The results of the assessed articles disclosed underutilization of the tool and reflect low awareness by health professionals regarding the recording of information in the child's health monitoring document.

No abstract

Objective:To assess the use of a health monitoring tool in Brazilian children, with emphasis on the variables related to growth and development, which are crucial aspects of child health care.Data source:A systematic review of the literature was carried out in studies performed in Brazil, using the Cochrane Brazil, Lilacs, SciELO and Medline databases. The descriptors and keywords used were “growth and development”, “child development”, “child health record”, “child health handbook”, “health record and child” and “child handbook”, as well as the equivalent terms in Portuguese. Studies were screened by title and summary and those considered eligible were read in full.Data synthesis:Sixty-eight articles were identified and eight articles were included in the review, as they carried out a quantitative analysis of the filling out of information. Five studies assessed the completion of the Child's Health Record and three of the Child's Health Handbook. All articles concluded that the information was not properly recorded. Growth monitoring charts were rarely filled out, reaching 96.3% in the case of weight for age. The use of the BMI chart was not reported, despite the growing rates of childhood obesity. Only two studies reported the completion of development milestones and, in these, the milestones were recorded in approximately 20% of the verified tools.Conclusions: The results of the assessed articles disclosed underutilization of the tool and reflect low awareness by health professionals regarding the recording of information in the child's health monitoring document.

Factors associated with maternal and neonatal history are associated with neonatal hospitalization.

Climate and land-use changes are expected to negatively affect many species and ecological processes, leading to biodiversity loss. However, some species can adapt to these changes. Wide-ranging species are expected to be less impacted by such changes, but they can occur in different domains with contrasting environmental conditions, resulting in different conservation statuses along their range. To understand whether a species will overall benefit or lose with global change, we evaluated the responses of a wide-ranging but a vulnerable bird (Crax fasciolata) to separate and combined effects of climate and land-use changes under different environmental policies in Brazil. Using ecological niche modeling and a land-use model within the Brazilian political context, we quantified climatic, habitat, and environmental suitability for Crax fasciolata under historical (2000) and future (2050) scenarios. Our findings showed that environmental suitability can increase for Crax fasciolata in Brazil in future, but these effects vary according to the domain and the specific future scenario considered. Climatically suitable areas will increase in all scenarios, and those environmental scenarios that include better habitat conditions will provide more environmentally suitable areas for Crax fasciolata. However, this increase comes from newly suitable areas in the Atlantic Forest and the Amazon, while the Pantanal, the Caatinga, and the Cerrado will lose environmental suitability due to native vegetation loss. Despite the availability of these new areas, reduced landscape permeability may hinder Crax fasciolata from reaching them. This reinforces the urgent call for public policies for native vegetation protection, reforestation, and effective deforestation control.

BackgroundThe genetic diversity of the Brazilian population results from three ethnic groups admixture: Europeans, Africans and Amerindians, thus increasing the difficulty of performing cystic fibrosis (CF) diagnosis. The nasal potential difference (NPD) evaluates the cystic fibrosis transmembrane conductance regulator (CFTR) and epithelial sodium channel (ENaC) activity. Despite being a useful CF diagnostic test and a biomarker of CFTR-modulator drugs, it is also highly operator dependent. Therefore, it may be difficult to get accurate results and to interpret them. Wilschanski and Sermet scores were proposed to address these issues. This study aimed to evaluate repeatability and diagnostic value of NPD parameters and Wilschanski and Sermet scores in a CF center in Rio de Janeiro.MethodsNPD was performed in 78 subjects. Maximal PD, amiloride response, total chloride response, and Wilschanski and Sermet scores were explored as means (confidence interval, CI). One-way ANOVA was used to compare mean differences and Scheffe test was used to pair-wise comparisons. Repeatability was evaluated by scatter and Bland-Altman plots. The Ethics Committee of the CF Center has approved the study protocol. Parents and adult participants signed an informed consent form.ResultsForty-eight healthy-volunteers, 19 non-CF and 11 CF patients were enrolled in this study. Significant differences were found when comparing CF patients’ NPD parameters to the other two groups (P = 0.000). Moreover, no significant differences were found when parameters from non-CF patients were compared with those from healthy volunteers (P > 0.05). The means of NPD parameters and diagnostic scores of each group were in concordance with disease/non-disease conditions. The repeatability data - Wilschanski and Sermet and NPD - allow NPD to be performed in this Brazilian CF Center.ConclusionsThe present study gathered consistent data for Bland-Altman plots. The results of Wilschanski and Sermet diagnostic scores suggest that they were concordant with CF/non-CF conditions. More NPD tests should be performed in the Rio de Janeiro CF dynamic cohort to contribute to international NPD validation studies and to provide NPD as a biomarker in Brazil.

O bem-estar de animais cativos tem sido extensivamente discutido e estudado, envolvendo tanto a produção e experimentação animal quanto oszoológicos. Animais cativos podem sofrer com a falta de espaço e de estímulos físicos e mentais característicos desse tipo de ambiente. As aves possuem alta capacidade cognitiva, o que as torna muito suscetíveis ao estresse pelo cativeiro. O estresse vivenciado nesse meio pode causar estereotipias, arrancamento de penas, comportamento de bicar grades e paredes e comportamento excessivamente agressivo, indicando baixa qualidade de vida. Devido à preocupação crescente com esses fatores, diversos estudos têm desenvolvido técnicas de avaliação do estresse. Métodos não invasivos como o monitoramento comportamental e aavaliação fisiológica da atividade adrenal através de excretas e penas têm auxiliado os pesquisadores e as instituições a entender os processos associados ao estresse. Esse conhecimento permite uma melhoria na qualidade de vida das aves com práticas corretas de manutenção, âmbito no qual as técnicas de enriquecimento ambiental ganham cada vez mais espaço.

No abstract