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Clinical and epidemiological aspects of microcephaly in the state of Piauí, northeastern Brazil, 2015–2016

Overview of attention for article published in Jornal de Pediatria, June 2018
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Title
Clinical and epidemiological aspects of microcephaly in the state of Piauí, northeastern Brazil, 2015–2016
Published in
Jornal de Pediatria, June 2018
DOI 10.1016/j.jped.2018.04.013
Pubmed ID
Authors

Isabel Marlúcia Lopes Moreira de Almeida, Carmen Viana Ramos, Danielle Carvalho Rodrigues, Amanda Carvalho de Sousa, Maria de Lourdes Cristina Alcântara Paz Carvalho do Nascimento, Marcos Vilhena Bittencourt da Silva, Francisca Miriane Araújo Batista, Jéssica Pereira Dos Santos, Roselane Sampaio de Oliveira, Filipe Augusto de Freitas Soares, Samanta Cristina das Chagas Xavier, Filipe Anibal Carvalho-Costa

Abstract

To describe aspects of the microcephaly epidemic in the state of Piauí. All cases of congenital microcephaly confirmed in the state between 2015 and 2016 were included (n=100). Investigation forms of the Regional Reference Center for Microcephaly were reviewed. Discarded cases (n=63) were used as a comparison group. In October, November, and December 2015 incidence rates reached 4.46, 6.33 and 3.86/1000 live births, respectively; 44 cases were reported in the state capital. Among the mothers of confirmed and discarded cases, the frequency of skin rash during pregnancy was 50/97 (51.5%) and 8/51 (15.7%), respectively (p<0.001); 33 confirmed cases (35.9%) had a head circumference z-score between -2 and -3, 23 (25%) between -3 and -4, and 8 (8.7%) had a z-score of less than -4. Head computer tomography scans revealed calcifications in 78/95 (82.1%) cases. Lissencephaly, hydrocephalus and agenesis of the corpus callosum were also frequently observed. Ophthalmic findings included retinal pigment epithelium rarefaction and atrophy. Absence of otoacoustic emissions was observed in 21/70 cases. One newborn also presented lower limb muscle atrophy. There were no significant differences in vaccination rates for influenza, diphtheria-tetanus-acellular pertussis, and hepatitis B in either group. The state of Piauí, like others in the northeastern region, faced an epidemic of congenital microcephaly between 2015 and 2016, presumably related to congenital Zika virus infection, more intense in the capital. Current challenges include the improvement of vector control, basic research, scaling-up of diagnostic tools for pre-natal screening of Zika virus, vaccines, and health care for affected children.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 117 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 117 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 16%
Student > Bachelor 11 9%
Researcher 10 9%
Student > Doctoral Student 10 9%
Student > Postgraduate 7 6%
Other 24 21%
Unknown 36 31%
Readers by discipline Count As %
Medicine and Dentistry 27 23%
Nursing and Health Professions 12 10%
Agricultural and Biological Sciences 7 6%
Neuroscience 4 3%
Biochemistry, Genetics and Molecular Biology 3 3%
Other 19 16%
Unknown 45 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2018.
All research outputs
#19,951,180
of 25,385,509 outputs
Outputs from Jornal de Pediatria
#613
of 897 outputs
Outputs of similar age
#251,977
of 343,092 outputs
Outputs of similar age from Jornal de Pediatria
#14
of 23 outputs
Altmetric has tracked 25,385,509 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 897 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 343,092 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 39th percentile – i.e., 39% of its contemporaries scored the same or lower than it.