Jornal de pediatria最新文献_第5页

Role of fiberoptic endoscopic evaluation of swallowing (FEES) in children with suspected dysphagia 纤维内窥镜吞咽评估 (FEES) 在疑似吞咽困难儿童中的作用。

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-26 DOI: 10.1016/j.jped.2024.03.008

{"title":"Role of fiberoptic endoscopic evaluation of swallowing (FEES) in children with suspected dysphagia","authors":"","doi":"10.1016/j.jped.2024.03.008","DOIUrl":"10.1016/j.jped.2024.03.008","url":null,"abstract":"<div><h3>Objective</h3><p>To assess FEES findings in defining oral feeding safety in children with suspected dysphagia, comparing them with clinical feeding evaluation results.</p></div><div><h3>Methods</h3><p>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. Subsequently, the authors performed a comparative analysis of findings from both assessments.</p></div><div><h3>Results</h3><p>Most patients successfully completed the FEES procedure (93.7%), resulting in a final number of 60 cases included in the study. The prevalence of dysphagia was confirmed in a significant 88% of these cases. Suspected aspiration on clinical SLP evaluation was present in 34 patients. Of these, FEES confirmed aspiration or penetration in 28 patients. Among the 35 patients with aspiration or penetration on FEES, 7 (20%) had no suspicion on SLP clinical assessment. All seven patients in whom clinical SLP evaluation failed to predict penetration/aspiration had neurological disorders. The median age of the children was 2.8 years, and 49 (81.6%) had neurological disorders, while 35 (58.3%) had chronic pulmonary disease. The most prevalent complaints were choking (41.6%) and sialorrhea (23.3%).</p></div><div><h3>Conclusion</h3><p>FEES can diagnose structural anomalies of the upper aerodigestive tract and significantly contribute to the detection of aspiration and penetration in this group of patients with suspected dysphagia, identifying moderate and severe dysphagia even in cases where clinical assessment had no suspicion.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S002175572400041X/pdfft?md5=ac24dfa2ef0332bbdc6b597b764c5010&pid=1-s2.0-S002175572400041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Covid-19, the polarization of substance use, and mental health Covid-19、药物使用两极化和心理健康。

IF 3.3 4区医学

Jornal de pediatria Pub Date : 2024-04-26 DOI: 10.1016/j.jped.2024.04.003

Jürgen Rehm

引用次数: 0

Predictive value of PAR and PNI for the acute complicated course of pediatric acute hematogenous osteomyelitis PAR 和 PNI 对小儿急性血源性骨髓炎急性复杂病程的预测价值

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-25 DOI: 10.1016/j.jped.2024.04.002

{"title":"Predictive value of PAR and PNI for the acute complicated course of pediatric acute hematogenous osteomyelitis","authors":"","doi":"10.1016/j.jped.2024.04.002","DOIUrl":"10.1016/j.jped.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>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).</p></div><div><h3>Methods</h3><p>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. Multivariate logistic regression analysis was used to determine the independent risk factors of the acute complicated course group. The receiver operating characteristic curve was applied to determine the optimal cut-off value.</p></div><div><h3>Results</h3><p>In total, 101 AHO patients with a median age of 7.58 years were included. There were 63 cases (62.4 %) in the simple course group and 38 cases (37.6 %) in the complicated course group. Binary logistic regression analysis revealed that PAR and PNI were independent risk factors for predicting the acute complicated course of AHO (<em>p</em> = 0.004 and <em>p</em> < 0.001, respectively). Receiver operating characteristic curve analysis demonstrated that the combination of PAR and PNI had an area under the curve of 0.777 (95 % CI: 0.680–0.873, <em>p</em> < 0.001) with a cut-off value of 0.51.</p></div><div><h3>Conclusions</h3><p>The incidence of acute complicated courses was significantly higher in patients with high PAR and low PNI. A combined factor greater than 0.51, derived from PAR and PNI measurements within 24 h of admission, may be useful for predicting AHO patients who are likely to develop severe disease.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000469/pdfft?md5=b42631cf45420e42cbf2c707ea319dfc&pid=1-s2.0-S0021755724000469-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Instructional videos for parents/guardians of children with lip and palate clefts: integrative literature review 唇腭裂儿童家长/监护人教学视频：综合文献综述

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-25 DOI: 10.1016/j.jped.2024.02.004

{"title":"Instructional videos for parents/guardians of children with lip and palate clefts: integrative literature review","authors":"","doi":"10.1016/j.jped.2024.02.004","DOIUrl":"10.1016/j.jped.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Source of data</h3><p>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. A literature search was undertaken across PubMed, Web of Science, Scopus, and the Virtual Health Library databases. Of the eight articles included in this review, four were sourced from the PubMed database, with three published in 2021.</p></div><div><h3>Summary of the findings</h3><p>The findings indicated that YouTube videos were moderately satisfactory and met the needs of parents or legal guardians to a partial extent. The majority of the videos analyzed in this review were characterized by a moderate level of informational content. One study particularly underscored that the content of these videos only partially satisfies the requirements of the parents or legal guardians of the children.</p></div><div><h3>Conclusions</h3><p>Nevertheless, such videos are considered viable alternatives for health education, offering numerous benefits yet facing challenges, primarily due to the scarcity of information on orofacial malformations.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000457/pdfft?md5=7e24165d61ef8c969852555373b263ad&pid=1-s2.0-S0021755724000457-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pityriasis lichenoides: assessment of 41 pediatric patients 苔癣：对 41 名儿科患者的评估

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-24 DOI: 10.1016/j.jped.2024.03.011

{"title":"Pityriasis lichenoides: assessment of 41 pediatric patients","authors":"","doi":"10.1016/j.jped.2024.03.011","DOIUrl":"10.1016/j.jped.2024.03.011","url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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 <em>p</em> < 0.05 considered.</p></div><div><h3>Results</h3><p>41 patients were included, 32 (78.0%) with pityriasis lichenoides chronica (PLC), five (12.2%) with pityriasis lichenoides et varioliformis acuta (PLEVA) and four (9.8%) with clinical PLC without biopsy. The age range of school children and adolescents was 19 (46.3%) and 13 (31.7%) respectively and 27 (65.8%) were male. Two peaks of the highest frequency were observed between 2004 and 2006 (10 patients - 24.4%) and another between 2019 and 2021 (6 patients - 14.7%). There was remission in 71.9% (<em>n</em> = 23), with 56.6% (<em>n</em> = 17) of those who used antibiotic therapy and 80% (<em>n</em> = 4) of those who had phototherapy. The chance of remission was 13 times greater in patients with disease onset after 5 years of age.</p></div><div><h3>Conclusions</h3><p>The clinical form most commonly found was PLC mainly in school children and adolescents. The frequency peaks coincided with infectious outbreaks. The remission rate was satisfactory with antibiotic therapy, but higher with phototherapy. Remission was greater in patients with disease onset after 5 years of age.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000445/pdfft?md5=5d74192a82b99651530f6f70f4380e40&pid=1-s2.0-S0021755724000445-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Insulin reference intervals in Brazilian adolescents by direct and indirect approaches: validation of a data mining method from laboratory data 通过直接和间接方法确定巴西青少年的胰岛素参考区间：从实验室数据中验证数据挖掘方法

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-23 DOI: 10.1016/j.jped.2024.03.009

{"title":"Insulin reference intervals in Brazilian adolescents by direct and indirect approaches: validation of a data mining method from laboratory data","authors":"","doi":"10.1016/j.jped.2024.03.009","DOIUrl":"10.1016/j.jped.2024.03.009","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>Two databases were used for RI determination. Database 1 (DB1), used to obtain RI through <em>a posteriori</em> 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).</p></div><div><h3>Results</h3><p>From DB1, 29345 individuals were enrolled (57.65 % female) and seven age ranges and sex partitions were statistically determined according to mean FBI values: females: 12 and 13 years-old, 14 years-old, 15 years-old, 16 and 17 years-old; and males: 12, 13 and 14 years-old, 15 years-old, 16 and 17 years-old. From DB2, 5465 adolescents (67.5 % female) were selected and grouped according to DB1 partitions. The mean FBI level was significantly higher in DB2, on all groups. The RI upper limit (URL) determined by Bhattacharya method was slightly lower than the 90 % CI URL directly obtained on DB1, except for group female 12 and 13 years old. High agreement rates for diagnosing elevated FBI in all groups on DB1 validated indirect RI presented.</p></div><div><h3>Conclusion</h3><p>The present study demonstrates that Bhattacharya indirect method to determine FBI RI in adolescents can overcome some of the difficulties and challenges of the direct approach.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000421/pdfft?md5=eb43395b9568a5a0beb211c8d22ab36f&pid=1-s2.0-S0021755724000421-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of life of families and siblings of children with cerebral palsy treated at a reference neurorehabilitation center in Brazil 在巴西一家参考神经康复中心接受治疗的脑瘫儿童的家人和兄弟姐妹的生活质量。

IF 2.8 4区医学

Jornal de pediatria Pub Date : 2024-04-22 DOI: 10.1016/j.jped.2024.03.010

{"title":"Quality of life of families and siblings of children with cerebral palsy treated at a reference neurorehabilitation center in Brazil","authors":"","doi":"10.1016/j.jped.2024.03.010","DOIUrl":"10.1016/j.jped.2024.03.010","url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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. Univariable and multivariable models were used.</p></div><div><h3>Results</h3><p>Family QoL significantly worsened as caregivers’ burden increased (95 % CI -0.66 to -0.38). Caregivers’ burden was significantly lower with increasing family QoL scores (95 % CI -0.52 to -0.30). Self-reported siblings’ QoL was significantly worse than that of their typically developed peers (95 % CI -7.6 to -3.6). Self-reported siblings’ QoL was significantly lower as siblings’ age (95 % CI -2.52 to -0.59) and caregivers’ burden (95 % CI -0.35 to -0.05) increased. Parent-reported siblings’ QoL was significantly lower with increasing caregivers’ burden (95 % CI -0.45 to -0.16) and higher as family QoL increased (95 % CI 0.09 to 0.37).</p></div><div><h3>Conclusions</h3><p>The cross-sectional nature of these data precludes any statement of causality. Family QoL worsened with higher caregivers’ burden levels. Lower caregivers’ burden scores were associated with a higher family QoL. Siblings’ QoL was impaired as compared to typically developed peers, worse among older siblings, and as caregivers’ burden increased and better with higher family QoL levels. Future multicenter studies may validate the generalizability of the present findings.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000433/pdfft?md5=a29dcb89968db588ae6cbfe5c341ed1a&pid=1-s2.0-S0021755724000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental health difficulties and related factors in Chinese children and adolescents during the COVID-19 pandemic: a cross-sectional study COVID-19大流行期间中国儿童和青少年的心理健康问题及相关因素：一项横断面研究。

IF 3.3 4区医学

Jornal de pediatria Pub Date : 2024-04-18 DOI: 10.1016/j.jped.2024.03.004

Tongtong Li , Chunhao Li , Guoquan Zhang , Naijian Zhang , Jing Li , Qinghan Ren , Wen Li , Zhenshu Li , Guowei Huang , Jing Yan

{"title":"Mental health difficulties and related factors in Chinese children and adolescents during the COVID-19 pandemic: a cross-sectional study","authors":"Tongtong Li , Chunhao Li , Guoquan Zhang , Naijian Zhang , Jing Li , Qinghan Ren , Wen Li , Zhenshu Li , Guowei Huang , Jing Yan","doi":"10.1016/j.jped.2024.03.004","DOIUrl":"10.1016/j.jped.2024.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>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. Multiple linear regression was used to evaluate factors associated with the scores of the Strengths and Difficulties Questionnaire.</p></div><div><h3>Results</h3><p>The prevalence of mental health difficulties was 12.98% (n =1348). Age (OR, 0.909, [95%CI, 0.830-0.996]), sex (OR, 1.424, [95%CI, 1.033-1.963]) and screen time on weekdays (“≥2” h/d vs “< 1” h/d: OR, 2.001, [95%CI, 1.300-3.080]) were related factors for mental health difficulties. For children (year ≤ 12), the strongest related factor for mental health difficulties was screen time on weekdays (“≥ 2” h/d vs “< 1” h/d: OR, 1.821 [95%CI, 1.203-2.755]). The risk of mental health difficulties in females with ≥ 2 h/d screen time on weekends was 3.420 times higher than those with < 1 h/d (OR, 3.420, [95%CI, 1.923-6.081]).</p></div><div><h3>Conclusion</h3><p>The prevalence of mental health difficulties among children and adolescents was relatively high. The lower age, female sex and excessive screen time were associated with a higher risk of mental health difficulties. The factors influencing mental health varied by different age groups and sexes. Thus, specific measures for different age groups and sexes should be adopted to mitigate the impact.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000330/pdfft?md5=9ed85c5e33cf10d1f628251560387d2e&pid=1-s2.0-S0021755724000330-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical characteristics of neonatal and infant osteomyelitis and septic arthritis: a multicenter retrospective study 新生儿和婴儿骨髓炎和化脓性关节炎的临床特征：一项多中心回顾性研究。

IF 3.3 4区医学

Jornal de pediatria Pub Date : 2024-04-17 DOI: 10.1016/j.jped.2024.03.003

Keming Sun , Chunxu Zhang , Ziwen Mao , Chen Wang , Hua Zhu , Huiqing Sun , Kang Wang , Weyland Cheng

{"title":"Clinical characteristics of neonatal and infant osteomyelitis and septic arthritis: a multicenter retrospective study","authors":"Keming Sun , Chunxu Zhang , Ziwen Mao , Chen Wang , Hua Zhu , Huiqing Sun , Kang Wang , Weyland Cheng","doi":"10.1016/j.jped.2024.03.003","DOIUrl":"10.1016/j.jped.2024.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>A retrospective multicenter study was conducted on neonates (0–28 days old, <em>n</em> = 94) and infants (1–12 months old, <em>n</em> = 415) with osteoarticular infections. Data consisting of clinical characteristics, complications, laboratory outcomes, and the pathogenic microorganisms causing osteomyelitis were tabulated. The statistics were further broken down into two regions and the significant differences between neonates and infants were evaluated and compared to the literature.</p></div><div><h3>Results</h3><p>Compared to infants, neonates had significantly lower incidences of fever (<em>p</em> < 0.0001), higher incidences of localized swelling (<em>p</em> = 0.0021), higher rate of infection at the humerus (<em>p</em> = 0.0016), higher percentage of <em>Escherichia coli</em> (<em>p</em> < 0.0001) and <em>Klebsiella pneumoniae</em> (<em>p</em> = 0.0039) infections, lower percentage of <em>Staphylococcus aureus</em> infections (<em>p</em> < 0.0001) and were more likely to develop septic arthritis (<em>p</em> < 0.0001).</p></div><div><h3>Conclusion</h3><p>Distinct differences were found between neonatal and infants with osteoarticular infections. Future studies should focus on improving diagnosis and subsequent treatment regimens for younger age groups.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000329/pdfft?md5=e915164390a376a0d3f70a63961f50b8&pid=1-s2.0-S0021755724000329-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profiles of suicide attempted in children and adolescents 儿童和青少年自杀未遂的概况。

IF 3.3 4区医学

Jornal de pediatria Pub Date : 2024-04-11 DOI: 10.1016/j.jped.2024.01.007

Alicia Ortega-Narváez , Diana Marcela Muñoz-Manquillo , Claudia Patricia Guzmán-Lopez , Ginna Cabra-Bautista

{"title":"Profiles of suicide attempted in children and adolescents","authors":"Alicia Ortega-Narváez , Diana Marcela Muñoz-Manquillo , Claudia Patricia Guzmán-Lopez , Ginna Cabra-Bautista","doi":"10.1016/j.jped.2024.01.007","DOIUrl":"10.1016/j.jped.2024.01.007","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>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 (MCA) with the Burt method, according to the completeness of the data to establish the possible SA profiles using STATA 15.1, and R. The Ethics Committee at Universidad del Cauca approved it.</p></div><div><h3>Results</h3><p>The study found 977 SA during this period, 72.4% female, 97.1% adolescent, 74.4% mestizo, 19.3% indigenous, 45.3% resided in municipalities exposed to the armed conflict, 32.3% expressed ideation and previous attempts, and 15.5% prior attempts. The MCA included 810 SA and identified three profiles: “Classic”, which had mestizo adolescents with a history of prior SA, mental illness, or psychoactive substance use problems; “Related to the armed conflict”, which included female adolescents with a first SA and residents in municipalities exposed to the armed conflict; “Ethnic” represented by male indigenous, with housing in a rural area.</p></div><div><h3>Conclusion</h3><p>The SA profiles found in Cauca were “Classic”, “Related to the armed conflict”, and “Ethnic”; these can be considered to implement prevention strategies from a cross-cultural, mental health, and gender perspective, with the presence of the state in the territories.</p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755724000342/pdfft?md5=984df7a7772c44fa70cb01a901404b44&pid=1-s2.0-S0021755724000342-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0