Pub Date : 2023-09-04DOI: 10.1590/1806-9304202300000270-en
Yuly Natalia Guzmán Yara, Montserrat Uriel Calvo, Sandra Liliana Beltrán, Liliana Bandera, José de la Hoz-Valle, Ximena Carolina Romero
Resumo Objectives: to determine the prevalence of pathological findings according to the type of chorionicity in pregnancies in two institutions in Bogotá, Colombia. Methods: descriptive, retrospective, cohort study. Biometric variables were calculated, and pathological findings were evaluated according to the type of chorionicity in multiple pregnancies. Statistical characterization was performed with absolute frequencies, calculation of relative frequencies in qualitative variables, standard deviation measures, median and interquartile range. In addition, a descriptive analysis of the information was carried out. Results: 528 studies were carried out in 141 pregnant women, 98.5% (n = 139) twins and 1.4% (n = 2) triplets. A prevalence of 35.4% of fetal complications was calculated. The most frequent was fetal growth restriction (p=0.37). According to each type of chorionicity, fetal growth restriction was presented in 50% (1/2) of the trichorionics, 16.6% (7/42) of the monochorionics, and 11.3% (11/97) of the dichorionics. Conclusion: fetal growth restriction was the most common finding, both in trichorionics, monochorionics and dichorionics pregnancies.
{"title":"Biometry and pathological ultrasound findings in multiple pregnancies","authors":"Yuly Natalia Guzmán Yara, Montserrat Uriel Calvo, Sandra Liliana Beltrán, Liliana Bandera, José de la Hoz-Valle, Ximena Carolina Romero","doi":"10.1590/1806-9304202300000270-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000270-en","url":null,"abstract":"Resumo Objectives: to determine the prevalence of pathological findings according to the type of chorionicity in pregnancies in two institutions in Bogotá, Colombia. Methods: descriptive, retrospective, cohort study. Biometric variables were calculated, and pathological findings were evaluated according to the type of chorionicity in multiple pregnancies. Statistical characterization was performed with absolute frequencies, calculation of relative frequencies in qualitative variables, standard deviation measures, median and interquartile range. In addition, a descriptive analysis of the information was carried out. Results: 528 studies were carried out in 141 pregnant women, 98.5% (n = 139) twins and 1.4% (n = 2) triplets. A prevalence of 35.4% of fetal complications was calculated. The most frequent was fetal growth restriction (p=0.37). According to each type of chorionicity, fetal growth restriction was presented in 50% (1/2) of the trichorionics, 16.6% (7/42) of the monochorionics, and 11.3% (11/97) of the dichorionics. Conclusion: fetal growth restriction was the most common finding, both in trichorionics, monochorionics and dichorionics pregnancies.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67142895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1590/1806-9304202300000296-en
Karina Pedroza de Oliveira, A. Carioca, Luiza Jane Eyre de Souza Vieira, Lia Sara dos Santos Muniz, Maria Eduarda Jucá da Paz Barbosa
Abstract Objectives: to analyze the nutritional status and temporal trend of the coverage of Brazilian adolescents monitored in the Food and Nutritional Surveillance System in the period 2008-2019. Methods: ecological study of temporal series with SISVAN data collected from 2008 to 2019 with 45,869.266 registration. Body mass index data were collected and the registration coverage of adolescents monitored by the system was calculated. The percentage of annual variation in coverage and nutritional status was estimated using Prais-Winsten regression, with a significance level of 5%. Results: an increase in the prevalence of obesity was observed between 2008 and 2019, during this period thinness remained stable in Brazil. National coverage evolved from 9.3% in 2008 to 19.6% in 2019, with an annual variation of 9% and a statistically significant increase trend. In Brazil, obesity in this age group increased between 2008 and 2019, with an annual variation of 8.7% (CI95% = 7.8-9.6). Conclusion: modifications were observed in nutritional status suggest the occurrence of nutritional transition in the adolescents’ population. The percentage of coverage available in the system has growth potential, however, the current scenario impacts on a possible insufficient analysis to support the elaboration and reorientation of public policies.
{"title":"Nutritional status and temporal trend of coverage of Brazilian adolescents monitored in the Food and Nutritional Surveillance System, 2008 to 2019","authors":"Karina Pedroza de Oliveira, A. Carioca, Luiza Jane Eyre de Souza Vieira, Lia Sara dos Santos Muniz, Maria Eduarda Jucá da Paz Barbosa","doi":"10.1590/1806-9304202300000296-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000296-en","url":null,"abstract":"Abstract Objectives: to analyze the nutritional status and temporal trend of the coverage of Brazilian adolescents monitored in the Food and Nutritional Surveillance System in the period 2008-2019. Methods: ecological study of temporal series with SISVAN data collected from 2008 to 2019 with 45,869.266 registration. Body mass index data were collected and the registration coverage of adolescents monitored by the system was calculated. The percentage of annual variation in coverage and nutritional status was estimated using Prais-Winsten regression, with a significance level of 5%. Results: an increase in the prevalence of obesity was observed between 2008 and 2019, during this period thinness remained stable in Brazil. National coverage evolved from 9.3% in 2008 to 19.6% in 2019, with an annual variation of 9% and a statistically significant increase trend. In Brazil, obesity in this age group increased between 2008 and 2019, with an annual variation of 8.7% (CI95% = 7.8-9.6). Conclusion: modifications were observed in nutritional status suggest the occurrence of nutritional transition in the adolescents’ population. The percentage of coverage available in the system has growth potential, however, the current scenario impacts on a possible insufficient analysis to support the elaboration and reorientation of public policies.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67143335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-28DOI: 10.1590/1806-9304202300000389-en
Tainara Ferrugem Franco, R. C. Marques, Amarildo Miranda, J. Dórea, M. P. Cunha, R. Buralli, J. Guimarães
Abstract Objectives: to determine and characterize the prevalence of congenital malformations among live births in Rondônia, from 2015 to 2019. Methods: an ecological study was conducted using publicly available data at Sistema de Informações sobre Nascidos Vivos collected in January 2021. The prevalence of congenital malformation and possible associations were calculated. The strength of the association between variables was measured using the odds ratio. Variables that were statistically significant at the 5% level were selected for adjusted odds ratio calculation using logistic regression models. The R programming language was used for all analyses and interactions with the database. A 95% confidence interval was considered. Results: a total of 1,110 records were analyzed. The overall prevalence of congenital malformation was 8.36, with higher rates observed among mothers over 35 years, those with low educational levels, unmarried status, and preterm birth. Infants with low birth weight and low Apgar scores also had higher prevalence rates of congenital malformations. Conclusion: the prevalence of congenital malformations in the state was similar to the national average, but regional disparities were observed and warrant further investigation.
摘要目的:了解2015 - 2019年Rondônia活产婴儿先天性畸形患病率。方法:利用2021年1月在Sistema de Informações sobre Nascidos Vivos收集的公开数据进行生态学研究。计算先天性畸形的患病率和可能的关联。变量之间的关联强度用比值比来衡量。选择在5%水平上具有统计学显著性的变量，使用逻辑回归模型进行校正优势比计算。所有的分析和与数据库的交互都使用了R编程语言。考虑95%置信区间。结果:共分析1110份病历。先天性畸形的总体患病率为8.36，在35岁以上、教育水平低、未婚和早产的母亲中发病率较高。低出生体重和低阿普加评分的婴儿也有较高的先天性畸形患病率。结论:我州先天性畸形患病率与全国平均水平相近，但存在地区差异，值得进一步调查。
{"title":"Prevalence of congenital malformations from 2015 up to 2019, in Rondônia (RO), Amazon, Brazil","authors":"Tainara Ferrugem Franco, R. C. Marques, Amarildo Miranda, J. Dórea, M. P. Cunha, R. Buralli, J. Guimarães","doi":"10.1590/1806-9304202300000389-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000389-en","url":null,"abstract":"Abstract Objectives: to determine and characterize the prevalence of congenital malformations among live births in Rondônia, from 2015 to 2019. Methods: an ecological study was conducted using publicly available data at Sistema de Informações sobre Nascidos Vivos collected in January 2021. The prevalence of congenital malformation and possible associations were calculated. The strength of the association between variables was measured using the odds ratio. Variables that were statistically significant at the 5% level were selected for adjusted odds ratio calculation using logistic regression models. The R programming language was used for all analyses and interactions with the database. A 95% confidence interval was considered. Results: a total of 1,110 records were analyzed. The overall prevalence of congenital malformation was 8.36, with higher rates observed among mothers over 35 years, those with low educational levels, unmarried status, and preterm birth. Infants with low birth weight and low Apgar scores also had higher prevalence rates of congenital malformations. Conclusion: the prevalence of congenital malformations in the state was similar to the national average, but regional disparities were observed and warrant further investigation.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67143784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-28DOI: 10.1590/1806-9304202320220278-en
Sarah Elisheba Mendes do Carmo Santos Gonçalves, Kaliane Gomes Medeiros, Glória Maria Pinto Coelho
Abstract Objectives: to analyze the donation of human milk at the Banco de Incentivo e Apoio a Amamentação (BIAMA) (Breastfeeding Incentive and Support Bank) from 2018 to 2020. Methods: normative assessment, descriptive and exploratory character, with a quantitative approach and focus on the Donabedian Model. Study with a locus at BIAMA at Dom Malan Hospital, in the city of Petrolina-PE, based on registrations from the online platform of the Rede Brasileira de Bancos de Leite Humano (Brazilian Network of Human Milk Banks), with data from BIAMA from 2018 to 2020 and field activities. Results: in 2020, there was a decrease in the number of group assistance and medical consultations, in contrast to the increase in nursing consultations. Most of the milk supply comes from the external public, and in 2020 there was a reduction number of donors and in the volume of human milk collected. Conclusions: COVID-19 pandemic had a negative impact on BIAMA activities and on milk donation, however, the use of new means of communication for patient care was observed. Even so, new donor recruitment strategies must be implemented. Regarding the main norms that regulate the operation of Human Milk Banks, most of the items listed are obeyed by BIAMA.
摘要目的:分析2018 - 2020年母乳喂养激励与支持银行(BIAMA)的母乳捐赠情况。方法:规范性评价，描述性和探索性特征，以定量方法为重点，以多纳贝迪安模型为研究对象。在Petrolina-PE市Dom Malan医院BIAMA的一个位点进行研究，研究基于巴西母乳库网络(Rede Brasileira de Bancos de Leite Humano)在线平台的注册，以及BIAMA 2018年至2020年的数据和实地活动。结果:2020年，团体救助和医疗咨询次数有所减少，而护理咨询次数有所增加。大多数母乳供应来自外部公众，2020年，捐赠者数量和收集的母乳量都有所减少。结论:2019冠状病毒病大流行对BIAMA活动和母乳捐赠产生了负面影响，但在患者护理中使用了新的沟通手段。即便如此，必须执行新的捐助者征聘战略。关于规范母乳库运作的主要规范，列出的大部分项目都是BIAMA所遵守的。
{"title":"Process of donating human milk from the milk bank in the city of Petrolina, PE","authors":"Sarah Elisheba Mendes do Carmo Santos Gonçalves, Kaliane Gomes Medeiros, Glória Maria Pinto Coelho","doi":"10.1590/1806-9304202320220278-en","DOIUrl":"https://doi.org/10.1590/1806-9304202320220278-en","url":null,"abstract":"Abstract Objectives: to analyze the donation of human milk at the Banco de Incentivo e Apoio a Amamentação (BIAMA) (Breastfeeding Incentive and Support Bank) from 2018 to 2020. Methods: normative assessment, descriptive and exploratory character, with a quantitative approach and focus on the Donabedian Model. Study with a locus at BIAMA at Dom Malan Hospital, in the city of Petrolina-PE, based on registrations from the online platform of the Rede Brasileira de Bancos de Leite Humano (Brazilian Network of Human Milk Banks), with data from BIAMA from 2018 to 2020 and field activities. Results: in 2020, there was a decrease in the number of group assistance and medical consultations, in contrast to the increase in nursing consultations. Most of the milk supply comes from the external public, and in 2020 there was a reduction number of donors and in the volume of human milk collected. Conclusions: COVID-19 pandemic had a negative impact on BIAMA activities and on milk donation, however, the use of new means of communication for patient care was observed. Even so, new donor recruitment strategies must be implemented. Regarding the main norms that regulate the operation of Human Milk Banks, most of the items listed are obeyed by BIAMA.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67143643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-25DOI: 10.1590/1806-9304202300000326-en
Rosa Silva, T. Lyra, C. F. Luna, Robervam de Moura Pedroza, E. C. Albuquerque, A. Brito
Abstract Objectives: to analyze the impact of the covid-19 pandemic on screening, diagnosis and treatment of breast cancer in Pernambuco, Northeastern Brazil. Method: cross-sectional study, based on secondary data from consultations with a mastologist, ultrasound, mammogram, biopsies, new cases, chemotherapy, radiotherapy and surgery, carried out in women for the screening, diagnosis and treatment of breast cancer, from January to December of the years 2019 to 2021. Results: the covid-19 pandemic reduced consultations with mastology (46.3%), ultrasounds (34.8%), mammogram (41.5%), biopsy (49.6%), new cases 45.7 % and surgery 34.6% in 2020 compared to 2019. On the other hand, with the exception of consultations with a mastologist and surgeries, all services where a significant reduction was observed in 2020, increased significantly in 2021 and returned to the same level of production in the pre-pandemic period. The pandemic did not negatively affect the supply of chemotherapy and radiotherapy. Conclusions: the findings of this study indicate negative impacts on breast cancer care, due to covid-19, during the first year of the pandemic, especially in consultations with a mastologist and surgery, which continued with low production in 2021. It is reasonable to assume that the reduction observed in procedures may reflect an increase in late diagnoses and a higher mortality rate in the coming years
{"title":"Breast cancer and covid-19: reduction in diagnosis and treatment in a Hospital Unit in Pernambuco","authors":"Rosa Silva, T. Lyra, C. F. Luna, Robervam de Moura Pedroza, E. C. Albuquerque, A. Brito","doi":"10.1590/1806-9304202300000326-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000326-en","url":null,"abstract":"Abstract Objectives: to analyze the impact of the covid-19 pandemic on screening, diagnosis and treatment of breast cancer in Pernambuco, Northeastern Brazil. Method: cross-sectional study, based on secondary data from consultations with a mastologist, ultrasound, mammogram, biopsies, new cases, chemotherapy, radiotherapy and surgery, carried out in women for the screening, diagnosis and treatment of breast cancer, from January to December of the years 2019 to 2021. Results: the covid-19 pandemic reduced consultations with mastology (46.3%), ultrasounds (34.8%), mammogram (41.5%), biopsy (49.6%), new cases 45.7 % and surgery 34.6% in 2020 compared to 2019. On the other hand, with the exception of consultations with a mastologist and surgeries, all services where a significant reduction was observed in 2020, increased significantly in 2021 and returned to the same level of production in the pre-pandemic period. The pandemic did not negatively affect the supply of chemotherapy and radiotherapy. Conclusions: the findings of this study indicate negative impacts on breast cancer care, due to covid-19, during the first year of the pandemic, especially in consultations with a mastologist and surgery, which continued with low production in 2021. It is reasonable to assume that the reduction observed in procedures may reflect an increase in late diagnoses and a higher mortality rate in the coming years","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67142918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-25DOI: 10.1590/1806-9304202300000392-en
Brenda da Cunha Carvalho, L. B. Ferreira, Tamires Nunes dos Santos, R. C. V. E. Souza, Luana Caroline dos Santos
Abstract Objectives: to investigate the association between sociodemographic, gestational/puerperal factors and postpartum weight retention (PPWR) after 12 months in Brazilian women at a university hospital. Methods: prospective cohort with puerperal women recruited at the maternity ward of a university hospital in a Brazilian metropolis. At baseline (n=260), sociodemographic and anthropometric information on the mother-child binomial and data related to the gestational period were collected. Maternal dietary patterns were measured using a food frequency questionnaire and subsequently determined by Principal Component Analysis. Results: 75 women, with a mean age of 28.4 years (CI95%= 27.0-29.7), 25.3% with excessive PPPR, with an average of 3.6 kg (CI95%= 1.7) continued in the follow-up. -5.4). Higher gestational weight gain (GWG) (ß= 0.36; CI95%= 0.18-0.70) and lower maternal age (ß= -0.41; CI95%= -0.92–-0.22) were PRPP predictors (p=0.001) (adjusted for per capita income, parity, type of delivery, number of prenatal visits, baby’s birth weight, breastfeeding and physical activity). Conclusion: there was a high occurrence of excessive PPPR, favored by higher GPG and lower maternal age. This highlights the importance of monitoring women’s health during the reproductive period, with guidance on ways of life (diet and physical activity), to favor better outcomes for mother-child.
{"title":"Weight retention 12 months postpartum: association with sociodemographic, gestational and puerperal factors","authors":"Brenda da Cunha Carvalho, L. B. Ferreira, Tamires Nunes dos Santos, R. C. V. E. Souza, Luana Caroline dos Santos","doi":"10.1590/1806-9304202300000392-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000392-en","url":null,"abstract":"Abstract Objectives: to investigate the association between sociodemographic, gestational/puerperal factors and postpartum weight retention (PPWR) after 12 months in Brazilian women at a university hospital. Methods: prospective cohort with puerperal women recruited at the maternity ward of a university hospital in a Brazilian metropolis. At baseline (n=260), sociodemographic and anthropometric information on the mother-child binomial and data related to the gestational period were collected. Maternal dietary patterns were measured using a food frequency questionnaire and subsequently determined by Principal Component Analysis. Results: 75 women, with a mean age of 28.4 years (CI95%= 27.0-29.7), 25.3% with excessive PPPR, with an average of 3.6 kg (CI95%= 1.7) continued in the follow-up. -5.4). Higher gestational weight gain (GWG) (ß= 0.36; CI95%= 0.18-0.70) and lower maternal age (ß= -0.41; CI95%= -0.92–-0.22) were PRPP predictors (p=0.001) (adjusted for per capita income, parity, type of delivery, number of prenatal visits, baby’s birth weight, breastfeeding and physical activity). Conclusion: there was a high occurrence of excessive PPPR, favored by higher GPG and lower maternal age. This highlights the importance of monitoring women’s health during the reproductive period, with guidance on ways of life (diet and physical activity), to favor better outcomes for mother-child.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67143399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-21DOI: 10.1590/1806-9304202300000353-en
Gabriela Garcia de Carvalho Laguna, Diego Bastos Ribeiro, Beatriz Rihs Matos Tavares, A. B. Cazé, Ana Clara Silva dos Santos, Lohana Guimarães Souza, G. Borges
Abstract Objectives: to describe behavioral changes related to mental health in children and adolescents with Attention Deficit Hyperactivity Disorder during social isolation due to the COVID-19 pandemic. Methods: this is a systematic review conducted under the PRISMA protocol (2020) in the PubMed, SciELO and VHL databases, with a period of 2019-2022. Results: 3,735 studies were screened and ten were selected, according to the eligibility criteria. The sample had 4,688 participants. There was evidence of a worsening of signs and symptoms regarding the mental health of this population, expressed mainly through changes in mood, with increased anxiety, sadness or depressed symptoms, in addition to increased hyperactivity. Behavioral changes also included reduced sleep quality and physical activity, and increased use of digital technologies and screen time. Conclusions: it was described that children and youth groups, especially those with attention deficit hyperactivity disorder, had increased emotional symptoms and conduct problems when compared to before the pandemic, making it possible to recognize the negative repercussions of the changes imposed by it. These factors are important for planning more effective care strategies.
{"title":"Behavior changes in children/adolescents with attention deficit hyperactivity disorder during the COVID-19 pandemic: a systematic review","authors":"Gabriela Garcia de Carvalho Laguna, Diego Bastos Ribeiro, Beatriz Rihs Matos Tavares, A. B. Cazé, Ana Clara Silva dos Santos, Lohana Guimarães Souza, G. Borges","doi":"10.1590/1806-9304202300000353-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000353-en","url":null,"abstract":"Abstract Objectives: to describe behavioral changes related to mental health in children and adolescents with Attention Deficit Hyperactivity Disorder during social isolation due to the COVID-19 pandemic. Methods: this is a systematic review conducted under the PRISMA protocol (2020) in the PubMed, SciELO and VHL databases, with a period of 2019-2022. Results: 3,735 studies were screened and ten were selected, according to the eligibility criteria. The sample had 4,688 participants. There was evidence of a worsening of signs and symptoms regarding the mental health of this population, expressed mainly through changes in mood, with increased anxiety, sadness or depressed symptoms, in addition to increased hyperactivity. Behavioral changes also included reduced sleep quality and physical activity, and increased use of digital technologies and screen time. Conclusions: it was described that children and youth groups, especially those with attention deficit hyperactivity disorder, had increased emotional symptoms and conduct problems when compared to before the pandemic, making it possible to recognize the negative repercussions of the changes imposed by it. These factors are important for planning more effective care strategies.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67142985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.1590/1806-9304202300000150-en
Thais Lorrayne Candida Leão, Brenda Milena Medeiros Rocha, F. Matozinhos, Laydson Adrian de Araújo, Ana Paula Vieira Faria, Thales Philipe Rodrigues Silva
Abstract Objectives: to evaluate the reliability of information available on popular websites, in other words, websites aimed lay pregnant women, about absolute and relative indications for cesarean sections. Methods: this was a descriptive/comparative study based on the popular websites most likely to be visited by lay pregnant women and that contained information about indications for absolute and relative cesarean sections. Cohen’s Kappa index of agreement was used to analyze the reliability degree on the indications for cesarean sections presented on the websites and the scientific evidence. Results: there was a higher prevalence (62.63%) of information on the indications for cesarean sections that did not mention whether the indication was absolute or relative, and of these indications, 40.74% were not indications for cesarean sections. Low agreement was also observed among websites and the scientific evidence when the website mentioned the indication for cesarean section was absolute or relative. Conclusion: this study showed that the reliability of the information on absolute and relative indications for cesarean sections available in popular websites is questionable.
{"title":"Evaluation on the information about absolute and relative indications of cesarean sections available on popular websites","authors":"Thais Lorrayne Candida Leão, Brenda Milena Medeiros Rocha, F. Matozinhos, Laydson Adrian de Araújo, Ana Paula Vieira Faria, Thales Philipe Rodrigues Silva","doi":"10.1590/1806-9304202300000150-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000150-en","url":null,"abstract":"Abstract Objectives: to evaluate the reliability of information available on popular websites, in other words, websites aimed lay pregnant women, about absolute and relative indications for cesarean sections. Methods: this was a descriptive/comparative study based on the popular websites most likely to be visited by lay pregnant women and that contained information about indications for absolute and relative cesarean sections. Cohen’s Kappa index of agreement was used to analyze the reliability degree on the indications for cesarean sections presented on the websites and the scientific evidence. Results: there was a higher prevalence (62.63%) of information on the indications for cesarean sections that did not mention whether the indication was absolute or relative, and of these indications, 40.74% were not indications for cesarean sections. Low agreement was also observed among websites and the scientific evidence when the website mentioned the indication for cesarean section was absolute or relative. Conclusion: this study showed that the reliability of the information on absolute and relative indications for cesarean sections available in popular websites is questionable.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67142595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-24DOI: 10.1590/1806-9304202300000223-en
Antônia Karoline dos Santos de Sousa, Carlos Eduardo Batista de Lima, M. Mascarenhas, M. Rodrigues
Abstract Objectives: to analyze the trend and correlation of obesity and the increase in continued breastfeeding in children aged six to 23 months in Brazil, from 2015-2019. Methods: ecological time series study with data from the Sistema de Vigilância Alimentar e Nutricional (Food and Nutritional Surveillance System). The dependent variable was the prevalence of obesity. Prais-Winsten linear regression was used to verify the trend. Spearman’s correlation was used to verify the relationship between the prevalence of obesity and the increase in continued breastfeeding. Results: there was a trend towards a reduction in the prevalence of obesity in all regions in Brazil (Annual Percentage Variation [APV]: -4.14; CI95%=-4.50; -3.79). The prevalence of continued breastfeeding showed an upward trend in the North (APV=4.89; CI95%=2.92; 6.90), Southeast (APV=3.36; CI95%=2.32; 4 .41) and South (APV=2.67; CI95%=0.98; 4.38). There was a negative and significant correlation between obesity and continued breastfeeding in the North, Northeast, Southeast and South regions. Conclusion: the reduction in the prevalence of obesity and the increase in continued breastfeeding occurred only in some regions, requiring the implementation of effective strategies to be present throughout the country. Actions to promote, protect and support continued breastfeeding and healthy eating should be more prioritized to promote the child’s healthy growth.
目的:分析2015-2019年巴西6 - 23月龄儿童肥胖与持续母乳喂养增加的趋势及相关性。方法:利用食品和营养监测系统(Sistema de vigilicia Alimentar e nutrition)数据进行生态时间序列研究。因变量是肥胖的流行程度。采用Prais-Winsten线性回归对趋势进行验证。斯皮尔曼相关性被用来验证肥胖的流行与持续母乳喂养的增加之间的关系。结果:巴西所有地区的肥胖患病率呈下降趋势(年百分比变化[APV]: -4.14;CI95% = -4.50;-3.79)。继续母乳喂养的流行率在北方呈上升趋势(APV=4.89;CI95% = 2.92;6.90)，东南部(APV=3.36;CI95% = 2.32;4.41)和南方(APV=2.67;CI95% = 0.98;4.38)。在北部、东北部、东南部和南部地区，肥胖与持续母乳喂养呈显著负相关。结论:肥胖患病率的下降和持续母乳喂养的增加只发生在一些地区，需要在全国范围内实施有效的战略。促进、保护和支持持续母乳喂养和健康饮食的行动应更加优先，以促进儿童的健康成长。
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Abstract Objectives: to evaluate the relationship between the ductus venosus (DV) and the variables of fetal growth in the first trimester in a Colombian pregnant population. Methods: a descriptive cross-sectional study was carried out with secondary data obtained from a multicenter study.526 patients were included between weeks 11 and 14 for gestational ultrasound follow-up attended in three health care institutions in Bogotá, Colombia, between May 2014 and October 2018. A bivariate descriptive analysis was carried out where the relationship between the characteristics of the DV in the first trimester and ultrasound findings. Results: the flow wave of the DV in the first trimester was normal in the entire sample, with a pulsatility index of the ductus venosus (DVPI) of 0.96±0.18. In addition, a negative correlation was found between the crown-rump length (CRL) and the DVPI (p<0.05). Conclusion: there is a relationship between the DVPI regarding the CRL, indicating an interest in this early marker in relation to fetal growth alterations; however, more studies are required to determine the usefulness of this variable with respect to fetal growth.
{"title":"Ductus venosus as a marker of fetal growth in first trimester in a population of Colombian pregnant women","authors":"Mauricio Andrés Martínez Ramírez, Valentina María Vargas Gamboa, Ximena Carolina Romero Infante, Montserrat Uriel Calvo, Arlín Martha Bibiana Pérez Hernández","doi":"10.1590/1806-9304202300000293-en","DOIUrl":"https://doi.org/10.1590/1806-9304202300000293-en","url":null,"abstract":"Abstract Objectives: to evaluate the relationship between the ductus venosus (DV) and the variables of fetal growth in the first trimester in a Colombian pregnant population. Methods: a descriptive cross-sectional study was carried out with secondary data obtained from a multicenter study.526 patients were included between weeks 11 and 14 for gestational ultrasound follow-up attended in three health care institutions in Bogotá, Colombia, between May 2014 and October 2018. A bivariate descriptive analysis was carried out where the relationship between the characteristics of the DV in the first trimester and ultrasound findings. Results: the flow wave of the DV in the first trimester was normal in the entire sample, with a pulsatility index of the ductus venosus (DVPI) of 0.96±0.18. In addition, a negative correlation was found between the crown-rump length (CRL) and the DVPI (p<0.05). Conclusion: there is a relationship between the DVPI regarding the CRL, indicating an interest in this early marker in relation to fetal growth alterations; however, more studies are required to determine the usefulness of this variable with respect to fetal growth.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67143238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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