Overweight in adolescents: food insecurity and multifactoriality in semiarid regions of pernambuco
Conclusions: The prevalence of being overweight was high, exceeding the expected for a population with better living conditions. The determinants of being overweight were: alcohol consumption, occupancy situation, self-perceived weight, age and food security/mild food insecurity.RESUMO Objetivo: Investigar o excesso de peso em adolescentes do Sert ão e Agreste de Pernambuco, considerando a multifatoriedade dos determinantes do excesso de peso e as condições de insegurança alimentar e nutricional da região. Métodos: Estudo transversal, de base populacional, realizado no período de setembro a outubro de 2015. O e...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Children’s use of interactive media in early childhood - an epidemiological study
Conclusions: We observed high interactive media use prevalence. The predominant way of using these devices was marked by parent-child participation. Most parents reported believing in the benefits of interactive media. Passive activities were more frequent, with restricted time of use.RESUMO Objetivo: Descrever a preval ência do uso de mídias interativas (tablets e smartphones) pelas crianças de dois a quatro anos de idade, assim como caracterizar esse uso, investigar hábitos, práticas, participação e opinião dos pais acerca da sua utilização. Métodos: Estudo transversal com 244 pais ou responsáveis d e cr...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Maternal and fetal risk factors associated with late preterm infants
Conclusions: Inadequate prenatal care and membranes ’ premature rupture were found as factors associated with the late preterm birth. It is important to identify the factors that allow intervention with adequate prenatal care in order to reduce poor outcomes due to late prematurity.RESUMO Objetivo: Determinar fatores maternos e fetais associados ao nascimento de rec ém-nascidos prematuros tardios, quando comparados aos nascidos a termo. Métodos: Estudo caso-controle em um hospital terciário de referência para atendimento de gestações de alto risco. Foram considerados casos as puérperas e seus respectivos rec...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Temporal trend of hospitalizations for acute bronchiolitis in infants under one year of age in brazil between 2008 and 2015
Conclusions: Acute bronchiolitis presented increasing rates of hospitalization over the study period. Hospitalization incidence for acute bronchiolitis declined one year after the implementation of palivizumab but increased again in the second year of the program.RESUMO Objetivo: Avaliar a tend ência de hospitalização por bronquiolite aguda (BA) em lactentes menores de um ano de idade nos últimos oito anos no Brasil e, secundariamente, após a implementação do programa de imunização por palivizumabe. Métodos: Análise retrospectiva dos dados de lactentes menores de um ano de ida de, hospitalizados com diagnó...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Complexity of pediatric chronic disease: cross-sectional study with 16,237 patients followed by multiple medical specialties
Conclusions: The present study showed that PCD patients who required simultaneous care from multiple medical specialties had complex and severe diseases, with specific diagnoses.RESUMO Objetivo: Avaliar dados demogr áficos e características de crianças e adolescentes com doenças crônicas pediátricas, de acordo com o número de especialidades/paciente. Métodos: Realizou-se um estudo transversal com 16.237 pacientes com doenças crônicas pediátricas durante um ano. A análise foi feita em um sistema el etrônico, de acordo com número de consultas médicas para doenças crônicas pediátricas. Este estudo avali...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Accidental poisoning in children and adolescents admitted to a referral toxicology department of a brazilian emergency hospital
Conclusions: Accidental poisonings occurred most frequently by ingestion of household medications and cleaning products, especially among children under 4 years-old. Preventive strategies should be primarily directed for this prevalent profile.RESUMO Objetivo: Descrever o perfil dos atendimentos de crian ças e adolescentes vítimas de intoxicações exógenas acidentais e os fatores associados às internações hospitalares. Métodos: Foi realizado um estudo transversal com base na revisão dos registros de todas as intoxicações acidentais de indivíduos com até 19 anos de idade, atendidos no setor de toxicologia ...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
A recurrent mutation in tshb gene underlying central congenital hypothyroidism undetectable in neonatal screening
ABSTRACT Objective: To describe the case of a patient with central congenital hypothyroidism (CCH) due to a recurrent mutation in the TSHB gene, as well as to conduct a genetic study of his family. Case description: It is presented a case report of a 5-month-old boy with a delayed diagnosis of isolated CCH in whom the molecular analysis was performed 12 years later and detected a recurrent mutation (c.373delT) in TSHB gene. The parents and sister were carriers of the mutant allele. Comments: The c.373delT mutation has previously been reported in patients from Brazil, Germany, Belgium, United States, Switzerland, Arge...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Pre and post-operative otorhinolaryngology surgery care in patients with glycogen storage disease type 1
ABSTRACT Objective: To discuss aspects of pre and post-operative otorhinolaryngology surgery in patients with glycogen storage disease type 1b. Case description: Description of three clinical cases with probable glycogen storage disease type 1b who underwent otorhinolaryngology surgery, showing the importance of multidisciplinary interaction to avoid episodes of hypoglycemia. Comments: Patients with glycogen storage disease type 1b present recurrent infections, including the otorhinolaryngology affections. When there is an indication for surgical treatment, the caloric intake should be carefully followed in order to ...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Rib osteomyelitis: a rare complication of varicella
ABSTRACT Objective: To report a case of varicella complicated by acute osteomyelitis in order to remind of a rare and potentially serious complication of a very common pediatric disease. Case description: A previously healthy 3-month-old female infant with 10-day history of varicella was admitted to the hospital for fever, groan and prostration. The initial laboratorial evaluation was compatible with bacterial sepsis. By the third day after admission, a swelling of the seventh left rib had developed. The ultrasound and scintigraphy evaluation suggested rib osteomyelitis. Blood cultures were negative. The patient comple...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Adolescent patients and the clinical decision about their health
Conclusions: International guidelines recommend that adolescents participate in discussions about their illness, treatment and decision-making. However, there is no universally accepted consensus on how to assess the decision-making ability of these patients. Despite this, when possible, the adolescent should be included in a serious, honest, respectful and sincere process of deliberation.RESUMO Objetivo: Realizar uma revis ão da literatura sobre a participação do adolescente na tomada de decisão sobre a sua saúde. Fonte de dados: Revisão nos bancos Scientific Electronic Library Online (SciELO), Literatura Latin...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Antibiotics for appendicectomy in children and adolescents during the perioperative period: an integrative review
Conclusions: There are several clinical protocols with different antibiotics. However, there is no standardization concerning the type of antibiotic drug, time of use, or route.RESUMO Objetivo: Analisar o uso de antibi óticos em crianças e adolescentes no perioperatório de apendicectomia. Fonte de dados: Realizou-se uma revisão integrativa, nas bases de dados MEDLINE, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Cochrane e no portal PubMed, sem limite de tempo. As palavras-chave utilizadas foram: apendicite, criança, adolescente e antibacterianos com booleano AND. Os artigos incluído...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Baby friendly hospital initiative: 25 years of experience in brazil
Conclusions: The BFHI has contributed to breastfeeding in Brazil in recent decades. Greater support for public policies is needed to expand the number of accredited institutions in the country.RESUMO Objetivo: Descrever a experi ência de 25 anos da Iniciativa Hospital Amigo da Criança (IHAC) no Brasil, cuja primeira unidade foi implementada em 1992. Métodos: Informações e dados foram obtidos em publicações nos sites da Organização Mundial da Saúde (OMS), do Fundo Internacional de Emergência para a Infância das Nações Unidas (UNICEF) e do Ministério da Saúde e em periódicos nacionais e internacionais,...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Physicians’ knowledge about patients’ religious beliefs in pediatric care
Conclusions: Although most pediatricians and residents consider themselves able to deal with the most prevalent religions in Brazil and affirm that spirituality is beneficial during the death process, little importance is given to the spiritual identity of their patients, which could limit an appropriate approach to their death process.RESUMO Objetivo: Descrever o conhecimento dos m édicos pediatras e residentes de pediatria a respeito do significado da morte segundo as religiões mais prevalentes no Brasil. Métodos: Estudo transversal em que foi aplicado um questionário aos médicos pediatras e residentes de um ho...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
Analysis of the differences between the prescribed and the administered diet to preterm infants using an electronic too
Conclusions: The use of a computational routine was important to verify differences between the prescribed and the administered diet. This analysis is necessary to minimize calcul ation errors and to speed up health providers ’ decisions about the nutritional approach, which can contribute to patients ’ safety and to good nutritional practice. Very low birth weight infants are extremely vulnerable to nutritional deficiencies and any reduction in macronutrients they receive may be harmful to achieve satisfactory growth.RESUMO Objetivo: Elaborar um instrumento eletr ônico para análise da adequação da terapia nut...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
X-linked adrenoleukodystrophy in brazil: a case series
Conclusions: All phenotypes of X-linked adrenoleukodystrophy, except for myelopathy in women, were presented in the studied population, which mainly consisted of children and adolescents. Prevalent signs and symptoms registered in the literature were observed. Most of the patients with cerebral demyelinating inflammatory adrenoleukodystrophy were not diagnosed in time for hematopoietic stem cell transplantation.RESUMO Objetivo: Descrever pacientes com diferentes formas de adrenoleucodistrofia ligada ao X: pr é-sintomática, adrenoleucodistrofia inflamatória desmielinizante cerebral, adrenomieloneuropatia e insuficiên...
Source: Revista Paulista de Pediatria - October 11, 2019 Category: Pediatrics Source Type: research
