Diagnostic Methods in Childhood Obesity

Childhood obesity, the most frequent pediatric disease, a worldwide public health problem, is considered a global epidemic and the main risk factor for obesity in adulthood. Among its consequences, cardiovascular and metabolic diseases stand out, which can be diagnosed during childhood, potentiate morbidity and mortality throughout life. Anthropometry, which includes the analysis of body mass index and the measurement of waist circumference, has proven efficacy in pediatric clinical evaluation. However, these diagnostic methods do not differentiate between subcutaneous and intra-abdominal or visceral fat. In this sense, diagnostic imaging methods complement the assessment of abdominal fat. In children, ultrasography appears as an innocuous, reproducible, and reliable diagnostic imaging method. The importance of knowing diagnostic methods for better monitoring of childhood obesity is emphasized

A categorização das funcionalidades do ambiente virtual ROODA

Este artigo versa sobre a classificação das 19 funcionalidades doambiente ROODA (Rede cOOperativa De Aprendizagem), um Ambiente Virtualde Aprendizagem (AVA) que integra o projeto de Educação à Distância daUFRGS. Para tanto, busca adaptar-se às necessidades e práticas pedagógicas dosdocentes da universidade, e favorecer a construção do conhecimento em um espaçovia web. A metodologia utilizada neste estudo foi a observação participante e acoleta de dados em versões anteriores do ROODA. As funcionalidades foramorganizadas nas perspectivas de vínculo com o sistema e de relação topológica, afim de facilitar a localização e a compreensão das mesmas

Planejamento e Desenvolvimento do Objeto de Aprendizagem “Regulação da Liberação dos Hormônios Sexuais Masculinos - RLHSMi”

Este artigo descreve os princípios teóricos que fundamentaram a construção de um Objeto de Aprendizagem (OA), a metodologia pedagógica, as tecnologias de desenvolvimento e criação artística utilizados nesse processo. O objeto de aprendizagem foi desenvolvido com o objetivo de potencializar o processo ensino e aprendizagem dos conteúdos relacionados à área de Ciências com foco na compreensão do processohormonal humano. Configura-se como um instrumento pedagógico capaz de contribuir na elaboração do conhecimento, já que ele possibilita a construção dos seus significados de forma inter-relacionada entre o conhecimento de mundo do sujeito com o novo conhecimento apresentado. O objeto foi planejado e desenvolvido por um grupomultidisciplinar de professores e especialistas na produção de material didático para a Educação a Distância (EAD), da Universidade do Extremo Sul Catarinense (Unesc)

Differences in Clinical Tests for Assessing Lateral Epicondylitis Elbow in Adults Concerning Their Physical Activity Level: Test Reliability, Accuracy of Ultrasound Imaging, and Relationship with Energy Expenditure

Background: Physical activity (PA) can generate physical stress on the musculoskeletal system. Thus, the aim of the current study was to assess the influence of the level of physical activity on clinical tests used in the diagnosis of lateral epicondylitis in adults, intertest reliability and accuracy based on ultrasound imaging, and relationship with energy expenditure. Methods: 102 adults with lateral epicondylitis were assessed via an International Physical Activity Questionnaire and divided according to PA level: low (n = 19) moderate (n = 42) or high (n = 41). Pain (visual analog scale), Cozen’s and Mill’s clinical tests and ultrasound exams were performed. Results: The Cozen’s and Mill’s tests differed among PA levels. Excellent reliability was found for Mill’s test for PA levels and the ultrasound exam (low ICC = 1.0, moderate ICC = 0.82 and high ICC = 0.99). Good reliability was found for Cozen’s test (low ICC = 0.80, moderate ICC = 0.74 and high ICC = 0.73), but with significant differences between the ultrasound exams. The Cozen’s and Mill’s clinical tests had no relationship to the level of energy expenditure for PA levels. Conclusion: Mill’s test was reliable and accurate for the PA levels. Intertest reliability was poor for the PA levels. Mill’s test proved to be accurate based on the ultrasound exam. The pain caused by the tests was not related to the level of energy expenditure

Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score

OBJECTIVES: Although child mortality has declined significantly in recent decades, the reduction of neonatal mortality remains a major challenge as neonatal mortality represents 2/3 of the mortality rate in this population. The objective of this study was to evaluate the utility of the Score for Neonatal Acute Physiology Perinatal Extension II (SNAP-PE II) score for evaluating the survival prognosis of newborns admitted to a neonatal intensive care unit (NICU). METHODS: The study design involved an observational cross-sectional retrospective collection, as well as a prospective component. The sample included all newborns admitted to the NICU validated by the SNAP-PE II tool from January 1 to December 31, 2014. RESULTS: A predominance of young mothers (25.4 years), underwent prenatal care (86.2%), however a considerable percentage (49.4%) of mothers received insufficient medical consultation (less than six consults during their pregnancy). A prevalence of male admissions (62.4%) were noted in the NICU. Premature (61.7%) and underweight (weight o2,500 grams) newborns were also prevalent. The SNAP-PE II score showed an association between the infants who were discharged from the neonatal unit and the non-survivors. An increased prevalence of low birth weight and hypothermia was noted in the group of non-survivors. The mean arterial pressure appears to be a significant risk factor in the newborn group that progressed to death. Hypothermia, mean arterial pressure, and birth weight were the most significant variables associated with death. CONCLUSION: The SNAP-PE II was a beneficial indicator of neonatal mortality. The prevention of prematurity and hypothermia by improving maternity care and newborn care can decisively influence neonatal mortality

A categorização das funcionalidades do ambiente virtual : ROODA

Este artigo versa sobre a classificação das 19 funcionalidades doambiente ROODA (Rede cOOperativa De Aprendizagem), um Ambiente Virtualde Aprendizagem (AVA) que integra o projeto de Educação à Distância daUFRGS. Para tanto, busca adaptar-se às necessidades e práticas pedagógicas dosdocentes da universidade, e favorecer a construção do conhecimento em um espaçovia web. A metodologia utilizada neste estudo foi a observação participante e acoleta de dados em versões anteriores do ROODA. As funcionalidades foramorganizadas nas perspectivas de vínculo com o sistema e de relação topológica, afim de facilitar a localização e a compreensão das mesmas

A categorização das funcionalidades do ambiente virtual ROODA

Este artigo versa sobre a classificação das 19 funcionalidades doambiente ROODA (Rede cOOperativa De Aprendizagem), um Ambiente Virtualde Aprendizagem (AVA) que integra o projeto de Educação à Distância daUFRGS. Para tanto, busca adaptar-se às necessidades e práticas pedagógicas dosdocentes da universidade, e favorecer a construção do conhecimento em um espaçovia web. A metodologia utilizada neste estudo foi a observação participante e acoleta de dados em versões anteriores do ROODA. As funcionalidades foramorganizadas nas perspectivas de vínculo com o sistema e de relação topológica, afim de facilitar a localização e a compreensão das mesmas

Comprehension of the São Paulo’s southside population about the vaccination importance

Introduction: The individual and collective benefits of vaccination are achieved with a high financial cost and commitment of a large structure involving public vaccine programs and health authorities, besides that the individual performance of health professionals. However, Brazil has been registering a decline in immunization rate since 2016, representing an alarming scenario, although it’s still not possible to define whether we were facing a temporary variation in vaccination coverage or whether it was a real drop. The loss of confidence in vaccines and immunization programs can lead to decreased the vaccine coverage with all its consequences. Objective: To analyze the knowledge and comprehension of the São Paulo’s Southside population above the importance of vaccination. Methodology: Cross-sectional study accomplished through the application of a questionnaire approved by an ethics committee regarding vaccination in 2019 by convenience sampling, totalizing 150 residents of the São Paulo city Southside area. The data were computed in Microsoft Excel, described by relative frequency, and analyzed statistically using the Cochran G test. Results: The sample consisted predominantly of women (82%), age ranging from 18 to 72 (M = 40.7), mainly white (45%), the majority having had a high school education (73%) and with more than 2 children (64%). Regarding vaccination, 86% of respondents have a vaccination card, 99% of parents vaccinate their children, but 94% of them declared incompletion of their children’s vaccination cards, claiming lack of vaccines in the Basic Health Units (UBSs) as the main reason amongst 43% of justifications. As for the population’s perceptions concerning vaccines, 15.5% deemed them unsafe (due to side effects), 4% considered them unnecessary and 16% were opposed to vaccines being mandatory; however, 97.5% believe vaccines do work. The fear of being vaccinated was reported in 16% of respondents, due to fear of the needle, pain, or side effects. It was also informed that active search on vaccination status was held in 65% of the interviewees’ residential territory. The main source of information on vaccination recorded was television/radio (43%), followed by social media, which appeared in 19.5% of responses (p = 0.0000). Vaccines against yellow fever, influenza and measles were the best known by the population (p = 0.0000). Discussion and Conclusion of the Results: The reasons behind vaccine hesitancy presented on this study proves what was exposed on others articles related to this theme: complacency - the participants believe that vaccination is not necessary or should not be mandatory, because they do not realize the risks of preventable diseases. Therefore, some participants did not have vaccination cards, an important instrument for immunization control. A lack of confidence, believing that vaccines are not safe because of possibly having adverse effects, which are propagated by fake news, decreasing the adherence at vaccination campaigns. Lastly, issues related to the convenience, in which part of children’s at this study had vaccination cards incomplete due to the lack of vaccine in the UBSs.&nbsp