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Objectives: to analyze the prognostic nutritional index and factors associated with mortality in children and adolescents with heart disease who underwent cardiac surgery. Methods: this is a longitudinal, retrospective study that included 98 children and adolescents with heart disease from 0 to 14 years old, and assessed the prognostic nutritional index and nutritional status, through the body mass index for age, weight for height, weight for age and height for age. Multiple logistic regression analysis was performed. Results: malnutrition was present in 27 patients, 68 were categorized as having a low prognostic nutritional index and 16 died. In the adjusted analysis, malnutrition (OR=4.11; CI95%=1.26-13.40; p=0.019), the low body mass index for age (OR=4.14; CI95%=1.26-13.61; p=0.019), low weight for height (OR=4.15; CI95%=1.29-13.35; p=0.017) and low weight for age (OR=5.20; CI95%=1.39-19.43; p=0.014) were associated with mortality. Conclusions: malnutrition, low body mass index for age, weight for height and weight for age had shown a significant association with mortality. Despite being an easily applicable indicator of nutritional status, the findings suggest no association between the prognostic nutritional index and mortality in patients with congenital heart disease after cardiac surgery. [ABSTRACT FROM AUTHOR]

The objective of this historical investigation is to discover if the Institution called "La Gota de Leche" existed in Toledo. Methodology by means of the heuristic method, the historical press is analyzed and other primary archival sources are reviewed. Results, although its creation was tedious and its operation was subject to criticism, its benefits were soon seen through the maternal and child health indicators. The institution between 1906 and 1966, was present in both the urban and rural areas of Toledo. Since the creation the mother received health care throughout the gestational period; she acquired habits on child hygiene and obtained health education to establish adequate breastfeeding. Conclusion La Gota de Leche Toledana was a School of Childcare and Maternology, a fact that allowed to carry out prevention, care and education activities throughout the gestational period. Thus, the results obtained were extremely satisfactory, since it was possible to reduce infant mortality during the first half of the 20th century, through the improvement of maternal and child health indicators. [ABSTRACT FROM AUTHOR]

Objective. We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Materials and methods. Cross-sectional study comprising household interviews with 252 caregivers of children under-5 who died in the state of Yucatán, Mexico, during 2015-2016. We evaluated the three main delays: 1) time to identify symptoms and start search for care, 2) transport time to health facility, and 3) wait time at health facility. Results. Children faced important delays including a mean time to start the search for care of 4.1 days. The mean transport time to the first facility was longer for children enrolled in Seguro Popular and there were longer wait times at public facilities, especially among children who also experienced longer travel time. Conclusions. Providing resources to enable caregivers to access health services in a timely manner may reduce delays in seeking care. [ABSTRACT FROM AUTHOR]

Copyright of Population (00324663) is the property of Institut National d'Etudes Demographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Epidemiological Review / Przegląd Epidemiologiczny is the property of National Institute of Public Health - National Institute of Hygiene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. Comparative review of integral variables of mortality rates in children aged 0-17 years and adult population of the surveillance zone (SZ) of the Rivne NPP (RNPP) with the morbidity level in respective population groups of the radiologically contaminated areas (RCA). Materials and methods. Morbidity rates were studied in population of the RNPP SZ (Volodymyretskyi and Manevytskyi regions, Varash city) and RCT (Bereznivskyi and Kamin-Kashirskyi regions) according to the official statistical data for 2016. The data set included data on the morbidity rates (from all diseases) and by the classes of diseases in children and adults in conversion to the 1000 persons of respective population in Rivne and Volyn oblasts. Morbidity review in children and adults was also carried out according to the «percentile-profile» methodology, the method taking into account the age-related factors of morbidity, and the method of the sum of places. Mathematical, statistical, and programmatic capabilities of Microsoft Office Excel 2007 software were used for calculations. Results. Morbidity review in children of the RNPP SZ in 2016 indicates the lowest incidence level in children of the Varash city. Incidence rates in children aged 0-17 years living in the RCA are higher compared with the incidence rates of children of the RNPP SZ. Comparative review of the morbidity rates in adult population of the RNPP SZ indicates lower incidence rates by the classes of diseases in adults in Manevytskyi region compared with the Volodymyretskyi region and the city of Varash. The adult morbidity indices are higher in RCT than in RNPP SZ. Conclusions. According to the results of «percentile-profile» approach, the studied areas were selected into the two groups by a level of overall morbidity below and above the average level. Morbidity levels in children and adults in the place of residence were distributed in different ways. Method of using the age coefficients of morbidity allowed determining the proportions that are related to childhood and adult morbidity in the studied areas. Disease incidence in children in the Varash city comprised a lowest share (21.0%) in the RNPP SZ general morbidity. The highest share was made by children in Volodymyretskyi region of the SZ (49.0%). The highest morbidity level (from all diseases) in adult population was observed in the Kamin-Kashirskyi region (RCT), in children it was the highest one in Bereznovskyi region (RCT). The lowest general morbidity in adult population was observed in the Volodymyretskyi region, and in children it was the lowest one in the city of Varash (RNPP SZ). [ABSTRACT FROM AUTHOR]

Background: Motor deficiency (MD) is the most common symptom of stroke. The incidence of stroke in children is estimated to be 1.3-13 per 100,000 children/year and is steadily increasing. Stroke is the main cause of unilateral cerebral palsy in term-born children. Material and method: An analysis of the latest researches has been carried out using the PubMed, „HINARI" and Google Academic search engines. Results: MD is the partial or total loss of active movements of a part of the body. In stroke, MD may be mono / hemiparesis or mono / hemiplegia. MD severity depends on the topography and stroke size. Although post-stroke mortality in children is lower - around 10%, compared with 20% in adults, many children remain with different degrees of disability: from lack of walking ability and the need for permanent care, to motor deficits that, although lighter, interfere with day-to-day activities. Thus, according to the studies, a complete recovery was observed only in 25-30% of the children who suffered stroke, the remaining 70-80% suffered long-term disabilities persisting into adulthood. The prognosis of MD depends on the age at which stroke started (premature, newborn or small child), type of stroke (ischemic or haemorrhagic), severity and topography of stroke, and immediate complications (coma, seizures). Conclusions: Although children have a high degree of neuroplasticity, a big number of patients remain with long-term post-stroke motor disabilities. MD has a significant negative impact for the autonomy of children with stroke for basic activities in everyday life as well as on social integration. [ABSTRACT FROM AUTHOR]