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OBJECTIVE:To describe the prevalence of borderline blood pressure (BBP) and hypertension (HT) among young adults and to assess the association between size at birth and BBP/HT. METHODS: Data were collected from the fi rst Ribeirão Preto Birth CohortStudy conducted in the city of Ribeirão Preto, southeastern Brazil, that started in [1978][1979]. Of the 6,827 singletons born in hospitals, 2,060 were assessed at 23-25 years of age. Blood samples were collected, an anthropometric assessment was performed, and information was obtained regarding occupation, schooling, life habits and chronic diseases. Blood pressure (BP) was classifi ed as: 1) BBP: systolic BP (SBP) ≥ 130 mm Hg and < 140 mm Hg and/or diastolic BP (DBP) ≥ 85 mm Hg and < 90 mm Hg; and 2) HT: SBP ≥ 140 mm Hg and/or DBP ≥ 90 mm Hg. A polytomic logistic regression model was used. RESULTS CONCLUSIONS:The prevalence of BBP and HT among young adults of this cohort was higher in males than females. Greater birth length was associated with BBP, but not with HT, whereas birth weight was not associated with either BBP or HT. Adult risk factors explained most of the increase in the levels of BBP and HT. DESCRIPTORS:Borderline blood pressure, hypertension, birth weight, birth length, young adults, cohort studies, obesity, abdominal obesity, high blood glucose. 979Rev Saúde Pública 2012;46(6): Essential hypertension is an important risk factor for morbidity and mortality from coronary heart disease, stroke, and renal disease. 26 Although clinical manifestations of hypertension (HT) do not generally emerge until middle age, the pathophysiologic precursors of adult HT are thought to originate very early in life even during fetal development.Fetal growth disorders are associated with chronic noncommunicable diseases in adulthood, among them HT, according to the fetal origins of adult disease hypothesis. 6 However, it is not clear whether early life factors such as weight and length at birth are also associated with borderline blood pressure (BBP).Prospective studies show that HT is preceded by a prehypertension stage characterized by abnormalities considered as potential metabolic precursors of HT. 14,24The course of concurrent development of adverse blood pressure (BP) levels and other risk factors for the metabolic syndrome during childhood, adolescence, and RESUMO OBJETIVO: Descrever a prevalência de pressão arterial limítrofe (PAL) e hipertensão (HT) entre adultos jovens e avaliar a associação entre tamanho ao nascer e PAL/HT. MÉTODOS:Dados foram coletados do primeiro estudo brasileiro de coorte de nascimentos em Ribeirão Preto (sudeste do Brasil), iniciado em 1978/79. De 6.827 recém-nascidos de parto único hospitalar, 2.060 foram avaliados aos 23/25 anos. Foram realizadas coleta de sangue, avaliação antropométrica e obtidas informações sobre ocupação, escolaridade, hábitos de vida e doenças crônicas. Pressão arterial (PA) foi classifi cada em: 1) PAL: PA sistólica (PAS) ≥ 130 e < 140 mm Hg e/ou PA diastólica (PAD) ≥ 85 e < 90 mmHg; 2) HT: PAS ≥ 140 e/ou...

CC performance quality decreased and fatigue was frequent before 10 minutes had elapsed on a neonatal simulator. Provider fatigue was associated with both lack of aerobic activity and BMI ≥ 25. Our findings support the need for guidelines requiring frequent rotation of CC providers during prolonged neonatal resuscitation.

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Migrant population and perinatal health RESUMENIntroducción. La cantidad de migrantes extranjeros tiende a crecer. La situación de los residentes fuera de su propio país es compleja y genera un impacto en el sistema público de salud. El objetivo del trabajo fue analizar el riesgo perinatal de las madres migrantes y de sus recién nacidos en comparación con las madres argentinas nativas y sus recién nacidos. Métodos. Estudio de cohortes que incluyó a 2000 madres y sus recién nacidos (1000 migrantes y 1000 nativos) asistidos en una maternidad pública. Resultados. Los madres nativas presentaron mayor proporción de recién nacidos con bajo peso al nacer (9,9% contra 5,3; p < 0,01), primigestas (42% contra 37%; p= 0,012) y embarazo adolescente (6% contra 1,3%; p < 0,001). Las mujeres migrantes presentaron mayor proporción de embarazos mal controlados (21,7% contra 13,4%; p < 0,01), serología positiva para Chagas (3,2% contra 0,4%; p < 0,01) y recién nacidos que requirieron luminoterapia (20,5% contra 14,3%; p= 0,04). Conclusión. En este estudio, las madres argentinas presentaron mayor proporción de recién nacidos de bajo peso al nacer, primigestas y embarazo adolescente, mientras que las mujeres migrantes presentaron mayor proporción de serología positiva para Chagas, déficit en los controles del embarazo y luminoterapia en sus recién nacidos. INTRODUCCIÓNA c t u a l m e n t e s e c o n s i d e r a l a m i g r a c i ó n c o m o u n o d e l o s principales temas de la agenda mundial: cerca de 192 millones de personas viven fuera de su país de origen, lo cual representa alrededor del 3% de la población mundial.

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Unlike any other district in Argentina, CABA has a very high rate of births and deaths from other jurisdictions, especially from Greater Buenos Aires, which is not reflected in official statistics that only consider the place of parental residence.

Neonatal Morbidity and Mortality Analysis in Newborns With Birth Weight Between 500 to 1500 grams in Two Institutions of CABA Introduction: Preterm birth is the leading cause of infant mortality in developed and developing countries. Different populations may present different factors for prematurity and its consequences. Social vulnerability could explain differences in the causes. To identify risk factors for these preterm deliveries is essential to develop strategies for prevention. Objective: To describe and compare different causes and consequences of preterm birth of mother from different health care systems, to analyze risk factors, and to identify and evaluate maternal conditions associated with neonatal morbidity and mortality Methodology: Study descriptive. Mothers and their newborn infants with birth weight 500 -1500 g born in a public institution of the City of Buenos Aires (Sardá Maternity Hospital) and in a private Hospital (Suiza-Argentina Clinic) were included in the study. Birth weight, gestational age, neonatal morbidities, length of hospital stay, maternal age, number of pregnancy controls maternal pathologies, antenatal steroids and multiple pregnancy were recorded. Results.174 medical records from Sardá Maternity and 185 from Suiza Clinic were studied. Maternal populations showed significant differences. Sardá mothers had higher percentage of teenage pregnancy, less prenatal care, use of steroids, years of schooling and their predominant pathologies were PRM DBT and chorioamnionitis. Mothers of the Suiza-Argentina Clinic showed older age , greater number of pregnancy controls and better use of antenatal steroids , whereas gestational hypertension and multiple pregnancies with more than two infants were also more frequent in this population. Newborns from the public system had lower gestational age and higher rate of morbidities. Significant differences in ROP, IVH and late onset sepsis were found as well as an increased combined morbidity probability. Conclusion:The study of two population using different health systems allow us to compare the problems of each, describing differences and similarities in mothers and their newborns.