scholarly journals SÍFILIS CONGÊNITA: UMA ANÁLISE DO PERFIL EPIDEMIOLÓGICO NO MUNICÍPIO DE CRICIÚMA

2018 ◽  
Vol 7 (2) ◽  
pp. 236-248
Author(s):  
Luana Rosso ◽  
Mariá Vaz Franco Martins ◽  
Maria Tereza Soratto ◽  
Ivanir Prá da Silva Thomé ◽  
Rozilda Lopes de Souza
Keyword(s):  
Pregnant Women ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Epidemiological Profile ◽  
The City ◽  
Hiv Aids

A sífilis é uma doença infecciosa sistêmica de evolução crônica e muitas vezes assintomática, transmitida principalmente por via sexual e vertical. O estudo em questão trata-se de um estudo de corte transversal, retrospectivo, descritivo de natureza quantitativa e documental, a coleta de dados se deu no Programa de Atenção Municipal as DST/HIV/AIDS (PAMDHA) do município de Criciúma, através de pesquisa documental com base nos dados da Vigilância Epidemiológico do SINAN com o objetivo de investigar os casos de sífilis congênita no município. Através da pesquisa pode-se perceber que entre os anos de 2015 e 2016 constatou 3,7% do total de casos pesquisados chegaram a óbito, dos RN nascidos com sífilis 51,9% foram assintomáticos e 3,8% sintomáticos, os demais não apresentaram características. Do total de gestantes, 66,6% realizou pré-natal e foram diagnosticadas a partir do mesmo, possibilitando o tratamento. Para que haja uma menor prevalência de casos de sífilis é necessário que os profissionais da saúde adotem, além das políticas públicas já disponíveis outros hábitos que levem ao alcance de todas as classes de gestantes, para evitar mais casos de sífilis.Palavras-chave: Gestantes. Sífilis Congênita. Recém-Nascidos. Infecções Sexualmente Transmissíveis. CONGENITAL SYPHILIS: AN ANALYSIS OF THE EPIDEMIOLOGICAL PROFILE IN THE CITY OF CRICIÚMA ABSTRACT: Syphilis is a systemic infectious disease of chronic evolution and often asymptomatic, transmitted mainly through sexual and vertical. The study in question it is a cross-sectional study, retrospective, descriptive quantitative and documentary nature, data collection took place in the Attention the Municipal STD/HIV/AIDS (PAMDHA) of the city of Criciúma, through documentary research based on Epidemiological Surveillance data from SINAN aiming to investigate the cases of congenital syphilis in the municipality. Through research you can notice that between the years 2015 and 2016 found 3.7% of total cases surveyed came to death, the RN born with syphilis 51.9% 3.8% were asymptomatic and symptomatic, the others did not show characteristics. Of the total of 66.6% pregnant women, prenatal and conducted were diagnosed from the same, allowing the treatment. So there is a lower prevalence of syphilis cases is necessary that health professionals adopt, in addition to the already available public policies other habits that lead to reach of all classes of pregnant women, to prevent more cases of syphilis.Keywords: Pregnant women. Congenital Syphilis. Newborns. Sexually Transmitted Infections.

scholarly journals Syphilis Notifications and the Triggering Processes for Vertical Transmission: A Cross-Sectional Study

2020 ◽  
Vol 17 (3) ◽  
pp. 984 ◽  
Author(s):  
Samara Isabela Maia de Oliveira ◽  
Cecília Olívia Paraguai de Oliveira Saraiva ◽  
Débora Feitosa de França ◽  
Marcos Antônio Ferreira Júnior ◽  
Libna Helen de Melo Lima ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Vertical Transmission ◽  
Professional Training ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Concomitant Treatment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adequate Treatment

Syphilis is a disease that is found all over the world that causes damaging effects to the fetus through vertical transmission. This study aimed to analyze the processes that trigger the vertical transmission of syphilis through gestational and congenital syphilis notifications. It is a cross-sectional study. The sample totaled 129 notifications of syphilis in pregnant women and 132 notifications of congenital syphilis in the city of Natal, from 2011 to 2015. Data were obtained from the Information System for Disease Notification. The Chi-square, Student’s and Fisher’s tests were used to verify associations of interest. Diagnosis of maternal syphilis was predominant in the third trimester of pregnancy. Only 1.6% of the pregnant women were registered with an adequate treatment regimen, of these 16.3% had the concomitant treatment with their partners. Of the affected children, 78.8% were registered as asymptomatic. The factors that trigger vertical transmission are related to the late diagnosis of the pregnant woman and sexual partner(s) and the deficiencies in clinical/therapeutic management in relation to the phase of the disease. Strategies of professional training should be adopted to notify and expand the provision of information for epidemiological surveillance, aiming to strengthen care, reduce vertical transmission and enable the continuous analysis of this problem.

scholarly journals Análise epidemiológica e espacial de HIV/AIDS em crianças e gestantes

2019 ◽  
Vol 14 ◽  
Author(s):  
Hayla Nunes da Conceição ◽  
Jessica Mykaella Ferreira Feitosa ◽  
Joseneide Teixeira Câmara ◽  
Tharliane Silva Chaves ◽  
Beatriz Mourão Pereira ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Young Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Disease Information ◽  
Quantitative Descriptive ◽  
Epidemiological Profile ◽  
Transmisión Vertical ◽  
Hiv Aids

Objetivo: analisar o perfil epidemiológico e a distribuição espacial dos casos notificados de HIV/AIDS em crianças e gestantes. Método: trata-se de um estudo quantitativo, descritivo, retrospectivo, epidemiológico, transversal. Compôs-se a amostra por todos os casos de gestantes soropositivas notificadas como infectadas com o HIV no SINAN e crianças com AIDS registradas no SIM, entre 1º de janeiro de 2008 e 31 de dezembro de 2016. Obtiveram-se os dados por meio do Sistema de Informação de Agravos de Notificação e do Sistema de Informação sobre Mortalidade, em residentes no município. Resultados: notificou-se um total de 37 casos de gestantes soropositivas, sendo estas jovens com idades entre 16 e 20 anos (32,5%), pardas (70,3%), com menos de oito anos de estudo (70,3%) e donas de casa (59,5%). Registraram-se apenas três casos de crianças com AIDS. Conclusão: conclui-se que o aumento na taxa de incidência de HIV em gestantes, bem como os casos registrados de óbitos em crianças pela AIDS, evidencia a falha na assistência prestada a esses indivíduos. Descritores: Gestantes; Crianças; Transmissão Vertical de Doença Infecciosa; Epidemiologia; Saúde Pública; Estudos Transversais.AbstractObjective: to analyze the epidemiological profile and spatial distribution of reported cases of HIV / AIDS in children and pregnant women. Method: this is a quantitative, descriptive, retrospective, epidemiological, cross-sectional study. The sample consisted of all cases of seropositive pregnant women reported as infected with HIV in SINAN and children with AIDS registered in SIM, between January 1, 2008 and December 31, 2016. Data were obtained through the System. Reporting Disease Information and Mortality Information System in residents of the municipality. Results: a total of 37 cases of seropositive pregnant women were reported, being these young women aged 16 to 20 years (32.5%), brown (70.3%), with less than eight years of study (70.3 %) and housewives (59.5%). There were only three cases of children with AIDS. Conclusion: it is concluded that the increase in the incidence rate of HIV in pregnant women, as well as the reported cases of deaths in children by AIDS, shows the failure in the care provided to these individuals. Descriptors: Pregnant Women; Children; Communicable Diseases; Epidemiology; Public Health; Cross-Sectional Studies.ResumenObjetivo: analizar el perfil epidemiológico y la distribución espacial de los casos notificados de VIH/SIDA en niños y mujeres embarazadas. Método: este es un estudio cuantitativo, descriptivo, retrospectivo, epidemiológico, transversal. La muestra consistió en todos los casos de mujeres embarazadas seropositivas reportadas como infectadas con VIH en SINAN y niños con SIDA registrados en SIM, entre el 1 de enero de 2008 y el 31 de diciembre de 2016. Los datos se obtuvieron a través del Sistema de Información de Agravios de Notificación y del Sistema de Información de Mortalidad en residentes del municipio. Resultados: se informaron un total de 37 casos de mujeres embarazadas seropositivas, siendo estas mujeres jóvenes de 16 a 20 años (32.5%), marrones (70.3%), con menos de ocho años de estudio (70.3 %) y amas de casa (59.5%). Solo hubo tres casos de niños con SIDA. Conclusión: se concluye que el aumento en la tasa de incidencia de VIH en mujeres embarazadas, así como los casos reportados de muertes en niños por SIDA, muestran el fracaso en la atención brindada a estas personas. Descriptores: Mujeres Embarazadas; Niño; Transmisión Vertical de Enfermedad Infecciosa; Investigación sobre Servicios de Salud; Estudios Transversales.

scholarly journals The hope of women with HIV/AIDS: evaluation using the Herth Scale

2013 ◽  
Vol 22 (1) ◽  
pp. 141-148 ◽  
Author(s):  
Fabiana de Souza Orlandi ◽  
Neide de Souza Praça
Keyword(s):  
Healthcare Services ◽  
Cross Sectional Study ◽  
Ethics Committee ◽  
Average Score ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women ◽  
The City ◽  
Hiv Aids

This descriptive cross-sectional study had the objective to evaluate the level of hope in women aged 50 or older suffering from HIV/AIDS, utilizing the Herth Hope Scale. The study involved 200 HIV- positive women, within the age bracket of interest, enrolled in three STI/AIDS specialized healthcare services in the city of São Paulo. The rules of the 196/96 Resolution were met and the study was approved by the Research and Ethics Committee. Data were collected in 2010 using two instruments: subjects' characterization and the Herth Hope Scale. Results demonstrated an average score of 36.75 (±4.52) on the Herth Hope Scale, with an interval of 12 to 48. This score is below the score obtained with the same scale for various pathologies, indicating a reduced perception of hope by the sample. Nurses should provide interventions to improve hope for these people, establishing realistic goals and strengthening social support.

scholarly journals Factors influencing the dental caries in pregnant women: a cross-sectional study

2021 ◽  
Vol 10 (1) ◽  
pp. e32810111226
Author(s):  
Gabriela Bohrer Bolsson ◽  
Jessica Klöckner Knorst ◽  
Marília Cunha Maroneze ◽  
Maísa Casarin ◽  
Patrícia Pasquali Dotto ◽  
...  
Keyword(s):  
Dental Caries ◽  
Pregnant Women ◽  
Basic Research ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The City ◽  
Santa Maria

Objective: To assess factors associated with the average number of dental caries in pregnant women. Method: Basic research design: This cross-sectional study was performed between January 2017 and December 2018 in Santa Maria, Brazil. Clinical setting and participants: Multistage random sampling resulted in the recruitment of 256 pregnant women from public health centers across the city. Clinical exams and semi-structured questionnaires including demographic, socioeconomic and behavioral questions were performed by trained interviewers. Main outcome measure: The experience of dental caries was evaluated through the mean value of the Decay, Missing, and Filled Surface Index (DMFS) by 4 trained and calibrated examiners. Multilevel Poisson regression models were used to evaluate the influence of different variables on the average number of dental caries. Rate ratio (RR) and respective 95% confidence intervals were calculated (CI 95%). Results: The prevalence of untreated dental caries was 62.7% in the sample, while the mean DMFS index was 10.27 (± 10.92). Women who smoked during pregnancy had a higher mean DMFS (RR 1.41; 95% CI 1.25-1.57). Furthermore, pregnant women who had poor self-ratings of oral health had a higher average DMFS (RR 1.21; 95% CI 1.10-1.32). Conclusions: The results showed that older age, ethnicity, fewer years in education and the presence of dental plaque resulted in higher means of DMFS.

scholarly journals Perfil epidemiológico da sífilis congênita

2019 ◽  
Vol 13 (3) ◽  
pp. 604
Author(s):  
Isadora Maria Delmiro Silva ◽  
Eliane Maria Medeiros Leal ◽  
Helder Freire Pacheco ◽  
José Gilmar de Souza Junior ◽  
Filipe Santana da Silva
Keyword(s):  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Health Profile ◽  
Sectional Study ◽  
Annual Incidence Rate ◽  
Cross Sectional ◽  
Live Births ◽  
El Sistema ◽  
Epidemiological Profile

RESUMOObjetivo: descrever o perfil epidemiológico dos casos de Sífilis Congênita (SC) notificados em um município nordestino. Método: trata-se de um estudo do tipo seccional, de caráter descritivo, de todos os casos de sífilis congênita notificados pelo Sistema de Informação de Agravos de Notificação (SINAN) e pelo Sistema de Informações sobre Nascidos Vivos (SINASC). Apresentam-se os resultados em forma de tabelas. Resultados: identificaram-se 57 casos, com taxa anual média de incidência de SC de 6,72 casos por mil nascidos vivos (NV), entre 2011-2015, variando de 11,20/1000 NV em 2012 a 3,77/1000 NV em 2015. Registrou-se no período uma diminuição de 7,4% nos casos, porém, ainda ultrapassando a meta do Ministério da Saúde de incidência menor ou igual a 1/1000 NV. Conclusão: aponta-se, pelo estudo, a necessidade de melhorias na qualidade da assistência pré-natal, pois, mesmo havendo a diminuição na incidência da SC, os indicadores mostram valores distantes da meta. Descritores: Sífilis Congênita; Nascimento Vivo; Nascimento; Gravidez; Perfil de Saúde; Vigilância; Epidemiologia.ABSTRACT Objective: to describe the epidemiological profile of Congenital Syphilis (CS) cases reported in a Northeastern municipality. Method: this is a cross-sectional study of all cases of congenital syphilis reported by the SINAN and the SINASC. The results are presented in the form of tables. Results: 57 cases were identified, with a mean annual incidence rate of SC of 6.72 cases per thousand live births (LB), between 2011-2015, ranging from 11.20 / 1000 LB in 2012 to 3.77 / 1000 LB in 2015. A reduction of 7.4% in cases was recorded in the period, however, still exceeding the target of the Ministry of Health of incidence less than or equal to 1/1000 LB. Conclusion: the study points to the need for improvements in the quality of prenatal care, since even though there is a decrease in the incidence of CS, the indicators show values that are distant from the goal. Descriptors: Congenital syphilis; Live Birth; Birth; Pregnancy; Health Profile; Surveillance; Epidemiology.RESUMENObjetivo: describir el perfil epidemiológico de los casos de Sífilis Congénita (SC) notificados en un municipio nordestino. Método: se trata de un estudio del tipo seccional, de carácter descriptivo, de todos los casos de sífilis congénita notificados por el Sistema de Información de Agravios de Notificación (SINAN) y por el Sistema de Información sobre Nacidos Vivos (SINASC). Se presentan los resultados en forma de tablas. Resultados: se identificaron 57 casos, con una tasa anual media de incidencia de SC de 6,72 casos por mil nacidos vivos (NV), entre 2011-2015, variando de 11,20 / 1000 NV en 2012 a 3,77 / 1000 NV en el año En el período se redujo un 7,4% en los casos, pero superando la meta del Ministerio de Salud de incidencia menor o igual a 1/1000 NV. Conclusión: se señala, por el estudio, la necesidad de mejoras en la calidad de la asistencia prenatal, pues, aun habiendo la disminución en la incidencia de la SC, los indicadores muestran valores distantes de la meta. Descriptores: Sífilis Congénita; Nacimiento Vivo; Nacimiento; Embarazo; Perfil de Salud; Vigilancia; Epidemiología.

scholarly journals Overview of syphilis in a northern Brazilian city from 2013 to 2017

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
OSVALDO CAMPOS DOS SANTOS NONATO ◽  
Raissa Barbosa Martins ◽  
Suzana Bezerra da Silva Sussuarana ◽  
Layra Lucy Maria Albuquerque da Costa
Keyword(s):  
Congenital Syphilis ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Sexual Contact ◽  
Indigenous Populations ◽  
Sectional Study ◽  
Cross Sectional ◽  
Live Births ◽  
The City ◽  
Mixed Ethnicity

Justifications and Objectives: Syphilis is the most widespread bacterial infection in the human population, being the main form of transmission through sexual contact. It was analyzed the epidemiological data of the population of the city of Rio Branco, Acre, Brazil, with a positive diagnosis of syphilis between 2013 and 2017. Methods: This is a descriptive, cross-sectional study, with a quantitative approach applied to data from Acre’s Central Public Health Laboratory of the population infected with T. pallidum. Results: Of a total of 5,239 people infected with syphilis, 56.8% are female between the ages of 20 and 30 years old and self-declared to have mixed ethnicity. Moreover, 1,006 pregnant women, 43% of whom were between 11 and 20 years old and 37.5% were in the 2 nd trimester of pregnancy. For live births, 107 children with early congenital syphilis were diagnosed. Conclusions: Infection prevention information should be intensified, especially for people who are unaware of STIs in the city, such as adolescents, elderly people and indigenous populations, in order to avoid syphilis transmission.

scholarly journals Evaluation of the WHO/CDC Syphilis Serology Proficiency Programme to support the global elimination of mother-to-child transmission of syphilis: an observational cross-sectional study, 2008–2015

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e029434
Author(s):  
André O Hopkins ◽  
Thuy Trinh ◽  
Yetunde F Fakile ◽  
Allan Pillay ◽  
Melanie M Taylor ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Lower Income ◽  
Sectional Study ◽  
Cross Sectional ◽  
National Reference ◽  
Syphilis Testing ◽  
Lower Income Countries ◽  
Syphilis Serology

ObjectivesSyphilis morbidity is high among pregnant women in lower income countries with limited laboratory capacity. We evaluated a long-standing global Syphilis Serology Proficiency Programme (SSPP) that supports testing quality in national reference laboratories to determine if participation affects congenital syphilis elimination strategies.DesignIn this observational cross-sectional study, we calculated coverage on type, frequency and quality of syphilis testing reported by laboratories enrolled in the SSPP from 2008 to 2015. We used country-reported data to WHO on four congenital syphilis (CS) indicators and World Bank country economic data to compare coverage and completeness of reporting of indicators in lower income countries with and without an SSPP-enrolled laboratory.ParticipantsFrom 2008–2015, 78 laboratories from 51 countries participated in>1 SSPP evaluation; 56% were national reference laboratories, of which most (93%) participated for>3 years and 11 (22%) in all 24 cycles.ResultsMedian proficiency performance score was >95% regardless of test conducted. Of the 51 countries with an SSPP-enrolled laboratory, 22 (43%) were lower-income countries, of which 21 reported CS data during 2008–2015. Comparing CS data from 87 (90% of total) lower income countries with and without an SSPP-enrolled laboratory, countries with an SSPP-laboratory had stronger reporting on antenatal syphilis testing (p=0.04). For 2015, an estimated 74% of prenatal syphilis tests and 63% of positive tests reported to WHO from countries with an SSPP-enrolled laboratory.ConclusionThe SSPP has focused well on national reference laboratories, but has been only partially successful in recruiting laboratories from lower income countries. The finding that over half of syphilis infections in pregnant women living in countries with SSPP-enrolled laboratories suggests wide reach of the current quality assurance programme. However, reach could expand with focussed recruitment of laboratories from lower income countries.

scholarly journals Hubungan Kepatuhan Mengonsumsi Tablet Fe Dan Keteraturan Kunjungan ANC Dengan Kejadian Anemia Pada Ibu Hamil

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Mariene Wiwin Dolang
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Research Design ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship ◽  
The City

Objectives: The purpose of this study was to analyze the association of consuming Fe tablets and the regularity of ANC visits with the incidence of anemia in pregnant women in the health center passo the city of Ambon.  Methods: The research design used in this study was analytic observational with a cross sectional study. The population is all pregnant women in the puskesmas working area pass the city from January to December 2017 using the total sampling technique. The sample in this study was 115 mothers. Results: The results showed the relationship between participation in consuming Fe tablets (p = 0,000) and regularity of ANC visits (p = 0.021) with the incidence of anemia in pregnant women at the health center passo in Ambon city. Conclusion: The conclusion in this study has to do with consuming Fe tablets and between the regularity of ANC visits and the incidence of anemia in pregnant women in the health center passo the city of Ambon. Needed for pregnant women to routinely carry out checks. Problems with anemia, special anemia can be detected and treated early.

scholarly journals COVID-19 tents: specialized triage service, a temporal analysis of the patients’ profile

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Daniele Brasil ◽  
Luciana Julek ◽  
Luciane Patrícia Andreani Cabral ◽  
Guilherme Arcaro ◽  
Mirian Cristina Ribas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Temporal Analysis ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
N 93 ◽  
Epidemiological Profile ◽  
The City

ABSTRACT Objective: To analyze the change in the clinical-epidemiological profile of patients attended at the specialized triage service for COVID-19 (COVID-19 tent) in the first three months of operation. Methods: Cross-sectional study, with users attended from March 2020 to May 2020 (n=379) at the COVID-19 tent in the city of Ponta Grossa, Paraná. Data collection was retrieved from an electronic form fed by tent professionals, which included sociodemographic characteristics, symptoms, risk factors of exposure, means of search and clinical conduct. Trend tests and chi-square tests were performed. Results: March showed a greater demand (n=197), motivated by mild symptoms and direct search (p<0.05). In the following months, there was a decrease in demand (n=93; n=89), however the search for referrals, ambulances and conditions that required medical attention, observation and hospitalization increased (p<0.05). The search resulting from exposure to risk factors has not changed (p>0.05). Conclusion: the profile has changed over time, reflecting, in the end, severe and critical symptoms, requiring intervention.

scholarly journals Characterization of Polyclinic Psychiatry Patients in the Municipality of Gurupi-TO

2020 ◽  
pp. 18-24
Author(s):  
Thaís de Souza Rosa ◽  
Raissa Carvalho Marinho ◽  
Wemerson Davi de Miranda ◽  
Brisa Gomes Cangussú ◽  
Laís Tonello ◽  
...  
Keyword(s):  
Affective Disorder ◽  
Medical Records ◽  
Bipolar Affective Disorder ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Life Habits ◽  
Epidemiological Profile ◽  
The City

Introduction: Mental disorders are changes in psychological, mental or cognitive functioning, in which there is impairment, or suffering that impairs life habits, family, social interaction, among others. Objective: To trace the epidemiological profile of psychiatry patients of Gurupi polyclinic -TO. Materials and Methods: Descriptive cross-sectional study with a quantitative approach, performed from the analysis of 104 medical records of patients in the psychiatric specialty attended at Gurupi-TO polyclinic. Data were collected on gender, age, the city of origin, the profession, marital status and medical diagnosis. The data were analyzed from descriptive statistics, in absolute and relative values. Results: It was observed that people aged 6 to 84 years were observed, most of them female (63.5%). In addition, it is noticed that polyclinic users are mostly single (70%), residents of Gurupi city (84%). Regarding the profession, a high percentage of medical records do not contain these responses (58%), of the others are mostly from home (15%). The most prevalent disorders are bipolar affective disorder (34.2%) and depression (27.9%). Conclusion: It is possible to realize that psychiatric disorders are predominantly affecting female patients, aged between 30 and 49 years, single, as a profession of "home", with fixed residence in the city of Gurupi and diagnosed predominantly with mental pathologies related to bipolar affective disorder and depression.

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