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1.
Int J Adolesc Med Health ; 30(1)2016 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-27060735

RESUMO

OBJECTIVE: To verify the effects of metabolic syndrome (MS) and its relation to insulin resistance (IR) in children and adolescents with overweight or obesity after 24 months of follow-up. DESIGN: Studies of repeated measures from April 2009 to April 2012. For both measurements, the evaluations performed were anthropometry, MS diagnosis, fasting blood glucose, glucose homeostasis model assessment (HOMA-IR), and insulin level; at a second evaluation, glycated hemoglobin (HbA1c) was used as an additional indicator of glucose metabolism alterations. Logistic regression between syndrome persistence and its components with glucose metabolism alterations was performed for each of its indicators. The SPSS version 17.0 software (95% CI) was used. LOCATION: Center for Childhood Obesity, Campina Grande, Brazil. SUBJECTS: Children and adolescents (n=133), aged 2-18 years, with overweight or obesity. RESULTS: There was a significant decrease in MS during the study period, with persistence of the syndrome in 17.3% of the individuals. The presence of at least one alteration in glucose metabolism occurred in 45.1% of children and adolescents. The systolic and diastolic blood pressure, and the average levels of HOMA-IR showed significant decrease at the end of 24 months (p<0.01), and an elevated waist circumference (WC) remained associated with IR (p<0.01). CONCLUSION: There was observed no relationship of IR or other indicator of glycemic disorders by persistence of MS. An elevated WC remained associated with IR after controlling for the effects of the following variables: gender, age group, and other MS components.

2.
Invest. educ. enferm ; 33(3): 565-572, Dec. 2015.
Artigo em Inglês | LILACS-Express | ID: lil-766923

RESUMO

Objective.Analyze the feelings of hospitalized children and adolescents with chronic diseases towards death. Methodology. Qualitative research, with four children and one teenager with chronic diseases, aged between 11 and 13 years old, who were admitted at a teaching hospital in Brazil, in the period from January to March 2009. In-depth interviews were carried out using a ludic material for therapeutic purposes, named ''As a guest in the hospital". The empirical material was submitted to thematic analysis. Results. Two mains meanings were obtained: Feelings of hospitalized children and adolescents with chronic diseases dealing with the death of the other; and children and adolescents with chronic diseases and the fear of their own deaths. Hospitalization makes children and adolescents come across the death of other sick people, arousing feelings of sadness, consternation, anxiety, making the fear of their own death become a threat. Conclusion. The health team needs to be attentive to the feelings of hospitalized children and adolescents facing death so that they can get the demands, minimizing fears and anguish.


Objetivo.Analizar los sentimientos de niños y adolescentes hospitalizados con enfermedades crónicas en relación con la muerte. Metodología. Investigación cualitativa de cuatro niños y un adolescente con enfermedad crónica con edades de 11 a 13 años, ingresados en un hospital universitario en Brasil, de enero a marzo de 2009. Se realizaron entrevistas a profundidad mediante material del juego con propósitos terapéuticos llamado ''Como huésped en el hospital."La información fue sometida a análisis temático. Resultados. Se obtuvieron dos unidades de significado: Los sentimientos de los niños y adolescentes con enfermedades crónicas hospitalizados frente a la muerte del otro; y los niños y adolescentes con enfermedades crónicas y el miedo de la propia muerte. Conclusión. La hospitalización lleva a los niños y adolescentes a enfrentar la muerte de los demás enfermos, despertando sentimientos de tristeza, consternación, ansiedad, lo que hace que el miedo por la propia muerte se convierta en una amenaza. El equipo de salud tiene que estar atento a los sentimientos de los niños y adolescentes hospitalizados frente a la muerte para que pueda aceptar las demandas, lo que minimiza los temores y angustias.


Objetivo.Analisar os sentimentos de crianças e adolescentes com doenças crônicas hospitalizados em relação à morte.Metodologia. Pesquisa qualitativa, com quatro crianças e um adolescente com doenças crônicas em idade entre 11 e 13 anos, internadas em um hospital escola no Brasil, no período de Janeiro a Março de 2009. Realizaram-se entrevistas em profundidade por meio do material lúdico com fins terapêuticos, denominado ''Como hóspede no hospital". O material empírico foi submetido à áática. Resultados. Foram obtidos dois núcleos de sentido: Sentimentos de crianças e adolescentes com doenças crônicas hospitalizados frente à morte do outro; e Crianças e adolescentes com doenças crônicas e o temor da própria morte. A internação hospitalar leva crianças e adolescentes a se depararem com a morte de outros enfermos, despertando sentimentos de tristeza, consternação, ansiedade, fazendo com que o medo da própria morte se torne uma ameaça.Conclusões.A equipe de saúde precisa estar atenta aos sentimentos das crianças e adolescentes hospitalizados diante da morte para que possa acolher as demandas, minimizando temores e angústias.

3.
Rev Gaucha Enferm ; 36(4): 49-54, 2015 Dec.
Artigo em Português | MEDLINE | ID: mdl-26735758

RESUMO

OBJECTIVE: To evaluate the longitudinality attribute in childcare provided through the Family Health Strategy. METHOD: Quantitative survey performed with 344 caregivers of children below 10 years old, registered in the family health strategy of Distrito Sanitario III in João Pessoa, Paraiba. Data were collected from July to December, 2012, from the Brazil PCATool child version form and analyzed using descriptive statistics. RESULTS: Among the aspects evaluated, it is highlighted that 89.5% of caregivers said they were consulted by the same professionals, and 81.9% felt good talking to the professional. The average score for the longitudinality component was satisfactory, with a 6.6 value. CONCLUSION: The health facilities assessed are guided towards the longitudinality attribute, however, the target mean score was exactly the cutoff value, implying the need for a thoughtful look at the improvement of the attribute in the care of children under ten years.


Assuntos
Serviços de Saúde da Criança/estatística & dados numéricos , Saúde da Família , Criança , Estudos Transversais , Feminino , Humanos , Masculino
4.
Invest Educ Enferm ; 33(3): 565-572, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28569965

RESUMO

OBJECTIVE: Analyze the feelings of hospitalized children and adolescents with chronic diseases towards death. METHODOLOGY: Qualitative research, with four children and one teenager with chronic diseases, aged between 11 and 13 years old, who were admitted at a teaching hospital in Brazil, in the period from January to March 2009. In-depth interviews were carried out using a ludic material for therapeutic purposes, named ''As a guest in the hospital". The empirical material was submitted to thematic analysis. RESULTS: Two mains meanings were obtained: Feelings of hospitalized children and adolescents with chronic diseases dealing with the death of the other; and children and adolescents with chronic diseases and the fear of their own deaths. Hospitalization makes children and adolescents come across the death of other sick people, arousing feelings of sadness, consternation, anxiety, making the fear of their own death become a threat. CONCLUSION: The health team needs to be attentive to the feelings of hospitalized children and adolescents facing death so that they can get the demands, minimizing fears and anguish.

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