Perfil clínico-epidemiológico de suspeitos e infectados pelo novo coronavírus 2019 na faixa etária pediátrica

Abstract Objective: To evaluate the epidemiological and clinical characteristics of hospitalized children with suspected or diagnosed COVID-19 in a tertiary hospital in Minas Gerais. Method: Descriptive, cross-sectional, retrospective study with quantitative design. Data were collected from medical records of patients aged between zero and 12 years old, hospitalized with suspected or diagnosed COVID-19. Results: Of the 127 hospitalized individuals, 17.3% had confirmation of the diagnosis of COVID-19, and in 85.83% they were diagnosed by only one test and 11.81% underwent double testing. The most frequently reported and observed symptoms on admission were fever, runny nose, cough, respiratory distress and vomiting. The therapeutic approach adopted was the administration of antibiotics, analgesics, antipyretics and antivirals. Conclusion and implications for practice: In 2020 in the interior of Minas Gerais, the profile of infants, male, white, with comorbidities and respiratory symptoms, without the need for supplemental oxygen, were hospitalized for suspected or confirmed COVID-19. and with an outcome for survival. The pandemic caused by the new coronavirus caused biopsychosocial damage, concern about the development of the disease and negative outcomes for pediatric patients. The present study corroborates the safety and improvement of care aimed at the pediatric populationResumo Objetivo: Avaliar as características epidemiológicas e clínicas de crianças hospitalizadas com suspeita ou diagnóstico de COVID-19 em um hospital terciário de Minas Gerais. Método: Estudo descritivo, transversal, retrospectivo com delineamento quantitativo. Coletados dados de prontuários de pacientes na faixa de zero a 12 anos completos internados com suspeita ou diagnóstico de COVID-19. Resultados: Dos 127 indivíduos internados, 17,3% tiveram confirmação do diagnóstico de COVID-19, sendo que em 85,83% foram diagnosticados por apenas um teste e 11,81% realizaram dupla testagem. Os sintomas mais frequentemente relatados e observados na admissão foram febre, coriza, tosse, desconforto respiratório e vômitos. A conduta terapêutica adotada foi administração de antibióticos, analgésicos, antipiréticos e antiviral. Conclusão e implicações para a prática: No ano de 2020 no interior de Minas Gerais foram hospitalizados por suspeita ou confirmação de COVID-19 o perfil de lactentes, sexo masculino, cor branca, com comorbidades e sintomatologia respiratória, sem necessidade de uso de oxigênio suplementar e com desfecho para sobrevida. A pandemia pelo novo coronavírus provocou prejuízos biopsicossociais, preocupação quanto ao desenvolvimento da doença e desfechos negativos para pacientes pediátricos. O presente estudo corrobora para a segurança e melhoria da assistência direcionada ao público pediátrico

Perfil clínico e epidemiológico de indivíduos com atraso no desenvolvimento neuropsicomotor em um serviço público de Minas Gerais

O desenvolvimento infantil constitui-se um período de mudanças nos diversos domínios do comportamento humano. Alterações no desenvolvimento podem gerar atrasos e/ou deficiências no indivíduo. O objetivo desta pesquisa foi analisar o perfil clínico e epidemiológico de pacientes diagnosticados com atraso no desenvolvimento neuropsicomotor (ADNPM) atendidos em um ambulatório especializado de um hospital universitário de Minas Gerais. Trata-se de um estudo descritivo, transversal, com análise documental. Observou-se predominância do sexo masculino (50,8%), nascimento via cesárea (54,6%), com ocorrência de anóxia perinatal durante o parto (14,6%), 64% nascidos a termo e com peso adequado ao nascimento (57,8%). Quanto ao diagnóstico, 45,4% apresentaram Paralisia Cerebral e ADNPM e 40% tinham ADNPM. Em 35,1% dos participantes as alterações foram no domínio cognitivo, motor e linguagem, sendo que 22,7% faziam uso isolado de anticonvulsivante. As avaliações periódicas destes pacientes são de suma importância para auxiliar profissionais e cuidadores a entenderem o indivíduo de forma integral, a fim de ofertar um suporte adequado e de qualidade ao paciente com ADNPM.2022-02-1

Analysis of the spatial-temporal dynamics of incidence, mortality and test rates (rapid and RT-PCR) of COVID-19 in the state of Minas Gerais, Brazil

Introduction: A novel type of coronavirus, SARS-CoV-2, is responsible for an unprecedented pandemic with profound socioeconomic consequences. Owing to its recent discovery, the virus that emerged in the Chinese city of Wuhan in December 2019 still represents a great unknown to researchers. This study aims to establish the spatio-temporal associations of the incidence, mortality, and the rate of both rapid and RT-PCR tests in Minas Gerais. Methods: This is a quantitative analysis of secondary data based on a cross-sectional research design. Incidence, mortality, date of the first notification of COVID-19 and number of rapid and RT-PCR tests were obtained from the sources: Laboratory Environment Manager, e-SUS epidemiological surveillance platform and SES-MG. Pearson coefficient for correlation was calculated to establish the level of association between the relevant data. Descriptive statistical procedures were used to provide a comprehensive understanding of the distribution of incidence, mortality and test rates in the territory. Results: Positive correlations were found between the rate of rapid tests and incidence; rate of RT-PCR tests and incidence/mortality. At the municipal level, incidence, mortality, rate of rapid tests and RT-PCR revealed a negative correlation with days elapsed since the First Notified Case. The same effect occurs, at different intensities, at the level of health macro-regions. Discussion: The heterogeneity of the incidence and mortality of COVID-19 in the territory of Minas Gerais, as well as the rate of tests (rapid and RT-PCR) may be caused, in part, due to the different dates of introduction of the virus in the municipalities/macro-regions. It is speculated that this phenomenon occurs due to the dynamics of regional and inter-regional flows of people

Analysis of the spatio-temporal dynamics of incidence, mortality and test rates (rapid and RT-PCR) of COVID-19 in the state of Minas Gerais, Brazil

Background and Objectives: A novel type of coronavirus, SARS-CoV-2, is responsible for an unprecedented pandemic with profound socioeconomic consequences. Owing to its recent discovery still represents a great unknown to researchers. Thus, this study aims to establish the spatio-temporal associations of the incidence, mortality, and the rate of both rapid and RT-PCR tests in Minas Gerais. Methods: This is a quantitative analysis of secondary data based on a cross-sectional research design. Incidence, mortality, date of the first notification of COVID-19 and number of rapid and RT-PCR tests were obtained from the sources: “GAL”, “e-SUS VE” and “SES-MG”. Pearson coefficient for correlation was calculated to establish the level of association between the relevant data. Descriptive statistical procedures were used to provide a comprehensive understanding of the distribution of incidence, mortality and test rates in the territory. Results: Positive correlations were found between the rate of rapid tests and incidence; rate of RT-PCR tests and incidence/mortality. At the municipal level, incidence, mortality, rate of rapid tests and RT-PCR revealed a negative correlation with days elapsed since the First Notified Case. The same effect occurs at the level of health macro-regions. Conclusion: The heterogeneity of the incidence and mortality of COVID-19 in the territory of Minas Gerais, as well as the rate of tests may be caused, in part, due to the different dates of introduction of the virus in the municipalities/macro-regions. It is speculated that this phenomenon occurs due to the dynamics of regional and inter-regional flows of people

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

Núcleos de Ensino da Unesp: artigos 2008

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq