Abstract Objectives: To detect RSV or other thirteen respiratory viruses as possible causer agent of bronchiolitis in infants. Method: This is an epidemiological analytical study, conducted using a nasopharyngeal aspirate of 173 hospitalized children younger than two years old with severe bronchiolitis in three hospitals in the Campinas Metropolitan Region (CMR) during 2013-14. The data was statically evaluated by Pearson’s chi-squared test with statistical significance of 0.05 and 95% confidence level. Results: As expected, the most prevalent viruses detected were RSV A and B in 47% and 16% of the samples, respectively. However, almost a third of severe bronchiolitis cases there were no detection of RSV, and the viruses more commonly detected were rhinoviruses, which were identified in almost a quarter of all positive samples for at least a viral agent. Conclusions: Although nothing could be concluded from the disease severity and clinicalepidemiological data, the present study’s results indicate that severe bronchiolitis is not always related to RSV infections in children younger than two years old, and the rhinoviruses were more prevalent in these cases. These findings reinforce the need to carry out a

Resumo Este estudo objetivou comparar a avaliação da qualidade de vida de escolares nascidos prematuros a partir de dois instrumentos e comparou a avaliação da criança com a de seu cuidador. Participaram 57 crianças nascidas pré-termo, de ambos os sexos, entre cinco e oito anos completos. Os cuidadores responderam um instrumento baseado na funcionalidade (HUI3) enquanto um autoquestionário baseado na teoria do bem-estar (AUQEI) foi aplicada à criança e ao cuidador. Calculou-se a correlação entre avaliação do cuidador aos dois instrumentos, assim como da avaliação dos diferentes respondentes. De acordo com os resultados, 51,9% das crianças consideraram que sua qualidade de vida estava prejudicada, com alto nível de concordância com seus cuidadores. Por outro lado, a partir da escala HUI3, os cuidadores avaliaram leve prejuízo na qualidade de vida das crianças. Não houve associação estatisticamente significativa entre as respostas do cuidador às duas escalas. Discute-se a percepção de prejuízos na qualidade de vida de crianças nascidas prematuras, a concordância entre crianças e cuidadores quando se utilizou o mesmo instrumento e a falta de consenso entre as medidas elaboradas a partir de referenciais teóricos distintos.

Abstract This study compared assessments concerning the quality of life of prematurely born schoolchildren based on two instruments and compared the assessments of children with those of their caregivers. A total of 57 prematurely born children of both sexes aged between five and eight years of age participated in the study. The caregivers completed an instrument based on funcionality (HUI3) while an autoquestionnaire based on the theory of wellbeing (AUQEI) was applied to both children and caregivers. The correlation between the caregivers’ assessments measured by two instruments, and the assessments between the different respondents was calculated. The results show that 51.9% of the children considered their quality of life to be impaired; a high level of agreement was found with the caregivers’ assessments. According to the HUI3, caregivers considered that the quality of life of children was mildly impaired. No statistically significant association was found between the answers provided by the caregivers’ to both scales. The perception that the quality of life of prematurely born children is discussed as well as the level of agreement found between children and caregivers when the same instrument was used and lack of consensus between the instruments based on different theoretical frameworks.

Resumo Este estudo objetivou comparar a avaliação da qualidade de vida de escolares nascidos prematuros a partir de dois instrumentos e comparou a avaliação da criança com a de seu cuidador. Participaram 57 crianças nascidas pré-termo, de ambos os sexos, entre cinco e oito anos completos. Os cuidadores responderam um instrumento baseado na funcionalidade (HUI3) enquanto um autoquestionário baseado na teoria do bem-estar (AUQEI) foi aplicada à criança e ao cuidador. Calculou-se a correlação entre avaliação do cuidador aos dois instrumentos, assim como da avaliação dos diferentes respondentes. De acordo com os resultados, 51,9% das crianças consideraram que sua qualidade de vida estava prejudicada, com alto nível de concordância com seus cuidadores. Por outro lado, a partir da escala HUI3, os cuidadores avaliaram leve prejuízo na qualidade de vida das crianças. Não houve associação estatisticamente significativa entre as respostas do cuidador às duas escalas. Discute-se a percepção de prejuízos na qualidade de vida de crianças nascidas prematuras, a concordância entre crianças e cuidadores quando se utilizou o mesmo instrumento e a falta de consenso entre as medidas elaboradas a partir de referenciais teóricos distintos.

Abstract This study compared assessments concerning the quality of life of prematurely born schoolchildren based on two instruments and compared the assessments of children with those of their caregivers. A total of 57 prematurely born children of both sexes aged between five and eight years of age participated in the study. The caregivers completed an instrument based on funcionality (HUI3) while an autoquestionnaire based on the theory of wellbeing (AUQEI) was applied to both children and caregivers. The correlation between the caregivers’ assessments measured by two instruments, and the assessments between the different respondents was calculated. The results show that 51.9% of the children considered their quality of life to be impaired; a high level of agreement was found with the caregivers’ assessments. According to the HUI3, caregivers considered that the quality of life of children was mildly impaired. No statistically significant association was found between the answers provided by the caregivers’ to both scales. The perception that the quality of life of prematurely born children is discussed as well as the level of agreement found between children and caregivers when the same instrument was used and lack of consensus between the instruments based on different theoretical frameworks.

Resumo Considerando-se o aumento significativo nos índices de sobrevida de crianças nascidas prematuras, objetivou-se avaliar sua qualidade de vida em idade escolar e identificar possíveis fatores de risco e proteção. 57 crianças de 5 a 8 anos, nascidas prematuras, responderam a um teste cognitivo e os pais avaliaram seu comportamento e qualidade de vida. A maioria das crianças apresentou nível intelectual médio ou superior. Apesar do leve prejuízo na qualidade de vida, observou-se alta prevalência de problemas de comportamento nas crianças maiores. Identificou-se sexo masculino e problemas comportamentais como fatores de risco para qualidade de vida, sinalizando para a necessidade de serviços de acompanhamento antes do ingresso da criança nascida prematura na escola, visando facilitar sua adaptação.

Abstract Given the significant increase in survival rates of prematurely born children, this study assessed their quality of life at school age and identified potential risk and protective factors. We included 57 children with premature birth aged 5 to 8 years. Participants completed a cognitive test, and their parents assessed their behavior and quality of life. Most children presented an average or high intellectual level. Despite the mildly compromised quality of life, we observed a high prevalence of behavioral problems in older children. Male participants and behavioral problems were identified as risk factors for lower quality of life; this finding indicates the need to implement systematic monitoring services to facilitate adaptation of premature born children when entering in the school.

Resumen Ante el aumento significativo en las tasas de supervivencia de los recién nacidos prematuros, este estudio tuvo el objetivo de evaluar la calidad de vida de estos niños en edad escolar e identificar posibles factores de riesgo y protección. Cincuenta y siete niños de 5-8 años de edad, nacidos prematuros, contestaron una prueba cognitiva y los padres calificaron su comportamiento y calidad de vida. La mayoría de los niños presentó nivel intelectual promedio o superior. A pesar de pocos daños en la calidad de vida, fue encontrada alta prevalencia de problemas de conducta en los niños mayores. El sexo masculino y problemas conductuales se presentaron como factores de riesgo para la calidad de vida, lo que indica que son necesarios servicios de seguimiento para los niños nascidos prematuros antes que empiecen la escuela, para facilitar su adaptación.

RESUMO A presença de dificuldades leves no desempenho de atividades da vida diária (AVD) pode estar presente no comprometimento cognitivo leve (CCL), mas sua natureza e extensão devem ser melhor exploradas. A medida canadense de desempenho ocupacional (COPM) é uma das poucas escalas individualizadas de autorrelato destinadas a identificar dificuldades no desempenho de AVDs. Este estudo investigou as dificuldades em AVDs através da COPM em idosos com CCL. 58 idosos com CCL foram submetidos à validação da COPM. A COPM se mostrou um instrumento válido e consistente para avaliar desempenho de AVDs em idosos com CCL. 74,6% dos idosos relatou alguma dificuldade no desempenho de AVDs, sendo 41,2% em auto-cuidado, 31,4% na produtividade e de 27,4% no lazer. Estes dados acrescentam evidências à recente literatura em que afirma que há comprometimento nas AVDs em CCL.

ABSTRACT Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI.