Resumo O presente estudo objetivou apresentar um panorama nacional e internacional atual dos estudos sobre o vírus Zika (ZIKV) e, ancorado no avanço deste conhecimento, refletir sobre planos de ação voltados para as crianças, famílias e equipes de saúde envolvidas. Neste sentido, o estudo propôs a implementação de sistemas de seguimento para conhecer, descrever e caracterizar aspectos que devem estar relacionados à exposição pré-natal ao ZIKV, divididos em três eixos de atuação: 1. Avaliação diagnóstica e etiológica e rastreamento de problemas de desenvolvimento nas crianças incluídas como casos confirmados ou suspeitos. 2. Investigação do impacto emocional, da qualidade de vida, das estratégias de enfrentamento e da rede de apoio às famílias das crianças incluídas. 3. Capacitação de equipes multiprofissionais para avaliar e elaborar programas de intervenção ao longo do desenvolvimento das crianças, principalmente nos três primeiros anos de vida. Como conclusão, o presente trabalho ressalta que o sistema de assistência à saúde encontra-se diante de grandes desafios: entender o real significado de um potencial novo teratógeno; desvendar os mecanismos patogênicos do ZIKV, principalmente para o enfrentamento preventivo, e reconhecer o amplo espectro de manifestações clínicas para a elaboração de programas de intervenção.
Children and adolescents with ADHD present behaviors such as impulsiveness, inattention, and difficulties with personal organization that represent an overload for parents. Moreover, it also increases their level of stress and leads them to resort to inadequate educational strategies. The present study verifies associations between inadequate parenting practices and behavioral profiles of children and adolescents with ADHD. The sample was composed of 22 children with ADHD (age range 6–16 years) and their mothers. Spearman correlation analyses were made with the scores of Parenting Style Inventory (PSI) and Child Behavior Checklist for ages 6–18 (CBCL/6–18). Results indicate statistically significant associations between behavioral problems and the use of punishment practices and negligence. When assessing a child with ADHD, it is important to verify the predominant types of parenting practices that can influence both immediate interventions and the prognosis of the disorder.
This study aimed to investigate if an executive functions (EF) intervention could promote these skills in individuals with attention deficit and hyperactivity disorder (ADHD). Eighteen children and adolescents, 7-13 years old, divided into experimental (EG, N = 8) and control (CG, N = 10) groups, were assessed in the Block Design and Vocabulary subtests of the WISC III and seven tests of EF. Parents answered two scales, measuring EF and inattention and hyperactivity signs. EG children participated in a program to promote EF in twice-weekly group sessions of one hour each. After 8 months of intervention, groups were assessed again. ANCOVA, controlling for age, intelligence quotient and pretest performance, revealed gains in attention/inhibition and auditory working memory measures for the EG. No effect was found for scales or measures of more complex EF. Results are not conclusive, but they illustrate some promising data about EF interventions in children and adolescents with ADHD.
Purpose To verify indicators of cognitive development, receptive language skills and adaptive behavioral patterns in toddlers with Williams syndrome (WS). Methods The sample comprised 8 children of both sex, aged between 48 and 72 months with WS. Instruments of data collection were Denver Developmental Screening Test II; Peabody Picture Vocabulary Test; Vineland Adaptive Behavior Scale; Child Behavior Checklist for Ages 1½-5and 6 to 18; Columbia Mental Maturity Scale (CMMS), and Behavior Problems Inventory-01. Results The major developmental impairments were associated with fine motor skills and personal care abilities. Deficits in receptive language and communication skills were reported according to the PPVT and Denver II, respectively. The caregivers reported behavioral and emotional problems associated to anxiety and depression, and attention problems scales of CBCL. Conclusion The toddlers demonstrated deficits in adaptive functioning and behavioral, motor and cognitive difficulties such as inattention and hyperactivity, stereotypies and aggressive behavior.