The Zika virus was responsible for an outbreak between 2015 and 2016 in Brazil: an alarming public health problem of international relevance. The Congenital Zika Syndrome (CZS) is often associated with manifestations that are responsible for cognitive and motor development delays and behavioral disorders. Thus, we aimed to characterize the clinical-epidemiological and familial context of those children and to identify factors associated with the risk of behavioral disorders using the Survey of Well-Being of Young Children questionnaire (SWYC). In total, 52 children diagnosed with CZS were evaluated. Logistic regressions were employed to assess predictive variables for behavioral alteration. Eighteen (35%) of the children presented a risk of behavioral alteration. Children born normocephalic were 36-fold more likely to present behavioral alteration (95% CI: 3.82 to 337.92, p = 0.002). Children with hearing and visual impairments showed reduced risks. In total, 35% percent of families reported food insecurity and 21% were at risk for maternal depression. Our findings suggest better social interactions and conditions to externalize reactions for children with CZS born normocephalic. The continuous assessment of these children and families may identify conditions associated with behavioral alteration and psychosocial vulnerabilities that help in decision-making, therefore optimizing patient–family interactions.

Simultaneous eye tracking and cerebral hemodynamic monitoring contribute to the understanding of neural responses to stimuli in infants. However, exploring the impact of complex socioeconomic and environmental adversities on neurodevelopment requires transitioning this tool from research laboratories into clinical practice to evaluate its feasibility in outpatient contexts. Background/Objectives: This study aimed to present a protocol for simultaneously integrating functional near-infrared spectroscopy (fNIRS) with eye tracking (ET) in infants at risk for neurodevelopmental disorders in a clinical setting with limited resources, during a cognitive task. Methods:The protocol was applied to infants in their first 12 months of life. The infants were exposed to tasks involving the processing of social and non-social stimuli, while their brain signals were monitored using fNIRS and their eyes were tracked with ET. The protocol included three main stages: (1) pre-collection, involving the preparation and habituation of the infants and equipment setup (fNIRS and ET); (2) cognitive function monitoring, using social and non-social stimuli to assess preferential processing via fNIRS and ET; and (3) post-collection, with guidelines for data pre-processing and analysis. Results: The application of the protocol allowed for the identification of technical challenges and the adaptation of procedures for clinical use. The main methodological challenges were difficulty using the conventional cap, excessive movement, synchronization issues between fNIRS and ET, and difficulties calibrating both devices across different age groups. Conclusions: The standardization proposed in this protocol enables healthcare professionals to explore different neurocognitive aspects in pediatric clinical settings and expands the scope of neurodevelopmental assessments.

Objective. To track the BP (blood pressure) trajectory of healthy infants during the first year of life of healthy infants born in Northeast Brazil. Methods. In this cohort study, BP was assessed by oscillometry at the first 24 hours of life and 12 months of age. Results. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) increased with age ( P < .001) and were not influenced by gender (SBP: P = .178 and DBP: P = .623) or type of delivery (SBP: P = .827 and DBP: P = .106), when compared between the first 24 hours of life and 12 months of age. Conclusion. The data from the present study increased knowledge about the trajectory of BP during the first year of life. The increase in BP between the first month and the first year of life was not influenced by gender or type of delivery.