We report the early growth and neurologic findings of 48 infants in Brazil diagnosed with probable congenital Zika virus syndrome and followed to age 1–8 months. Most of these infants had microcephaly (86.7%) and craniofacial disproportion (95.8%). The clinical pattern included poor head growth with increasingly negative z-scores, pyramidal/extrapyramidal symptoms, and epilepsy.

Objective: analyze the prenatal nursing consultation from the perspectives of pregnant women and nurses. Method: qualitative and descriptive study, involving 20 pregnant women and four nurses, at a primary health care service located in the city of São Luís/Maranhão (Brazil). The data were collected through semistructured interviews, participant observation and a focus group and analyzed based on the premises of thematic analysis. Results: the pregnant women expressed their satisfaction with the physical examination, highlighting that the welcoming. Complaints were made on the nurses’ technical competence, specifically regarding counseling on urinary tract infection. Some facilities were highlighted after the implementation of the Estratégia Rede Cegonha, mainly in the scheduling of appointments. The following difficulties were mentioned: lack of some prescribed drugs and long terms for carrying out and receiving preventive examinations. Conclusion: the pregnant women assessed the nursing consultation as very good, but they tend to attribute the logistic difficulties at the Health Center (lack of inputs) and even the forwarding to the medical professional (prescription of drugs to obtain outside the Health Center) to the nurses. Based on the research, relevant points could be identified that can influence positive criticism against the nursing consultation, as it constitutes more than half of clinical prenatal care in Brazil and can also change the conditions sensitive to hospitalization in primary care.

ObjectiveThe objective of this study was to test if the Personality Inventory for DSM‐5 (PID‐5) is an adequate instrument to evaluate psychiatric inpatients' pathological personality traits.MethodsInpatients (n = 130; mean age: 38.5 years; 62.3% female; 63.9% single) answered the PID‐5 after clinical improvement of their psychiatric symptoms. The mean scores of the DSM‐5 personality domains, facets and profiles, and ICD‐11 domain traits were compared with the mean scores of a Brazilian normative sample (n = 656). We investigated the diagnostic performance of the scales to identify individuals with and without psychopathology.ResultsThe final sample included mainly diagnoses of mood disorders. Except for Antagonism and Disinhibition, all DSM‐5 personality domains and most facets as well as almost all DSM‐5 personality disorder profiles (except Narcissist) and ICD‐11 trait domains (except Detachment and Dissociality) of the inpatients presented high differences compared with the normative sample. In general, the PID‐5 scales presented a high negative predictive value and a low positive predictive value to identify individuals with severe psychopathology.DiscussionThis study found high scores of pathological personality traits in a sample of Brazilian psychiatric inpatients. The PID‐5 may be a promising instrument to measure pathological personality traits among psychiatric inpatients. Methodological and sample size limitations may have influenced the results. © 2018 John Wiley & Sons, Ltd.

Suicide is a major public health problem. Preventive measures have been sought by identifying risk factors. This study evaluates the association of childhood abuse and neglect with suicidal behavior at the time of psychiatric hospital admission. A total of 120 subjects (72 females; mean age 42.5 +/- 15.6 years old) admitted from August 2006 to July 2007 completed the Childhood Trauma Questionnaire (CTQ) to assess severity of exposure to childhood maltreatment. Thereof 62 (51.6%) patients presented with suicidal behavior at admission. Patients who had attempted suicide had significantly higher CTQ scores. Regression analysis indicated that shorter illness duration and severity of childhood maltreatment were predictors of suicidal behavior at admission. The study showed that inpatients of a psychiatric unit of a general hospital who experienced severe childhood abuse or neglect were significantly more likely to present with suicidal behavior. History of childhood maltreatment should be evaluated as an associated risk factor of suicidal behavior at admission of psychiatric inpatients.