O impacto do M��todo M��e Canguru no processo de aprendizagem de prematuros de baixo peso: Revis��o da literatura

Technology advances and scientific studies in Neonatal Intensive Care Units (NICU) have contributed significantly to reduce mortality and morbidity of at-risk newborns (NB). However, they are more likely to present neurological and/or developmental psychomotor delay with neurological and sensory alterations. Therefore, proposals for neonatal intervention were developed with the aim of protecting the baby and offering appropriate incentives to minimize the effects of hospital intervention. To this end, programs of protective measures such as the Kangaroo Mother Care (KMC) were developed. Given the relevance of the issue described, this systematic review critically appraises articles from the national and international literature, published in recent years (from 2000 to 2011), that describe whether the KMC can be a protective factor for the development of writing in premature infants. The textual search was conducted using the Virtual Health Library (VHL), a website that covers publications worldwide, allowing access to articles from health science, including LILACS, IBECS, MEDLINE, Cochrane Library and SciELO, as database. The findings revealed that infants who participated in the KMC program showed improvements in their development and that factors such as low-birth-weight prematurity and learning disorders have close relationship with the onset of motor impairments and changes in psychomotor development. The findings showed no articles describing the KMC as a protective factor for the incidence of dysgraphia. Thus, we emphasize the importance of conducting further studies on these topics.

Exposi����o neonatal a drogas otot��xicas e poss��veis altera����es auditivas

Introduction: Scientific evidence indicates that neonatal exposure to ototoxic drugs cause hearing loss in newborns. Objective: To characterize the use of ototoxic antibiotics in newborns (NB), treated in the Neonatal Intensive Care Unit (NICU) and evaluate possible hearing modifications. Methods: A descriptive cross-sectional quantitative approach, using data from medical records of infants who were at some time in the NICU and used antibiotics, including ototoxic, from January to June 2004 as much as 2010, and the data were compared and analyzed. Parents/guardians of infants born in 2004 were contacted and applied a questionnaire containing questions about the children���s hearing. These children were submitted to audiological evaluation. Results: There was significant reduction in the time of use, the amount of antibiotics prescribed to newborns and Vancomycin prescription in 2010 compared to 2004. The hearing tests of 13 born in 2004 showed: sensorineural hearing loss in only 2 (one with moderate hearing loss and descending configuration in pure tone audiometry and the other with bilateral cochlear impairment); audiometric thresholds within the normal range in 11 patients, and the presence of otoacoustic emissions in 9. In Evoked Auditory Brainstem Response (ABR) no changes were observed. Conclusion: The reduction in the time of use, the amount and types of antibiotics observed may be related to the adoption of a Protocol in 2008, by the service. In contrast, auditory alterations may be related to a neonatal exposure to antibiotics in 2004.

Avalia����o da qualidade da aten����o ao parto nos colegiados de gest��o regional Cuesta Botucatu e Vale do Jurumirim

The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery

Detec����o dos genes de Biofilme, da leucocidina Panton-Valentine e da resist��ncia a Meticilina em amostras de Staphylococcus aureus e Estafilococos Coagulase-Negativa

Uma cole����o de 57 amostras de Staphylococcus aureus e 30 de estafilococos coagulasenegativa isoladas de recém-nascidos (RN) foram estudadas em rela����o �� presen��a dos genes pvl, mecA e ica. Das 57 amostras de S. aureus, 31,6% apresentaram o gene mecA e 17,5% os genes pvl, sendo que dentre estas somente uma amostra foi mecA e pvl positiva. Os ECN apresentaram 36,7% de amostras mecA positivas, 93,3% ica positivas e nenhuma amostra pvl. Foi observada uma queda no n��mero de amostras resistentes �� meticilina no per��odo de 1991-2005 para os S. aureus e tamb��m no per��odo de 1990- 1996 para os ECN, por��m a diferen��a n��o foi significativa. Tamb��m foram estudadas dez amostras de S. aureus isoladas de fossa nasal e nenhuma apresentou o gene mecA ou pvl. J�� entre as dez amostras de ECN isoladas de fossa nasal, todas apresentaram o gene 11 ica, por��m nenhuma foi resistente �� meticilina. A an��lise dos dados cl��nicos dos RN revelou que o uso de cateter e outros corpos estranhos aumentam o risco de infec����o por S. aureus e ECN. Assim, a produ����o de biofilme por ECN foi um importante fator de virul��ncia presente em mais de 90% das amostras, confirmando a import��ncia deste na ocorr��ncia de infec����es relacionadas com cateteres, e, apesar dos genes mecA e pvl estarem presentes concomitantemente em apenas uma amostra de S. aureus, esta revelou ter import��ncia significativa

Detec����o de indiv��duos portadores e capacita����o de profissionais em cuidados b��sicos na anemia falciforme

O Programa Nacional de Triagem Neonatal (PNTN), popularmente conhecido como ���Teste do Pezinho���, �� respons��vel pelo rastreamento das seguintes doen��as nos recém-nascidos brasileiros: Fenilceton��ria, Hipotiroidismo Cong��nito, Doen��as Falciformes e demais Hemoglobinopatias, e Fibrose C��stica. Seu objetivo �� o diagn��stico precoce dessas doen��as cong��nitas em fase assintom��tica, buscando prevenir o aparecimento de sequelas neurol��gicas e outras complica����es por meio do acompanhamento e tratamento adequados. O PNTN, al��m de realizar o diagn��stico pr��-cl��nico de doen��as que constituem problemas de sa��de p��blica, gera informa����es que podem ser usadas em estudos epidemiol��gicos fundamentais para o planejamento de programas de sa��de. Para que esse sistema seja completo, no entanto, �� necess��rio haver o treinamento dos profissionais da sa��de envolvidos no assunto, bem como a implanta����o de atividades educativas para estes e para o p��blico em geral. Neste contexto, este estudo retrospectivo prop��e investigar a rela����o de resultados alterados das doen��as detectadas pelo PNTN entre os meses de abril e dezembro de 2009 e janeiro e dezembro de 2010 no munic��pio de Araraquara, verificar se as primeiras coletas de sangue est��o sendo feitas segundo as recomenda����es do Minist��rio da Sa��de e capacitar agentes comunit��rios da sa��de nesse assunto. Foram analisados 4.116 resultados. N��o houve diferen��a significativa entre as preval��ncias obtidas em 2009 e 2010, ou seja, as freq����ncias das patologias estudadas se mantiveram praticamente constantes ao longo dos dois per��odos

Resultado perinatal de gestantes submetidos �� busca ativa de infec����o genital

P��s-gradua����o em Sa��de Coletiva - FMB

Detec����o e caracteriza����o de Escherichia coli potencialmente patog��nicas em aves selvagens e pombos-dom��sticos na cidade de Jaboticabal-SP

P��s-gradua����o em Microbiologia Agropecu��ria - FCAV

��ndice de contamina����o: novo par��metro para an��lise de metais e de pesticidas no sangue materno e do cord��o umbilical

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior (CAPES)

Itiner��rio terap��utico de m��es de crian��as que foram a ��bito no per��odo neonatal em munic��pio do interior paulista

P��s-gradua����o em Enfermagem - FMB

Estudo da Estrutura da Prote��na SH do V��rus Sincicial Respirat��rio Humano: an��lise funcional da estrutura pentam��rica por ferramentas de bioinform��tica

P��s-gradua����o em Biof��sica Molecular - IBILCE

Colostro e leite de ��guas: an��lise mirobiol��gica e contagem de c��lulas som��ticas

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior (CAPES)

Neonatal hearing screening in a low-risk maternity in S��o Paulo state

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)

An��lise da amplitude da resposta das emiss��es otoac��sticas e das lat��ncias das ondas do PEATE, como poss��veis indicadores de comprometimento das c��lulas ciliadas cocleares e nervo auditivo, em lactentes com asfixia

P��s-gradua����o em Bases Gerais da Cirurgia - FMB

Fatores maternos associados �� realiza����o de ces��rea eletiva e resultado perinatal segundo tipo de parto: estudo populacional desenvolvido em munic��pio de m��dio porte do interior paulista

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)

Papel do resveratrol sobra a modula����o do receptor Aril-hidrocarboneto (AhR) e o desenvolvimento da pr��stata de ratos expostos ao 2, 3, 7, 8-tetraclorodibenzo-p-dioxina (TDCC) durante a gesta����o

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)