Brazilian Journal of Medicine and Human Health最新文献_第2页

WILMS TUMOR IN ADULTS: CASE REPORT AND REVIEW OF THE LITERATURE 成人肾母细胞瘤:病例报告及文献复习

Brazilian Journal of Medicine and Human Health Pub Date : 2017-09-29 DOI: 10.17267/2317-3386BJMHH.V5I3.1358

B. R. Bereza, Tariane Friedrich Foiato Maneti, Vitor Arce Ferreira Cathcart, Raimundo Romilton Leal do Rosário, P. Nunes, M. Luz

{"title":"WILMS TUMOR IN ADULTS: CASE REPORT AND REVIEW OF THE LITERATURE","authors":"B. R. Bereza, Tariane Friedrich Foiato Maneti, Vitor Arce Ferreira Cathcart, Raimundo Romilton Leal do Rosário, P. Nunes, M. Luz","doi":"10.17267/2317-3386BJMHH.V5I3.1358","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I3.1358","url":null,"abstract":"Wilms Tumor (WT) is an extremely rare neoplasia in adults. It represents 95% and 1% of all renal tumors, in adults and children respectively. Clinical symptoms are also distinct between adults and children. In adults, symptoms are usually abdominal pain and hematuria, on the other hand, pediatric patients frequently present with an asymptomatic abdominal mass. The recommended treatment for WT in adults follows protocols established for pediatric patients. Currently, the 5-year overall survival rate for adults with WT is of approximately 90%. The adoption of multimodal therapy systematized, and proposed by current protocols, allowed the results to become much more robust, with a significant improvement from less than 30% to 90%. However, recent reviews suggest a worse outcome for adults when compared to children, even when submitted to the same treatment regimen, and comparable according to histology and tumor stage. We present a case of a 26 years-old male patient, who underwent surgery to treat a solid renal mass. Pathological report demonstrated a Wilms tumor. The patiente also received adjuvant chemotherapy with dactinomycin and vincristine. After 12 months follow-up, patient has no evidence of disease.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128988697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

BULLOUS ERYTHEMA NODOSUM AS INITIAL MANIFESTATION OF LEPROSY 结节性大疱性红斑是麻风病的最初表现

Brazilian Journal of Medicine and Human Health Pub Date : 2017-09-29 DOI: 10.17267/2317-3386BJMHH.V5I3.1461

C. Moura, R. Sampaio, P. Goes, Gabriel de Magalhães Freitas, C. Cruz, C. G. Moura

{"title":"BULLOUS ERYTHEMA NODOSUM AS INITIAL MANIFESTATION OF LEPROSY","authors":"C. Moura, R. Sampaio, P. Goes, Gabriel de Magalhães Freitas, C. Cruz, C. G. Moura","doi":"10.17267/2317-3386BJMHH.V5I3.1461","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I3.1461","url":null,"abstract":"Introduction: Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae with protean manifestations, particularly prone to affect skin and peripheral nerves. The natural course of the disease may be associated with the development of type 1 or type 2 immunologic reactions. These immunologic reactions are reported to be caused by increased activity of the immune system, particularly a cell-mediated immune response against live leprosy bacillus or remnants of dead bacilli. Leprosy is one of the oldest diseases of mankind. Its clinical diagnosis can be challenging due to the varied manifestations. The first description of bullous erythema nodosum was made 1898 and since then there are few recorded reports. Case Report: Here we present a case of bullous erythema nodosum as leprosy first manifestation. A 35 year-woman presented with 1-year history of disseminated blisters on trunk, forearms and thighs, and multiple painful ulcerated nodules on her face. She reported that the lesions in her face became eroded and ulcerated spontaneously. There were no thickened nerves. Blood and Histopathological investigations were made. The treatment instituted was prednisone 1mg/kg without thalidomide. After two weeks with excellent response, specific therapy for Mycobacterium leprae was initiated by the infectious diseases assistant physician with a satisfactory response.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133605877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

FACTORS ASSOCIATED TO THE HISTORY OF ACUTE MYOCARDIAL INFARCTION IN HYPERTENSIVE PRIMARY CARE USERS 高血压初级保健使用者急性心肌梗死病史的相关因素

Brazilian Journal of Medicine and Human Health Pub Date : 2017-09-29 DOI: 10.17267/2317-3386BJMHH.V5I3.1361

F. Nascimento, Luciana Ricarte Cavalcante, A. Zarife, L. L. Brito, Clara Dominguez da Silva, H. Maia

{"title":"FACTORS ASSOCIATED TO THE HISTORY OF ACUTE MYOCARDIAL INFARCTION IN HYPERTENSIVE PRIMARY CARE USERS","authors":"F. Nascimento, Luciana Ricarte Cavalcante, A. Zarife, L. L. Brito, Clara Dominguez da Silva, H. Maia","doi":"10.17267/2317-3386BJMHH.V5I3.1361","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I3.1361","url":null,"abstract":"Objective: To investigate the factors associated to the history of acute myocardial infarction (AMI) in hypertensive patients attended at Primary Healthcare (PHC) units. Methods: A cross-sectional study was performed in a health district in the city of Salvador, Bahia, between May and September, 2013. Primary data was collected through trained interviewers. The magnitude of the association was estimated using the OR calculation, adopting the CI of 95%. Subsequently, multivariate analyses were carried out using logistic regression. The project was approved by CEP/UNEB (CAAE 09656012.0.0000.0057) and financed by PRO/PET-Saude, 2012. Results: There were 297 hypertensive patients and, among these, 243 (81.3%) were of the female gender and had average age of 56 years (± 11.54). It was observed that 35 (11.8%) reported having suffered AMI. The risk factors associated the prior AMI were concomitant Diabetes Mellitus (DM) (OR=2.19; CI95% 1.03 – 4.68) and not being aware of the existence of health education groups (OR=5.31; CI95% 1.39 – 20.20); while the protection factors were absence of central obesity (OR=0.43; CI95% 0.20 – 0.95), taking part in health education groups (OR=0.19; CI95% 0.05 – 0.73) and having had an electrocardiogram during the past 06 months (OR= 0.37; CI95% 0.15 – 0,92). Conclusion: A high percentage of hypertensive patients with a background of AMI which was associated to the diagnosis of DM, central obesity, not having had periodic electrocardiograms and not having participated in health education groups. Strategies for the promotion of healthcare with the population and outpatient care may be considered as effective actions for the prevention of AMI.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129030341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

QUANTITATIVE AND QUALITATIVE NUTRITIONAL EVALUATION OF THE GENERAL ORAL DIET SERVED IN A UNIVERSITY HOSPITAL 某大学医院普通口服膳食的定量和定性营养评价

Brazilian Journal of Medicine and Human Health Pub Date : 2017-09-29 DOI: 10.17267/2317-3386BJMHH.V5I3.1341

F. Melo, C. A. Crispim, J. M. Pereira, Laís Paulino Sanzo Kaminishi, Flaviana Pereira de Oliveira Martins, D. A. De-Souza

{"title":"QUANTITATIVE AND QUALITATIVE NUTRITIONAL EVALUATION OF THE GENERAL ORAL DIET SERVED IN A UNIVERSITY HOSPITAL","authors":"F. Melo, C. A. Crispim, J. M. Pereira, Laís Paulino Sanzo Kaminishi, Flaviana Pereira de Oliveira Martins, D. A. De-Souza","doi":"10.17267/2317-3386BJMHH.V5I3.1341","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I3.1341","url":null,"abstract":"Introduction: The high prevalence of hospital protein-energy malnutrition is associated with several factors, including implemented dietary conducts. Objective: Analyze nutritional characteristics of the general hospital oral diet (GHOD). Methods and materials: A prospective and descriptive study, with a qualitative and semi-quantitative approach, concerning the GHOD menu, was developed from May 2012 to August 2013. GHOD menu was established for 28 days and consisted of five meals: breakfast, lunch, mid-afternoon snack, dinner and bedtime snack. Weighing of each food served in the meals (lunch/dinner) from the GHOD menu was performed. Composition tables were used to calculate the total energy value (TEV) and the energy distribution percentage of macronutrients of the foods, as well as to quantify the food portions from different food groups. Results: The average energy distribution to TEV (2409.4±152.6 kcal/day) was adequate for proteins (13.4%), carbohydrates (64.7%), and lipids (21.9%). Variable energy supply was identified at breakfast (15.6-20.6%), lunch (26.2-36.6%), dinner (22.231.1%), mid-afternoon and bedtime snacks (8.4-15.5%). The overnight fasting period was up to 13h. In the evaluation of nutritional quality of the GHOD meals in accordance with food groups was identified excessive offer for beans, meat/eggs, oils/fats/oilseeds and sugar/sweets, and deficient offer for fruit/juices, legumes/vegetables and milk/dairy. Conclusions: It is essential to perform quantitative and qualitative nutritional characterization of the GHOD served to inpatients. Reducing the duration of the overnight fast, as well as adjustments in the supply of food groups and in food fractionation, can contribute to better meeting the nutritional needs and prevention of nutritional deficiencies.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127199485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

NEURODYNAMIC MOBILIZATION REDUCES INTRANEURAL FIBROSIS AFTER SCIATIC CRUSH LESION IN RATS 神经动力运动减少大鼠坐骨挤压损伤后的神经内纤维化

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1303

Ê. Lima, Herman Henrique Silva Santana, A. Medrado, A. M. Martinez, A. Baptista

{"title":"NEURODYNAMIC MOBILIZATION REDUCES INTRANEURAL FIBROSIS AFTER SCIATIC CRUSH LESION IN RATS","authors":"Ê. Lima, Herman Henrique Silva Santana, A. Medrado, A. M. Martinez, A. Baptista","doi":"10.17267/2317-3386BJMHH.V5I2.1303","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I2.1303","url":null,"abstract":"Peripheral nerve lesions may be associated with abnormal scarring that lead to regenerative failure and dysfunction. Neurodynamic mobilization (NM) imposes controlled mechanical loads on the peripheral nerve and may influence inflammation and collagen deposition after a lesion. However, there is lack of experimental data to support these claims. Objective: To evaluate the impact of NM in the intraneural number of mast cells, collagen deposition and number of blood vessels after an ischiatic crush lesion in rats. Methods: This is a laboratory animal study, where 20 rats ( Rattus norvegicus) were randomly divided into two groups, NM (n=10) and control (n=10), submitted to a right ischiatic nerve lesion. A tensioning NM began 10 days after lesion, and was maintained once a day, six times a week, for three weeks. After this period, the animals were euthanized and the nerves assessed for the number of mast cells, collagen area and number of blood vessels. Results: NM led to a lower number of degranulated mast cells (Kruskal-Wallis=0.29 p<0.05), organization of collagen deposition (Kruskal-Wallis = 0.01, p<0.05 ). There was no influence of NM on the number of intraneural blood vessels (Kruskal-Wallis=0.46 p<0.05). Conclusion: NM started 10 days after a ischiatic nerve crush lesion modulates the inflammatory process and prevents random deposition of collagen at the lesion site, but has no influence on blood vessels formation.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126595295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

USE OF RESVERATROL IN CARDIOVASCULAR DISEASES PREVENTION: A SYSTEMATIC REVIEW 白藜芦醇在心血管疾病预防中的应用综述

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1309

Gabriela Marujo Góes, Amanda Silva Fraga, A. Ladeia

{"title":"USE OF RESVERATROL IN CARDIOVASCULAR DISEASES PREVENTION: A SYSTEMATIC REVIEW","authors":"Gabriela Marujo Góes, Amanda Silva Fraga, A. Ladeia","doi":"10.17267/2317-3386BJMHH.V5I2.1309","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I2.1309","url":null,"abstract":"Resveratrol, a polyphenolic compound found in blackberry and red wine, has properties that prevent the development of atherosclerosis, and therefore, cardiovascular disease. The aim of this study was, through a systematic review, to assess whether resveratrol reduces the incidence of cardiovascular events and improves inflammation and endothelial dysfunction in individuals at risk. Searches were conducted in databases such as LILACS, PubMed,SCIELO and selected randomized controlled trials in humans, including the use of resveratrol in the prevention of cardiovascular events or in the improvement of inflammation and endothelial function. The final sample consisted of 10 items. Of the four studies that analyzed the flow-mediated dilatation of the brachial artery, all showed significant improvement in endothelial function after the use of resveratrol, compared with placebo.In the 7 studies that evaluated subclinical inflammation, there were differences, 3 studies showed significant decreases in the values of TNF-α, 2 showed significant changes in plasma levels of C-reactive protein and interleukin 6 (IL-6), while 1 didn't showed changes in TNF-α and IL-6. In conclusion, resveratrol is capable of improving endothelial function when compared with placebo. However, it was not possible to infer an improvement or not in the parameters concerning endothelial inflammation, since the data extracted from the studies were insufficient. Moreover, it was not possible to evaluate the use of resveratrol in the improvement of survival, infarction or reduction in mortality, since there were no records in the literature of randomized controlled trials that analyzed the effect of resveratrol use on clinical outcomes in humans.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117013743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SNAKEBITE POISONING IN BRAZIL: SHAMEFUL, UNACCEPTABLE MORBIDITY AND LETHALITY 在巴西毒蛇咬伤中毒:可耻的，不可接受的发病率和死亡率

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1430

F. Carvalho, Y. Mise

引用次数: 0

IMMUNOPATHOGENESIS OF ORAL MUCOSITIS INDUCED BY CHEMOTHERAPY AND/OR RADIOTHERAPY: STATE OF ART 化疗和/或放疗所致口腔黏膜炎的免疫发病机制:最新进展

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1286

J. Dantas, G. B. Martins, H. Lima, M. Carrera, S. Reis, A. Medrado

{"title":"IMMUNOPATHOGENESIS OF ORAL MUCOSITIS INDUCED BY CHEMOTHERAPY AND/OR RADIOTHERAPY: STATE OF ART","authors":"J. Dantas, G. B. Martins, H. Lima, M. Carrera, S. Reis, A. Medrado","doi":"10.17267/2317-3386BJMHH.V5I2.1286","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I2.1286","url":null,"abstract":"Introduction: Oral mucositis is a common and worrying clinical condition in patients undergoing radiotherapy of the head and neck regions and aggressive chemotherapy. Mucositis manifests as a continuous process, which begins with erythematous and atrophic lesions, which can progress to very painful ulcers. The immunopathogenesis of oral mucositis is considered a complex cascade of biological events, and advances in its understanding might result in promising and effective therapies. Objectives: The aim of this study is to highlight the recent findings of the immunopathogenesis of oral mucositis induced by chemotherapy and/or radiotherapy and their possible therapeutic agents. Methods and materials: scientific articles were selected in the PubMed and LILACS databases from December 2015 to May 2016, using the keywords in English \"mucositis etiopathogenesis\" and \"mucositis\". In PubMed 107 articles were found and, in LILACS, 61. The articles were selected after reading and those which reported detail on the immunopathology of oral mucositis were chosen. Results and conclusion: The literature indicates that histopathological changes related to oral mucositis, including apoptotic phenomenon, the action of certain chemical mediators and the influence of the oral cavity microbiota promote a better understanding of the immunopathogenesis of this type of injury and their biological development. Therefore, additional clinical studies based on scientific evidence are needed to get a better understanding of the immunopathology of oral mucositis and the determination of preventive agents and effective therapeutic for this deleterious effect arising from antineoplastic treatment.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130463388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A CRITICAL ANALYSIS OF AN INTERPROFESSIONALISM ASSESSMENT SCALE APPLIED TO HEALTH SCIENCES UNDERGRADUATE STUDENTS 应用于健康科学本科学生的跨专业评估量表的批判性分析

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1285

Carolina D. Garcia, M. Menezes, C. Aguiar, Marília Menezes Gusmão, Ligia Marques Vilas Boas, L. Lins

{"title":"A CRITICAL ANALYSIS OF AN INTERPROFESSIONALISM ASSESSMENT SCALE APPLIED TO HEALTH SCIENCES UNDERGRADUATE STUDENTS","authors":"Carolina D. Garcia, M. Menezes, C. Aguiar, Marília Menezes Gusmão, Ligia Marques Vilas Boas, L. Lins","doi":"10.17267/2317-3386BJMHH.V5I2.1285","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I2.1285","url":null,"abstract":"Introduction: The search for initiatives that stimulate interprofessionalism should incorporate activities developed by educational institutions. The Bahia School of Medicine and Public Health (EBMSP) runs a project, approved by the Government Program of Education for Work in Health - PET-Saude, which promotes interprofessional practice. Objective: Evaluate the psychometric properties of the IEPS when applied to Brazilian students. Method: We conducted Exploratory Factorial Analyses and took into account the eigenvalues and the theoretical model in order to estimate the number of factors. The Cronbach alpha coefficient was also calculated. Results: A three-dimensional factorial solution was tested. These three factors jointly explain 66.5% of variance in interprofessionalism. Three items were excluded, due to empirical weaknesses. The Cronbach alphas obtained for each dimension were 0.84, 0.70 and 0.16. Conclusion: The study attained its objective, gathering initial evidence regarding the validity of this measure in a Brazilian context.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131320871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

PREVALENCE OF ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, OPPOSITIONAL DEFIANT DISORDER AND CONDUCT DISORDER IN CHILDREN WITH AUTISM SPECTRUM DISORDER 自闭症谱系障碍儿童注意缺陷/多动障碍、对立违抗障碍和行为障碍的患病率

Brazilian Journal of Medicine and Human Health Pub Date : 2017-06-22 DOI: 10.17267/2317-3386BJMHH.V5I2.1199

M. Pondé, Mirella Lins Matos, Cinthia Cristina Pinto Bispo de Oliveira

{"title":"PREVALENCE OF ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, OPPOSITIONAL DEFIANT DISORDER AND CONDUCT DISORDER IN CHILDREN WITH AUTISM SPECTRUM DISORDER","authors":"M. Pondé, Mirella Lins Matos, Cinthia Cristina Pinto Bispo de Oliveira","doi":"10.17267/2317-3386BJMHH.V5I2.1199","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I2.1199","url":null,"abstract":"Aim: To estimate the prevalence of attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD) and conduct disorder (CD) in children and adolescents previously diagnosed with autism spectrum disorder (ASD). Methods: A cross-sectional study involving 71 children and adolescents previously diagnosed by a psychiatrist as having ASD. All were enrolled at a school that accompanies only individuals with ASD. The evaluation instruments consisted of a sociodemographic questionnaire and the Brazilian version of the semi-structured interview Kiddie-SADS-PL for the investigation of psychiatric disorders in children and adolescents. Results: Overall, 62% of the children in the sample had some psychiatric comorbidity: 49.3% had some form of ADHD, 11.3% ODD and 1.4% CD. In relation to the children with ADHD, 11.3% fulfilled the criteria for the inattentive subtype, 12.7% for the hyperactive/impulsive subtype, 7.1% for the combined subtype and 18.3% for ADHD not otherwise specified. Conclusion: These results ratify the clinical heterogeneity of ASD and highlight the importance of diagnosing comorbidities that could affect the clinical status and functioning level of children and adolescents with ASD.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117341640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2