A infecção por SARS-CoV-2 tem direcionado a atenção de pesquisadores para a criação de estratégias de prevenção e gestão clínica da infecção COVID-19. Alguns grupos populacionais devem ser priorizados como as gestantes e os recém-nascidos. Assim, foi realizada uma revisão sistemática de estudos observacionais e documentos oficiais a fim de explorar e sintetizar evidências e recomendações sobre a atenção e o manejo de gestantes e recém-nascidos suspeitos ou confirmados com a infecção. Utilizou-se a base de dados PubMed, a biblioteca virtual Scielo, as plataformas de sociedades científicas e sites governamentais. Foram incluídas 33 referências organizadas em: atenção à saúde das gestantes com suspeita ou diagnóstico de infecção por SARS-CoV-2: epidemiologia e caracterização, cuidado pré-natal e realização de procedimentos eletivos, recomendações quanto via de nascimento, orientações para a admissão, trabalho de parto/parto e puerpério, agentes farmacológicos e monitoração; e manejo de recém-nascidos filhos de mulheres com diagnóstico de infecção COVID-19: epidemiologia e caracterização de recém-nascidos, risco de infecção por transmissão vertical e no pós parto, amamentação e manejo dos cuidados com recém-nascidos. As recomendações contidas no artigo são passíveis de mudanças diante das novas descobertas sobre o comportamento e repercussões da doença em gestantes, puérperas e recém-nascidos.
Palavras-chave: COVID-19; recém-nascidos; gestantes.
Studies on sugar-sweetened beverage consumption patterns can help in the individual and population level management of chronic non-communicable diseases and other conditions. This study aimed to identify the association between health behavior patterns and the consumption of sugar-sweetened beverages among Brazilian adolescents from a nationally representative school-based study. A cross-sectional study analyzed data from 71,553 adolescents aged 12–17 years who attended public and private schools in Brazilian cities, from the Study of Cardiovascular Risk in Adolescents. Principal component analysis was performed to identify health behavior patterns, and ordered logistic regression was performed to identify the association between health behavior patterns and sugar-sweetened beverage consumption. Sugar-sweetened beverage consumption (mL/day) was used as the dependent variable. The analyses were performed using Stata software version 14.0 with a significance level of 0.05. Patterns 2 (alcoholic beverage and smoking habit) and 3 (ultra-processed food and screen time) of health behaviors and regularly purchasing snacks in the school cafeteria increased the odds of sugar-sweetened beverage consumption, while pattern 1 (water, unprocessed and minimally processed food and physical activity) decreased these odds. The adoption of healthy habits can indirectly stimulate the adoption of other habits beneficial to health. These results indicate the importance of adopting a set of regulatory measures to reduce sugar-sweetened beverage consumption.
SUMMARY:Recently, the curriculum and the educational methodologies associated with health sciences courses are being reviewed and adapted. Pre-clinical sciences, such as anatomy and embryology are as well subjected to those changes. In human embryology courses it is common to use models to represent the different phases of development to facilitate learning, since the students can see and touch the models, obtaining knowledge by analogies. The purpose of the present study was to investigate if the construction of models by the students during practical embryology classes would improve or facilitate their learning. One year after the classes, 60 students answered a questionnaire with nine objective questions, including spaces for suggestions and observations. The student's responses suggested that the construction of models contributed to their learning.
Background
Food deserts are neighborhoods with little or no access to healthy food, whereas food swamps are neighborhoods where unhealthy food options prevail over healthy ones. The main aims of the current study are to feature and compare the neighborhoods of food deserts and food swamps based on social inequality.
Methods
Ecological study carried out in Belo Horizonte City, Minas Gerais State, Brazil. Information about commercial food establishments derived from two different databases. It was measured by secondary governmental databases, which were virtually conferred in the present study. Census tracts were considered as analysis units and classified as food deserts and food swamps, based on the Brazilian methodology. Take into consideration the density of establishments classified as selling fresh or minimally-processed food, mixed establishments, and establishments selling ultra-processed food. The Brazilian methodology evaluates food deserts by the density of healthy establishments (establishments classified as mostly selling fresh or minimally-processed food and mixed establishments) per 10 thousand inhabitants. And the metric to evaluate food swamps considers the density of unhealthy establishments (establishments mostly selling ultra-processed food) per 10 thousand inhabitants. Information about social inequalities comprised aspects such as income, population count, number of households, number of literate individuals, race, water and energy supply, and garbage collection. The Health Vulnerability Index (HVI) was used as a synthetic social vulnerability indicator.
Results
Neighborhoods of food deserts presented worse essential service availability, lower income per capita, and smaller mean number of literate individuals. Census tracts classified as food swamps presented better socio-demographic conditions than those areas food deserts. Neighborhoods simultaneously classified as food deserts and food swamps presented lower income per capita and were more often observed in census sectors presenting medium and high HVI.
Conclusion
The food environment in Belo Horizonte was featured by the strong presence of food deserts and food swamps. However, the potential influence of these areas on food intake has changed depending on social inequalities.
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