Cícero Cruz Macedo

Motor development of infants exposed to maternal human immunodeficiency virus (HIV) but not infected.

Background To assess the motor development of infants exposed to maternal human immunodeficiency virus (HIV). Methods Thirty infants were assessed in the period from November 2009 to March 2010 at the AIDS Reference and Training Centre, in São Paulo, Brazil. The assessment instrument used in the research was the Alberta Infant Motor Scale (AIMS). All 30 infants used the antiretroviral drug properly for 42 consecutive days, in accordance with the protocol of the World Health Organization. Results Out of the total number of infants, 27 (90%) had proper motor performance and 3 (10%) presented motor delay, according to the AIMS. Discussion This study demonstrated that only 10% of the assessed group had developmental delay and no relation with environmental variables was detected, such as maternal level of education, social and economic issues, maternal practices, attendance at the day care center, and drug use during pregnancy. It is important to emphasize the necessity of studies with a larger number of participants.

Fatores associados à mortalidade infantil na região metropolitana do Cariri, Ceará, Brasil

The identification of factors related to childrens deaths is very important in planning public health actions for restructure and improve the mother and child assistance, aimed in reducing child mortality OBJECTIVE: Analyze the factors associated with infant mortality in the metropolitan area of Cariri, Ceara, Brazil METHODS: This is a cross-sectional study. All deaths occurring in children under one year old of the metropolitan region of Cariri, Ceara, Brazil, contained in the mortality information system and in live birthss information system, from January 2009 to December 2013. Newborn variables (sex, race/color, weight, age); maternal variables (maternal age and education and type of gestation); assistance variables (labor type) were extracted from the SUS (Sistema Unico de Saude/Unified Health System) Informatics Department and presented in chart and tables in absolute and percentage frequency form RESULTS: In the five-year period, 816 infant deaths in 48321 births were registered associated to the following factors: 453 (55.5%) male, 471 (57.7%) drab and 514 (63%) low weight in birth, 458 (56.1%) with 20 to 34 years of age, 353 (43.2%) 8 years or more of schooling, 657 (80.5%) only pregnancy and 414 (50.7%) vaginal birth CONCLUSION: Infant mortality variables in the metropolitan region of Cariri, Ceara, Brazil were associated mostly with deaths occurring in drab boys with birth weight below the normal, whose mothers were young, with good education and who had just one gestation, born of vaginal birth. A identificacao de fatores relacionados aos obitos infantis pode auxiliar no planejamento de acoes de saude publica para a reestruturacao e melhoria da assistencia materno-infantil, visando a reducao da mortalidade infantil OBJETIVO: Analisar os fatores associados a mortalidade infantil na Regiao Metropolitana do Cariri, Ceara, Brasil METODO: Trata-se de estudo transversal. Foram considerados todos os obitos ocorridos em criancas menores de um ano de idade dos municipios da Regiao Metropolitana do Cariri contidas no sistema de informacao sobre mortalidade e sistema de informacao sobre nascidos vivos, entre janeiro de 2009 a dezembro de 2013. Variaveis do recem-nascido (sexo, raca/cor, peso ao nascer, idade); variaveis maternas (idade e escolaridade materna, e tipo de gestacao); variaveis de assistencia (tipo de parto) foram extraidas do Departamento de Informatica do Sistema Unico de Saude e apresentados em grafico e tabelas na forma de frequencia absoluta e percentual RESULTADOS: No quinquenio, registrou-se 816 obitos infantis de 48321 nascidos vivos associados aos seguintes fatores: 453 (55,5%) sexo masculino, 471 (57,7%) cor parda e 514 (63%) baixo peso ao nascer, 458 (56,1%) de 20 a 34 anos de idade, 353 (43,2%) escolaridade maior ou igual a 8 anos, 657 (80,5%) gestacao unica e 414 (50,7%) parto vaginal CONCLUSAO: As variaveis relacionadas a mortalidade infantil na regiao metropolitana do cariri foram associadas em sua maioria com obitos ocorridos em meninos, de cor parda, com peso ao nascer abaixo do normal, cujas maes eram jovens, com boa escolaridade e que tiveram gestacao unica, nascidos de parto vaginal.