Revista Paulista de Pediatria
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The history of the inception and evolution of psychological care for infants and their families in a Neonatal Unit
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This article describes the evolution of a psychologist's work in a Neonatal Care Unit, from simple interventions that changed certain routines to foster humanization of care, to the complete integration of this professional into the multidisciplinary neonatal team. Detailed descriptions of the work's implementation in the hospital setting offer health professionals of the field a model for similar programs. CASE DESCRIPTION: The history of the inception and evolution of a psychologist's work at the Neonatal Care Unit of Universidade Estadual de Campinas in a ten-year period (1993 to 2003) was described. Specific activities...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Spondylocostal dysostosis associated with neural tube defects
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OBJETIVO: Salientar a relação dos defeitos de fechamento do tubo neural com a disostose espôndilo-costal (DEC) por meio da descrição de três pacientes. DESCRIÇÃO DOS CASOS: Paciente 1: menina branca, 22 meses, nascida com mielomeningocele lombar. Na avaliação, apresentava hipotonia, baixa estatura, dolicocefalia, fendas palpebrais oblíquas para cima, pregas epicânticas e tronco curto com tórax assimétrico. A avaliação radiográfica revelou hemivértebras múltiplas, vértebras em borboleta e fusão e ausência de algumas costelas. Paciente 2: menina branca, 22 meses, com moderado atraso do desenvolvimento n...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Childhood bruxism: a warning sign to pediatric dentists and pediatricians
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CONCLUSIONS: The knowledge on the etiological factors and the clinical characteristics of childhood bruxism is important to establish early diagnosis and treatment, with a multidisciplinary approach that should include pediatricians, pediatric dentists and psychologists in order to provide adequate infant development focused on health promotion and individual well-being. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Zinc deficiency in children and adolescents with chronic liver diseases
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CONCLUSIONS: More studies are needed in order to understand zinc status in children and adolescents with chronic liver diseases. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Methods of body composition evaluation in children
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CONCLUSIONS: There are many methods to evaluate a child's body composition, each one with advantages and disadvantages. Before starting the evaluation, an effective method must be chosen to identify the problem, considering costs, the evaluators' skills, timing, acceptance by the target population and possible risks to health. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Is the distribution of plantar forces associated with different types of feet?
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OBJETIVO: Quantificar as forças e mensurar o arco longitudinal medial em pés de escolares. MÉTODOS: Estudo transversal envolvendo escolares da primeira série do ensino fundamental de uma escola pública de Guaratinguetá (SP). Para identificar a distribuição das pressões plantares, foram utilizadas duas plataformas de força e a impressão plantar em papel para mensurar o arco longitudinal medial. Compararam-se as forças plantares da porção medial e lateral e as forças plantares da região anterior e posterior dos pés. Os pés, depois de classificados, foram comparados quanto às médias das forças plantares d...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Environmental fungal flora in Pediatric and Neonatal Intensive Care Units at a tertiary hospital
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CONCLUSIONS: The fungi found may present a great pathogenic potential, mainly in immunocompromised patients. It is important to adopt some measures in order to reduce nosocomial infection in ICU, such as the strict control regarding equipment cleansing, control of visitors, hand washing and periodic cleansing and renewal of air conditioning filters. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Knowledge of industrialized dairy products labels by parents of patients allergic to cow's milk
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CONCLUSION: There was a deficient understanding and identification of cow's milk-related terms in spite of previous counseling. It is important to improve labels and to establish new strategies that allow lay people to identify labels of products containing cow's milk. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Nutritional status and enteroparasitosis prevalence among children enrolled in a day care center
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OBJETIVO: Avaliar o estado nutricional e descrever a prevalência de enteroparasitoses em crianças de uma creche. MÉTODOS: Estudo transversal com 133 crianças (sete a 78 meses de idade) matriculadas na Creche "Sinharinha Neto", Catanduva (SP). Avaliou-se o estado nutricional pelas curvas da OMS/2006 e NCHS/2000 (menores e maiores de cinco anos, respectivamente) e investigou-se enteroparasitoses por meio de exames parasitológicos de fezes. O escore Z dos índices peso/altura foi aplicado para classificar desnutrição aguda (Z2) e o da altura/idade para desnutrição pregressa e crônica (Z
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Factors associated with mental and psychomotor development of infants in four public day care centers in the municipality of Recife, Brazil
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CONCLUSIONS: Mental and psychomotor development were in the the normal range, but, below the expected for infants of the same age group of reference populations in developed countries. The factors associated with poor developmental indexes in this population are related to biological factors, with emphasis on nutritional deficits. Their reduction should be a priority for health and educational policy managers. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Risk factors associated to early weaning and to weaning period of infants enrolled in daycare centers
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OBJETIVO: Avaliar os fatores de risco no processo de desmame de lactentes matriculados em creches. MÉTODOS: Estudo analítico transversal com 56 crianças de nove a 18 meses de idade matriculadas em cinco creches de São Paulo. As mães das crinaças responderam ao questionário pré-testado que abordava questões demográficas, socioeconômicas, de gestação e nascimento, morbidade, aleitamento materno, alimentação complementar (quando/como foram introduzidos novos alimentos) e atividades da criança na creche. Os fatores associados ao desmame precoce e menor período de desmame (variável definida pela diferença ent...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Influence of food intake and physical activity patterns on the nutritional status of adolescents from Piedade, São Paulo, Brazil
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OBJETIVO: Identificar os fatores dietéticos e de atividade física associados ao estado nutricional de adolescentes escolares. MÉTODOS: Estudo transversal com 105 adolescentes de ambos os sexos, idade de 10 a 14 anos, matriculados em escolas públicas de Piedade (SP). Foram coletadas informações sobre consumo alimentar (recordatório 24 horas), padrão de atividade física (atividades físicas e sedentárias) e estado nutricional avaliado pelo índice de massa corporal. Consideraram-se insuficientemente ativos os adolescentes que praticavam menos de 300 minutos/semana de atividade física. Foram classificados como sede...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Complementary feeding and maternal characteristics of children younger than two years old in Florianópolis, Santa Catarina, Brazil
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CONCLUSIONS: Low educational level and working mothers were risk factors for early introduction of complementary food. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Variables associated with overweight in children from a shantytown in the Northeast of Brazil
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OBJETIVO: Determinar a frequência e os principais fatores associados a sobrepeso e obesidade em crianças moradoras de uma favela do Nordeste do Brasil. MÉTODOS: Estudo transversal com amostra de 86 crianças (40 eutróficas e 46 sobrepeso/obesas), com idade entre cinco e nove anos, selecionadas em um universo de 508 crianças nesta faixa etária, avaliadas e cadastradas na Unidade de Saúde da Família (USF). Para definição de sobrepeso/obesidade, foram utilizados os pontos de corte estabelecidos por Cole et al. Pesquisaram-se variáveis biológicas, socioeconômicas, hábitos alimentares, tempo em frente à televisã...
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Nutritional status evaluation in schoolchildren according to three references
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CONCLUSIONS: These results suggest that the choice of the Brazilian reference curve (Conde & Monteiro) does not impair the comparison with other international standards, particularly for obesity in male schoolchildren. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Systematic review and meta-analysis of the use of prokinetics in gastroesophageal reflux and in gastroesophageal reflux disease in Pediatrics
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CONCLUSIONS: The evidence for prokinetic use in GER and GERD in children is limited because the few studies report preliminary trials that evaluate short-term responses and show methodological limitations. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Prokinetics should not be routinely prescribed in the treatment of gastroesophageal reflux disease in pediatric patients
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(Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - October 2, 2009 Category: Pediatrics Source Type: journals
Renal symptoms in the Joubert syndrome
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OBJETIVO:Descrever o caso clínico de paciente com Síndrome de Joubert associada a alterações renais. DESCRIÇÃO DO CASO: Paciente de dois meses de idade admitida com quadro hipotonia e hiperpneia. Ao exame físico, observaram-se, além da respiração irregular, movimentos oculares anormais e hipertensão arterial; não se evidenciaram alterações na ausculta cardíaca e pulmonar. Durante investigação clínico-laboratorial inicial, as causas cardíacas e pulmonares foram descartadas. Aventaram-se hipóteses diagnósticas de patologias neurológicas com doença renal. Os exames laboratoriais mostraram presença de a...
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
22q11.2 deletion syndrome: catching the CATCH22
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CONCLUSIONS: Individuals with 22q11.2 deletion syndrome have a great possibility to undergo medical interventions and hospitalizations throughout their lives. Early diagnosis is essential for the evaluation and clinical management of the patients and their families. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Mesenteric circulation peculiarities in infant newborns and its implications in gastrointestinal illnesses of the neonatal period
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CONCLUSIONS: The newborn infant presents peculiarities on gastrointestinal blood circulation. Superior mesenteric artery Doppler ultrasound provides non-invasive measures of the intestinal circulatory conditions. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Cerebral development in preterm newborn infants
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CONCLUSIONS: Prematurity can lead to structural and anatomical changes of the brain due to interruption of the prenatal development. These changes can cause functional deficits and children born prematurely are more vulnerable to cognitive and motor problems as well as its effects on their daily activities, even in adolescence and adulthood. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Acute phase reactants evaluation in children and adolescents with juvenile idiopathic arthritis and its correlation with disease activity
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CONCLUSIONS: The acute phase reactants have a positive association with the activity of the disease and using both tests simultaneously increases their specificity. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Risk factors for death in the Neonatal Intensive Care Unit
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OBJETIVO:Estimar fatores de risco para óbito durante internação em uma Unidade de Terapia Intensiva Neonatal (UTIN) por modelo logístico hierarquizado. MÉTODOS: Trata-se de estudo observacional, analítico e longitudinal com recém-nascidos internados na UTIN de um hospital universitário, no período de janeiro/2000 a dezembro/2003. A variável dependente foi óbito intra-hospitalar e as independentes foram variáveis antenatais, perinatais e pós-natais. Criou-se um modelo hierarquizado em três níveis. Realizada a análise bivariada, foram incluídas no modelo as que apresentavam p
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Compliance with hand washing technique in a Neonatal Intensive Care Unit
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OBJETIVO:Avaliar o cumprimento da técnica de lavagem das mãos empregadas em uma unidade de terapia intensiva neonatal (UTIN) pelos profissionais de saúde e visitantes. MÉTODOS: Estudo prospectivo e observacional em uma UTIN universitária em Santos (SP). Observações foram feitas nos períodos da manhã e da tarde por um período de sete meses. Os dados foram coletados por dois estudantes de medicina em planilha específica. As pessoas observadas não sabiam da natureza do trabalho. Para comparar os resultados obsevados entre categorias profissionais e entre períodos de observação, utilizou-se o teste do qui-quadra...
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Neonatal epileptic seizures: descriptive analysis in a hospital population
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CONCLUSIONS: The incidence of neonatal epileptic seizures identified here was three to four times higher than the incidence found in hospitals of developed countries, although the cases characteristics were similar. Lethality rate was 47.4% and severe asphyxia was the most common pathological condition during delivery. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Adverse events related to exchange transfusion in newborn infants with hemolytic disease: ten years of experience
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CONCLUSIONS: Although exchange transfusion is a frequent procedure for treating severe neonatal hyperbilirubinemia, the incidence of adverse events is high, especially if patients' clinical condition is unstable before the procedure. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Factors that interfere in the recognition of the neonatal facial expression of pain by adults
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CONCLUSIONS:The heterogeneity of factors that interfere in the recognition of neonatal pain by adults emphasizes the need of using validated pain assessment tools in the care of critically ill neonates. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Breastfeeding in Brazilian Pediatrics postgraduate programs: a profile of academic papers made from 1971 to 2006
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CONCLUSIONS: The number of academic studies produced does not match the importance of the theme for children's health. The academic production on breastfeeding is concentrated in the Southeast, the region with the largest number of programs. In terms of methodology, there was a predominance of quantitative studies, which shows a concern for the biological dimension of breastfeeding. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Nutritional status of children with chronic renal failure
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OBJETIVO:Desnutrição constitui uma frequente complicação em crianças portadoras de doença renal, sendo a baixa estatura o principal sinal clínico. O objetivo deste estudo é analisar o estado nutricional de crianças portadoras de doença renal por meio da antropometria. MÉTODOS:Estudo transversal que avaliou 21 (43%) meninos e 28 (57%) meninas, com idades entre 5,3 e 19,5 anos. As crianças foram divididas em três grupos, de acordo com o clearance (mL/min/1,73m2): Grupo 1, clearance >37 (n=19); Grupo 2, entre 15 e 37 (n=9) e Grupo 3 com clearance 37 (n=19); Group 2, between 15 and 37 (n=9) and Group 3,
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Nutritional status of children assisted in public health care settings of the city of Santos, São Paulo, Brazil
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CONCLUSIONS: There was a low frequency of malnutrition. The WHO curve detected less patients with nutritional deficits than the other NCHS (1977) and CDC (2000) curves. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Nutritional assessment of children of the Jequitinhonha Valley region in Brazil with NCHS and the new WHO growth charts
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CONCLUSIONS:Differences in the detection of nutritional deficits were found. The WHO growth chart is more updated and the data was collected from children in good environment conditions and healthy feeding habits, favoring their normal growth. The WHO chart may be considered more adequate to assess children growth. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Inappropriate basic health conditions, infantile malnourishment and adult illness risk
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CONCLUSIONS: Nutritional problems in infancy and adolescence increase the risk of cardiovascular disease in these ages and, probably, in the adult life, mainly in the presence of risk factors such as serum lipid profile alteration, obesity, and female gender. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
Nutritional epidemiological transition in poor Argentinean children and adolescents
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(Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - July 5, 2009 Category: Pediatrics Source Type: journals
OPV: até quando?
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OBJETIVO: Descrever dois casos de distonia aguda após uso de bromoprida em crianças e realizar revisão da literatura em relação aos mecanismos fisiopatológicos de indução de liberação extrapiramidal, sua sintomatologia e tratamento. DESCRIÇÃO DO CASO: Caso 1: adolescente de 13 anos com quadro de dor e hipertonia cervical associados a febre, náuseas e vômitos, com hipótese inicial de meningite. A investigação subsequente revelou que o quadro iniciou-se após ingestão de uma única dose de bromoprida. O paciente apresentou boa resposta ao tratamento com difenidramina, sem necessidade de coleta de líquor. C...
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Acute dystonia after use of bromopride in pediatric patients
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OBJETIVO: Descrever dois casos de distonia aguda após uso de bromoprida em crianças e realizar revisão da literatura em relação aos mecanismos fisiopatológicos de indução de liberação extrapiramidal, sua sintomatologia e tratamento. DESCRIÇÃO DO CASO: Caso 1: adolescente de 13 anos com quadro de dor e hipertonia cervical associados a febre, náuseas e vômitos, com hipótese inicial de meningite. A investigação subsequente revelou que o quadro iniciou-se após ingestão de uma única dose de bromoprida. O paciente apresentou boa resposta ao tratamento com difenidramina, sem necessidade de coleta de líquor. C...
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Acquired hypothyroidism treated as exogen obesity: the importance of growth follow-up
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OBJETIVO: Demonstrar a importância da interpretação do acompanhamento pôndero-estatural de crianças e adolescentes obesos DESCRIÇÃO DO CASO: Menina de 12 anos e 11 meses encaminhada a um ambulatório terciário para acompanhamento de obesidade e dislipidemia. Referia ganho de peso a partir de oito anos, negava fazer atividade física e possuía alimentação adequada. Relatava obesidade na família do pai. Ao exame, bom estado geral, diminuição da pilificação e mixedema generalizados, pele ressecada e áspera. Peso com percentil entre 90 e 97, índice de massa corpórea (IMC) acima do percentil 97 e estatura aba...
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Nutritional guidance for children and adolescents and the new consumption patterns: advertising, packaging and labeling
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CONCLUSIONS: The present article is intended to be a tool for updating health professionals and encouraging them to act more effectively in health education and nutrition. It is urgent to adopt prevention practices enlightening parents and relatives whose children actively participate in the consumption society in order to minimize the harmful effects of the obesogenic foods routine ingestion. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Prevalence of iron-deficiency anemia in Brazil: a systematic review
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OBJETIVO: Revisar os estudos de prevalência de anemia no Brasil publicados entre janeiro de 1996 e janeiro de 2007. FONTES DE DADOS: Por meio de revisão sistemática nas bases de dados eletrônicas Medline e Lilacs, foram selecionados títulos científicos publicados no intervalo de onze anos referentes à prevalência de anemia no Brasil em crianças menores de cinco anos de idade. Foram excluídos artigos de revisão, relatos de caso e trabalhos que relacionaram anemia a outras doenças e ao período gestacional. Para a análise comparativa das variáveis categóricas de interesse nos artigos encontrados, realizou-se o...
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Insect repellents: recommendations for use in children
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CONCLUSIONS: Mosquitoes are vectors of a variety of infectious and parasitic diseases which annually affect millions of people and cause thousands of deaths worldwide. The combat to mosquitoes includes individual and environmental measures. Topic repellents for children's individual protection demand specific handling attention and knowledge about the ideal product for each age, especially regarding their efficacy and safety. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Occurrence of postural deviations in children of a school of Jaguariúna, São Paulo, Brazil
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CONCLUSIONS: A high incidence of postural alterations was detected in school children. Some of the postural alterations, such as abducted scapula, unbalance and protraction of the shoulders, knock-knee and lumbar hiperlordosis, normally occur and they are naturally corrected during growth. However, some postural problems, such as protraction and inclination of the cervical spine, were also prevalent and they require early intervention. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Consequences of anemia on language development of children from a public day care center
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OBJETIVO: Comparar o desenvolvimento de linguagem de crianças anêmicas e não-anêmicas de uma creche pública de Belo Horizonte. MÉTODOS: Estudo transversal com avaliação do desenvolvimento de linguagem de crianças anêmicas (casos) e não-anêmicas (controles) entre dois e seis anos de idade. Todas as crianças realizaram punção digital para detecção da anemia (hemoglobina
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Consistency of data in a study about the impact of nutritional assistance during prenatal care
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CONCLUSIONS: The strategies adopted in the present study contributed to the low percentage of follow-up losses and to guarantee the quality of data, allowing reliability of results. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Risk factors for ponderal loss of children attending the nurseries of day care centers in São Paulo, Brazil
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OBJETIVO: Identificar e quantificar os fatores de risco relacionados ao agravamento da condição nutricional entre o nascimento e a realização deste estudo. MÉTODOS: Estudo transversal com 270 crianças frequentadoras dos berçários de oito creches públicas e filantrópicas do município de São Paulo. Considerou-se com perda ponderal as crianças que apresentaram diferença negativa do escore Z para a relação peso para idade entre o nascimento e a ocasião da realização desse inquérito. No estudo das associações, utilizou-se o teste do qui-quadrado e consideraram-se as variáveis com nível de significância p
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Association of parental lifestyle with body composition of their adolescent children
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OBJETIVO: Verificar a associação entre o estilo de vida dos pais e a composição corporal de seus filhos adolescentes. MÉTODOS: Participaram do estudo 120 indivíduos, sendo 40 adolescentes de 14 a 17 anos do sexo masculino e seus respectivos pais (n=80). Os adolescentes foram divididos em dois grupos de acordo com o percentual de gordura (%G): baixo (%G20%). Mensuraram-se o peso, a estatura e as dobras cutâneas (tríceps e subescapular) e estimou-se o %G dos adolescentes por meio da equação de Lohman. O questionário "estilo de vida fantástico" foi respondido pelos pais. Para a análise estatística, utilizou-se o...
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
New World Health Organization growth standards: comparison with growth data of preschool children of the cities of Taubaté and Santo André, São Paulo, Brazil
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CONCLUSIONS: The use of WHO reference growth chart will produce a lower prevalence of malnutrition and short stature between five and seven years and, at the same time, an important rise of obesity prevalence between ages three and seven. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Mothers' perception about the importance of feeding habits in the treatment of functional chronic constipation
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CONCLUSIONS: Despite knowing that the diet is important to the treatment of constipation, just a few mothers acknowledge the importance of dietary fiber. Meals are not a pleasant time for the families and financial problems limit the choice of proper food for these children. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Seropositivity for celiac disease in children and adolescents with short stature
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CONCLUSIONS: The presence of serological marker of celiac disease in children and adolescents with low stature of low-income families highlights the need for systematic investigation of celiac disease in these patients. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Neurological assessment of very low birth weight infants with bronchopulmonary dysplasia
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CONCLUSIONS: Dubowitz Neurological Assessment in preterm newborn infants with and without BPD did not present significant differences at 40 weeks of corrected gestational age. For reflex and posture/tone categories, there was a trend towards the presence of more abnormalities in the BPD Group. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Intrauterine growth restriction influence on the nutritional evolution and growth of preterm newborns from birth until discharge
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OBJETIVO: Analisar o crescimento de recém-nascidos pré-termo (RNPT) com crescimento intrauterino restrito (CIUR) do nascimento até a alta hospitalar. MÉTODOS: Coorte de RNPT provenientes de gestação única, com idade gestacional (IG) de 30 a 34 semanas, Apgar de cinco minutos >6, sem risco infeccioso perinatal e sem malformações. Grupos de estudo: I: CIUR (índice de Kramer=peso ao nascer/peso P50
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
Nosocomial infections at Neonatal Intensive Care Unit: does the place of birth matter?
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CONCLUSIONS: No statistical difference was verified between inborn and outborn infants regarding early or late hospital infection incidence rates and the main etiologic agents isolated from infants with late hospital infection. (Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - June 25, 2009 Category: Pediatrics Source Type: journals
