RESUMO
OBJECTIVES: The aim of this study is to understand the changes within families during confinement motivated by the COVID-19 pandemic and to explore the psycho-emotional experiences of children and their parents in this new situation. Confinement necessarily induced significant changes in daily family routines, particularly for work, education, leisure and social activities. In the more vulnerable pediatric population, several authors have warned of the need to consider the impact of lockdown measures during COVID-19 on the psychological impact and well-being. METHOD: This is an anonymous online survey with methodology combining quantitative and qualitative analyses. The questions targeted several themes such as life context, emotional experience and the impact on daily habits in children and adolescents, as perceived by parents. Participants are adults and parents of at least one child. They were recruited through social media and email. RESULTS: A total of 439 parents responded to the questionnaire. The families generally stayed in their usual place of residence and managed to adapt well. On average, the children's level of worry (as estimated by parents) was lower than the level of worry parents attributed to themselves. For the majority, the parents did not observe any change, the psychological state of the children and adolescents was generally stable, but for those who experienced more negative emotions than usual, it was an increase in boredom, irritability and anger. A decrease in the quality of sleep was also observed by a third of the respondents. On the other hand, an increase in autonomy was noted. Regarding the quality of family cohabitation, an important result showed that confinement had improved family relationships for 41% parents but at the expense of usual social ties inducing a feeling of deprivation. Indeed, the participants evoke a lack of "social link" and "social contact with friends". Lack became synonymous with absence, a feeling of loneliness and separation. CONCLUSION: Our results confirm European and international data collected in children in countries where strict lockdown measures have been applied. Despite the negative emotions felt in some children, confinement has helped develop new resources in most families. Families seem to have been successful in maintaining a stable and secure routine which has certainly been a protective factor against anxiety. Some reported factors, such as bonding, could be protective factors and constitute good leads in interventions to be offered to children and their families.
Assuntos
COVID-19 , Adolescente , Adulto , Criança , Humanos , Pandemias , Controle de Doenças Transmissíveis , Pais/psicologia , FamíliaAssuntos
Síndrome de Churg-Strauss , Granulomatose com Poliangiite , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/etiologia , Síndrome de Churg-Strauss/complicações , Síndrome de Churg-Strauss/diagnóstico , Ciclofosfamida , Granulomatose com Poliangiite/complicações , Granulomatose com Poliangiite/diagnóstico , HumanosRESUMO
UNLABELLED: Neonatal renal candidiasis is an increasingly common condition affecting predominantly premature infants receiving neonatal intensive care or term infants with urogenital tract anomalies. CASE REPORT: a female infant was born by cesarian section at 30 weeks' gestation to a mother whose pregnancy had been complicated by rupture of membranes for 5 days. The infant was admitted at birth, maternofetal bacterial infection was suspected, and intravenous antibiotics were prescribed. The patient developed sepsis caused by Klebsiella pneumoniae at the age of 13 days. She was referred to our hospital at the age of 50 days because of renal abscess. At admission, the baby presented with hypothermia and abdominal distention. Renal ultrasonography findings were compatible with fungal disease. Blood, urine, and cerebrospinal fluid cultures were negative for fungi; however, galactomannan antigen blood levels were increased. Amphotericin B was administered for 6 weeks. End-organ evaluation of the heart, brain, and eyes did not demonstrate disseminated infection. The patient was discharged with a prescription for oral fluconazole and remained well at follow-up.
Assuntos
Candidíase , Doenças do Prematuro/microbiologia , Nefropatias/microbiologia , Pielonefrite/microbiologia , Candidíase/diagnóstico , Candidíase/tratamento farmacológico , Feminino , Humanos , Lactente , Doenças do Prematuro/diagnóstico , Doenças do Prematuro/tratamento farmacológico , Nefropatias/diagnóstico , Nefropatias/tratamento farmacológico , Pielonefrite/diagnóstico , Pielonefrite/tratamento farmacológicoAssuntos
Erros Inatos do Metabolismo dos Aminoácidos/diagnóstico , Encefalopatias Metabólicas/diagnóstico , Distonia/diagnóstico , Glutaril-CoA Desidrogenase/deficiência , Megalencefalia/diagnóstico , Convulsões/diagnóstico , Criança , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética/métodos , MasculinoRESUMO
INTRODUCTION: Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological entity characterized by neurologic symptoms in association with usually reversible bilateral posterior hemispheric edema on neuroimaging. It has been described in adults more than in children. Many pathological conditions and treatments have been associated with this syndrome. CASE REPORT: We report the case of an 11-year-old boy who presented with acute postinfectious glomerulonephritis, renal failure, and arterial hypertension. Two days after admission he developed generalized tonic clonic seizures. His blood pressure was 145/90 mmHg. Computed tomography showed hypodense lesions in the occipital and frontal areas. Based on the clinical manifestations and the typical pattern of brain imaging, the diagnosis of PRES was retained. Clinical manifestations and radiological abnormalities resolved after antihypertensive therapy. Axial FLAIR images and diffusion-weighted magnetic resonance images showed a slight hyperintensity signal in the left occipital area. CONCLUSION: Acute postinfectious glomerulonephritis in children should be considered a risk factor for developing PRES.
Assuntos
Glomerulonefrite/microbiologia , Síndrome da Leucoencefalopatia Posterior/etiologia , Proteínas de Bactérias/análise , Edema Encefálico/etiologia , Criança , Epilepsia Tônico-Clônica/etiologia , Lobo Frontal/patologia , Humanos , Hipertensão/etiologia , Masculino , Lobo Occipital/patologia , Insuficiência Renal/etiologia , Infecções Estreptocócicas/microbiologia , Estreptolisinas/análise , Tomografia Computadorizada por Raios XAssuntos
Albendazol/uso terapêutico , Anticestoides/uso terapêutico , Equinococose/diagnóstico , Febre/diagnóstico , Pré-Escolar , Diagnóstico Diferencial , Equinococose Hepática/diagnóstico , Equinococose Pulmonar/diagnóstico , Feminino , Humanos , Pancreatopatias/parasitologia , Radiografia Torácica , Tomografia Computadorizada por Raios XAssuntos
Embolia Pulmonar/etiologia , Arterite de Takayasu/diagnóstico , Tromboflebite/etiologia , Braço/irrigação sanguínea , Testes de Coagulação Sanguínea , Veias Braquiocefálicas , Feminino , Insuficiência Cardíaca/etiologia , Humanos , Hipertensão Pulmonar/etiologia , Claudicação Intermitente/etiologia , Veias Jugulares , Pessoa de Meia-Idade , Veia Subclávia , Arterite de Takayasu/complicações , Trombofilia/etiologiaRESUMO
The antisynthetase syndrome (ASS) includes inflammatory myopathy (polymyositis or dermatomyositis), interstitial lung disease (ILD), arthritis, Raynaud's phenomenon, and mechanic's hands, associated with antibodies against aminoacyl-tRNA-synthetases, the most well-recognized being the anti-Jo1 antibody (anti-histidyl-tRNAsynthetase). We report four cases of antisynthetase syndrome and review the clinical characteristics and prognosis factors dominated by ILD. We report the cases of four women with a mean age of 42 years (28-62 years). The interstitial lung disease was found in four cases and was objectified by CT-scan in all cases. The pulmonary symptoms were consisted of dyspnea (one case) and respiratory distress (one case). The anti-Jo1 antibodies were present in the four patients. The myopathy was concomitant with pulmonary involvement (two cases), preceded it in 6 months (one case) and in the course of evolution and after 1 month (one case). All patients received corticosteroid treatment. The immunosuppressive treatment was necessary for two patients because of the severity of the pulmonary involvement. The outcome was favorable in two patients, partially favorable in a patient who presented pulmonary fibrosis. However, one patient died after developing brain abscesses.