Resumo Introdução A violência sexual afeta vários segmentos da sociedade e requer ação urgente. As mulheres são as principais vítimas desta injúria, que pode gerar inúmeras implicações. Assim, o papel dos serviços de saúde é essencial para o enfrentamento deste problema e garantia de maior adesão ao tratamento ambulatorial. Objetivo Objetivou-se analisar as características de mulheres vítimas de violência sexual e abandono de seguimento de tratamento ambulatorial. Método Estudo descritivo, analítico retrospectivo, quantitativo, de 161 prontuários de mulheres atendidas em um serviço de referência de violência sexual em Goiânia- G0, em 2015. Resultados A maioria das mulheres eram adultas (65,8%), residentes em Goiânia (55,3%), empregadas (50,3%), concluintes do ensino médio (30,4%), solteiras (55,3%), pardas (44,1%), heterossexuais (74,5%), sem deficiência (85,1%). Verificou- se uma associação entre o abandono de seguimento ambulatorial com o recebimento de profilaxia DSTs (p<0,001), imunoglobulina para hepatite B (p=0,002), contracepção de emergência (p=0,010), início do esquema de antirretrovirais (p=0,003) e abandono do seguimento após a primeira consulta (p <0,001). Houve significância entre vítimas gestantes e a conclusão do tratamento (p <0,001). Conclusão Conclui-se que, ao se conhecer os fatores relacionados à não adesão ao seguimento ambulatorial, novas estratégias poderão ser desenvolvidas pelos serviços especializados.

Abstract Background Sexual violence affects several segments of society and requires urgent action. Women are the main victims of this injury, that can generate countless implications. Thus, the role of health services is essential for coping with this problem and ensuring greater adherense to outpatient treatment. Objective The aim of this study was to analyze the characteristics of women victims of sexual violence and abandonment of ambulatorial treatment follow-up. Method This is a descriptive, retrospective analytical, quantitative study of 161 women's medical records attended at a referral service for sexual violence in Goiânia-GO, in 2015. Results Most women were adults (65.8%), residents in Goiânia (55.3%), employed (50.3%), high school graduates (30.4%), single (55,3%), browns (44.1%), heterosexuals (74.5%), without disabilities (85.1%). There was an association between the abandonment of ambulatorial follow-up and receipt of prophylaxis STD (p<0.001), immunoglobulin for hepatitis B (p=0.002), emergency contraception (p=0.010), initiate the antiretroviral regimen (p=0.003) and abandonment of follow-up after the first visit (p <0.001). There was significant between pregnant women victims and the completion of treatment (p <0.001). Conclusion It is concluded that when knowing the factors related to non-adherence for ambulatorial follow-up, new strategies should be developed by specialized services.

Endogenous endophthalmitis is an intraocular infection secondary to the hematogenous spread of microorganisms. It is an ophthalmological emergency associated with serious complications if not promptly diagnosed and treated. Despite the susceptibility of hemodialysis patients to episodes of bacteremia associated with vascular access, it is considered a rare disease. In fact, very few cases are described worldwide. We present 3 cases of endogenous endophthalmitis, secondary to bacteremia associated to vascular access in patients under hemodialysis treatment, aiming to raise awareness of this not so rare metastatic infection, possibly underdiagnosed in this population

Resumo Introdução A mortalidade materna representa um evento de grande magnitude no Brasil e no mundo, refletindo a falta de acesso aos serviços de saúde e as condições socioeconômicas desfavoráveis. Objetivo Relacionar as alterações maternas com o desfecho gravídico-puerperal no óbito materno. Métodos Estudo transversal e retrospectivo, conduzido com dados coletados de 53 prontuários de gestantes e puérperas que foram a óbito em um hospital estadual referência em gestação de alto risco em Goiás. Resultados A mortalidade ocorreu mais frequentemente em mulheres com idade entre 20 e 34 anos (76%), solteiras (55%), primigestas (38%), procedentes do interior do Estado (60%) e com parto na instituição do estudo (62%). As principais causas obstétricas de óbito foram as diretas (55%), com predomínio no período puerperal (83%). A razão da mortalidade materna correspondeu a 228,4 por 100 mil nascidos vivos. Houve uma associação significativa entre as complicações no parto e o local de ocorrência do parto (P=0,001). Conclusão O óbito materno ocorreu em solteiras, com idade reprodutiva, procedentes de outros municípios, por causas diretas e no puerpério. Ressalta-se a necessidade de melhorar o acesso aos serviços de saúde em obstetrícia, pois a maioria dos casos pode ser prevenida.

Abstract Introduction Maternal mortality represents an event of great magnitude in Brazil and worldwide. The occurrence of maternal death reflects the lack of access to health services and unfavorable socioeconomic conditions. Objective To correlate maternal changes and puerperal pregnancy outcome in maternal death. Methods Cross-sectional and retrospective study. We used data collected from 53 medical records of pregnant women and postpartum women who died at a Reference State Hospital in high risk gestation in Goiás. Results Mortality occurred in women aged 20 to 34 years (76%), single (55%), first pregnancy (38%), from the interior of the State (60%) and 62% had the childbirth at the institution of the study. The main obstetric causes were 55% direct and 24% indirect, being predominant in the puerperal period (83%). The maternal mortality ratio was 228.4. There was a significant association between complications at childbirth and the place of birth (P = 0.001). Conclusion The maternal death occurred in single women, of reproductive age, coming from other counties, for direct causes and in the puerperium. It is necessary to improve the access to health services in obstetrics, since most cases are preventable.

A Preschool Play Behavior Scale é um instrumento constituído por 18 itens que expressam diferentes tipos de comportamentos das crianças, em contexto de brincadeira livre com os pares, procurando diferenciar, em particular, tipos de comportamentos não-sociais. O presente estudo teve como objetivo traduzir e analisar a estrutura fatorial do instrumento e as suas características psicométricas. Sessenta educadoras descreveram os comportamentos de 369 crianças (166 raparigas), com idades compreendidas entre os 36 e os 60 meses, e a frequentar escolas de Ensino Particular com fins lucrativos e Instituições Particulares de Solidariedade Social, do Distrito de Lisboa/Portugal. O modelo final de 4 fatores - Comportamento Reticente, Solitário-Passivo, Solitário-Ativo e Brincadeira Social parece ajustar-se adequadamente aos grupos de idade e sexo considerados.

The Preschool Play Behaviour Scale (PPBS) is an 18-item questionnaire describing children’s behaviours during free play, in the presence of their peers. It aims, mainly, to differentiate different types of non-social behaviours. The goals of this study were to translate and test the factorial structure of the PPBS and its psychometric proprieties. Sixty preschool teachers described the behaviors of 369 children (166 girls), with ages ranging from 36 to 60 months. All attended private pre-school programs in the district of Lisbon/Portugal. A four model factorial structure: Reticent behaviour, Solitary-Passive behaviour, Solitary-Active behaviour, Social Play seems to fit when age and sex groups are considered.

Tuberous sclerosis complex is an autosomal dominant disorder characterized by the development of multiple tumours in distinct organs, although the ones most frequently affected are the skin, central nervous system, kidney, lung and liver. The kidney is the third most frequently affected organ, and angiomyolipomas are the most common lesions. Two-thirds of patients have sporadic mutations of the genes responsible for the disease, called tuberous sclerosis complex 1 and 2, encoding hamartin and tuberin, respectively. Hamartin and tuberin are tumoural suppressor proteins that are engaged in the control of cell proliferation and differentiation. When the tuberous sclerosis complex 1-2 suffers mutation, the mammalian target of rapamycin complex 1 pathway is constitutively activated, leading to neoplastic growth. Everolimus is a drug that inhibits mammalian target of rapamycin pathway and it is being used successfully in the treatment of renal angiomyolipomas associated with tuberous sclerosis complex. The authors report a case of a 34-year-old woman with tuberous sclerosis and giant renal angiomyolipoma, who received everolimus 10 mg daily for 6 months, but this was not associated with a reduction in the angiomyolipoma volume. This case describes the use of a systemic therapy in a rare genetic disorder. Although the treatment with everolimus did not reduce the patient’s renal angiomyolipoma volume and, thus, was apparently ineffective, no new lesions, bleeding episodes or deterioration of the kidney function were observed, suggesting that everolimus may have prevented disease progression

O reduzido envolvimento social, aspeto central na definição da solidão social, foi analisado numa amostra de 337 crianças portuguesas (171 rapazes), com idades compreendidas entre os três e os cinco anos. Com base em metodologias de observação, realizadas em contexto de Jardim de infância, verificou-se que níveis reduzidos de envolvimento social estão negativamente associados a baixos níveis de competência social, de resiliência e de um elevado ego-controle. A aceitação pelos pares, o impacto e a preferência social, analisados com base nas medidas sociométricas, encontram-se, também, negativamente associados com os níveis de baixo envolvimento social. Os resultados refletem as dificuldades de ajustamento psicossocial destas crianças e enfatizam o seu potencial risco para o desenvolvimento saudável.

Low social engagement, a central feature of the definition of solitude, was examined in a sample of 337 Portuguese children (171 boys), ages ranging between 3 and 5 years. Based on observation measures, collected in school settings, Low Social Engagement was negatively associated with a broad range of adaptive outcomes, including social competence, ego-resilience as well as higher levels of ego-undercontrol. Negative associations were also found with sociometric measures of peer acceptance, social impact and preference. The results reflect these children's difficulties in the social domain and stress the potential risk factor of social solitude for their healthy development.