Intervenções de saúde móvel para melhorar os resultados de saúde na infância: um protocolo de revisão de escopo

Introduction: The use of mobile devices for health care has been increasingly frequent in recent years. Studies show the immense potential of this technology as an instrument to favor the development of personal and social skills, in the sense of acquiring greater control and decision-making power over health care. Aim: The objective of this scoping review is to map the mobile health interventions for improving health outcomes in childhood. Method: This protocol was carried out in according to Joanna Briggs Institute methodology and Preferred checklist Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), according to the following steps: review question; eligibility criteria (PCC); literature search strategy; study selection; data extraction and data presentation. The review question is: How are mHealth interventions being applied to improve childhood health outcomes (disease prevention, monitoring or diagnosis)? The review will include experimental, quasi-experimental and descriptive observational study designs with quantitative or qualitative approach. Dissertations will be considered, but conference abstracts, posters, editorials, commentaries, and opinion papers will be excluded. The search will be limited to studies published in English, Spanish and Portuguese in the last 10 years. The databases to be searched include PubMed, CINAHL, Embase, Scielo, Web of Science, LILACS, Health System Evidence, and gray literature databases. Results: The result of the selection flow will be presented in the form of tables and figure, according to PRISMA-ScR. Conclusion: This study will provide evidence on the development and implementation of online tools to promote children's health.Introducción: El uso de dispositivos móviles para el cuidado de la salud ha sido cada vez más frecuente en los últimos años. Los estudios muestran el inmenso potencial de esta tecnología como instrumento para favorecer el desarrollo de habilidades personales y sociales, en el sentido de adquirir un mayor control y poder de decisión sobre la atención de la salud. Objetivo: El objetivo de esta revisión de alcance es mapear las intervenciones de salud móvil para mejorar los resultados de salud en la infancia. Método: La revisión considerará estudios que incluyan el uso de la salud móvil por parte de profesionales de la salud o miembros de la familia para cuidar la salud infantil. Esta revisión de alcance incluirá diseños de estudios observacionales experimentales, cuasiexperimentales y descriptivos con un enfoque cuantitativo o cualitativo. Se considerarán disertaciones, pero se excluirán los resúmenes de congresos, carteles, editoriales, comentarios y artículos de opinión. La búsqueda se limitará a los estudios publicados en inglés, español y portugués después de 2010. Las bases de datos que se buscarán incluyen PubMed (MEDLINE), CINAHL (a través de EBSCO), Embase, PsycINFO (a través de EBSCO), Scielo, Web of Science, LILACS, Health System Evidence y bases de datos de literatura gris como la base de datos ProQuest Dissertations and Theses Global, OpenGrey, EThOS y PaperFirst. Después de la selección de resúmenes / títulos para su inclusión por dos investigadores independientes, se seleccionarán los estudios de texto completo y se proporcionarán las razones de la exclusión. Los datos serán extraídos de los artículos incluidos en la revisión por dos investigadores independientes, utilizando el instrumento de extracción de datos. Resultados: Se presentarán en forma de tablas según PRISMA-ScR. Conclusiones: Este estudio proporcionará evidencia sobre el desarrollo e implementación de herramientas en línea para promover la salud infantil.Introdução: O uso de dispositivos móveis para atendimento à saúde tem sido cada vez mais frequente nos últimos anos. Estudos mostram o imenso potencial dessa tecnologia como instrumento para o desenvolvimento de habilidades pessoais e sociais, no sentido de adquirir maior controle e poder de decisão sobre o cuidado à saúde. Objetivo: Mapear as intervenções móveis de saúde para melhorar os resultados de saúde na infância Metodologia: A revisão considerará estudos que incluem o uso de dispositivos móveis de saúde por profissionais de saúde ou familiares para cuidar da saúde da criança. Esta revisão de escopo incluirá desenhos de estudos observacionais experimentais, quase experimentais e descritivos com abordagem quantitativa ou qualitativa. Dissertações serão consideradas, mas resumos de conferências, pôsteres, editoriais, comentários e artigos de opinião serão excluídos. A pesquisa será limitada a estudos publicados em inglês, espanhol e português, a partir de 2010. As bases de dados a serem pesquisadas incluem PubMed (MEDLINE), CINAHL (via EBSCO), Embase, PsycINFO (via EBSCO), Scielo, Web of Science, LILACS, Health System Evidence e bancos de dados de literatura cinzenta, como o banco de dados ProQuest Dissertations and Theses Global, OpenGrey, EThOS e PaperFirst. Após a triagem dos resumos/títulos para inclusão por dois pesquisadores independentes, os estudos em texto completo serão selecionados os dados serão extraídos dos artigos incluídos, utilizando o instrumento de extração de dados. Resultados: Serão apresentados em forma de tabelas e quadros, de acordo com o PRISMA-ScR. Conclusões: Este estudo fornecerá evidências sobre o desenvolvimento e implementação de ferramentas online de promoção da saúde infantil

Juvenile dermatomyositis (JDM) and severe pulmonary involvement: case report

Juvenile dermatomyositis (JDM) is an inflammatory, non-pustular disorder of skeletal muscles and skin. Other organs, such as the lungs, can be involved. Pulmonary complications are associated with high morbimortality rates and can develop in the acute phase of the disease. Due to its rarity, diagnosis difficulty and severity pulmonary involvement, we report the case of a 3-year-old girl with JDM and pulmonary involvement and evolution to death.A dermatomiosite juvenil (DMJ) é uma doença inflamatória não supurativa dos músculos esqueléticos e da pele.Outros órgãos podem estar envolvidos, como, por exemplo, os pulmões. As complicações pulmonares estão associadas a altas taxas de morbimortalidade e podem ocorrer na fase aguda da doença. Devido à raridade, dificuldade no diagnóstico e gravidade do acometimento pulmonar, relatamos o caso de uma menina de 3 anos com DMJ e envolvimento pulmonar que evoluiu para óbito.UNIFESP-EPM Departamento de PediatriaUNIFESP-EPM Departamento de PatologiaUNIFESP, EPM, Depto. de PediatriaUNIFESP, EPM Depto. de PatologiaSciEL

FATORES DE RISCO PARA INFECÇÃO DE SÍTIO CIRÚRGICO EM PROCEDIMENTOS CIRÚRGICOS CARDÍACOS

Objetivo: descrever os fatores de risco para infecção de sítio cirúrgico presentes em pacientes submetidos a procedimentos cirúrgicos cardíacos. Método: estudo de caso-controle, retrospectivo e descritivo. Participaram os pacientes submetidos a procedimentos cirúrgicos cardíacos entre 2011 e 2013 que desenvolveram e não desenvolveram infecção. Os dados foram coletados na Comissão de Controle de Infeção Hospitalar e nos prontuários, entre maio e dezembro de 2014. Resultados: foram estudados 50 pacientes, 19 casos e 31 controles. A ocorrência de infecção foi mais frequente em idosos do sexo masculino. Ambos os grupos apresentaram semelhanças na prevalência dos fatores de risco: tempo de internação pré-operatório superior a 24 horas, classificados no nível III, pelo physical status classification system, eram portadores de hipertensão e de diabetes e houve descontinuidade da antibioticoprofilaxia. Conclusão: os fatores de risco para infecção de sítio cirúrgico em pacientes submetidos a cirurgias cardíacas requerem dos profissionais envolvidos no processo maior controle para reduzir os índices dessas complicações. Descritores: Infecção da ferida cirúrgica. Fatores de risco. Cirurgia torácica. Enfermagem

Ecotoxicological evaluation of Glyphosate use in controlling E. crassipes e Salvinia sp. macrophytes

The present work aimed to carry out traditional ecotoxicological and ecosystemic tests in microcosms for the evaluation of the use of glyphosate herbicide adopted to control floating aquatic macrophytes in aquatic ecosystems. Ecotoxicity tests were performed using standardized methodology and standard species of different trophic levels. Although the active ingredient glyphosate is toxic, the toxicity of its commercial formulation is higher. The inert ingredient of the Roundup Original® composition may be responsible for the higher commercial compound toxicity. Experiments in microcosms indicated that the use of the formulation is possible, in considering tested concentration and controlling the spray process, without causing toxic effect on the aquatic ecosystem. Complementary studies evidenced the risk of using the product in aquatic environments without vegetation cover, being not recommended the herbicide application in a place without floating aquatic macrophytes cover

Haemosporidian parasites prevalence associated with physical conditioning of avian species from the Brazilian Cerrado

Blood parasites can infect myriad avian species and thereby affect the fitness and survival of their hosts. There is wide interspecific variation in parasite prevalence related to biological, ecological, and evolutionary host factors. This study aimed to determine the blood parasite prevalence in avian species from the Brazilian Cerrado and to investigate the associations among biomass, body condition, and blood parasitism. A total of 1,098 blood smears from 549 individuals (56 species) collected in four forest fragments were analyzed. Of these, 109 (19.85%) individuals from 33 species were infected: 13 (2.36%) were positive for Haemoproteus and 103 (18.76%) for Plasmodium. There was co-infection between both genera of parasites in 7 individuals. Among bird species, prevalence ranged from zero to 100%. There were significant positive correlations between prevalence and biomass and the body condition index. Hemosporid vectors track their hosts by carbon dioxide detection. Since large organisms emit more carbon dioxide, our results suggest that larger birds may be more susceptible to hemosporid vectors. Additionally, species with higher body condition indices can be more tolerant to parasites, possibly because they have more energy reserves. This study showed that species with higher biomass and body condition indices were associated with higher blood parasite prevalence, a finding that suggests these factors are efficient predictors to explain the interspecific variations. This information could be important for the understanding parasite-host relationships and useful for bird conservation programs

Effect of nutritional recovery with soybean flour diet on body composition, energy balance and serum leptin concentration in adult rats

<p>Abstract</p> <p>Background</p> <p>Malnutrition in early life is associated with obesity in adulthood and soybean products may have a beneficial effect on its prevention and treatment. This study evaluated body composition, serum leptin and energy balance in adult rats subjected to protein restriction during the intrauterine stage and lactation and recovering on a soybean flour diet.</p> <p>Methods</p> <p>Five groups of the Wistar strain of albino rats were used: CC, offspring born to and suckled by mothers fed a control diet and fed the same diet after weaning; CS, offspring born to and suckled by mothers fed a control diet and fed a soybean diet with 17% protein after weaning; LL, offspring of mothers fed a low protein diet and fed the same diet after weaning; LC, offspring of mothers fed a low protein diet, but fed a control diet after weaning; LS, offspring of mothers fed a low protein diet, but fed a soybean diet with 17% protein after weaning. Food intake, body, perirenal and retroperitoneal adipose tissue were measured in grams. Leptin was quantified using the Enzyme Linked Immuno Sorbent Assay (ELISA) and insulin by radioimmunoassay (RIA). Carcass composition was determined by chemical methods and energy expenditure was calculated by the difference between energy intake and carcass energy gain. Data were tested by analysis of variance (ANOVA).</p> <p>Results</p> <p>The LC and LS groups had higher energetic intake concerning body weight, lower energy expenditure, proportion of fat carcass and fat pads than CC and CS groups. The LS group showed reduced body weight gain and lower energy efficiency, which was reflected in less energy gain as protein and the proportion of carcass protein, and lower energy gain as lipid than in the LC groups, although both groups had eaten the same amount of diet and showed equal energy expenditure. Serum leptin did not differ among groups and was unrelated to food or energy intake and energy expenditure. Serum insulin was higher in the LS than in the LC group.</p> <p>Conclusion</p> <p>Protein restriction during intrauterine life and lactation periods did not provoke obesity in adulthood. Nutritional recovery with soybean diet decreased the body weight at the expense of lower energy efficiency with repercussion on lean mass.</p

AVALIAÇÃO DE DIFERENTES NÍVEIS DE DESBASTE NAS PROPRIEDADES DA MADEIRA E DO CARVÃO VEGETAL DE Eucalyptus grandis x Eucalyptus urophylla

O presente trabalho teve como objetivo avaliar os efeitos de diferentes níveis de desbaste nas propriedades físicas e químicas da madeira e do carvão vegetal de híbrido de Eucalyptus urophylla W. Hill ex Maiden x Eucalyptus grandis S. T. Blake. O experimento foi instalado em um talhão de uma empresa do setor florestal, que foi dividido em quatro faixas, representando os níveis de desbaste de 0, 20, 35 e 50% aplicados ao povoamento aos cinco anos. Foram coletadas 3 árvores de cada tratamento, 62 meses pós-desbaste. Determinou-se densidade básica, poder calorífico superior (PCS) e composição química da madeira, os rendimentos gravimétricos além da densidade aparente, PCS e composição química imediata do carvão vegetal. A madeira apresentou características tecnológicas satisfatórias para produção de carvão vegetal, sob os diferentes níveis de desbaste, porém estes não influenciaram de maneira significativa as propriedades físicas e químicas doccarvão vegetal.This research aimed to evaluate effects of different levels of thinning in the physical and chemical properties of wood and charcoal from a hybrid clone of Eucalyptus urophylla W. Hill ex Maiden x Eucalyptus grandis S. T. Blake. The experiment was conducted in a plot of a forestry company which was divided into four tracks, representing the thinning levels of 0, 20, 35 and 50% applied to five years old plantations. Three trees were collected from each treatment, 62 months after thinning. Basic density, calorific power and chemical composition of wood had been determined, as well as charcoal properties as follows: gravimetric yields, density, chemical immediate composition and calorific power. Wood presented suitable technological characteristics for charcoal production, under different levels of thinning, but these did not influence significantly charcoal physical and chemical properties

Fatores associados ao acidente vascular cerebral isquêmico em crianças e adolescentes com tetralogia de Fallot

Objective: to verify the factors associated with ischemic stroke in children and adolescents with tetralogy of Fallot. Method: a cross-sectional study, carried out with analysis of electronic medical records of children and adolescents with tetralogy of Fallot followed up in an outpatient clinic specialized in pediatric cardiology in northeastern Brazil. The data was processed in SPSS 21.0. Chi-square and/or Fisher's exact test were used for association measures (p≤0.05). Results: of the 104 electronic medical records analyzed, ischemic stroke in the bivariate analysis was associated with hypothyroidism, thrombophilia, polycythemia, endocarditis, cardiac arrest, acute renal failure and heart failure. In the final multivariate analysis model, thrombophilia (p=0.011), polycythemia (p&lt;0.001) and cardiac arrest (p=0.005) were predictors of ischemic stroke. Conclusion: thrombophilia, polycythemia, and cardiac arrest were associated with ischemic stroke in children and adolescents with tetralogy of Fallot.Objetivo: verificar os fatores associados ao acidente vascular cerebral isquêmico em crianças e adolescentes com tetralogia de Fallot. Método: estudo transversal, realizado com análise dos prontuários eletrônicos de crianças e adolescentes com tetralogia de Fallot acompanhados em um ambulatório especializado em cardiologia pediátrica no nordeste brasileiro. Os dados foram processados no SPSS 21.0. Aplicou-se Teste Qui-quadrado e/ou Exato de Fisher para medidas de associação (p≤0,05). Resultados: dos 104 prontuários eletrônicos analisados, o acidente vascular cerebral isquêmico na análise bivariada foi associado com hipotireoidismo, trombofilia, policitemia, endocardite, parada cardiorrespiratória, insuficiência renal aguda e insuficiência cardíaca. No modelo final da análise multivariada, foram preditores de acidente vascular cerebral isquêmico a trombofilia (p=0,011), policitemia (p&lt;0,001) e parada cardiorrespiratória (p=0,005). Conclusão: trombofilia, policitemia e a parada cardiorrespiratória foram associados ao acidente vascular cerebral isquêmico em crianças e adolescentes com tetralogia de Fallot

Um raro caso de fetus-in-fetu intrapulmonar

AbstractFetus-in-fetu (FIF) is a rare pathological condition, which presents as a congenital tumor, usually in the abdomen or retroperitoneum. A few cases have been reported in the cranial cavity, cervical spine, ovarium, scrotum and liver. We presently report a case of intrapulmonary FIF in a 12-year-old girl who was on treatment for pulmonary tuberculosis and had no symptoms related to the tumor. To our knowledge this is the first reported case of FIF with pulmonary presentation.Rev Port Pneumol 2005; XI (3): 321-32

Snacks em barra à base de batata doce, com alegação de propriedades nutricionais: desenvolvimento, caracterização nutricional e sensorial

The demand for foods with nutritional claims has increased lately, with cereal bars gaining ground in the market. Sweet potatoes (Ipomoea potatoes Lam) are a food with high energy value, a source of carbohydrates, considered an excellent food option for those who exercise. In this work, the objective was to develop and characterize nutritionally and sensorially snack bars based on sweet potato. Sweet potatoes (var. Jerimum and var. Real) and snacks (SB Jerimum and SB Real) were evaluated for their proximate composition, total dietary fiber content – FDT, soluble fiber – FDS, insoluble fiber – FDI and carotenoids totals; texture and sensorial (global acceptance and the attributes appearance, color, flavor and texture; diagnosis of attributes (sweet potato flavor, sweet taste, crunchiness, firmness/hardness, juiciness and stickiness; and purchase intention. Jerimum sweet potatoes and Real differed from each other in terms of nutritional composition, with emphasis on the Jerimum variety, which presented higher levels of FDT (3.21%), FDS (1.50%) and carotenoids (13.95 mg.100-1), which also reflected in higher concentrations of these nutrients in SB Jerimum snacks. However, the protein content (6.13%) and FDI (31%) were higher in SB Real. The sensory acceptance range for the attributes was “I liked it a little ” on the hedonic scale. Sweet potatoes of the Jerimum and Real varieties are excellent raw material options for developing products with nutritional claim, with a high content of carotenoids, dietary fiber and attractive sensory acceptability.A demanda por alimentos com alegações nutricionais tem aumentado ultimamente, sendo  as barras de cereais produtos que vêm ganhando espaço no mercado. A batata-doce (Ipomoea batatas Lam) é um alimento de alto valor energético, fonte de carboidrato, considerada uma excelente opção de alimento para praticantes de exercício físico. Neste trabalho, objetivou-se desenvolver e caracterizar  nutricionalmente e sensorialmente snacks em barra à base de  batata-doce. As batatas-doces (var. Jerimum e var. Real) e os snacks (SB Jerimum e SB  Real) foram avaliados quanto à sua composição centesimal, teores de fibra dietética total – FDT, fibra solúvel – FDS, fibra  insolúvel – FDI e carotenoides totais; textura instrumental e análise sensorial (aceitação global e dos atributos  aparência, cor, sabor e textura; diagnóstico dos atributos sabor de batata-doce, gosto  doce, crocância, firmeza, suculência e adesividade; e intenção de compra) . As  batatas-doces Jerimum e Real diferiram entre si quanto à composição nutricional, com  destaque para a var. Jerimum que apresentou maiores teores de FDT (3,21%), FDS  (1,50%) e carotenoides (13,95 mg.100-1), o que também refletiu em maiores concentrações desses nutrientes no snacks SB Jerimum. No entanto, o teor de proteínas (6,13%) e FDI  (31%) foram maiores na SB Real. A faixa de aceitação sensorial para os atributos foi de  “gostei pouco” na escala hedônica. As batatas-doces das variedades Jerimum  e Real são ótimas opções de matéria-prima para desenvolvimento de produtos com alegação nutricional, com rico teor de carotenoides, fibras dietéticas e atrativa aceitabilidade sensorial