Clinical, demographic, anatomopathological, and molecular findings in patients with medulloblastoma treated in a single health facility
Conclusions: The clinical, demographic, anatomopathological, and molecular characteristics of patients with medulloblastoma described in the present study were mostly similar to those reported in the literature. Patients submitted to complete tumor resection had better clinical outcomes than those who underwent incomplete resection/biopsy. Patients classified as high-risk showed worse overall and event-free survival than those in the standard-risk group, and the presence of metastasis at diagnosis was associated with recurrence.RESUMO Objetivo: Descrever as caracter ísticas clínicas, demográficas, anatomopatológicas...
Source: Revista Paulista de Pediatria - November 17, 2020 Category: Pediatrics Source Type: research

Adolescent students' attitudes towards sexuality: the construction and validation of a scale
Conclusions: The psychometric adequacy of the E3AS for the Portuguese population allows us to affirm that it is a valid and reliable instrument that can be used in future studies to assess the attitudes of adolescent students towards sexuality.RESUMO Objetivo: Construir uma escala de atitudes dos adolescentes em face da sexualidade e determinar as suas carater ísticas psicométricas. Métodos: Estudo metodológico realizado com 394 alunos do 8º ao 12º ano de escolaridade de uma escola da região Centro de Portugal que responderam a um questionário constituído da Escala de Atitudes dos Alunos Adolescentes em face ...
Source: Revista Paulista de Pediatria - November 17, 2020 Category: Pediatrics Source Type: research

Retreatment with surfactant in very low birth weight preterm infants: risk predictors and their influence on neonatal outcomes
Conclusions: We could not find predictor factors associated to surfactant retreatment. The need for two or more doses of surfactant was significantly related to bronchopulmonary dysplasia.RESUMO Objetivo: Avaliar preditores cl ínicos e resultados associados à necessidade de retratamento com surfactante. Métodos: Coorte retrospectiva com prematuros de muito baixo peso, no período de janeiro de 2006 a dezembro de 2015, em uso de terapia de reposição de surfactante. O surfactante utilizado foi beractante (100 mg/kg), repetido a cada seis horas se FiO2 ≥ 0.40. Foram analisados dois grupos: dose única de surfacta...
Source: Revista Paulista de Pediatria - November 17, 2020 Category: Pediatrics Source Type: research

Phytosterol supplementation in the treatment of dyslipidemia in children and adolescents: a systematic review
Conclusions: Phytosterol supplementation seems to be of great therapeutic aid for the treatment of hypercholesterolemia in children and adolescents. Further studies assessing the long-term effect of phytosterol supplementation are necessary.RESUMO Objetivo: Realizar uma revis ão sistemática sobre os efeitos da suplementação de fitoesteróis no tratamento da dislipidemia em crianças e adolescentes. Fontes de dados: Revisão nos bancos SciELO, Lilacs, Bireme, Pubmed e Web of Science, sem limite de tempo. Descritores: phytosterols or plant sterols, dyslipidemias, hyp ercholesterolemia, cholesterol, children, adolesc...
Source: Revista Paulista de Pediatria - November 11, 2020 Category: Pediatrics Source Type: research

Covid-19 social isolation in brazil: effects on the physical activity routine of families with children
Conclusions: The household routines of families during the period of social isolation resulting from the COVID-19 pandemic confirm the general reduction tendency in PA time during childhood.RESUMO Objetivo: Identificar como as fam ílias brasileiras com crianças abaixo de 13 anos enfrentam o período de distanciamento social decorrente da pandemia de COVID-19, principalmente no que diz respeito ao tempo gasto em atividade física (AF), atividade intelectual, brincadeiras, atividades ao ar livre e em tela. Métodos: Uma pes quisa on-line anônima foi lançada em 24 de março de 2020 no Brasil para avaliar como as famÃ...
Source: Revista Paulista de Pediatria - November 11, 2020 Category: Pediatrics Source Type: research

Factors associated with food neophobia in children: systematic review
Conclusions: The factors associated with food neophobia permeate several areas of the child ’ s life, thus, interprofessional follow-up becomes essential in the intervention process.RESUMO Objetivo: Identificar os fatores associados à neofobia alimentar em crianças por meio de uma revisão sistemática. Fontes de dados: Esta pesquisa foi baseada nas recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A busca foi realizada nas bases de dados PubMed, ScienceDirect e Scientific Electronic Lib rary Online (SciELO), com a conjugação dos descritores em saúde em português e inglês:...
Source: Revista Paulista de Pediatria - November 7, 2020 Category: Pediatrics Source Type: research

Relations between asthma and obesity: an analysis of multiple factors
Conclusions: The degree of control of asthma was significantly lower in the obese group, regardless of the findings of no differences in spirometry. Extra-pulmonary factors could be responsible for this symptomatic profile. High positivity of skin test in both groups, which is considered a good marker of atopy, shows a preponderant atopic component in the genesis of asthma, both in children with obesity and in those within the normal weight status.RESUMO Objetivo: A asma e a obesidade s ão doenças prevalentes e inter-relacionadas. Na população pediátrica, o efeito da inflamação sistêmica associada à obesidade, ...
Source: Revista Paulista de Pediatria - November 7, 2020 Category: Pediatrics Source Type: research

Does dental trauma in early childhood have the potential to affect the quality of life of children and families?
Conclusions: Dental trauma did not influence OHRQoL of children and their families negatively. However, avulsion and caries experience in low-income families was associated with a negative perception of OHRQoL.RESUMO Objetivo: Avaliar a influ ência do traumatismo dentário na qualidade de vida relacionada à saúde bucal (QVRSB) de crianças e suas famílias. Métodos: 571 crianças de 5 anos de idade foram aleatoriamente selecionadas de escolas públicas. O trauma foi avaliado clinicamente de acordo com a classificação de Andreasen . A experiência de cárie na região anterior e a presença de overjet foram deter...
Source: Revista Paulista de Pediatria - November 7, 2020 Category: Pediatrics Source Type: research

Prevalence of overweight in adolescents from a Southern Brazilian city according to different anthropometric indexes
Conclusions: The prevalence of overweight was high among adolescents. The boys presented higher frequency of overweight, except if NC was used to classify them. Adolescents before somatic maturation had a higher prevalence of overweight. NC showed a lower ability to track obese adolescents.RESUMO Objetivo: Identificar a preval ência de excesso de peso em adolescentes de acordo com diferentes critérios de classificação de obesidade e estágios de maturação somática. Métodos: Estudo transversal em dez escolas de um município da região Sul do Brasil, com 1.715 adolescentes. Dados de estatura, peso, circunferên...
Source: Revista Paulista de Pediatria - November 7, 2020 Category: Pediatrics Source Type: research

Violence against children and adolescents: notification and alert in times of pandemic
Conclusions: The society needs to be aware of possible cases of violence in the children and adolescent population. It is important to provide accessible, effective, and safe ways for complaints and notifications, as well as a quick response to the cases, aiming at protecting victims and minimizing damages to prevent the perpetuation of the violence.RESUMO Objetivo: O isolamento social é identificado, no momento, como a melhor forma para evitar o contágio pelo novo coronavírus. Porém, para alguns grupos sociais, como crianças e adolescentes, essa medida carrega uma contradição: o lar, que deveria ser o local mais...
Source: Revista Paulista de Pediatria - October 28, 2020 Category: Pediatrics Source Type: research

Effects of postural education in elementary school children: a systematic review
Conclusions: The positive effects of acquired knowledge and postural habits found in the studies cannot be used to reliably support postural education in elementary school children due to a high risk of bias in the evaluated studies.RESUMO Objetivo: Determinar os efeitos da educa ção postural na aprendizagem e nos hábitos posturais de crianças do ensino fundamental sem intervenção física. Métodos: Foram realizadas buscas nas bases de dados do PubMed, Lilacs, SciELO, Cochrane e Science Direct e nas listas de referência dos estudos em fevereiro de 2020. Os critério s de elegibilidade foram ensaios clínicos ra...
Source: Revista Paulista de Pediatria - October 28, 2020 Category: Pediatrics Source Type: research

Assessment of eating behavior and food neophobia in children and adolescents from uberaba-mg
Conclusions: The study showed significant differences in some domains of eating behavior among children and adolescents of the sample; however, no differences were found regarding food neophobia. These results may contribute to the improvement of future interventions related to infant eating behavior and food neophobia.RESUMO Objetivo: Investigar e comparar o comportamento e a neofobia alimentares de crian ças e adolescentes de diferentes faixas etárias, índice de massa corporal/idade e sexo. Métodos: Tratou-se de um estudo transversal, com amostra por conveniência, envolvendo 150 crianças e adolescentes com fai...
Source: Revista Paulista de Pediatria - October 28, 2020 Category: Pediatrics Source Type: research

Clinical and epidemiological analysis of suicide attempts in children assisted by a poison control center
Conclusions: Suicide attempts occurred mainly in female children with a single agent (mainly medications) , and the main reason was family conflicts..RESUMO Objetivo: Analisar as tentativas de suic ídio em crianças atendidas em um Centro de Informação e Assistência Toxicológica (CIATox-Londrina). Métodos: Estudo transversal com crianças (<12 anos) atendidas no CIATox-Londrina, Paran á, de abril/1985 a dezembro/2018, com tentativa de suicídio. Resultados: Identificaram-se 59 crianças, com predomínio do sexo feminino (74,6%) e com o uso de apenas um produto (77,9%). Entre os produtos envolvidos, destaca...
Source: Revista Paulista de Pediatria - October 28, 2020 Category: Pediatrics Source Type: research

Erratum
ABSTRACT Objective: To report a rare case of mucopolysaccharidosis IIIB in a pediatric patient, with emphasis on the description of the clinical manifestations and the early diagnosis. Case description: A 14-year-old male patient, who presented regression of neuropsychomotor development since his three years and six months old, with speech loss and frequent falls, evolving with behavioral changes, with agitation and aggressiveness. Although being diagnosed with autism, there was no response to the established treatment; he was subsequently submitted to metabolic investigation, which lead to the diagnosis of Mucopolysac...
Source: Revista Paulista de Pediatria - October 22, 2020 Category: Pediatrics Source Type: research

Mucopolysacaridosis type iiib misdiagnosed as an autistic spectrum disorder: a case report and literature review
ABSTRACT Objective: To report a rare case of mucopolysaccharidosis IIIB in a pediatric patient, with emphasis on the description of the clinical manifestations and the early diagnosis. Case description: A 14-year-old male patient, who presented regression of neuropsychomotor development since his three years and six months old, with speech loss and frequent falls, evolving with behavioral changes, with agitation and aggressiveness. Although being diagnosed with autism, there was no response to the established treatment; he was subsequently submitted to metabolic investigation, which lead to the diagnosis of Mucopolysac...
Source: Revista Paulista de Pediatria - October 22, 2020 Category: Pediatrics Source Type: research