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2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47791

RESUMEN

Tendo em vista que não há uma solução comum que se adeque a todas as escolas, e nem solução que atenda a todos os segmentos diferenciados de uma mesma escola, a Nota Técnica sugere a construção, em cada unidade escolar, de um Plano Integrado e Intersetorial Local de ações para o enfrentamento e convívio com a Covid-19, com ações sanitárias e educacionais, em sintonia com o planejamento de instâncias regionais e macrorregionais e respeitando a singularidade local.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Servicios de Salud Escolar/normas
3.
J. Hum. Growth Dev. (Impr.) ; 30(2): 266-273, May-Aug. 2020. ilus, tab
Artículo en Inglés | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1114935

RESUMEN

INTRODUCTION: Obesity is a chronic disease with a multifactorial etiology, brought about by a set of genetic, environmental and psychological factors. This may generate comorbidities that affect the quality of life and involve other risks to healthOBJECTIVE: To describe the prevalence of overweight and obesity in school children and adolescents in Porto Velho - Rondônia, Brazil in the period 2013-2016METHODS: This study included 4165 schoolchildren aged 9 to 18 years. The students were classified as overweight and obese, according to the z score of the body mass index (BMI) for age and calculated according the WHO AnthroPlus program. Subsequently, BMI for age was categorized according to the criteria proposed by the World Health Organization (WHO, 2007): overweight (≥ score z +1 ≤ z + 2) and obese (≥ score z +2). Prevalence calculations were performed using the SPSS version 20.0 programRESULTS: Overall, the prevalence of overweight was 27.1%, being overweight 18.8% and obese 8.3%, in private schools 21.4% and 9.8%, public schools 17.0% and 7.2% respectively. The east zone predominated in both education networks 18.8% and 8.3% respectively. In males, the highest prevalence was at nine years old, 30.7% and 23.0%, and female, 24.3% and 13.8%CONCLUSION: The magnitude of the prevalence of overweight and obesity was high and worrying among schoolchildren and adolescents in the city of Porto Velho, which demonstrates the need for public health actions aimed at the family unit, regardless of the social segment


INTRODUÇÃO: A obesidade é uma doença crônica com etiologia multifatorial, provocada por um conjunto de aspectos genéticos, ambientais e psicológicos. Esta pode gerar comorbidades que afetam a qualidade de vida e implicam em outros riscos à saúdeOBJETIVO: Descrever a prevalência de sobrepeso e obesidade em crianças e adolescentes escolares em Porto Velho - RO, Brasil. 2013-2016MÉTODO: Este estudo incluiu 4165 escolares de 9 a 18 anos. Os escolares foram classificados como sobrepeso e obeso, de acordo com o escore z do índice de massa corporal (IMC) para idade e calculado com auxílio do programa WHO AnthroPlus. Posteriormente, o IMC para idade foi categorizado conforme os critérios propostos pela Organização Mundial da Saúde (OMS, 2007): sobrepeso (≥escore z +1 ≤ z + 2) e obeso (≥ escore z +2). Os cálculos de prevalências foram feitos com o auxílio do programa SPSS versão 20.0RESULTADOS: As prevalências de excesso de peso foram elevadas de 27,1%, sobrepeso 18,8% e obeso 8,3%, escolas particulares 21,4% e 9,8%, públicas 17,0% e 7,2% respectivamente. A zona leste predominou em ambas as redes de ensino 18,8% e 8,3% respectivamente. No sexo masculino a maior prevalência foi aos nove anos 30,7% e 23,0% e feminino 24,3% e 13,8%CONCLUSÃO: A magnitude da prevalência de sobrepeso e obeso foi elevada e preocupante em escolares da cidade de Porto Velho, o que demonstra a necessidade de ações de saúde pública voltadas à unidade familiar, independentemente do segmento social


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Servicios de Salud Escolar , Niño , Adolescente , Sobrepeso , Obesidad
4.
BMC Public Health ; 20(1): 1231, 2020 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-32787943

RESUMEN

BACKGROUND: The study aimed to investigate the effectiveness of the European Feel4Diabetes intervention, promoting a healthy lifestyle, on physical activity and its correlates among families at risk for type 2 diabetes mellitus (based on the Finnish Diabetes Risk Score) in Belgium. METHODS: The Feel4Diabetes intervention involved three components: family, school and community component, with the family component consisting of 6 counseling sessions for families at risk. Main outcomes were objectively measured physical activity levels and its subjectively measured correlates. The final sample consisted of 454 parents (mean age 39.4 years; 72.0% women) and 444 children (mean age 8.0 years; 50.1% girls). Multilevel repeated measures analyses were performed to assess intervention effectiveness after 1 year. RESULTS: In parents, there was no significant intervention effect. In children, there were only significant negative effects for moderate to vigorous physical activity (p = 0.05; ηp2 = 0.008) and steps (p = 0.03; ηp2 = 0.006%) on weekdays, with physical activity decreasing (more) in the intervention group. CONCLUSIONS: The F4D-intervention lacks effectiveness on high-risk families' physical activity and its correlates in Belgium. This could partially be explained by low attendance rates and a large drop-out. To reach vulnerable populations, future interventions should invest in more appropriate recruitment (e.g. more face-to-face contact) and more bottom-up development of the intervention (i.e. co-creation of the intervention with the target group). TRIAL REGISTRATION: The Feel4Diabetes-study was prospectively registered at clinicaltrials.gov as NCT02393872 on 20 March 2015.


Asunto(s)
Diabetes Mellitus Tipo 2/epidemiología , Ejercicio Físico , Promoción de la Salud/métodos , Adulto , Bélgica/epidemiología , Niño , Servicios de Salud Comunitaria , Familia , Femenino , Humanos , Masculino , Evaluación de Programas y Proyectos de Salud , Medición de Riesgo , Servicios de Salud Escolar
5.
Medicine (Baltimore) ; 99(31): e21233, 2020 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-32756101

RESUMEN

BACKGROUND: A better understanding of how multicomponent school-based interventions work and their effects on health and education outcomes are needed. This paper described the methods of the Movimente Program, a school-based intervention that aims to increase physical activity (PA) and decrease sedentary behavior (SB) among Brazilian students. METHODS: This is a cluster randomized controlled trial with adolescents from 7th to 9th grade in public schools from Florianopolis, Southern Brazil. After agreement, 6 schools were randomly selected to intervention or control groups (3 schools each), and all eligible students were invited to the study. The Movimente intervention program was performed during a school year and included 3 main components: Teacher training (including face-to-face meeting, social media platform, and handbook with lesson plans); improvements in the PA environment in school; and educational strategies. Control schools continued with their traditional schedule. Baseline (March/April 2017), postintervention (November/December 2017), and maintenance (June/July 2018) evaluations included PA and SB as primary outcomes (assessed by self-report and accelerometry). Secondary outcomes included psychosocial factors related to PA and SB (e.g., social support and self-efficacy), as well as health (e.g., quality of life and nutritional status) and education (e.g., academic achievement) outcomes. A program evaluation was performed based on the RE-AIM framework. Participants, intervention staffs, and evaluators were not blinded to group assignment, but a standardized evaluation protocol was applied independently of the trial allocation. RESULTS: Statistical analyses will include a multilevel approach for repeated measurements and mediation analysis. Any side effects of the intervention will be recorded. The sample size close to that expected (n = 1090) was reached (n = 999). The results of this trial will involve valuable information about the effect and the evaluation of a multicomponent intervention carried out in a middle-income country. CONCLUSION: By creating opportunities for adolescents to be active at school using multicomponent strategies, the Movimente program has the potential to enhance students health and academic performance which may encourage the school community (e.g., teachers, principals) to adopt the program. Also, this trial will provide evidence for practitioners, policy makers, and researchers on how multicomponent program may be implemented in a school setting. TRIAL REGISTRATION: The trial is registered at the Clinical Trial Registry (Trial ID: NCT02944318; date of registration: 18 October 2016).


Asunto(s)
Conducta del Adolescente , Ejercicio Físico , Conducta Sedentaria , Estudiantes , Adolescente , Brasil , Femenino , Humanos , Masculino , Educación y Entrenamiento Físico , Servicios de Salud Escolar , Resultado del Tratamiento
6.
Wiad Lek ; 73(6): 1124-1128, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32723938

RESUMEN

OBJECTIVE: The aim of this work is: to define the Conceptual model of medical provision of children in educational institutions in modern conditions. PATIENTS AND METHODS: Materials and methods: analysis of data from a longitudinal study of children's health; questionnaire of parents, teachers, heads of educational institutions on the volume of medical support for students; questioning students' lifestyle and social determinants of health. RESULTS: Results: According to the study has determined the medical and social determinants which negative affect on health status of school age childrens; detected the most appropriate types of of school health services which based on the parents, medical and teachers opinion. The important also is monitoring of health status of children for develop of prevent measure for improove health status and forming of healthy lifestyle behavioral. Problematic issues to be addressed include: improving the legal framework on the competences and volumes of health care for pupils in educational institutions; material equipment; setting up a system for monitoring and analyzing the health status of students and educational groups, identifying health risk factors; establishing a continuous multimodal health-oriented system of student-oriented youth behavior. CONCLUSION: Conclusions: The health status of students and the level of health-oriented behavior, the reform of the medical sector require introduction of an effective system of medical support for students of organized groups, improving the system of preventive care for students, parents, which is presented in the Conceptual model.


Asunto(s)
Servicios de Salud Escolar , Instituciones Académicas , Adolescente , Niño , Humanos , Estudios Longitudinales , Padres , Estudiantes
7.
PLoS Med ; 17(7): e1003210, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32701954

RESUMEN

BACKGROUND: Less than 20% of adolescents globally meet recommended levels of physical activity, and not meeting these recommended levels is associated with social disadvantage and rising disease risk. The determinants of physical activity in adolescents are multilevel and poorly understood, but the school's social environment likely plays an important role. We conducted a cluster randomised controlled trial to assess the effectiveness of a school-based programme (GoActive) to increase moderate-to-vigorous physical activity (MVPA) among adolescents. METHODS AND FINDINGS: Non-fee-paying, co-educational schools including Year 9 students in the UK counties of Cambridgeshire and Essex were eligible for inclusion. Within participating schools (n = 16), all Year 9 students were eligible and invited to participate. Participants were 2,862 13- to 14-year-olds (84% of eligible students). After baseline assessment, schools were computer-randomised, stratified by school-level pupil premium funding (below/above county-specific median) and county (control: 8 schools, 1,319 participants, mean [SD] participants per school n = 165 [62]; intervention: 8 schools, 1,543 participants, n = 193 [43]). Measurement staff were blinded to allocation. The iteratively developed, feasibility-tested 12-week intervention, aligned with self-determination theory, trained older adolescent mentors and in-class peer-leaders to encourage classes to conduct 2 new weekly activities. Students and classes gained points and rewards for engaging in any activity in or out of school. The primary outcome was average daily minutes of accelerometer-assessed MVPA at 10-month follow-up; a mixed-methods process evaluation evaluated implementation. Of 2,862 recruited participants (52.1% male), 2,167 (76%) attended 10-month follow-up measurements; we analysed the primary outcome for 1,874 participants (65.5%). At 10 months, there was a mean (SD) decrease in MVPA of 8.3 (19.3) minutes in the control group and 10.4 (22.7) minutes in the intervention group (baseline-adjusted difference [95% confidence interval] -1.91 minutes [-5.53 to 1.70], p = 0.316). The programme cost £13 per student compared with control; it was not cost-effective. Overall, 62.9% of students and 87.3% of mentors reported that GoActive was fun. Teachers and mentors commented that their roles in programme delivery were unclear. Implementation fidelity was low. The main methodological limitation of this study was the relatively affluent and ethnically homogeneous sample. CONCLUSIONS: In this study, we observed that a rigorously developed school-based intervention was no more effective than standard school practice at preventing declines in adolescent physical activity. Interdisciplinary research is required to understand educational-setting-specific implementation challenges. School leaders and authorities should be realistic about expectations of the effect of school-based physical activity promotion strategies implemented at scale. TRIAL REGISTRATION: ISRCTN Registry ISRCTN31583496.


Asunto(s)
Ejercicio Físico/psicología , Promoción de la Salud/métodos , Servicios de Salud Escolar/economía , Acelerometría/métodos , Adolescente , Análisis Costo-Beneficio , Femenino , Promoción de la Salud/economía , Humanos , Masculino , Evaluación de Programas y Proyectos de Salud , Reino Unido
8.
Infect Dis Poverty ; 9(1): 81, 2020 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-32611385

RESUMEN

BACKGROUND: There is currently considerable international debate around school closures/openings and the role of children in the transmission of coronavirus disease 2019 (COVID-19). Whilst evidence suggests that children are not impacted by COVID-19 as severely as adults, little is still known about their transmission potential, and with a lot of asymptomatic cases they may be silent transmitters (i.e. infectious without showing clinical signs of disease), albeit at a lower level than adults. In relation to this, it is somewhat concerning that in many countries children are cared for, or are often in close contact with, older individuals such as grandparents ─ the age group most at risk of acquiring serious respiratory complications resulting in death. MAIN TEXT: We emphasise that in the absence of a vaccine or an effective therapeutic drug, preventive measures such as good hygiene practices ─ hand washing, cough etiquette, disinfection of surfaces and social distancing represent the major (in fact only) weapons that we have against COVID-19. Accordingly, we stress that there is a pressing need to develop specific COVID-19 prevention messages for schoolchildren. CONCLUSION: An entertainment education intervention for schoolchildren systematically implemented in schools would be highly effective and fill this need. With such measures in place there would be greater confidence around the opening of schools.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Educación en Salud , Pandemias/prevención & control , Neumonía Viral/prevención & control , Servicios de Salud Escolar , Niño , Infecciones por Coronavirus/transmisión , Desinfección de las Manos , Humanos , Neumonía Viral/transmisión , Estudiantes
9.
Prev Chronic Dis ; 17: E57, 2020 07 09.
Artículo en Inglés | MEDLINE | ID: mdl-32644921

RESUMEN

"Upstream" interventions that increase access or reduce barriers to healthy foods and opportunities for physical activity - referred to as policy, systems, or environmental strategies - are central to encouraging and supporting healthy behaviors that prevent chronic disease at a population level. However, they are complex and challenging to execute, especially during coronavirus disease 2019 (COVID-19), and efforts to build practitioner capacity are warranted. In this commentary, we describe a user or human-centered design (HCD) capacity-building approach to support practitioners in accomplishing the goals of the New York State Creating Healthy Schools and Communities (CHSC) initiative. This approach has been especially helpful during COVID-19, as it enables support to be responsive to practitioners' constantly changing needs. Given that CHSC is a project specific to New York State and that the efforts of the Obesity Prevention Center for Excellence were tailored to obesity prevention, more research and evaluations should be conducted to better understand how the use of HCD could support practitioners addressing other complex public health issues in the United States.


Asunto(s)
Betacoronavirus , Servicios de Salud Comunitaria , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Servicios de Salud Escolar , Conductas Relacionadas con la Salud , Personal de Salud , Política de Salud , Humanos , New York/epidemiología , Pandemias
10.
Sante Publique ; Vol. 32(1): 29-41, 2020 Jun 18.
Artículo en Francés | MEDLINE | ID: mdl-32706224

RESUMEN

INTRODUCTION: Human papillomavirus infection is the most common sexually transmitted infection and is associated with cervical cancer and several other cancers. Although the human papillomavirus vaccine is highly effective and has an excellent safety record, vaccination coverage rates vary around the world and are very low in France.Purpose of research: A literature review on the last five years in the MEDLINE and Public Health Databases was conducted in November 2017. Sixteen studies on school-based interventions for human papillomavirus vaccination in girls aged 11 to 19 years were selected and analyzed. RESULTS: Half of the studies concerned underage girls in middle and high schools or their parents and the other half major students. Education through written information, presentation or discussion increased knowledge about human papillomavirus infection and vaccine prevention, even in the medium term. The interventions that had the greatest impact were those that used personalization of the message, combining information or sources and implementing pre-intervention questionnaires. Knowledge was not always correlated with effective vaccination. CONCLUSIONS: Educational interventions increase knowledge about human papillomavirus and vaccination intention but not vaccination. Further studies seem necessary to understand the gap between the level of knowledge and its impact on immunization coverage.


Asunto(s)
Vacunas contra Papillomavirus/administración & dosificación , Servicios de Salud Escolar , Francia , Humanos , Evaluación de Programas y Proyectos de Salud
11.
PLoS One ; 15(6): e0234895, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32579567

RESUMEN

Executive functioning and self-regulation influence a range of outcomes across the life course including physical and mental health, educational success, and employment. Children prenatally exposed to alcohol or early life trauma (ELT) are at higher risk of impairment of these skills and may require intervention to address self-regulation deficits. Researchers partnered with the local Aboriginal health organization and schools to develop and pilot a manualized version of the Alert Program® in the Fitzroy Valley, north Western Australia, a region with documented high rates of fetal alcohol spectrum disorder and ELT. This self-controlled cluster randomized trial evaluated the effect of an 8-week Alert Program® intervention on children's executive functioning and self-regulation skills. Following parent or caregiver consent (referred to hereafter as parent), 271 students were enrolled in the study. This reflects a 75% participation rate and indicates the strong community support that exists for the study. Teachers from 26 primary school classrooms across eight Fitzroy Valley schools received training to deliver eight, one-hour Alert Program® lessons over eight-weeks to students. Student outcomes were measured by parent and teacher ratings of children's behavioral, emotional, and cognitive regulation. The mean number of lessons attended by children was 4.2. Although no significant improvements to children's executive functioning skills or behavior were detected via the teacher-rated measures as hypothesized, statistically significant improvements were noted on parent-rated measures of executive functioning and behavior. The effectiveness of future self-regulation programs may be enhanced through multimodal delivery through home, school and community based settings to maximize children's exposure to the intervention. Despite mixed findings of effect, this study was an important first step in adapting and evaluating the Alert Program® for use in remote Australian Aboriginal community schools, where access to self-regulation interventions is limited.


Asunto(s)
Función Ejecutiva/fisiología , Servicios de Salud del Indígena , Grupo de Ascendencia Oceánica , Servicios de Salud Escolar , Instituciones Académicas , Autocontrol , Estudiantes , Australia , Niño , Preescolar , Docentes , Femenino , Humanos , Masculino , Padres , Encuestas y Cuestionarios
12.
Stud Health Technol Inform ; 269: 400-438, 2020 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-32594013

RESUMEN

To promote a health literate K-12 population, this chapter focuses on intersections of Health Literacy (HL), Health Education (HE) and Health Communication (HC) and urges collaborations among professionals from these disciplines as well as with stakeholders who share their interests and concerns. Core definitions and evolutionary highlights of these disciplines are presented, as well as their intersection and promise of impact on student academic and health outcomes. The Whole School, Whole Community, Whole Child (WSCC) model is used as an example of a framework embraced by education and health experts to help students become health literate. Internal and external stakeholders, models of what works, resources and strategies for developing or strengthening school health and health communication practice are presented. Selected contemporary threats to the social and emotional health and safety of youth are reviewed; as are successful, evidence-based, collaborative HE, HC, and HL programs and strategies. Finally, recommendations for future research and strategic actions in combining HE and HC for HL are discussed to empower, build resilience, and improve the lifelong health of children and adolescents as they become adults.


Asunto(s)
Comunicación en Salud , Educación en Salud , Alfabetización en Salud , Adolescente , Niño , Preescolar , Humanos , Servicios de Salud Escolar , Instituciones Académicas , Estudiantes
13.
NASN Sch Nurse ; 35(4): 212-216, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32491976

RESUMEN

School nurses may deal with students presenting with symptoms associated with infections popularized in the news. Although rare, the implications of missing or misdiagnosing these infections are potentially life-threatening and devastating. We present three students presenting with febrile illnesses associated with neurologic symptoms, a rash, and fatigue, focusing on the initial assessment and management of these students and their associated "hot topic" infection. The authors also discuss two public health organizations, Centers for Disease Control and Prevention (https://www.cdc.gov/) and the World Health Organization (https://www.who.int/), online references for the school nurse to research both emerging and common infectious diseases.


Asunto(s)
Control de Infecciones/organización & administración , Servicios de Enfermería Escolar/organización & administración , Centers for Disease Control and Prevention, U.S. , Salud Global , Humanos , Servicios de Salud Escolar/organización & administración , Estados Unidos
15.
Psychol Trauma ; 12(S1): S73-S75, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32525366

RESUMEN

As a result of the COVID-19 pandemic, many school districts have closed for the remainder of the academic year. These closures are unfortunate because, for many students, schools are their only source of trauma-informed care and supports. When schools reopen, they must develop a comprehensive plan to address the potential mental health needs of their students. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Infecciones por Coronavirus , Servicios de Salud Mental , Pandemias , Neumonía Viral , Trauma Psicológico , Servicios de Salud Escolar , Estudiantes , Éxito Académico , Adolescente , Niño , Preescolar , Infecciones por Coronavirus/etnología , Infecciones por Coronavirus/psicología , Humanos , Neumonía Viral/etnología , Neumonía Viral/psicología , Trauma Psicológico/psicología , Trauma Psicológico/terapia , Instituciones Académicas , Estudiantes/psicología
17.
PLoS One ; 15(6): e0232867, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32497049

RESUMEN

INTRODUCTION: The Neglected Tropical Diseases Roadmap of the WHO set targets for potential elimination as a "public health problem" for the period 2012-2020 in multiple countries in Africa, with the aim of global elimination of schistosomiasis as a "public health problem" by 2025. AIM: The purpose of the study was to estimate the cost from a provider's perspective of the Department of Health's Schistosomiasis Mass Drug Administration (MDA) in Ugu District, KwaZulu-Natal in 2012, with a view to project the costs for the entire KwaZulu Natal Province. METHODS: A total of 491 public schools and 16 independent schools in Ugu District, a predominantly rural district in KwaZulu-Natal with a total of 218 242 learners, were included in the schistosomiasis control programme. They were randomly selected from schools situated below an altitude of 300 meters, where schistosomiasis is endemic. A retrospective costing study was conducted using the provider's perspective to cost. Cost data were collected by reviewing existing records including financial statements, invoices, receipts, transport log books, equipment inventories, and information from personnel payroll, existing budget, and the staff diaries. RESULTS: A total of 15571 children were treated in 2012, resulting in a total cost of the MDA programme of ZAR 2 137 143 and a unit cost of ZAR 137. The three main cost components were Medication Costs (37%), Human Resources Cost (36%) and Capital items (16%). The total cost for treating all eligible pupils in KwaZulu-Natal will be ZAR 149 031 888. However, should the capital cost be excluded, then the unit cost will be ZAR 112 per patient and this will translate to a total cost of ZAR 121 836 288. CONCLUSIONS: Low coverage exacerbates the cost of the programme and makes a decision to support such a programme difficult. However, a normative costing study based on the integration of the programme within the Department of Health should be conducted.


Asunto(s)
Antihelmínticos/economía , Costos Directos de Servicios/estadística & datos numéricos , Administración Masiva de Medicamentos/economía , Praziquantel/economía , Esquistosomiasis/tratamiento farmacológico , Servicios de Salud Escolar/economía , Adolescente , Antihelmínticos/administración & dosificación , Antihelmínticos/uso terapéutico , Gastos de Capital/estadística & datos numéricos , Niño , Costos de los Medicamentos/estadística & datos numéricos , Enfermedades Endémicas/economía , Enfermedades Endémicas/prevención & control , Femenino , Humanos , Masculino , Folletos , Praziquantel/administración & dosificación , Praziquantel/uso terapéutico , Estudios Retrospectivos , Población Rural , Muestreo , Esquistosomiasis/economía , Esquistosomiasis/epidemiología , Sudáfrica/epidemiología
18.
J Paediatr Child Health ; 56(6): 838-840, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32468616

RESUMEN

As the number of cases of coronavirus disease 2019 (COVID-19) caused by the virus SARS-CoV-2 rises exponentially in Australia with consequences for the health system and society at large, we need to remember that during this pandemic that necessary social distancing measures, effective school closures and rising unemployment levels may lead to an increased risk for child abuse and neglect.


Asunto(s)
Betacoronavirus , Maltrato a los Niños/prevención & control , Servicios de Protección Infantil , Infecciones por Coronavirus/epidemiología , Pandemias , Neumonía Viral/epidemiología , Adulto , Australia , Niño , Femenino , Fuerza Laboral en Salud , Humanos , Masculino , Servicios de Salud Escolar , Instituciones Académicas , Desempleo
20.
J Adolesc Health ; 67(1): 131-134, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32381385

RESUMEN

Our public pediatric tertiary hospital in Singapore has been a part of a robust public health response to coronavirus 19 that has been calibrated in a timely manner to the evolving international situation. As of mid-March, Singapore remains in a containment mode with enhanced surveillance and limited community spread. Within this context, our service for pediatric eating disorder care has had to make significant adaptations to our models of service delivery as well as respond to the changing psychosocial needs of our patients. Given infection control requirements, we have instituted modular staffing for our inpatient and outpatient settings, necessitating task shifting and an increased use of technology for communication. Because of the reduced outpatient capacity and the need to minimize nonurgent trips to the hospital, we have implemented telemedicine and have leveraged on partnerships with school counselors and other community partners. "Coronaphobia" has influenced our patients' willingness to attend visits and worsened existing health anxiety for some. Responsiveness to families' and patients' health and financial concerns has been essential. As coronavirus 19 impacts more countries, our institution's experience can provide insight into challenges and possible adaptations to providing ongoing care for eating disorder patients in this environment.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/terapia , Pandemias , Neumonía Viral/epidemiología , Telemedicina , Adolescente , Atención Ambulatoria/organización & administración , Niño , Comunicación , Familia , Femenino , Hospitalización , Hospitales de Enseñanza , Humanos , Control de Infecciones/métodos , Masculino , Servicios de Salud Escolar , Singapur/epidemiología
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