Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 3.557
Filtrar
2.
Health Aff (Millwood) ; 39(10): 1677-1683, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33017241

RESUMO

Four recent reports from the National Academies of Sciences, Engineering, and Medicine framed around the issues of poverty; mental, emotional, and behavioral health; adolescence; and young family health and education build on extensive recent evidence of what can be done to improve the health and well-being of children, youth, and families. We describe the process of generating the reports, briefly summarize each report's content, and identify crosscutting themes and recommendations. We also note how the coronavirus disease 2019 (COVID-19) pandemic highlights major disparities and systemic problems addressed in the reports and heightens the relevance of their policy recommendations. The reports issue a unified, urgent call for measures with the potential to change the trajectory and outcomes for children and youth. Among these are basic income supports, other family supports, universal health care structured to meet family needs, and a broad national policy that prioritizes children and youth.


Assuntos
Saúde do Adolescente , Saúde da Criança , Infecções por Coronavirus/prevenção & controle , Guias como Assunto , Disparidades em Assistência à Saúde/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adolescente , Criança , Infecções por Coronavirus/epidemiologia , Feminino , Política de Saúde , Disparidades nos Níveis de Saúde , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Formulação de Políticas , Medição de Risco , Sociedades Médicas , Fatores Socioeconômicos , Estados Unidos
3.
Rev Esp Salud Publica ; 942020 Oct 16.
Artigo em Espanhol | MEDLINE | ID: mdl-33063746

RESUMO

The pandemic produced by COVID-19 has a significant impact on society and has also affected childhood and adolescence, which, in general, has been the most silenced group. This article addresses the contents that affect the mental health of children and adolescents in the heart of the COVID-19 pandemic, it is located in the "fourth wave of care" in category F54 of the ICD-10 ("Behavioral and psychological factors in disorders or diseases classified elsewhere"). The presentation mechanism is: reactive-adaptive to the pandemic; triggering factor, before a previous affective-emotional instability; decompensation of a pre-existing process. The clinical features have had their initial phase, fundamentally, in confinement: somatoform disorders, behavioral disorders, emotional symptoms, reactivation of child abuse and dysfunctional grief reactions. The most prevalent symptoms are of the anxious or anxious-depressive type. The response to chronic stress, including that of low profile and intensity but maintained over time, has significant repercussions for childhood and adolescence. Few percentage that present prominent mental disorders, but we must recognize that when projected to the whole the child-adolescent population, there could be a significant number that could be subsidiary of a more specific help. The return to schooling is going to represent another important moment, the repercussions of confinement being of capital importance, especially in terms of addictive behaviors with information and communication technologies. Intervention by professionals trained in childhood and adolescent mental health is a priority to avoid unwanted clinical evolutions or iatrogenesis.


Assuntos
Saúde do Adolescente , Betacoronavirus , Saúde da Criança , Infecções por Coronavirus/psicologia , Transtornos Mentais/etiologia , Saúde Mental , Pneumonia Viral/psicologia , Saúde Pública , Adolescente , Criança , Pré-Escolar , Infecções por Coronavirus/prevenção & controle , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Prevalência , Quarentena/psicologia , Fatores de Risco , Isolamento Social/psicologia , Espanha/epidemiologia
5.
Washington, D.C.; OPS; 2020-10-21. (OPS/FPL/CLP/20-0017).
Não convencional em Espanhol | PAHO-IRIS | ID: phr3-52903

RESUMO

En esta versión abreviada de las Directrices de práctica clínica basadas en la evidencia para el seguimiento de recién nacidos en riesgo se brindan recomendaciones para la atención de recién nacidos hasta los 2 años y corresponden a la primera fase de su seguimiento. Las recomendaciones están dirigidas a todos los funcionarios del sector de la salud responsables de la atención primaria de estos recién nacidos: médicos generales, médicos de familia, pediatras, neonatólogos, oftalmólogos pediatras, otorrinolaringólogos pediatras, profesionales de enfermería, especialistas en otros campos y personal multidisciplinario que interviene en el proceso de atención. Asimismo, las directrices tienen por objeto facilitar los procesos de implementación de políticas que llevan a cabo los tomadores de decisiones y los miembros de entidades gubernamentales, y también serán de utilidad para padres, madres y cuidadores. Entre los temas que abarca el documento destacan los siguientes: criterios de egreso hospitalario, incluidas pruebas de tamizaje; información y apoyo a padres, madres y cuidadores; tamizaje durante la consulta de seguimiento, y frecuencia del seguimiento hasta los 2 años. No se incluyen en estas directrices aspectos relacionados con la enfermería ni las comorbilidades.


Assuntos
Recém-Nascido , Saúde da Criança Institucionalizada , Saúde Sexual e Reprodutiva , Saúde da Mulher , Saúde do Adolescente
6.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-47830

RESUMO

Para abordar os aspectos clínicos e epidemiológicos da Covid-19 na infância e adolescência, o Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), da Fundação Oswaldo Cruz (IFF/Fiocruz), divulgou o documento “Covid-19 e a saúde da criança e do adolescente”. O objetivo da publicação é contribuir para a análise, planejamento e tomada de decisão de gestores e profissionais de saúde na proteção e cuidado à saúde de crianças e adolescentes no Brasil.


Assuntos
Infecções por Coronavirus/epidemiologia , Betacoronavirus , Saúde da Criança , Saúde do Adolescente
8.
Cad Saude Publica ; 36(8): e00150020, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32876127

RESUMO

COVID-19, the disease caused by SARS-CoV-2 (novel coronavirus), emerged in China in December 2019 and spread quickly throughout the world. In this scenario, the current study aimed to identify the impact or effects of the COVID-19 pandemic on adolescents' health. This is a scoping literature review based on the following databases: Web of Science, CINAHL, PsycINFO, SciELO, and PUBCOVID19. The study adopted the stages proposed by the Joanna Briggs Institute for scoping reviews, and the question orienting the procedures consisted of the acronym PCC (population; concept; context). Eleven articles were included in the review. Clinically, adolescents present the same COVID-19 symptoms as adults. The pandemic and the health measures taken to control transmission were found to be associated with mental health problems in adolescents. Specifically, adolescents have a negative experience with social distancing measures and closing of schools. These measures can also favor situations of violence or aggressive behaviors in the home environment. Healthcare services that treat the adolescent population had to reorient their practices, adopting a virtual model to replace face-to-face care, and even research projects involving adolescence had to be rethought. This scoping review addressed an emerging theme in relation to a population that has received little attention in studies on COVID-19. The results suggest that the pandemic can be considered a determinant that affects different dimensions of adolescents' lives.


Assuntos
Saúde do Adolescente , Infecções por Coronavirus/epidemiologia , Saúde Mental , Pneumonia Viral/epidemiologia , Adolescente , Betacoronavirus , Brasil , Infecções por Coronavirus/psicologia , Humanos , Pandemias , Pneumonia Viral/psicologia
9.
Recurso na Internet em Inglês, Espanhol, Português | LIS - Localizador de Informação em Saúde | ID: lis-47777

RESUMO

A Residência Pediátrica (RP) é uma revista eletrônica quadrimestral da Sociedade Brasileira de Pediatria (SBP), publicada em português e inglês, destinada aos médicos residentes de nossa especialidade e áreas afins. No site podemos acessar os números anteriores, visualização pré-publicação e artigos mais lidos; instruções para autores, revisores e leitores. Também encontramos um acervo de vídeos (2011-2017) e vários Podcasts produzidos pela SBP.


Assuntos
Pediatria , Saúde da Criança , Saúde do Adolescente
10.
J. Hum. Growth Dev. (Impr.) ; 30(2): 241-250, May-Aug. 2020. tab
Artigo em Inglês | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1114932

RESUMO

INTRODUCTION: Prematurity may be related to the early onset of obesity and metabolic syndrome in adolescence. Breastfeeding and feeding are crucial factors in the genesis of cardio metabolic riskOBJECTIVE: To analyze the relationship between the type of breastfeeding and eating habits with the blood pressure, lipid, glycemic and anthropometric profile of adolescents born prematurelyMETHODS: Cross-sectional study with 50 adolescents born prematurely in western Paraná, Brazil, aged 10 to 19 years. Data on birth, breastfeeding and feeding using the 24-hour Food Consumption Marker were evaluated. Weight, height, abdominal circumference (AC), blood pressure (BP) were verified; concentrations of glucose, total cholesterol (TC) and triglycerides (TG) were measured by capillary puncture. Data analysis using descriptive statistics and analysis of varianceRESULTS: Out of total, 78% eat in front of screens and 52% do not take the main meals during the day. Regardless of the amount of meals a day, the lipid, glycemic and AC profiles did not show a statistically significant difference between the groups. There is a statistically significant association between BP and number of meals (p = 0.01), TC and breastfeeding (p = 0.03) and TG with consumption of sausages (p = 0.02) and products rich in carbohydrates (p = 0.01). Most of them (72%) consumed cow's milk before completing one year and only 30% received exclusive breastfeeding until six months of age. Related other values, 30% had high BP, 22% and 41% high TC and TG, respectively. Of the 30% overweight, 60% had high BP, 53% high TG, 33% high TC and 33% percentile AC ≥90CONCLUSION: Breastfeeding did not influence the metabolic profile, but it was evidenced as risk factors for adolescents to develop future cardiovascular problems due to prematurity, inadequate eating habits, overweight, alterations in abdominal circumference, blood pressure and lipid profile


INTRODUÇÃO: A prematuridade pode estar relacionada à instalação precoce de obesidade e síndrome metabólica na adolescência. O aleitamento e a alimentação são fatores cruciais na gênese do risco cardiometabólicoOBJETIVO: Analisar a relação do tipo de aleitamento e hábitos alimentares com o perfil pressórico, lipídico, glicêmico e antropométrico de adolescentes nascidos prematurosMÉTODO: Estudo transversal com 50 adolescentes nascidos prematuros no oeste do Paraná, com idades entre 10 e 19 anos. Avaliaram-se dados do nascimento, aleitamento e alimentação (Marcador de Consumo Alimentar de 24 horas). Verificou-se peso, altura, circunferência abdominal (CA), pressão arterial (PA); dosadas concentrações de glicose, colesterol total (CT) e triglicerídeos (TG) por punção capilar. Análise de dados por estatística descritiva e análise de variânciaRESULTADOS: 78% realizavam alimentação em frente a telas e 52% não realizavam todas as principais refeições do dia; independentemente da quantidade de refeições diárias, os perfis lipídico, glicêmico e CA não apresentaram diferença estatística significante entre os grupos. Observou-se associação estatisticamente significante entre PA e número de refeições (p=0,01), CT e aleitamento materno (p=0,03) e TG com consumo de embutidos (p=0,02) e produtos ricos em carboidratos (p=0,01). Para 72% foi ofertado leite de vaca antes de completar um ano e somente 30% receberam aleitamento materno exclusivo até os seis meses de idade. Na amostra, 30% apresentaram PA elevada, 22% e 41% CT e TG elevados, respectivamente. Dos 30% com excesso de peso, 60% apresentaram PA elevada, 53% TG, 33% CT elevado e 33% percentil CA ≥90CONCLUSÃO: O aleitamento não influenciou no perfil metabólico, porém se evidenciou como fatores de risco para os adolescentes desenvolverem problemas cardiovasculares futuros à prematuridade, hábitos alimentares inadequados, excesso de peso, CA e perfil pressórico e lipídico alterados


Assuntos
Humanos , Masculino , Feminino , Adolescente , Recém-Nascido Prematuro , Doenças Cardiovasculares , Adolescente , Síndrome Metabólica , Saúde do Adolescente , Nutrição do Adolescente , Comportamento Alimentar
11.
PLoS One ; 15(8): e0237784, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32813745

RESUMO

Built environments have been cited as important facilitators of activity and research using geographic information systems (GIS) has emerged as a novel approach in exploring environmental determinants. The Active Children Through Individual Vouchers Evaluation Project used GIS to conduct a cross-sectional analysis of how teenager's (aged 13-14) environments impacted on their amount of activity and influences fitness. The ACTIVE Project recruited 270 participants aged 13-14 (year 9) from 7 secondary schools in south Wales, UK. Demographic data and objective measures of accelerometery and fitness were collected from each participant between September and December 2016. Objective data was mapped in a GIS alongside datasets relating to activity provision, active travel routes, public transport stops, main roads and natural resources. This study shows that fitness and physical activity are not correlated. Teenagers who had higher levels of activity also had higher levels of sedentary time/inactivity. Teenagers showed higher amounts of moderate-to-vigorous physical activity if their homes were closer to public transport. However, they were also more active if their schools were further away from public transport and natural resources. Teenagers were fitter if schools were closer to natural resources. Sedentary behaviour, fitness and activity do not cluster in the same teenagers. Policymakers/planning committees need to consider this when designing teenage friendly environments. Access to public transport, active travel, green space and activities that teenagers want, and need could make a significant difference to teenage health.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Ambiente Construído , Exercício Físico/fisiologia , Aptidão Física/fisiologia , Acelerometria/métodos , Acelerometria/estatística & dados numéricos , Adolescente , Estudos Transversais , Conjuntos de Dados como Assunto , Feminino , Sistemas de Informação Geográfica/estatística & dados numéricos , Humanos , Masculino , Transportes/estatística & dados numéricos , País de Gales
13.
Child Adolesc Ment Health ; 25(3): 169-170, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32812356

RESUMO

The COVID-19 pandemic is a 'perfect storm' for the mental health of young people, because of exposure to known risk factors for psychopathology and lack of support from the infrastructures that are normally in place to ensure safety and provide support. However, it is yet unclear if this 'perfect storm' will flood the Child & Adolescent Mental Health Services. The early, normative emotional responses observed may not lead to enduring psychopathology in most young people. Nevertheless, a minority of young people may show complex presentations, particularly in relation to bereavement. As epidemiology and clinical practice will reveal the actual needs of young people, the hope is that we will find the focus and determination to build new solutions to promote young people's mental health.


Assuntos
Saúde do Adolescente , Saúde da Criança , Infecções por Coronavirus , Saúde Mental , Pandemias , Pneumonia Viral , Adolescente , Betacoronavirus , Criança , Humanos , Serviços de Saúde Mental , Fatores de Risco , Isolamento Social , Incerteza
14.
Child Adolesc Ment Health ; 25(3): 125-126, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32812358

RESUMO

These are not normal times. As an editorial team, we felt that there was an urgency to reflect on our global experiences of the COVID-19 pandemic with our international colleagues. Instead of our planned debate series, we therefore commissioned a series of reflections on the impact of the pandemic on child and adolescent mental health throughout the world. We hope that you will find these reflections informative, thought-provoking, and in some cases, inspirational.


Assuntos
Saúde do Adolescente , Saúde da Criança , Infecções por Coronavirus , Saúde Mental , Pandemias , Pneumonia Viral , Adolescente , Betacoronavirus , Criança , Humanos
17.
PLoS One ; 15(7): e0236801, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32735566

RESUMO

INTRODUCTION: Adherence to antiretroviral therapy (ART) and retention in treatment programs are required for successful virologic suppression and treatment outcomes. As the number of adolescents living with HIV continues to increase globally, more information about adherence and retention patterns during and through transition from child- to adult-centered care is needed to ensure provision of a high level of care and inform development of targeted interventions to improve patient outcomes in this vulnerable population. In this analysis, we sought to describe long-term trends in adherence, retention, and virologic suppression in adolescents receiving ART at a pediatric HIV clinic in Nigeria through transition to the adult clinic. SETTING: The Jos University Teaching Hospital, United States President's Emergency Plan for AIDS Relief (PEPFAR)-funded HIV clinic in Jos, Plateau State, Nigeria. METHODS: We conducted a retrospective observational longitudinal evaluation of data that had been collected during the course of care in a large pediatric ART program in Nigeria. We used descriptive statistics to define our patient population and quantify retention from ART initiation through adolescence and transition to adult-centered care. Logistic regression was used to evaluate predictors of loss to follow-up. We used medication possession ratio (MPR) to quantify adherence for each year a patient was on ART. To evaluate adherence and virologic suppression, we measured the proportion of patients with ≥95% MPR and the proportion with virologic suppression (viral load ≤400 copies/mL) within each age cohort, and used bivariate analyses to examine any association between MPR and VL suppression for all person-years observed. RESULTS: A total of 476 patients received at least one dose of ART as an adolescent (ages 10-19 years). The proportions of patients lost to follow-up were: 11.9% (71/597) prior to adolescence, 19.1% (31/162) during adolescence, and 13.7% (10/73) during transition to adult-centered care. While over 80% of patients had ≥95% medication adherence in all age groups, their viral load suppression rates through adolescence and post-transition were only 55.6%-64.0%. For patients that successfully transitioned to adult-centered care, we observed 87.7% (50/57) retention at month 12 post-transition, but only 34.6% (9/26) viral load suppression. CONCLUSIONS: Our evaluation found considerable proportions of adolescents lost to follow-up throughout the ART program cascade. We also found discrepancies between the proportions of patients with ≥95% MPR and the proportions with VL suppression, suggesting that true medication adherence in this population may be poor. Significant attention and targeted interventions to improve retention and adherence focused on adolescents are needed in order for global programs to achieve 90-90-90 goals.


Assuntos
Saúde do Adolescente , Fármacos Anti-HIV/uso terapêutico , Infecções por HIV/tratamento farmacológico , Adesão à Medicação/estatística & dados numéricos , Adolescente , Adulto , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Nigéria , Estudos Retrospectivos , Resultado do Tratamento , Carga Viral , Adulto Jovem
18.
S Afr Med J ; 110(2): 145-153, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-32657687

RESUMO

BACKGROUND: The intersection of violence exposure and mental health problems is a public health crisis for South African (SA) adolescents. Understanding the impact of community violence on adolescent mental health can inform future interventions. OBJECTIVES: To assess pathways between community violence exposure and internalising and externalising problems in SA adolescents receiving mental healthcare, and the roles of parent and peer relationships in these associations. METHODS: Participants (N=120 parent-adolescent pairs) were recruited from four mental health clinics in Western Cape Province to participate in a pilot test of a family-based HIV prevention study. Adolescents reported on their exposure to community violence, parental attachment, peer support of risk behaviour, and mental health. Parents reported on adolescents' internalising and externalising mental health problems. Participants received transport money (ZAR30 = USD3) and a shopping voucher or cash (ZAR50 = USD5) for their time. RESULTS: Adolescents were 12 - 18 years old (mean (standard deviation) 14.39 (1.82) years), 53% were male, and 67% and 33% reported black African and mixed-race ethnicity, respectively. Parents were 94% female and reported an average monthly income of ZAR3 973 (USD397). Boys reported significantly higher rates of witnessing community violence than girls. Among boys, significant paths emerged from community violence and low parent attachment to externalising symptoms and from community violence to peer support of risky behaviour. For girls, the only significant path was from low parent attachment to peer support of risky behaviour. CONCLUSIONS: This cross-sectional study sheds new light on the possible pathways from witnessing community violence to mental health problems among SA adolescents. Identifying factors that drive and mitigate psychological distress in the context of persistent community violence is critical to SA's future and can inform the selection and delivery of appropriate and targeted evidence-based interventions.


Assuntos
Comportamento do Adolescente/psicologia , Transtornos Mentais/epidemiologia , Saúde Mental , Violência/psicologia , Adolescente , Saúde do Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Relações Pais-Filho , Pais/psicologia , Grupo Associado , Projetos Piloto , Assunção de Riscos , Fatores Sexuais , África do Sul
19.
Child Adolesc Ment Health ; 25(3): 167-168, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32654361

RESUMO

Italy was the first country in Europe to deal with COVID-19. Measures taken by the government to contain the spread of the virus were based mainly on quarantine and social distancing, with dramatic economic, social and psychological consequences. Since March, Italian children and adolescents are facing school closures, which have caused a disruption in the daily lives of millions of young people and their families. To date, despite the slow reopening, the government has decided to maintain school closures for the entire academic year, leaving the future of young people in uncertainty. There is already some evidence that quarantine and social isolation are having negative impact on children's and adolescents' psychological well-being. Moreover, this situation will mainly affect those children and adolescents with pre-existing vulnerabilities and those suffering of mental disorders. It is imperative to keep young people's needs at the core of reconstruction plans, allowing them to return to school safely, and providing them with some strategies to heal and dealing with this stressful and potentially traumatic situation.


Assuntos
Saúde do Adolescente , Saúde da Criança , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Psicologia do Adolescente , Psicologia da Criança , Adolescente , Betacoronavirus , Criança , Humanos , Itália , Isolamento Social/psicologia
20.
Child Adolesc Ment Health ; 25(3): 180-181, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32654411

RESUMO

The pandemic COVID-19 (SARS-CoV-2) has had a major global impact on the healthcare systems worldwide as they deal with the surge of critically ill persons. Additionally, the preventative measure of stay-at-home orders and closure of nonessential businesses has caused the disruption of entire communities. The child/youth mental health workforce bears the additional burden of the disruption of the systems-based practice crucial to the successful provision of mental health services. Major sources of stress for the workforce include: (a) a threat to the worker's personal/family health and life (traumatic injury), (b) a loss of colleagues or threat to professional mastery and identity (grief injury), (c) an inner conflict between ones' values and aspirations and what they are able to accomplish in their work (moral injury), and (d) fatigue, simply feeling worn out by the relentless work and need, without time for rest and recovery (fatigue injury). The rapid transformation of the in-person to virtual practice by the implementation of telehealth/telephonic sessions has eroded the boundary between personal/professional life and created a new Zoom fatigue.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Serviços de Saúde Mental , Pandemias , Pneumonia Viral , Telecomunicações , Adolescente , Saúde do Adolescente , Criança , Saúde da Criança , Pesar , Humanos , Transtornos de Estresse Pós-Traumáticos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA