Saint Clair Gomes
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View article: Distribution of pediatric intensive care beds in Brazil: Regional inequalities and implications for equity in the public health system
Distribution of pediatric intensive care beds in Brazil: Regional inequalities and implications for equity in the public health system Open
Background Pediatric Intensive Care Units (PICUs) play a critical role in reducing child mortality, but their distribution across Brazil remains markedly uneven. Understanding how the spatial and technological distribution of PICU beds rel…
View article: COVID-19 vaccination coverage survey in population 18 years and older, Bissau, Guinea-Bissau, January 2023
COVID-19 vaccination coverage survey in population 18 years and older, Bissau, Guinea-Bissau, January 2023 Open
Introduction: COVID-19 poses a serious problem to global public health. Despite vaccine availability, countries face difficulties in reaching the 70% coverage target. The objectives of this study were to estimate vaccination coverage for C…
View article: Three-Dimensional-Printed Isoniazid Chewable Gels for On-Demand Latent Tuberculosis Treatment in Children
Three-Dimensional-Printed Isoniazid Chewable Gels for On-Demand Latent Tuberculosis Treatment in Children Open
Background/Objectives: Pediatric drug administration is hindered by difficulties in swallowing conventional medications and the unpalatable taste of many drugs. Among diseases highlighting the need for improved pediatric delivery, tubercul…
View article: Development of children born during the Zika virus epidemic in Brazil: a generation at risk?
Development of children born during the Zika virus epidemic in Brazil: a generation at risk? Open
In Brazil, during the Zika virus epidemic, studies primarily focused on children with intrauterine virus exposure, while neglecting to monitor those born during that time. Children without intrauterine exposure can also experience developm…
View article: Symbolic violence experienced by frontline healthcare professionals during the COVID-19 pandemic
Symbolic violence experienced by frontline healthcare professionals during the COVID-19 pandemic Open
Objectives: to analyze how symbolic relationships established by healthcare professionals were expressed in their work during the pandemic. Methods: This qualitative study was conducted through an online survey. Participants were healthcar…
View article: Ophthalmic Artery Doppler as a Predictor of Adverse Neonatal Outcomes in Women With Preeclampsia
Ophthalmic Artery Doppler as a Predictor of Adverse Neonatal Outcomes in Women With Preeclampsia Open
Objective This study aimed to evaluate the association between ophthalmic artery (OA) Doppler indices and adverse neonatal outcomes in women with pregnancies complicated by preeclampsia (PE). Methods A prospective cross‐sectional study inv…
View article: A COVID-19 E O IMPACTO NA ROTINA DAS ESCOLAS DO RIO DE JANEIRO: percepção dos professores
A COVID-19 E O IMPACTO NA ROTINA DAS ESCOLAS DO RIO DE JANEIRO: percepção dos professores Open
The COVID-19 pandemic encouraged researchers and public managers to adopt several strategies to contain the spread of the SARS-Cov-2 virus, including the closure of schools, which kept children, adolescents and teachers away from the schoo…
View article: Adherence of Brazilian Minors to the 24-Hour Movement Guidelines after In-Person School Return
Adherence of Brazilian Minors to the 24-Hour Movement Guidelines after In-Person School Return Open
The levels of adequacy of movement behaviors after returning to in-person school activities following the COVID-19 pandemic are not yet well understood. This study aimed to assess the adherence of Brazilian minors to the recommendations of…
View article: The trajectory of head circumference and neurodevelopment in very preterm newborns during the first two years of life: a cohort study
The trajectory of head circumference and neurodevelopment in very preterm newborns during the first two years of life: a cohort study Open
Serial measurements of head circumference provide knowledge of the trajectory of growth, with early catch-up between discharge and 1 month, as well as its association with neurodevelopment. Head circumference is therefore a valuable clinic…
View article: Lockdown during the COVID-19 pandemic: lessons from a polarized scenario in Brazil
Lockdown during the COVID-19 pandemic: lessons from a polarized scenario in Brazil Open
Introduction The COVID-19 pandemic led many countries to adopt strict measures aimed at reducing circulation of the virus and mitigating the burden on health services. Among these, the lockdown (social distancing/confinement) was probably …
View article: Effects of osteopathic manipulative treatment on maternal-fetal hemodynamics in third trimester pregnant women: A prospective study
Effects of osteopathic manipulative treatment on maternal-fetal hemodynamics in third trimester pregnant women: A prospective study Open
Objective To evaluate the maternal-fetal hemodynamic effects after osteopathic manipulative treatment by measuring vital signs and Doppler velocimetry in third-trimester pregnant women. Materials and methods This is a prospective study wit…
View article: Analysis of Down syndrome newborn outcomes in three neonatal intensive care units in Rio de Janeiro, Brazil
Analysis of Down syndrome newborn outcomes in three neonatal intensive care units in Rio de Janeiro, Brazil Open
SUMMARY OBJECTIVE: The aim of this study was to analyze the outcomes of newborns with Down syndrome admitted to three neonatal intensive care units in the city of Rio de Janeiro, Brazil. METHODS: A retrospective cohort study was conducted …
View article: Maternal and perinatal outcomes of minimally invasive fetal surgeries: experience from two reference centers in Rio de Janeiro, Brazil
Maternal and perinatal outcomes of minimally invasive fetal surgeries: experience from two reference centers in Rio de Janeiro, Brazil Open
Despite the small sample size, we demonstrated that minimally invasive fetal surgeries are safe for pregnant women. Perinatal mortality and prematurity rates in this study were comparable to those previously. Prematurity remains the most s…
View article: Look, you are (not) alone: circulating gift and the mental health of healthcare professionals during the COVID-19 pandemic
Look, you are (not) alone: circulating gift and the mental health of healthcare professionals during the COVID-19 pandemic Open
The mental health of health professionals who worked directly in services during the COVID-19 pandemic to care for patients affected by the disease became a fundamental issue to be considered, given the several consequences of this activit…
View article: Influence of Osteopathic Manipulative Treatment on the Quality of Life and the Intensity of Lumbopelvic Pain in Pregnant Women in the Third Trimester: A Prospective Observational Study
Influence of Osteopathic Manipulative Treatment on the Quality of Life and the Intensity of Lumbopelvic Pain in Pregnant Women in the Third Trimester: A Prospective Observational Study Open
During pregnancy, the various changes women undergo can affect their health status. Manual therapies are important aids because they do not use medication. This study aimed to evaluate the influence of osteopathic manipulative treatment on…
View article: Cervical Intraepithelial Neoplasia grade 2 biopsy: Do p16INK4a and Ki-67 biomarkers contribute to the decision to treat? A cross-sectional study
Cervical Intraepithelial Neoplasia grade 2 biopsy: Do p16INK4a and Ki-67 biomarkers contribute to the decision to treat? A cross-sectional study Open
Negative p16INK4a and Ki67 immunohistochemical staining can assure absence of a higher-grade lesion in more than 85% of patients with CIN2 biopsies and can be used to prevent overtreatment of these patients. Positive IHC staining for p16IN…
View article: Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review
Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review Open
Objective To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. Methods The search was carried out between 28 th June to 4 th July 2022 on the Biblioteca Virtual em Saúde, Pubmed…
View article: High-risk children and social isolation: the importance of family functioning
High-risk children and social isolation: the importance of family functioning Open
High-risk newborns are exposed to neonatal conditions such as prematurity, very low birth weight, and congenital malformations that can affect development and behavior. Coronavirus disease 2019 (COVID-19) restraint and control measures hav…
View article: Social Representations of Hesitant Brazilians about Vaccination against COVID-19
Social Representations of Hesitant Brazilians about Vaccination against COVID-19 Open
Background: The control of the COVID-19 pandemic has been a great challenge. Understanding the thoughts and beliefs underlying vaccine hesitancy can help in the formulation of public policies. The present study aimed to analyze the social …
View article: Development of a predictive model of body fat mass for newborns and infants
Development of a predictive model of body fat mass for newborns and infants Open
This work determined equations to estimate the BFM of term newborns and infants. The models can be used in clinical practice, especially in health units without access to technologies for measuring body composition, adding important inform…
View article: Survey of the Adequacy of Brazilian Children and Adolescents to the 24-Hour Movement Guidelines before and during the COVID-19 Pandemic
Survey of the Adequacy of Brazilian Children and Adolescents to the 24-Hour Movement Guidelines before and during the COVID-19 Pandemic Open
The 24-Hour Movement Guidelines provide specific recommendations on movement behaviors for children and adolescents. The objective of this study was to verify the adequacy of children and adolescents to the guidelines for moderate to vigor…
View article: Mitigation of Socio-Economical Inequalities on the Profile of Healthcare Workers Infected with SARS-CoV-2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
Mitigation of Socio-Economical Inequalities on the Profile of Healthcare Workers Infected with SARS-CoV-2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave Open
Background: COVID-19 increased health inequalities worldwide. Even among healthcare workers, social-economical features enhanced the risk of infection (having positive serology) during the first outbreak. The Omicron variant changed the pa…
View article: Trustworthiness of information sources on vaccines for COVID-19 prevention among Brazilians
Trustworthiness of information sources on vaccines for COVID-19 prevention among Brazilians Open
Objective This study aims to assess the trustworthiness of information sources, perception of clear information about the vaccine, and strategies to increase adherence to vaccination to provide managers with information that helps establis…
View article: Perceptions of the impact of the Covid-19 pandemic on the lives of children and adolescents with cystic fibrosis
Perceptions of the impact of the Covid-19 pandemic on the lives of children and adolescents with cystic fibrosis Open
This article describes the impact of the Covid-19 pandemic on the lives of children and adolescents with cystic fibrosis (CF) from the perspective of their parents and guardians. We conducted an exploratory study with 27 parents and guardi…
View article: Detection of sexually transmitted infections among transvestites and transsexual women in prison in the metropolitan region of Rio de Janeiro, Brazil
Detection of sexually transmitted infections among transvestites and transsexual women in prison in the metropolitan region of Rio de Janeiro, Brazil Open
Objective: To evaluate the seropositivity rate of rapid tests for HIV, syphilis and hepatitis B and C among transvestites and transgender women (transfeminine persons) inmates in the metropolitan region of Rio de Janeiro, analyzing the res…
View article: Predictive Score for Carbapenem-Resistant Gram-Negative Bacilli Sepsis: Single-Center Prospective Cohort Study
Predictive Score for Carbapenem-Resistant Gram-Negative Bacilli Sepsis: Single-Center Prospective Cohort Study Open
A clinical–epidemiological score to predict CR-GNB sepsis to guide empirical antimicrobial therapy (EAT), using local data, persists as an unmet need. On the basis of a case–case–control design in a prospective cohort study, the predictive…
View article: Willingness of Brazilian caregivers in having their children and adolescents vaccinated against Covid-19
Willingness of Brazilian caregivers in having their children and adolescents vaccinated against Covid-19 Open
The present study showed that the willingness of caregivers to have their children and adolescents vaccinated in Brazil is high compared to data from adult and pediatric international studies. This study provides a profile of the hesitant …
View article: Acquired Hip Dysplasia in Children with Congenital Zika Virus Infection in the First Four Years of Life
Acquired Hip Dysplasia in Children with Congenital Zika Virus Infection in the First Four Years of Life Open
Acquired hip dysplasia has been described in children with cerebral palsy (CP); periodic surveillance is recommended in this population to prevent hip displacement and dislocation. Children with congenital zika syndrome (CZS) may present a…