Percepção dos Cuidadores versus Presença de Dificuldades Alimentares Pediátricas: um estudo transversal

Avaliar a percepção de cuidadores de crianças com dificuldades alimentares pediátricas (DAPs) a respeito dos problemas de alimentação de seus filhos. Métodos: Estudo transversal realizado na internação pediátrica com crianças abaixo de 14 anos e seus cuidadores em um hospital público no Sul do Brasil. Coletaram-se dados de prontuário além da aplicação de um questionário. Para avaliar a presença de DAPs foi utilizado o diagnóstico no prontuário. Aprovado pelo comitê de ética da instituição (CAAE nº 65500222300005327). Resultados: Avaliou-se 148 duplas de indivíduos, sendo 54% das crianças menores de 2 anos. As DAPs estavam presentes em 36 (22,8%) dos pacientes avaliados, contrastando aos 40(25,3%) identificados por seus cuidadores. Entre os diagnosticados, 7(19,4%) dos cuidadores negaram a presença de DAP. Desses, 34 (94,4%) já haviam sido internados anteriormente, dos quais 50% tiveram acima de 5 reinternações. Todos os 36(100%) utilizaram sonda para alimentação em algum momento da vida e em 24(66,6%) dos casos foi devido à DAP. Atualmente, 5(13,9%) alimenta-se exclusivamente via oral, 16(44,4%) utiliza via completar (enteral e/ou parenteral) à oral e 15(41,6%) somente via enteral e/ou parenteral. Conclusão: Nota-se discrepância na percepção dos cuidadores em relação ao diagnóstico de DAPs, demonstrando necessidade de investir em educação para identificação e manejo adequado. Fato reforçado pelo alto número de reinternações e uso de vias complementares para alimentação nessas crianças

Somatic growth in the first six months of life of infants exposed to maternal smoking in pregnancy

Background: Some studies suggest a relationship between maternal smoking during pregnancy and not only intrauterine fetal growth restriction or low birth weight, but also with changes in the postnatal growth and development. The objective of the present study was to investigate the effects of smoking during pregnancy on infants growth in the first 6 months of life compared with a control group and a group with idiopathic intrauterine growth restriction. Methods: Longitudinal observational study using a convenience sample of newborns divided into three groups: infants of smoking mothers (tobacco), with idiopathic intrauterine growth restriction (IUGR) and a control group. The sample was selected from two hospitals in Porto Alegre, located in southern Brazil, between 2011 and 2015. Newborns were evaluated at birth, 7 and 15 days, and in the first, third, and sixth month. Anthropometric measures were weight, length and head circumference. The growth indicators used were expressed as z-scores. The analyses were performed using the generalized estimating equation method. Results: The sample included 273 mother/newborn pairs: 86 tobacco group, 34 IUGR group, and 153 control group. In terms of weight at birth, all groups differed significantly (p < 0.001). The birth length of tobacco and control groups were similar, but the IUGR group was lower than both (p < 0.001). We found no differences in growth trajectory between tobacco and control group, but there were differences in the growth of the IUGR group when compared with the other groups. At 6 months of age, all groups had similar anthropometric measurements. Conclusion: Intrauterine growth restriction had major impact on the growth trajectory of the infants studied, regardless of other factors, such as smoking and diet

Cross‐cultural adaptation and validation of the Karitane Parenting Confidence Scale of maternal confidence assessment for use in Brazil

Objectives: To transculturally adapt and validate the Karitane Parenting Confidence Scale to the Brazilian Portuguese language and culture and verify the combination of the results with the maternal sociodemographic characteristics. Methodology: This is a validation and transcultural adaptation nestled in a longitudinal and observational study in Porto Alegre, RS, Brazil, assessing mother‐infant pairs from different gestational and perinatal environments. The original authors authorized the translation into Brazilian Portuguese, unified version creation, back‐translation, analysis by specialists, final version implementation, and acceptance. Cronbach's alpha analysis was performed. The Kruskal–Wallis test with post‐hoc Dunn's test was used to compare the study groups. Socioeconomic and demographic characteristics, obtained through a questionnaire in the first 24‐48 h of the newborns’ life, were associated with maternal results by the Brazilian version of the scale, using Spearman's correlation and Mann–Whitney's test. Results: The sample consisted of 251 postpartum women, with the confidence maternal questionnaire being applied at 15 days postpartum. The median score of the mothers’ confidence was 40.00 (37.00–43.00). The protocol obtained a Cronbach's alpha of 0.717. There were significant weak positive correlations between maternal confidence and age (p = 0.013, r = 0.157) and between maternal confidence and schooling (p = 0.048, r = 0.125). Additionally, a significant association was observed between maternal confidence and parity (p = 0.030). Conclusion: The transcultural adaptation and validation of the confidence maternal questionnaire into Brazilian Portuguese language and culture showed good reliability for this sample. The results of its use demonstrated that maternal confidence was associated with schooling, age and parity

Cross-cultural adaptation and validation of the Karitane Parenting Confidence Scale of maternal confidence assessment for use in Brazil

Abstract Objectives To transculturally adapt and validate the Karitane Parenting Confidence Scale to the Brazilian Portuguese language and culture and verify the combination of the results with the maternal sociodemographic characteristics. Methodology This is a validation and transcultural adaptation nestled in a longitudinal and observational study in Porto Alegre, RS, Brazil, assessing mother-infant pairs from different gestational and perinatal environments. The original authors authorized the translation into Brazilian Portuguese, unified version creation, back-translation, analysis by specialists, final version implementation, and acceptance. Cronbach's alpha analysis was performed. The Kruskal-Wallis test with post-hoc Dunn's test was used to compare the study groups. Socioeconomic and demographic characteristics, obtained through a questionnaire in the first 24-48 h of the newborns' life, were associated with maternal results by the Brazilian version of the scale, using Spearman's correlation and Mann-Whitney's test. Results The sample consisted of 251 postpartum women, with the confidence maternal questionnaire being applied at 15 days postpartum. The median score of the mothers' confidence was 40.00 (37.00-43.00). The protocol obtained a Cronbach's alpha of 0.717. There were significant weak positive correlations between maternal confidence and age (p = 0.013, r = 0.157) and between maternal confidence and schooling (p = 0.048, r = 0.125). Additionally, a significant association was observed between maternal confidence and parity (p = 0.030). Conclusion The transcultural adaptation and validation of the confidence maternal questionnaire into Brazilian Portuguese language and culture showed good reliability for this sample. The results of its use demonstrated that maternal confidence was associated with schooling, age and parity

COVID-19: Contingency actions for the provision of meals to employees of a university hospital in southern Brazil

Introduction: The global pandemic for the new coronavirus has had repercussions in all areas of human activities. Health services are essential for serving the population. However, workers in this sector also deserve attention, the provision of meals being one of those precautions.Aims: This study aims to publicize the actions related to the development of a contingency plan and the provision of meals to workers at a public university hospital in southern Brazil during the coronavirus pandemic.Methods: Study design: descriptive observational. This case study evaluates for the period from March to June 2020 on the evolution of contingency plans in order to guarantee the provision of adequate food and preserve the health of workers in the cafeteria space.Results: The hospital cafeteria served, on average, more than 2,500 lunches before the COVID-19 pandemic began in Brazil. Actions developed by the hospital administration allowed remote work by workers. However, an average of 1,500 lunches is still served daily. In this study, the actions are presented in order to guarantee an adequate environment that does not transmit outbreaks to workers in the hospital environment. Among some actions are issues of menu pattern, guidance, and mandatory handwashing by all users, visual signage on-site, and the internal website, among others.Conclusions: The actions have been effective since there are no records of a COVID-19 outbreak among hospital workers.Introdução: A pandemia global do novo coronavírus teve repercussões em todas as áreas das atividades humanas. Os serviços de saúde são essenciais para servir a população. No entanto, os trabalhadores desse setor também merecem atenção, sendo a provisão de refeições uma dessas precauções.Objetivo: Este estudo tem como objetivo divulgar as ações relacionadas ao desenvolvimento de um plano de contingência e fornecimento de refeições aos trabalhadores de um hospital universitário público do sul do Brasil durante a pandemia de coronavírus.Métodos: Desenho do estudo: observacional descritivo. Este estudo de caso avalia, no período de março a junho de 2020, a evolução dos planos de contingência, a fim de garantir o fornecimento de alimentos adequados e preservar a saúde dos trabalhadores no espaço do restaurante do hospital.Resultados: O restaurante do hospital serviu, em média, mais de 2.500 almoços antes do início da pandemia de COVID-19 no Brasil. As ações desenvolvidas pela administração do hospital permitiram o trabalho remoto dos trabalhadores. No entanto, uma média de 1.500 almoços ainda é servida diariamente. Neste estudo, são apresentadas as ações para garantir um ambiente adequado qu