Neonatal pemphigus in an infant born to a mother with pemphigus vulgaris: a case report
RESUMO Objetivo: Relatar um caso de p ênfigo neonatal em paciente que manifestou lesões cutâneas extensas e críticas ao nascimento. Descrição do caso: Recém-nascido do sexo masculino com lesões vesicobolhosas extensas em região anterior do tórax e abdome, desde o nascimento. Admitido na ala pediátrica de um hospital para di agnóstico etiológico e tratamento. Com base na história materna e na avaliação clínica, concluiu tratar-se de pênfigo vulgar neonatal. O paciente apresentou evolução satisfatória, sem a necessidade de intervenção farmacológica. Comentários: Os casos descritos na literatura...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Association of meningitis and pericarditis in invasive pneumococcal disease: a rare case
This report describes the unfavorable clinical course of a previously healthy 6-months-old female infant who initially presented symptoms of fever and respiratory problems. A chest X-ray revealed an increased cardiac area with no radiographic changes in the lungs. After identifying a pericardial effusion, the patient experienced seizures and went into coma. Pneumonia was excluded as a possibility during the clinical investigation. However, Streptococcus pneumoniae was identified in the cerebrospinal fluid and blood cultures. An initial neurological examination showed that the patient was brain dead, which was then later co...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Occasional digestive hemorrhage in children due to strongyloidiasis: importance of parasitologic testing
RESUMO Objetivo: Descrever um caso incomum de infec ção por Strongyloides stercoralis (S. stercoralis) em paciente de quatro meses de idade e ressaltar a importância do diagnóstico precoce. Descrição do caso: Paciente masculino, procedente e residente de Videira, Santa Catarina, Brasil, nasceu pré-termo, parto cesárea, peso de nascimento 1. 655 g, e permaneceu na Unidade de Terapia Intensiva neonatal e intermediária por 20 dias. Aos quatro meses de idade, começou a evacuar fezes sanguinolentas e foi feita hipótese de alergia à proteína do leite de vaca, em razão da sintomatologia e do uso da fórmula infa...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Effectiveness of obesity intervention programs based on guidelines for adolescent students: systematic review
Conclusions: Interventions based on physical activity and/or nutrition counseling were efficient and showed superior results in studies that associated the practice of physical activity with counseling. However, the need for new studies on educational interventions among schoolchildren and adolescents was made evident. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Should pediatricians investigate the symptoms of obsessive-compulsive disorder in children with feeding difficulties?
Conclusions: Obsessive-compulsive disorder and feeding difficulties patients share common symptoms. The present study alerts health professionals who follow patients with feeding difficulties as to the importance of investigating possible psychiatric comorbidities. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Sensory changes in mouth breathers: systematic review based on the prisma method
Conclusions: Most studies presents the occurrence of changes in sensory systems in mouth breathing children. However, sensory reception is a matter of more concern. Besides, the evaluation of sensory systems was not standardized, which may have led to less precise results in the studied population. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Evaluation of usability of a neonatal health information system according to the user’s perception
Conclusion: The level of satisfaction of the computerized health system user was considered good. No demographic factors were associated with the satisfaction of the users.RESUMO Objetivo: Mensurar o grau de satisfa ção de profissionais de saúde quanto à usabilidade de um sistema de informação em saúde neonatal e identificar os fatores que podem influenciar na satisfação do usuário frente à usabilidade. Métodos: Estudo transversal e exploratório realizado com 50 profissionais de saúde integrante s dos centros da Rede Brasileira de Pesquisas Neonatais. Para avaliação da usabilidade foi utilizado o instr...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Congenital hypothyroidism as a risk factor for central hearing process disorders
Conclusions: The data obtained show a high frequency of lag symptoms in cognitive functions related to central auditory processing, particularly with regard to auditory attention, figure-background ability and auditory memory in patients with congenital hypothyroidism. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Cardiorespiratory fitness associated to teenagers’ fat: vo2max cutoff point
Conclusions: VO2max was inversely associated to the %BF, and VO2max cutoff points for prediction of %BF of risk are important results to generate action to fight early obesity.RESUMO Objetivo: Associar o Consumo M áximo de Oxigênio (VO2máx) com o % de Gordura Corporal (%GC) e estabelecer o melhor ponto de corte do VO2máx para a previsão do %GC de risco em adolescentes. Métodos: Estudo realizado com uma amostra de 979 sujeitos entre 10 e 18,8 anos, sendo 556 (56,8%) meninas. O protocolo shuttle run de 20 m determinou o VO2máx, que foi analisado em quintil e escala numérica. Equações de dobras cutâneas determ...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Functional capacity in children and adolescents with congenital heart disease
Conclusions: Children and adolescents with congenital heart disease have low functional capacity, but they are not completely sedentary.RESUMO Objetivo: Avaliar o n ível de atividade física e a capacidade funcional de crianças e adolescentes com cardiopatia congênita, além de descrever correlações entre funcionalidade, achados cirúrgicos e ecocardiográficos, perfil metabólico e inflamatório e diferenças entre cardiopatias congênitas acianótica e c ianótica. Métodos: Estudo transversal com crianças e adolescentes com cardiopatia congênita entre seis e 18 anos de idade. Foi realizado o teste de caminha...
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Evaluation of nutritional status in patients with cystic fibrosis according to age group
Conclusions: Most of the patients presented adequate nutritional status and adequate consumption of calories and macronutrients, indicating appropriate nutritional management. New studies focusing on pre school children should be performed to assess if it is possible to reduce the nutritional risk of patients with cystic fibrosis at older ages. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Cut off values for waist circumference to predict overweight in brazilian adolescents, according to pubertal staging
Conclusions: The establishment of cut off points for waist circumference according to pubertal staging was proven a good means to identify overweight. These cut off points can be considered reliable for the Brazilian adolescent population, as the isolated use of chronological age in adolescents may underestimate their nutritional status. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Family history is associated with the presence of dyslipidemia in pre-school children
Conclusions: An investigation of the family history of dyslipidemia should be made as part of the protocol to verify the presence of hypertriglyceridemia and dyslipidemia in children. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Perceptions on the importance of vaccination and vaccine refusal in a medical school
Conclusions: Medical students and doctors are not adequately vaccinated and have queries about the vaccination schedule, vaccine safety and vaccine refusal. Improving these professionals ’ knowledge is an important strategy to maintain vaccine coverage and address vaccine refusal ethically. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research

Profile and appropriate use of antibiotics among children in a general hospital in southern brazil
Conclusions: Although the prevalence of antibio tics among hospitalized children was not that high, a considerable part of the sample presented inadequacy regarding the dosage and range of use. These data raise concerns about bacterial resistance and adverse reactions. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - February 5, 2019 Category: Pediatrics Source Type: research