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A manually classified dataset of images obtained by four static cameras located around a construction site is presented. Eight object classes, typically found in a construction environment, were considered. The dataset consists of 1046 images selected from video footage by a frame extraction algorithm and txt files containing the objects' class and coordinates information. These data can be used to develop computer vision techniques in the engineering and construction fields.

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Cardiac amyloidosis (CA) is a form of cardiomyopathy characterized by the extracellular deposit of protein fibers in the myocardium, leading to the development of heart failure, arrhythmias, and electrical conduction system alterations. It is known that most cardiomyopathies have a close relationship with heart rhythm abnormalities, however, CA is specially related to different kinds of arrhythmias even in pre-diagnosis stages. Arrhythmias like atrial fibrillation are present in up to 70% of patients with CA associated with a high risk of cardioembolic complications independent of the risk stratification. Ventricular arrhythmias are frequent, but the use of implantable cardioverter defibrillator has not been demonstrated to improve survival. The Atrial-Ventricular node disease is also common, and is frequently associated with the implantation of a pacemaker, even in asymptomatic patients. In this review, we clarify the recommendations of the most current guidelines, summarize historical and contemporaneous data and describe evidence-based strategies for the management of arrhythmias and their complications in CA.

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Aquatic organisms that inhabit coastal areas are often exposed to several contaminants. It is known that the bioaccumulation of contaminants can be amplified according to the species feeding habits and contaminant properties. As a consequence, species can experience different effects to contaminant exposure even if they inhabit the same area. The present study aimed to investigate the activities of carbonic anhydrase (CA), Ca2+-ATPase, and Mg2+-ATPase in different tissues (soft tissue, mantle, and gill) of three mollusk species (Lottia subrugosa, Stramonita brasiliensis, and Crassostrea brasiliana) with different feeding habits (herbivore, carnivore, and filter-feeder, respectively) which were sampled within a known contamination gradient at Santos Estuarine System (Southeastern Brazil). From the three enzymes tested, only CA was affected by the presence of contaminants within the contamination gradient evaluated. In general, the CA activity from the three species were lower in contaminated sites when compared to the reference site. The contrasting CA activity response observed in S. brasiliensis compared to L. subrugosa and C. brasiliana could be related to the tissue-specificity of this enzyme activity and species feeding habits (filter-feeders can accumulate more contaminants than herbivores and even carnivores). Results indicated that C. brasiliana mantle is the most suitable tissue for the use of CA analysis as a biomarker.

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Resumen Presentamos un caso de síndrome de marcapasos asociado a la ausencia de sincronía aurículo-ventricular, debido a la colocación invertida e inadvertida de los electrodos, en una paciente portadora de bloqueo aurículo-ventricular completo; para su diagnóstico, es fundamental un cuidadoso análisis del electrocardiograma, las imágenes con rayos X y los electrogramas intracavitarios.

Abstract Pacemaker syndrome: what is the mechanism? We present the case of pacemaker syndrome related to the absence of atrioventricular synchrony, due to inverted and inadvertent placement of the electrodes, in a patient with complete atrioventricular block. A careful analysis of the electrocardiogram, X-ray images and intracavitary electrograms are essential for its diagnosis.

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Resumen: Objetivo general: Determinar la incidencia de la trombosis venosa (TV) e infección asociada con el catéter central de inserción periférica (PICC). Material y métodos: Se realizó un estudio retrospectivo, replicativo y descriptivo, cuya duración fue de 38 meses. Los catéteres centrales de inserción periférica se colocaron por el Servicio de Radiología Intervencionista con la misma técnica en las extremidades superiores. Se guardó una imagen del procedimiento con el nombre y diámetro de la vena usada. En el estudio se incluyó a partir del primer catéter PICC colocado en marzo de 2015 hasta el último en abril de 2018. Se registraron las trombosis venosas demostradas por ultrasonido Doppler, la duración del catéter y las bacteriemias relacionadas con el PICC (BRC-PICC). Resultados: Se colocaron 448 PICC y, de éstos, se excluyeron 78. Los 370 catéteres restantes sumaron 3,363 días-catéter. El 99.45% de los procedimientos resultaron exitosos. La incidencia de trombosis encontrada fue de 0.016% (n = 6) y la de infección de 0.03% (n = 12). El vaso más frecuentemente utilizado fue la vena basílica derecha. Conclusiones: La incidencia tanto de trombosis como de infección se mantiene por debajo de las reportadas en la literatura. Las venas mayores a 3.8 mm de diámetro tienen una probabilidad muy baja de presentar trombosis venosa.

Abstract: Objective: To determine the incidence of venous thrombosis (VT) and infection associated with PICC lines. Material and methods: A retrospective, replicative and descriptive study was conducted over 38 months. The PICC line was inserted in the upper extremities by the Interventional Radiology Service with the same technique. An image of the procedure with the name and diameter of the selected vein was saved. Venous thrombosis, demonstrated by Doppler ultrasound, the duration of the catheter and bacteremia related to the PICC line (BRC-PICC) were recorded. Results: 448 PICCs were placed and 78 were excluded. The remaining 370 catheters added 3,363 catheter days. 99.45% of the procedures were technically successful. The incidence of thrombosis was 0.016% (n = 6) and that of infection 0.03% (n = 12). The most frequently selected vessel was the right basilic vein. Conclusions: The incidence of thrombosis and infection were below the reported in the literature. Veins greater than 3.8 mm have a very low probability of having TV.

Resumo: Objetivo: Determinar a incidência de trombose venosa (TV) e infecção associada ao PICC. Material e métodos: Foi realizado um estudo retrospectivo, replicativo e descritivo, durante 38 meses. Os cateteres PICC foram colocados nas extremidades superiores pelo serviço de Radiologia Intervencionista com a mesma técnica. Guardou-se uma imagem do procedimento com o nome e o diâmetro da veia utilizada. Incluíu-se desde o primeiro cateter PICC colocado em março de 2015 até abril de 2018. Registraram-se as tromboses venosas por ultrassom Doppler, duração do cateter e bacteremias relacionadas ao PICC (BRC-PICC). Resultados: Colocaram-se 448 PICC e foram excluídos 78. Os 370 cateteres restantes somaram 3363 dias de cateter. 99.45% dos procedimentos foram bem sucedidos. A incidência de trombose encontrada foi de 0.016% (n = 6) e a de infecção de 0.03% (n = 12). O vaso mais utilizado foi a veia basílica direita. Conclusões: A incidência de trombose e infecção permanece abaixo da relatada na literatura. Veias com diâmetro superior a 3.8 mm têm uma probabilidade muito baixa de apresentar trombose venosa.

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The risk of sudden death in hypertrophic cardiomyopathy is related to the presence of ventricular arrhythmias in most cases. Finding the best schemes to assess the probability of arrhythmic complications will remain a challenge for modern Cardiology. Meanwhile, the multifactorial approach is the best strategy to avoid the unnecessary implantation of devices such as the implantable cardioverter defibrillator. Although the electrocardiogram remains an excellent diagnostic tool, even before echocardiographic expression, it does not have a clear role as a risk factor. However, the identification of associated arrhythmias such as preexcitation or long QT and variants of presentation as apical hypertrophic cardiomyopathy, allows identifying patients with high probability of sudden death. During the last few years, cardiac resonance and quantification of intramyocardial fibrosis (the basic mechanism of ventricular arrhythmias) have gained an important role in the evaluation of these patients.In particular, pediatric patients must have an individualized approach due to the poor prognosis at early ages and the uncertain role of different tools for risk assessment and treatment.

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ABSTRACT Objective: This study analyzes dental surgeons' knowledge and clinical practice regarding sickle cell disease (SCD) at Family Health Units in Recife, northeastern Brazil. Methods: This cross-sectional study was conducted in a representative sample of dentists using a standardized questionnaire. Data were analyzed by descriptive statistics. Results: Out of 132 eligible dental surgeons, 124 (93.9%) were interviewed. Most of them were women (81.5%), aged between 28 and 39 years (53.2%), with more than 15 years of experience (52.4%). A percentage of 89.5% knew the definition and oral manifestations (53.2%) of the disease, but only 17.7% knew the dental care protocol. It was verified that 13.6% of the dentists who knew how to conduct the treatment had acquired this knowledge during their undergraduate studies. Conclusion: Regarding clinical practice, 71.8% said they would treat patients with SCD; however, 67.7% had never done that. Most dentists felt confident of performing dental procedures (82%) and their major difficulty was their lack of knowledge about the disease (57.1%). The findings suggest the need for the implementation of public policies for improving the qualification of dental surgeons who work in primary healthcare, thus minimizing risks during the dental care of SCD patients.

RESUMO Objetivo: Este estudo analisa o conhecimento e a atuação sobre doença falciforme de cirurgiões-dentistas de Unidades de Saúde da Família no Recife/Pernambuco. Métodos: O estudo transversal foi conduzido em amostra representativa de profissionais utilizando-se questionário padronizado. Os dados foram analisados por estatística descritiva. Resultados: Dos 132 cirurgiões-dentistas elegíveis, 124 (93,9%) foram entrevistados. A maioria era composta por mulheres (81,5%) com idade entre 28 e 39 anos (53,2%), com mais de 15 anos de formado (52,4%). Um percentual de 89,5% sabia a definição e as manifestações bucais (53,2%) da doença, apenas 17,7% conhecia o protocolo de atendimento odontológico. Verificou-se que 13,6% dos profissionais que conheciam o manejo do atendimento obtiveram esse conhecimento durante o curso de graduação. Quanto à atuação, 71,8% dos profissionais atenderia paciente com doença falciforme, no entanto, 67,7% dos profissionais nunca fizeram este acolhimento. A maioria se sente seguro para realizar procedimentos odontológicos (82%) e a principal dificuldade para o atendimento foi à falta de conhecimento sobre o assunto (57,1%). Conclusão: Este resultado sugere a necessidade da implementação de políticas públicas que objetivem reforçar a capacitação dos cirurgiões-dentistas que atuam na atenção básica, a fim de minimizar os riscos durante o atendimento odontológico desses pacientes.

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Introducción: Al aumentar la esperanza de vida se incrementa también la presencia de enfermedades crónicas degenerativas, que se caracterizan por ser incurables, progresivas e invariablemente fatales. Para proteger la autonomía de los enfermos terminales surgió en la Ciudad de México la Ley de Voluntad Anticipada, para respetar la decisión del paciente en fase terminal. Objetivo: Identificar el nivel de conocimiento de la población geriátrica respecto a la Ley de Voluntad Anticipada. Métodos: Estudio observacional, descriptivo, realizado en una Clínica de Medicina Familiar de septiembre a diciembre de 2016. Se empleó muestreo no probabilístico por conveniencia. Se calculó el tamaño de muestra con base en criterio de diferencia absoluta. Se utilizó estadística inferencial para relacionar las variables de estudio con el nivel de conocimiento, pruebas de chi cuadrado, exacta de Fisher y/o Kruskal Wallis. Nivel de significancia 0,05. Paquete estadístico SPSS. Resultados: Se entrevistaron 66 pacientes en total, el promedio de edad fue 79,74 años, el 72,2 por ciento tenía nivel de escolaridad básico. El 21,2 por ciento de la población sabía la existencia de la Ley de Voluntad Anticipada. En el análisis estadístico solo se obtuvo relación con significancia estadística entre el nivel de conocimiento acerca de la Ley de Voluntad Anticipada y la escolaridad de los pacientes para la mayoría de las preguntas. Conclusión: La Ley de Voluntad Anticipada es un recurso legal poco conocido en la población geriátrica, se deben establecer campañas de difusión así como sensibilizar al personal de salud para abordarla en la consulta diaria(AU)

Introduction: Increasing life expectancy also increases the presence of chronic degenerative diseases, which are characterized by being incurable, progressive and invariably fatal. The Law of Advance Will arose in Mexico City to protect the autonomy and respect the decision of patients in terminal stages. Objective: To identify the level of knowledge of the geriatric population regarding to the Law of Living Will. Methods: Observational, descriptive study performed in a Family Medicine's Clinic from September to December, 2016. A non-probabilistic sampling was used by convenience. The sample size was calculated based on the absolute difference's criteria. Inferential statistics were used to relate the study variables to the level of knowledge, and the Chi Square, exact Fisher and/or Kruskal Wallis tests. The significance level was of 0.05. It was used the SPSS statistical package. Results: 66 patients were interviewed in total, the average age was 79.74 years, 72.2 percent of them had basic level of schooling. 21.2 percent of the population knew about the existence of the Law of Living Will. The statistical analysis only obtained a relationship with statistical significance between the level of knowledge about the Law of Living Will and the schooling of patients for most of the questions. Conclusion: Law of Living Will is a little-known legal resource in the geriatric population and outreach campaigns should be established as well as sensitizing health personnel to address it in the daily consultation(AU)

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INTRODUCTION: Cardiovascular disease is the main cause of mortality worldwide. In women, its incidence increases at the sixth decade of life, coinciding with postmenopause. Whether this effect is due to menopause-related hormonal changes is not known. OBJECTIVE: To evaluate the differences in cardiovascular risk in pre- and postmenopausal women by means of the Globorisk risk scale, the triglyceride/high-density lipoproteins cholesterol (Tg/HDL-C) ratio and metabolic syndrome (MS) criteria. METHOD: Cross-sectional study that included 408 women from 40 to 60 years of age; anthropometric measurements and biochemical determinations were performed. The participants were classified as premenopausal and postmenopausal. Cardiovascular risk was assessed using the MS criteria, the Globorisk risk calculator and the Tg/HDL-C ratio. RESULTS: Postmenopausal women showed a significant increase in waist circumference, total cholesterol and triglycerides in comparison with premenopausal women. Significant associations were found between hormonal state and Globorisk measured cardiovascular risk (OR = 2.50; 95 % CI = 1.67-3.74) and the Tg/HDL-C ratio (OR = 1.66; 95 % CI = 1.09-2.52). CONCLUSION: Cardiovascular risk factors have a higher prevalence in postmenopause. The Globorisk scale and Tg/HDL-C ratio identify cardiovascular risk in postmenopausal women.

INTRODUCCIÓN: La enfermedad cardiovascular es la principal causa de mortalidad en el mundo. En la mujer se incrementa en la sexta década de la vida, coincidiendo con la posmenopausia. Se desconoce si este efecto se debe a cambios hormonales relacionados con la menopausia. OBJETIVO: Evaluar diferencias del riesgo cardiovascular en mujeres pre y posmenopáusicas mediante la escala de riesgo Globorisk, el índice triglicéridos/c-HDL (Tg/c-HDL) y los criterios de síndrome metabólico (SM). MÉTODOS: Estudio transversal que incluyó a 408 mujeres de 40 a 60 años; se realizaron mediciones antropométricas y bioquímicas. Las participantes se clasificaron en premenopáusicas y posmenopáusicas. El riesgo cardiovascular se evaluó utilizando los criterios de SM, calculadora de riesgo Globorisk y el índice Tg/c-HDL. RESULTADOS: Las mujeres en etapa posmenopáusica presentaron incremento significativo en la circunferencia de cintura, de colesterol total y triglicéridos, en comparación con las mujeres premenopáusicas. Se encontraron asociaciones significativas del estado hormonal con el riesgo cardiovascular evaluado por Globorisk (RM = 2.50, IC 95 % = 1.67-3.74) y con el índice Tg/c-HDL (RM = 1.66, IC 95 % = 1.09-2.52). CONCLUSIÓN: Los factores de riesgo cardiovascular tienen mayor prevalencia en la posmenopausia. La escala Globorisk y el índice Tg/c-HDL identifican el riesgo cardiovascular en la mujer posmenopáusica.

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Resumen Introducción: el hipotiroidismo se ha asociado con deterioro cognitivo, así como con reducción en la calidad de vida; sin embargo, existe controversia al respecto porque la evidencia es contradictoria. El hipotiroidismo parece provocar alteraciones en el estado cognitivo y en el estado de ánimo en adultos mayores, por lo que se requieren estudios para establecer dicha asociación y de esta manera evaluar el tratamiento sustitutivo hormonal. Objetivo: determinar la prevalencia de hipotiroidismo subclínico, deterioro cognitivo en el adulto mayor y su posible asociación en pacientes adultos mayores. Material y métodos: estudio transversal, descriptivo, y analítico, realizado en el módulo de gerontología en la Clínica Medicina Familiar "Dr. Ignacio Chávez", Ciudad De México, de junio a noviembre de 2016. Se realizó muestreo no probabilístico por conveniencia. Se aplicó el examen Mini mental para deterioro cognitivo. Se enviaron las muestras de sangre al laboratorio para la realización de pruebas de función tiroidea. El análisis estadístico se realizó con la prueba de chi cuadrado de independencia con nivel de significancia de 0,05. Se utilizó el programa estadístico Statistical Package for the Social Sciences, versión 22. Resultados: se estudiaron 120 adultos mayores con un promedio de edad de 78,2 años. El 35,8% de los pacientes presentaron hipotiroidismo subclínico, y el 63% presentó algún grado de deterioro cognitivo. Al asociar estas variables, no se obtuvo significancia estadística (p=0,556). Conclusiones: este estudio demuestra una alta prevalencia de hipotiroidismo subclínico y de deterioro cognitivo en la población de estudio, sin que se haya presentado asociación entre ambas variables. MÉD.UIS. 2018;31(3):21-25.

Abstract Introduction: hypothyroidism has been related to cognitive impairment, as well as a reduction in life quality, however, controversy exists in this matter because evidence is contradictory. Hypothyroidism seems to cause changes in elderly's cognitive and emotional state. Studies are required to establish such relationship, and to evaluate substitute hormonal treatment. Objective: to determine the prevalence of subclinical hypothyroidism and cognitive impairment in older adults and its possible association in elderly patients. Material and Methods: cross-sectional, analytic, descriptive study, carried out in a Gerontology Module from Family Medicine Clinic "Dr. Ignacio Chávez" in Mexico City, from June to November 2016. Non probabilistic convenience sampling was done. Mini Mental Status Exam was applied for cognitive impairment. Blood Samples were sent to laboratory to make thyroid function tests. Statistical Analysis including independence Chi-Square with significance level 0,05. Statistical Package for the Social Science version 22 was used. Results: 120 older adults were studied, the average age was 78,2. 35.8% of the patients presented subclinical hypothyroidism, and 63% presented some degree of cognitive impairment. While relating this variables, no statistical significance was obtained (p=0,556). Conclusions: The present study demonstrated a high prevalence of subclinical hypothyroidism and cognitive impairment in the study population. The relationship between the two variables was not demonstrated. MÉD.UIS. 2018;31(3):21-25.

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Sickle cell anemia, a genetic disease caused by a mutation in the beta-globin gene, can present oral manifestations such as delayed tooth eruption and hypomineralized enamel and dentin. The aim of the present study was to evaluate the prevalence and severity of developmental defects of enamel (DDE) and delayed tooth eruption in children with sickle cell anemia. The sample comprised 56 male and female children with sickle cell anemia aged 6 to 12 years and treated at the Hematology and Hemotherapy Center of Pernambuco, Brazil. The data were collected according to the WHO criteria for DDE and tooth eruption. The prevalence of DDE was 58.2% and increased with age, affecting 43.8% of children aged 6 to 8 years and 66.7% of those aged 10 to 12 years (p>0.05; Pearson's chi-square test). There was no significant association between DDE and sex; the most prevalent type of DDE was diffuse opacity (6.2%). Tooth eruption was delayed in 18 children (32.1%). The delay increased with age and was detected in 11.8% of children aged 6 to 8 years, in 20.0% of those aged 8 to 10 years and in 54.2% of those aged 10 to 12 years (p<0.05; Pearson's chi-square test). Delayed tooth eruption was higher in males (36.7%, p>0.05). The prevalence of DDE was high, increased with age and was similar between sexes, while delayed eruption was higher in males and showed a significant association with age.

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BACKGROUND: It is reasonable that deflated tissue in massive weight loss patients may demand not only lifting but also some extent of central body tightening, by the fleur-de-lis procedure. Although achieving nice contouring results, poor visible scars, including umbilical complications, have restricted the indications for the anterior vertical approach. The purpose of this article is to present the authors' experience with the inner scar umbilical reconstruction, reflecting overall results in vertical abdominoplasties. METHODS: Massive weight loss patients who underwent fleur-de-lis abdominoplasties with the inner scar umbilicus were reviewed retrospectively. The original stalk was resected along with the surgical specimen, and two marked parallel skin flaps were kept and sutured against each other into the deep medial fascia, to reconstruct the umbilical base. Additional sutures were made to approximate fat tissue immediately under and above it, enhancing a deepening effect. Conventional upper and lower vertical closure helped to establish the tridimensional shape of the new navel. RESULTS: One hundred ten consecutive patients were studied, and 52 (47 percent) presented small inflammatory exudate arising from the inner suture, which resolved with conservative dry dressings. No further umbilical complications such as infection, necrosis, dehiscence, widening, or stenosis were reported, and all patients showed natural and scarless new navels with nice shapes and correct position. CONCLUSIONS: The inner scar umbilicus is a simple, safe, and reproducible technique, presenting low complication rates with sustainable and natural results. High-quality navel reconstruction favors the indication of vertical abdominoplasties, especially for post-bariatric surgery body contouring. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Se realizó una intervención educativa en los 23 atletas de lucha libre en la categoría juvenil, pertenecientes al Combinado Deportivo Eduardo Izquierdo Quiñones del municipio de San Luis, en Santiago de Cuba, desde noviembre de 2015 hasta abril de 2016, mediante la aplicación del Instructivo capacitante Luchadores de sonrisas, a fin de proporcionarles conocimientos sobre los traumatismos dentales. Para evaluar el nivel de conocimiento se efectuó una encuesta -- antes y después de la intervención --, la cual incluía 6 preguntas relacionadas con los temas que serían tratados. Con el uso de técnicas afectivas y juegos didácticos se garantizó la motivación y participación activa para la adquisición de los conocimientos. Los principales resultados mostraron que 95,2 por ciento de los atletas adquirieron un conocimiento general adecuado acerca de los traumatismos dentales(AU)

An educational intervention was carried out in the 23 athletes of free fight in the juvenile category, belonging to Eduardo Izquierdo Quiñones Sport Institution of San Luis municipality, in Santiago de Cuba, from November, 2015 to April, 2016, through the use of the Instructional guide Combatant of smiles, in order to provide them knowledge about the dental traumatisms. To evaluate the level of knowledge a survey was made -- before and after the intervention --, which included 6 questions related to the topics that would be treated. With the use of affective techniques and didactic games the motivation and active participation for the acquisition of the knowledge were guaranteed. The main results showed that 95,2 percent of the athletes acquired an appropriate common knowledge about dental traumatisms(AU)

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Se realizó una intervención educativa en los 23 atletas de lucha libre en la categoría juvenil, pertenecientes al Combinado Deportivo Eduardo Izquierdo Quiñones del municipio de San Luis, en Santiago de Cuba, desde noviembre de 2015 hasta abril de 2016, mediante la aplicación del Instructivo capacitante Luchadores de sonrisas, a fin de proporcionarles conocimientos sobre los traumatismos dentales. Para evaluar el nivel de conocimiento se efectuó una encuesta -- antes y después de la intervención --, la cual incluía 6 preguntas relacionadas con los temas que serían tratados. Con el uso de técnicas afectivas y juegos didácticos se garantizó la motivación y participación activa para la adquisición de los conocimientos. Los principales resultados mostraron que 95,2 por ciento de los atletas adquirieron un conocimiento general adecuado acerca de los traumatismos dentales

An educational intervention was carried out in the 23 athletes of free fight in the juvenile category, belonging to Eduardo Izquierdo Quiñones Sport Institution of San Luis municipality, in Santiago de Cuba, from November, 2015 to April, 2016, through the use of the Instructional guide Combatant of smiles, in order to provide them knowledge about the dental traumatisms. To evaluate the level of knowledge a survey was made -- before and after the intervention --, which included 6 questions related to the topics that would be treated. With the use of affective techniques and didactic games the motivation and active participation for the acquisition of the knowledge were guaranteed. The main results showed that 95,2 percent of the athletes acquired an appropriate common knowledge about dental traumatisms

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PURPOSE: To evaluate the perception of treatment needs and the use of dental services for children/adolescents with sickle cell disease. MATERIALS AND METHODS: A cross-sectional study was conducted with 250 children/adolescents with sickle cell disease at a reference center in the city of Recife, Brazil. Data on the use of dental services were collected using a 13-item questionnaire administered to parents/guardians. The examiner in charge of determining l caries and periodontal status had previously undergone a training and calibration exercise. Descriptive statistics and Poisson regression analysis were also performed (α = 5%). RESULTS: A total of 47.2% of the children/adolescents with sickle cell disease were diagnosed with caries and 14.0% were diagnosed with some periodontal problems. The following variables were statistically significantly associated with the perceptions of parents/guardians regarding the treatment needs of their children: caries (PR = 1.24; 95%CI: 1.09-1.42), periodontal problems (PR = 1.10; 95%CI 1.01-1.20) and history of toothache in the previous six months (PR = 1.17; 95%CI 1.06-1.29). Only a lower level of mothers' schooling (PR = 1.64; 95%CI 1.06-2.53) was statistically significantly associated with the mean number of caries among the children/adolescents with sickle cell disease. Mean dmft/DMFT indices were higher among children/adolescents who sought dental care. CONCLUSION: Based on our results, a predomination of curative treatment was found, as seeking out dental treatment was more frequent among children/adolescents with a greater number of caries.

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