EDUCAÇÃO EM DIABETES COM DEFICIENTES VISUAIS: UMA EXPÊRIÊNCIA UNIVERSITÁRIA

Experience developed with visually impaired people in the Association for the Blind in the city of Fortaleza, Ceará (Brazil). A conference for 40 people was held about the concept, risk factors and treatment of diabetes followed by selection, interview, and verification of anthropometrics measures and capillary glycemia. In this phase 26 people participated. The values obtained related to capillary glycemia by strip varied from 74 to 193 mg/dl. Age index was from 11 to 57 years with 17 females and 9 males. The time of the most recent meal varied between 2 and 6 hours. Among risk factors faced: 20 people reported being sedentary, 10 with a history of diabetes in the family; 4 being overweight y 2 with hypertension. The conclusion we arrive at is that it is of fundamental importance to inform and prevent diabetes in this type of patients.  Relato sobre la experiencia desarrollada con deficientes visuales en la Asociación de Ciegos del Estado de Ceará, en Fortaleza. Se realizó una conferencia para 40 personas, en la que se debatió sobre el concepto, los factores de riesgo y el tratamiento de diabetes, seguida de selección junto con entrevista, verificación de medidas antropométricas y glicemia capilar. En esta fase participaron 26 personas. Los valores que se obtuvieron con relación a glicemia capilar por la cinta variaron de 74 a 193 mg/dl. El índice de edad abarcó el intervalo entre los 11 a 57 años, 17 del sexo femenino y 9 del masculino. El horario de la última comida varió entre 2 y 6 horas. Entre los factores de riesgo que se abordaron, 20 personas  se declararon  sedentarias; 10 con historia de diabetes en la familia; 4 presentaron peso superior a lo normal y 2 hipertensos. La conclusión a que se llega es que es de fundamental importancia  promover y prevenir  la diabetes con este tipo de pacientes.Relato de experiência desenvolvida com deficientes visuais na Associação dos Cegos do Estado do Ceará, em Fortaleza. Realizou-se uma palestra para 40 pessoas na qual se abordou conceito, fatores de risco e tratamento do diabetes, seguida de triagem, com entrevista, verificação de medidas antropométricas e glicemia capilar. Desta fase, participaram 26 pessoas. Os valores obtidos de glicemia capilar pela fita variaram de 74 a 193 mg/dl. A faixa etária abrangeu o intervalo de 11 a 57 anos, 17 do sexo feminino e 9 do masculino. O horário da última refeição variou de 2 a 6 horas. Sobre fatores de riscos abordados, 20 indivíduos alegaram ser sedentários; 10 com história de diabetes na família; quatro com peso acima da normalidade e dois hipertensos. Pode-se concluir que a promoção e prevenção do diabetes são de fundamental importância para essa clientela. &nbsp

Evaluation of neuromotor development by means of the Harris Infant Neuromotor Test

Objective: To investigate the neuromotor development of at-risk children between three and 12 months of life, administering the Brazilian version of the Harris Infant Neuromotor Test (HINT).Method: A longitudinal study, with 78 children and 76 parents/guardians discharged from a neonatal intensive care unit in Fortaleza-CE/Brazil. Two instruments were administered: HINT and a socioeconomic questionnaire, between July/2009 to August/2010. Data from 55 preterm and 23 term children were analyzed. Results: The final mean scores ranged from 14.6 to 25.2 and from 11.2 to 24.7, for preterm and term, respectively, showing that 91% of children demonstrated good neuromotor performance; seven premature infants showed alterations which led to the referral of three children to a specialized clinic for examination and diagnostics.Conclusion: The test allowed nurses to assess infant development, identify deviations early, and plan interventions

Preventable newborn deaths: analysis of the newborn infection component in Brazil from 2007 to 2017

Abstract The Universal Agenda 2030 was developed by representatives of all countries as an action plan covering the three dimensions of sustainable development: economic, social and environmental. 17 objectives were agreed upon, highlighting objective 03, which aims to ensure a healthy life and promote well-being for all at all ages, having as one of the established goals to end preventable deaths of newborns by 2030. Infections neonatal care reflects deficits in health care, covering the entire perinatal period, and it is necessary to understand its causes in order to promote quality preventive and health promotion actions. The question is: what are the causes that make up the indicator of early neonatal mortality, due to preventable causes in Brazil between 2007 to 2017? Retrospective study carried out between September and October 2019 using secondary data collection from Department of Informatics of the Unified Health System - SUS (DATASUS). The outcome variable was early neonatal mortality from preventable causes and the independent variable was the infections component of the newborn). Twelve preventable causes of death have been identified in this category: congenital rubella syndrome; congenital syphilis; neonatal tetanus; diphtheria; haemophilus and non-haemophilus meningitis; human immunodeficiency virus diseases; neonatal infections; pneumonia; acute infections of lower airways; bacterial diseases and intestinal infectious diseases. The main cause of preventable death was infections from the neonatal period, which include congenital viral diseases (cytomegalovirus and herpes simplex); newborn bacterial septicemia; congenital parasitic diseases; omphalitis of newborn with or without mild hemorrhage; intra-amniotic infection of the fetus, neonatal infection of the urinary tract and/or skin. There is a need for more effective public health actions to modify the neonatal mortality situation, as well as health surveillance actions. Key messages Warn about causes of perinatal mortality that can be avoided. Strengthen the fulfillment of objective 3 of the 2030 Agenda to ensure and promote health in the perinatal period. </jats:sec

Child sleep: assessment of the knowledge of parents of children aged zero to two years

Abstract Changes in sleep behavior are considered a public health problem, since they interfere with the health of the individual, especially in early childhood, and can impair growth and development. The objective of this study was to evaluate the knowledge about children's sleep in parents of children aged 0 to 24 months. Quasi-experimental study, of the type before and after, with a single group, developed in a pediatric outpatient clinic in northeastern Brazil. Convenience sample of 60 parents of children discharged from the neonatal unit, who represent preliminary data from a larger study. Data collected between November / 2019 and January / 2020, using the CAP survey (Knowledge, Attitude and Practice). A child sleep instrument was used in the pre-test (first time with the parents) and post-test (15 days after the first application). After the pre-test, the parents read an educational booklet containing the information to which they were asked. The knowledge about sleep was assessed including, time, place and sleeping clothes, position in the crib, prevention of sudden infant death syndrome and total sleep time. Scores ≤ 3 represented inadequate knowledge; 4-7 adequate knowledge. Only 5 parents had inadequate knowledge in the pre-test. In the post-test, everyone demonstrated adequate knowledge. The average of points in the pre-test was 4.3, median of 4. In the post-test, the average of points (6.15), median (6). In the pre-test, less correct questions were total sleep time, adequate sleeping position, with 12 and 20 errors, respectively. After the application of the booklet, the question regarding the total sleep time remained with an equal number of errors, however only 7 parents were wrong about the position of the child at the time of sleep. It is concluded that there is a need for guidance to parents on sleep, and it is pertinent to evaluate their previous knowledge, contributing to the strengthening of public policies aimed at children's sleep. Key messages Parents should receive guidance on infant sleep hygiene. Strengthening the promotion of children's sleep by health professionals. </jats:sec

Parents' knowledge about complementary feeding: an integrative review

Abstract Currently, authorities and specialists in child development and public health have been concerned with the growth and nutritional status of children, especially due to the uncontrollable increase in overweight / obesity that has occurred in recent years. Obesity causes organic-functional complications, such as chronic-degenerative diseases (diabetes, high blood pressure, coronary heart disease), and psychosocial complications, such as withdrawal from social relationships, shame, exclusion and disturbances in body awareness. The objective was to identify in the literature the parents' knowledge about complementary feeding for infants. Integrative literature review based on the guidelines recommended by PRISMA. The search was carried out between the months of May and June 2017 by two researchers independently in the Scopus, PubMed, Scielo, LILACS and CINAHL databases. The following descriptors were used: “infant”, “complementary feeding”, “parents” and “knowledge” and “infant”, “complementary feeding”, “relatives” and “knowledge” in the DECs and MESH respectively. 1,012 studies were identified and a sample of 06 articles was obtained after applying the eligibility criteria. The knowledge evidenced was: use of appropriate utensils for feeding the child, not using cow's milk, caution with processed foods, issues related to breastfeeding and age of introduction of food and other liquids. Even so, there were still mistakes by parents regarding the recommendations of the main bodies dealing with food, such as the use of processed foods from the fourth month of life of the child and the relationship of the “fat” baby being the health model. It was concluded that the knowledge of parents / caregivers about complementary feeding is still permeated by mistakes. Thus, the nursing consultation should focus on health education and search for strategies that facilitate the process of introducing complementary feeding and help parents in this period. Key messages Targeting health strategies on complementary feeding in a timely manner. Guidance for the prevention of obesity in early childhood and the development of non-infectious diseases. </jats:sec