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1.
An Pediatr (Engl Ed) ; 96(6): 536.e1-536.e7, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35659490

RESUMO

Arterial hypertension is the main modifiable risk factor for cardiovascular disease, occupying the first place among the causes of loss of life years adjusted for disability. In recent years, arterial hypertension in children and adolescents has gained ground in cardiovascular medicine thanks to progress made in several areas, fundamentally in pathophysiological and clinical research. Despite the advances that have been made in recent years, the prevention, diagnosis and treatment of high blood pressure in children and adolescents still have room for improvement. In this sense, the correct measurement of blood pressure is especially important, since it includes a series of essential elements such as the measurement devices, the regulated procedure and the interpretation of the results based on percentiles according to age, gender and height. The availability of a free access calculator facilitates the diagnosis and monitoring of arterial hypertension https://hyperchildnet.eu/.


Assuntos
Determinação da Pressão Arterial , Hipertensão , Adolescente , Pressão Sanguínea , Estatura , Criança , Humanos , Hipertensão/diagnóstico , Hipertensão/terapia , Fatores de Risco
2.
Acta colomb. psicol ; 25(1): 137-150, ene.-jun. 2022. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1364262

RESUMO

Resumen En México, el estudio de la autolesión cuenta con pocas investigaciones, y menos si se trata de estudios que conformen posibles modelos explicativos. Teniendo esto en cuenta, en el presente trabajo se planteó como objetivo conocer la relación de la autolesión con la depresión, la desregulación emocional y los estilos de afrontamiento, con el fin de generar un modelo explicativo de la problemática. El estudio se realizó a partir de un diseño cuantitativo, transversal y con alcance explicativo, y se contó con una muestra de 5835 adolescentes (M edad = 11-15 años) inscritos en 62 secundarias públicas del estado de Sonora. Se realizaron regresiones logísticas para el análisis de los datos, y como resultado se encontró que, para los estudiantes con autolesión severa (3.54 %), el modelo explica el 61 % de la varianza en los datos (R1 de Nagelkerke = .61) y clasifica correctamente al 84.1 % de los participantes; mientras que, en la autolesión leve (5.29 %), el modelo explica el 72 % de la varianza en los datos (R2 de Nagelkerke = .72) y clasifica correctamente al 88.2 % de los estudiantes. Asimismo, las dimensiones de depresión mostraron el mayor nivel explicativo (cognitiva-afectiva, somática) y correlaciones positivas con la desregulación emocional y el estilo de afrontamiento de evitación, así como correlaciones negativas con el estilo de afrontamiento de aproximación. Al final se discute respecto a la importancia de las variables independientes para futuras investigaciones, y sobre los resultados anómalos y otros datos de interés.


Abstract In Mexico, there is little research on the study of self-injury and even less on possible explanatory models. With this in mind, this study aimed to determine the relationship between self-injury and depression, emotional dysregulation, and coping styles, to generate an explanatory model of the problem. The study was carried out using a quantitative, cross-sectional, explanatory scope, design and a sample of 5835 adolescents (Mage = 11-15 years) enrolled in 62 public high schools in the state of Sonora. Logistic regressions were performed for data analysis, and as a result it was found that, for students with severe self-injury (3.54 %), the model explains 61 % of the variance in the data (Nagelkerke's R2 = .61) and correctly classifies 84.1 % of the participants; whereas, in mild self-injury (5.29 %), the model explains 72 % of the variance in the data (Nagelkerke's R2 = .72) and correctly classifies 88.2 % of the students. Likewise, the depression dimensions showed the highest explanatory level (cognitive-affective, somatic) and positive correlations with emotional dysregulation and avoidance coping style, as well as negative correlations with approach coping style. At the end, the importance of the independent variables for future research is discussed, as well as anomalous results and other data of interest.

3.
Artigo em Inglês | MEDLINE | ID: mdl-35618238

RESUMO

OBJECTIVE: To assess the pattern of problematic internet and mobile use in a sample of adolescents. METHOD: Cross-sectional descriptive study in 8 primary and secondary education centres attached to a semi-rural health centre serving 21,000 inhabitants. Two-stage, cluster and systematic sampling, with a final sample size of 446 participants. Sociodemographic variables and data related to the questionnaire for mobile phone-related experiences (CERM) and questionnaire on internet-related experiences (CERI) were collected. RESULTS: 446 valid surveys were obtained, 228 boys (51.1%) and 218 girls (48.9%) 11-15 years old. A total of 418 (93.7%) had their own mobile. Median mobile usage was 12h on weekdays and 10 at weekends. The most used platforms were WhatsApp (53.6%) and social media (31.4%). Criteria for problematic internet use (CERI>26) were observed in 15.7%, more in 2nd and 3rd ESO. Girls had higher CERI -interpersonal conflict scores (p=.04). Regarding mobile use, girls had higher scores in total CERM (p=.001) and CERM-communicative and emotional use (p=.001). CONCLUSIONS: The results indicate early onset of problems with internet and mobile use, probably related to the accessibility of the new technologies. No parental control was observed. More problematic use of mobile and internet in second and third compulsory secondary education and higher scores in the group of girls related to communication, emotional use and interpersonal conflicts were observed. The findings can help to raise awareness of this problem, detect it early and prevent the effects of addiction to technologies in adolescents.

4.
An Pediatr (Engl Ed) ; 96(5): 385-393, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35550788

RESUMO

INTRODUCTION: Data surrounding palliative sedation in pediatric patients is scarce. Our objective is to assess the utility of creating a quality standard for pediatric palliative sedation. MATERIAL AND METHODS: A non-systematic review of the literature was used to find recommendations for pediatric palliative sedation, after which a definition was established based on three items: (1) indication, (2) consent, and (3) application. Afterwards, a retrospective analysis of palliative sedations applied by our unit over 5 years was performed. RESULTS: Out of 163 patients, palliative sedation was applied in 20, in 17 of them by our unit (14/20 males; median: 11.9 years). Twelve patients had oncological diseases, seven had neurological conditions, and one had a polymalformative syndrome. Nine patients had more than one symptom at the time of PS initiation with pain (11/17) and dyspnoea (10/17) being the most frequent. As for the definition, only three patients achieved a global completion, with the registration of the consent, specification of refractoriness and the establishment of an adequate initial sedative dose being the areas with more possible improvement. CONCLUSIONS: The application of the definition allowed us to analyze and find areas of improvement for our clinical practice of palliative sedation in pediatric patients.


Assuntos
Hipnóticos e Sedativos , Cuidados Paliativos , Criança , Unidades Hospitalares , Humanos , Hipnóticos e Sedativos/uso terapêutico , Masculino , Estudos Retrospectivos
5.
An. psicol ; 38(2): 251-258, may.-sep. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-202886

RESUMO

Estudios evolutivos que analicen el desarrollo de la comprensión lectora y sus dificultades en la adolescencia son relevantes, dada la importancia que ello tiene a estas edades en relación al rendimiento académico. El objetivo de este estudio es analizar el rendimiento y las dificultades en comprensión lectora y sus componentes en la adolescencia. La muestra está compuesta por 203 alumnos entre 12 y 14 años, pertenecientes a 1º, 2º, y 3º de Educación Secundaria Obligatoria de un centro seleccionado al azar de una zona sociocultural media de Málaga. Los alumnos son evaluados en comprensión lectora a través de la selección y organización de ideas textuales, conocimiento semántico y morfosintáctico, tras la lectura de un texto descriptivo, y en metacognición, con un cuestionario de consciencia lectora. El diseño es observacional trasversal, con una medida en cinco variables y tres grupos de estudiantes. Se realiza comparación entre medias y análisis de porcentajes de las dificultades. Los resultados muestran diferencias significativas entre los grupos en las variables de estudio, siendo las puntuaciones más altas en tercer curso. También se encuentra entre un 15-30% de dificultades de comprensión lectora en estas edades. Los porcentajes son mayores en selección y organización de ideas en todos los cursos, y en todas las variables los porcentajes son mayores en 3º curso. Estos resultados implican la necesidad de incidir en los procesos de enseñanza-aprendizaje de la comprensión lectora desde edades tempranas, con el fin de evitar las dificultades en la ESO.(AU)


Evolutionary studies that analyse the development of reading comprehension and related difficulties among teenagers are relevant, given importance of this skill for academic performance at this age. The aim of this study is to analyse performance and difficulties in reading comprehen-sion and its components during adolescence. The sample is composed of 203 students aged 12 to 14, in the first, second, and third year of compul-sory Secondary Education from a randomly selected school in an average socio-cultural area of Malaga. Students are evaluated for reading compre-hension through the selection and organisation of textual ideas, as well as semantic and morpho-syntactic knowledge, after reading a descriptive text. Metacognition is assessed by means of a reading awareness questionnaire. The design is cross-sectional and observational, measuring five variables across three groups of students. A comparison of means and analysis of percentages of difficulties is carried out. The results show significant dif-ferencesbetween the groups in the study variables, with the highest scores in the third year. Furthermore, between 15-30% of reading comprehension difficulties are found at these ages. The percentages are higher in the selec-tion and organisation of ideas across all three school years examined, and the percentages are higher in the third year for all the variables. These re-sults imply the need to control the teaching-learning processes of reading comprehension from an early age, in order to avoid difficulties in the first few years of secondary education.(AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Ciências da Saúde , Leitura , Compreensão , Adolescente , Ensino Fundamental e Médio , Desempenho Acadêmico
6.
Int. j. clin. health psychol. (2004) ; 22(2): 1-11, may-aug. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-203407

RESUMO

ResumenAntecedentes/Objetivo: Uno de los principales predictores de la violencia filio-parental (VFP) es la victimización infantil. Investigaciones recientes señalan la necesidad de estu-diar diferentes tipos de agresores en la VFP. Sin embargo, todavía no se han analizado las características distintivas del perfil del agresor victimizado y si estas características tam-bién difieren según el tipo de victimización. Se examinaron diferencias entre cuatro tipos de agresores de VFP: con victimización familiar, con victimización escolar, con polivicti-mización y sin experiencias de victimización. Método: Participaron 1.559 adolescentes españoles con edades comprendidas entre 12 y 18 años. Resultados: El agresor victimiza-do, respecto al no victimizado, ejerce más VFP reactiva e instrumental, muestra un apego parental más inseguro y menos habilidades emocionales y de afrontamiento. Por tipos de victimización, los agresores polivictimizados muestran peor ajuste respecto a aquellos con un único tipo de victimización. Se encuentran diferencias significativas se-gún el género de los agresores; sin embargo, el efecto de interacción entre el tipo de agresor y el género no fue significativo. Conclusiones: Considerar en la VFP el perfil del agresor victimizado, así como el tipo de victimización experimentada, puede proporcio-nar información empírica valiosa, tanto para el planteamiento de mecanismos explicati-vos diferenciales como para el diseño de estrategias de prevención e intervención adap-tadas a las necesidades de este perfil.


AbstractBackground/Objective: One of the main predictors of child-to-parent violence (CPV) is childhood victimization. Recent research indicates the need to study different types of CPV aggressors. However, the distinctive characteristics of the profile of the victimized aggressor and whether these characteristics differ according to the type of victimization have not been yet analyzed. Were examined differences between four types of CPV ag-gressors: with family victimization, with school victimization, with polyvictimization, and without victimization experiences. Method: A total of 1,559 Spanish adolescents aged between 12 and 18 years participated. Results: Compared to nonvictimized aggres-sors, victimized aggressors generally exercise more reactive and instrumental CPV and show more insecure parental attachment and less emotional and coping competencies. Additionally, among the types of victimization, polyvictimized aggressors show worse adjustment compared to those with a unique type of victimization. There are also signi-ficant differences according to the gender of the aggressor; however, the interaction effect between the type of aggressor and gender is not significant. Conclusions: Conside-ring the profile of the victimized aggressor and the type of victimization experienced in CPV can provide valuable empirical information for the approach of differential explana-tory mechanisms and for the design of prevention and intervention strategies adapted to the needs of this profile.


Assuntos
Masculino , Feminino , Criança , Adolescente , Adulto , Adaptação Psicológica , Estratégias de eSaúde , Violência/psicologia , Violência Doméstica/psicologia , Exposição à Violência , Violência de Gênero , Vítimas de Crime/psicologia
7.
Pediatr Panamá ; 51(1): 1-2, May2022.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1368291

RESUMO

El Estado panameño ratificó en el año 1990 la Convención sobre los Derechos del Niño y con ello asumió el compromiso de crear mecanismos para la protección de la niñez y la adolescencia, pero las actuales estadísticas señalan que los derechos de protección del menor siguen siendo vulnerados y van en aumento especialmente en las regiones comarcales indígenas en el país. Como vemos en el informe anual del Ministerio Público de Panamá para el año 2021 se registraron un total de 2,257 casos de "acceso sexual con una persona mayor de catorce (14) años y menor de dieciocho (18)" (artículo 176 del código penal) que representó un aumento del 18 % comparado a los 1,913 casos en 2020.


The Panamanian State ratified the Convention on the Rights of the Child in 1990 and thereby assumed the commitment to create mechanisms for the protection of children and adolescents, but current statistics indicate that the protection rights of minors continue to be violated and they are on the increase, especially in the indigenous regional regions of the country. As we see in the annual report of the Public Ministry of Panama for the year 2021, a total of 2,257 cases of "sexual access with a person over fourteen (14) years of age and under eighteen (18)" were registered (article 176 of the penal code ) which represented an increase of 18% compared to the 1,913 cases in 2020.

8.
Rev. latinoam. cienc. soc. niñez juv ; 20(1): 145-163, ene.-abr. 2022. tab
Artigo em Espanhol | LILACS | ID: biblio-1365869

RESUMO

Resumen (analítico) La paternidad en la adolescencia tradicionalmente ha sido estigmatizada, llevando a la generación de barreras y desconocimiento de vivencias, motivaciones y significados. Por ello se planteó como objetivo comprender la construcción y significados de la paternidad presente y activa de hombres adolescentes que residen en Guadalajara, Jalisco, México. Se realizó un estudio cualitativo socioconstruccionista en el que participaron hombres de 16 a 19 años que eran padres o que su pareja estaba en embarazo. Se realizaron entrevistas semiestructuradas y observación de redes sociales; se realizó un análisis de contenido. Los resultados dan cuenta de la intersección entre masculinidades y paternidades, demostrando que en las motivaciones para su paternidad se destacan la búsqueda de reconocimiento social, la conformación de una familia y la búsqueda de suplir necesidades emocionales a través de la pareja y del hijo/hija.


Abstract (analytical) Adolescent paternity has traditionally been stigmatized, which has generated barriers and ignorance of the experiences, motivations and meanings of young fathers. This is why this study has the objective of understanding the construction and meanings of the present and active paternity of adolescent men living in Guadalajara, Mexico. A qualitative socio-constructionist study was carried out with young men aged 16 to 19 who were parents or their partner was pregnant. Semi-structured interviews and observation of their social networks were carried out followed by content analysis. The results of the study highlight the intersections between masculinities and paternities. Notable motivations for their paternity include their desire for social recognition, their interest in forming a family and meeting their emotional needs through their partner and son/daughter.


Resumo (analítico) A paternidade na adolescência tem sido tradicionalmente estigmatizada, levando à geração de barreiras e ignorância de experiências, motivações e significados, razão pela qual o objetivo era compreender a construção e os significados da paternidade atual e ativa dos adolescentes homens residentes em Guadalajara, Jalisco, México. Foi realizado um estudo sócio-construcionista qualitativo, envolvendo homens de 16 a 19 anos que eram pais ou que o casal estava grávido. Foram realizadas entrevistas semiestruturadas e observação das redes sociais, análise de conteúdo. Os resultados mostram a interseção entre masculinidades e paternidades, demonstrando nas motivações de sua paternidade a busca pelo reconhecimento social, a formação de uma família e a busca de suprir necessidades emocionais por meio do casal e do filho / filha.


Assuntos
Paternidade , Família , Masculinidade , Homens , Motivação
9.
Psicol. pesq ; 16(1): 1-25, jan.-abr. 2022. tab
Artigo em Português | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1356619

RESUMO

Para analisar a presença de práticas de autolesão sem intenção suicida na trajetória de adolescentes/ jovens, foi efetuada consulta a prontuários de pessoas de 12 a 24 anos internadas de 2016 a 2018 e entrevistados jovens na mesma faixa etária que passaram por internação em 2019 ou 2020 com suporte de roteiro de entrevista de história de vida temática. Identificaram-se múltiplos termos para designar os cortes sobre a pele feitos pelos adolescentes/jovens, a relação entre ações de violência contra si e o percurso por instituições de saúde, e autolesão como forma de aliviar a dor não expressa em palavras.


To analyze the presence of self-harm practices without suicidal intent in the trajectory of adolescents / young people, medical records of people aged 12 to 24 years hospitalized from 2016 to 2018 were consulted and young people within the same age group, who underwent hospitalization in 2019 or 2020, were interviewed with the support of a thematic life story interview script. Multiple terms were identified to designate the cuts on the skin made by adolescents / young people, the relationship between actions of violence against themselves and the journey through health institutions, and self-harm as a way to relieve the pain not expressed in words.


Para analizar la presencia de prácticas de autolesión sin intención suicida en la trayectoria de adolescentes / jóvenes, se consultaron historias clínicas de personas de 12 a 24 años, hospitalizadas entre 2016 y 2018 y entrevistas a jóvenes del mismo grupo etario que fueron hospitalizados en 2019 o 2020 con apoyo de la entrevista temática de la historia de vida. Se identificaron múltiples términos para designar los cortes en la piel que realizan los adolescentes / jóvenes, la relación entre las acciones de violencia contra ellos mismos y el recorrido por las instituciones de salud, y la autolesión como una forma de aliviar el dolor no expresado con palabras.

10.
Preprint em Português | SciELO Preprints | ID: pps-3777

RESUMO

Objective: To analyze the trend in notifications of self-harm in adolescents in the school environment in Brazil, from 2011 to 2018. Methods: Ecological time series study, with data from the Notifiable Disease Information System, using the Prais-Winsten linear regression model. Results: A total of 1,989 cases were reported. Notification rates ranged from 0.09 to 2.75/100 thousand inhabitants, with an increasing trend for both females (annual percentage change [VPA]=66.0% ­ 95% confidence interval [95%CI] 39.0;98.3), as for males (VPA=55.2% ­ 95%CI 29.9;85.4). The North region showed a stationary trend while the Southeast and South regions showed increasing trend, especially Rio de Janeiro (VPA=85.5% ­ 95%CI 58.0;117.8) and Paraná (VPA=73.6% ­ 95%CI 41.9;112.3). In the Midwest region, only Mato Grosso do Sul state showed an increase (VPA=54.5% ­ 95%CI 16.9;104.2). Conclusion: There was a growing trend in notifications of self-harm in adolescents in the school environment in Brazil in the period.


Objetivo: analizar la tendencia de las notificaciones de autolesiones en adolescentes en el ámbito escolar en Brasil, de 2011 a 2018. Métodos: Estudio ecológico de series de tiempo, con datos del Sistema de Información de Enfermedades de Notificaciónutilizando la regresión lineal de Prais-Winsten. Resultados: Se reportaron un total de 1.989 casos. Las tasas de notificación variaron entre 0,09 y 2,75/100 mil habitantes, con tendencia creciente tanto para mujeres [cambio porcentual anual (CPA)=66,0% ­ intervalo de confianza del 95% [IC95%] 39,0;98,3) como para hombres (CPA)=55,2% ­ IC95% 29,9;85,4). La región Norte mostró tendencia estable; las regiones Sudeste y Sur mostraron tendencia creciente, especialmente Rio de Janeiro (CPA=85,5% ­ IC95% 58,0;117,8) y Paraná (CPA=73,6% ­ IC95% 41,9;112,3). En el Medio Oeste, solo Mato Grosso do Sul mostró aumento (CPA=54,5% ­ IC95% 16,9;104,2). Conclusión: Hubo tendencia creciente en las notificaciones de autolesiones en adolescentes en el ámbito escolar en Brasil en el período.


Objetivo: Analisar a tendência de notificações de lesão autoprovocada entre adolescentes no ambiente escolar, Brasil, 2011 a 2018. Métodos: Estudo ecológico de série temporal, sobre dados do Sistema de Informação de Agravos de Notificação, utilizando-se o modelo de regressão linear de Prais-Winsten. Resultados: Um total de 1.989 casos foram notificados. As taxas de notificação variaram de 0,09 a 2,75/100 mil habitantes, com tendência crescente, tanto no sexo feminino (variação percentual anual [VPA]=66,0%; intervalo de confiança de 95% [IC95%] 39,0;98,3) como no masculino (VPA=55,2% ­ IC95% 29,9;85,4). A região Norte apresentou tendência estacionária, enquanto as regiões Sudeste e Sul apresentaram tendência crescente, destacando-se o Rio de Janeiro (VPA=85,5% ­ IC95% 58,0;117,8) e o Paraná (VPA=73,6% ­ IC95% 41,9;112,3). Na região Centro-Oeste, apenas o estado de Mato Grosso do Sul apresentou incremento (VPA=54,5% ­ IC95% 16,9;104,2). Conclusão: Verificou-se tendência crescente nas notificações de lesão autoprovocada em adolescentes no ambiente escolar no Brasil, no período estudado.

11.
Clín. salud ; 33(1): 19-28, mar. 2022. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-203163

RESUMO

The COVID-19 pandemic has particularly affected the mental health of children and adolescents. In Spain, numerous studies have been carried out about the emotional impact on this population. The objective of this paper is to examine, through a systematic review, the most immediate psychological effects of the pandemic on Spanish children and adolescents and the related variables. A search was conducted, obtaining 356 articles of which 27 met the inclusion criteria. The studies reviewed address emotional problems, emotion-regulation problems, anxiety, depression, and stress in Spanish children and adolescents. An increase in emotional problems during confinement was observed. Differences were found in emotional problems, being generally more common in girls and older children and adolescents. Related variables of a family nature and referred to the pandemic, coping styles, and other psychological problems were examined. These results are relevant to design interventions that can prevent the impact of other similar situations.


La pandemia del COVID-19 ha afectado de forma particular a la salud mental infanto-juvenil. En España se han llevado a cabo numerosos estudios acerca de las repercusiones emocionales en esta población. El objetivo de este trabajo es examinar, mediante una revisión sistemática, los efectos psicológicos más inmediatos de la pandemia en niños y adolescentes españoles y las variables relacionadas. Se realizó una búsqueda, obteniéndose 356 artículos de los que 27 cumplieron los criterios de inclusión. Los estudios revisados abordan problemas emocionales, de regulación emocional, ansiedad, depresión y estrés en niños y adolescentes españoles. Se encontraron diferencias en estos problemas emocionales, siendo generalmente más comunes en chicas y en niños mayores y adolescentes. Se revisaron variables relacionadas de carácter familiar, relativas a la pandemia, estilos de afrontamiento y otros problemas psicológicos. Estos resultados son relevantes para el diseño de intervenciones que puedan prevenir la repercusión de otras situaciones similares.


Assuntos
Humanos , Criança , Adolescente , Ciências da Saúde , Sintomas Afetivos/psicologia , Pandemias , Revisões Sistemáticas como Assunto , Criança , Adolescente
12.
Clín. salud ; 33(1): 35-43, mar. 2022. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-203165

RESUMO

The effectiveness of psychoeducational interventions in children and adolescents with type 1 diabetes is unclear. A systematic review was developed in accordance with PRISMA. Relevant databases (Pubmed, Cochrane, PsycINFO, and PsyARTICLES) were analyzed. Articles of the last decade with type 1 diabetes population between 6 and 18 years participating in psychoeducational interventions were the inclusion criteria. Twenty studies were reviewed, and improvements were found in glycosylated hemoglobin, diabetes knowledge, and psychosocial variables. The results support the positive effect of these interventions. The characteristics that seem to be behind the success of these interventions are the design appropriate to the characteristics of the population, the participation of psychologist and educators, the continuity of the program over time, and the use of digital tools and interaction strategies. Further studies need to be carried out and replicated in different groups of children and adolescents.


Hay dudas acerca de la efectividad de las intervenciones psicoeducativas en menores y adolescentes con diabetes tipo 1, motivo por el cual se realizó una revisión sistemática de acuerdo con el protocolo PRISMA. Se analizaron distintas bases de datos (Pubmed, Cochrane, PsycINFO y PsyARTICLES) con los siguientes criterios de inclusión: artículos de los últimos diez años, con población con diabetes tipo 1 de edades comprendidas entre los 6 y 18 años que hubieran participado en cualquier intervención psicoeducativa. Se revisaron 20 estudios y los resultados mostraron una mejora en la hemoglobina glicosilada, en el conocimiento de la enfermedad y en algunas variables psicosociales tras estas intervenciones. Las características que parecen estar detrás del éxito de estas intervenciones psicoeducativas son el diseño adecuado a las características de la población, la participación de profesionales de la psicología y de la educación, la continuidad del programa en el tiempo y el uso de herramientas digitales y otras estrategias de interacción. Se destaca la necesidad de realizar más estudios y que sean replicados en diferentes grupos de menores y adolescentes.


Assuntos
Humanos , Criança , Adolescente , Ciências da Saúde , Diabetes Mellitus Tipo 1/psicologia , Educação , Diabetes Mellitus Tipo 1/terapia , Educação de Pacientes como Assunto/métodos , Psicoterapia/métodos , Psicoterapia/normas , Revisões Sistemáticas como Assunto
13.
Rev Bras Hipertens ; 29(1): 14-18, 20220310.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1367456

RESUMO

Caso clínico de uma paciente do sexo feminino, encaminhada a nossa Instituição aos sete anos de idade por provável Hipertensão Arterial Sistêmica. A paciente apresentava obesidade grave desde os quatro anos e há alguns meses foram detectadas medidas de pressão arterial elevadas em várias consultas médicas. Tem antecedentes de rematuridade, sedentarismo e dieta inadequada, além de história familiar também de obesidade e hipertensão arterial. Discutimos as condutas quanto a investigação da etiologia, da presença de lesões de órgãos alvo e do tratamento. Na evolução, houve controle adequado da pressão arterial após início de inibidores da enzima de conversão da angiotensina, mas grande dificuldade na redução do peso. Ao longo do seguimento, mesmo sob orientações nutricionais e reforço quanto a modificações do estilo de vida, a paciente apresentou ganho ponderal de 25 quilos. Relatamos este caso atendendo a necessidade de discussão do tema frente ao aumento significativo da prevalência de HAS em crianças e adolescente. Existem aspectos multifatoriais para o desenvolvimento da hipertensão arterial na infância, em grande parte associada a um estilo de vida inadequado. As dificuldades relacionadas ao seu manejo a presença de comorbidades, em especial da obesidade, ressaltam a necessidade de uma abordagem multiprofissional para que a evolução do quadro da paciente venha a ser o desejado


Clinical case of a female patient referred to our Institution at the age of seven years old with Systemic Arterial Hypertension. The patient had been severely obese since she was 4 years old and high blood pressure levels were detected in several medical consultations a few months ago. She has a history of prematurity, a sedentary lifestyle, and an inadequate diet, in addition to a family history of obesity and high blood pressure. We discussed the investigation of the etiology, the presence of target organ lesions, and the treatment of arterial blood pressure in youth. In the follow-up, there was adequate control of blood pressure after initiation of angiotensin-converting enzyme inhibitor, with great difficulty in weight reduction. Even under nutritional guidelines and reinforcement regarding lifestyle changes, the patient had a weight gain of 25 kilos. We report this case in view of the significant increase in the prevalence of Systemic Arterial Hypertension in children and adolescents. There are multifactorial aspects to the development of this scenario, largely associated with an inadequate lifestyle. The difficulties related to its management and the presence of comorbidities, especially obesity, highlight the need for a ultidisciplinary approach so that the evolution of the patient's condition becomes as desired

14.
Arch. latinoam. nutr ; 72(1): 31-42, mar. 2022. tab
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1368363

RESUMO

El índice de masa corporal (IMC) es una eficaz herramienta para detectar la sobrecarga ponderal en niños y adolescentes, asociado a la adiposidad corporal. Objetivo. Analizar la concordancia, sensibilidad y especificidad de tres referencias internacionales de IMC/edad (OMS, IOTF y CDC) para diagnosticar el exceso ponderal y conocer su precisión diagnóstica para identificar el exceso de adiposidad con relación al área grasa braquial (AGB) en población infanto juvenil de Argentina. Materiales y métodos. Se realizó un estudio multicéntrico, descriptivo-comparativo y transversal entre 2003 y 2008, en 22.658 niños y adolescentes argentinos de 4 a 13 años de edad. A partir del peso, talla, circunferencia del brazo y pliegue tricipital, se calcularon IMC y AGB. Se analizó la concordancia, sensibilidad y especificidad de referencias de IMC/edad (OMS, CDC, IOTF) y la precisión diagnóstica (curvas ROC) para identificar exceso de adiposidad, a partir del AGB, así como el punto de corte óptimo (PCO). Resultados. Las tres referencias tuvieron buena concordancia. La mayor sensibilidad correspondió a OMS y la mayor especificidad a IOTF. El área bajo la curva (ABC) fue mayor en Z-IMC/IOTF en varones y en Z-IMC/OMS en mujeres. Los PCO mostraron discrepancias, siendo mayores con OMS. Conclusión. Las tres referencias muestran similar precisión diagnóstica para detectar alta reserva calórica, con puntos de corte óptimo para las puntuaciones Z-IMC menores a 2 Z scores. Esto resulta relevante para la identificación de exceso de adiposidad en poblaciones, en relación con la implementación de políticas públicas de prevención de enfermedades crónicas no transmisibles(AU)


The body mass index (BMI) is an effective tool to detect weight overload in children and adolescents, associated with body adiposity. Objective. To analyze the concordance, sensitivity and specificity of three international BMI/age references (WHO, IOTF and CDC) to diagnose excess weight and to know their diagnostic accuracy to identify excess adiposity in relation to the brachial fat area (BFA) in Argentine child-youth population. Materials and methods. A multicenter, descriptive- comparative and cross-sectional study was carried out between 2003 and 2008 in 22.658 Argentine children and adolescents between aged 4 to 13 years. From the weight, height, arm circumference and tricipital fold, BMI and BFA were calculated. The concordance, sensitivity, and specificity of BMI / age references (WHO, IOTF, CDC,) were analyzed and the diagnostic precision (ROC curves) to identify excess adiposity, from the BFA, as well as the optimal cut-off point (OCP). Results. The three references had good agreement, the highest sensitivity corresponded to WHO and the highest specificity to IOTF. The area under the curve (AUC) was greater in Z-BMI/IOTF in men and in Z-BMI/WHO in women. The OCPs showed discrepancies, being higher with WHO. Conclusion. The three references show similar diagnostic accuracy to detect high caloric reserve, but with cut-off points for Z-BMI scores less than 2 Z scores. This is relevant for the identification of excess adiposity in populations in relation to the implementation of public policies for the prevention of chronic non-communicable diseases(AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Circunferência Braquial , Índice de Massa Corporal , Estado Nutricional , Distribuição da Gordura Corporal , Estudantes , Peso-Estatura , Desnutrição , Obesidade Pediátrica
15.
Ciênc. Saúde Colet ; 27(3): 1147-1155, mar. 2022. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1364683

RESUMO

Abstract This article aims to analyze the association between sleep time and handgrip strength in adolescents belonging to the 1997/1998 São Luís Birth Cohort. This was a cross-sectional study nested in a birth cohort study. One thousand two hundred sixty-nine individuals (18 and 19 years) wore an Actigraph® GTX3+ accelerometer on their wrist 24 hr/day for 7 consecutive days. Handgrip strength was measured using a digital hand dynamometer. We used directed acyclic graphs (DAG) to identify confounding variables. This sample of adolescents was mostly composed of men, with brown skin color, economic class C, which did not work, did not consume alcohol, did not smoke, and never used drugs. The mean value of handgrip strength was 28.2 (±9.3) kgf, and the mean of sleep time was 6 (±1.0) hours per day. The crude analysis showed an association between sleep time and muscle strength. An increase of one hour of sleep reduced the handgrip strength by 1.95 kgf (95%CI:-2.51;-1.39). However, after adjustment for confounders, the association was not maintained (β:-0.07; 95%CI:-0.48;0.36). Sleep time is not associated with handgrip strength in adolescents in São Luís.


Resumo O objetivo deste artigo é analisar a associação entre tempo de sono e força de preensão manual em adolescentes da Coorte de Nascimentos de São Luís 1997/1998. Estudo transversal aninhado a um estudo de coorte de nascimentos. Mil duzentos e sessenta e nove indivíduos (18 e 19 anos) usaram um acelerômetro Actigraph® GTX3 + em seu pulso 24 horas/dia por sete dias consecutivos. A força de preensão manual foi medida por meio de um dinamômetro digital de mão. Usou-se gráficos acíclicos direcionados (DAG) para identificar variáveis ​​de confusão. A amostra de adolescentes foi composta em sua maioria por homens, de cor da pele parda, classe econômica C, que não trabalhava, não consumiam álcool, não fumavam e nunca usaram drogas. O valor médio da força de preensão manual foi de 28,2 (±9,3) kgf, e a média do tempo de sono foi de seis (±1,0) horas por dia. A análise bruta mostrou associação entre tempo de sono e força muscular. O aumento de uma hora de sono reduziu a força de preensão manual em 1,95 kgf (IC95%:-2,51;-1,39). No entanto, após o ajuste para fatores de confusão, a associação não foi mantida (β:-0,07; IC95%:-0,48;0,36). O tempo de sono não foi associado à força de preensão manual em adolescentes de São Luís.


Assuntos
Humanos , Masculino , Adolescente , Sono/fisiologia , Força da Mão/fisiologia , Parto , Estudos Transversais , Estudos de Coortes
16.
Rev Colomb Psiquiatr (Engl Ed) ; 51(1): 25-34, 2022.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35210211

RESUMO

INTRODUCTION: The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances. OBJECTIVE: To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP). METHODS: A cross-sectional analytical study was conducted that compared BO versus OCP. The participants were assessed using valid tools to determine the presence of psychiatric symptoms or disorders. The "Sleep Evaluation Questionnaire" and "School Sleep Habits Survey" were used to determine sleep characteristics and associated factors. Sleep records (7-21 days) were also obtained by using an actigraphy watch. RESULTS: A sample of 42 participants (18 BO and 24 OCP) was recruited. Differences were found in the presentation of the psychiatric disorder. The BO group showed a higher frequency of major depression disorder (MDD; P = .04) and Disruptive Mood Dysregulation Disorder (DMDD; P = .04). The OCP group showed a higher frequency of Attention Deficit and Hyperactivity Disorder (ADHD; P = .65), and Separation Anxiety Disorder (SAD; P = .46). Differences were also found in sleep by using subjective measurements. Compared to the OCP group, BO had a worse perception of quality of sleep (P = .02), a higher frequency of nightmares (P = .01), a shorter total sleep time, and a higher sleep latency. Nevertheless, no differences were found between groups in the actigraphy measurements. CONCLUSIONS: The BO group had a higher frequency of Mood Disorders, and at the same time a higher number of sleep disturbances in the subjective measurements. It is possible that there is an association between mood symptoms, sleep disturbances, and coffee intake. No differences were found in the sleep profile by using actigraphy.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Transtorno Bipolar/epidemiologia , Criança , Estudos Transversais , Humanos , Percepção
17.
J Obstet Gynaecol Can ; 44(2): 215-226.e1, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35181012

RESUMO

OBJECTIF: Fournir aux chirurgiens et autres fournisseurs de soins canadiens qui réalisent des interventions chirurgicales ou thérapeutiques esthétiques génitales féminines, et tout praticien demandeur, des directives fondées sur des données probantes en réponse à l'augmentation des demandes et de la disponibilité des interventions chirurgicales et thérapeutiques vaginales et vulvaires sortant du cadre traditionnel de la reconstruction avec indication médicale. POPULATION CIBLE: Les femmes de tous âges qui consultent pour subir une intervention chirurgicale ou thérapeutique esthétique génitale. BéNéFICES, RISQUES ET COûTS: Les professionnels de la santé qui prodiguent des soins aux femmes jouent un rôle important en renseignant les femmes sur leur anatomie et en les aidant à prendre conscience des variations individuelles. La plupart des femmes qui demandent une intervention chirurgicale ou thérapeutique esthétique génitale féminine ont des organes génitaux normaux, et jusqu'à 87 % d'entre elles sont rassurées par des conseils. À l'heure actuelle, étant donné le manque de données probantes cliniques et scientifiques rigoureuses sur l'efficacité et l'innocuité à court et à long terme, il n'y a aucune base pour se prononcer en faveur des interventions chirurgicales ou thérapeutiques esthétiques génitales féminines sans indication médicale. Les interventions chirurgicales ou thérapeutiques esthétiques génitales féminines sont généralement réalisées dans le secteur privé, où les coûts sont assumés par la patiente. DONNéES PROBANTES: La littérature publiée a été rassemblée par des recherches dans les bases de données Medline, Scopus et Cochrane Library au moyen de termes et mots clés pertinents et validés. Les termes de recherche sélectionnés se composaient de mots clés sur les interventions chirurgicales ou thérapeutiques esthétiques génitales féminines (labiaplasty, surgery, vaginal laser therapy, laser vaginal tightening, vaginal laser, vaginal rejuvenation, vaginal relaxation syndrome, hymenoplasty, vaginal cosmetic procedures) combinés à female genital counselling, consent, satisfaction, follow-up, adolescent et body dysmorphic or body dysmorphia. La recherche a été limitée aux articles publiés après 2012 afin de mettre à jour la documentation depuis la dernière directive à ce sujet. Les résultats ont été restreints aux revues systématiques, aux essais cliniques randomisés et aux études observationnelles. Les études ont été limitées à celles menées chez l'humain seulement, et aucune restriction linguistique n'a été appliquée. La recherche a été effectuée le 20 mai 2020 et mise à jour le 10 novembre 2020. MéTHODES DE VALIDATION: Les auteures ont évalué la qualité des données probantes et la force des recommandations en utilisant le cadre méthodologique d'évaluation, de développement et d'évaluation (GRADE). Voir l'annexe A en ligne (tableau A1 pour les définitions et tableau A2 pour l'interprétation des recommandations fortes et faibles). PROFESSIONNELS CONCERNéS: Gynécologues, fournisseurs de soins primaires, chirurgiens réalisant des interventions chirurgicales et/ou thérapeutiques esthétiques génitales féminines. RECOMMANDATIONS.

18.
Fisioter. Bras ; 22(6): 951-964, Fevereiro 7, 2022.
Artigo em Português | LILACS | ID: biblio-1358387

RESUMO

Introdução: A sobrecarga corporal devida à obesidade contribui no surgimento de alterações no sistema musculoesquelético e respiratório. Objetivo: Analisar as evidências científicas referentes à influência da obesidade sobre a postura do tronco, a resposta cinético-funcional do diafragma e a função pulmonar em crianças e adolescentes. Métodos: Trata-se de uma revisão de literatura, utilizando as bases de dados Medline, Cochrane, Embase, Lilacs e Web of Sciences, nos idiomas inglês, português e espanhol, nos últimos 10 anos. Foram utilizados os descritores: "obesidade', "postura", "diafragma", "função pulmonar", "adolescentes", "adultos jovens". Os critérios de exclusão foram: estudos que abordaram distúrbios neuromusculares associados, cifoescoliose, fibrose cística, enfisema pulmonar, asma e DPOC e artigos não disponíveis na íntegra. Resultados: Foram identificados 226 estudos, porém 10 foram analisados. Os resultados apontaram que a postura do tronco nos obesos é hipercifótica, hiperlordótica e com anteversão pélvica, além de apontar indícios de repercussão na dinâmica respiratória, com redução da mobilidade do diafragma e dos volumes e capacidades pulmonares. Conclusão: A obesidade contribui para a ocorrência de hipercifose, hiperlordose e anteversão da pelve, bem como na diminuição da atividade do diafragma e função pulmonar. (AU)


Assuntos
Criança , Adolescente , Postura , Diafragma , Tronco , Sistema Musculoesquelético , Obesidade , Criança , Adolescente
19.
Psicol. educ. (Madr.) ; 28(2): 111-116, jun. 2022. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-LDS-198

RESUMO

Abstract Different forms of verbal aggression are often presented in cyberbullying and are used to harm others in online communication. This study proposed to understand the influence of an aggressive communication style on adolescents’ intentions to engage in cyberbullying, their emotional well-being, and personal moral beliefs. A convenience sample of 218 adolescents (Mage = 14.67, SD = 0.84, 53% girls) in Portugal responded to questionnaires. Structural equation modeling analyses were conducted to test mediating effects. An aggressive communication style may lead adolescents to perceive cyberbullying behavior as fair, and to decrease their emotional well-being. Moreover, this communication style may contribute to adolescents’ intentions to engage in cyberbullying, and whether they believe this type of behavior is fair or unfair may determine those intentions. These findings contribute to an understanding of determiners of cyberbullying and the provision of insights to develop school interventions in this field.


Resumen Diferentes formas de agresión verbal están presentes a menudo en el ciberacoso y se utilizan para dañar a otros en la comunicación online. Este estudio propuso comprender la influencia de un estilo de comunicación agresivo en la intención de los adolescentes de participar en el ciberacoso, su bienestar emocional y sus creencias morales personales. Una muestra de conveniencia de 218 adolescentes (Medad = 14.67, SD = 0.84, 53% niñas) en Portugal respondió a los cuestionarios. Se realizaron análisis de modelado de ecuaciones estructurales para probar los efectos de mediación. Un estilo de comunicación agresivo puede llevar a los adolescentes a percibir el comportamiento de ciberacoso como justo y a disminuir su bienestar emocional. Además, este estilo de comunicación puede contribuir a la intención de los adolescentes de participar en el ciberacoso y la creencia de que este tipo de comportamiento sea justo o injusto puede determinar esa intención. Estos hallazgos contribuyen a comprender los factores determinantes del ciberacoso y a proporcionar información para desarrollar intervenciones escolares en esta área.


Assuntos
Agressão , Cyberbullying , Comportamento , Adolescente , Inquéritos e Questionários
20.
Ciênc. Saúde Colet ; 27(1): 193-203, jan. 2022. tab
Artigo em Português | LILACS | ID: biblio-1356045

RESUMO

Resumo Este artigo objetivou identificar e compreender os significados da família em situação de pandemia da COVID-19 para jovens do nordeste brasileiro. Trata-se de uma pesquisa qualitativa, com o uso do Procedimento DE-T. Participaram 32 adolescentes do nordeste brasileiro. Observou-se 13 temas, sendo os mais incidentes: distanciamento físico; sentimentos expressos; relações familiares integradoras; aparelhos tecnológicos; relações familiares desintegradoras. Conclui-se sobre a representação da potência familiar no enfrentamento da pandemia, bem como sobre o sofrimento e padecimento familiar frente ao problema de saúde pública que assola o país.


Abstract This paper aimed to identify and understand the meanings of family in a COVID-19 pandemic situation for adolescents in Northeastern Brazil. This qualitative research used the DE-T Procedure with 32 adolescents from Northeastern Brazil. Thirteen themes were observed, and the most incident were physical distance, expressed feelings, integrating family relationships, technological devices, and disintegrating family relationships. We finalize with the representation of family power in facing the pandemic and family suffering in the face of the public health problem that plagues the country.


Assuntos
Humanos , Adolescente , Pandemias , COVID-19 , Brasil/epidemiologia , Pesquisa Qualitativa , SARS-CoV-2
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