Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 18.836
Filter
1.
Braz. j. biol ; 83: e248778, 2023. tab, graf
Article in English | MEDLINE, LILACS, VETINDEX | ID: biblio-1339371

ABSTRACT

Abstract This study aimed to analyze the socio-environmental characteristics, executive and nutritional functions in children aged 6 to 7 years, from public schools in Alagoas, Brazil. A quantitative, cross-sectional and descriptive study was performed involving 64 children of the mentioned age group, from public schools located in Alagoas: Maceió, on the coast; Major Isidoro, in the hinterland and Palmeira dos Índios, in the country. Such analyzes were made through the application of neuropsychological tests and anthropometric assessment with children and food and socio-environmental surveys with their parents. As for the type of housing, 100% were made of masonry, with a bathroom present in 98.4%. All children reported with the habit of bathing in the river / lagoon, presented some pathology. There was no significant difference between cities in terms of the sociodemographic characteristics evaluated, with the same result occurring with the factors associated with the occurrence of diseases in children. The subtests of WISC-IV, were below the average in all municipalities, and the TAC and SCC were classified within the average. However, even though the ranking were divided between below average and average, it is possible to identify from the subtests of WISC-IV, that the general IQ showed a cognitive level below the average. There was also no significant difference in the anthropometric assessment (weight, height, BMI and IMCI) between the evaluated students. The average weight was 23.3 kg to 25 kg, the height between 1.23 m to 1.24 m, the BMI between 16.4 to 17; the IMCI from 2.8 to 3.0. Children were classified within the average. Regarding micronutrients (Ca, Fe, K, Mg and Na, and vitamins A, C, D, B1, B9 and B12) and calories, there was also no significant difference between the cities evaluated. The same occurred with macronutrients (proteins, carbohydrates and lipids). This study showed that in general there was no difference between the students of the three municipalities. Probably, even though they are all public schools and from different cities, children have similar social conditions.


Resumo Este estudo teve como objetivo analisar as características socioambientais, funções executivas e nutricionais de crianças de 6 a 7 anos, de escolas públicas de Alagoas, Brasil. Foi realizado um estudo quantitativo, transversal e descritivo envolvendo 64 crianças, na referida faixa etária, de escolas públicas localizadas em Alagoas: Maceió, no litoral; Major Isidoro, no sertão e Palmeira dos Índios, no país. Tais análises foram feitas por meio da aplicação de testes neuropsicológicos e avaliação antropométrica com crianças e inquéritos alimentares e socioambientais com seus pais. Quanto ao tipo de habitação, 100% eram de alvenaria, com banheiro presente em 98,4%. Todas as crianças relataram o hábito de tomar banho no rio / lagoa, apresentavam alguma patologia. Não houve diferença significativa entre os municípios quanto às características sociodemográficas avaliadas, ocorrendo o mesmo resultado com os fatores associados à ocorrência de doenças em crianças. Os subtestes do WISC-IV, ficaram abaixo da média em todos os municípios, e o TAC e SCC foram classificados dentro da média. Porém, mesmo que a classificação tenha sido dividida entre abaixo da média e média, é possível identificar a partir dos subtestes do WISC-IV, que o QI geral apresentou um nível cognitivo abaixo da média. Também não houve diferença significativa na avaliação antropométrica (peso, altura, IMC e AIDPI) entre os alunos avaliados. O peso médio foi de 23,3 kg a 25 kg, a altura entre 1,23 ma 1,24 m, o IMC entre 16,4 a 17; A AIDPI de 2.8 a 3.0. As crianças foram classificadas dentro da média. Em relação aos micronutrientes (Ca, Fe, K, Mg e Na e vitaminas A, C, D, B1, B9 e B12) e calorias, também não houve diferença significativa entre os municípios avaliados. O mesmo ocorreu com os macronutrientes (proteínas, carboidratos e lipídios). Este estudo mostrou que de maneira geral não houve diferença entre os alunos dos três municípios. Provavelmente, mesmo sendo todas escolas públicas e de diferentes cidades, as crianças têm condições sociais semelhantes.


Subject(s)
Humans , Child , Energy Intake , Executive Function , Sodium , Brazil , Cross-Sectional Studies
2.
Rev. enferm. UERJ ; 30: e64056, jan. -dez. 2022.
Article in English, Portuguese | LILACS-Express | LILACS | ID: biblio-1362171

ABSTRACT

Objetivo: descrever a evolução temporal do pré-natal quanto o mês do início do pré-natal, vacinação e orientações sobre aleitamento materno nos anos de 1997, 2006 e 2016. Método: estudo transversal operacionalizado em bancos de dados da II, III e IV Pesquisa Estadual de Saúde e Nutrição. Foram descritas as variáveis: mês de início do pré-natal, doses da vacina antitetânica e orientação sobre o aleitamento materno recebidas no pré-natal. Protocolo de pesquisa aprovado pelo comitê de ética em pesquisa da instituição. Resultados: em 2016 observou-se aumento significativo do início precoce do pré-natal quando comparado a 1997 e 2006 (p<0,001). A vacinação antitetânica durante a gravidez apresentou um aumento significativo em 2006 e 2016 comparado a 1997, assim como a proporção de gestantes que receberam orientações sobre aleitamento materno durante o pré-natal (p<0,001). Conclusões: houve melhoria da assistência pré-natal quanto ao início precoce, vacinação antitetânica e orientações sobre aleitamento materno.


Objective: to describe the temporal evolution of prenatal care in terms of the month when prenatal care began, vaccination and guidelines on breastfeeding in 1997, 2006 and 2016. Method: cross-sectional study operationalized in databases of the II, III and IV State Health and Nutrition Survey. The variables were described: month when prenatal care began, doses of tetanus vaccine and guidance on breastfeeding received during prenatal care. Research protocol approved by the Research Ethics Committee. Results: in 2016 there was a significant increase in early prenatal care when compared to 1997 and 2006 (p<0.001). Tetanus vaccination during pregnancy showed a significant increase in 2006 and 2016 compared to 1997, as did the proportion of pregnant women who received guidance on breastfeeding during prenatal care (p<0.001). Conclusions: there was an improvement in prenatal care regarding early initiation, tetanus vaccination and guidelines on breastfeeding.


Objetivo: describir la evolución temporal de la atención prenatal en función del mes de inicio de la atención prenatal, vacunación y guías de lactancia materna en 1997, 2006 y 2016. Método: estudio transversal operacionalizado en bases de datos de la II, III y IV Encuesta Estatal de Salud y Nutrición. Las variables fueron descritas: mes de inicio de la atención prenatal, dosis de vacuna antitetánica y orientación sobre lactancia materna recibida durante la atención prenatal. Protocolo de pesquisa aprobado por el Comité de Ética en Investigación de la instituición. Resultados: en 2016 hubo un aumento significativo en la atención prenatal temprana en comparación con 1997 y 2006 (p <0,001). La vacunación contra el tétanos durante el embarazo mostró un aumento significativo en 2006 y 2016 en comparación con 1997, al igual que la proporción de mujeres embarazadas que recibieron orientación sobre la lactancia materna durante la atención prenatal (p <0,001). Conclusiones: hubo una mejora en la atención prenatal en cuanto a inicio temprano, vacunación antitetánica y guías de lactancia materna.

3.
Acta colomb. psicol ; 25(1): 56-71, ene.-jun. 2022. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1364257

ABSTRACT

Resumen El presente estudio tuvo como objetivo aproximarse al significado del amor, a través de su expresión escrita, en una muestra de niños y niñas de Lima Metropolitana de Perú, y examinar sus diferencias según sexo y edad. En total, se contó con la participación de 289 individuos divididos en dos muestras: una muestra exploratoria (n = 50) y otra de confirmación (n = 239). El estudio siguió una metodología mixta, a partir del análisis temático como técnica cualitativa para identificar códigos subyacentes a la definición de amor de los niños, y del análisis clúster jerárquico como técnica cuantitativa para generar un dendrograma. Los resultados revelaron la presencia de seis categorías centrales: relación con otros significativos cercanos, romanticismo y amor propio, relación característica entre adultos, estado positivo, afectividad, y apoyo incondicional. A partir de ello, se concluye que el concepto de amor durante la niñez integra tres categorías del esquema interpretativo de las emociones: contextual o elicitador, experiencia subjetiva, y tendencia expresiva/motivacional.


Abstract The aim of the present study was to approach the meaning of love, through its written expression, in a sample of boys and girls from Metropolitan Lima, Peru, and to examine its differences according to sex and age. A total of 289 children participated in the study, divided into two samples: an exploratory sample (n = 50) and a confirmatory sample (n = 239). The study followed a mixed methodology, using thematic analysis as a qualitative technique to identify codes underlying the children's definition of love, and hierarchical cluster analysis as a quantitative technique to generate a dendrogram. The results revealed the presence of six central categories: relationship with significant others, romanticism and self-love, characteristic relationship between adults, positive state, affectivity, and unconditional support. From this, it is concluded that the concept of love during childhood integrates three categories of the interpretative scheme of emotions: contextual or elicitor, subjective experience, and expressive/motivational tendency.

4.
Infectio ; 26(2): 149-155, Jan.-June 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1356261

ABSTRACT

Abstract In Colombia, the prevalence of intestinal parasitosis varies throughout its regions, social classes, and living conditions. We performed a cohort study (2017-2018) on children from 1-10 years old in El Cedro, Ayapel, Colombia. We tested a convenience sampling of those who accepted and signed the consent form. The National Intestinal Parasite Survey was applied; feces and water source sampling were tested for coprological and microbiology analysis, respectively. Education and pharmacologic treatment to the minor and co-inhabitants were performed. After the recruiting, we followed up at 7 and 12 months. Statistical analysis was performed using IBM® SPSS22. Participants 47, 61,7% male, average age 5,7 years. The caretakers had a low educational background. The monthly income of 72,3% of households was < USD 87. The coprological test showed 61,7% with at least one type of parasite; 32,2% with two or more. Trichuris trichiura was the most frequent. Water sources were positive for Escherichia coli. The population tested showed a high frequency of parasitic infection. We did not find a reduction of intestinal parasitosis with educa tion and pharmacologic treatment at the end of the follow-up. It must be necessary to impact social determinants of public health to achieve intestinal parasitosis control.


Resumen En Colombia, la prevalencia de parasitosis intestinal varía por regiones, clases sociales, condiciones de vida. Realizamos estudio de cohorte (2017-2018) en niños de 1-10 años en El Cedro, Ayapel, Colombia. Muestra por conveniencia, se incluyeron aquellos que aceptaron y firmaron el consentimiento. Se aplicó la Encuesta Nacional de Parásitos Intestinales; se analizaron muestras de heces y fuentes de agua para análisis coprológico y microbiológico, respectivamente. Se realizó educación y tratamiento farmacológico al menor y cohabitantes. Después del reclutamiento, seguimiento a los 7 y 12 meses. El análisis estadístico se realizó con IBM® SPSS22. Participantes 47, 61,7% hombres, promedio de edad 5,7 años. Cuidadores con bajo nivel educativo, ingreso mensual del 72,3% de los hogares fue <USD 87. La población analizada mostró una alta frecuencia de infección parasitaria, un 61,7% con al menos un tipo de parásito; 32,2% con dos o más. Trichuris trichiura fue el más frecuente. Las fuentes de agua fueron positivas para Escherichia coli. Al final del seguimiento, no se redujo la frecuencia de la parasitosis intestinal a pesar de educación y tratamiento farmacológico. Se requiere incidir en los determinantes sociales y de salud pública para lograr el control de las parasitosis intestinales.

5.
Rev. SPAGESP ; 23(1): 175-190, jan.-jun. 2022.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1356778

ABSTRACT

RESUMO A construção dos vínculos na adoção é um processo complexo, com momentos de fragilização emocional para os adultos e para as crianças e adolescentes, porém os serviços de suporte às famílias no pós-adoção ainda são escassos. Estudos internacionais apontam para a necessidade de apoio sentida pelas famílias em processo de adoção e os Grupos de Apoio à Adoção (GAA) têm sido uma modalidade importante de suporte no Brasil. Pensando na importante contribuição que os GAA podem exercer nas famílias por adoção, este estudo pretende descrever a experiência de uma parceria entre Universidade e uma ONG Sul-brasileira durante o período de um ano, na condução dos trabalhos do grupo. Os encontros aconteceram mensalmente e foram conduzidos por estudantes de pós-graduação com experiência clínica e de pesquisa na área da adoção e os temas dos encontros eram escolhidos pelas próprias famílias participantes. A experiência permitiu evidenciar a potência do grupo ao incentivar que sentimentos e dúvidas fossem relatados em um ambiente acolhedor e sem julgamentos, o que contribuiu para a desmistificação de temas relacionados à adoção e, possivelmente, para a construção e fortalecimento dos vínculos com as crianças e com outras famílias.


ABSTRACT Forming bonds in adoption is a complex process, with moments of emotional fragility for adults and for children and adolescents, but services to support families in the post-adoption period are still scarce. International studies point to the need for support felt by families in the process of adoption and Adoption Support Groups (GAA, in Portuguese) have been an important modality of support in Brazil. Bearing in mind the important contribution that GAA can make to families by adoption, this study intends to describe the experience of a partnership between the University and a South-Brazilian ONG (in Portuguese) during a one-year period, in conducting the group’s work. The groups took place monthly and were conducted by graduate students with clinical and research experience in the field of adoption. The themes of the meetings were chosen by the participating families themselves. The experience showed the power of the group to encourage families to report feelings and doubts in a welcoming and non-judgmental environment, which contributed to the demystification of themes related to adoption and, possibly, to the construction and strengthening of bonds with children and with other families.


RESUMEN La construcción de vínculos durante la adopción es un proceso complejo, con momentos de debilidad emocional para adultos y para niños y adolescentes, pero los servicios de apoyo a las familias en el período posadopción aún son escasos. Estudios internacionales apuntan a la necesidad de apoyo que sienten las familias en el proceso de adopción y los Grupos de Apoyo a la Adopción (GAA) han sido una modalidad importante de apoyo en Brasil. Teniendo en cuenta la importante contribución que GAA puede hacer a las familias por adopción, este estudio pretende describir la experiencia de una asociación entre la Universidad y una ONG del sur de Brasil durante un período de un año, en la conducción del trabajo del grupo. Los grupos se realizaron mensualmente y fueron conducidos por estudiantes graduados con experiencia clínica y de investigación en el campo de la adopción y los temas de los encuentros fueron elegidos por las propias familias participantes. La experiencia mostró el poder del grupo para alentar sentimientos y dudas a ser reportados en un ambiente acogedor y sin prejuicios, lo que contribuyó a la desmitificación de temas relacionados con la adopción y posiblemente a la construcción y fortalecimiento de vínculos con los niños y con otras familias.


Subject(s)
Humans , Self-Help Groups , Power, Psychological , Adoption , Family , Parenting , Family Relations
6.
Rev. SPAGESP ; 23(1): 159-174, jan.-jun. 2022.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1356777

ABSTRACT

RESUMO O objetivo deste estudo foi analisar a literatura científica no período de janeiro de 2006 a março de 2021 sobre as repercussões da perda gestacional na conjugalidade e na parentalidade. Trata-se de uma revisão sistemática que envolveu consulta às bases Pubmed, PsycNET e Portal BVS, por meio de descritores estabelecidos previamente, resultando em 16 estudos elegíveis para análise. Foram encontrados resultados contrastantes quanto às repercussões da perda gestacional na parentalidade, sugerindo a necessidade de investigação de fatores de proteção. A perda apresentou-se como risco à conjugalidade, porém a comunicação conjugal emergiu como fator de proteção que merece maior investigação. Estudos futuros devem adotar métodos qualitativos ou mistos, incluir a perspectiva masculina sobre o tema e avaliar intervenções conjugais e familiares.


ABSTRACT This study aimed to analyze the scientific production from Jan 2006 to Mar 2021 regarding the repercussions of pregnancy loss on conjugality and parenthood. It is a systematic review carried out in Pubmed, PsycNET, and Portal BVS database through previously established descriptors, resulting in 16 eligible studies. We found contrasting results regarding repercussions in parenthood, suggesting the need to investigate protective factors also. Pregnancy loss shows as a risk for marital relationships, but marital communication emerged as a possible protection factor that deserves further investigation. Future research should adopt qualitative and mixed methods, include men’s perspectives, and evaluate marital and family interventions.


RESUMEN El objetivo de este estudio ha sido analizar la literatura científica en el período de enero de 2006 hasta marco de 2021 sobre las repercusiones de la pérdida gestacional en la conyugalidad y en la parentalidad. Esta es una revisión sistemática realizada en las bases Pubmed, PsycNET y Portal BVS, con los descriptores establecidos previamente, resultando en 16 estudios elegibles. Se encontraron resultados contrastantes en cuanto a las repercusiones en la crianza de los hijos, sugiriendo la necesidad de investigar también los factores protectores. La pérdida se presentó como un riesgo para la conyugalidad, sin embargo, la comunicación marital emergió como un posible factor protector que merece más estudios. Se indica que futuras investigaciones adopten métodos cualitativos, que incluyan la perspectiva masculina y evalúen intervenciones conyugales y familiares.


Subject(s)
Parent-Child Relations , Marriage , Abortion, Spontaneous , Parenting , Protective Factors
7.
Rev. SPAGESP ; 23(1): 44-58, jan.-jun. 2022.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1356769

ABSTRACT

RESUMO Visando a investigar a experiência emocional de mães que tiveram uma criança "arco-íris" após terem experienciado uma perda gestacional/neonatal, foram entrevistadas quatro mães de crianças arco-íris de até três anos de idade. As entrevistas foram mediadas por uma narrativa interativa e, após cada encontro, uma narrativa transferencial foi redigida pela entrevistadora. O material foi analisado psicanaliticamente, segundo a Teoria dos Campos. Observou-se que as participantes, atravessadas por um enlutamento complexo, culpabilizaram-se pela perda e por terem seguido adiante no cuidado materno com os filhos arco-íris, oscilando entre a superproteção e o afastamento. Nota-se a importância de uma intervenção junto a esse coletivo, que geralmente só é foco de atenção (quando o é) durante a gestação/puerpério subsequente à perda gestacional/neonatal.


ABSTRACT Aiming to investigate the emotional experience of mothers who had a "rainbow" child after experiencing a gestational/neonatal loss, four mothers of rainbow children up to three years old were interviewed. The interviews were mediated by an interactive narrative. After each meeting, a transferential narrative was written by the interviewer. The material was analyzed psychoanalytically, according to the Theory of Fields. It was observed that the participants blamed themselves for the loss and for having carried on with the maternal care of the rainbow children, oscillating between overprotection and withdrawal. We have noticed the importance of intervention within this group, which is usually the focus of attention (when it is) only during the pregnancy/puerperium following the gestational/neonatal loss.


RESUMEN Con el objetivo de investigar la experiencia emocional de madres que tuvieron un hijo "arcoiris" después de experimentar la pérdida gestacional/neonatal, se entrevistó a cuatro madres de niños arcoiris de hasta tres años de edad. Las entrevistas fueron mediadas por una narrativa interactiva. Después de cada encuentro, la entrevistadora redactó una narrativa transferencial. El material fue analizado psicoanalíticamente, según la Teoría de Campos. Se observó que las participantes se culpaban por la pérdida y por haber seguido adelante con los niños arcoíris, oscilando entre la sobreprotección y el retraimiento. Se señala la importancia de una intervención junto a este colectivo, a la que normalmente se dirige (cuando se lo hace) sólo durante el embarazo/puerperio tras la pérdida gestacional/neonatal.


Subject(s)
Humans , Female , Child , Adult , Bereavement , Abortion, Spontaneous , Parenting , Postpartum Period , Mother-Child Relations
8.
Arch. argent. pediatr ; 120(3): 187-194, junio 2022. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1368229

ABSTRACT

Introducción. En los últimos años, creció la evidencia sobre la efectividad de la inclusión de los padres o las parejas en las intervenciones que promueven la lactancia para mejorar las tasas de iniciación, duración y exclusividad. Objetivos. Identificar perspectivas y valoraciones sobre la lactancia en las parejas de las personas que amamantan, y generar información que permita la creación de intervenciones apropiadas que favorezcan la incorporación de los padres en los espacios de cuidado y en el sostén de la lactancia. Materiales y métodos. Estudio cualitativo, con diseño de teoría fundamentada. Se realizaron 4 grupos de enfoque con padres. Los datos fueron procesados definiendo unidades de análisis por flujo libre, codificadas en dos planos, una codificación abierta, en categorías que emergieron y la agrupación de las categorías en cinco temas principales. Resultados. Participaron 16 padres. Se identificaron 5 temas principales: conocimiento de los padres sobre la lactancia, sentimientos frente a la lactancia, participación de la pareja en la lactancia, construcción de la idea de paternidad, lactancia en la sociedad. La lactancia recibió una valoración positiva. Si bien se consensuó una responsabilidad familiar compartida en su sostén, no se identificaron acciones suficientes de coparticipación. Los participantes manifestaron el deseo de ejercer una paternidad más comprometida, sin embargo, relataron que los entornos laborales no acompañan estas transformaciones. Conclusión. Se evidenciaron valoraciones positivas hacia la lactancia, conocimientos adecuados y preocupación por las dificultades. Se asumió una responsabilidad compartida en su sostén, pero faltaron en los relatos la mención de acciones concretas de coparticipación.


Introduction. The evidence about the effectiveness of fathers' or partners' involvement in breastfeeding interventions to promote initiation, duration, and exclusiveness rates has increased in recent years. Objectives. To identify the perspectives and assessments of breastfeeding among partners of breastfeeding women and develop information to create adequate interventions that favor the inclusion of fathers in care spaces and in the support of breastfeeding. Materials and methods. Qualitative study with a grounded theory design. Four focus groups were held with fathers. Data were processed defining free flow analysis units, coded in 2 levels, an open code, with emerging categories, and such categories grouped into 5 main topics. Results. A total of 16 fathers participated. Five main topics were identified: fathers' knowledge about breastfeeding, feelings towards breastfeeding, partner's involvement in breastfeeding, development of the concept of fatherhood, breastfeeding in society. Breastfeeding was positively assessed. Although breastfeeding support was considered a shared family responsibility, there were not enough co-participation actions identified. Participants expressed their desire to play a more involved fatherhood role; however, they stated that these transformations are not supported at workplaces. Conclusion. The evidence showed a positive assessment of breastfeeding, adequate knowledge, and concern about difficulties. Breastfeeding support was considered a shared responsibility, but not enough specific co-participation actions were mentioned.


Subject(s)
Humans , Male , Female , Adult , Breast Feeding , Fathers , Pregnancy , Qualitative Research , Eating , Emotions
9.
Arch. argent. pediatr ; 120(3): 209-216, junio 2022. tab, ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1368241

ABSTRACT

La laringe se localiza en la encrucijada aerodigestiva; cualquier patología que la comprometa tendrá repercusión en la respiración, la deglución y/o la voz. Se divide en tres regiones: la supraglotis (comprende la epiglotis, las bandas ventriculares y los ventrículos laríngeos), la glotis (espacio limitado por las cuerdas vocales) y la subglotis (zona más estrecha de la vía aérea pediátrica y único punto rodeado en su totalidad por cartílago: el anillo cricoides). La obstrucción laríngea se puede presentar como una condición aguda potencialmente fatal o como un proceso crónico. El síntoma principal es el estridor inspiratorio o bifásico. La etiología varía mucho según la edad y puede ser de origen congénito, inflamatorio, infeccioso, traumático, neoplásico o iatrogénico. Se describen las patologías que ocasionan obstrucción laríngea con más frecuencia o que revisten importancia por su gravedad, sus síntomas orientadores para el diagnóstico presuntivo, los estudios complementarios y el tratamiento.


The larynx is at the aerodigestive crossroads; any pathology that involves it will have an impact on breathing, swallowing and/or the voice. It`s divided into three regions: supraglottis (includes epiglottis, ventricular bands and laryngeal ventricles), glottis (space limited by the vocal cords) and subglottis (narrowest area of pediatric airway and the only point of larynx completely surrounded by cartilage: the cricoid ring). Laryngeal obstruction can present as a potentially fatal acute condition or as a chronic process. The main symptom is inspiratory or biphasic stridor. The etiology varies widely according to age and it may be of congenital, inflammatory, infectious, traumatic, neoplastic or iatrogenic origin. We describe the pathologies that cause laryngeal obstruction, either those that occur very often or those which are important for their severity, their guiding symptoms to the presumptive diagnosis, additional studies and treatment.


Subject(s)
Humans , Child , Pediatrics , Laryngeal Diseases/diagnosis , Laryngeal Diseases/etiology , Airway Obstruction/etiology , Larynx/pathology , Algorithms , Laryngeal Diseases/therapy
10.
Arch. argent. pediatr ; 120(3): e147-e150, junio 2022.
Article in Spanish | LILACS, BINACIS | ID: biblio-1370740

ABSTRACT

El síndrome inflamatorio multisistémico en niños y adolescentes relacionado temporalmente con la COVID-19 (SIM-C) es una entidad poco frecuente en pediatría, que emerge en relación con la pandemia por el coronavirus de tipo 2 causante del síndrome respiratorio agudo grave (SARS-CoV-2) y fue descripto por primera vez en mayo de 2020. Debido al escaso tiempo de evolución de esta enfermedad, hay aspectos sobre su fisiopatología, pronóstico y posibilidad de recurrencia, que aún se desconocen. Se presenta el caso clínico de un paciente de 12 años que cursó un cuadro compatible con SIM-C en enero de 2021, con buena evolución clínica posterior. Luego presentó una reinfección por SARS-CoV-2 a los 5 meses de la infección inicial (junio de 2021), con síntomas leves y sin recurrencia del SIM-C.


The multisystem inflammatory syndrome in children temporally related to COVID-19 (MIS-C) is a rare disease in pediatrics, which emerges related to the SARS-CoV-2 pandemic and was initially described in May 2020. Given the short time of evolution of this disease, little is known about the pathophysiology, prognosis, and the possibility of recurrence. We present a clinical case of a 12-year-old patient who presented symptoms compatible with MIS-C in January 2021, with good subsequent clinical evolution. He developed reinfection by SARS-CoV-2 at five months later (June 2021), with mild symptoms and without recurrence of MIS-C


Subject(s)
Humans , Male , Child , SARS-CoV-2 , COVID-19/complications , COVID-19/diagnosis , Systemic Inflammatory Response Syndrome , Pandemics , Reinfection
11.
Rev. Ciênc. Méd. Biol. (Impr.) ; 21(1): 46-52, maio 05,2022. fig, tab
Article in Portuguese | LILACS | ID: biblio-1370569

ABSTRACT

Introdução: a avaliação e intervenção motora possibilitam minimizar os atrasos no desenvolvimento motor de crianças prematuras. Objetivo: o objetivo deste estudo foi avaliar o desenvolvimento motor de crianças prematuras, de 0 a 12 meses de idade corrigida, após intervenção baseada em orientações aos pais. Metodologia: a amostra foi composta por 43 bebês nascidos prematuros e para avaliação do desempenho motor foi utilizada a Alberta Infant Motor Scale (AIMS), além de dois questionários qualitativos para identificação e controle dos fatores de risco. Foi utilizada estatística descritiva e os testes de Wilcoxon e McNemar para analisar as mudanças ao longo do tempo (p < 0,05). Resultados: através do follow-up, após as orientações aos pais, o número de bebês que apresentavam desempenho motor abaixo do esperado foi reduzido. Os percentis obtidos no desempenho motor nos dois momentos avaliativos indicam que houve melhora ao longo do tempo (p = 0,05), assim como os dados referentes à categorização (p = 0,04). Conclusões: é importante o acompanhamento e identificação da influência dos fatores de risco sobre os bebês para que medidas interventivas possam ser implementadas precocemente, sendo o modelo baseado em orientações um método de baixo custo e de fácil aplicabilidade em serviços públicos de saúde.


AbstractIntroduction: motor assessment and intervention makes it possible to minimize delays in motor development of premature children. Objective: the aim of this study was to evaluate the motor development of premature children, from 0 to 12 months of corrected age, after an intervention based on guidance to parents. Methodology: The sample consisted of 43 babies born prematurely and to assess motor performance, the Alberta Infant Motor Scale (AIMS) was used, in addition to two qualitative questionnaires to identify and control risk factors. Descriptive statistics were used and the Wilcoxon and McNemar tests to analyze changes over time (p < 0.05). Results: through the follow-up, after the guidance to the parents, the number of babies that presented motor performance below the expected was reduced, with statistical significance. The percentiles obtained in the motor performance in the two evaluation moments indicate that there was an improvement over time (p = 0.05), as well as the data related to the categorization (p = 0.04). Conclusion:it is important to monitor and identify the influence of risk factors on babies so that interventional measures can be implemented early, and the model based on guidelines is a low-cost and easily applicable method in public health services.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Infant, Premature , Child , Child Development , Risk Factors , Follow-Up Studies , Healthcare Models
12.
Arch. argent. pediatr ; 120(2): 80-88, abril 2022. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1363652

ABSTRACT

Introducción. La evidencia actual indica que la gravedad de la enfermedad por el coronavirus 2019 (COVID-19, por su sigla en inglés) es menor en la población pediátrica, los datos locales aún son limitados. Objetivo: caracterizar los aspectos clínicos y epidemiológicos de la infección por COVID-19 en menores de 18 años en Argentina. Población y métodos. Estudio transversal, observacional y analítico de casos confirmados de COVID-19 entre 0 y 18 años asistidos entre marzo de 2020 y marzo de 2021 en 19 centros pediátricos de referencia de Argentina. Se realizó un análisis multivariado para identificar las variables predictoras de cuadros graves. Resultados. Se incluyeron 2690 casos de COVID-19: 77,7 % residentes del área metropolitana de Buenos Aires, 50,1 % de sexo masculino, mediana de edad de 5,6 años. El 90 % ocurrió entre las semanas epidemiológicas 20-47 del 2020; 60,4 % con antecedente de contacto con personas con COVID-19; y 96,6 % en el entorno familiar. El 51,4 % presentó síntomas respiratorios; 61,6 % síntomas generales; 18,8 % síntomas gastrointestinales; 17,1 % síntomas neurológicos; 7,2 % otros y 21,5 % fueron asintomáticos. El 59,4 % fue hospitalizado; 7,4 fueron graves o críticos. Se registraron 57 casos de síndrome inflamatorio multisistémico. El antecedente de asma, displasia broncopulmonar, cardiopatía congénita, desnutrición moderada a grave, obesidad, enfermedad neurológica crónica y/o edad menor de 6 meses resultaron predictores independientes de gravedad. Residir en barrios vulnerables resultó protector. Conclusiones. Más de la mitad de los casos refirieron antecedente de contacto con personas con COVID-19 en el entorno familiar. La hospitalización no respondió a criterios clínicos de gravedad. La gravedad se encuentra asociada a la existencia de ciertas comorbilidades.


Introduction. The current evidence indicates that the severity of the coronavirus disease 2019 (COVID-19) is lower in the pediatric population but local data are still limited. Objective: To characterize the clinical and epidemiological aspects of COVID-19 infection in patients younger than 18 years in Argentina. Population and methods. Cross-sectional, observational, and analytical study of confirmed COVID-19 patients aged 0-18 years seen between March 2020 and March 2021 at 19 referral children's hospitals of Argentina. A multivariate analysis was done to identify predictors of severe cases. Results. A total of 2690 COVID-19 cases were included: 77.7% lived in the Metropolitan Area of Buenos Aires; 50.1% were males; patients' median age was 5.6 years. Of them, 90% were seen during epidemiological weeks 20-47 of 2020; 60.4% had a history of contact with COVID-19 patients; and 96.6% in their family setting. Also, 51.4% had respiratory symptoms; 61.6%, general symptoms; 18.8%, gastrointestinal symptoms; 17.1%, neurological symptoms; 7.2%, other symptoms; and 21.5% were asymptomatic. In addition, 59.4% of patients were hospitalized and 7.4% had a severe or critical course. A total of 57 patients developed multisystem inflammatory syndrome. A history of asthma, bronchopulmonary dysplasia, congenital heart disease, moderate to severe malnutrition, obesity, chronic neurological disease and/or age younger than 6 months were independent predictors of severity.Livinginavulnerableneighborhoodwas a protective factor. Conclusions. More than half of cases referred a history of contact with COVID-19 patients in the family setting. Hospitalization was not based on clinical criteria of severity. Severity was associated with the presence of certain comorbidities


Subject(s)
Humans , Male , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , COVID-19/complications , COVID-19/epidemiology , Argentina/epidemiology , Cross-Sectional Studies , Systemic Inflammatory Response Syndrome , Pandemics , Preliminary Data
13.
Arch. argent. pediatr ; 120(2): 122-: I-128, I, abril 2022. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1363805

ABSTRACT

El cuidado infantil de buena calidad atenúa los efectos de la adversidad social. La prevención en salud es parte de él. Se presenta un programa innovador de formación de referentes de salud en centros de cuidado infantil que atienden a poblaciones vulnerables en Buenos Aires, Argentina. Este consistió en una capacitación para personal de centros de cuidado infantil, seguido de la implementación, durante 4 meses, de un plan de mejoras elaborado por cada participante para su centro, con apoyo de consultoría permanente. Veintiséis participantes de 19centroscompletaron el programa. Se alcanzaron 35 de 49 objetivos planteados en los planes, incluida la certificación en reanimación cardiopulmonar, la capacitación del personal y las familias, el desarrollo de políticas del centro y la mejora de la gestión de recursos. Es posible mejorar los cuidados preventivos en los centros de cuidado infantil mediante una intervención sencilla y de bajo costo, incluso en condiciones desfavorables.


An adequate child care helps to mitigate the effects of social adversity. Health prevention is a part of it. This is an innovative training program for health referents in child care centers that cater to vulnerable populations in Buenos Aires, Argentina. It consisted in training child care center staff, followed by the implementation, over 4 months, of an improvement plan developed by each participant in their center, with ongoing advisory support. In total, 26 participants from 19 centers completed the program. In total, 35 out of 49 goals proposed in the plans were achieved, including the certification in cardiopulmonary resuscitation, staff and family training, development of center policies, and improved resource management. Preventive care offered in child care centers may be improved via a simple and inexpensive intervention, including in unfavorable conditions


Subject(s)
Humans , Child Care , Child Day Care Centers , Argentina , Eating
14.
Arch. argent. pediatr ; 120(2): 140-144, abril 2022. tab
Article in Spanish | LILACS, BINACIS | ID: biblio-1363822

ABSTRACT

Recibir a un niño o a una niña en cuidado transitorio supone la fortaleza para enfrentar situaciones complejas, ofrecer cuidados y contención, y ser consciente del carácter temporario de ese hecho. El pediatra juega un papel determinante no solo en el cuidado de la salud de niños, niñas y adolescentes con derechos vulnerados, sino también como actor clave en la detección temprana de los casos, a partir de una mirada atenta y comprometida con la situación de cada niño. Se presenta un caso de 5 hermanos con derechos vulnerados, en el que intervino el Sistema de Promoción y Protección Integral de Derechos de los Niños a través de un programa de familias de abrigo, con el objetivo de clarificar la situación legal actual y concientizar sobre dicha alternativa.


Receiving a child in foster home care needs the strength to face complex situations, gives care and support, and be aware of the temporary nature of that position. The pediatrician plays a decisive role not only in the health care of children and adolescents with lost rights, but also in the early detection of cases, based on an attentive and committed attitudes facing each child circumstances. We present the experience of 5 siblings with lost rights in which the Promotion and Integral Protection of Children's Rights System intervened through a program of foster families, with the aim of clarifying the current legal situation and raising awareness about this alternative.


Subject(s)
Humans , Child , Adolescent , Family , Foster Home Care
15.
Arch. argent. pediatr ; 120(2): e80-e84, abril 2022. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1363973

ABSTRACT

El síndrome de erupción medicamentosa con eosinofilia y síntomas sistémicos (drug reaction with eosinophilia and systemic symptoms, DRESS), también conocido como síndrome de hipersensibilidad inducida por medicamentos, es una reacción rara potencialmente mortal que causa una erupción grave y que puede provocar insuficiencia multiorgánica. Como con otras erupciones medicamentosas graves, los linfocitos T específicos para un medicamento tienen una función crucial en el síndrome DRESS. El modelo de hapteno/pro-hapteno, el modelo de interacción farmacológica y el modelo alterado de repertorio de péptidos son tres modelos diferentes desarrollados para describir la relación/interacción entre un medicamento o sus metabolitos y el sistema inmunitario. Analizamos nuestra experiencia con el tratamiento con ciclosporina en un caso de síndrome DRESS resistente a esteroides causado por ácido valproico en una niña y sus resultados clínicos, de laboratorio y de antígeno leucocitario humano (HLA).


Drug reaction with eosinophilia and systemic symptoms (DRESS), also known as drug-induced hypersensitivity syndrome, is a potentially life-threatening rare reaction that causes a severe rash and can lead to multiorgan failure. As in other severe drug eruptions, drug-specific T lymphocytes play a crucial role in DRESS. The hapten/pro-hapten model, pharmacological interaction model, and altered peptide repertoire model are three different models developed to describe the relationship/interaction between a medication or its metabolites and the immune system. We discuss our experience with cyclosporine treatment in a steroid-resistant DRESS syndrome caused by valproic acid in a girl, as well as her clinical, laboratory, and human leukocyte antigens (HLA) study results


Subject(s)
Humans , Female , Adolescent , Eosinophilia/complications , Eosinophilia/chemically induced , Drug Hypersensitivity Syndrome/diagnosis , Drug Hypersensitivity Syndrome/etiology , Valproic Acid/adverse effects , Cyclosporine , Haptens/adverse effects , HLA Antigens/adverse effects
16.
Nursing (Säo Paulo) ; 25(287): 7618-7627, abr.2022.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1372576

ABSTRACT

Objetivos: identificar a causa de morte infantil hospitalar, correlacionando-a com as causas evitaveís de mortalidade e associando-a com a prevalência do município. Métodos: a pesquisa foi realizada utilizando como base de informações as certidões de óbitos e prontuários arquivados no Hospital Regional do Mato Grosso do Sul, dos quais foram selecionados os óbitos do período de 2012 a 2017 de crianças menores de 5 anos e foram analisados as variáveis sociodemográficas e causas das mortes. Resultados: ocorreram 364 mortes infantis no período, sendo que 75% dos óbitos registrados são classificados como causas evitáveis de óbitos infantis. Conclusão: são necessárias ações para a qualificação de recursos humanos e estruturas de saúde no âmbito hospitalar com enfoque nas causas evitáveis, sendo mandatório a atualização dos indicadores de mortalidade infantil, visto que representam a efetividade dos serviços de saúde e fazem parte da vigilância epidemiologia no âmbito da saúde coletiva.(AU)


Objectives: to identify the cause of infant death in hospital, correlating it with preventable causes of mortality and associating it with the prevalence in the municipality. Methods: the research was conducted using death certificates and medical records filed at the Regional Hospital of Mato Grosso do Sul as a basis of information, from which deaths from 2012 to 2017 of children under 5 years were selected and the variables were analyzed sociodemographic factors and causes of death. Results: there were 364 infant deaths in the period, and 75% of registered deaths are classified as preventable causes of infant deaths. Conclusion: actions are needed for the qualification of human resources and health structures in the hospital environment with a focus on preventable causes, and it is mandatory to update the infant mortality indicators, as they represent the effectiveness of health services and are part of the epidemiology surveillance in the scope of collective health.(AU)


Objetivos: identificar la causa de muerte infantil en el hospital, correlacionarla con las causas prevenibles de mortalidad y asociarla con la prevalencia en el municipio. Métodos: la investigación se realizó utilizando como base de información los certificados de defunción y las historias clínicas archivadas en el Hospital Regional de Mato Grosso do Sul, a partir de la cual se seleccionaron las defunciones de 2012 a 2017 de niños menores de 5 años y se analizaron las variables factores sociodemográficos y causas de muerte. Resultados: hubo 364 defunciones infantiles en el período y el 75% de las defunciones registradas se clasifican como causas evitables de defunción infantil. Conclusión: se requieren acciones para la calificación de los recursos humanos y las estructuras de salud en el ámbito hospitalario con foco en las causas prevenibles, y es obligatorio actualizar los indicadores de mortalidad infantil, ya que representan la efectividad de los servicios de salud y son parte de la epidemiología vigilancia en el ámbito de la salud colectiva(AU)


Subject(s)
Infant Mortality , Public Health , Epidemiological Monitoring
17.
Int. braz. j. urol ; 48(2): 284-293, March-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364965

ABSTRACT

ABSTRACT A major challenge in the management of ureteropelvic junction obstruction (UPJO) is the selection of patients who would benefit from surgical treatment. Tissue inhibitor metalloproteinase-2 (TIMP-2) and insulin-like growth factor-binding protein 7 (IGFBP7) indicate renal cell stress and are associated with cell cycle arrest. The [TIMP-2] [IGFBP7] ratio (Nephrocheck®) has been recently applied in patients in intensive care units patients to predict the development of acute kidney injury. In this study, we evaluated the performance of these biomarkers performance to distinguishing obstructive hydronephrosis (HN) from non-obstructive HN. Materials and Methods: Consecutive patients with UPJO were enrolled in this study. Urinary [TIMP-2] [IGFBP7] and clinical characteristics (hydronephrosis grade, differential renal function, and drainage half-time) were measured in the following groups: 26 children with obstructive HN at initial diagnosis (group 1A) and after six months of dismembered pyeloplasty (group 1B); 22 children with non-obstructive HN (group 2), and 26 children without any urinary tract condition, as the control group (group 3). Results: Comparing the initial samples, [TIMP-2] [IGFBP7] had higher levels in the HN groups and lower levels in the control group; however, no difference was observed between the HN groups (obstructive vs. non-obstructive). After six months of follow-up, patients who underwent dismembered pyeloplasty showed stability in the urinary concentration of [TIMP-2] [IGFBP7]. All patients with [TIMP-2] [IGFBP7] higher than 1.0 (ng/mL)2/1000 had diffuse cortical atrophy on ultrasonography. Conclusions: We showed that urinary levels of urinary [TIMP-2] [IGFBP7] are higher in children with HN than controls. Nephrocheck® is not reliable in predicting the need for surgical intervention for pediatric patients with UPJO.


Subject(s)
Humans , Child , Tissue Inhibitor of Metalloproteinase-2/blood , Acute Kidney Injury/diagnosis , Acute Kidney Injury/etiology , Biomarkers/urine , Insulin-Like Growth Factor Binding Proteins/urine , Tissue Inhibitor of Metalloproteinase-2/urine , Matrix Metalloproteinase 2 , Kidney/physiology
18.
Int. braz. j. urol ; 48(2): 275-281, March-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364959

ABSTRACT

ABSTRACT Objectives: The purpose of our study was to assess the association between the winter season and desmopressin treatment failure in South Chinese children with monosymptomatic nocturnal enuresis (MNE). Materials and Methods: A retrospective study was conducted to analyze the clinical data of children with monosymptomatic nocturnal enuresis who have visited our urology clinic from January to December 2019. All patients received desmopressin treatment. Final treatment outcomes were categorized as successful (complete response) or failed (absent and partial response). The relationship between winter season and treatment response to desmopressin was evaluated. Additionally, associated risk factors were investigated with both univariate and multivariate regression analysis. Results: In total, 393 patients diagnosed with MNE were included in the present study. There were no statistically significant differences in pretreatment variables at first visit between patients who visited the clinic in winter and those who did so in other seasons. However, the treatment failure rate of MNE in the winter season was higher than that of other seasons (77.50% vs. 52.74%). Multivariate logistic regression analysis demonstrated that the severity of symptoms and an initial clinic visit in the winter season were significantly related to desmopressin treatment failure in MNE patients. Conclusion: Winter season and severity of symptoms are two risk factors associated with desmopressin treatment failure in MNE patients.


Subject(s)
Humans , Child , Enuresis , Nocturnal Enuresis/drug therapy , Seasons , Pilot Projects , Retrospective Studies , Deamino Arginine Vasopressin/therapeutic use
19.
Rev. latinoam. cienc. soc. niñez juv ; 20(1): 210-231, ene.-abr. 2022. tab, graf
Article in Spanish | LILACS | ID: biblio-1365872

ABSTRACT

Resumen (analítico) La presencia de medios análogos y digitales en la vida de los niños, niñas y adolescentes redimensiona la discusión sobre participación infantil, centrándola en lo que ocurre en las pantallas. Realizamos un estudio cualitativo de corte descriptivo con 75 niños, niñas y adolescentes, de 7 a 14 años, de tres ciudades (Barranquilla, Cali y Bogotá). Los resultados indican que los niños, niñas y adolescentes tienen formas complejas y diversas de pensar la participación, que superan las divisiones, escalas y prescripciones adultas e institucionales, para incluir acciones de ocio, socialización y consumo cultural. Se trata de una participación heterogénea, convergente y multiplataforma que incluye actividades como generar contenidos, dar likes, hacer suscripciones, navegar, buscar tareas o simplemente ver vídeos, fotos, jugar, divertirse y socializar, mostrando intereses, subjetividades y formas de socialización infantiles en medios y TIC.


Abstract (analytical) The presence of analogue and digital media in the lives of children and adolescents reshapes discussions on child participation, with an emphasis on participation that is facilitated through screens. A qualitative descriptive study was carried out with 75 children and adolescents aged 7 to 14 years old in three cities (Barranquilla, Cali and Bogotá). The results suggest that children and adolescents have complex and diverse ways of thinking about participation that go beyond adultcentric and institutional concepts such as divisions and different scales. Children conceive their own participation in terms of leisure, socialization and cultural consumption activities. Theirs is a heterogeneous, convergent and multi-platform participation that includes activities such as creating content, liking, subscribing, browsing the web, doing homework, as well as watching videos, looking at pictures, playing games, having fun and socializing. These results show children's interests, subjectivities and forms of socialization using media and ICTs.


Resumo (analítico) A presença da mídia analógica e digital na vida das crianças e adolescentes, redimensiona a discussão sobre a participação infantil enfocando o que acontece nas telas. Foi realizado um estudo qualitativo descritivo com 75 crianças de 7 a 14 anos em três cidades (Barranquilla, Cali e Bogotá). Os resultados indicam que as crianças e adolescentes têm formas complexas e diversas de pensar a participação, assim como seus papéis na mídia e no cenário digital, que vão além das divisões, escalas e prescrições de adultos e instituições. Esta participação é heterogênea, convergente e multiplataforma, que inclui atividades como a criação de conteúdo, dar likes, fazer trabalhos escolares ou simplesmente olhar vídeos, fotos, jogar, brincar e socializar; mostrando os interesses, subjetividades e formas de socialização das crianças na mídia e nas TIC.


Subject(s)
Child , Online Social Networking
20.
Rev. latinoam. cienc. soc. niñez juv ; 20(1): 281-302, ene.-abr. 2022. tab
Article in Spanish | LILACS | ID: biblio-1365875

ABSTRACT

Resumen (analítico) Chile es un caso emblemático en la instalación de una política de protección a la infancia con orientación neoliberal. Actualmente, esta política es ejecutada casi completamente por organizaciones privadas, financiadas conforme al logro de indicadores de desempeño estandarizados. Algunas investigaciones plantean que estos indica-dores gobiernan la racionalidad de los trabajadores y trabajadoras; empero, estudios internacionales señalan que este tipo de gobernanza no solo es racional, sino también afectiva. A partir de un análisis textuala-fectivo de 14 entrevistas individuales y dos talleres grupales realizados a cinco trabajadoras y un trabajador de distintos organismos colaboradores del Servicio Nacional de Menores, se reporta que este modelo de gestión consume y maquiniza los cuerpos de estas y estos profesionales. No obstante, el afecto es el que hace posible la resistencia.


Abstract (analytical) Chile is an emblematic case in the implementation of a neoliberal child welfare policy. This policy is now almost entirely undertaken by private organizations, financed based on their achievement of standardized performance indicators. Scientific literature suggests that these indicators govern workers' rationality. However, international studies indicate that the effect of indicators is not just rational but also affective. From a textual-affective analysis of 14 interviews and 2 workshops conducted with 5 female workers and 1 male worker from different partner organizations within the Chilean National Service for Minors, participants reported that this management model consumes and mechanizes the work carried out by these professionals. However, it is affectivity that makes resistance possible.


Resumo (analítico) O Chile é um caso emblemático na instalação de uma política neoliberal de proteção à criança. Esta, é hoje quase inteiramente executado por organizações privadas, financiadas de acordo com a obtenção de indicadores de desempenho padronizados. Pesquisas sugerem que estes indicadores governam a racionalidade dos trabalhadores; enquanto estudos internacionais indicam que este governo não é apenas racional, mas também afetivo. A partir de uma análise textual-afetiva de 14 entrevistas e duas oficinas realizadas a cinco trabalhadoras e um trabalhador de diferentes Organizações Colaboradoras do Serviço Nacional de Menores, é relatado que este modelo de gestão consome e mecaniza os órgãos destes profissionais. No entanto, é o afeto que torna possível a resistência.


Subject(s)
Politics , Work , Child Welfare , Affect , Minors
SELECTION OF CITATIONS
SEARCH DETAIL