Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic

Objective: To assess factors associated with emotional changes and Hyperactivity/Inattention (HI) motivated by COVID-19 quarantine in adolescents with immunocompromising diseases. Methods: A cross-sectional study included 343 adolescents with immunocompromising diseases and 108 healthy adolescents. Online questionnaires were answered including socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and validated surveys: Strengths and Difficulties Questionnaire (SDQ), Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). Results: The frequencies of abnormal emotional SDQ scores from adolescents with chronic diseases were similar to those of healthy subjects (110/343 [32%] vs. 38/108 [35%], p = 0.548), as well as abnormal hyperactivity/inattention SDQ scores (79/343 [23%] vs. 29/108 [27%], p = 0.417). Logistic regression analysis of independent variables associated with abnormal emotional scores from adolescents with chronic diseases showed: female sex (Odds Ratio [OR = 3.76]; 95% Confidence Interval (95% CI) 2.00‒7.05; p < 0.001), poor sleep quality (OR = 2.05; 95% CI 1.08‒3.88; p = 0.028) and intrafamilial violence during pandemic (OR = 2.17; 95% CI 1.12‒4.19; p = 0.021) as independently associated with abnormal emotional scores, whereas total PedsQL score was inversely associated with abnormal emotional scores (OR = 0.95; 95% CI 0.93‒0.96; p < 0.0001). Logistic regression analysis associated with abnormal HI scores from patients evidenced that total PedsQL score (OR = 0.97; 95% CI 0.95‒0.99; p = 0.010], changes in medical appointments during the pandemic (OR = 0.39; 95% CI 0.19-0.79; p = 0.021), and reliable COVID-19 information (OR = 0.35; 95% CI 0.16‒0.77; p = 0.026) remained inversely associated with abnormal HI scores. Conclusion: The present study showed emotional and HI disturbances in adolescents with chronic immunosuppressive diseases during the COVID-19 pandemic. It reinforces the need to promptly implement a longitudinal program to protect the mental health of adolescents with and without chronic illnesses during future pandemics

KNOWLEDGE ABOUT RABIES AND LEISHMANIASIS IN STUDENTS OF PUBLIC SCHOOLS IN THE MUNICIPALITIES OF APODI, FELIPE GUERRA AND SEVERIANO MELO IN RIO GRANDE DO NORTE, BRAZIL

This objective of this work was to assess the knowledge of students in public schools about rabies and leishmaniasis, through educational interventions. A total of 628 questionnaires were applied in public students from Apodi, Felipe Guerra and Severiano Melo. The questionnaires were administered before and after the educational interventions in the form of lectures. The data were discussed through a descriptive analysis. Before the presentation, 53.9% of students claimed to know the transmission mode of leishmaniasis and after, this percentage increased to 92.2%. However, before the lectures, only 6.0% of respondents associated the transmission to sandflies, and after, this percentage increased to 75.7%. For rabies, before the lectures, 63.7% of students reported knowing how rabies is transmitted and, after the lectures, 92.8% said how it was the transmission. Concerning the transmission, before the presentations, 68.3% reported that it was through bite or injury of animals and, after the lectures, the index increased to 80.4%. In conclusion, the student´s perception of public education on rabies and leishmaniasis was higher in all aspects addressed after educational intervention compared to the same questions about the knowledge of the disease before the intervention. It also concludes that the perception of students for rabies is greater than for leishmaniasis

Second serological inquiry on migratory birds resident in Galinhos/RN for detection of West Nile Fever and other viruses

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