Letícia G de Queiroz, Paulo F Collett-Solberg, Maria das Graças C de Souza, Nádia Cristina P Rodrigues, Alexandra Maria M Grisolia, Cristiane de S Mendes, Fernanda M G Januzzi, Cecília L de Oliveira, Eliete Bouskela, Maria Cristina C Kuschnir, Isabel R Madeira
OBJECTIVE: To evaluate the association between inflammatory markers and abdominal fat assessed by ultrasound in prepubertal children with and without excess weight. METHODS: A cross-sectional study involving 241 prepubertal children, 156 with obesity, 37 with overweight, and 48 with normal weight, aged five to ten years, who were followed at a research unit on Childhood Obesity from a teaching hospital belonging to a public health system. The concentration of interleukin-6, tumor necrosis factor-α and C-reactive protein were assessed and regression analyses, considering outcome variables such as abdominal wall and intra-abdominal fat thickness measured by ultrasound, were performed...
May 8, 2024: Jornal de Pediatria
Carolina Sartini Stocco, Tiago Francisco Meleiro Zubiolo, Matheus Henrique Arruda Beltrame, Cátia Millene Dell'Agnolo
OBJECTIVE: Child sexual violence is a multidimensional problem of many contemporary societies, affecting people of all sexes, social stratum and age groups. Offenses involving children and adolescents are more serious, given their total or partial dependence on parents and caregivers. Information on child sexual violence in Brazil is found in raw form and without detail. The objective was to compare the information with social and economic data in the state of Paraná. METHODS: The authors conducted a retrospective study of secondary data from the Notifiable Diseases Information System (SINAN) on cases of sexual violence involving victims aged 0 to 19 years...
May 1, 2024: Jornal de Pediatria
Michelle Siqueira Debiazzi, Rossano César Bonatto, Fábio Joly Campos, Joelma Gonçalves Martin, José Roberto Fioretto, Maria Letícia das Neves Hansen, Arthur Martins de Araújo Luz, Haroldo Teófilo de Carvalho
OBJECTIVE: To compare the effectiveness of inhaled Magnesium Sulfate associated with Salbutamol versus Inhaled Salbutamol alone in patients with moderate and severe asthma exacerbations. METHOD: Clinical, prospective and randomized study with patients between 3 and 14 years of age divided into two groups: one to receive inhaled salbutamol associated with magnesium sulfate (GSM), the other to receive inhaled salbutamol alone (GS). The sample consisted of 40 patients, 20 patients in each group...
April 30, 2024: Jornal de Pediatria
João Roberto Bissoto, José Udevanier Rebouças da Silva Júnior, Gabrielle Pignol Alvares, Flávia H Santos, Claudio Arnaldo Len
OBJECTIVES: To survey, analyze and discuss the scientific evidence supporting the use of acupuncture and related techniques in the management of chronic pain in the pediatric population. SOURCES: A survey of databases (MEDLINE, Scopus and Scielo) was carried out with search strategies, following the PRISMA statement, without limits on publication dates and languages. Clinical studies (clinical trials, single-arm, and case series) were accepted for review if they included participants aged up to 22 years...
April 29, 2024: Jornal de Pediatria
Jürgen Rehm
No abstract text is available yet for this article.
April 26, 2024: Jornal de Pediatria
Débora Bressan Pazinatto, Maria Angela Bellomo Brandão, Flávia Lima Peixoto Costa, Myrian Maria Andreotti Favaro, Rebecca Maunsell
OBJECTIVE: To assess FEES findings in defining oral feeding safety in children with suspected dysphagia, comparing them with clinical feeding evaluation results. METHODS: This study comprised a case series involving children with suspected dysphagia, referred for evaluation by otolaryngologists and speech-language pathologists (SLPs) at a Brazilian quaternary public university hospital. These children underwent both clinical evaluations and fiberoptic endoscopic evaluation of swallowing (FEES), with a comprehensive collection of demographic and clinical data...
April 25, 2024: Jornal de Pediatria
Débora Letícia Moreira Mendes, Lucas Gabriel Nunes Andrade, Davide Carlos Joaquim, Francisco Cezanildo Silva Benedito, Ana Caroline Rocha de Melo Leite, Virgínia Cláudia Carneiro Girão-Carmona
OBJECTIVE: This study aimed to review literature from the past five years, focusing on the use of educational videos as a guidance tool for parents and guardians of children with lip and palate clefts. SOURCE OF DATA: Conducted between April and July 2022, this integrative literature review was framed around the question: 'What is the evidence regarding the use of videos in health education for parents/guardians of children with cleft lip and palate? PICO strategy was used to develop the research...
April 25, 2024: Jornal de Pediatria
Chaochen Zhao, Zhiye Guan, Qizhi Jiang, Wangqiang Wu, Xiaodong Wang
OBJECTIVE: Platelet to albumin ratio (PAR) and prognostic nutritional index (PNI) are potential indicators for evaluating nutritional and inflammatory status. This study aimed to examine the relationship between PAR and PNI and the acute complicated course of acute hematogenous osteomyelitis (AHO). METHODS: AHO patients were divided into the simple course group and the acute complicated course group. The patient's gender, age, site of infection, body temperature, laboratory results, and pathogen culture results were collected and compared...
April 25, 2024: Jornal de Pediatria
Aluhine L Fatturi, Mariana A P Morgan, Jandrei R Markus, Lucero Noguera-Morel, Vânia O Carvalho
OBJECTIVES: This study aims to evaluate the characteristics and treatment response of patients with pityriasis lichenoides seen in the last 43 years in a pediatric dermatology service. METHODS: This was a retrospective, analytical, longitudinal study of patients under 15 years of age. The medical records were reviewed and data were presented as frequencies, means and variances. Student's t-test, Mann-Whitney test, Fisher's exact test, Pearson/Yates chi-square test and multivariate logistic regression model were used, with p < 0...
April 24, 2024: Jornal de Pediatria
Monica D C Freire, Paulo R T P Dias, Thiago S P Souza, Caio K Hirose, Paula B M C Araujo, Mario F T Neves
OBJECTIVE: To determine reference intervals (RI) for fasting blood insulin (FBI) in Brazilian adolescents, 12 to 17 years old, by direct and indirect approaches, and to validate indirectly determined RI. METHODS: Two databases were used for RI determination. Database 1 (DB1), used to obtain RI through a posteriori direct method, consisted of prospectively selected healthy individuals. Database 2 (DB2) was retrospectively mined from an outpatient laboratory information system (LIS) used for the indirect method (Bhattacharya method)...
April 23, 2024: Jornal de Pediatria
Bruno Leonardo Scofano Dias, Maura Calixto Cecherelli de Rodrigues, José Luiz Muniz Bandeira Duarte
OBJECTIVES: To investigate the associations between caregivers' burden, family quality of life (QoL), and siblings' QoL in Brazilian families of children with cerebral palsy, and to analyze siblings' QoL using as a parameter the QoL of typically developed Brazilian children. METHODS: It was a cross-sectional study. The 212 families, 212 caregivers and 131 siblings completed the Family Quality of Life Scale, Burden Interview, and KIDSCREEN-27 Child and Adolescent Version and Parents Version questionnaires at a neurorehabilitation center in southeast Brazil...
April 22, 2024: Jornal de Pediatria
Keming Sun, Chunxu Zhang, Ziwen Mao, Chen Wang, Hua Zhu, Huiqing Sun, Kang Wang, Weyland Cheng
OBJECTIVE: Signs and symptoms of osteomyelitis or septic arthritis in neonates and infants are often nonspecific and early-stage bone infections in infants may often go unnoticed. The objective of this study was to analyze the clinical characteristics of newborns and infants with osteomyelitis and septic arthritis to improve understanding of the disorder and to assist clinicians with diagnosis. METHODS: A retrospective multicenter study was conducted on neonates (0-28 days old, n = 94) and infants (1-12 months old, n = 415) with osteoarticular infections...
April 17, 2024: Jornal de Pediatria
Tongtong Li, Chunhao Li, Guoquan Zhang, Naijian Zhang, Jing Li, Qinghan Ren, Wen Li, Zhenshu Li, Guowei Huang, Jing Yan
OBJECTIVE: To examine the mental health status and related factors in children and adolescents, and to assess age groups and sexes differences in factors influencing mental health. METHODS: This cross-sectional study was performed on Chinese children aged 6-18 years from November 2021 to January 2022. Mental health difficulties were accessed by the Strengths and Difficulties Questionnaire. Multivariate logistic regression was used to analyze factors associated with mental health status...
April 17, 2024: Jornal de Pediatria
Larissa H Ribas, Bruno B Montezano, Maria Nieves, Luiza B Kampmann, Karen Jansen
OBJECTIVE: Empirical evidence underscores an association between parental stress and emotional and behavioral problems in offspring. However, a comprehensive systematic review or meta-analysis on this topic is lacking. Thus, this study aims to address the scientific inquiry: Is there a relationship between parental stress and emotional/behavioral problems in children? SOURCES: This systematic review with a meta-analysis surveyed PubMed, PsycINFO, and the Biblioteca Virtual em Saúde between August and September 2021...
April 15, 2024: Jornal de Pediatria
Alicia A Ortega-Narváez, Diana M Muñoz, Claudia P Guzmán, Ginna P Cabra-Bautista
OBJECTIVE: Suicide attempt (SA) is the strongest predictive variable for completed suicide. The Department of Cauca in Colombia has an SA rate higher than the national average, but the factors are unknown. The objective was to identify the profiles of SA in children and adolescents of Cauca. METHODS: Cross-sectional study, which included all SA (Event-356) records from the SIVIGILA platform in children under 18 years of age between 2016 and 2019. The authors described the variables and multiple correspondence analysis with the Burt method, according to the completeness of the data to establish the possible SA profiles using STATA 15...
April 11, 2024: Jornal de Pediatria
Victória A Alves, Juliana M Giesta, Vera L Bosa, Helena A S Goldani
OBJECTIVE: To compare the phase angle (PhA) through bioelectrical impedance (BIA) of children with intestinal failure (IF) using prolonged parenteral nutrition (PN) followed by an Intestinal Rehabilitation Program, with a control group. METHODS: Children under 10 years of age with IF using prolonged PN for >60 days (study group) were included. The control group consisted of healthy children without chronic pathologies, matched by sex and age. Anthropometric parameters evaluated were: weight, height, weight/age z-score (W/A), height/age z-score (H/A), BMI, BMI/A z-score, arm circumference, triceps skinfold, subscapular skinfold, mid-arm muscle circumference...
April 10, 2024: Jornal de Pediatria
Aline Denise Hanauer, Zaíne Glaci Durte Corrêa, Gleci Blazius, Rodolfo Coelho Prates, Marco Fabio Mastroeni
OBJECTIVE: To estimate the direct costs of treating excess body weight in children and adolescents attending a public children's hospital. METHODS: This study analyzed the costs of the disease within the Brazilian Unified Health System (SUS) for 2,221 patients with excess body weight using a microcosting approach. The costs included operational expenses, consultations, and laboratory and imaging tests obtained from medical records for the period from 2009 to 2019...
April 9, 2024: Jornal de Pediatria
Nathalia Veiga Moliterno, Vitor Barreto Paravidino, Jaqueline Rodrigues Robaina, Fernanda Lima-Setta, Antônio José Ledo Alves da Cunha, Arnaldo Prata-Barbosa, Maria Clara de Magalhães-Barbosa
OBJECTIVE: To evaluate the effect of high-fidelity simulation of pediatric emergencies compared to case-based discussion on the development of self-confidence, theoretical knowledge, clinical reasoning, communication, attitude, and leadership in undergraduate medical students. METHODS: 33 medical students were allocated to two teaching methods: high-fidelity simulation (HFS, n = 18) or case-based discussion (CBD, n = 15). Self-confidence and knowledge tests were applied before and after the interventions and the effect of HFS on both outcomes was estimated with mixed-effect models...
April 9, 2024: Jornal de Pediatria
Wenzhi Zhang, Yun Peng, Yining Qiu, Li Cheng, Yuhong Yin, Ying Li, Lizhen Zhao, Xiaoyan Wu
OBJECTIVE: Monitoring the disease status of Epstein-Barr virus (EBV)-related hemophagocytic lymphohistiocytosis (HLH) patients is crucial. This study aimed to investigate the different strategies and outcomes of patients with EBV-HLH and re-elevated EBV-DNA. METHOD: A retrospective analysis was conducted on 20 patients diagnosed with EBV-HLH. Clinical features, laboratory tests, treatments, plasma EBV-DNA levels, and outcomes were assessed. Three cases were highlighted for detailed analysis...
April 8, 2024: Jornal de Pediatria
Roger Bouillon, Leen Antonio, Nick Narinx
No abstract text is available yet for this article.
April 8, 2024: Jornal de Pediatria
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