scholarly journals TDAH: Transtorno, Causa, Efeito e Circunstância

Author(s):  
Cleonice Terezinha Fernandes ◽  
Jeisa Fernandes Marcondes

O Transtorno do Déficit de Atenção por Hiperatividade - TDHA é manifestado pela presença da tríade sintomatológica: elevados níveis de agitação motora, impulsividade e desatenção persistentes por um período mínimo consecutivo de seis meses, que tende a persistir durante toda a vida, com prejuízo substancial de áreas importantes do funcionamento. Segundo a Organização Mundial da Saúde OMS e a Associação Americana de Psiquiatria - APA cerca de 4% dos adultos e de 5% a 8 % de crianças e adolescentes de todo o mundo sofrem de TDAH. Estudos de neuroimagiologia, genéticos e etiológicos não estabeleceram ainda uma gênese clara e determinante, não existindo consenso em um “defeito” psicológico nuclear, locus anatômico, padrão neuropsicológico, ou base neuroquímica ou genética, reconhecendo-se assim o TDAH como uma perturbação clinicamente heterogênea. Inexiste um marcador biológico para TDAH; apenas é possível fazer diagnóstico clínico/ comportamental, sob análise do cotidiano. Atualmente, começam a surgir maiores cuidados dos profissionais com os fatores de risco na história da criança. Fortes evidências de equívocos nos diagnósticos, dado ao alarmante índice do uso do psicotrópico Ritalina por jovens com TDAH no Brasil, segundo maior país consumidor do mundo, depois dos EUA, que estimularam a montagem de uma entrevista semiestruturada para 3 das 5 psicólogas atuantes na cidade de Luziânia/GO. Conclui-se que se deve tentar determinar as razões psicossociais originárias do problema de comportamento e que “receitar uma pílula para o TDAH é muito mais rápido”, mas talvez não seja efetivo para o desenvolvimento do sujeito.Palavras-chave: Transtorno/Dificuldades de Aprendizagem. Déficit de Atenção. Ritalina. Medicalização das Dificuldades. Hiperatividade. AbstractThe Attention Deficit Disorder by hyperactivity disorder - ADHA is manifested by the presence of the symptomatology triad: high levels of motor excitement, impulsivity and inattention sustained for a period of at least six months in a row, which tends to persist throughout life, with substantial injury to important areas of functioning.  According to World Health Organization WHO and the American Psychiatric Association - APA approximately 4% of adults and 5% to 8% of children and adolescents from all over the world suffer from ADHD. Neuroimagiology, genetic and etiologic studies have not established yet a clear and decisive genesis, and there is no consensus on a nuclear psychological "flaw", anatomical locus  neuropsychological pattern, or  neurochemical  or genetic basis, recognizing  ADHD as a clinically heterogeneous disorder . There is not a biological marker for ADHD; it is only possible to make clinical/behavioral diagnosis under everyday life analysis. Currently, greater care from professionals have emerged with the risk factors in the child’s history. Strong evidences of diagnosis mistakes, given the alarming rate of use of psychotropic drug Ritalin by young people with ADHD in Brazil, the second hightest consumer country in the world, after the United States, which stimulated the fitting of a semi-structured interview for 3 of the 5 psychologists working in the town of Luziânia/GO. It is concluded that reasons for psychosocial originating the behavior problem should be determined and that "prescribing a pill for ADHD is much faster, but it may not be effective for the development of the subject    Keywords: Disorder/Learning Difficulties Attention Deficit. Ritalin. Difficulties Medicalization. Hyperactivity.  

2021 ◽  
Vol 46 (4) ◽  
pp. 1-2
Author(s):  
Joseph Meaney ◽  

COVID-19 vaccine passports run the risk of creating a divided society where social privileges or restrictions based on “fitness” lead to discrimination based on immunization status. Individuals have a strong right to be free of coercion to take a COVID-19 vaccine, and we should be very leery of further invasion of private medical decisions. These concerns are shared both internationally and in the United States, and the World Health Organization, the Biden administration, and many US governors oppose COVID-19 vaccine credentials. In addition, regulations for COVID-19 vaccine credentials face practical barriers, including lack of access globally, especially among the poor; and lack of scientific data on the efficacy of these vaccines.


2021 ◽  
Author(s):  
Sarah Kreps

BACKGROUND Misinformation about COVID-19 has presented challenges to public health authorities during pandemics. Understanding the prevalence and type of misinformation across contexts offers a way to understand the discourse around COVID-19 while informing potential countermeasures. OBJECTIVE The aim of the study was to study COVID-19 content on two prominent microblogging platform, Twitter, based in the United States, and Sina Weibo, based in China, and compare the content and relative prevalence of misinformation to better understand public discourse of public health issues across social media and cultural contexts. METHODS A total of 3,579,575 posts were scraped from both Weibo and Twitter, focusing on content from January 30th, 2020, when the World Health Organization (WHO) declared COVID-19 a “Public Health Emergency of International Concern” and February 6th, 2020. A 1% random sample of tweets that contained both the English keywords “coronavirus” and “covid-19” and the equivalent Chinese characters was extracted and analyzed based on changes in the frequencies of keywords and hashtags. Misinformation on each platform was compared by manually coding and comparing posts using the World Health Organization fact-check page to adjudicate accuracy of content. RESULTS Both platforms posted about the outbreak and transmission but posts on Sina Weibo were less likely to reference controversial topics such as the World Health Organization and death and more likely to cite themes of resisting, fighting, and cheering against the coronavirus. Misinformation constituted 1.1% of Twitter content and 0.3% of Weibo content. CONCLUSIONS Quantitative and qualitative analysis of content on both platforms points to cross-platform differences in public discourse surrounding the pandemic and informs potential countermeasures for online misinformation.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Meseret Yirdaw ◽  
Belachew Umeta ◽  
Yimer Mokennen

Background. The availability of poor-quality drugs on the drug market might favor the ineffectiveness of the drug and/antimicrobial resistance. Aim. To evaluate the quality of similar batches of ethambutol hydrochloride tablets available in different governmental health facilities of Jimma town, southwest Ethiopia. Methods. The World Health Organization checklist was used to inspect the storage area of health facilities and check medicines for the sign of counterfeit. The test was conducted as per the United States Pharmacopeia on six similar batches of ethambutol hydrochloride sampled from different governmental health facilities. Data were analyzed using SPSS version 20, and one-way ANOVA was used for comparing the dissolution profile and weight variation of batches. Results. Three health facilities did not comply with the storage area specifications for pharmaceuticals. No batches have shown any sign of counterfeit. All of the tablet batches tested complied with USP specifications for weight variation, percentage purity, and dissolution test. Conclusions and Recommendation. The entire tablet batches complied with the World Health Organization specification for packaging and labelling of pharmaceuticals. All tablet batches complied with the test for weight variation, purity of drug substance, and dissolution. Since some health facilities did not comply with at least one specification for storage of pharmaceuticals, regulatory agencies and stack holders are advised to inspect the health facilities to ensure appropriate storage of pharmaceuticals in health facilities.


2009 ◽  
Vol 14 (21) ◽  
Author(s):  
A Solovyov ◽  
G Palacios ◽  
T Briese ◽  
W I Lipkin ◽  
R Rabadan

In March and April 2009, a new strain of influenza A(H1N1) virus has been isolated in Mexico and the United States. Since the initial reports more than 10,000 cases have been reported to the World Health Organization, all around the world. Several hundred isolates have already been sequenced and deposited in public databases. We have studied the genetics of the new strain and identified its closest relatives through a cluster analysis approach. We show that the new virus combines genetic information related to different swine influenza viruses. Segments PB2, PB1, PA, HA, NP and NS are related to swine H1N2 and H3N2 influenza viruses isolated in North America. Segments NA and M are related to swine influenza viruses isolated in Eurasia.


PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 797-804
Author(s):  
Myron E. Wegman

Data for this article, as in previous reports,1 are drawn principally from the Monthly Vital Statistics Report,2-5 published by the National Center for Health Statistics. The international data come from the Demographic Yearbook6 and the quarterly Population and Vital Statistics Report,7 both published by the Statistical Office of the United Nations, and the World Health Statistics Report,8 published by the World Health Organization. All the United States data for 1976 are estimates by place of occurrence based upon a 10% sample of material received in state offices between two dates, one month apart, regardless of when the event occurred. Experience has shown that for the country as a whole the estimate is very close to the subsequent final figures.


2003 ◽  
Vol 31 (4) ◽  
pp. 485-505 ◽  
Author(s):  
David P. Fidler

In March 2003, the world discovered, again, that I humanity's battle with infectious diseases continues. The twenty-first century began with infectious diseases, especially HIV/AIDS, being discussed as threats to human rights, economic development, and national security. Bioterrorism in the United States in October 2001 increased concerns about pathogenic microbes. The global outbreak of severe acute respiratory syndrome (SARS) in the spring of 2003 kept the global infectious disease challenge at the forefront of world news for weeks. At its May 2003 annual meeting, the World Health organization (WHO) asserted that SARS is “the first severe infectious disease to emerge in the twenty-first century” and “poses a serious threat to global health security, the livelihood of populations, the functioning of health systems, and the stability and growth of economies.”


Author(s):  
Erica Azevedo Costa ◽  
José Joffre Martins Bayeux ◽  
Aila Solimar Gonçalves Silva ◽  
Guilherme Alves De Queiroz ◽  
Beatriz Senra Álvares da Silva Santos ◽  
...  

West Nile virus (WNV) is a neurovirulent mosquito-borne Flavivirus that is maintained in nature by a zoonotic transmissioncycle between avian hosts and ornithophilic mosquito vectors, mostly from the Culex genus. Until the 1990s, WNV wasconsidered to be an old-world arbovirus, but in 1999, WNV emerged in the United States (US) and spread rapidly, becoming amajor threat to public health. WNV adapted to the transmission cycle involving American mosquitoes and birds and reachedCentral and South America in subsequent years. In 2003, the National West Nile Fever Surveillance System was created in Brazilbased on serological screening of animals and sentinel vectors, as recommended by the Pan American Health Organization(PAHO) and the World Health Organization (WHO). Since 2008, serological evidence of WNV infection in Brazilian horseshas been reported, and the circulation of WNV has been monitored through the regular serological screening of sentinel horsesand reporting of encephalomyelitis cases. Horses are highly susceptible to WNV infection, and outbreaks of neurologicaldisease among horses often precede human cases. In this regard, equine surveillance has been essential in providing earlywarning to public and animal health authorities in several countries, including Brazil. This demonstrates the need for animaland public health intervention programs to allocate resources to make veterinarians aware of the role they can play in thehuman surveillance processes by monitoring horses. This review discusses the importance of equine surveillance and the gapthat veterinarians can fill on the front line in human surveillance, in Brazil and worldwide, in the context of “One Health”


Author(s):  
Majidreza M. Kazempour

Obesity is now replacing undernutrition and infectious diseases as the leading cause of ill health. It is considered as one of the greatest medical challenges to health in the United States; over 65% of American adults are either overweight or obese leading to 320,000 deaths each year in the United States (Kopelman, 2005). The annual medical costs of obesity in the United States are enormous (Bhattacharya and Bundorf, 2009). Globally, according to the World Health Organization, there are more than one billion overweight adults, of which at least 300 million are clinically obese. A recent National Health and Nutrition Examination Survey (NHANES) data (2003–2006) has showed that for children aged 6–11 years and 12–19 years, the prevalence of overweight was 17.0% and 17.6%, respectively.


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