ABSTRACT
A pandemia da COVID-19 afetou as pessoas de diferentes maneiras. Diversas mudanças aconteceram nas atividades de trabalho e de lazer, impactando na saúde física e mental. Este estudo de revisão bibliográfica analisou as adaptações referente às práticas de lazer ativo e social que ocorreram durante a pandemia da COVID-19 e sua influência na saúde mental da população brasileira. Foram selecionados os artigos mais relevantes que foram publicados nos últimos 4 anos (2020-2023). Os resultados apresentaram que as práticas de lazer durante o período pandêmico foram adaptadas aos pequenos espaços, e que pessoas que já praticavam algum tipo de atividade anteriormente possuem melhor capacidade de adaptação as adversidades. O acesso a internet e as plataformas de entretenimento aumentaram consideravelmente e as práticas de lazer social foram substituídas pelo lazer artístico, virtual, manual e intelectual.
The COVID-19 pandemic has affected people in different ways. Several changes have occurred in work and leisure activities, impacting physical and mental health. This literature review study analyzed the adaptations regarding active and social leisure practices that occurred during the COVID-19 pandemic and their influence on the mental health of the Brazilian population. The most relevant articles that were published in the last 4 years (2020-2023) were selected. The results showed that leisure practices during the pandemic period were adapted to small spaces, and that people who already practiced some type of activity previously have a better ability to adapt to adversities. Access to the internet and entertainment platforms increased considerably and social leisure practices were replaced by artistic, virtual, manual and intellectual leisure.
ABSTRACT
Computerized batteries have been widely used to investigate cognitive impairment (CI) in patients with SLE. The aim of this study was to evaluate the cognitive performance of patients with SLE in relation to healthy controls using the Pediatric Automated Neuropsychological Assessment Metrics (Ped-ANAM) battery. In addition, we aimed to examine differences in Ped-ANAM scores according to age of disease onset, presence of disease activity, and disease damage. We included 201 consecutive adult-onset (aSLE) and childhood-onset SLE (cSLE) patients who were being followed at the hospital's rheumatology outpatient clinic and 177 healthy controls. We applied the percentage of correct answers on the Ped-ANAM subtests and the Performance Validity Index (PVI) metric and correlated them with the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) and Systemic Lupus Erythematosus Damage Index (SDI). Then, we established their relationships with neuropsychiatric systemic lupus erythematosus (NPSLE). We observed CI in a total of 38 (18.9%) SLE patients and 8 (4.5%) healthy controls (p < 0.001). CI was observed in eight (19.5%) cSLE patients and 32 (20%) aSLE patients (p = 0.8175). Individual analysis of the aSLE subtests showed a significant difference in all subtests compared to healthy controls; the greatest differences were in matching to sample (p < 0.001) and memory search ( p < 0.001). In the cSLE group, we observed a difference in the code substitution subtests (p = 0.0065) compared to the healthy controls. In the evaluation of clinical outcomes, disease activity was significantly correlated with CI in cSLE (r = 0.33; p = 0.042) and aSLE (r = 0.40; p = 0.001). We also observed an association between disease activity and neuropsychiatric manifestations (p = 0.0012) in aSLE. In conclusion, we determined that cognitive dysfunction, mainly in memory and attention, was more prevalent in patients with SLE. In both the cSLE and aSLE groups, disease activity was associated with worse cognitive function. This is the first study to use the Ped-ANAM in Brazil. Longitudinal studies are necessary to determine how the Ped-ANAM will perform over time.
Subject(s)
Cognitive Dysfunction , Lupus Erythematosus, Systemic , Adult , Humans , Child , Lupus Erythematosus, Systemic/complications , Cognitive Dysfunction/complications , Cognition , BrazilABSTRACT
Automated neuropsychiatric batteries have been used in research and clinical practice, including for chronic diseases, such as Systemic Lupus Erythematosus. The Pediatric Automated Neuropsychological Assessment Metrics battery (Ped-ANAM), originally developed for use in American-English speaking individuals, allows tracking of cognitive functions. It can be applied to people over 9 years old. The aim of this study was to translate and present initial validation data from the Ped-ANAM into Brazilian-Portuguese. We translated the battery according to Beaton's guidelines. Psychometric properties were tested, internal consistency was analyzed by Cronbach's alpha coefficient, test-retest reliability by the intraclass correlation coefficient (ICC). Further, we measured the test execution speed at both times as a temporal stability. Principal component analysis (PCA) was used for structural validity. Evidence of construct validity was assessed through assessment of the relationships with the Wechsler Intelligence Scales. All participants prior to the start of study related activities signed an informed consent form approved by the local ethics committee. A sample of 230 individuals [mean (range) of age: 23 (9 to 60) years; 65% females] was included; a subset of 51 individuals [mean (range) of age: 18 (9 to 57) years, 59% female] completed the Ped-ANAM twice to assess test-retest reliability, and another subset of 54 individuals [mean (range) of age: 20.4 (7 to 62) years; 67% female] completed the Wechsler Intelligence Scales for Children and Adult for assessment of the Ped-ANAM's construct validity. Our results suggest that the internal consistency of the Ped-ANAM (Cronbach's α = 0.890) and its subtest test-retest reliability were excellent (ICC: 0.59 to 0.94). There was no clustering in the Principal Components Analysis, suggestive of non-grouping of the evaluated variables. Construct validity assessment to the Wechsler Scales showed expected ranges of low to strong correlations (Spearman correlations: ρ = 0.40 to ρ = 0.69). We concluded that, based on the results of this study, a cross-culturally validated Brazilian-Portuguese version of the Ped-ANAM has been developed and it is a reliable tool for the screening cognitive function.
ABSTRACT
Introduction: Juvenile idiopathic arthritis (JIA) is the most common rheumatic inflammatory condition in childhood. The long-term morbidity, mortality, and quality of life have improved with the earlier use of disease-modifying drugs (DMARDs) and the availability of biology disease-modifying drugs (bDMARDs). Despite the improvement of treatment, around 50% of the patients reach adulthood with articular and/or extra articular disease activity. A careful planned transition from pediatric to adult care is necessary to reduce the loss of follow-up that is associated with stopping medications, flares, and disability due to untreated arthritis or uveitis.Areas covered: This narrative review provides an overview of the importance of transition in JIA Articles were selected from Pubmed searches.Expert opinion: JIA patients, family, and healthcare workers have to be trained to provide an effective transition plan, based on local and national policies. Important aspects such as expectations, maturation, disease characteristics, disease activity, adherence, disability, and psychological aspects among others have to be considered and addressed during the transition phase to improve self-esteem, self-assurance, and quality of life.
Subject(s)
Arthritis, Juvenile , Transition to Adult Care , Adolescent , Adult , Antirheumatic Agents/therapeutic use , Arthritis, Juvenile/psychology , Arthritis, Juvenile/therapy , Child , Delivery of Health Care/organization & administration , Delivery of Health Care/standards , Humans , Quality of Life , Transition to Adult Care/organization & administration , Transition to Adult Care/standardsABSTRACT
Este estudo avaliou 40 crianças, na faixa etária de 5/6 anos; sendo 20 delas submetidas ao ensino de técnicas de origami e as outras 20 compuseram o grupo controle, com o objetivo de comparação e análise da influência do ensino da técnica de origami no desenvolvimento da coordenação motora fina. A avaliação da coordenação motora foi realizada segundo os testes do Manual de Desenvolvimento Motor,Rosa Neto (2002) na forma de pré e de pós-teste. A partir deste estudo é possível observar que o origami, pode influenciar de forma significativamente positiva no desenvolvimento da coordenação motora fina.
This study, evaluated 40 children aged 5/6 years, 20 of them being subjected to teaching techniques of origami and the other 20 formed the control group, in order to compare and analysis of the influence teaching the art of origami in the development of fine motor coordination. The assessment of fine motor coordination was carried out according testing Manual Motor Development, Rosa Neto (2002)in the form of previous-test and after-test. From this study we can see that origami can influence so significantly positive in the development of fine motor coordination.
Este estudio evaluó a 40 niños entre 5 y 6 años, 20 de ellos fueron sometidos a la enseñanza de técnicas de origami y los otros 20 formaron el grupo de control parala correlación y el análisis de la influencia de la enseñanza de la técnica del origami en el desarrollo de la coordinación motora fina. La evaluación de la coordinación motora fina se realizó según las pruebas de Motor Manual para el Desarrollo, Rosa Neto (2002) en el formulario de pre y post-test. De este estudio se puede ver que el origami puede influir de manera tan significativa positiva en el desarrollo de la coordinación motora fina.
Subject(s)
Male , Female , Humans , Child , Child , Child Rearing , Learning , Physical Education and Training , Motor Skills , Play and Playthings/psychologyABSTRACT
Objectives: there are many gaps in knowledge about physical activity and epilepsy. The doubts and beliefs mingle with scientific knowledge. Can patients with epilepsy practice sports? Methods: in this context, this literature review brought some important studies on physical activity, exercise and sports related epilepsy. Results/ Conclusions: the results showed that involvement in sporting activities, with guidance, can be an effective adjuvant therapeutic method in the treatment of these people, contributing mainly in sense of well-being and combating stress, thereby providing a better quality of life for patients...
Objetivos: existem muitas lacunas no conhecimento a respeito da prática de atividades físicas e a epilepsia. Dúvidas e crenças relacionadas aparecem e se confundem com o conhecimento científico. Pacientes com epilepsia podem praticar atividades esportivas? Metodologia: diante deste contexto, esta pesquisa de revisão bibliográfica reuniu os principais estudos sobre atividade física, exercício físico e esportes relacionados com epilepsia. Resultados/ Conclusões: os resultados mostraram que o envolvimento nas atividades esportivas, com orientação, pode ser um eficiente método terapêutico no tratamento destes indivíduos, contribuindo principalmente na sensação de bem estar e combate ao estresse, proporcionando desta forma uma melhor qualidade de vida aos pacientes...
