Publications by authors named "Ikaro Barreto"

To analyze the factors associated with weaning in infants with cow's milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil. A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group.

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Introduction: Few validated aesthetic assessment instruments in breast reconstruction use discrete scales to facilitate studies with multiple evaluators.

Objective: This research aimed to propose an aesthetic assessment scale for reconstructed breasts.

Methodology: A scale was suggested using discrete variables, with responses ranging from 1 to 10, and the responses for each category could be summed to obtain an average that could be used in studies with multiple evaluators.

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Purpose: Present the step of evidence of validity based on the responses to procedures of the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History.

Methods: Study developed according to phonoaudiologic tests validations recommendations. Validity analysis performed based on the process of instrument response.

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Background: Diabetes Mellitus (DM) is an important chronic disease that occurs worldwide.

Aims: This study aims to investigate how the use of the FreeStyle Libre system in Unified Health System (SUS) patients impacts diabetes parameters in patients who receive education on proper insulin administration and the use of the continuous monitoring device, as well as how this affects patients without any concomitant multidisciplinary support in Sergipe, Brazil.

Methods: We conducted a prospective randomized study in a diabetes clinic in Sergipe, Brazil, using the flash method FreeStyle Libre (Abbott).

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 Clinical assessment in orofacial motricity is required for the speech therapist to diagnose and treat disorders involving the stomatognathic system. Validated tools can help establish a prognosis and outline intervention methods connected to human development.  The goal of the present study was to examine the domains of the oromyofunctional assessment of nursing infants and preschoolers according to sex and age group, as well as the application of the MMBGR Protocol - Nursing Infants and Preschool Children.

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Objective: To describe the impact of the Koala project (Actively Controlling Target Oxygen) on clinical outcomes in patients born with less than 36 weeks of gestation, in two maternity hospitals, comparing before and after the strategy implementation.

Methods: This is an intervention study with 100 preterm infants with gestational age ≤36 weeks, who used oxygen in two maternity hospitals between January 2020 and August 2021. One of the hospitals was a private institution and the other was philanthropic.

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Article Synopsis
  • - Brazil faced lengthy school closures due to SARS-CoV-2, and the infection status of students and workers during reopening was assessed through a study of 2,259 individuals from 28 schools.
  • - The study found that a significant number of students (421) and school workers (446) had active SARS-CoV-2 infections, with many being either asymptomatic or having mild symptoms, indicating a high level of undetected infections.
  • - Results underscored the importance of public health measures to ensure safety in schools and mitigate social inequalities while minimizing negative impacts on students and staff during this critical period.
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Purpose: To present the Myofunctional Orofacial Clinical Examination Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including its validation.

Methods: Initially, test content-based validity was evaluated from the MBGR Protocol to be used with the age group between 6 and 71 months based on the bibliography and experience between the authors (original and current). For the content and appearance analysis, 10 speech therapists specialized in Orofacial Motricity attended and filled out an electronic form with dichotic and Likert scale questions in two moments.

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Purpose: To present Myofunctional Orofacial Clinical History Instructive and Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including the adaptation and validation of content and appearance.

Methods: Validation, descriptive and cross-sectional study. Adaptation based on the MBGR Protocol, based on theoretical studies and the authors' experience.

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Background: COVID-19 pandemic has disrupted health services, including vaccination demand. We describe the impact of the COVID-19 pandemic on routine pediatric vaccination in Brazil.

Methods: We conducted a retrospective analysis of all vaccine doses provided to children aged 0-6 years from January 2019 to December 2020.

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Article Synopsis
  • - The study evaluates disparities in access to reperfusion therapies and 30-day mortality rates among ST-segment elevation acute myocardial infarction (STEMI) patients receiving care from Brazil’s Unified Health System in the seven health regions of Sergipe.
  • - Out of 844 patients analyzed, only 45.8% underwent primary angioplasty, and the overall use of fibrinolytics was very low at 2.6%, indicating underutilization across the state.
  • - The results showed a significant delay in accessing the hospital capable of providing primary percutaneous coronary intervention (PPCI), with an average time of nearly 22 hours, while the total 30-day mortality rate was 12.8%, consistent across all regions
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Article Synopsis
  • - Parasitic infections significantly impact public health in Brazil, particularly affecting children’s health and development, with a prevalence of 46% noted across various studies from 2000 to 2018.
  • - A systematic review and meta-analysis reveal varying prevalence rates by region, with children showing an overall higher infection rate of 51%, especially in the Central-West and South regions where it reached 65%.
  • - The findings highlight the need for regular administration of antiparasitic medications as a preventative measure, in line with World Health Organization recommendations, to combat the high rates of these infections.
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Purpose: Adapt and validate the content and appearance of the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-E) for nursing infants aged 6 to 24 months.

Methods: This is a validation study. The parameters were based on the literature on orofacial motor development, the authors' experience, and on a committee of ten members.

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Background: Myocardial reperfusion is a fundamental part of the treatment for ST elevation myocardial infarction (STEMI) and is responsible for reducing morbidity and mortality in affected patients. However, reperfusion rates are usually lower and mortality rates higher in women compared to men.

Objectives: To evaluate the prevalence of the use of reperfusion therapies among women and men with STEMI in hospitals where percutaneous coronary intervention (PCI) is available in the state of Sergipe.

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Objectives: Identifying and understanding the main risk factors associated with extubation failure of very low birthweight (VLBW) infants in different populations can subsequently help in establishing better criteria while taking decision of extubation. The aim of the study was to identify factors associated with extubation failure in VLBW infants.

Methods: A cohort study of VLBW infants who underwent their first extubation between April 2018 and December 2019 in a Neonatal Intensive Care Unit, Alagoas, Brazil, were included in this study.

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Background: Mortality in the intensive care unit (ICU) has been associated to an array of risk factors. Identification of risk factors potentially contribute to predict and reduce mortality rates in the ICU. The objectives of the study were to determine the prevalence and the factors associated with the mortality and to analyze the survival.

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Background: Monitoring the impact of vaccine programs is necessary to identify changes in vaccine efficacy. We report the impact of the 12-year rotavirus vaccine program on diarrhea mortality and hospitalizations and their correlation to socioeconomic indicators.

Methods: this ecological study describes diarrhea hospitalizations and deaths from 2006 to 2018 in Brazil and correlates rotavirus vaccine coverage, hospitalizations and deaths to socioeconomic indicators and social vulnerability index (SVI) by state and region.

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Purpose: To describe and compare the anthropometric measurements and the orofacial proportions of healthy term newborns (NB) according to sex, from a public maternity hospital in the state of Sergipe, northeastern Brazil.

Methods: Descriptive and analytical randomized study was carried out. The participants included were 46 randomly selected healthy and full-term RNs of both sexes.

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Objective: This study aimed to analyse the clinical and epidemiological indicators, temporal trends and the spatial distribution of leprosy in patients under 15 years old in an endemic area of Northeast Brazil.

Design: Regional surveillance study of all reported cases.

Setting: State of Sergipe, endemic area of Northeast Brazil.

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Background: Having appropriate dietary habits is part of the recommendations after ST-Elevation Myocardial Infarction (STEMI), however, the quality of intra-hospital nutritional counselling in the different health services has been minimally explored.

Objective: To evaluate the quality of intra-hospital nutritional counselling among patients with STEMI in the public and private health systems in Sergipe.

Methods: A cross-sectional, with data from the Via Crucis for the Treatment of Myocardial Infarction (VICTIM) Register, conducted from April to November of 2017, with individuals aged ≥ 18 years diagnosed with STEMI, in one public health service hospital and three private hospitals.

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Background: Primary angioplasty (PA) with placement of either bare metal or drug-eluting stents (DES) represents the main strategy in the treatment of ST-elevation myocardial infarction (STEMI). Diabetic patients, however, represent a special population in STEMI, with high rates of restenosis and unfavorable clinical outcomes, and with the use of DES, level of evidence A and indication class II, being indicated to reduce these damages.

Objectives: To evaluate the DES rate of use in patients with STEMI and in the subgroup of diabetics assisted in the public versus private health network in Sergipe.

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Objective: To evaluate the impact of mode of delivery on breastfeeding incentive practices and on neonatal and maternal short and long-term complications.

Methods: A cohort study was conducted between June 2015 and April 2016 with 768 puerperal women from 11 maternities in Sergipe, interviewed in the first 24 hours, 45-60 days and 6-8 months after delivery. Associations between breastfeeding incentive practices, neonatal and maternal, both short-term and late complications, and the exposure variables were evaluated by the relative risk (95%CI) and the Fisher exact test.

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Objective: To assess the relationship of post-traumatic stress symptoms and the perception of social support in women submitted to Severe Maternal Morbidity (SMM).

Method: A prospective cohort study, with 549 women from public hospitals. The Impact of Events and Social Support scales were used.

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Purpose Measure the intervention time required for transition from gavage to exclusive oral feeding, comparing newborns exposed exclusively to the mother's breast with those who, in addition to breastfeeding, received supplementation using a cup or baby bottle. Methods Analytical, longitudinal, cohort study conducted with 165 newborns (NB) divided into groups according to severity of medical complications (G1-with no complications; G2-with significant complications), and into subgroups according to feeding mechanism (A and B). All NBs were low birth weight, on Kangaroo Mother Care, and breast stimulated according to medical prescription and hospital routine.

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