Publications by authors named "Zina Maria Almeida de Azevedo"

The objective is to unveil the reasons for vaccine hesitancy among parents and/or guardians of children and adolescents toward the prevention of COVID-19. This is a descriptive study, with a qualitative approach that seeks to analyze the answers to the open question "Why will you not vaccinate or have not vaccinated or are in doubt about vaccinating the children and adolescents under your responsibility, for the prevention of COVID-19?". The research included adult individuals, Brazilians, living in the country, responsible for children and adolescents under 18 years of age.

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Article Synopsis
  • - The study investigates why many Brazilians are hesitant about COVID-19 vaccines, aiming to inform better public health policies.
  • - Conducted through a qualitative online survey, findings reveal three main reasons for hesitancy: distrust in vaccines, misinformation related to politics, and fears of side effects.
  • - The results highlight the challenge of navigating unreliable information and underscore the need for effective communication to improve public understanding of vaccination importance.
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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 establish effective communication with the population about vaccination.

Method: This is an online survey conducted between January 22 and 29, 2021, preceded by an Informed Consent, that aims to assess vaccine hesitancy, which corresponded to the first week of vaccination initiation to prevent COVID-19 in Brazil. Data were obtained from a questionnaire made available through a free platform and stored in Google Forms and later exported to the SPSS statistical package for analysis.

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Background: The vaccination of children and adolescents for the prevention of Covid-19 is important to:decrease in deaths and hospitalizations, prevent multisystem inflammatory syndrome, avoid long-term complications and decrease the suspension of on-site classes. Despite of these benefits, some studies have shown that some caregivers are still hesitancy.

Methods: This is a voluntary and anonymous online survey conducted from November 17 to December 14, 2021, in Brazil, through a free-of-charge platform with a link provided on social networks.

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Unlabelled: Brazil has been severely affected by the COVID-19 pandemic. The high numbers of confirmed cases and deaths have continued unabated since the first reported case, with no flattening or downward turn in the curve. In this context, healthcare workers have been exposed uninterruptedly to stress factors throughout a year of the pandemic.

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Background & Aims: Monitoring growth and body composition in childhood is vital for early detection of health and nutrition problems during child development. The bioelectrical impedance vector analysis (BIVA) revealed its effectiveness as an indicator of nutritional status. This study aimed to measure the bioimpedance vectors of a sample of multiethnic children and evaluate the utility of BIVA for the classification of the nutritional status in a group of children with greater vulnerability, including in the presence of obesity.

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Article Synopsis
  • The COVID-19 pandemic has led to significant vaccine hesitancy in Brazil, which needs to be understood to develop effective communication strategies for vaccination.
  • An online survey with 173,178 participants revealed a 10.5% rate of vaccine hesitancy, linked to concerns about vaccine efficacy, fear of side effects, and the vaccine's country of origin.
  • Key demographics influencing hesitancy included male gender, low education level, and income, with similar confidence levels in Brazil's vaccines, Covishield and CoronaVac, albeit with more skepticism towards the Chinese-made CoronaVac.
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This report describes a case of multisystem inflammatory syndrome in a child that evolved with a pattern of toxic shock syndrome with coronary artery ectasia and neurological involvement, documented by magnetic resonance imaging, with changes in the corpus callosum and myopathy in the pelvic girdle and paravertebral musculature.

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Objective: To describe the clinical, laboratory, and radiological characteristics, as well as the outcomes of children with MIS-C.

Method: Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively.

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Objective: To describe the clinical characteristics of children and adolescents admitted to intensive care with confirmed COVID-19.

Method: Prospective, multicenter, observational study, in 19 pediatric intensive care units. Patients aged 1 month to 19 years admitted consecutively (March-May 2020) were included.

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Background & Aims: Sepsis is still a significant cause of death in the Intensive Care Unit and its early diagnosis is vital. Changes in cell permeability have been observed early in sepsis. Lower values of bioelectrical impedance (BIA) such as reactance adjusted by height (Xc/H) and phase angle (PA) have already been studied as a prognostic biomarker for many diseases and may indicate cell injury.

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Article Synopsis
  • There is an increasing number of accidents involving Africanized honey bees, known for their aggressive behavior and tendency to sting multiple times.
  • The stings can lead to severe health issues such as skin necrosis, rhabdomyolysis, and renal failure, while anaphylactic reactions are more common and treated with established protocols.
  • A case study of a 3-year-old child is presented to guide healthcare professionals on appropriate treatment strategies following incidents of multiple bee stings.
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Background & Aims: Ethnicity may influence bioimpedance values. The goal of this study was to measure total body impedance vector in infants and pre-school children in Brazil and compare them with those reported in other countries.

Methods: We analyzed bioelectrical impedance from a sample of 255 healthy Brazilian children, aged 1-36 months, using the RXc graph method (tetrapolar analysis at 50 kHz frequency).

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Background And Objectives: Phase angle (PA) is the difference between voltage and current and can be used as an indicator of body cell mass. Clinical studies show that low phase angle is associated with morbidity and mortality of critical patients. The purpose of this study was to know the relation between phase angle and the Pediatric Risk of Mortality I (PRISM I) score, associating this score with the severity of sepsis.

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