BackgroundAttention deficit hyperactivity disorder (ADHD) is a neurobiological condition that affects 3%–7% of the pediatric population and significantly compromises the quality of life (QoL) of these individuals. The aim of the current study was to compare child self-reports and parent proxy reports on the QoL of children with ADHD.MethodsForty-five children with ADHD, combined type, aged 8–12 years without comorbidities, were compared with 43 typically developing children. PedsQL™ 4.0 (Pediatric QoL Inventory™) Generic Core Scales (physical, emotional, social, and school functioning) were completed by families and children self-reporting their health-related QoL.ResultsChildren with ADHD reported themselves significantly lowered their PedsQL™ scores on all dimensions in comparison to typically developing children. Statistically significant differences were observed in social functioning (p = 0.010), school functioning (p <0.001), psychosocial health (p <0.001), and total score (p = 0.002). The physical functioning and emotional functioning dimensions did not differ significantly between groups, with p = 0.841 and p = 0.070, respectively. Parents of children with ADHD also reported lower PedsQL™ scores, with statistically significant differences in all dimensions. The relationship between child self-reports and parent proxy reports indicated that there is greater agreement among children with ADHD, except for the school functioning.ConclusionsThis suggests that children with the disorder and their parents have a perception of the functional limitations the disorder brings. It is therefore important to undertake studies to verify the QoL in children with ADHD that aim to provide and measure the scope of the well-being of these children.
Attention deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder during childhood, affecting approximately 3-6% of school-aged children; its cardinal symptoms of high activity, impulsivity, and behavioral distractibility might be assumed to have close relationships to interferences with motor skills. A separate body of literature attests to ways that motor problems can severely impact children's daily lives, as motor problems may occur in 30-50% of children with ADHD. This article critically reviews research on motor impairment in children with ADHD, notable differences in motor performance of individuals with ADHD compared with age-matched controls, and possible neural underpinnings of this impairment. We discuss the highly prevalent link between ADHD and developmental coordination disorder (DCD) and the lack of a clear research consensus about motor difficulties in ADHD. Despite increasing evidence and diagnostic classifications that define DCD by motor impairment, the role of ADHD symptoms in DCD has not been delineated. Similarly, while ADHD may predispose children to motor problems, it is unclear whether any such motor difficulties observed in this population are inherent to ADHD or are mediated by comorbid DCD. Future research should address the exact nature and long-term consequences of motor impairment in children with ADHD and elucidate effective treatment strategies for these disorders together and apart.
Objective: To know the devices enabling the humanization of care in the everyday of the nursing staff during the delivery process. Method: It is a descriptive study, with a qualitative approach, developed in a public maternity of the city of Maceió/AL, Brazil. The research participants were 15 professionals of the nursing team. The data were collected by means of free observation and semi-structured interviews, and they were submitted to analysis of categorical content by theme, as proposed by Bardin. Results: The welcoming and bond established with the woman, as well as the guidelines provided, lead the parturient woman to a sense of security and positively contribute to the childbirth process. Furthermore, it should also be noted that job satisfaction is shown as an important element for the development of a humanized care. Conclusion: The nursing team plays an important role in the care to the woman in the delivery process, thereby implementing important mechanisms in the conduction of the comprehensiveness of the care.
The Lower Cretaceous Botucatu Formation records the development of widespread dry–aeolian desert sedimentation throughout the Paraná Basin in south‐west Gondwana. To reconstruct the provenance of the aeolian sediment, petrography, granulometric analysis, U‐Pb detrital zircon ages have been determined from along the southern basin margin in Rio Grande do Sul state (southern Brazil) and Uruguay (Tacuarembó region). The dataset reveals a mean composition Qt89F8L3, comprising very fine to medium‐grained quartozose and feldspatho‐quartzose framework. Heavy mineral analysis reveals an overall dominance of zircon, tourmaline and rutile grains (mean ZTR0.84) with sporadic garnet, epidote and pyrolusite occurrences. The detrital zircon U‐Pb ages are dominated by Cambrian to Neoproterozoic (515 to 650 Ma), Tonian to Stenian (900 to 1250 Ma) and Orosirian to Rhyacian (1.8 to 2.2 Ga) material. The detrital zircon dataset demonstrates a significant lateral variation in sediment provenance: Cambrian to Neoproterozoic detrital zircons dominate in the east, while Tonian to Stenian and Orosirian to Rhyacian ages predominate in the west of the study area. Sandstones are quartz‐rich with dominantly durable zircon, tourmaline and rutile heavy mineral suite, with subtle but statistically significant along‐strike differences in heavy mineral populations and detrital mineralogy which are thought to record local sediment input points into the aeolian system. The similar age spectra of Botucatu desert with proximal Paraná Basin units, the predominance of quartzose, and zircon, tourmaline and rutile components, suggests that recycling is the mechanism responsible for the erg feeding.
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