Residência Pediátrica最新文献_第3页

PFAPA Syndrome: A Case report and literature review PFAPA综合征1例报告及文献复习

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2019.v9n3-20

I. Yparraguirre, R. Aires, Angélica Rondon, Luís Guimarães, S. Rodríguez, Rodrigo Figueiredo

引用次数: 0

Vacinas para COVID-19: perspectivas e desafios COVID-19疫苗:前景和挑战

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2020.v10n2-04

Eduardo Jorge da Fonseca Lima, Amalia Almeida, Renato A. Kfouri

引用次数: 4

Use of an early warning scoring system in the pediatric ward of a tertiary referral hospital 预警评分系统在三级转诊医院儿科病房的应用

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-547

B. Mota, Adriana Fonseca, Anny Carolyne Santos

{"title":"Use of an early warning scoring system in the pediatric ward of a tertiary referral hospital","authors":"B. Mota, Adriana Fonseca, Anny Carolyne Santos","doi":"10.25060/residpediatr-2022.v12n4-547","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-547","url":null,"abstract":"OBJECTIVE: To evaluate the performance the Brighton Pediatric Early Warning Score for an early identification of clinical deterioration in children admitted to the pediatric ward of a tertiary hospital. METHODS: A prospective cohort observational study, involving 325 children with acute illnesses admitted to a pediatric ward, aged 29 days to 13 years, between August 2018 and March 2020. To assess the Brighton Pediatric Early Warning Score diagnostic accuracy, it was used the Cardiff and Vale Pediatric Early Warning System as reference, and the software used was the R Core Team 2020. The effectiveness of the Brighton Pediatric Early Warning Score was assessed using the indicators of sensitivity, specificity, positive predictive value, negative predictive value, area under the ROC curve, number of true positives and negatives and false positives and negatives. RESULTS: The Brighton Pediatric Early Warning Score showed a sensitivity of 19.2%, a specificity of 99.1%, a positive predictive value of 90.5%, a negative predictive value of 73.7%, and an area under the ROC curve of 0.839. In addition to that, for scores larger than 3, there were 19 true positives, 224 true negatives, 2 false positives and 80 false negatives. CONCLUSION: The Brighton Pediatric Early Warning Score performed well in the scenario analysis chosen by this research, showing how easy it is to use it for an early recognition of clinical deterioration in children admitted to pediatric wards.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128782439","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

Brain-lung-thyroid syndrome: clinical response under methylphenidate hydrochloride therapy 脑-肺-甲状腺综合征:盐酸哌甲酯治疗下的临床反应

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n1-483

Barbara Bianchi, C. Gil, L. Vagnini, J. Fonseca

{"title":"Brain-lung-thyroid syndrome: clinical response under methylphenidate hydrochloride therapy","authors":"Barbara Bianchi, C. Gil, L. Vagnini, J. Fonseca","doi":"10.25060/residpediatr-2023.v13n1-483","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n1-483","url":null,"abstract":"INTRODUCTION: The “brain-lung-thyroid syndrome” is caused by mutations in the NKX2-1 gene, which encodes the thyroid transcription factor 1, and is characterized by widely diverse clinical manifestations: choreic movements, respiratory disorders and hypothyroidism. CASE REPORT: Male patient, 10 years old, son of non-consanguineous parents, being treated for subclinical hypothyroidism with levothyroxine, was referred at 4 years of age for investigation of hypotonia. There were no reports of breathing problems at birth. Investigation for hypotonia (central and neuromuscular) including muscle biopsy was normal. There was a progressive improvement in hypotonia, but the patient developed choreic movements. In view of the new clinical finding, a genetic-molecular study was carried out directed towards the NKX2-1 gene, confirming the diagnosis of “brain-lung-thyroid syndrome”. The patient started treatment with methylphenidate hydrochloride with evident improvement in choreic movements. DISCUSSION: Manifestations related to the NKX2-1 gene may include hereditary benign chorea (HBC), congenital hypothyroidism and neonatal respiratory disorders. Generally, chorea begins in early childhood, in the patient’s first year of life (most common), in later childhood or even adolescence, and progresses into the second decade after which it remains static or (rarely) resolves. Recently, the use of methylphenidate in patients with a mutation in this gene proved to be a possible therapeutic approach to control choreic movements and improve motor coordination in patients affected by this rare disease.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129360018","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

Abscesso renal em pediatria - desafios para o diagnóstico e manejo: relato de caso 小儿肾脓肿-诊断和处理的挑战:病例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023-656

A. Santos, Maria Andrade, Eduardo Hatanaka

{"title":"Abscesso renal em pediatria - desafios para o diagnóstico e manejo: relato de caso","authors":"A. Santos, Maria Andrade, Eduardo Hatanaka","doi":"10.25060/residpediatr-2023-656","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-656","url":null,"abstract":"Objective: To discuss the diagnostic difficulties of renal abscess in the pediatric age and warn pediatrics about the possible complications of urinary tract infections. Case description: A 16-year-old boy with autism spectre disorder and Duchenne muscular dystrophy presented at the emergency care unit with persistent fever despite the use of antibiotics to treat an urinary tract infection. Although there was leukocyturia, the urine culture was negative. Ultrassound of the urinary tract showed no significant findings. Computed tomography showed multiple renal abscesses in the right kidney. A puncture guided by ultrasound was performed. The culture of the liquid resulted in growth of ESBL Klebsiella pneumoniae. A 21 day course of intravenous antibiotic after the procedure resulted in complete resolution of signs and symptoms. Comments: Renal abscess is a rare condition in the pediatric population. However, it must be considered in the differential diagnosis of prolonged fever and when there is a nonfavorable evolution of urinary tract infection, mainly in recurrent episodes. The early diagnosis of this condition is essential for the adequate treatment and reduction of complications.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129221717","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

Challenges in the implementation of Palliative Care in Neonatology: an integrative review 在新生儿实施姑息治疗的挑战:一项综合综述

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-771

Bárbara Rodrigues, A. Bóscolo, L. Leão, Marcelo Reis, Lucas Pimenta, J. Lima

引用次数: 0

Adequacy of tidal volume offered during invasive mechanical ventilation in preterm infants 早产儿有创机械通气时潮气量的充分性

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n2-706

A. Melo, Lizandra Moura, Nailton Medeiros Junior, Joice Souza, Maria Julia Silva, A. Bezerra

{"title":"Adequacy of tidal volume offered during invasive mechanical ventilation in preterm infants","authors":"A. Melo, Lizandra Moura, Nailton Medeiros Junior, Joice Souza, Maria Julia Silva, A. Bezerra","doi":"10.25060/residpediatr-2023.v13n2-706","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-706","url":null,"abstract":"OBJECTIVE: To verify the adequacy of the tidal volume (VT) of the preterm newborn (PTNB) under mechanical ventilation according to the parameter adjustments made by the team and to compare it with the ideal tidal volume for the weight. METHOD: This is a cross-sectional study with a sample composed of PTNB with gestational age (GA) <37 weeks hospitalized in the Neonatal Intensive Care Unit of Hospital Agamenon Magalhães. Six VT measurements were collected for 60 seconds and the adequacy of the VT found was assessed by calculating the ideal tidal volume (VTi) using the formula Vti = 4ml / kg x current weight. RESULT: The sample of 16 premature infants, 68.7% had inadequate TV at the time of collection. PTNBs with GA above 30 weeks obtained a statistically higher TV (TV = 12.27 ± 2.22mL). When corrected for weight, those with GA <30 had a corrected VT of 9.34 ± 4.63 mL / Kg, not statistically significant, but mportante from a clinical point of view. CONCLUSION: It was found that PTNB below 30 weeks were exposed to VT greater than the ideal range for weight. With this, it is possible to identify the importance of continuous monitoring of the VT, favoring a better ventilatory assistance, minimizing lung injuries.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130637467","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

Epstein-Barr virus associated with dermatopolymyositis: a case report Epstein-Barr病毒与皮肤多发性肌炎相关1例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n2-287

A. C. Fernandes, Francisco Brilhante Neto, Laura Aragão, Cítara Queiroz, M. Vieira, A. Moura

{"title":"Epstein-Barr virus associated with dermatopolymyositis: a case report","authors":"A. C. Fernandes, Francisco Brilhante Neto, Laura Aragão, Cítara Queiroz, M. Vieira, A. Moura","doi":"10.25060/residpediatr-2022.v12n2-287","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-287","url":null,"abstract":"INTRODUCTION: The Epstein-Barr virus (EBV) is a DNA virus of the Herpesviridae family, which exists in the latent form in 95% of the world population. This virus infects the B lymphocytes, which promotes a persistent infection with periodic reactivations. EBV is probably a strong environmental factor in etiology of autoimmune diseases, once its viral proteins are involved in altering the host’s immune system, causing loss of self-tolerance and development of neoplasms. OBJECTIVE: To report a case of a patient with EBV associated with the development of dermatopolymyositis. CASE REPORT: Girl, 5 years, presenting erythematous-scaly lesions in extending region in upper and lower limbs. During follow-up, the patient’s mother returns referring worsening of the child, complaining of periodic fever, infection of upper airways and worsening of the lesions associated with difficulty of ambulation as well as difficulty of sitting in the past three weeks. Physical examination showed pharyngotonsillitis, cervical, axillary and inguinal adenomegalies and hepatomegaly. The limbs skin presented scaly and pruritic erythematous macules as well as on the metacarpophalangeal and interphalangeal joints, weakness of the pelvic muscles and arthralgia in the knees and ankles. After undergoing muscle biopsy, it presented a pattern for dermatopolymyositis, and imunosupression was initiated with methotrexate. Therefore, the patient improved clinically and laboratory regarding mononucleosis and the symptoms of dermatopolymyositis. The patient continues in specialized treatment and motor physiotherapy. CONCLUSION: Attention should be payed to the influence of viral component, such as the Epstein-Barr virus, on the pathogenesis of dermatopolymyositis in individuals genetically predisposed to autoimmune diseases.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123636035","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

Stress reduction interventions for parents/family of children with chronic diseases: a scoping review 对患有慢性疾病儿童的父母/家庭的减压干预措施:范围审查

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-649

Sandra Amaral, F. Pimenta, Raquel Rosas, C. Sant’Anna

{"title":"Stress reduction interventions for parents/family of children with chronic diseases: a scoping review","authors":"Sandra Amaral, F. Pimenta, Raquel Rosas, C. Sant’Anna","doi":"10.25060/residpediatr-2022.v12n4-649","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-649","url":null,"abstract":"INTRODUCTION: In consideration of the changes and repercussions on the family dynamics, apart from childcare responsibilities, parents and caregivers of children with chronic disease face frequent stressors, resulting in rising levels of stress. This review thus aims to analyse studies that assessed the efficacy of psychosocial interventions directed at stress management among parents and family members of children with the most prevalent chronic diseases (cancer, asthma, diabetes and cardiovascular disease). METHOD: This study classifies as a scoping review. The literature search included articles published in five electronic databases (EBSCO, b-On, PubMed, Scielo and Web of Science), in line with the inclusion criteria. RESULTS: A total of 15 articles were selected. Interventions varied in relation to outcomes, study design, sample, modalities and strategies. Of the 15 studies, 53% found no significant differences in participants stress levels or between the intervention group and the control group, 40% showed a significant decrease in participants stress levels, and 7% presented mixed results with improvements in some emotional dimensions after the intervention. DISCUSSION: Despite the mixed results with regards to the levels of stress, the significant results might justify the importance of performing such interventions among this population. Interventions that are personalized and directed at this populations needs might be effective at reducing stress levels.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121387201","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

Marfan syndrome: importance of family history - case report 马凡氏综合征:家族史的重要性——病例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n2-550

M. D. F. Leite, C. Muñíz, C. Farias, D. Orofino, Daltro Castellar Junior, A. Barth

引用次数: 0