{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:32:03Z","timestamp":1783211523974,"version":"3.54.6"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2003,8]]},"abstract":"<jats:p>OBJETIVO: Avaliar a confiabilidade e a validade do uso de sinais cl\u00ednicos simples de palidez palmar e de conjuntivas, como m\u00e9todo para triagem de anemia. M\u00c9TODOS: Estudo realizado em uma creche municipal de S\u00e3o Paulo, SP, com 135 crian\u00e7as &gt;3 meses e &lt;6 anos. Utilizaram-se resultados do n\u00edvel de hemoglobina, e avalia\u00e7\u00e3o dos sinais cl\u00ednicos de palidez palmar e de conjuntivas. Considerou-se an\u00eamica a crian\u00e7a com hemoglobina &lt;11,0 g\/dl e utilizaram-se crit\u00e9rios subjetivos para classificar a palidez palmar e de conjuntivas. Para verifica\u00e7\u00e3o de concord\u00e2ncia utilizou-se a estat\u00edstica Kappa e, para avaliar a validade, calcularam-se a sensibilidade e a especificidade da t\u00e9cnica. RESULTADOS: Os resultados indicaram baixa concord\u00e2ncia. Houve uma maior sensibilidade para a palidez da conjuntiva em rela\u00e7\u00e3o \u00e0 palidez palmar e baixa sensibilidade em rela\u00e7\u00e3o ao diagn\u00f3stico de anemia. Os resultados para especificidade podem ser considerados bons. CONCLUS\u00d5ES: \u00c9 prematuro recomendar a utiliza\u00e7\u00e3o da t\u00e9cnica como rotina, por\u00e9m, desde que aprimorada, pode representar economia de recursos.<\/jats:p>","DOI":"10.1590\/s0034-89102003000400003","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T10:25:51Z","timestamp":1114597551000},"page":"404-408","source":"Crossref","is-referenced-by-count":17,"title":["Confiabilidade e validade da palidez palmar e de conjuntivas como triagem de anemia"],"prefix":"10.1590","volume":"37","author":[{"given":"M\u00f4nica Gl\u00f3ria N","family":"Spinelli","sequence":"first","affiliation":[{"name":"Prefeitura do Munic\u00edpio de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Maria P","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f4nia B de","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna H","family":"Sesoko","sequence":"additional","affiliation":[{"name":"Prefeitura do Munic\u00edpio de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","first-page":"302","article-title":"The prevalence of anaemia in the world","volume":"38","author":"DeMaeyer M","year":"1985","journal-title":"World Health Stat Q","ISSN":"https:\/\/id.crossref.org\/issn\/0379-8070","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1093\/ajcn\/39.3.471","article-title":"Iron deficiency","volume":"39","author":"Finch CA","year":"1984","journal-title":"Am J Clin Nutr","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9165","issn-type":"print"},{"key":"ref3","first-page":"103","article-title":"Evaluation of clinical signs to diagnose anaemia in Uganda and Bangladesh, in areas with and without malaria","volume":"75","author":"Kalter HD","year":"1997","journal-title":"Bull World Health Organ","ISSN":"https:\/\/id.crossref.org\/issn\/0042-9686","issn-type":"print"},{"key":"ref4","series-title":"Epidemiologia","first-page":"115","volume-title":"Estudos seccionais","author":"Klein CH","year":"2002"},{"key":"ref5","first-page":"477","article-title":"Using clinical signs to diagnose anaemia in African children","volume":"73","author":"Luby SP","year":"1995","journal-title":"Bull World Health Organ","ISSN":"https:\/\/id.crossref.org\/issn\/0042-9686","issn-type":"print"},{"key":"ref6","series-title":"Epidemiologia","first-page":"259","volume-title":"Testes diagn\u00f3sticos","author":"Medronho RA","year":"2002"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1001\/archinte.1990.00390130165027","article-title":"Usefulness of physical examination in detecting the presence or absence of anaemia","volume":"150","author":"Nardone DA","year":"1990","journal-title":"Arch Intern Med","ISSN":"https:\/\/id.crossref.org\/issn\/0003-9926","issn-type":"print"},{"key":"ref8","series-title":"EPIDAT: An\u00e1lisis epidemiol\u00f3gico de datos tabulados. 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