Objetivo: Comparar a qualidade de vida, a percepção da saúde e renda entre famílias com e sem risco socioeconômico durante a pandemia da COVID-19. Métodos: Participaram deste estudo transversal 41 mães de lactentes nascidos a termo saudáveis (≥ 37 semanas), as quais foram subdivididas em dois grupos: 1) de risco socioeconômico (G-R);  e 2) sem risco socioeconômico (G-SR). A qualidade de vida foi mensurada por meio do instrumento World Health Organization Quality of Life-Bref (WHOQOL-Bref). A percepção da saúde e renda mensal foi mensurada por meio de um questionário elaborado pelos autores. Resultados: Foi encontrada diferença significativa entre os grupos G-R e G-SR para o domínio meio ambiente (p= 0,001) no WHOQOL-Bref. A percepção sobre a saúde durante a pandemia da COVID-19 de mães do G-R foi entre boa (52,6%) e regular (36,8%) enquanto a maioria das mães no G-SR avaliou a saúde como boa (81,8%). Das famílias sem risco socioeconômico, 59% precisaram recorrer ao auxílio do governo enquanto que a maioria das famílias de baixo NSE (89,5%) foi beneficiada com o auxílio emergencial do governo. Conclusões: Famílias de baixo nível socioeconômico apresentaram pior qualidade de vida no que diz respeito ao domínio meio ambiente, pior percepção sobre a saúde, e renda familiar diminuída quando comparadas com famílias sem risco socioeconômico.

Hyperkalemic renal tubular acidosis is a non-anion gap metabolic acidosis that invariably indicates an abnormality in potassium, ammonium, and hydrogen ion secretion. In clinical practice, it is usually attributed to real or apparent hypoaldosteronism caused by diseases or drug toxicity. We describe a 54-year-old liver transplant patient that was admitted with flaccid muscle weakness associated with plasma potassium level of 9.25 mEq/L. Additional investigation revealed type 4 renal tubular acidosis and marked hypomagnesemia with high fractional excretion of magnesium. Relevant past medical history included a recent diagnosis of Paracoccidioidomycosis, a systemic fungal infection that is endemic in some parts of South America, and his outpatient medications contained trimethoprim-sulfamethoxazole, tacrolimus, and propranolol. In the present acid-base and electrolyte case study, we discuss a clinical approach for the diagnosis of hyperkalemic renal tubular acidosis and review the pathophysiology of this disorder.

OBJECTIVES: The COVID-19 pandemic led to sudden and challenging changes.In addition to new coronavirus hospitalizations, children continue to be hospitalized due to other causes, which demands enormous caution to reconcile preventive measures to reduce the spread of SARS-CoV-2 with actions to guarantee quality of life during hospitalization. METHODS: Aiming to offer quality of life for children hospitalized in the current pandemic, a literature review was carried out, with subsequent critical analysis, using databases and relevant descriptors, such as “quality of life”, “hospitalized child”, and “coronavirus infections”. RESULTS: The themes found were communication, reception, attention to the families needs, playing in the hospital and playful stimulation and continuation of the schooling process.Communication is anessentialskillto ensure humanizedand qualifiedcare practices, important for good adherence and response to treatment. As for the reception,theemotional,social,spiritual,and physical spheres must beconsidered. In order to providecomprehensivecare,itis essential to knowthechild’s familycontext. Playis oneof themain occupationsof thechild’scontext, being a way for the development of various capacities of adaptation, interaction, and a source of physical and emotional stability for children. Maintaining the schooling process can mitigate the significant losses that hospitalisolation brings. CONCLUSION: It is concluded that, in order to offer quality of life in the pediatric hospital context nowadays, one must have a holistic and interdisciplinary view.