OBJECTIVES:To investigate the prevalence of excess body weight in the pediatric ward of University Hospital and to test both the association between initial nutritional diagnosis and the length of stay and the in-hospital variation in nutritional status.METHODS:Retrospective cohort study based on information entered in clinical records from University Hospital. The data were collected from a convenience sample of 91 cases among children aged one to 10 years admitted to the hospital in 2009. The data that characterize the sample are presented in a descriptive manner. Additionally, we performed a multivariate linear regression analysis adjusted for age and gender.RESULTS:Nutritional classification at baseline showed that 87.8% of the children had a normal weight and that 8.9% had excess weight. The linear regression models showed that the average weight loss z-score of the children with excess weight compared with the group with normal weight was −0.48 (p = 0.018) and that their length of stay was 2.37 days longer on average compared with that of the normal-weight group (p = 0.047).CONCLUSIONS:The length of stay and loss of weight at the hospital may be greater among children with excess weight than among children with normal weight.
underwent a profound transformation of its scenario before the current SARS-CoV-2 pandemic. Before the pandemic, the referred content used to be taught in two monthly meetings, one for 1 st year residents (20 resident doctors) and one for 2 nd year residents (20 resident doctors), totaling ten annual meetings. The dynamics of these meetings included the presentation and discussion of a clinical case at the Neonatal Center, the Intensive Care Center 2 or the University Hospital by a resident doctor; and the theoretical approach on the case, with its definitions, prevalence, pathophysiology, treatment, and prevention , by another resident doctor. The main topics addressed by the three neonatal centers were: • Neonatal Center: extreme preterm newborns, persistence of the ductus arteriosus, severe malformations, heart failure, early sepsis, and hypoxic-ischemic encephalopathy; • Neonatal Intensive Care Center 2: persistent pulmonary hypertension, congenital diaphragmatic hernia, late-onset sepsis, lung infections, gastroschisis, hydroelectrolytic disorders and nutrition in critically ill newborns; • University Hospital: intracranial hemorrhages, kidney failure, meconium aspiration syndrome, and necrotizing enterocolitis. These meetings were held by the two preceptor doctors and by two to three doctors from the Neonatology team, the latter being responsible for reinforcing the main relevant considerations on the topic in question. The presence of resident doctors at these meetings was between 60 and 70%. The justification for this percentage not being greater was post-shift leave, medical emergency in some of the sectors, and vacations. With the coronavirus pandemic (COVID-19), these meetings were suspended in mid-March 2020, for the safety of all, as well as other activities specific to residents. For one month, residents had very little or no theoretical activity. Given the moment of much apathy, alternative proposals were suggested in remote meetings, among them, remote learning. Remote learning is an option when in-person learning is not possible, as it is the case during the COVID-19 pandemic. It is an adaptation of distance learning, but without rigid tools, that is, without systematization of didactic content, form of presentation, and without prior training of tutors. Although this is a temporary adaptation in the face of a crisis, its implementation is quick, effective and, thus, it satisfies the aspirations of our residents. The adoption of remote education also implies a review of educational objectives, with time scaling, because the time to assimilate content in a virtual environment is longer than what is needed in person. 1 An initiative of the two preceptor doctors and two doctors of the Neonatology team, a first virtual meeting was held in the second half of April 2020, using Google Meet platform, with all the 1 st and 2 nd year residents, addressing a theme suggested by one of the preceptors. Although the referred platform is intuitive and easily usable, the link to a Google Meet tutorial prepared by...
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