Virtual learning environment in pediatric rheumatology for pediatric residents
Conclusions: The virtual learning environment in pediatric rheumatology proved to be an effective teaching tool with high satisfaction rates, providing pediatrician residents with adequate knowledge regarding the initial assessment and management of children with rheumatic diseases.RESUMO Objetivo: Elaborar, implementar e avaliar um ambiente virtual de aprendizagem online em reumatologia pedi átrica, direcionado aos residentes em pediatria, analisando sua efetividade e seus índices de satisfação. Métodos: Foram convidados 92 residentes de pediatria do primeiro e segundo anos de dois centros de referência em pediatr...
Source: Revista Paulista de Pediatria - January 13, 2020 Category: Pediatrics Source Type: research
Assessment of the quality of pediatric cardiopulmonary resuscitation using the in situ mock code tool
Conclusions: There was low adherence to the PALS guidelines during cardiac arrest simulations. The quality of cardiopulmonary resuscitation should be improved in many points. We suggest periodical clinical simulations in pediatric services to improve cardiopulmonary resuscitation performance.RESUMO Objetivo: Avaliar a qualidade do atendimento individual e de equipe à parada cardiorrespiratória (PCR) em hospital pediátrico, utilizando a ferramenta de simulação clínica surpresa (in situ mock code). Métodos: Estudo observacional transversal com profissionais de saúde. Foram realizadas simulações clínicas de PCR e...
Source: Revista Paulista de Pediatria - January 13, 2020 Category: Pediatrics Source Type: research
Quality of life evaluation and associated factorsin asthmatic children and adolescents attended in a specialized outpatient clinic
Conclusions: Children and adolescents with asthma present impairment in their quality of life, and this is related to poorer control and severity of the disease, as well as to the presence of allergic comorbidities.RESUMO Objetivo: Avaliar a qualidade de vida e sua associa ção com controle da doença, gravidade, comorbidades alérgicas e adesão ao tratamento em crianças e adolescentes com asma. Métodos: Estudo transversal que incluiu crianças e adolescentes com idade entre sete e 17 anos. O Paediatric Asthma Quality of Life Questionary (PAQLQ) foi utilizado par a avaliar a qualidade de vida. Dados sociodemográfico...
Source: Revista Paulista de Pediatria - January 13, 2020 Category: Pediatrics Source Type: research
The impact of small intestinal bacterial overgrowth on the growth of children and adolescents
Conclusions: Children and adolescents with SBIO associated with diseases of the gastrointestinal tract have lower weight and height values.RESUMO Objetivo: Avaliar a exist ência de associação entre sobrecrescimento bacteriano no intestino delgado (SBID) e comprometimento de peso e estatura em crianças e adolescentes com doenças do aparelho digestivo. Métodos: Estudo observacional e retrospectivo em ambulatório de gastroenterologia pediátrica. Foram incluídos todos os 162 pacientes com idade inferior a 19 anos que realizaram teste respiratório para pesquisa de SBID entre 2011 e 2016. O teste respiratório foi r...
Source: Revista Paulista de Pediatria - January 13, 2020 Category: Pediatrics Source Type: research
Drug-related problems in cardiac neonates under intensive care
Conclusions: The study showed that DRP are very frequent in patients with cardiac diseases hospitalized in the NICU, predominating problems related to the effectiveness and safety of the drug treatment.RESUMO Objetivo: Determinar a frequ ência e a natureza dos problemas relacionados a medicamentos (PRMs) em neonatos cardiopatas internados em uma unidade de terapia intensiva. Métodos: Trata-se de um estudo transversal prospectivo desenvolvido na Unidade de Terapia Intensiva Neonatal (UTIN) de uma maternidade de ensino do Brasil, d e janeiro de 2014 a dezembro de 2016. Todos os neonatos diagnosticados com alguma doença ...
Source: Revista Paulista de Pediatria - January 13, 2020 Category: Pediatrics Source Type: research
Recurrent sleep paralysis - fear of sleeping
We describe a case of RISP in a sixteen-year-old girl who seeks medical attention for anxiety symptoms. The sleep paralysis and associated auditory and tactile hallucinations began three years before with worsening in the last year, causing fear of sleeping. The episodes were intensely frightening causing negative impact in patient ’ s sleep, school performance and social function. Medical conditions were excluded, and she started treatment with a selective serotonin reuptake inhibitor with complete resolution of symptoms. Comments: Sleep complaints are often devalued. Therefore, clinicians should actively ask their pa...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Neuroendocrine tumor in a child with common variable immunodeficiency
ABSTRACT Objective: To report a case of a child with primary immunodeficiency who at eight years developed digestive symptoms, culminating with the diagnosis of a neuroendocrine tumor at ten years of age. Case description: One-year-old boy began to present recurrent pneumonias in different pulmonary lobes. At four years of age, an immunological investigation showed a decrease in IgG and IgA serum levels. After the exclusion of other causes of hypogammaglobinemia, he was diagnosed with a Common Variable Immunodeficiency and started to receive monthly replacement of human immunoglobulin. The patient evolved well, but at ...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Hemolytic uremic syndrome associated with streptococcus pneumoniae in pediatrics: a case series
We describe cases of four patients who presented respiratory symptoms and fever. All four patients were in regular conditions on hospital admission, after which they required intensive care and ventilatory support. Upon admission, three cases showed evidence of pleuropulmonary complication. Penicillin-sensitive Streptococcus pneumoniae was isolated in all cases. All patients presented anemia, severe thrombocytopenia, schistocytes on peripheral blood smear, and hyperazotemia. They required blood transfusion and renal replacement therapy during their hosp italization. The patients were diagnosed with hemolytic uremic syndrom...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Gut microbiota and the use of probiotics in constipation in children and adolescents: systematic review
Conclusions: There is no specific pattern of fecal microbiota abnormalities in constipation. Despite the probiotics ’ positive effects on certain characteristics of the intestinal habitat, there is still no evidence to recommend it in the treatment of constipation in pediatrics.RESUMO Objetivo: Realizar revis ão sistemática dos dados da literatura sobre a microbiota intestinal e a eficácia dos probióticos para o tratamento da constipação intestinal em crianças e adolescentes. Fonte de dados: Foi realizada busca nas bases de dados PubMed, Scientific Electronic Library Online (SciELO) e Literatura Latino-Amer...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Systematic review of physical activity and sedentary behavior indicators in south-american preschool children
Conclusions: Although the summary has pointed to high exposure to sedentary behavior in preschool children, with particular focus on screen time, it is essential to broaden the discussion and approximate the methods used to assess physical activity and sedentary behavior, making the evidence more comparable and strong, so as to elaborate preventive strategies and actions.RESUMO Objetivo: Sumarizar indicadores e descrever detalhadamente os m étodos utilizados na avaliação da atividade física e do comportamento sedentário em pré-escolares sul-americanos. Fontes de dados: Em 2017, buscas foram realizadas, nos idiom...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Emotional repercussions and quality of life in children and adolescents undergoing hemodialysis or after kidney transplantation
Conclusions: Despite the questionnaire results suggesting that transplantation does improve some aspects of QOL, there were no differences observed between kidney replacement therapies regarding the emotional repercussion of chronic kidney disease.RESUMO Objetivo: Investigar as repercuss ões emocionais e a qualidade de vida (QV) associadas à doença renal crônica em crianças e adolescentes submetidos à hemodiálise ou ao transplante renal. Métodos: Foram entrevistadas 48 crianças e adolescentes com doença renal crônica, metade dos quais submetidos ao tratamento hemodialí tico, e a outra metade, ao transplant...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Diabetic ketoacidosis as the initial presentation of type 1 diabetes in children and adolescents: epidemiological study in southern brazil
Conclusions: Prospective studies are necessary to better define the impact of these factors on diagnosis and disease control. Campaigns to raise awareness among health professionals and the general population are essential to promote early diagnosis and proper treatment of diabetes mellitus in children and adolescents.RESUMO Objetivo: Avaliar as vari áveis associadas ao diagnóstico de diabetes melito tipo 1 (DM1) na vigência de cetoacidose diabética e seu impacto na evolução da doença. Métodos: Foram avaliadas 274 crianças e adolescentes com idade até 15 anos acompanhados em um ambulatório de endocrinologia...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Factors associated with inadequate milk consumption among adolescents: national school health survey - pense 2012
Conclusions: Inadequate milk consumption is prevalent among Brazilian adolescents. The identification of associated factors suggests the need to develop nutritional guidance strategies for the prevention of diseases that result from low calcium intake.RESUMO Objetivo: Identificar a preval ência e os fatores associados ao consumo inadequado de leite em adolescentes. Métodos: Estudo transversal com base em dados secundários da Pesquisa Nacional de Saúde do Escolar (PeNSE; 2012), inquérito brasileiro realizado por meio de questionário autoaplicável em amostra representativa de alunos do nono ano do ensino fundamen...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Hospital admissions of adolescents in sergipe, from 2002 to 2012
Conclusions: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.RESUMO Objetivo: Descrever as interna ções hospitalares de adolescentes residentes em Sergipe, de 2002 a 2012. Métodos: Estudo descritivo, a partir de dados do Sistema de Informação Hospitalar do Sistema Único de Saúde, no qual as internações foram divididas em quatro grupos de causas: primeiro, por gravidez, parto e puerpér io; segundo, por causas externas; terce...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
Neonatal pain: characterization of the physiotherapist’s perception in the neonatal intensive care unit
Conclusions: There is a gap in the knowledge about neonatal pain and how to evaluate it among the participating physiotherapists, with no systematization of care routines involving this assessment.RESUMO Objetivo: Descrever a percep ção dos fisioterapeutas de unidades neonatais sobre a dor, a utilização de escalas de mensuração e estratégias que a minimizem. Métodos: Entrevistas foram realizadas com chefes ou rotinas de fisioterapia em hospitais com unidades neonatais entre 2013 e 2015, no Rio de Janeiro. As perguntas versaram sobre o conhecimento da sensação dolorosa, desde seu reconhecimento até seu cuid...
Source: Revista Paulista de Pediatria - November 26, 2019 Category: Pediatrics Source Type: research
