Fatores preditores para a admissão do recém-nascido na unidade de terapia intensiva neonatal / Factores predictores para la admisión del recién-nacido en la unidad de terapia intensiva neonatal / Predicting factors for admission of newborns in neonatal intensive care units

Objetivo: determinar a associação entre os fatores preditores para a admissão do recém-nascido em Unidade de Terapia Intensiva Neonatal e as características maternas. Método: estudo analítico, documental, retrospectivo, quantitativo, seguido de pesquisa de campo, que avaliou 119 prontuários, no período de maio a agosto de 2016. Resultados: observaram-se mães com idade entre 20 e 25 anos (31,1%); nível fundamental (42,0%); 49,6% eram casadas e 80,7% tiveram parto cesárea. O pré-natal foi realizado por 95,0% das gestantes e 97,5% apresentaram patologias gestacionais. Dos neonatos, 51,3% eram do sexo feminino; 88,2% receberam alta para o alojamento conjunto com a mãe, 71,4% internaram por prematuridade, 40,3% por problemas respiratórios e 28,6% por hipoglicemia. Conclusão: a internação do recém-nascido na Unidade de Terapia Intensiva Neonatal está consequentemente relacionada às características maternas e às patologias desenvolvidas no período gravídico.

Objetivo: determinar la asociación entre los factores predictores para la admisión del recién-nacido en la Unidad de Terapia Intensiva Neonatal y las características maternas. Método: estudio analítico, documental, retrospectivo, cuantitativo, seguido de investigación de campo, que evaluó 119 historias clínicas, en el periodo de mayo a agosto de 2016. Resultados: fueron observadas madres con edad entre 20 y 25 años (31,1%); escolaridad básica (42,0%); 49,6% eran casadas y 80,7% tuvieron parto por cesárea. El prenatal fue realizado por 95,0% de las gestantes y 97,5% presentaron patologías gestacionales. De los neonatos, 51,3% eran del sexo femenino; 88,2% recibieron alta junto con la madre, 71,4% fueron internados por prematuridad, 40,3% por problemas respiratorios y 28,6% por hipoglicemia. Conclusión: la internación del recién-nacido en la Unidad de Terapia Intensiva Neonatal está consecuentemente relacionada con las características maternas y las patologías desarrolladas en el periodo gestacional.

Objective: determine the association between predicting factors for newborn admission in Neonatal Intensive Care Units and maternal characteristics. Method: analytical, documental, retrospective, quantitative study followed by field research, which evaluated 119 medical records in period of May and August 2016. Results: observed in mothers between the ages of 20 and 25 years (31.1%); had elementary education (42.0%); 49.6% were married and 80.7% had a caesarean section. Pre-natal exams were conducted in 95.0% of pregnant women and 97.5% showed gestational pathologies. Among the newborns, 51.3% were female; 88.2% were discharged to remain with their mothers at the hospital, 71.4% were hospitalized for premature birth, 40.3% for respiratory problems and 28.6% for hipoglycemia. Conclusion: the hospitalization of newborns in Neonatal intensive care units is consequently related to maternal characteristics and pathologies developed in the gestational period.

Cognition and Indicators of Dietary Habits in Older Adults from Southern Brazil.

OBJECTIVE: To assess the association between unhealthy dietary habits and cognition in older adults from Southern Brazil. METHODS: This cross-sectional study analyzed data from the second wave of a population- and household-based epidemiological survey (2013-2014) conducted in the city of Florianópolis. A total of 1,197 older adults (778 women) over 60 years old participated in the study. Cognition, the dependent variable, was measured by the Mini-Mental State Examination (MMSE). The independent variables were the following indicators of unhealthy dietary habits: low intake of fruits and vegetables (≤ 4 servings/day); fish (< 1 serving/week); and habitual fatty meat intake (yes/no). Adjustments were made for age, education level, income, smoking status, alcohol intake, leisure-time physical activity, depression symptoms, chronic diseases, and body mass index. Simple and multiple linear regression analyses were performed, considering sampling weights and stratification by gender. RESULTS: The mean MMSE scores for men and women were 25.15 ± 5.56 and 24.26 ± 5.68, respectively (p = 0.009). After adjustments, in women low fruit and vegetable intake (≤ 4 servings/day) was independently associated with the lowest MMSE scores. No associations were found in men. Additionally, women's mean MMSE scores increased as their daily frequency of fruit and vegetable intake increased (p = 0.001). CONCLUSION: Women with low fruit and vegetable intake according to the World Health Organization (WHO) have lower cognition scores. Regular intake of fruits, vegetables, and fish in exchange of fatty meats may be a viable public policy strategy to preserve cognition in aging.