE: To avaliate the results of a descompressive craniectomy on the treatment of the secundary intracranial hypertension to LICI, comparing to other results of medical literature already published. METHOD: Were analysed 34 pacients diagnosed with LICI clinically treated unsuccesfully that needed forther on the decompressive craniectomy treatment, for the control of intracranial hypertension. RESULTS: 8 pacients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition. CONCLUSION: The factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.

The large ischemic cerebral infarction (LICI) is a blood supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases.To evaluate the results of a decompressive craniectomy on the treatment of the secondary intracranial hypertension to LICI, comparing to other results of medical literature already published.Were analysed 34 patients diagnosed with LICI clinically treated unsuccessfully that needed further on the decompressive craniectomy treatment, for the control of intracranial hypertension.8 patients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition.The factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.

Resumo O objetivo deste artigo é identificar a prevalência de perda da qualidade do sono em mulheres climatéricas e os fatores associados. Estudo quantitativo, transversal e analítico, cujas variáveis foram investigadas por questionário estruturado/pré-testado e pelo Índice de Qualidade do Sono de Pittsburgh, em 819 mulheres climatéricas assistidas pela Estratégia Saúde da Família. Regressão de Poisson simples foi utilizada para triagem das variáveis (p < 0, 25). Para a modelagem hierarquizada foi utilizada a regressão de Poisson, adotando nível de significância de 5%. Identificou-se perda de qualidade do sono em 67% da amostra. Variáveis como idade avançada (RP = 1,09; IC = 1,03 – 1,16), sintomas climatéricos moderados e intensos (RP = 1,18; IC = 1,10 – 1,27), ansiedade moderada e grave (RP = 1,17; IC = 1,10 – 1,25), depressão moderada/grave (RP = 1,08; IC = 1,01 – 1,15) e artrite/artrose/reumatismo (RP = 1,07; IC = 1,01 – 1,14) demonstraram associações estatisticamente significativas com a perda de qualidade do sono. A perda de qualidade do sono foi altamente prevalente na população estudada. Os fatores associados à perda da qualidade do sono foram idade avançada, sintomas climatéricos de moderados a intensos, ansiedade e depressão moderada a intensa e presença de artrite/artrose/reumatismo. Abstract The scope of this article is to identify the prevalence of the loss of quality of sleep and associated factors among menopausal women. It is a quantitative, cross-sectional and analytical study, the variables of which were investigated by applying a structured/pre-tested questionnaire and the Pittsburgh Sleep Quality Index with 819 menopausal women cared for under the Family Health Strategy. Simple Poisson regression was used to screen the variables (p < 0.25). For multiple analysis, Poisson regression was used based on a hierarchical model, at a significance level of 5%. Loss of quality of sleep was identified in 67% of the sample. Variables such as advanced age (PR = 1.09; CI = 1.03-1.16), moderate and severe menopausal symptoms (PR = 1.18; CI = 1.10-1.27), moderate to severe anxiety (PR = 1.17; CI = 1.10-1.25), moderate to severe depression (PR = 1.08; CI = 1.01-1.15) and arthritis/arthrosis/rheumatism (PR = 1. 07; CI = 1.01 - 1.14) revealed statistically significant associations with loss of quality of sleep. The loss of quality of sleep was highly prevalent in the population studied. Factors associated with loss of quality of sleep were advanced age, moderate to severe menopausal symptoms, moderate to severe anxiety and depression, and the presence of arthritis/arthrosis/rheumatism.

INTRODUCTION: Chagas disease currently affects 5.7 million people in Latin America and is emerging in non-endemic countries. There is no consensus concerning the efficacy of trypanocidal therapy for patients with the chronic form of the disease. We evaluated cardiac function and sociodemographic, clinical, and serologic characteristics of a group of asymptomatic Trypanosoma cruzi-seropositive former blood donors, and compared the effects of benznidazole treatment applied for different lengths of time. METHODS: Blood donors who screened positive for T. cruzi between 1998 and 2002 were recruited 10 years later for follow-up (n = 244); 46 individuals had received treatment. Three subjects had terminated treatment prematurely. The remaining 43 individuals were divided into two groups: individuals who had received benznidazole therapy for 50-60 days (n = 28; BT ≤60 group) or more than 60 days (n = 15; BT >60). Serologic assays, biochemical tests, electrocardiographic, echocardiographic, and clinical examinations were performed on all participants. Parasite loads were determined by qualitative and quantitative polymerase chain reaction. RESULTS: Parasitemia was significantly reduced in the BT ≤60 and BT >60 groups compared with the untreated group. There were no differences in epidemiologic profiles or clinical, biochemical, electrocardiographic, or echocardiographic data between any of the groups. CONCLUSIONS: Despite elimination or significant reduction in parasitemia in patients with chronic Chagas disease who received benznidazole, there was no clinical difference between those who were treated for >60 days and those treated for a shorter duration. Furthermore, the adverse effects of benznidazole appear to be less severe than previous reports would suggest.

The prevalence of need of, access to, and dissatisfaction with ophthalmic assistance was estimated among those who were assisted in such services in the last year; factors associated with dissatisfaction were identified. Complex probabilistic sample was used. A descriptive, bivariate, and multiple analysis with correction for design effect was conducted. Of 2.582 participants, 76% needed assistance and, of those, 82.5% possessed access to it. Among patients who received assistance in the last year, 13.1% were dissatisfied. Dissatisfaction was higher among older patients, those who went walking or cycling to the location of assistance, and those who described the following aspects as regular/bad/terrible: being received and treated with respect, the clarity with which the service provider explained things, and their autonomy to choose their provider of ophthalmic assistance. Most of them was in need of and possessed access to assistance. Dissatisfaction was low. Patient's age, means of transport used to get to the local of the assistance, patient-professional relationship, and autonomy to choose are factors that interfere for the outcome of dissatisfaction.

Objetiva-se identificar o uso de PIC entre adultos portadores do vírus da imunodeficiência humana. Mediante estudo transversal, analítico e descritivo foi verificado o perfil de 200 pacientes adultos infectados por HIV e identificadas possíveis associações entre fatores socioeconômicos e utilização de PIC. A prevalência de PIC foi de 78,5% (n=157) e as categorias mais relatadas foram: oração a Deus 57,5% (n=115); uso de remédios populares 21,5% (n=43); procura a benzedeiras 14,5% (n=29) e uso de homeopatia 12,5% (n=25). Associações significativas foram encontradas com o uso de PIC e cor (p=0,000); escolaridade (p=0,000); estado conjugal (p=0,003); religião (p=0,000) e renda mensal familiar (p=0,000). Constatou-se ainda que há associação estatisticamente significante entre algumas variáveis demográficas investigadas e uso de práticas integrativas complementares.