OBJECTIVE:To estimate the prevalence of preterm birth by categories of birth weight, and to obtain an equation to correct the estimates. METHODS:Systematic review of the Brazilian literature published from 1990 to 2012, to identify studies with primary collection of data on birth weight and gestational age. Twelve studies were selected and contributed for tabulations of preterm prevalence according to 100 g birth weight categories. These results were combined using sex-specific fractional polynomial equations and the resulting curves were compared with results from the Live Birth Information System for the years 2000, 2005, 2010 and 2011. RESULTS:For all birth weight categories, preterm prevalence estimates based on primary studies had a higher prevalence than those of the the Live Birth Information System. The prevalence reported by the Live Birth Information System was of 7.2% in 2010, about 38.0% lower than the estimated prevalence of 11.7% obtained with the correctional equation. CONCLUSIONS:Information reported by the Live Birth Information System on preterm prevalence does not reflect the true magnitude of the problem in Brazil, and should not be used without the correction factors proposed in the present analyses.
Introdução: Para alcançar um estado de saúde física e mental é necessário que os sujeitos se envolvam em ocupações. A pandemia por COVID-19 e a necessidade de distanciamento social, enquanto política de não propagação do vírus, trouxeram impactos nas ocupações das crianças e dos adolescentes diabéticos e, consequentemente, em seu estado de saúde. Objetivo: Compreender as implicações do distanciamento social durante a pandemia por COVID-19 no envolvimento ocupacional de crianças e adolescentes com diabetes atendidos em um hospital universitário pediátrico a partir da percepção de seus responsáveis/familiares. Métodos: Foi realizada a aplicação de questionário por via telefônica a 59 responsáveis/familiares de crianças e adolescentes atendidos no Ambulatório de Diabetes de um hospital universitário pediátrico. Foram incluídas as respostas de 30 responsáveis que relataram mudanças específicas nas ocupações dos pacientes durante o distanciamento social. Os dados coletados foram categorizados de acordo com o modelo canadense do desempenho ocupacional e apresentados de forma descritiva. Resultados: O Autocuidado foi mencionado como impactado em 19 relatos: atividades físicas (9), alimentação (9), sono (1). A Produtividade esteve presente em 10 relatos: estudo (8), brincar (2). O Lazer foi descrito em 21 relatos: mobilidade urbana (16), interações sociais (3), uso de equipamentos eletrônicos (2). Conclusões: Foi possível identificar uma abrupta necessidade de reorganização das ocupações de autocuidado, produtividade e lazer motivados pelo distanciamento social. Esta pesquisa integra um corpo de conhecimento que vem se produzindo no intuito de analisar os impactos da pandemia por COVID-19 na vida ocupacional das pessoas assistidas pela terapia ocupacional.Palavras-chave: Diabetes Mellitus. Pediatria. Ocupações. Infecções por Coronavírus. Terapia Ocupacional. AbstractIntroduction: To achieve a state of physical and mental health, it is necessary that people get involved in occupations. The COVID-19 pandemic and the need for social distancing, as a policy for not spreading the virus, has caused impacts on the daily occupations of diabetic children and adolescents and, consequently, on their health status. Objective: To understand the implications of social distancing during the COVID-19 pandemic on the occupational involvement of children and adolescents with diabetes treated at a university pediatric hospital from the perspective of their parents/guardians. Method: A questionnaire was administered by resente to 59 parents/guardians of children and resentetes treated at the Diabetes Ambulatory of a pediatric university hospital. Responses from 30 caregivers who reported specific changes in patients’ occupations during social distance were included. The collected data were categorized according to the Canadian model of occupational performance and presented in a descriptive way. Results: The Self-Care was mentioned as impacted in 19 reports: physical activities (9), food (9), sleep (1). The Productivity was resente in 10 reports: study (8), play (2). Leisure was described in 21 reports: urban mobility (16), social interactions (3), use of electronic equipment (2). Conclusion: It was possible to identify na abrupt need to reorganize self-care, productivity and leisure occupations motivated by social detachment. This research integrates a body of knowledge that has been produced in order to analyze the impacts of the COVID-19 pandemic on the occupational life of people assisted by occupational therapy.Keywords: Diabetes Mellitus. Pediatrics. Occupations. Coronavirus Infections. Occupational Therapy. ResumenIntroducción: Para lograr un estado de salud física y mental, es necesario que los sujetos estén involucrados en ocupaciones. La pandemia de COVID-19 y la necesidad del aislamiento social, en relación a política de no propagación del virus, trajo impactos en las ocupaciones diarias de los niños y adolescentes diabéticos y, en consecuencia, en su estado de salud. Objetivo: Comprender las implicaciones del aislamiento social durante la pandemia COVID-19 en la participación ocupacional de niños y adolescentes con diabetes atendidos en un hospital universitario pediátrico desde la perspectiva de sus padres/tutores. Método: Se aplicó un cuestionario telefónico a 59 padres / tutores de niños y adolescentes atendidos en el Ambulatorio de Diabetes de un hospital universitario pediátrico. Se incluyeron las respuestas de 30 cuidadores que informaron cambios específicos en las ocupaciones de los pacientes durante la distancia social. Los datos recopilados se categorizaron de acuerdo con el modelo canadiense de desempeño ocupacional y se presentaron de manera descriptiva. Resultados: El Autocuidado se mencionó como impactado en 19 informes: actividades físicas (9), alimentación (9), sueño (1). El Productividad estuvo presente en 10 informes: estudio (8), juego (2). El Ocio fue descrito en 21 informes: movilidad urbana (16), interacciones sociales (3), uso de equipos electrónicos (2). Conclusión: Se pudo identificar una abrupta necesidad de reorganizar las ocupaciones del autocuidado, la productividad y el ocio motivadas por el aislamiento social. Esta investigación integra un cuerpo de conocimiento que se ha producido con el fin de analizar los impactos de la pandemia COVID-19 en la vida ocupacional de las personas asistidas por terapia ocupacional. Palabras clave: Diabetes Mellitus. Pediatría. Ocupaciones. Infecciones por Coronavirus. Terapia Ocupacional.
IntroductionThe coronavirus disease-2019 (COVID-19) clinical manifestations in children and adolescents are diverse, despite the respiratory condition being the main presentation. Factors such as comorbidities and other respiratory infections may play a role in the initial presentation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study aims to describe the epidemiological aspects, clinical, and laboratory manifestations of pediatric patients admitted to a tertiary pediatric hospital in Rio de Janeiro, diagnosed with COVID-19, and compare these with other viral conditions during the first year of the SARS-CoV-2 pandemic.MethodsAll patients under 18 years of age that were admitted with upper airway infection were enrolled and followed up for 30 days. The main dependent variable was the laboratorial diagnosis of SARS-CoV-2, and independent variables were studied through logistic regression.ResultsA total of 533 patients were recruited, and 105 had confirmed SARS-CoV-2 infection. Detection of other viruses occurred in 34% of 264 tested participants. Six patients died (two in SARS-CoV-2 infected group). The variables independently associated with COVID-19 were older age (OR = 1.1, 95% CI = 1.0–1.1), lower leukocytes count at entry (OR = 0.9, 95% CI = 0.8–0.9), and contact with suspected case (OR = 1.6, 95% CI = 1.0–2.6). Patients with COVID-19 presented higher odds to be admitted in an intensive care unit (OR = 1.99, 95% CI = 1.08–3.66).ConclusionsEven during the SARS-CoV-2 pandemic, several other respiratory viruses were present in admitted pediatric patients. Variables associated with COVID-19 infection were older age, lower leukocytes count at entry, and a domiciliary suspect contact. Although patients with COVID-19 were more frequently admitted to ICU, we did not observe higher mortality in this group.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.