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Silveira KNDM, Alves RL, do Nascimento P, Coelho MA, de Barros GAM, Módolo NSP. Children's preoperative stress according to the parental presence evaluated by salivary cortisol and mYPAS: quasi-randomized trial. Rev Esc Enferm USP 2024; 58:e20230232. [PMID: 38466906 PMCID: PMC10927269 DOI: 10.1590/1980-220x-reeusp-2023-0232en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 01/31/2024] [Indexed: 03/13/2024] Open
Abstract
OBJECTIVE The main objective of this study was to compare stress and anxiety levels in children undergoing surgical procedures with or without parental presence at induction of anesthesia by measuring salivary cortisol levels and applying the mYPAS. METHOD Quasi-randomized trial with children aged 5-12 year, with ASA physical status I, II, or III, undergoing elective surgery. According to parents' willingness, the pair were defined as accompanied or unaccompanied group. Chi-square, Fisher's exact tests, Student's t test, Mann-Whitney, Hodges-Lehman and Spearman's tests were used for statistical analyzes. RESULTS We included 46 children; 63% were preschool children mostly accompanied by their mothers (80%). The median mYPAS score was 37.5 (quartile range, 23.4-51.6) in unaccompanied children, and 55.0 (quartile range, 27.9-65.0) in accompanied children, with an estimated median difference of +11.8 (95% CI of 0 to 23.4; p = 0.044). There were no significant differences in the mean salivary cortisol levels. CONCLUSION The level of anxiety was higher in accompanied children. There were no differences in salivary cortisol levels between both groups. Brazilian Registry of Clinical Trials (ReBEC): RBR-9wj4qvy.
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Almeida MFD, Mello S, Zonta MB, Crippa AC. Cerebral palsy and sleep: nonpharmacological treatment and impact on the life of caregivers - an integrative review. Arq Neuropsiquiatr 2024; 82:1-9. [PMID: 38467393 PMCID: PMC10927367 DOI: 10.1055/s-0044-1781464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 12/20/2023] [Indexed: 03/13/2024]
Abstract
BACKGROUND Children with cerebral palsy have a higher prevalence of sleep disorders, with numerous factors associated with a negative impact on the quality of life of caregivers. OBJECTIVE To identify factors related to sleep disorders, nonpharmacological treatment, and the impact on the lives of caregivers. METHODS The present literature review was carried out in the Latin American and Caribbean Center on Health Sciences Information (BIREME), the Cochrane Library, Scopus, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, WorldCat, Web of Science, Latin American Literature on Health Sciences (LILACS), and Excerpta Medica Database (EMBASE), with the descriptors sleep, child, cerebral palsy, parents, and nursing. Studies available in Portuguese, English, or Spanish, published between 2010 and 2020, were our inclusion criteria. A total of 29 articles were included in the present review. RESULTS We considered nonpharmacological interventions effective support measures to drug-based treatments. The main sleep disorders in children with cerebral palsy are insomnia, parasomnias, nightmares, sleep bruxism, sleepwalking, sleep talking, disorders of initiation and maintenance of sleep, and sleep hyperhidrosis. Most studies point to a reduction in the quality of life of caregivers whose children have sleep disorders. CONCLUSION Our review suggests the effectiveness of nonpharmacological treatments combined with the use of medications. Measures such as changes in sleep environment and routine are favorable strategies to improve sleep quality. In addition, children with sleep disorders negatively impact the quality of life of their caregivers.
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Affiliation(s)
| | - Suzane Mello
- Universidade Federal do Paraná, Curitiba PR, Brazil.
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de Souza DM, Guedes DMB, Boska GDA, Miranda NC, Rossato LM. Drawing attention? Going through judgments regarding child and adolescent suicide attempts in emergency rooms from a professional perspective. Rev Esc Enferm USP 2024; 57:e20230281. [PMID: 38358116 PMCID: PMC10868373 DOI: 10.1590/1980-220x-reeusp-2023-0281en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 12/14/2023] [Indexed: 02/16/2024] Open
Abstract
OBJECTIVE To understand the perceptions of the multidisciplinary team of an emergency department regarding the care of children and adolescents who have attempted suicide. METHOD An exploratory-descriptive, qualitative study, in light of the Symbolic Interactionism theoretical framework. Thirteen professionals from the multidisciplinary team from two emergency rooms (children and adults) of a secondary hospital in São Paulo participated. Data were collected between August and September 2018 using semi-structured interviews, analyzed using thematic content analysis complemented by the IRAMUTEQ® software. RESULTS Two central categories emerged: Multidisciplinary team perceptions regarding attempted suicide care; and Multidisciplinary team perceptions regarding the possibilities for improving attempted suicide care. From these, professional perceptions of care, risk factors, emotional reactions, limitations of emergency rooms and strategies for improving practice were observed. CONCLUSION Professionals perceived suicide attempt care from a biomedical and reductionist perspective, with an approach marked by stigma, judgment and lack of preparation.
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Affiliation(s)
- Danton Matheus de Souza
- Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, São Paulo, SP, Brazil
| | - Danila Maria Batista Guedes
- Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, São Paulo, SP, Brazil
| | - Gabriella de Andrade Boska
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Departamento de Assistência e Orientação Profissional, Rio Grande do Sul, RS, Brazil
| | | | - Lisabelle Mariano Rossato
- Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Psiquiátrica, São Paulo, SP, Brazil
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Gouveia AVDS, Carvalho REDS, Correia MEG, Silveira JACD. [Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019)]. CAD SAUDE PUBLICA 2024; 40:e00180022. [PMID: 38359276 PMCID: PMC10876152 DOI: 10.1590/0102-311xpt180022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 07/15/2023] [Accepted: 09/29/2023] [Indexed: 02/17/2024] Open
Abstract
This study aimed to analyze the temporal trend of malnutrition in children aged under five years assisted by the Brazilian Income Transfer Program from 2008 to 2019, by exploring regional inequalities and seeking to determine the impact of the economic and political crises aggravated in 2014, and the government's adherence to fiscal austerity policies on the trend. The analyses were performed using aggregated data from infants (0-23 months) and preschoolers (24-59 months), extracted from the Brazilian Food and Nutritional Surveillance System (SISVAN) assisted by the Brazilian Income Transfer Program (n = 34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log linkage function). The regional inequalities were analyzed based on the grouping of Federative Units according to the Social Vulnerability Index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by the interaction between "year" and "crisis" (2008-2013 vs. 2014-2019). There was a reduction in the prevalence of child malnutrition until mid-2013, when the trends became stationary for preschoolers and upward for infants. There was also a higher risk of malnutrition in Federative Units with medium- and high-social vulnerability, when compared to those with low-social vulnerability. The inflection points in the trends corroborate the hypothesis that the political and economic crises, and the governmental responses to these crises, negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil.
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da Silva JB, Henriques NL, Rigo FL, Guerreiro GMCD, Fernandes SJD, Duarte ED. The child's experience of becoming ill with COVID-19. Rev Esc Enferm USP 2024; 57:e20230165. [PMID: 38315804 PMCID: PMC10849679 DOI: 10.1590/1980-220x-reeusp-2023-0165en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 11/01/2023] [Indexed: 02/07/2024] Open
Abstract
OBJECTIVE To understand the experience of children when they become ill with COVID-19. METHOD Qualitative-descriptive and exploratory study, guided by the World Health Organization's concept of Quality of Life. Twenty-four children participated, aged between seven and nine years, 11 months and 29 days, diagnosed with COVID-19. Data were collected through semi-structured interviews and underwent deductive thematic analysis. RESULTS The children understood what COVID-19 is, its high lethality and transmissibility, and its forms of contagion and prevention. COVID-19 has been identified as something negative. The experience of children becoming ill with COVID-19 was permeated by changes in their routines, especially due to having activities limited to the home, emotional changes, and physical symptoms due to infection with the virus. CONCLUSION The children understood the seriousness of the pandemic and identified the changes that had occurred. They also expressed understanding about the disease and its control. Knowing children's experience of illness can guide care actions aimed at them, recognizing that children's adequate understanding of what they experience can contribute to coping with illness and their participation in control actions.
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Affiliation(s)
- Juliana Barony da Silva
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | - Nayara Luiza Henriques
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | - Felipe Leonardo Rigo
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | | | - Sérgio Joaquim Deodato Fernandes
- Universidade Católica Portuguesa, Faculdade de Ciências da Saúde e Enfermagem, Centro de Investigação Interdisciplinar em Saúde, Lisboa, Portugal
| | - Elysangela Dittz Duarte
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
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Ramalho ELR, Sparapani VDC, Barber ROLB, Oliveira RC, Nascimento LC, Collet N. Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetes. Rev Esc Enferm USP 2024; 57:e20230195. [PMID: 38251690 PMCID: PMC10801710 DOI: 10.1590/1980-220x-reeusp-2023-0195en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 11/08/2023] [Indexed: 01/23/2024] Open
Abstract
OBJECTIVE To analyze clinical and sociodemographic factors associated with the health-related quality of life of children and adolescents with type 1 Diabetes Mellitus. METHOD A quantitative, cross-sectional and analytical study, developed in a municipality in northeastern Brazil, between March and September 2021, with 81 children/adolescents with type 1 Diabetes Mellitus and their guardians/caregivers. A questionnaire containing sociodemographic and clinical variables and two quality of life instruments were used. Descriptive and inferential analysis was carried out. RESULTS Adolescents whose parents had a family income greater than a minimum wage had a lower prevalence of impaired quality of life when compared to those with a lower income. Adolescents with time since diagnosis of less than four years had a satisfactory quality of life, and children aged 8 to 12 years who self-administered insulin had a lower prevalence of high quality of life compared to those who did not. CONCLUSION Adolescents with a family income of less than a minimum wage, diagnosis time of more than four years and children aged 8-12 who self-administer insulin need greater professional support to have a better quality of life.
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Affiliation(s)
| | | | | | | | - Lucila Castanheira Nascimento
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto, SP, Brazil
| | - Neusa Collet
- Universidade Federal da Paraíba, Departamento de Enfermagem de Saúde Coletiva, João Pessoa, PB, Brazil
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Canto GM, Avena KDM. Early stimulation for neuropsychomotor development in children with microcephaly: a systematic review. Rev Paul Pediatr 2023; 42:e2023063. [PMID: 38126439 PMCID: PMC10741277 DOI: 10.1590/1984-0462/2024/42/2023063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 09/14/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To systematically review studies on the effects of early stimulation on the neuropsychomotor development of children with microcephaly. DATA SOURCE A systematic review was conducted in PubMed/MEDLINE, Virtual Health Library, and Cochrane Library databases. Studies that addressed the use of early stimulation in playful and interactive environments in children with microcephaly were included. There were no restrictions on the publication date or language of the studies. The outcomes assessed were muscle tone, social interaction, fine and gross motor skills, intelligence quotient, socioemotional and adaptive behavior of the child. The methodological quality and the scientific evidence level were assessed using the Risk of Bias in Non-randomized Studies of Interventions, the Revised Cochrane risk of bias tool for randomized trials and the Grading of Recommendations Assessment, Development and Evaluation. DATA SYNTHESIS 264 articles were identified, but only 7 met the eligibility criteria. The included studies had a total population of 125 individuals, with sample sizes ranging from 1 to 71 participants. CONCLUSIONS The studies showed low evidence of an effect of early intervention on the outcomes muscle tone, social interaction, fine and gross motor skills, intelligence quotient, and socioemotional and adaptive behavior in children with microcephaly. However, further randomized clinical trials are needed.
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de Camargos SM, de Oliveira MLS, Luvisaro BMO, da Silva TPR, Souza JFA, Vimieiro AM, da Silva TMR, Matozinhos FP. Adverse event following immunization or vaccination in children in Minas Gerais: 2015 to 2020. Rev Bras Epidemiol 2023; 26:e230056. [PMID: 38088715 PMCID: PMC10715317 DOI: 10.1590/1980-549720230056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE To describe adverse event following immunization or vaccination in children in Minas Gerais: 2015 to 2020, resulting from immunization errors in children from zero to nine years old. METHODS An ecological, descriptive study with a quantitative approach, based on event notifications available in the National Immunization Program Information System. RESULTS Among the 39,903,277 doses of immunobiologicals in children aged zero to nine, administered in the state of MG, 3,259 events of types of immunization errors were recorded, around 0.008% of the total and, of these, 91.86% did not result in adverse events and 56.02% were children under one year of age. The most frequent diagnosis was application outside the recommended age (29.12%). Among the manifestations, 71.91% were local and systemic, with fever being the most common (40.85%). CONCLUSION The study demonstrated that immunization errors were rare and that most of them were not associated with adverse events, which reinforces the safety of the immunization process. This undoubtedly raises reflection on the need and relevance of continuing education for health professionals.
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Affiliation(s)
| | | | | | - Thales Philipe Rodrigues da Silva
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem – São Paulo (SP), Brazil
- Universidade Federal de Minas Gerais, School of Nursing, Postgraduate Program in Nursing – Belo Horizonte (MG), Brazil
| | - Janaina Fonseca Almeida Souza
- Universidade Federal de Minas Gerais, School of Nursing, Postgraduate Program in Nursing – Belo Horizonte (MG), Brazil
- State Health Secretariat of Minas Gerais – Belo Horizonte (MG), Brazil
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Werner JGB, Platt VB. Acute exogenous intoxications in childhood: factors related to hospitalization. Rev Paul Pediatr 2023; 42:e2023028. [PMID: 38088677 PMCID: PMC10712941 DOI: 10.1590/1984-0462/2024/42/2023028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 08/06/2023] [Indexed: 12/17/2023]
Abstract
OBJECTIVE To describe the profile of children assisted in the Emergency Room of a Children reference Hospital in the South of Brazil, victims of acute poisoning between 2016 and 2021, to characterize the toxic agents and to present the factors related to hospitalization. METHODS Retrospective, descriptive and observational study with data collection from medical records at a children's hospital from July 2016 to June 2021 based on the compulsory notification forms. The characteristics of victims, of the incident, the type and class of the substance involved, the procedures demanded and the need for the Intensive Care Unit were evaluated. The outcome considered was hospitalization. Absolute and relative frequencies were calculated for the categorical variables and measures of central tendency and dispersion for the numerical ones. Binary logistic regression was performed to identify variables related to hospitalization. RESULTS There were 411 consultations, with the mean age of 7.2±5.5 years, and predominance of females (59.9%). Most of the poisoning occurred at home (82.1%) and orally (93.7%). Chemicals or cleaning products were the main agents in children up to 1 year of age, whereas in the other age groups accidents occurred most frequently with medicines. Hospital admission occurred in 38.7% of the cases, with related variables being: number of agents, type of substance involved, medication that acts on the Central Nervous System, recurrence, motivation (accidental/intentional), and performance of simple exams. CONCLUSIONS More preventive actions are needed, such as legislation, as well as greater guidance to parents on how to store products in the domestic environment, in order to reduce the number of exogenous intoxications in the pediatric population.
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Silva ANE, de Oliveira AC, Lira JAC, da Silva ARV, Nogueira LT. Educational technologies for accident prevention due to falls in childhood: a scoping review. Rev Bras Enferm 2023; 76Suppl 4:e20220807. [PMID: 38088710 PMCID: PMC10704661 DOI: 10.1590/0034-7167-2022-0807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 06/12/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVES to map evidence on educational technology use for accident prevention due to falls in childhood. METHODS a scoping review, carried out in October and November 2022, in the MEDLINE, Web of Science, BDENF and CINAHL databases and LILACS bibliographic index. There was no delimitation of language or time. Data were extracted and analyzed descriptively by two independent researchers. The research protocol was registered in the Open Science Framework. RESULTS twenty-six studies were selected. Booklets, pamphlets and leaflets were the most used technologies, presenting health services as the most frequent environment to develop research on fall prevention. The technologies developed were important outcomes: increased knowledge of children, family members, caregivers, health and education professionals. CONCLUSIONS educational technology use makes it possible to increase knowledge, adopt safe practices and reduce falls.
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Luz PDO, de Souza AA, Boska GDA, Cardoso MMDA, Candido BDP, de Oliveira MAF. Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies. Rev Bras Enferm 2023; 76Suppl 2:e20220550. [PMID: 38088654 PMCID: PMC10704658 DOI: 10.1590/0034-7167-2022-0550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 08/14/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services. METHOD a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents. RESULTS 229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate. FINAL CONSIDERATIONS nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.
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Custódio LL, Costa DCCO, Menezes CPDSR, Figueiredo SV, Maia JA, Jorge MSB, Chaves EMC, Gomes ILV. Coping strategies for chronically ill children and adolescents facing the COVID-19 pandemic. Rev Bras Enferm 2023; 76Suppl 2:e20230045. [PMID: 38088660 PMCID: PMC10704693 DOI: 10.1590/0034-7167-2023-0045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 09/25/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE to understand the experiences and coping strategies of children and adolescents with chronic illnesses during the COVID-19 pandemic. METHODS a descriptive study, with a qualitative approach, carried out with six children and adolescents at the reception of an outpatient clinic of a pediatric hospital in the state of Ceará. Data collection took place from April to September 2021, using story-drawing, analyzed in light of Coutinho's criteria. RESULTS two thematic categories emerged: Situations experienced by children and adolescents in times of COVID-19; Coping strategies for children and adolescents in their chronic illness process during the COVID-19 pandemic. FINAL CONSIDERATIONS understanding the experiences and coping strategies of children and adolescents with chronic illness demonstrated the expression of creative imagination, incorporated by subjective components, which brings to light an approximation with the reality perceived and interpreted in a context of the COVID-19 pandemic.
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de Gusmão MBF, de Oliveira VV, Santos NMDS, Melo LC. Assessing bone mineral density in children and adolescents living with HIV and on treatment with tenofovir disoproxil fumarate: a systematic review. Rev Paul Pediatr 2023; 42:e2023042. [PMID: 37971172 PMCID: PMC10637732 DOI: 10.1590/1984-0462/2024/42/2023042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/06/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE To investigate the impact of tenofovir disoproxil fumarate on bone mineral density and bone mineral content in children and adolescents infected with the human immunodeficiency virus. DATA SOURCE The search procedure was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. The search was carried out until April 2022 in Medical Literature Analysis and Retrieval System Online (Medline), Embase, Cochrane Central, Latin American and Caribbean Health Sciences Literature, Web of Science, Scopus, and MedRxiv. The combination of terms used was: (Children OR Youth OR Teenagers) AND HIV AND (Tenofovir OR "Antiretroviral therapy") AND ("Bone density" OR Osteoporosis OR Osteopenia). The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO, CRD42022312851). DATA SYNTHESIS The initial searches resulted in 1156 papers. After the exclusion of duplicate studies, three blinded reviewers analyzed the title and abstract of 563 papers, of which 57 remained to be read in full. Only nine papers met the eligibility criteria and were included in descriptive and risk-of-bias analyses. Regarding study design, four were cross-sectional, three were longitudinal before-after studies without a control group, and two were prospective cohorts. Among these nine papers, seven showed no significant association between tenofovir disoproxil fumarate use and reduced bone mass in young people. However, these papers did not have high methodological quality. CONCLUSIONS Although most of the selected papers found no harmful effect of tenofovir disoproxil fumarate on bone mass, further primary research with higher methodological quality is needed so robust scientific evidences can be obtained.
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Affiliation(s)
| | | | | | - Luciana Costa Melo
- Universidade Federal de AlagoasMaceióALBrasilUniversidade Federal de Alagoas, Maceió, AL, Brasil.
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Barbosa GM, Weber A, Garcia APRF, Toledo VP. Experience of hospitalization of the family with children and adolescents in psychological distress. Rev Esc Enferm USP 2023; 57:e20220457. [PMID: 37930233 PMCID: PMC10615362 DOI: 10.1590/1980-220x-reeusp-2022-0457en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 09/03/2023] [Indexed: 11/07/2023] Open
Abstract
OBJECTIVE To learn about the experience of families of children and adolescents in psychological distress facing hospitalization in a psychiatric inpatient unit of a general university hospital. METHOD This is a qualitative phenomenological-social study, with data collection carried out from February to March 2022 through open interviews, analyzed using Alfred Schutz's framework with the construction of categories of meaning. RESULTS Based on the analysis of eight interviews, it was possible to understand changes in the families' way of life, impacts on their routine, work, and social relationships. Their expectations were about the recovery of mental health and autonomy. CONCLUSION This study allowed us to understand the experience of families faced with the hospitalization of children and adolescents in psychological distress and understand their members' needs. The need for implementation of care spaces that incorporate the relationship between the multidisciplinary team and the family is highlighted.
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Affiliation(s)
| | - Aldair Weber
- Universidade Estadual de Campinas, Faculdade de Enfermagem,
Campinas, SP, Brazil
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Sapouna V, Kitixis P, Petrou E, Michailidou T, Dalamarinis P, Kortianou E. Mobile health applications designed for self-management of chronic pulmonary diseases in children and adolescents: a systematic mapping review. J Bras Pneumol 2023; 49:e20230201. [PMID: 37909552 PMCID: PMC10759968 DOI: 10.36416/1806-3756/e20230201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 07/24/2023] [Indexed: 11/03/2023] Open
Abstract
OBJECTIVE Mobile health (mHealth) applications are scarce for children and adolescents with chronic pulmonary diseases (CPDs). This study aimed to map and describe the contents of the mHealth apps available for use in children and adolescents with CPDs. METHODS We performed a systematic mapping review of published scientific literature in PubMed, Scopus, and Cochrane Library by February of 2023, using relevant keywords. Inclusion criteria were as follows: children aged < 18 years with CPDs; and studies published in English on mHealth apps. RESULTS A total number of 353 studies were found, 9 of which met the inclusion criteria. These studies described seven mHealth apps for Android and iOS, designed either for asthma (n = 5) or for cystic fibrosis (n = 2). Five content areas were identified: education/information; pharmacological treatment; emergency; support; and non-pharmacological treatment. The studies (4, 2, and 3, respectively) showed consistent findings using qualitative, quantitative, and mixed methodologies. CONCLUSIONS This mapping review provided a guided selection of the most appropriate mHealth apps for use in children and adolescents with CPDs based on the needs of each target population. However, these mHealth apps have limited capabilities to reinforce disease self-management and provide information related to treatment compliance.
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Affiliation(s)
- Vaia Sapouna
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
- . Physical Medicine and Rehabilitation Centre Kentavros, Volos, Greece
| | - Pavlos Kitixis
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
| | - Elpiniki Petrou
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
| | - Theano Michailidou
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
| | - Panagiotis Dalamarinis
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
| | - Eleni Kortianou
- . Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece
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Bortolini GA, Pereira TN, Carmo ASD, Martins AMTM, Silva JPD, Silva SAD, Marinho PAS, Lima AMCD, Spaniol AM, Claumann GS, Silveira JACD, Silva JRMD. Analysis of the elaboration and proposal of a Brazilian intersectoral strategy for the prevention and care of childhood obesity. CAD SAUDE PUBLICA 2023; 39:e00117722. [PMID: 37851726 PMCID: PMC10581684 DOI: 10.1590/0102-311xen117722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 05/05/2023] [Accepted: 07/20/2023] [Indexed: 10/20/2023] Open
Abstract
The Brazilian Strategy for the Prevention and Care of Childhood Obesity (PROTEJA) aims to implement a set of actions to prevent obesity in Brazil. As such, this qualitative and descriptive documentary study presents the Strategy's stages of the operational design, general proposal, evaluation and monitoring conducted by the Brazilian Ministry of Health's technical coordination. After analyzing the epidemiological data on children and the existing policies aimed at obesity prevention, and reviewing the scientific literature and recommendations, PROTEJA was formulated and approved by the Brazilian Ministry of Health, and 1,320 municipalities committed to implementing 20 essential and 5 complementary actions, from 41, including some structural to improve environments. Coordinated by the Brazilian Ministry of Health in partnership with subnational governments and universities, the Strategy also relies on a local team for implementation support, as well as implementation and impact evaluations. Actions will be monitored annually, and the indicators will impact financial incentives. As a strong, evidence-based and innovative strategy aiming to promote healthy environments in cities, PROTEJA has the potential to open a path to childhood obesity reversal, as well as add to the implementation science and contribute to the development and improvement of public policies for obesity prevention; however, its implementation remains a challenge.
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Affiliation(s)
- Gisele Ane Bortolini
- Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome, Brasília, Brasil
- Ministério da Saúde, Brasília, Brasil
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Marinho CS, Koch C, Santos MR. Eating habits: what foods do children between 12 and 36 months consume? Rev Bras Enferm 2023; 76:e20220393. [PMID: 37820136 PMCID: PMC10561921 DOI: 10.1590/0034-7167-2022-0393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 12/26/2022] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to identify toddlers' eating habits. METHOD a cross-sectional study of quantitative analysis, with a sample of 808 toddlers who attended day care centers in the district of Viseu, Portugal, between November 2018 and September 2019. Data were collected using a questionnaire directed at parents. RESULTS the prevalence of children who ate six meals a day was 42.8%, and 42.5%, those who ate five meals. It was found that 2.0% of children consumed chocolates, 1.0%, desserts, and 0.4%, carbonated beverages, daily. On average, dairy product (M=5.61; SD=2.62) and meat/fish/egg (M=4.80; SD=3.57) consumption was higher than recommended, while fat (M=0.48; SD=0.40), legume (M=0.49; SD=0.45), vegetable (M=1.18; SD=0.87) and water (M=0 .51; SD=0.29) consumption was lower. CONCLUSIONS there was a higher or lower consumption than recommended for some foods, highlighting the need to implement nursing intervention programs aimed at promoting healthy eating habits in toddlers and families.
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Affiliation(s)
| | - Cândida Koch
- Escola Superior de Enfermagem do Porto. Porto, Portugal
| | - Margarida Reis Santos
- Universidade do Porto. Porto, Portugal
- Escola Superior de Enfermagem do Porto. Porto, Portugal
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Vicente JB, Pegorin TC, Santos ALDO, Veríssimo MDLÓR. Interventions for child development based on the Touchpoints Model: scoping review. Rev Lat Am Enfermagem 2023; 31:e4034. [PMID: 37820222 PMCID: PMC10561796 DOI: 10.1590/1518-8345.6732.4034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 08/01/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to map the characteristics of interventions to promote child development that used the Touchpoints Model. METHOD this is a scoping review, guided by the recommendations of the JBI Reviewer's Manual, carried out in nine databases, in the gray literature and in the reference list of the selected studies. The research question was "what are the characteristics of interventions with parents/caregivers and children to promote child development, from pregnancy to six years of age, based on the Touchpoints Model?". Rayyan was used for the selection of studies and a standard form for data extraction. The analysis was carried out descriptively. RESULTS twelve publications were included in the review. Interventions were heterogeneous; concentrated in the period from pregnancy to three years of age; prioritized the dissemination of Touchpoints content according to age, and parenting aspects; most were performed by nurses, in Primary Health Care, and during home visits. Interventions were related to overall development, greater understanding of development and greater interaction with the child. CONCLUSION studies have shown potential for favorable outcomes for child development and parenting. The variability of interventions made it difficult to map more effective characteristics. (1) Interventions in the period of pregnancy until the child's 3 years of life predominated. (2) Interventions by nurses in Primary Care and home visits predominated. (3) The interventions were mostly delivered individually and face-to-face. (4) The participating parents had a greater understanding of child development. (5) There was more interaction with the child, use of toys and learning materials.
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Affiliation(s)
| | - Talita Cristina Pegorin
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil
- Becaria de la Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Ana Laura de Oliveira Santos
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil
- Becaria del Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil
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Pereira MAD, Arroyo LH, Gallardo MDPS, Arcêncio RA, Gusmão JD, Amaral GG, de Oliveira VC, Guimarães EADA. Vaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity. Rev Bras Enferm 2023; 76:e20220734. [PMID: 37729269 PMCID: PMC10506597 DOI: 10.1590/0034-7167-2022-0734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 02/15/2023] [Indexed: 09/22/2023] Open
Abstract
OBJECTIVE to analyze vaccination coverage spatial distribution in children under one year old and the socioeconomic factors associated with meeting the recommended goals in Minas Gerais. METHODS an ecological study, carried out in 853 municipalities in the state. Pentavalent, poliomyelitis, meningococcal conjugate, yellow fever, rotavirus, and 10-valent pneumococcal conjugate vaccination coverage were analyzed. Scan statistics and multiple logistic regression were performed to identify spatial clusters and factors associated with meeting coverage goals. RESULTS spatial analysis revealed clusters with risk of low coverage for all vaccines. Number of families with per capita income of up to 1/2 wage, Minas Gerais Social Responsibility Index and percentage of the poor or extremely poor population were associated with meeting the established goals. CONCLUSIONS the results are useful for designing interventions regarding the structuring of vaccination services and the implementation of actions to increase vaccination coverage in clusters with less propensity to vaccinate.
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Affiliation(s)
| | | | | | | | - Josianne Dias Gusmão
- Secretaria de Estado da Saúde de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
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Moretti E, Marcolino MAZ, Jaguaribe de Lima AM, Lemos A. Eficácia E Custo-Utilidade De Intervenções Para O Tratamento Da Enurese Em Crianças E Adolescentes Sob A Perspectiva Do Sistema Único De Saúde Brasileiro: Effectiveness and Cost-Utility of Interventions for Enuresis Treatment in Children and Adolescents From the Brazilian Single Health System Perspective. Value Health Reg Issues 2023; 37:1-8. [PMID: 37099838 DOI: 10.1016/j.vhri.2023.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 02/15/2023] [Accepted: 03/20/2023] [Indexed: 04/28/2023]
Abstract
OBJECTIVES This study aimed to estimate the cost-utility of effective interventions for enuresis treatment in children and adolescents and to calculate the incremental cost-utility ratio from the perspective of the Brazilian Unified Health System in a 1-year time horizon. METHODS The economic analysis is in 7 stages: (1) survey of evidence of treatments for enuresis, (2) performing the network meta-analysis, (3) estimation of the probability of cure, (4) cost-utility analysis, (5) model sensitivity analysis, (6) analysis of acceptability of interventions by acceptability curve, and (7) monitoring the technological horizon. RESULTS The association between desmopressin and oxybutynin is the therapeutic strategy with the highest probability of success in the treatment of enuresis in children and adolescents compared with placebo (relative risk [RR] 2.88; 95% confidence interval [CI] 1.65-5.04), followed by the combination therapy between desmopressin and tolterodine (RR 2.13; 95% CI 1.13-4.02), alarm (RR 1.59; 95% CI 1.14-2.23), and neurostimulation (RR 1.43; 95% CI 1.04-1.96). Combination therapy between desmopressin and tolterodine was the only 1 considered not to be cost-effective. Neurostimulation, alarm therapy, and therapy had the respective incremental cost-utility ratio values: R$5931.68, R$7982.92, and R$29 050.56/quality-adjusted life-years. CONCLUSION Among the therapies that are on the borderline of efficiency, the combined therapy between desmopressin and oxybutynin presents the greatest incremental benefit at an incremental cost that is still feasible, given that it does not exceed the reference value of the cost-effectiveness threshold established in Brazil.
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Affiliation(s)
- Eduarda Moretti
- Setor de Anatomia Humana, Instituto de Ciências Biológicas e da Saúde, Universidade Federal de Alagoas, Maceió, Alagoas, Brasil.
| | - Miriam Allein Zago Marcolino
- Programa de Pós-Graduação em Epidemiologia, Universidade Federal do Rio Grande do Sul, Instituto para Avaliação de Tecnologia em Saúde - INCT/IATS (CNPQ 465518/2014-1), Porto Alegre, Rio Grande do Sul, Brasil
| | - Anna Myrna Jaguaribe de Lima
- Departamento de Morfologia e Fisiologia Animal, Universidade Federal Rural de Pernambuco, Recife, Pernambuco, Brasil
| | - Andrea Lemos
- Departamento de Fisioterapia, Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil
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Scharnoski FG, Desconsi IM, Linnenkamp MDW, Fontes HS, Pereira CDEO, Martins RK, Sarquis LM. Epidemiological study of pediatric trauma in a reference hospital in Curitiba. Rev Col Bras Cir 2023; 50:e20233447. [PMID: 37610921 PMCID: PMC10508651 DOI: 10.1590/0100-6991e-20233447-en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 04/21/2023] [Indexed: 08/25/2023] Open
Abstract
OBJECTIVE to analyze the prevalence of types of trauma, resulting injuries and managements in children and adolescents between 0 and 17 years old, treated in an Emergency Room in 2019. METHODS a retrospective cross-sectional descriptive study carried out by collecting data from medical records from January to December of 2019, encompassing pediatric trauma victims, divided according to age groups: infants (0-1 year), preschool children (2-4 years), school children (5-10 years) and adolescents (11-17 years). RESULTS 3,741 patients records were included in the study. The search for assistance occurred spontaneously in about 70% of the cases and males were the most affected at all ages. In infants and preschoolers, the main mechanism of trauma was fall from heights, corresponding to 57.2% and 34.1%, respectively, whereas in school children and adolescents, the main mechanism was ground-level falls (38%) and sports trauma (22,3%), in this order. The main injuries presented, in general, were traumatic brain injury (28,2%), upper limb contusion (23,2%) and upper limb fractures (16,3%). CONCLUSIONS the profile of the victims analyzed indicates the male sex as the most affected, with the trauma mechanism being the differential according to age. The most frequent mechanism is falls, more prevalent in infants and preschoolers, and the most common injury is extremity contusion, with the upper limbs being the most affected. In general, the cases were considered of low complexity, with a hospitalization rate of 6%.
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Oliveira PML, da Silva RMFL, Tonelli HDAF, Meira ZMA, Mota CDCC. Clinical and Autonomic Profile, and Modified Calgary Score for Children and Adolescents with Presumed Vasovagal Syncope Submitted to the Tilt Test. Arq Bras Cardiol 2023; 120:e20220543. [PMID: 37556654 PMCID: PMC10382152 DOI: 10.36660/abc.20220543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 03/01/2023] [Accepted: 04/05/2023] [Indexed: 08/11/2023] Open
Abstract
BACKGROUND In the pediatric population, syncope is mainly from vasovagal (VVS) origin. Its evaluation must be done by clinical methods, and the tilt test (TT) can contribute to the diagnosis. OBJECTIVES To analyze the clinical profile, Calgary and modified Calgary scores, response to TT and heart rate variability (HRV) of patients aged ≤ 18 years with presumed VVS. To compare the variables between patients with positive and negative responses to TT. METHOD Observational and prospective study, with 73 patients aged between 6 and 18 years, submitted to clinical evaluation and calculation of scores without previous knowledge of the TT. It was done at 70º under monitoring for HRV analysis. P-value < 0.05 was the statistical significance criterion. RESULTS Median age was 14.0 years; 52% of participants were female, 72 had Calgary ≥ -2 (mean 1.80), and 69 had modified Calgary ≥ -3 (mean 1.38). Prodromes were observed in 59 patients, recurrence in 50 and trauma in 19. The response to TT was positive in 54 participants (49 vasovagal, with 39 vasodepressor responses), with an increase in the low frequency (LF) component and a decrease in the high frequency (HF) component (p < 0,0001). In the supine position, LF was 33.6 in females and 47.4 in normalized units for males (p = 0.02). When applying the operating characteristic curve for positive TT, there was no statistical significance for HRV and scores. CONCLUSION Most children and adolescents with a presumed diagnosis of VVS presented a typical clinical scenario, with a Calgary score ≥ -2, and a predominant vasodepressor response to TT. Greater sympathetic activation was observed in the supine position in males. Calgary scores and sympathetic activation did not predict the response to TT.
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Affiliation(s)
- Pamela Michelle Leite Oliveira
- Universidade Federal de Minas GeraisBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
- Hospital das ClínicasUniversidade Federal de Minas GeraisBelo HorizonteMGBrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
| | - Rose Mary Ferreira Lisboa da Silva
- Universidade Federal de Minas GeraisBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
- Hospital das ClínicasUniversidade Federal de Minas GeraisBelo HorizonteMGBrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
| | - Henrique de Assis Fonseca Tonelli
- Universidade Federal de Minas GeraisBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
- Hospital das ClínicasUniversidade Federal de Minas GeraisBelo HorizonteMGBrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
| | - Zilda Maria Alves Meira
- Universidade Federal de Minas GeraisBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
- Hospital das ClínicasUniversidade Federal de Minas GeraisBelo HorizonteMGBrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
| | - Cleonice de Carvalho Coelho Mota
- Universidade Federal de Minas GeraisBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
- Hospital das ClínicasUniversidade Federal de Minas GeraisBelo HorizonteMGBrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG – Brasil
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Talini C, Carvalho ARDAS, Viera CS. Elective pediatric surgery: profile description of children and late referral identification. Rev Col Bras Cir 2023; 50:e20233516. [PMID: 37341289 PMCID: PMC10508650 DOI: 10.1590/0100-6991e-20233516-en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 04/02/2023] [Indexed: 06/22/2023] Open
Abstract
Pediatric surgery receives great demand for referrals from primary care services in order to evaluate the need for surgical intervention. However access to this specialized evaluation and in intervention does not always occur at the appropriate time. This study aims to characterize the profile of pediatric patients electively operated in the western Paraná state region, between 2018 and 2020, and identify those who were lately referred to surgical evaluation. This is a descriptive, cross-sectional and retrospective study through the review of electronic medical records. The variables evaluated were sociodemographic data, information on underlying diseases, referral data, specialist assessment and surgical procedure. During this period, 410 patients underwent an elective surgical procedure, of which 289 were included in the research. The sample was predominantly male (72.3%) with a mean age of 57.9 months at the surgeons assessment and 59 months at the date of surgery. Most of the patients came from primary care (75%) and the most common pathology was inguinal hernia (39.1%). The mean time interval between referral through primary care and surgery was 4.98 months, and between the surgeons assessment and surgery was 1.21 months. Of the total sample, 77 (26.6%) patients were identified as being referred late for the surgical procedure. Knowing the profile of patients and the problems experienced in this region in relation to the care provided in pediatric surgery provides subsidies to propose improvement strategies not only for the health system in this location, but for several inner regions of Brazil in a similar situation.
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Affiliation(s)
- Carolina Talini
- - Universidade Estadual do Oeste do Paraná, Programa de Pós-graduação em Biociências & Saúde - Cascavel - PR - Brasil
| | | | - Claudia Silveira Viera
- - Universidade Estadual do Oeste do Paraná, Programa de Pós-graduação em Biociências & Saúde - Cascavel - PR - Brasil
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Dias S, Castro S, Ribeiro AI, Krainski ET, Duarte R. Geographic patterns and hotspots of pediatric tuberculosis: the role of socioeconomic determinants. J Bras Pneumol 2023; 49:e20230004. [PMID: 37341241 PMCID: PMC10578936 DOI: 10.36416/1806-3756/e20230004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/24/2023] [Indexed: 06/22/2023] Open
Abstract
OBJECTIVE Children are an important demographic group for understanding overall tuberculosis epidemiology, and monitoring of childhood tuberculosis is essential for appropriate prevention. The present study sought to characterize the spatial distribution of childhood tuberculosis notification rates in continental Portugal; identify high-risk areas; and evaluate the association between childhood tuberculosis notification rates and socioeconomic deprivation. METHODS Using hierarchical Bayesian spatial models, we analyzed the geographic distribution of pediatric tuberculosis notification rates across 278 municipalities between 2016 and 2020 and determined high-risk and low-risk areas. We used the Portuguese version of the European Deprivation Index to estimate the association between childhood tuberculosis and area-level socioeconomic deprivation. RESULTS Notification rates ranged from 1.8 to 13.15 per 100,000 children under 5 years of age. We identified seven high-risk areas, the relative risk of which was significantly above the study area average. All seven high-risk areas were located in the metropolitan area of Porto or Lisbon. There was a significant relationship between socioeconomic deprivation and pediatric tuberculosis notification rates (relative risk = 1.16; Bayesian credible interval, 1.05-1.29). CONCLUSIONS Identified high-risk and socioeconomically deprived areas should constitute target areas for tuberculosis control, and these data should be integrated with other risk factors to define more precise criteria for BCG vaccination.
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Affiliation(s)
- Sara Dias
- . Hospital Pedro Hispano, Matosinhos, Portugal
| | - Sofia Castro
- . Centro Hospitalar do Baixo Vouga, Hospital Infante D. Pedro, Aveiro, Portugal
| | - Ana Isabel Ribeiro
- . EPIUnit, Instituto de Saúde Pública - ISPUP - Universidade do Porto, Porto, Portugal
- . Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional - ITR - Porto, Portugal
- . Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Elias T Krainski
- . Departamento de Estatística, Universidade Federal do Paraná - UFPR -Curitiba (PR) Brasil
- . King Abdullah University of Science and Technology - KAUST - Tuwal, Saudi Arabia
| | - Raquel Duarte
- . EPIUnit, Instituto de Saúde Pública - ISPUP - Universidade do Porto, Porto, Portugal
- . Instituto de Ciências Biomédicas Abel Salazar - ICBAS - Universidade do Porto, Porto, Portugal
- . Unidade de Investigação Clínica da ARS Norte, Porto, Portugal
- . Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Baldisserotto ML, Theme Filha MM. Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version. CAD SAUDE PUBLICA 2023; 39:e00133922. [PMID: 37255189 PMCID: PMC10549973 DOI: 10.1590/0102-311xen133922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 02/03/2023] [Accepted: 03/30/2023] [Indexed: 06/01/2023] Open
Abstract
This study aimed to update the assessment of construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS). This is part of a cohort study, in which the scale was applied to 415 pregnant women. The factor structure was verified via structural equation models. Comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA) were used to verify the model fit. Additionally, to test the validity of the MFAS based on external variables, generalized linear model was performed to test the association between obstetric variables, social support, and symptoms of depression with the MFAS. The reliability was analyzed via the composite reliability coefficient (CR). The 12-item short version of the Brazilian MFAS showed adequate parameters of construct validity (CFI = 0.969, TLI = 0.960 and RMSEA = 0.032, 90%CI: 0.012-0.048) and is composed of three factors ("empathy and care", "role-taking", and "interaction with the fetus") containing 12 items. The total scores of the MFAS were positively correlated with social support (p-value < 0.001) and negatively correlated with depressive symptoms (p-value = 0.007). Moreover, women who live with a partner (p-value = 0.026) and had intended pregnancies (p-value < 0.001) presented a better bond with the fetus. Regarding reliability, factors 1 and 2 showed adequate values (CR = 0.72 and CR = 0.82, respectively) and factor 3 regular value (CR = 0.63). This 12-item short version of the Brazilian MFAS may be a reliable and valid instrument for scientific studies and clinical assistance in Brazil.
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Fonseca MDM, Coimbra RVG, Oliveira JSE, Soares ADN, Gomes JMG. Consumption of ultra-processed foods and associated factors in children from Barbacena (MG), Brazil. Rev Paul Pediatr 2023; 42:e2022127. [PMID: 37194910 PMCID: PMC10184977 DOI: 10.1590/1984-0462/2024/42/2022127] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 12/07/2022] [Indexed: 05/18/2023]
Abstract
OBJECTIVE To evaluate the prevalence of ultra-processed food consumption and associated factors among children enrolled in the public school system of the city of Barbacena, Minas Gerais, Brazil. METHODS This is a cross-sectional study conducted with schoolchildren aged 7-9 years, of both sexes, enrolled in state public schools. Food intake was assessed using the Previous Day Food Questionnaire and the level of physical activity by the Previous Day Physical Activity Questionnaire. The listed foods were classified according to the extent and purpose of industrial processing, using the NOVA classification. Pearson's χ2 test, Fisher's exact test, χ2 with Yates correction, and Poisson regression were used in the statistical analysis, estimating the crude and adjusted prevalence ratio, with 95% confidence intervals. RESULTS The prevalence of daily ultra-processed food consumption was 69.6%. After adjusted analyses, the consumption of ultra-processed food was associated with the omission of breakfast, mid-afternoon snack, supper, low physical activity, and consumption of risk foods. On the other hand, consumption of in natura or minimally processed foods was associated with older age, the consumption of lunch, mid-afternoon snack, dinner, and protective foods. CONCLUSIONS There is a high prevalence of ultra-processed foods consumption, associated with unhealthy dietary habits among schoolchildren. This highlights the need for nutritional counseling and educational actions, favoring healthy eating in childhood.
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Affiliation(s)
- Marlene de Melo Fonseca
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Barbacena, MG, Brazil
| | | | | | | | - Júnia Maria Geraldo Gomes
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Barbacena, MG, Brazil
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Henriques NL, Silva JBD, Charepe ZB, Braga PP, Duarte ED. Factors that promote and threaten Hope in caregivers of children with chronic conditions. Rev Lat Am Enfermagem 2023; 31:e3896. [PMID: 37194892 PMCID: PMC10202231 DOI: 10.1590/1518-8345.6366.3896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 11/26/2022] [Indexed: 05/18/2023] Open
Abstract
to identify the factors that promote and threaten Hope in family caregivers of 2- to 3-year-old children with chronic conditions. qualitative study with 46 family caregivers of children between 2 and 3 years old with a chronic condition, discharged from two Neonatal Intensive Care Units. Data was collected through semi-structured interviews guided by the Model for Intervention in Mutual Help Promoter of Hope. Data were submitted to deductive thematic analysis. the following were identified as factors that promote Hope: The experience shared with members of the social support network; The relationship with the child; Clinical improvement of the child; Spirituality; Positive guidance for the future. The following were identified as factors that threaten Hope: Conflictual relationships and discredit of the child by close people; Uncertainties about the future; Insecurities about the ability to care for the child. the threatening factors of Hope generated suffering, pain, anguish, anxiety, and loneliness in caregivers. The promoting factors of Hope generated comfort, motivation, strength and joy. The findings allow Nurses to recognize the strengths and weaknesses of caregivers and adopt behaviors that promote Hope in caregivers of children with chronic conditions.
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Affiliation(s)
| | - Juliana Barony da Silva
- Universidade Federal de Minas Gerais, Grupo de Estudos sobre o Recém-nascido, Criança, Adolescentes e suas Famílias (RECRIA). Belo Horizonte, MG, Brasil
| | | | - Patrícia Pinto Braga
- Universidade Federal de São João del-Rei, Faculdade de Enfermagem. Belo Horizonte, MG, Brasil
| | - Elysângela Dittz Duarte
- Universidade Federal de São João del-Rei, Núcleo de Estudos sobre Criança e Adolescente (NECA). Divinópolis, MG, Brasil
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Fabrin C, Boing AC, Garcia LP, Boing AF. Socioeconomic inequality in hospital case fatality rate and care among children and adolescents hospitalized for COVID-19 in Brazil. Rev Bras Epidemiol 2023; 26:e230015. [PMID: 36820752 PMCID: PMC9949490 DOI: 10.1590/1980-549720230015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 11/23/2022] [Indexed: 02/22/2023] Open
Abstract
OBJECTIVE To analyze the association of hospital case fatality rate and care received by children and adolescents hospitalized for COVID-19 with the gross domestic product (GDP) per capita of Brazilian municipalities and regions of residence. METHODS Data were collected from the Influenza Epidemiological Surveillance Information System and the Brazilian Institute of Geography and Statistics. The dichotomous outcomes analyzed were hospital case fatality rate of COVID-19, biological samples collected for COVID-19 diagnosis, X-rays, computed tomography (CT) scans, use of ventilatory support, and intensive care unit hospitalization. The covariates were municipal GDP per capita and the Brazilian region of residence. Poisson regression was used for the outcomes recorded in 2020 and 2021 in Brazil, covering the two COVID-19 waves in the country, adjusted for age and gender. RESULTS The hospital case fatality rate was 7.6%. In municipalities with lower GDP per capita deciles, the case fatality rate was almost four times higher among children and twice as high in adolescents compared to cities with higher deciles. Additionally, residents of municipalities with lower GDP per capita had fewer biological samples collected for diagnosis, X-ray examinations, and CT scans. We found regional disparities associated with case fatality rate, with worse indicators in the North and Northeast regions. The findings remained consistent over the two COVID-19 waves. CONCLUSION Municipalities with lower GDP per capita, as well as the North and Northeast regions, had worse indicators of hospital case fatality rate and care.
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Affiliation(s)
- Caroline Fabrin
- Universidade Federal de Santa Catarina, Graduate Program in Collective Health – Florianópolis (SC), Brazil
| | - Alexandra Crispim Boing
- Universidade Federal de Santa Catarina, Graduate Program in Collective Health – Florianópolis (SC), Brazil
| | | | - Antonio Fernando Boing
- Universidade Federal de Santa Catarina, Graduate Program in Collective Health – Florianópolis (SC), Brazil
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de Fontes PADS, Siqueira JH, Martins HX, Oliosa PR, Zaniqueli D, Mill JG, Alvim RDO. Sedentary Behavior, Dietary Habits, and Cardiometabolic Risk in Physically Active Children and Adolescents. Arq Bras Cardiol 2023; 120:e20220357. [PMID: 36753072 PMCID: PMC9882420 DOI: 10.36660/abc.20220357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 10/05/2022] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND Sedentary behavior has been associated with several cardiometabolic risk factors during childhood. However, little is known about the impact of sedentary behavior on the health and eating habits of physically active children and adolescents. OBJECTIVE To evaluate the association between sedentary behavior and cardiometabolic risk factors and eating habits in physically active children and adolescents. METHODS This cross-sectional study was conducted, including 516 physically active children and adolescents (10 to 18 years old; both sexes) enrolled in the social project "Estação Conhecimento-Vale" were evaluated. Biochemical and lifestyle variables (questionnaire) were collected. Sedentary behavior was determined indirectly (questionnaire), by using sitting time ≥ 3 hours per day as a cutoff point. A p-value < 0.05 was considered statistically significant for all tests. RESULTS Sedentary behavior was not associated with overweight/obesity (odds ratio = 0.72 [95% confidence interval (CI): 0.325-1.389]), hypertriglyceridemia (odds ratio = 0.63 [95% CI: 0.306-1.297]), low HDL cholesterol (odds ratio = 0.57 [95% CI: 0.323-1.019]), or high non-HDL cholesterol (odds ratio = 0.63 [95% CI: 0.283-1.389]). However, children and adolescents with sedentary behavior were more likely to regularly consume food in front of the television (odds ratio = 1.96 [95% CI: 1.114-3.456]) and to consume at least one ultra-processed food per day (odds ratio = 2.42 [95% CI: 1.381-4.241]). In addition, they were less likely to consume fruit regularly (odds ratio = 0.52 [95% CI: 0.278-0.967]). CONCLUSION There was no association between sedentary behavior and cardiometabolic risk factors in physically active children and adolescents. However, sedentary behavior was associated with inadequate eating habits. Thus, we may suggest that the regular engagement in physical activity may attenuate the deleterious effects of sedentary behavior on the cardiometabolic parameters of children and adolescents.
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Affiliation(s)
- Paula Adriana dos Santos de Fontes
- Universidade Federal do AmazonasFaculdade de Educação Física e FisioterapiaManausAMBrasilUniversidade Federal do Amazonas, Faculdade de Educação Física e Fisioterapia, Manaus, AM – Brasil
| | - Jordana Herzog Siqueira
- Universidade Federal do Espírito SantoPrograma de Pós-Graduação em Saúde ColetivaVitóriaESBrasilUniversidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES – Brasil
| | - Haysla Xavier Martins
- Universidade Federal do Espírito SantoPrograma de Pós-Graduação em Saúde ColetivaVitóriaESBrasilUniversidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES – Brasil
| | - Polyana Romano Oliosa
- Universidade Federal do Espírito SantoPrograma de Pós-Graduação em Saúde ColetivaVitóriaESBrasilUniversidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES – Brasil
| | - Divanei Zaniqueli
- Universidade Federal do Espírito SantoPrograma de Pós-Graduação em Ciências FisiológicasVitóriaESBrasilUniversidade Federal do Espírito Santo, Programa de Pós-Graduação em Ciências Fisiológicas, Vitória, ES – Brasil
| | - José Geraldo Mill
- Universidade Federal do Espírito SantoPrograma de Pós-Graduação em Ciências FisiológicasVitóriaESBrasilUniversidade Federal do Espírito Santo, Programa de Pós-Graduação em Ciências Fisiológicas, Vitória, ES – Brasil
| | - Rafael de Oliveira Alvim
- Universidade Federal do AmazonasDepartamento de Ciências FisiológicasManausAMBrasilUniversidade Federal do Amazonas, Departamento de Ciências Fisiológicas, Manaus, AM – Brasil
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Bonfim TDA, Giacon-Arruda BCC, Galera SAF, Teston EF, Nascimento FGPD, Marcheti MA. Assistance to families of children with Autism Spectrum Disorders: Perceptions of the multiprofessional team. Rev Lat Am Enfermagem 2023; 31:e3780. [PMID: 36888790 PMCID: PMC9990997 DOI: 10.1590/1518-8345.5694.3780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 07/28/2022] [Indexed: 03/08/2023] Open
Abstract
OBJECTIVE to synthesize the care provided by health professionals, at different care levels, to the families of children with Autism Spectrum Disorders. METHOD a qualitative study, based on the Family-Centered Care philosophical theoretical framework and developed with 22 professionals from three multidisciplinary teams from the Health Care Network of a municipality in the state of Mato Grosso do Sul, Brazil. The data were collected through two focus groups with each team, organized with the support of the Atlas.ti 8 Qualitative Data Analysis® software and submitted to Thematic Content Analysis. RESULTS the findings show actions centered on specific situations, especially on the demands and needs arising from the child's care and atypical behavior. Influencing factors for family care, such as work overload and little professional experience, show the weakness of multiprofessional care and the invisibility of the family as a care unit. CONCLUSION the need is highlighted to review functioning of the network for the multiprofessional care of children and their families and how such network is organized. It is recommended to offer permanent education actions that contribute to the qualification of multiprofessional teams in the care of families of children in the autism spectrum.
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Affiliation(s)
- Tassia de Arruda Bonfim
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | | | - Sueli Aparecida Frari Galera
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.,Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
| | - Elen Ferrraz Teston
- Universidade Federal de Mato Grosso do Sul, Instituto Integrado de Saúde, Campo Grande, MS, Brazil
| | | | - Maria Angélica Marcheti
- Universidade Federal de Mato Grosso do Sul, Instituto Integrado de Saúde, Campo Grande, MS, Brazil
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Silva AMPDSD, Barbosa LDC, Marques LMA, Carreira LY, Fonseca FMCD, Lima APC, Sodré JJM, Pignati LT, Araújo OR, Silva DCBD, Carlesse FADMC. A case-control study of Clostridioides difficile symptomatic infections in a pediatric cancer hospital. Rev Paul Pediatr 2023; 41:e2022117. [PMID: 36921180 PMCID: PMC10013996 DOI: 10.1590/1984-0462/2023/41/2022117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 11/20/2022] [Indexed: 03/15/2023]
Abstract
OBJECTIVE The aim of this study was to analyze and identify documented infections and possible risk factors for Clostridioides difficile infections in children with cancer. METHODS This is a retrospective case-control study, carried out in a pediatric cancer hospital, covering the years 2016-2019. Matching was performed by age and underlying disease, and for each case, the number of controls varied from 1 to 3. Logistic regression models were used to assess risk factors. RESULTS We analyzed 63 cases of documented infection by C. difficile and 125 controls. Diarrhea was present in all cases, accompanied by fever higher than 38°C in 52.4% of the patients. Mortality was similar among cases (n=4; 6.3%) and controls (n=6; 4.8%; p=0.7). In all, 71% of patients in the case group and 53% in the control group received broad-spectrum antibiotics prior to the infection. For previous use of vancomycin, the Odds Ratio for C. difficile infection was 5.4 (95% confidence interval [95%CI] 2.3-12.5); for meropenem, 4.41 (95%CI 2.1-9.2); and for cefepime, 2.6 (95%CI 1.3-5.1). For the antineoplastic agents, the Odds Ratio for carboplatin was 2.7 (95%CI 1.2-6.2), melphalan 9.04 (95%CI 1.9-42.3), busulfan 16.7 (95%CI 2.1-134.9), and asparaginase 8.97 (95%CI 1.9-42.9). CONCLUSIONS C. difficile symptomatic infection in children with cancer was associated with previous hospitalization and the use of common antibiotics in cancer patients, such as vancomycin, meropenem, and cefepime, in the last 3 months. Chemotherapy drugs, such as carboplatin, melphalan, busulfan, and asparaginase, were also risk factors.
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Oliosa PR, Oliosa EMR, Alvim RDO, Sartório CL, Zaniqueli DDA, Mill JG. Association of sun exposure and seasonality with vitamin D levels in Brazilian children and adolescents. Rev Paul Pediatr 2023; 41:e2021361. [PMID: 36888750 PMCID: PMC9984152 DOI: 10.1590/1984-0462/2023/41/2021361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 05/06/2022] [Indexed: 03/08/2023]
Abstract
OBJECTIVE This study aimed to verify vitamin D concentration in children and adolescents during the seasons of the year and to compare vitamin D concentration between children engaged in outdoor activities and those engaged in indoor activities. METHODS This is a cross-sectional study with a sample of 708 children and adolescents (aged 6-18 years), excluding 109 (16 were over 19 years old; 39 had a disease that required continuous treatment; 20 were on continuous medication; and 34 had no vitamin D data), ending with 599. The plasma concentration of 25-hydroxyvitamin D2 was measured with commercial kits following manufacturer instructions. RESULTS Participants who engaged in outdoor activities, as well as those who had data collected during summer and spring, had higher levels of vitamin D. According to the Poisson regression, the proportion of participants with inadequate levels of vitamin D was greater in the participants whose vitamin D was measured during spring (PR 1.15, 95%CI 1.03-1.29) and winter (PR 1.18, 95%CI 1.05-1.32). Also, a greater proportion of inadequate vitamin D was observed for those engaged in indoor activities (PR 1.08, 95%CI 1.01-1.15). CONCLUSIONS Participants who measured the vitamin during the summer and autumn had a lower prevalence of hypovitaminosis D. Even in regions with high solar incidence throughout the year, vitamin D levels can vary significantly during the period's seasons.
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Jerez Molina C, Lahuerta Valls L, Fernandez Villegas V, Santos Ruiz S. Nursing evaluation of pediatric preoperative anxiety: a qualitative study. Rev Lat Am Enfermagem 2023; 31:e3738. [PMID: 36888788 PMCID: PMC9991007 DOI: 10.1590/1518-8345.6230.3738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Accepted: 07/15/2022] [Indexed: 03/08/2023] Open
Abstract
OBJECTIVE to explore and describe how perioperative nurses assess and interpret the child's behavior before entering the operating room, identifying the strategies they use to reduce anxiety and the proposals for improvements. METHOD descriptive qualitative study using semi-structured interviews and participant observation of daily routines. Thematic analysis of data. This study follows the recommended criteria for publication of articles of the qualitative methodology Consolidated Criteria for Reporting Qualitative Research. RESULTS four topics emerged from the data: a) assessment of anxiety or close communication with the child and their family; b) evaluating what was observed; c) managing anxiety and d) improving the assessment or proposals for improvements in daily practice. CONCLUSION nurses assess anxiety in their daily practice through observation using their clinical judgment. The nurse's experience is decisive for the appropriate assessment of the preoperative anxiety in child. Insufficient time between waiting and entering the operating room, lack of information from child and their parents about the surgical procedure, and parental anxiety make it difficult to assess and properly manage anxiety.
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Affiliation(s)
- Carmen Jerez Molina
- Campus Docent Sant Joan de Déu, School of Nursing, Barcelona, Spain.,Hospital Sant Joan de Déu, Nursing Department, Ambulatory Surgery, Barcelona, Spain
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Escaldelai FMD, Silva Filho LVRFD, Neri LDCL, Bergamaschi DP. Quality of anthropometric data measured in children and adolescents with cystic fibrosis: a scoping review. Rev Paul Pediatr 2023; 41:e2021333. [PMID: 36888749 PMCID: PMC9984155 DOI: 10.1590/1984-0462/2023/41/2021333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 05/06/2022] [Indexed: 03/08/2023]
Abstract
OBJECTIVE This study aimed to identify methodological aspects involved in determining anthropometric measurements among studies assessing the nutritional status of individuals with cystic fibrosis (CF). METHODS A search of the literature was performed on MEDLINE via Pubmed, Embase, and Web of Science databases. The population comprised children and adolescents with CF. Observational studies and clinical trials using anthropometric and body composition measures and indices determined by dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance assessment (BIA) were included. Use of a standardized procedure for data collection was defined when details on the instruments and their calibration were given, the measuring procedures were described, and when it was clear measures had been determined by a trained team, or the use of an anthropometric reference manual was cited. Data extracted were expressed as absolute and relative frequencies. RESULTS A total of 32 articles were included, and a total of 233 measures or indices were observed. The most frequently used measures were body mass index (kg/m2; 35%), weight (kg; 33%), and height (cm; 33%). Among the 28 studies that used anthropometric measures, 21 (75%) provided a complete or partial description of the measurement instruments used, 3 (11%) reported information on equipment calibration, 10 (36%) indicated the measurement procedures employed by assessors, and 2 (7%) stated a trained team had carried out the measurements. CONCLUSIONS The poor description of measuring procedures precluded a meaningful evaluation of data quality. Scientific debate on this theme can help raise awareness of the need to ensure quality in collecting and fully presenting data.
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Romão TT, Angelim AIM, Prado HJPD, Goes FVD, Pires MEP, Fontana RDS, Pires LDC, Fernandes AR, D'Andrea-Meira I. Use of lacosamide in children: experience of a tertiary medical care center in Brazil. Arq Neuropsiquiatr 2022; 80:1090-1096. [PMID: 36577407 PMCID: PMC9797266 DOI: 10.1055/s-0042-1758366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
BACKGROUND Lacosamide (LCM) is a third-generation anti-seizure drug approved in Europe and the United States, either as a monotherapy or adjunctive therapy, to treat partial-onset seizures in adults, adolescents, and children. In Brazil, LCM is licensed for treatment only in patients older than 16 years of age. OBJECTIVE To evaluate a cohort of children presenting with refractory epilepsy who received LCM as an add-on therapy and observe the response and tolerability to the LCM treatment. METHODS A retrospective cohort study conducted in a tertiary health care facility, which included 26 children, aged up to 16 years, who presented with refractory epilepsy and received LCM as an add-on treatment. The follow-up visits were scheduled every 3 months until 9 months of treatment with LCM. RESULTS After 3 months of LCM administration, in 73.1% of the children, there was a reduction of > 50% in the frequency of seizures, and this clinical improvement was maintained in most patients (73.9%) for the following 9 months. Mild (such as, somnolence and behavioral changes) or severe (seizure worsening) adverse effects were observed in two and three children respectively. Among responders to LCM, there was a higher prevalence of males, fewer concomitant anti-seizure drugs, and lower percentage of patients using sodium channel blockers. CONCLUSIONS Lacosamide should be considered as an early treatment option in pediatric patients with refractory epilepsy, mainly focal seizures.
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Affiliation(s)
- Tayla Taynan Romão
- Universidade Federal Fluminense, Faculdade de Medicina, Departamento de Neurologia, Niterói RJ, Brazil.
| | | | | | - Fernanda Veiga de Goes
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Departamento de Neurologia, Rio de Janeiro RJ, Brazil.
| | - Maria Elisa Paiva Pires
- Instituto Estadual do Cérebro Paulo Niemeyer, Departamento de Epilepsia, Rio de Janeiro RJ, Brazil.
| | - Rosiane da Silva Fontana
- Instituto Estadual do Cérebro Paulo Niemeyer, Departamento de Epilepsia, Rio de Janeiro RJ, Brazil.
| | - Lais de Carvalho Pires
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Departamento de Neurologia, Rio de Janeiro RJ, Brazil.
| | | | - Isabella D'Andrea-Meira
- Universidade Federal Fluminense, Faculdade de Medicina, Departamento de Neurologia, Niterói RJ, Brazil.,Instituto Estadual do Cérebro Paulo Niemeyer, Departamento de Epilepsia, Rio de Janeiro RJ, Brazil.,Address for correspondence Isabella D'Andrea Meira
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Askarpour S, Peyvasteh M, Farhadi F, Javaherizadeh H. COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN. Arq Bras Cir Dig 2022; 35:e1709. [PMID: 36542007 PMCID: PMC9767420 DOI: 10.1590/0102-672020220002e1709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 03/28/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND Type of ostomy closure has connection with some complications and also cosmetic effects. AIMS This study aimed to compare result of colostomy closure using purse-string method versus linear method in terms of surgical site infection, surgical time, and patient satisfaction. METHODS In this study, 50 patients who underwent purse-string ostomy closure and 50 patients who underwent linear closure were included. Two groups were compared for surgical time, wound infection, patient satisfaction, scar length. A p-value <0.05 was considered significant. RESULTS Wound infection was not reported among purse-string group compared to 10% in linear group (p=0.022). Scar length was 24.09±0.1 mm in purse string and 52.15±1.0 mm in linear group (p=0.033). Duration of hospital admission was significantly shorter in purse-string group (6.4±1.1 days) compared to linear (15.5±4.6 days, p=0.0001). The Patient and Observer Scar Assessment Scale scale for observer (p=0.038) and parents (p=0.045) was more favorable among purse-string group compared to linear. CONCLUSION Purse-string technique has the less frequent surgical site infection, shorter duration of hospital admission, less scar length, and more favorable cosmetic outcome, compared to linear technique.
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Affiliation(s)
- Shahnam Askarpour
- Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences – Ahvaz, Khouzestan, Iran;,Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences – Ahvaz, Khouzestan, Iran
| | - Mehran Peyvasteh
- Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences – Ahvaz, Khouzestan, Iran
| | - Farbod Farhadi
- Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences – Ahvaz, Khouzestan, Iran
| | - Hazhir Javaherizadeh
- Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences – Ahvaz, Khouzestan, Iran
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Rodrigues RN, do Nascimento GLM, Arroyo LH, Arcêncio RA, de Oliveira VC, Guimarães EADA. The COVID-19 pandemic and vaccination abandonment in children: spatial heterogeneity maps. Rev Lat Am Enfermagem 2022; 30:e3642. [PMID: 36228235 PMCID: PMC9545939 DOI: 10.1590/1518-8345.6132.3642] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/03/2022] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE to identify spatial clusters corresponding to abandonment of routine vaccines in children. METHOD an ecological study, according to data from the 853 municipalities of a Brazilian state. The records analyzed were those of the multidose pentavalent, pneumococcal 10-valent, inactivated poliomyelitis and oral human rotavirus vaccines of 781,489 children aged less than one year old. The spatial scan statistics was used to identify spatial clusters and assess the relative risk based on the vaccination abandonment indicator. RESULTS the spatial scan statistics detected the presence of statistically significant clusters for abandonment regarding the four vaccines in all the years analyzed. However, the highest number of clusters with high relative risk estimates was identified in 2020. The Vale do Aço and West, North and West, and Southwest regions stand out for the pentavalent, poliomyelitis and rotavirus vaccines, respectively. CONCLUSION in an attempt to mitigate the devastating impact of the COVID-19 pandemic, the immunization program experienced setbacks. The presence of clusters points to the need to implement integrated strategies that may involve different sectors for an active search for children and prevent outbreaks of vaccine-preventable diseases in the near future.
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Affiliation(s)
| | | | | | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem,
Ribeirão Preto, SP, Brazil
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Campos RT, Martiniano LVM, Lirio AKS, Souza KEDA, Rose N, Dias JMM, Cardoso ACA, Farhat SC, Silva CA. Nonsexual violence against children and adolescents: a study in a Latin American tertiary and university hospital. Rev Paul Pediatr 2022; 40:e2021101. [PMID: 35544904 PMCID: PMC9095060 DOI: 10.1590/1984-0462/2022/40/2021101in] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 08/08/2021] [Indexed: 12/03/2022]
Abstract
OBJECTIVE The objective of this study was to assess interpersonal nonsexual violence against children and adolescents in a tertiary university hospital. METHODS A cross-sectional study was performed in 240 patients under nonsexual violence situation for 15 consecutive years. Data analyses included demographic data, hospital referral site, type and author of nonsexual violence, legal referral, laboratorial and imaging examinations, and outcomes. RESULTS Nonsexual violence situation was diagnosed in 240 (0.1%) of 295,993 patients for 15 years: 148 (61.7%) in children and 92 (38.3%) in adolescents. Out of 240, the most frequent types of violence were negligence in 156 (65.0%), physical 62 (25.8%), psychological/emotional aggression 52 (21.7%), Munchausen by proxy syndrome 4 (1.7%), and bullying/cyberbullying in 3 (1.3%). Out of 123, the most common pediatric chronic conditions were chronic kidney disease 24 (19.5%), human immunodeficiency virus 14 (11.4%), prematurity 9 (7.3%), cerebral palsy 8 (6.5%), and asthma 8 (6.5%). Further comparison between children versus adolescent under nonsexual violence situation revealed significant difference between the hospital referral sites. The frequency of patients under violence referred from outpatient clinics was significantly reduced in children versus adolescents (27.7 vs. 62%), whereas emergency department was higher in the former group (57.4 vs. 25.0%; p<0.001). All types of violence situations and pediatric chronic conditions were similar in both groups (p>0.05). CONCLUSIONS Nonsexual violence against our pediatric population was rarely diagnosed in a tertiary hospital, mainly negligence, physical, and psychological/emotional aggression. Approximately two-thirds of violence diagnosis occurred in children, referred mainly by the emergency department. In contrast, approximately one-third of violence diagnosis occurred in adolescents, referred mostly by outpatient clinics.
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Affiliation(s)
| | | | | | | | - Natalia Rose
- Universidade de São Paulo, São Paulo, SP, Brazil
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Mattiazzi ÂL, de Lima Malheiros AC, Pinto JD, Battisti IDE, Biaggio EPV. Hearing rehabilitation of children and adolescents with unilateral hearing loss. Codas 2022; 35:e20210065. [PMID: 36477174 PMCID: PMC10010428 DOI: 10.1590/2317-1782/20212021065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 02/14/2022] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To describe the audiological characteristics and the type of intervention chosen on unilateral hearing loss cases in children and adolescents as well as to analyze correlations between the degree of hearing loss, the indication and the use of electronic devices. METHODS Observational, descriptive and retrospective study, carried out with information of 34 medical records from children and adolescents with unilateral hearing loss, assessed by two auditory rehabilitation services of medium complexity, throughout 2016 to 2019. Descriptive and Inferential statistical analysis were performed with the data. RESULTS A predominance of profound sensorineural unilateral hearing loss in the right ear, of pre-lingual character, with 20.6% of malformations. The most adopted intervention was the hearing aid indication, although its use is low, regardless of the degree of the hearing loss. An association was found between the degree of the hearing loss and the healthcare professionals in indicating the use of the devices. CONCLUSION The indication of hearing aids is the most frequent and this decision is influenced by the degree of the hearing loss, in which the devices are mostly indicated for mild to severe losses, with bigger divergence of conduct for profound hearing losses.
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Affiliation(s)
- Ângela Leusin Mattiazzi
- Programa de Pós-graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil
| | | | - Julia Dalcin Pinto
- Curso de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil
| | - Iara Denise Endruweit Battisti
- Programa de Pós-graduação em Desenvolvimento e Políticas Públicas, Universidade Federal da Fronteira Sul - UFFS - Cerro Largo, (RS), Brasil
| | - Eliara Pinto Vieira Biaggio
- Programa de Pós-graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil
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Palma LMP, Penido MGMG, Bresolin NL, Tavares MDS, Sylvestre L, de Andrade OVB, Bernardes RDP, Bandeira MDFS, Garcia CD, Koch VHK, Belangero VMS, Uhlmann A, Soeiro EMD, Kaufman A, de Andrade MC, Silva RDARF, Calice-Silva V, Vieira MA, Merege OV. Pediatric peritoneal dialysis in Brazil: a discussion about sustainability. A document by the Brazilian Society of Nephrology, the Brazilian Society of Pediatrics, the Brazilian Association of Organ Transplantation, and the Brazilian Association of Dialysis and Transplant Centers. J Bras Nefrol 2022; 44:579-584. [PMID: 35348573 PMCID: PMC9838676 DOI: 10.1590/2175-8239-jbn-2021-0245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 01/11/2022] [Indexed: 01/26/2023] Open
Abstract
INTRODUçÃO A diálise peritoneal (DP) é importante para a pediatria. Este estudo mostrou dados de centros brasileiros que utilizam DP pediátrica. MÉTODO Estudo transversal, observacional, descritivo com questionário eletrônico. Incluiu-se pacientes de 0-18 anos em DP cadastrados nos bancos de dados dos diversos centros. Questionário preenchido anonimamente, sem dados de identificação. Foi adotada metodologia quantitativa. RESULTADOS 212 pacientes estão em DP no Brasil (agosto, 2021). 80% têm menos de 12 anos de idade. A maioria realiza DP automatizada e 74% são dependentes do Sistema Único de Saúde. Em 25% dos centros faltou material de DP e em 51% os pacientes pediátricos foram convertidos de DP para HD. CONCLUSÃO A maioria dos pacientes tinha menos de 12 anos e era dependente do SUS. A escassez de insumos aconteceu em 25% dos centros. Esses dados apontam para o problema da sustentabilidade de DP, única alternativa de TRS em crianças muito pequenas.
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Affiliation(s)
| | | | | | - Marcelo de Sousa Tavares
- Unidade de Nefrologia Pediátrica do Centro de Nefrologia da Santa Casa de Belo Horizonte, Belo Horizonte, MG, Brasil
| | | | | | | | | | - Clotilde Druck Garcia
- Universidade Federal de Ciências da Saúde de Porto Alegre, Serviço de Nefrologia Pediátrica da Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
| | | | | | | | | | - Arnauld Kaufman
- Universidade Federal do Rio de Janeiro, Instituto de Puericultura e Pediatria Martagão Gesteira, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brasil
| | | | | | | | | | - Osvaldo Vieira Merege
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, São Paulo, SP, Brasil
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Marcolino EDC, Clementino FDS, Souto RQ, dos Santos RC, de Miranda FAN. Social Representations of nurses on the approach to children and adolescents who are victims of violence. Rev Lat Am Enfermagem 2021; 29:e3509. [PMID: 34816878 PMCID: PMC8616242 DOI: 10.1590/1518-8345.5414.3509] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 09/12/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to analyze social representations from the perspective of the structural aspect about the nurses' approach to children and adolescents who are victims of violence, comparing primary, secondary and tertiary health care services. METHOD an analytical research study with a qualitative approach under the methodological theoretical framework of the Theory of Social Representations from the Central Core Theory. A total of 76 nurses participated in the study: 30 from primary care, 16 from secondary care and 30 from tertiary care. A semi-structured interview was applied using a pre-defined script and similarity analysis using the Interface of R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. RESULTS structurally, the maximum tree revealed the central core in the upper right quadrant, the first peripheral zone in the upper left quadrant; the second peripheral zone in the lower left quadrant; and the silent zone in the lower right quadrant. The ten branches of the maximum tree emerged from the following terms: hit, leave, approach (n), receive, approach (v), remember, tell, spend, pass, caution, mom. CONCLUSION the social representations on the nurses' approach in primary, secondary and tertiary care health services evidenced common points as for the lack of notification, transfer of responsibilities, weakness in identifying situations of violence and the need for training.
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Oliveira LB, Massignan C, Rêgo ICQ, Pires MMDS, Dick B, Bolan M, Canto GDL. Children's and parents' perceptions concerning surgical attire: a systematic review. Rev Paul Pediatr 2021; 40:e2020380. [PMID: 34706033 PMCID: PMC8547135 DOI: 10.1590/1984-0462/2022/40/2020380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 01/19/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To review the literature about children's and parent's perceptions on surgical attire. DATA SOURCE A systematic search was conducted in the databases EMBASE, Latin American and Caribbean Health Sciences (LILACS), PubMed, PsycINFO, Scopus and Web of Science. Grey literature was searched on Google Scholar, Open Grey and ProQuest Dissertations, and Theses Database. DATA SYNTHESIS A total of 2,567 papers were identified. After a two-phase selection, 15 studies were included in narrative synthesis. Children favored wearing white coats in five of the nine included studies (55.5% [95%CI 48.3-62.7]; p=1.00). With respect to parents' preferences, results of vote counting showed that in 11 of 15 included studies, they favored physicians wearing white coats (73.3% [95%CI 67.9-78.6]; p=0.11). CONCLUSIONS Children and parents have preferred physicians to wear a white coat with a very low certainty of evidence.
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Affiliation(s)
| | | | | | | | | | - Michele Bolan
- Universidade de Santa Catarina, Florianópolis, SC, Brazil
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Berwig LC, Marquezan M, Milanesi JDM, Knorst JK, Montenegro MM, de Castro ACR, Sant’Anna EF, Ardenghi TM, da Silva AMT. Agreement among instruments of quantitative evaluation of the hard palate in children. Codas 2021; 34:e20200318. [PMID: 34705925 PMCID: PMC9886110 DOI: 10.1590/2317-1782/20212020318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 02/26/2021] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To evaluate the agreement among instruments of the quantitative evaluation of hard palate. METHODS This cross-sectional study was performed with a sample of 30 children aged 6 to 11 from Santa Maria, Southern Brazil. The instruments for palate measurements evaluated were: digital caliper, used directly in the oral cavity and in plaster casts, Korkhaus tridimensional bow, used directly in the oral cavity and in plaster casts, and Dolphin Imaging Software used for measurements in cone-beam computed tomography (CBCT). The agreement among different instruments was evaluated using the Intraclass Correlation Coefficient (ICC). RESULTS The means of all transversal dimensions obtained by cone-beam computed tomography were lower than those of the other instruments - the agreement values in the width between the canines and in the width between the first molars were lower when comparing the cone-beam computed tomography and the other instruments. In the width between the first and second premolars, all comparisons showed acceptable agreement values. Good concordance values were obtained when comparing the palate depth at the second premolar region when using a bow divider inside the oral cavity and in the cast. CONCLUSION Most instruments presented satisfactory agreement in the measurements related to the transverse plane of the hard palate. However, when the vertical plane was evaluated, only the bow divider applied to both cast and oral cavity presented ideal agreement.
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Affiliation(s)
- Luana Cristina Berwig
- Serviço de Fonoaudiologia, Hospital de Clínicas de Porto Alegre – HCPA – Porto Alegre (RS), Brasil.
| | - Mariana Marquezan
- Departamento de Estomatologia, Faculdade de Odontologia, Universidade Federal de Santa Maria – UFSM – Santa Maria (RS), Brasil.
| | - Jovana de Moura Milanesi
- Departamento de Fonoaudiologia, Curso de Fonoaudiologia, Universidade Federal de Santa Maria – UFSM – Santa Maria (RS), Brasil.
| | - Jessica Klöckner Knorst
- Departamento de Estomatologia, Faculdade de Odontologia, Universidade Federal de Santa Maria – UFSM – Santa Maria (RS), Brasil.
| | | | | | | | - Thiago Machado Ardenghi
- Departamento de Estomatologia, Faculdade de Odontologia, Universidade Federal de Santa Maria – UFSM – Santa Maria (RS), Brasil.
| | - Ana Maria Toniolo da Silva
- Departamento de Fonoaudiologia, Curso de Fonoaudiologia, Universidade Federal de Santa Maria – UFSM – Santa Maria (RS), Brasil.
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de Souza LB, Aragão FBA, Cunha JHDS, Fiorati RC. Intersectoral actions in decreasing social inequities faced by children and adolescents. Rev Lat Am Enfermagem 2021; 29:e3427. [PMID: 34190935 PMCID: PMC8253342 DOI: 10.1590/1518-8345.4162.3427] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 08/28/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to identify the evidence about the repercussion of intersectoral programs / actions / strategies in the reduction of social inequities experienced by children and adolescents in social vulnerability. METHOD integrative review performed in the following databases: National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Latin-American and Caribbean Health Sciences Literature, Web of Science, Scopus, and Scientific Electronic Library Online. Primary studies published between 2005 and 2019, written in English, Portuguese, or Spanish, were included. The Rayyan tool was used during selection. The sample was composed of 27 studies, and Ursi was used to extract data. The studies' methodological quality was verified with the Mixed Methods Appraisal Tool, and descriptive statistics were used. RESULTS the main results show that intersectoral actions resulted in improved access to health, improved child nutrition indicators, better mental health care, the adoption of a healthy lifestyle, and improved quality of life. CONCLUSION significant advancements found in the development and lives of children and adolescents are assigned to intersectoral actions. The studies report that different strategies were used in different regions worldwide and contributed to improved children's and adolescents' quality of life, supporting new intersectoral policies.
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Affiliation(s)
- Larissa Barros de Souza
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Francisca Bruna Arruda Aragão
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - José Henrique da Silva Cunha
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Regina Célia Fiorati
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto,
Ribeirão Preto, SP, Brazil
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Affiliation(s)
- César A. Agostinis-Sobrinho
- Klaipeda UniversityFaculty of Health SciencesKlaipedaLituâniaKlaipeda University - Faculty of Health Sciences, Klaipeda – Lituânia
| | - Katiane Vilan
- Klaipeda UniversityFaculty of Health SciencesKlaipedaLituâniaKlaipeda University - Faculty of Health Sciences, Klaipeda – Lituânia
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Faim D, Henriques C, Brett A, Francisco A, Rodrigues F, Pires A. Kawasaki Disease: Predictors of Resistance to Intravenous Immunoglobulin and Cardiac Complications. Arq Bras Cardiol 2021; 116:485-491. [PMID: 33470332 PMCID: PMC8159558 DOI: 10.36660/abc.20190758] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Accepted: 03/04/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Kawasaki disease (KD) is the leading cause of acquired cardiac disease in children, in developed countries. OBJECTIVES To identify predictive factors for resistance to intravenous immunoglobulin (IVIG), calculate the effectiveness of Japanese predictive models and characterize cardiac complications. METHODS Retrospective analysis of KD cases admitted in a Portuguese paediatric hospital between january 2006 and july 2018. ROC curves were used to determine predictive factors for resistance and the multivariate logistic regression analysis was used to develop the predictive model. A significance level of 5% was used. RESULTS 48 patients with a median age of 36 months were included. The IVIG resistance was 21%. Echocardiographic anomalies were noted in 46%, with coronary involvement in 25% of the sample population. As predictive variable of resistance, the C-reactive protein (CRP) presented an AUC ROC = 0.789, optimal cut-off value 15.1 mg/dL, sensitivity (Sn) 77.8% and specificity (Sp) 78.9%. The erythrocyte sedimentation rate (ESR) presented an AUC ROC = 0.781, optimal cut-off value 90.5 mm/h, Sn 66.7% and Sp 85.7%. The model with the two variables showed p = 0.042 and AUC ROC = 0.790. Predictive strength of Japanese models were: Kobayashi (Sn 63.6%, Sp 77.3%), Egami (Sn 66.7%, Sp 73.1%), Sano (Sn 28.6%, Sp 94.1%). CONCLUSION CRP and ESR are independent variables that were related to IVIG resistance, with optimal cut-off points of 15.1 mg/dL and 90.5 mm/h, respectively. About half of the patients had some form of cardiac involvement. The Japanese models appeared to be inadequate in our population. (Arq Bras Cardiol. 2021; 116(3):485-491).
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Affiliation(s)
- Diogo Faim
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Cardiologia Pediátrica, Coimbra - Portugal,Correspondência: Diogo Faim • Centro Hospitalar e Universitário de Coimbra EPE - Praceta, R. Prof. Mota Pinto, 3075 Coimbra 3000-075 – Portugal. E-mail:
| | - Cláudio Henriques
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Cardiologia Pediátrica, Coimbra - Portugal
| | - Ana Brett
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Urgência e Unidade de Infeciologia, Coimbra - Portugal
| | - Andreia Francisco
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Cardiologia Pediátrica, Coimbra - Portugal
| | - Fernanda Rodrigues
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Urgência e Unidade de Infeciologia, Coimbra - Portugal
| | - António Pires
- Centro Hospitalar e Universitário de Coimbra EPECoimbraPortugalCentro Hospitalar e Universitário de Coimbra EPE - Cardiologia Pediátrica, Coimbra - Portugal
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Christiani LAA. The Importance of Benchmark Radiation. Arq Bras Cardiol 2020; 115:1162-1163. [PMID: 33470317 PMCID: PMC8133725 DOI: 10.36660/abc.20200590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Luiz Alberto Alberto Christiani
- Universidade do Estado do Rio de JaneiroRio de JaneiroRJBrasilUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ – Brasil
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Tozo TA, Pereira BO, Menezes Junior FJD, Montenegro CM, Moreira CMM, Leite N. Hypertensive Measures In Schoolchildren: Risk Of Central Obesity And Protective Effect Of Moderate-To-Vigorous Physical Activity. Arq Bras Cardiol 2020; 115:42-49. [PMID: 32785497 PMCID: PMC8384320 DOI: 10.36660/abc.20180391] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 06/18/2019] [Accepted: 07/17/2019] [Indexed: 12/21/2022] Open
Abstract
Background The proportion of arterial hypertension (AH) has increased in children and adolescents and is associated with several comorbidities. Objective To verify the association of arterial hypertension with central and general obesity as well as according to the level of physical activity in schoolchildren. Methods 336 children and adolescents aged 11 to 17 participated in the study. Height, body weight, waist circumference (WC) and blood pressure (BP) were measured. The body mass index z-score (BMI-z) was calculated. The level of physical activity was assessed by the short form of the International Physical Activity Questionnaire (IPAQ) according to the practice of moderate-to-vigorous physical activities (AF-mv). Students with systolic (SBP) and/or diastolic blood pressure (DBP) higher than the 95thpercentile according to sex, age and height or ≥120/80 were considered hypertensive. Statistical tests of t-Student, Chi-square, Mann-Whitney and binary logistic regression model were used, considering the significance level of p<0.05. Results It was found that 40.5% of the students had AH, 35.11% were overweight (12.5% obese), 13.39% had high WC and 40.2% were considered insufficiently active in AF-mv. The chances of AH were related to high WC (OR = 6.11; 95% CI: 2.59¬-14.42) and overweight (OR = 2.91; 95% CI: 1.76-4.79). In addition, adolescents who practiced AF-mv had a lower risk of high DBP (OR = 0.33; 95% CI: 0.15-0.72). Conclusion Central obesity was the best predictor of AH in children and adolescents, as well as general obesity and males. The practice of AF-mv demonstrated a protective effect on high DBP in schoolchildren. (Arq Bras Cardiol. 2020; 115(1):42-49).
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Affiliation(s)
| | | | | | | | | | - Neiva Leite
- Universidade Federal do Paraná, Curitiba, PR, Brasil
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Aranha LN, de Oliveira GMM. Waist Circumference: A Simple Measure for Childhood Obesity? Arq Bras Cardiol 2020; 114:538-539. [PMID: 32267327 PMCID: PMC7792731 DOI: 10.36660/abc.20200031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Luciana Nicolau Aranha
- Universidade Federal do Rio de JaneiroRio de JaneiroRJBrasilUniversidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil
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Xavier DM, Cezar-Vaz MR, Bonow CA, Schimith MD. Work accidents with children and youth in a rural environment in southern Brazil. Rev Lat Am Enfermagem 2020; 28:e3243. [PMID: 32022155 PMCID: PMC7000182 DOI: 10.1590/1518-8345.3188.3243] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Accepted: 10/01/2019] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE to know the prevalence of occupational accidents in children and youth who work with their families in the rural environment and to identify the associated factors. METHOD exploratory, descriptive and analytical study with quantitative approach, developed in three rural areas. Participants were 211 children and young people who assisted the family in rural work. Data collection was performed using a semi-structured questionnaire. Bivariate analysis was performed using Pearson's chi-square, Fisher's exact, Student's t and Mann-Whitney tests and multivariate analysis using Poisson regression. RESULTS the prevalence of self-reported occupational accidents was 55%. It was highlighted: insect bites (44%), burns (40.5%), falls (27.6%), injury with a working tool (16.4%), electric shock (15.5 %), burn by animal (8.6%), animal bite (6.9%) and pesticide poisoning (2.6%). These were related to shared housing, leisure activity - riding a motorcycle, product resulting from lettuce cultivation and use of personal protective equipment. CONCLUSION it is believed that these findings may enhance the development of public policies aimed at preserving the health of these children and young people, regulate working conditions and reduce occupational risks in the rural environment.
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Affiliation(s)
| | | | - Clarice Alves Bonow
- Universidade Federal de Pelotas/UFPel, Departamento de Enfermagem,
Pelotas, RS, Brazil
| | - Maria Denise Schimith
- Universidade Federal de Santa Maria, Departamento de Enfermagem,
Santa Maria/UFSM, RS, Brazil
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