Polycyclic aromatic hydrocarbons in coral reefs with a focus on Scleractinian corals: A systematic overview.

The impact of petroleum exploitation and oil spills in marine ecosystems has increased over time. Among the concerns regarding these events, the impact on coral reefs stand out because this ecosystem has ecological and economic importance and is globally threatened. We performed a systematic review and bibliometric analysis of studies that determine polycyclic aromatic hydrocarbons (PAHs) in coral reefs, attempting to answer how the studies were distributed around the globe, the main environmental matrices and species of coral studied, the main PAHs found and their mean concentrations, and the methodology used. A bibliographic search resulted in 42 studies with worldwide distribution. The bibliometric results presented more explored terms, such as sediments and toxicology, and newly investigated terms, which should encourage a new area of study, such as those related to zooxanthellae and mucus. The main matrices studied in coral reefs are sediments, corals, and water, whereas air and other invertebrates have rarely been studied. Approximately 45 species of corals with several morphotypes have been reported. PAHs recommended by the United States Environmental Protection Agency (US EPA) were analyzed in all studies, while additional compounds were analyzed in only five. The methods used to determine hydrocarbons are predominantly the most traditional; however, for corals, studies have tended to separate tissue, zooxanthellae, skeleton, and mucus. In the future, we recommend investment in improving the capacity to detect non-conventional PAHs, more studies in regions that are rarely explored in developing countries, and the creation of databases to facilitate management planning on marine coasts.

Gestão do trabalho e o cuidado na Atenção Primária à Saúde durante pandemia de Covid-19 no município de São Paulo (SP), Brasil / Work management and care in Primary Health Care during the COVID-19 pandemic in the city of São Paulo (SP), Brazil

O município de São Paulo historicamente foi marcado pela heterogeneidade da implementação pela coexistência de modelos conflitivos de gestão do SUS e de atenção na Atenção Primária à Saúde (APS). Consolidou-se a administração via contratos de gestão dos serviços de saúde, associada a uma lógica produtivista. Durante a pandemia de COVID-19, as fragilidades de uma APS seletiva tendem a ser pronunciadas. Assim, o presente artigo tem como objetivo analisar a gestão do trabalho e o cuidado na APS durante a pandemia de COVID-19 no município de São Paulo, em pesquisa qualitativa multicêntrica, ancorada no referencial teórico Paideia. Foram realizadas 31 entrevistas em profundidade com usuários e trabalhadores da APS e observação participante. Observou-se postura autoritária e gerencialista da gestão municipal na condução das respostas, com pouco espaço para escuta e diálogo. Notou-se enfraquecimento dos espaços coletivos e do vínculo entre serviço e comunidade; burocratização e precarização dos processos de trabalho e desmantelamento do NASF. Neste cenário, o cuidado caracterizou-se pela redução expressiva da clínica ampliada, compartilhada e pelo distanciamento das diretrizes da APS de base territorial e comunitária.

Gestão do trabalho e o cuidado na Atenção Primária à Saúde durante pandemia de COVID-19 no município de São Paulo (SP), Brasil / Work management and care in Primary Health Care during the COVID-19 pandemic in the city of São Paulo (SP), Brazil

Resumo O município de São Paulo historicamente foi marcado pela heterogeneidade da implementação pela coexistência de modelos conflitivos de gestão do SUS e de atenção na Atenção Primária à Saúde (APS). Consolidou-se a administração via contratos de gestão dos serviços de saúde, associada a uma lógica produtivista. Durante a pandemia de COVID-19, as fragilidades de uma APS seletiva tendem a ser pronunciadas. Assim, o presente artigo tem como objetivo analisar a gestão do trabalho e o cuidado na APS durante a pandemia de COVID-19 no município de São Paulo, em pesquisa qualitativa multicêntrica, ancorada no referencial teórico Paideia. Foram realizadas 31 entrevistas em profundidade com usuários e trabalhadores da APS e observação participante. Observou-se postura autoritária e gerencialista da gestão municipal na condução das respostas, com pouco espaço para escuta e diálogo. Notou-se enfraquecimento dos espaços coletivos e do vínculo entre serviço e comunidade; burocratização e precarização dos processos de trabalho e desmantelamento do NASF. Neste cenário, o cuidado caracterizou-se pela redução expressiva da clínica ampliada, compartilhada e pelo distanciamento das diretrizes da APS de base territorial e comunitária.

Abstract The municipality of São Paulo has historically been marked by a heterogeneous implementation and coexistence of conflicting models of SUS management and Primary Health Care (PHC). The administration of health services management contracts was consolidated and associated with a productivist rationale. The selective PHC weaknesses tend to be pronounced during the COVID-19 pandemic. Thus, the present article aims to analyze work management and care in PHC during the COVID-19 pandemic in the municipality of São Paulo through a multicenter qualitative research anchored in the Paideia theoretical framework. We conducted 31 in-depth interviews with PHC clients and workers, along with participant observation. We noted the municipal management's authoritarian and managerialist stance when conducting the responses, with little room for listening and dialogue. We identified weakened collective spaces and service-community bond, bureaucratization and precariousness of work processes, and NASF's dismantling. In this setting, care was characterized by significantly reducing the expanded and shared clinical practice and the distancing from the territorial and community-based PHC guidelines.

Compound odontoma causing impaction of primary tooth in a 4-year-old child: case report / Impacção de dente decíduo por presença de odontoma composto em criança de 4 anos: relato de caso

Objetivo: relatar um caso raro de impacção de um incisivo decíduo inferior pela presença de odontoma composto, bem como descrever a sua abordagem clínica. Relato de caso: paciente do sexo masculino, com 4 anos de idade, apresentava ausência do incisivo lateral decíduo inferior esquerdo. O exame radiográfico mostrou impacção do incisivo não erupcionado próximo a estruturas radiopacas sugestivas de odontoma composto. O paciente foi acompanhado por dois anos, momento em que se realizou abordagem cirúrgica do caso. Após a cirurgia, a hipótese de diagnóstico de odontoma composto foi confirmada e com o acompanhamento ocorreu a erupção dos incisivos centrais permanentes inferiores. O paciente foi encaminhado para tratamento ortodôntico. Considerações finais: esse relato de caso aborda um caso raro de odontoma composto associado à não erupção de dente decíduo, uma vez que odontomas costumam ser detectados preferencialmente na segunda década de vida do paciente, sendo associados à impacção de dentes permanentes. Além disso, apresenta um protocolo de abordagem clínica para esses casos quando diagnosticados em idade precoce no paciente infantil.(AU)

Objective: to report a rare case of impaction of a primary mandibular incisor due to the presence of a compound odontoma and describe its clinical management. Case report: a 4-year-old boy presented with a "missing" primary left mandibular lateral incisor. Radiographs showed impaction of the unerupted incisor by adjacent radiopaque structures consistent with a compound odontoma. The patient was recalled periodically for 2 years, at which time surgical excision was performed. The diagnosis of compound odontoma was confirmed histologically, and the permanent mandibular central incisors erupted uneventfully; the patient was referred for orthodontic treatment. Final considerations: this case report describes an unusual case of compound odontoma associated with an unerupted deciduous tooth; odontomas are rare in this age range, occurring predominantly in the second decade of life and in association with impaction of permanent teeth. We also propose a protocol for clinical management of such early-onset cases.(AU)

Lead Removal Without Extraction Tools: A Single-Center Experience.

INTRODUCTION: Indications for cardiac devices have been increasing as well as the need for lead extractions as a result of infections, failed leads and device recalls. Powered laser sheaths, with a global trend towards the in-creasingly technological tools, meant to improve the procedure's outcome but have economic implications. OBJECTIVE: The aim of this study is to demonstrate the experience of a Bra-zilian center that uses simple manual traction in most lead removals per-formed annually, questioning the real need for expensive and technically challenging new devices. METHODS: This retrospective observational study included 35 patients who had a transvenous lead extraction in the period of a year between January 1998 and October 2014 at Hospital de Messejana Dr. Carlos Alberto Studart Gomes, in Fortaleza, CE, Brazil. Data were collected through a records review. They were evaluated based on age, type of device, dwelling time, indication for removal, technique used and immediate outcomes. RESULTS: The median dwelling time of the devices was 46.22 months. Infec-tion, lead fracture and device malfunction were the most common indica-tions. Simple traction was the method of choice, used in 88.9% of the pro-cedures. Manual traction presented high success rates, resulting in com-plete removal without complications in 90% of the cases. CONCLUSION: This article suggests that lead extraction by simple manual traction can still be performed effectively in countries with economic diffi-culties as a first attempt, leaving auxiliary tools for a second attempt in case of failure or contraindications to the simple manual traction technique.

Lead removal without extraction tools: a single-center experience

Abstract Introduction: Indications for cardiac devices have been increasing as well as the need for lead extractions as a result of infections, failed leads and device recalls. Powered laser sheaths, with a global trend towards the in-creasingly technological tools, meant to improve the procedure's outcome but have economic implications. Objective: The aim of this study is to demonstrate the experience of a Bra-zilian center that uses simple manual traction in most lead removals per-formed annually, questioning the real need for expensive and technically challenging new devices. Methods: This retrospective observational study included 35 patients who had a transvenous lead extraction in the period of a year between January 1998 and October 2014 at Hospital de Messejana Dr. Carlos Alberto Studart Gomes, in Fortaleza, CE, Brazil. Data were collected through a records review. They were evaluated based on age, type of device, dwelling time, indication for removal, technique used and immediate outcomes. Results: The median dwelling time of the devices was 46.22 months. Infec-tion, lead fracture and device malfunction were the most common indica-tions. Simple traction was the method of choice, used in 88.9% of the pro-cedures. Manual traction presented high success rates, resulting in com-plete removal without complications in 90% of the cases. Conclusion: This article suggests that lead extraction by simple manual traction can still be performed effectively in countries with economic diffi-culties as a first attempt, leaving auxiliary tools for a second attempt in case of failure or contraindications to the simple manual traction technique.

Celiac Crisis: an unusual presentation of gluten-sensitive enteropathy

Celiac disease (CD)­also known as gluten-sensitive enteropathy­is a chronic, genetically predisposing and autoimmune entity with a wide range of clinical manifestations triggered by gluten ingestion, which affects 1% of the general population. Currently, up to 60% of the diagnosis of CD is in adults due to the atypical course of the disease. The severe acute onset of CD­also called celiac crisis­is very uncommon and is still not well documented in adults. We report the case of a 58-year-old man who presented a 45-day history of subtle-onset diarrhea followed by malabsorption syndrome with progressive weight loss, anasarca, and electrolyte disturbances. The diagnostic work-up included an upper digestive endoscopy, which showed scalloping of the duodenal mucosa with pathological features confirmed on biopsies. Specific antibodies were positive, and a satisfactory clinical response was obtained once a gluten-free diet was started. Celiac crisis is a rare initial presentation of CD characterized by severe diarrhea, dehydration, weight loss, hypoproteinemia, and metabolic and electrolyte disturbances. Although rare, it should be considered in patients with apparently unexplained chronic diarrhea.

Celiac Crisis: an unusual presentation of gluten-sensitive enteropathy.

Celiac disease (CD)-also known as gluten-sensitive enteropathy-is a chronic, genetically predisposing and autoimmune entity with a wide range of clinical manifestations triggered by gluten ingestion, which affects 1% of the general population. Currently, up to 60% of the diagnosis of CD is in adults due to the atypical course of the disease. The severe acute onset of CD-also called celiac crisis-is very uncommon and is still not well documented in adults. We report the case of a 58-year-old man who presented a 45-day history of subtle-onset diarrhea followed by malabsorption syndrome with progressive weight loss, anasarca, and electrolyte disturbances. The diagnostic work-up included an upper digestive endoscopy, which showed scalloping of the duodenal mucosa with pathological features confirmed on biopsies. Specific antibodies were positive, and a satisfactory clinical response was obtained once a gluten-free diet was started. Celiac crisis is a rare initial presentation of CD characterized by severe diarrhea, dehydration, weight loss, hypoproteinemia, and metabolic and electrolyte disturbances. Although rare, it should be considered in patients with apparently unexplained chronic diarrhea.

Effect of tidal environment on the trophic balance of mixotrophic hexacorals using biochemical profile and photochemical performance as indicators.

Fluctuations of environmental factors in intertidal habitats can disrupt the trophic balance of mixotrophic cnidarians. We investigated the effect of tidal environments (subtidal, tidal pools and emerged areas) on fatty acid (FA) content of Zoanthus sociatus and Siderastrea stellata. Effect on photophysiology was also accessed as an autotrophy proxy. There was a general tendency of a lower percentage of zooplankton-associated FAs in colonies from emerged areas or tidal pools when compared with colonies from the subtidal environment. Moreover, tidal environment significantly affected the photophysiology of both species. Colonies from the subtidal generally showed lower values of α, ETRmax and Ek when compared with their conspecifics from tidal pools or emerged areas. However, the absence of consistent patterns in Fv/Fm and in dinoflagellate-associated FAs, suggest that these corals are well adapted to intertidal conditions. This suggests that intertidal pressures may disturb the trophic balance, mainly by affecting heterotrophy of these species.

Conformal QED in two-dimensional topological insulators.

It has been shown that local four-fermion interactions on the edges of two-dimensional time-reversal-invariant topological insulators give rise to a new non-Fermi-liquid phase, called helical Luttinger liquid (HLL). Here, we provide a first-principle derivation of this HLL based on the gauge-theory approach. We start by considering massless Dirac fermions confined on the one-dimensional boundary of the topological insulator and interacting through a three-dimensional quantum dynamical electromagnetic field. Within these assumptions, through a dimensional-reduction procedure, we derive the effective 1 + 1-dimensional interacting fermionic theory and reveal its underlying gauge theory. In the low-energy regime, the gauge theory that describes the edge states is given by a conformal quantum electrodynamics (CQED), which can be mapped exactly into a HLL with a Luttinger parameter and a renormalized Fermi velocity that depend on the value of the fine-structure constant α.

Excitonic gap generation in thin-film topological insulators.

In this work, we analyze the excitonic gap generation in the strong-coupling regime of thin films of three-dimensional time-reversal-invariant topological insulators. We start by writing down the effective gauge theory in 2 + 1-dimensions from the projection of the 3 + 1-dimensional quantum electrodynamics. Within this method, we obtain a short-range interaction, which has the form of a Thirring-like term, and a long-range one. The interaction between the two surface states of the material induces an excitonic gap. By using the large-N approximation in the strong-coupling limit, we find that there is a dynamical mass generation for the excitonic states that preserves time-reversal symmetry and is related to the dynamical chiral-symmetry breaking of our model. This symmetry breaking occurs only for values of the fermion-flavor number smaller than [Formula: see text]. Our results show that the inclusion of full dynamical interaction strongly modifies the critical number of flavors for the occurrence of exciton condensation, and therefore cannot be neglected.

Intracolonial variation in Siderastrea de Blainville, 1830 (Anthozoa, Scleractinia): taxonomy under challenging morphological constraints / Variação intracolonial em Siderastrea de Blainville (Anthozoa, Scleractinia): taxonomia sob limites morfológicos desafiadores

The morphology of sessile invertebrates, such as scleractinian corals, can be controlled by environmental and genetic mechanisms and, consequently, it is highly variable. Morphological variation has puzzled taxonomists by posing challenges to species classification within cryptic species complexes. The 'Atlantic Siderastrea Complex' is a suitable example. Because of overlapping diagnostic traits, the morphological interspecific limits of this group remain controversial and often resulted in doubtful synonyms. In addition, the recent identification of the Caribbean S. radians in the Southwestern Atlantic has revealed that intraspecific variation has been equivocally assessed. Traditionally, hierarchical categories of variation have been the criteria used to investigate the patterns of modular organisms as corals. However, despite its taxonomic and ecological implications, the category 'intracolonial' has been largely neglected. To evaluate the influences of intracolonial morphological variation in the identification of Atlantic siderastreids, colonies from Bahia State, northeastern Brazil, were collected and measured. Six characters were selected in S. radians and S. stellata, and the variation in these characters was analyzed with Discriminant Canonical Analysis. The columellar depth and diameter varied consistently within S. stellata and S. radians, but the septal number was the most important for differentiating the two species. The results of the study also represent the first report of S. radians on the northern coast of Bahia.

A morfologia de invertebrados sésseis, tais como corais escleractíneos, é controlada por mecanismos genéticos e ambientais e, por conseguinte, é muito variável. Entretanto, variação morfológica tem intrigado os taxonomistas principalmente por desafiar a identificação de complexos de espécies crípticas. O "Complexo Siderastrea do Atlântico" é um exemplo desta problemática. Por conta da sobreposição dos traços diagnósticos, os limites morfológicos interespecíficos deste grupo permanecem controversos e muitas vezes resultaram em sinonímias de interpretação duvidosa. Além disso, a recente identificação do S. radians para o Atlântico Sul revelou que a variação intra-específica tem sido avaliada equivocadamente. Tradicionalmente, categorias hierárquicas de variação são os critérios mais utilizados para investigar os padrões de organismos modulares como corais. No entanto, apesar de sua importância taxonômica e ecológica, a categoria "intracolonial" tem sido amplamente negligenciada. No sentido de elucidar a influencia de variação morfológica intracolonial na identificação do gênero Siderastrea, colônias do Estado da Bahia, nordeste do Brasil, foram coletadas e medidas. Seis características foram selecionadas em S. radians e S. stellata, e a variação destas características foi analisada através da Análise Discriminante Canônica. A profundidade e diâmetro columelar variaram de forma consistente dentro de S. stellata e S. radians, mas o número de septos foi o mais importante para diferenciar as duas espécies. Por fim, o estudo também provê o primeiro relato de S. radians no litoral norte da Bahia.

Impacto psicológico do diagnóstico do câncer de mama: um estudo a partir dos relatos de pacientes em um grupo de apoio

Este estudo objetivou analisar o impacto psicológico do diagnóstico do câncer de mama a partir dos relatos apresentados espontaneamente por mulheres acometidas pela doença durante as sessões de um grupo de apoio. Utilizando-se o critério de saturação, foram selecionadas 18 sessões do referido grupo de apoio, das quais, no total, participaram 93 mulheres. Os dados coletados foram submetidos a uma apreciação qualitativa a partir do empreendimento de uma análise temática de conteúdo. Os resultados obtidos apontam que o diagnóstico do câncer de mama causou, entre uma parcela expressiva das participantes, um impacto psicológico importante, uma vez que desencadeou experiências de surpresa e tensão, ensejou demonstrações de aceitação e força, motivou tentativas de explicação, redefiniu relacionamentos e intensificou o recurso à religiosidade. O delineamento de cada um desses processos, em suas dimensões positivas e negativas, fornece elementos profícuos para o aperfeiçoamento da assistência psicológica oferecida a tal população.(AU)

This study aimed to analyze breast cancer diagnosis' psychological impact since reports spontaneously presented during sessions of a support group for women diagnosed with this disease. Using the saturation criterion, 18 sessions of the referred support group were selected, in which, in total, 93 women participated. The collected data were submitted to a qualitative appreciation by a thematic analysis of content. The obtained results show that breast cancer diagnosis caused, among an expressive number of participants, an important psychological impact, once unchained surprise and tension experiences, stimulated acceptance and force demonstrations, motivated explanation attempts, redefined relationships and intensified religiosity. The comprehension of each one of those processes, in their positive and negative dimensions, supplies useful elements for the improvement of psychological services offered to this population.(AU)

Impacto psicológico do diagnóstico do câncer de mama: um estudo a partir dos relatos de pacientes em um grupo de apoio / Breast cancer diagnosis' psychological impact: a study since patients' reports in a support group

Este estudo objetivou analisar o impacto psicológico do diagnóstico do câncer de mama a partir dos relatos apresentados espontaneamente por mulheres acometidas pela doença durante as sessões de um grupo de apoio. Utilizando-se o critério de saturação, foram selecionadas 18 sessões do referido grupo de apoio, das quais, no total, participaram 93 mulheres. Os dados coletados foram submetidos a uma apreciação qualitativa a partir do empreendimento de uma análise temática de conteúdo. Os resultados obtidos apontam que o diagnóstico do câncer de mama causou, entre uma parcela expressiva das participantes, um impacto psicológico importante, uma vez que desencadeou experiências de surpresa e tensão, ensejou demonstrações de aceitação e força, motivou tentativas de explicação, redefiniu relacionamentos e intensificou o recurso à religiosidade. O delineamento de cada um desses processos, em suas dimensões positivas e negativas, fornece elementos profícuos para o aperfeiçoamento da assistência psicológica oferecida a tal população.

This study aimed to analyze breast cancer diagnosis' psychological impact since reports spontaneously presented during sessions of a support group for women diagnosed with this disease. Using the saturation criterion, 18 sessions of the referred support group were selected, in which, in total, 93 women participated. The collected data were submitted to a qualitative appreciation by a thematic analysis of content. The obtained results show that breast cancer diagnosis caused, among an expressive number of participants, an important psychological impact, once unchained surprise and tension experiences, stimulated acceptance and force demonstrations, motivated explanation attempts, redefined relationships and intensified religiosity. The comprehension of each one of those processes, in their positive and negative dimensions, supplies useful elements for the improvement of psychological services offered to this population.

Characterization of novel microsatellite markers in Musa acuminata subsp. burmannicoides, var. Calcutta 4.

BACKGROUND: Banana is a nutritionally important crop across tropical and sub-tropical countries in sub-Saharan Africa, Central and South America and Asia. Although cultivars have evolved from diploid, triploid and tetraploid wild Asian species of Musa acuminata (A genome) and Musa balbisiana (B genome), many of today's commercial cultivars are sterile triploids or diploids, with fruit developing via parthenocarpy. As a result of restricted genetic variation, improvement has been limited, resulting in a crop frequently lacking resistance to pests and disease. Considering the importance of molecular tools to facilitate development of disease resistant genotypes, the objectives of this study were to develop polymorphic microsatellite markers from BAC clone sequences for M. acuminata subsp. burmannicoides, var. Calcutta 4. This wild diploid species is used as a donor cultivar in breeding programs as a source of resistance to diverse biotic stresses. FINDINGS: Microsatellite sequences were identified from five Calcutta 4 BAC consensi datasets. Specific primers were designed for 41 loci. Isolated di-nucleotide repeat motifs were the most abundant, followed by tri-nucleotides. From 33 tested loci, 20 displayed polymorphism when screened across 21 diploid M. acuminata accessions, contrasting in resistance to Sigatoka diseases. The number of alleles per SSR locus ranged from two to four, with a total of 56. Six repeat classes were identified, with di-nucleotides the most abundant. Expected heterozygosity values for polymorphic markers ranged from 0.31 to 0.75. CONCLUSIONS: This is the first report identifying polymorphic microsatellite markers from M. acuminata subsp. burmannicoides, var. Calcutta 4 across accessions contrasting in resistance to Sigatoka diseases. These BAC-derived polymorphic microsatellite markers are a useful resource for banana, applicable for genetic map development, germplasm characterization, evolutionary studies and marker assisted selection for traits.

Características e agravos prevalentes da população assistida na fase perinatal: estudo em um hospital terciário do SUS / Characteristics, diseases and injuries of a maternal and child population assisted during the perinatal phase: research performed in a high complexity hospital of the Public Health System / Características y problemas prevalentes en la población atendida en período perinatal: estudio en un hospital terciario del SUS

Com este texto, objetivou-se caracterizar os aspectos sociodemográficos da clientela e determinar o perfil das doenças e dos agravos prevalentes da população materno-infantil assistida na fase perinatal. Este é um estudo quantitativo, de corte transversal, por meio do qual são analisados 421 prontuários do serviço de obstetrícia de um hospital terciário do SUS, situado em Fortaleza-Ceará, no período de janeiro de 2005 a dezembro de 2006. As variáveis estudadas foram as características socioeconômicas, como idade, estado civil, escolaridade e profissão; características obstétricas, como tipo de parto, consulta pré-natal e complicações prevalentes na população da unidade de obstetrícia e neonatologia. Prevaleceram, na população estudada, mulheres de faixa etária entre 20 a 25 anos (30,2%), solteiras (56,8%), dentre as quais 45,7% possuíam o ensino fundamental e 56,9% eram donas de casa - "do lar". Em relação às características obstétricas, 21,3% das usuárias realizaram acima de seis consultas pré-natais e 54,5% dos partos foram do tipo cesárea. A principal complicação materna foi a pré-eclâmpsia (43,4%) e o principal agravo entre os recém nascidos foi a síndrome do desconforto respiratório (64,1%). O perfil de doenças e agravos com a mãe e o bebê são de médio e alto riscos, carecendo de assistência especializada e qualificada; portanto, há necessidade de ampliação de recursos humanos e materiais para atender às necessidades dessa população.

OBJECTIVES: this study aims to characterize the socio demographic aspects of a maternal and child population assisted during the perinatal phase, as well as the diseases and injuries most prevalent in these patients. METHODS: this is a transversal study with a quantitative approach, in which 421 files from the obstetrics service of a public high complexity hospital of Fortaleza, Ceará, were analyzed. It took place between January, 2005 and December, 2006. The following variables were studied: socioeconomic features (age, marital status, education level and profession); obstetric features (type of delivery, prenatal assistance and complications). RESULTS: 30.2% of the patients were 20 to 25 years old, 56.8% were single, 45.7% had elementary school level and 56.9% were housewives. Regarding obstetrics features, 21.3% of the patients had had at least 6 prenatal appointments and 54.5% of the deliveries were cesarean type. The main maternal complication was preeclampsia (43.4%) and the main injury among newborns was the respiratory distress syndrome (64.1%). CONCLUSIONS: Diseases and injuries among mothers and babies are of medium and high risk and lack qualified assistance. It is essential to enhance human and material resources to meet the needs of this population.

Caracterizar los aspectos sociodemográficos de la clientela y determinar el perfil de las enfermedades y de los problemas prevalentes en la población materno-infantil atendida en el período perinatal. Estudio cuantitativo, de corte transversal, que analiza 421 prontuarios del servicio de obstetricia de un hospital terciario del SUS de Fortaleza-Ceará, entre enero de 2005 y diciembre de 2006. Las variables estudiadas fueron características socioeconómicas tales como edad, estado civil, escolaridad y profesión; características obstétricas como tipo de parto, consulta prenatal y complicaciones prevalentes en la población de la unidad de obstetricia y neonatología. En la población estudiada prevalecieron las mujeres entre 20 y 25 años (30,2%), solteras (56,8%), 45,7% con estudios básicos y 56,9% amas de casa. Con relación a las características obstétricas 21,3% de las usuarias realizaron más de 6 consultas prenatales y 54,5% de los partos por cesárea. La complicación materna principal fue la preeclampsia (43,4%) y el problema principal entre los recién nacidos era el síndrome de molestia respiratoria (64,1%). El perfil de las enfermedades y problemas con las madres y los bebés es de mediano y alto riesgo, no hay atención especializada ni cualificada; por lo tanto, deben ampliarse los recursos humanos y materiales para atender a las necesidades de esta población.