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1.
São Paulo; SES/SP; nov. 2021. 56 p. tab, ilus, graf, mapas.
Não convencional em Português | LILACS, Coleciona SUS, Sec. Est. Saúde SP, CONASS, SESSP-CTDPROD, Sec. Est. Saúde SP, SESSP-ACVSES | ID: biblio-1344584
2.
Cad Saude Publica ; 37(11): e00007021, 2021.
Artigo em Português | MEDLINE | ID: mdl-34816948

RESUMO

In 2015, there was an increase in cases of congenital malformations in newborns in Brazil, associated with maternal Zika virus infection, having serious social and economic repercussions for the families. The study aimed to estimate the prevalence of catastrophic expenditure by families of children with severe or mild/moderate congenital Zika syndrome (CZS) in comparison to families of children without a diagnosis of CZS in the state of Rio de Janeiro. Catastrophic expenditure occurs when spending exceeds a given proportion of the family income due to a disease. Family caregivers of children with severe CZS were younger and had less schooling and lower income. Prevalence of catastrophic expenditure was higher in families of children with CZS. Among caregivers of children with severe CZS, the prevalence of catastrophic expenditure was higher in those with severe or very severe depression, anxiety, and stress. Low social support among caregivers was also a determinant factor for increased prevalence of catastrophic expenditure. The burden on caregivers of children with severe CZS exacerbates a situation of vulnerability that requires the expansion of mechanisms for financial and social protection, through linkage of various policies capable of effectively reaching this group.

3.
Rev Bras Enferm ; 75(2): e20210146, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34614105

RESUMO

OBJECTIVE: to know health professionals' perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. METHODS: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. RESULTS: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals' prior knowledge and their search for it. FINAL CONSIDERATIONS: children with CZS and their families need individualized, frequent, integrated and continuous care.


Assuntos
Infecção por Zika virus , Zika virus , Brasil , Criança , Programas Governamentais , Humanos , Infecção por Zika virus/terapia
4.
Enferm. foco (Brasília) ; 12(7, supl 1): 22-29, out. 2021. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1293333

RESUMO

Objetivo: Compreender a comunicação na prevenção de arboviroses no Brasil por meio da análise da percepção de comunidades de 17 municípios das cinco regiões brasileiras sobre as campanhas audiovisuais veiculadas pelo Ministério da Saúde sobre dengue, chikungunya e Zika no período de 2014 a 2018. Método: Pesquisa qualitativa, que articula as pesquisas bibliográfica, documental e ação. Associando-se à pesquisa-ação a participação coletiva de debate entre os sujeitos, que se expressam, escutam seus pares e a si mesmos por meio do exercício reflexivo. Adotou-se a análise de conteúdo temática. Os diálogos gravados, foram transcritos, categorizados e interpretados. Resultados: Emergiram as seguintes categorias de análise: Forma de acesso ao conteúdo das campanhas de comunicação; Natureza estética das mensagens analisadas; Identificação com o público, situações e mensagens das campanhas; e, Avaliação da qualidade do material no cumprimento de seus objetivos. Conclusões: Observou-se a necessidade de descentralizar ações de comunicação, investindo em estratégias interpessoais e comunitárias considerando contextos locais. Considera-se que o alerta de perigo é importante em situações de riscos, mas faltam habilidades aos comunicadores envolvidos. A população entende que campanhas direcionadas são mais efetivas, todavia demanda estratégias mais informativas e educativas para prevenção de arboviroses. (AU)


Objective: To understand communication in the prevention of arboviruses in Brazil through the analysis of the perception of communities in 17 municipalities in the five Brazilian regions about the audiovisual campaigns carried out by the Ministry of Health on dengue, chikungunya and Zika in the period from 2014 to 2018. Methods: Qualitative research, which articulates bibliographic, documentary and action research. The collective participation in the debate between the subjects, who express themselves, listen to their peers and themselves through a reflective exercise, is associated with action research. Thematic content analysis was adopted. The recorded dialogues were transcribed, categorized and interpreted. Results: The following categories of analysis emerged: form of access to the content of communication campaigns; a esthetic nature of the analyzed messages; identification with the public, situations and campaign messages; and evaluation of the quality of the material in the fulfillment of its objectives. Conclusion: There was a need to decentralize communication actions, investing in interpersonal and community strategies considering local contexts. Danger alert is considered important in risky situations, but the involved communicators lack skills. The population understands that targeted campaigns are more effective, but they demand more informative and educational strategies for preventing arboviruses. (AU)


Objetivo: Comprender la comunicación en la prevención de arbovirus en Brasil a través del análisis de la percepción de las comunidades de 17 municipios de las cinco regiones brasileñas sobre las campañas audiovisuales realizadas por el Ministerio de Salud sobre dengue, chikungunya y Zika en el período de 2014. al 2018. Métodos: Investigación cualitativa, que articula la investigación bibliográfica, documental y acción. La participación colectiva en el debate entre los sujetos, que se expresan, escuchan a sus pares y a sí mismos a través de un ejercicio reflexivo, está asociada a la investigación acción. Se adoptó el análisis de contenido temático. Los diálogos grabados fueron transcritos, categorizados e interpretados. Resultados: Surgieron las siguientes categorías de análisis: forma de acceso al contenido de las campañas de comunicación; naturaleza estética de los mensajes analizados; identificación con el público, situaciones y mensajes de campaña; y evaluación de la calidad del material en el cumplimiento de sus objetivos. Conclusion: Existía la necesidad de descentralizar las acciones de comunicación, invirtiendo en estrategias interpersonales y comunitarias considerando los contextos locales. La alerta de peligro se considera importante en situaciones de riesgo, pero los comunicadores involucrados carecen de habilidades. La población entiende que las campañas dirigidas son más efectivas, pero demandan estrategias más informativas y educativas para prevenir los arbovirus. (AU)


Assuntos
Comunicação em Saúde , Vírus Chikungunya , Dengue , Prevenção de Doenças , Zika virus
5.
J Bras Nefrol ; 2021 Sep 24.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34590670

RESUMO

INTRODUCTION: Kidney transplant recipients (KTR) are at increased risk for dengue virus (DENV) infection. The aim of this study was to outline the clinical presentation and laboratory profile of DENV infection in KTR and its impact on renal function. METHODS: This was a retrospective study of KTR diagnosed with DENV infection. Adult patients who visited Santa Casa de Belo Horizonte Nephrology Center between April and September 2019 were included. Patients who did not sign the Informed Consent were excluded. Data were collected from the database and medical records. The study was approved by the local Institutional Ethics Committee and the Informed Consent was obtained. RESULTS: Nineteen KTR were evaluated. The main signs and symptoms were myalgia, headache/retro-orbital pain, fever, and gastrointestinal symptoms. Two patients had acute cholecystitis without calculus, three experienced pleural and/or pericardial effusion, and one developed acute myocarditis. All patients were under immunosuppression with prednisone, tacrolimus, and mycophenolate, and most were not receiving induction therapy. Temporary suspension/reduction of immunosuppression was required in 58% of patients and leukopenia was the most common reason. Thrombocytopenia was common and 58% of patients developed acute kidney injury. All patients recovered renal function. CONCLUSIONS: DENV infection in KTR patients seems to follow a similar course as in the general population. Although there was no control group, we suspect that immunosuppression, preexisting kidney disease or type of donor was not a determining factor in most patients. Transient renal dysfunction was common but reversible. No patient experienced death or graft loss.

6.
Cad Saude Publica ; 37(8): e00271020, 2021.
Artigo em Português | MEDLINE | ID: mdl-34495097

RESUMO

This study aimed to assess the degree of implementation of the response to the emergency of microcephaly associated with Zika virus in Pernambuco State, Brazil. This was a normative evaluative study conducted in the initial epicenter of the public health emergency of international concern, from October 2015 to July 2017. A logical model was produced for the intervention under analysis, with the components of Management, Surveillance, and Care in the dimensions of structure, process, and result, based on technical publications and institutional guidelines, in addition to a corresponding log frame of indicators for assessment. Data were collected through a questionnaire, direct observation, and consultation of official documents. The results showed partial implementation (74.9%) of the response to the microcephaly emergency by the Pernambuco State Health Department, with the process dimension reaching 75% of the expected level and the structure dimension, 74.5%. Surveillance was the only component that was assessed as implemented (81%), although with a shortage of regional and laboratory investments, while Management (74.2%) and Care (68.8%) were partially implemented, with insufficiencies in items related to human resources and physical structure, planning, and evaluation. In conclusion, the response to the public health emergency of international concern involving microcephaly associated with the Zika virus was assessed as partially implemented, with different levels between the intervention´s components, especially surveillance when compared to management and care. The shortcomings signal the need for investments to deal with future public health emergencies, with a view towards more timely and adequate interventions.


Assuntos
Microcefalia , Infecção por Zika virus , Zika virus , Brasil/epidemiologia , Emergências , Humanos , Microcefalia/epidemiologia , Saúde Pública , Infecção por Zika virus/diagnóstico , Infecção por Zika virus/epidemiologia
7.
Rev Esc Enferm USP ; 55: e20200507, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34479309

RESUMO

OBJECTIVE: To review the literature on sleep changes and brain function in children with microcephaly due to Zika virus. METHOD: Systematic review conducted in the databases MEDLINE (PubMed), Scopus, Web of Science, CINAHL, EMBASE, LILACS, and SciELO and the grey databases Google Scholar and OpenGrey. RESULTS: Ten Brazilian primary studies with observational research design were included. These were published between 2017 and 2020 with 516 children with microcephaly due to Zika virus infection aged 4 months to 4 years. Out of these, 4 investigated qualitative aspects of sleep using the questionnaires Brief Infant Sleep Questionnaire or Infant Sleep Questionnaire and 6 investigated changes in brain activities during sleep using the Electroencephalogram or Video-Electroencephalogram exams. The children's quality of sleep was not compromised in most studies. Changes in brain activity during sleep were frequent, with epileptogenic activity being a common finding among the studies. CONCLUSION: The quality of sleep of children with microcephaly due to Zika virus has shown to be similar to that of children with typical development and the presented behavioral changes may be related to changes in electric brain activity.


Assuntos
Microcefalia , Complicações Infecciosas na Gravidez , Infecção por Zika virus , Zika virus , Brasil , Criança , Feminino , Humanos , Lactente , Gravidez , Sono , Infecção por Zika virus/complicações
8.
Einstein (Sao Paulo) ; 19: eAO5969, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34346987

RESUMO

OBJECTIVE: To assess Google Trends accuracy for epidemiological surveillance of dengue and yellow fever, and to compare the incidence of these diseases with the popularity of its terms in the state of São Paulo. METHODS: Retrospective cohort. Google Trends survey results were compared to the actual incidence of diseases, obtained from Centro de Vigilância Epidemiológica "Prof. Alexandre Vranjac", in São Paulo, Brazil, in periods between 2017 and 2019. The correlation was calculated by Pearson's coefficient and cross-correlation function. The accuracy was analyzed by sensitivity and specificity values. RESULTS: There was a statistically significant correlation between the variables studied for both diseases, Pearson coefficient of 0.91 for dengue and 0.86 for yellow fever. Correlation with up to 4 weeks of anticipation for time series was identified. Sensitivity was 87% and 90%, and specificity 69% and 78% for dengue and yellow fever, respectively. CONCLUSION: The incidence of dengue and yellow fever in the State of São Paulo showed a strong correlation with the popularity of its terms measured by Google Trends in weekly periods. Google Trends tool provided early warning, with high sensitivity, for the detection of outbreaks of these diseases.


Assuntos
Dengue , Febre Amarela , Brasil/epidemiologia , Dengue/epidemiologia , Surtos de Doenças , Humanos , Estudos Retrospectivos , Ferramenta de Busca , Febre Amarela/epidemiologia
9.
Cien Saude Colet ; 26(8): 3031-3040, 2021 Aug.
Artigo em Português | MEDLINE | ID: mdl-34378695

RESUMO

Mothers of children with CZS face exceptional challenges caring for their offspring. Due to this reality, the availability of social support can function as an important protective factor. In this respect, this study aimed to evaluate the role of informal and formal social support in mental health, parental self-efficacy and satisfaction in the life of mothers of children with CZS. A total of 69 mothers of children with CZS (M = 26.4 years; SD = 6.23) living in the state of Ceará, Brazil participated in this study. They filled out the Social Support Satisfaction Scale, General Health Questionnaire, Parental Self-efficacy Scale and Satisfaction with Life Scale. The results show that the greater perception of informal social support significantly enables better mental health and satisfaction with life levels. In addition, access to formal social support significantly enables enhanced perception of parental self-efficacy. The results observed with the mothers of children with CZS are consistent with those reported in other studies with mothers of children with chronic conditions, pointing out that formal and informal social support have different effects on mental health, parental self-efficacy, and satisfaction with life, even controlling the effect of sociodemographic variables.


Assuntos
Infecção por Zika virus , Zika virus , Brasil , Criança , Feminino , Humanos , Mães , Fatores de Proteção , Apoio Social
10.
Rev. Pesqui. Fisioter ; 11(3): 482-494, ago.2021. ilus, tab
Artigo em Inglês, Português | LILACS | ID: biblio-1293371

RESUMO

INTRODUÇÃO: A comprovação da associação de microcefalia no Brasil com a infecção congênita pelo Zika vírus, leva a necessidade de estudos sobre a repercussão no desenvolvimento das crianças decorrentes do comprometimento do sistema nervoso central (SNC). OBJETIVO: Avaliar o desenvolvimento neuropsicomotor (DNPM) de crianças expostas à infecção congênita pelo Zika vírus e sua associação com características e diagnósticos pré natais, neonatais e pós natais da mãe/criança. MÉTODOS: Estudo transversal com crianças de zero a três anos, nascidas entre 2015 e 2018, classificadas com infecção congênita pelo Zika vírus. Na coleta das características clínicas e sócio demográficas, utilizou-se um questionário semiestruturado e na avaliação do DNPM o Teste de Triagem de Denver II. Na associação, utilizou-se o teste exato de Fisher (p<0,05). RESULTADOS: Avaliou-se 30 crianças, 46,67% apresentavam alterações do DNPM, os maiores foram na linguagem (46,67%) e motricidade fina (43,33%). 23,33% tinham mais que 24 meses, idade que se associou a alterações do DNPM (p<0,012). A infecção predominou entre 4 e 12 semanas de gestação e obteve associação com os atrasos do DNPM (p<0,002). 46,67% das crianças apresentaram microcefalia e 40% calcificações cerebrais, ambos com associação a atrasos no DNPM (p<0,001). Em exame físico 36,7% apresentaram alterações de postura e persistência de reflexos primitivos, 40% hiperirritabilidade, 33,33% disfagia e deformidades articulares, todas com associação importante com as alterações no DNPM (p<0,001). CONCLUSÕES: Crianças expostas à infecção congênita pelo Zika vírus apresentaram atrasos no DNPM e quanto mais precoce a infecção na gravidez, maior o envolvimento do sistema nervoso central.


INTRODUCTION: The proof of the association of microcephaly in Brazil with congenital Zika virus infection leads to the need for studies on the impact on children's development resulting from the involvement of the central nervous system (CNS). OBJECTIVE: To evaluate the neuropsychomotor development (NPMD) of children exposed to congenital Zika virus infection and its association with prenatal, neonatal, and postnatal characteristics and diagnoses of the mother/child. METHODS: Cross-sectional study with children aged zero to three years, born between 2015 and 2018, classified with congenital Zika virus infection. In the collection of clinical and socio-demographic characteristics, a semistructured questionnaire was used, and the Denver II Screening Test was used to assess the DNPM. In the association, Fisher's exact test was used (p<0.05). RESULTS: Thirty children were evaluated; 46.67% had DNPM alterations, the greatest ones were in the language (46.67%) and fine motor skills (43.33%). 23.33% were older than 24 months, an age-associated with changes in DNPM (p<0.012). Infection predominated between 4 and 12 weeks of gestation and was associated with DNPM delays (p<0.002). 46.67% of children had microcephaly and 40% cerebral calcifications, both associated with DNPM delays (p<0.001). On physical examination, 36.7% had changes in posture and persistence of primitive reflexes, 40% hyperirritability, 33.33% dysphagia, and joint deformities, all with an important association with changes in DNPM (p<0.001). CONCLUSIONS: Children exposed to congenital Zika infection had developmental delays. It is noteworthy that the earlier the infection in pregnancy, the greater the involvement of the central nervous system of children.


Assuntos
Zika virus , Gravidez , Transtornos do Neurodesenvolvimento
11.
Ciênc. Saúde Colet ; 26(8): 3031-3040, ago. 2021. tab
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1285970

RESUMO

Resumo As mães de crianças com Síndrome da Zika Congênita (SZC) enfrentam desafios excepcionais no cuidado com seus filhos. Mediante essa realidade, a disponibilidade de suporte social pode funcionar como um importante fator de proteção. Nesse sentido, esse trabalho teve por objetivo avaliar o papel do suporte social informal e formal na saúde mental, autoeficácia parental e satisfação com a vida de mães de crianças com SZC. Participaram desse estudo 69 mães de crianças com SZC (M = 26,4 anos; DP = 6,23), residentes no estado do Ceará, Brasil. Elas responderam a Escala de Satisfação com o Suporte Social, Questionário de Saúde Geral, Escala de Autoeficácia Parental e Escala de Satisfação com a Vida. Os resultados apontam que a maior percepção de suporte social informal prediz significativamente melhores níveis de saúde mental e satisfação com a vida. Ademais, o acesso ao suporte social formal prediz significativamente uma maior percepção de autoeficácia parental. Os resultados observados com as mães de crianças com SZC são coerentes com os relatados em outros estudos, apontando que o suporte social formal e informal apresentam efeitos distintos na saúde mental, autoeficácia parental e satisfação com a vida, cabendo observar que esses efeitos ocorreram mesmo controlando o efeito de variáveis sociodemográficas.


Abstract Mothers of children with CZS face exceptional challenges caring for their offspring. Due to this reality, the availability of social support can function as an important protective factor. In this respect, this study aimed to evaluate the role of informal and formal social support in mental health, parental self-efficacy and satisfaction in the life of mothers of children with CZS. A total of 69 mothers of children with CZS (M = 26.4 years; SD = 6.23) living in the state of Ceará, Brazil participated in this study. They filled out the Social Support Satisfaction Scale, General Health Questionnaire, Parental Self-efficacy Scale and Satisfaction with Life Scale. The results show that the greater perception of informal social support significantly enables better mental health and satisfaction with life levels. In addition, access to formal social support significantly enables enhanced perception of parental self-efficacy. The results observed with the mothers of children with CZS are consistent with those reported in other studies with mothers of children with chronic conditions, pointing out that formal and informal social support have different effects on mental health, parental self-efficacy, and satisfaction with life, even controlling the effect of sociodemographic variables.

12.
Rev Paul Pediatr ; 40: e2020335, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34259784

RESUMO

OBJECTIVE: To identify scientific knowledge about the attention to health surveillance and development of Brazilian children under the age of three years involving the Congenital Zika virus (ZIKV) Syndrome. DATA SOURCES: This is an integrative literature review of primary studies with Brazilian children under three years of age from 2015 to 2019. The searches were carried out in the databases Latin American and Caribbean Literature in Health Sciences (LILACS), US National Library of Medicine (PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL), SCOPUS and Web of Science. It was carried out by crossing the keywords in English (child, child development and Zika virus) and in Portuguese (criança, desenvolvimento infantil e Zika vírus), with the combination of the Boolean operator "AND". DATA SYNTHESIS: The knowledge produced is related to the specific health and development problems of children affected by the Congenital ZIKV Syndrome, with clinical characteristics, care demands, multiprofessional performance, health monitoring and surveillance needs. CONCLUSIONS: This integrative review synthesized scientific knowledge by adding aspects that reinforce the relevance of appropriate approaches to assess and care for children, linked to the engagement of caregivers, the need to document, evaluate and track the situations of children in early childhood and long-term, management coordination of care and its challenges in the context of primary health care.

13.
Cad Saude Publica ; 37(7): e00121420, 2021.
Artigo em Português | MEDLINE | ID: mdl-34259748

RESUMO

The article focuses on the experience of family and social frailty of children with congenital Zika virus syndrome (CZVS) and discusses the changes in support networks, in the sense of both their capacities and shortcomings. This qualitative study adopted a clinical-psychosociological approach. The study analyzed family narratives in 32 group meetings conducted in an outpatient setting in a referral research institute for CZVS care in the State of Rio de Janeiro, Brazil. The article presents part of the results from a larger study focused on understanding the psychosocial effects of illness and its impact on parenting and care of children with CZVS. The article concludes by discussing how parents' experience expresses complex processes that reveal family and social movements of support and recognition, but also, in the opposite sense, the lack of backup for mothers and fathers who struggle for recognition, social inclusion, and their children´s right to health and education.


Assuntos
Epidemias , Fragilidade , Infecção por Zika virus , Zika virus , Brasil/epidemiologia , Criança , Feminino , Humanos , Masculino , Infecção por Zika virus/epidemiologia
14.
Cad Saude Publica ; 37(7): e00263320, 2021.
Artigo em Português | MEDLINE | ID: mdl-34287587

RESUMO

The simultaneous circulation of dengue, Zika, and chikungunya poses major challenges for Brazil. Due to climate changes and other associated factors, more than two billion people in the world may be exposed to these arbovirus infections, according to the World Health Organization. The principal strategy for Aedes aegypti control programs is based on the Infestation Index Rapid Survey for Ae. aegypti (LIRAa), a sample survey in which the Building Infestation Index (BII) is used to prioritize areas for intervention. This study analyzed the performance of LIRAa in terms of its sensitivity for predicting dengue epidemics in municipalities in the state of Rio de Janeiro in epidemic years. Incidence rates per municipality for the years 2011, 2012, 2013, 2015, and 2016, plus the BII in October of the previous years. Scatterplots were created, aimed at an exploratory analysis and graphic visualizations of the relationship between the above-mentioned variables, as well as analyses of the Spearman correlation between the BII and the Breteau Index for each year, aimed at estimating the quality of the LIRAa. Comparative analysis of the values for the BII and the respective incidence rates in the period only indicated significant correlation between these variables in 2011/2012 (rs = 0.479; p < 0.01). There was also a correlation between BII and Breteau Index. It is urgent to rethink the parameters established by the LIRAa methodology and invest in alternative methodologies in entomological and epidemiological surveillance that reliably measure transmission risk in the territory and thus design more effective strategies to control these arbovirus infections.


Assuntos
Aedes , Dengue , Infecção por Zika virus , Zika virus , Animais , Brasil/epidemiologia , Cidades , Dengue/epidemiologia , Humanos , Larva , Infecção por Zika virus/epidemiologia
15.
Cien Saude Colet ; 26(6): 2271-2280, 2021.
Artigo em Português | MEDLINE | ID: mdl-34231737

RESUMO

In 2015, there was an epidemic of microcephaly in Brazil that was associated with infection by the Zika virus. The condition of these children obliged the parents to embark on a quest in search of treatment. The scope of this study was to establish the therapeutic itinerary pursued in healthcare sectors by parents and/or caregivers of children with microcephaly due to the Zika virus. It involved qualitative research, conducted at a Center of Reference on Neurodevelopment between April 2017 and February 2018, with parents and/or caregivers of children with microcephaly caused by the Zika virus. The sample complied with the criteria of saturation. Twenty semi-structured interviews were conducted, recorded, and transcribed, and content analysis was applied. The results revealed disorientation and uncertainties in the search for care in the health sector. The most sought-after sector was the professional sector, followed by the informal sector. The information conveyed in the media and social networks, which constitute part of the informal sector, helped to clarify the significance of microcephaly and the Zika virus and assisted in the search for treatment. Care in the healthcare network was marked by difficulties and, faced with a new and emergency situation, the route between diagnosis and treatment was arduous.


Assuntos
Microcefalia , Complicações Infecciosas na Gravidez , Infecção por Zika virus , Zika virus , Brasil/epidemiologia , Criança , Feminino , Humanos , Microcefalia/epidemiologia , Gravidez , Infecção por Zika virus/complicações , Infecção por Zika virus/epidemiologia
16.
Arch. health invest ; 10(7): 1032-1039, July 2021. tab
Artigo em Português | BBO - Odontologia | ID: biblio-1342732

RESUMO

Objetivo: descrever sobre as condições bucais das crianças com Microcefalia associada ao Zika vírus. Metodologia: Estudo transversal realizado com 13 crianças atendidas no projeto institucional e multidisciplinar "Atenção Integrada às crianças com microcefalia por Zika vírus" e seus respectivos cuidadores. Foi realizado entrevista com os cuidadores e de exame clínico bucal nas crianças, sendo coletados dados sobre características sociodemográficas e econômicas, hábitos de higiene, comportamentais e alimentares, assim como as características oclusais e os índices clínicos odontológicos (ISG, IPV e ceo-d). Os dados foram analisados de maneira descritiva e através do teste Wilcoxon no software Statistical Package for the Social Sciences, versão 20. Resultados: A maioria das crianças eram do sexo feminino (53,8%), entre 24 e 35 meses (76,9%) e a mãe era o principal cuidador (76,9%). Em relação aos hábitos das crianças, 61,5% apresentavam alimentação semissólida, com frequência de escovação diária de duas vezes ou mais (46,2%), utilizavam mamadeira (76,9%) e chupeta (53,8%). As crianças não apresentavam cárie, o ISG e IPV foram considerados satisfatórios. Além disso, 92,3% das crianças rangiam os dentes durante a noite, 61,5% apresentavam mordida aberta anterior, sobressaliência aumentada (84,6%) e cronologia de erupção alterada (84,6%). Conclusão: As crianças apresentavam erupção dentária tardia, presença de facetas de desgastes, chave de canino com classificação I, mordida aberta anterior e sobressaliência aumentada. Além disso, possuíam frequência de escovação satisfatória, alimentações semissólida, usavam mamadeira e chupeta. A partir dos índices odontológicos, observou-se que as crianças apresentavam uma saúde bucal satisfatória(AU)


Objective: to describe the oral conditions of children with microcephaly associated with Zikavirus. Methodology: Cross-sectional study carried out with 13 children assisted in the institutional and multidisciplinary project "Integrated Care for children with microcephaly due to Zika virus" and their respective caregivers. Interviews were conducted with caregivers and a clinical oral exam was carried out on the children, with data on sociodemographic and economic characteristics, hygiene, behavioral and dietary habits, as well as occlusal characteristics and clinical dental indexes (ISG, IPV and ceo-d) being collected. The data were analyzed descriptively and using the Wilcoxon test in the Statistical Package for the Social Sciences software, version 20. Results: Most children were female (53.8%), between 24 and 35 months (76.9 %) and the mother wasthe main caregiver (76.9%). Regarding the children's habits, 61.5% had a semi-solid diet, with a daily brushing frequency of twice or more (46.2%), used a bottle (76.9%) and pacifier (53.8%). The children did not present caries, the ISG and IPV were considered satisfactory. In addition, 92.3% of children gritted their teeth at night, 61.5% had an open anterior bite, increased overjet (84.6%) and altered rash chronology (84.6%) Conclusion: Children had a rash late dental, presence of wear facets, canine keywith classification I, anterior open bite and increased overjet. In addition, they had a satisfactory brushing frequency, semi-solid food, used a bottle and used a pacifier. From the dental indexes, it was observed that the children had satisfactory oral health(AU)


Objetivo: describir las condiciones bucales de los niños con microcefalia asociada al virus del Zika. Metodología: Estudio transversal realizado con 13 niños atendidos en el proyecto institucional y multidisciplinario "Atención integral a niños conmicrocefalia por virus Zika" y sus respectivos cuidadores. Se realizaron entrevistas con los cuidadores y se realizó un examen clínico bucal a los niños, con datos de características sociodemográficas y económicas, higiene, hábitos de comportamiento y dietéticos, así como características oclusales e índices clínico-odontológicos (ISG, IPV y ceo). -d) siendo recogido. Los datos se analizaron de forma descriptiva y mediante la prueba de Wilcoxon en el software Statistical Package for the Social Sciences, versión 20. Resultados: La mayoría de los niños eran mujeres (53,8%), entre 24 y 35 meses (76,9%) y la madre era la principal cuidadora. (76,9%). En cuanto a los hábitos de los niños, el 61,5% tenía alimentación semisólida, con una frecuencia de cepillado diario de dos o más (46,2%), utilizaba biberón (76,9%) y chupete (53,8%). Los niños no presentaron caries, la ISG y la IPV se consideraron satisfactorias. Además, el 92,3% de los niños apretaban los dientes por la noche, el 61,5% tenía una mordida anterior abierta, un resalte elevado (84,6%) y una cronología de la erupción alterada (84,6%) Conclusión: los niños tenían una erupción dental tardía, presencia de facetas de desgaste, canino clave con clasificación I, mordida abierta anterior y resalte aumentado. Además, tenían una frecuencia de cepillado satisfactoria, alimentos semisólidos, usaban biberón y usaban chupete. A partir de los índices dentales, se observó que los niños tenían una salud bucal satisfactoria(AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Higiene Bucal , Saúde Bucal , Zika virus , Microcefalia , Erupção Dentária , Escovação Dentária , Estudos Transversais , Bruxismo do Sono , Mordida Aberta , Cárie Dentária
17.
Brasília, D.F.; OPAS; 2021-07-02. (OPAS/BRA/PHE/21-0050).
em Português | PAHO-IRIS | ID: phr2-54526

RESUMO

Com base em experiência prévia nas epidemias de dengue, a atual pandemia da COVID-19 e a persistência de casos de arbovírus em áreas endêmicas representam um desafio para os sistemas de saúde em todos os componentes e níveis, incluindo a vigilância epidemiológica. Durante a COVID-19 e a sindemia da dengue, foi relatada coinfecção pelos dois vírus em países e territórios da Região das Américas. (2, 3) De acordo com as evidências disponíveis, a gravidade e o prognóstico desses pacientes coinfectados ainda não estão claros. No entanto, será importante preparar os sistemas de saúde para responder de forma adequada e em tempo hábil a possíveis situações.


Assuntos
COVID-19 , Arbovírus , Dengue , Vírus Chikungunya , Zika virus , Coronavirus , Infecções por Coronavirus , Emergências , América , Região do Caribe
18.
Rev Lat Am Enfermagem ; 29: e3458, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-34190948

RESUMO

OBJECTIVE: to develop a theoretical model about the care of children with Congenital Zika Virus Syndrome in the family context. METHOD: the Straussian Grounded Theory and the theoretical/philosophical framework of Callista Roy and Leonardo Boff were used. It was carried out in northeastern Brazil, with 19 participants, in four sample groups. The data were collected and analyzed simultaneously, using the constant comparison method. RESULTS: the theoretical model comprising the mother's care for the child with Congenital Zika Virus Syndrome in the family context is formed by five categories: revealing family care, centered on the mother, to the child with the syndrome; identifying the maternal bond that determines the care for children with the syndrome in the family context; identifying the factors that hinder the mother's care for the child with the syndrome; recognizing the evolution of the child with the syndrome in the face of early stimulation care; and recognizing harms due to the absence of early stimulus to children with the syndrome. CONCLUSION: the phenomenon runs through the care of the child with Congenital Zika Virus Syndrome, in the family context and centered on the mother, and is faced with the need for shared responsibility among the family members.


Assuntos
Complicações Infecciosas na Gravidez , Infecção por Zika virus , Zika virus , Brasil , Criança , Feminino , Humanos , Modelos Teóricos , Mães , Gravidez
19.
Rev Bras Enferm ; 74(6): e20200694, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34133669

RESUMO

OBJECTIVE: Understand the continuity of stimulation of neuro-psychomotor development in children with congenital Zika syndrome. METHOD: Descriptive-exploratory study with theoretical support in symbolic interactionism. Between August and November 2019, 12 health professionals were interviewed in depth; and to the focus group, seven caregivers of children with the syndrome. The analysis was thematic inductive. RESULTS: The continuation of neuro-psychomotor stimulation of children with Zika syndrome goes through: organizational difficulties (lack of doctors, professional unpreparedness, dissatisfaction and search for other services); socioenvironmental aspects (low maternal education, low socioeconomic level, difficulty in moving and lack of support); and conditions inherent to children (hospitalizations for respiratory crises, seizures, hypoactivity and social stigma). FINAL CONSIDERATIONS: A strengthened support network with qualified human resources is necessary in order to provide comprehensive care and avoid the discontinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome.


Assuntos
Infecção por Zika virus , Zika virus , Cuidadores , Criança , Grupos Focais , Pessoal de Saúde , Humanos , Infecção por Zika virus/complicações
20.
Rev Bras Enferm ; 74(3): e20200122, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34133677

RESUMO

OBJECTIVES: to classify the degree of dependence on nursing care required by children with Congenital Zika Syndrome during hospitalization and to analyze their complexity. METHODS: this is a descriptive, observational and quantitative study carried out in a pediatric ward of a public hospital in Rio de Janeiro. Data were collected from hospitalization records between June 2017 and April 2018. RESULTS: 54% of the population studied showed a degree of dependence equivalent to semi-intensive care. On 37.5% of hospitalization days, patients required non-invasive or invasive mechanical ventilation; 31.5% had spontaneous breathing requiring airway clearance by aspiration and/or oxygen therapy. CONCLUSION: Congenital Zika Syndrome represents a challenge for health professionals due to its uniqueness. In this study, it is expressed by demands for complex and continuous care in hospitalization and in preparation for discharge, requiring semi-intensive nursing care.


Assuntos
Cuidados de Enfermagem , Infecção por Zika virus , Zika virus , Brasil , Criança , Hospitalização , Humanos , Respiração Artificial , Infecção por Zika virus/complicações , Infecção por Zika virus/epidemiologia
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