Residência Pediátrica最新文献_第4页

Vertical transmission COVID-19: case report in Hospital São Vicente de Paulo 垂直传播COVID-19: <s:1>比森特德保罗医院病例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n1-640

S. Reis, Laura Dalpasquali, Gabriel Weber, Cristiane Cassanelo, Alessandra Belina

引用次数: 0

Late diagnosis of idiopathic esophageal achalasia in patient with recurrent pneumonias 复发性肺炎患者特发性食管贲门失弛缓症的晚期诊断

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2021.v11n3-193

V. Santos, Guilhane Carmo, M. Rodrigues, Mayco Nascimento, R. Oliveira, T. Kock

{"title":"Late diagnosis of idiopathic esophageal achalasia in patient with recurrent pneumonias","authors":"V. Santos, Guilhane Carmo, M. Rodrigues, Mayco Nascimento, R. Oliveira, T. Kock","doi":"10.25060/residpediatr-2021.v11n3-193","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n3-193","url":null,"abstract":"Esophageal achalasia is the most prevalent esophageal motility disease; however, it is rare in pediatrics. The principal cause is secondary to the loss of function in inhibitory neurons of myenteric plexus, due inflammatory process of unknown origin. The most prevalent symptoms in children are vomit, loss of weight and aspiration pneumonia; those are more commonly related to gastroesophageal reflux disease (GERD), making it more difficult the diagnosis of achalasia. Complementary exams are crucial to diagnoses, such as upper digestive endoscopy, radiography (barium swallow) and esophageal manometry. The treatment aims to relieve the symptoms and improve the esophageal emptying. Three years old female child, presenting persistent vomit, pulmonary auscultation reduced at right lung and condensation in the right pulmonary base suggestive of pneumonia, regarding an antecedent of five episodes of pneumonia. The symptoms started at nine months old, and the initial treatment was for GERD, without improvement. The propaedeutic confirmed the diagnoses of achalasia, though etiology was not conclusive. The chosen treatment was pneumatic dilatation with an additional surgical injection of botulinum toxin at the lower esophageal sphincter. The patient received hospital discharge to outpatient follow-up.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"52 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":"127607090","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

Lipid profile of children and adolescents with type 1 diabetes mellitus 儿童和青少年1型糖尿病患者的脂质特征

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n2-322

A. Monteiro, A. Demartini, C. Fritz, A. Leão, M. Cat, G. Kraemer

{"title":"Lipid profile of children and adolescents with type 1 diabetes mellitus","authors":"A. Monteiro, A. Demartini, C. Fritz, A. Leão, M. Cat, G. Kraemer","doi":"10.25060/residpediatr-2022.v12n2-322","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-322","url":null,"abstract":"INTRODUCTION: Cardiovascular diseases are the main cause of death in patients with type 1 diabetes mellitus (T1DM) and atherosclerotic process begins in childhood. OBJECTIVE: To evaluate lipid profile of patients with T1DM accompanied at the pediatric endocrinology (UEP), Hospital de Clínicas, Federal University of Paraná (HC-UFPR), the prevalence of dyslipidemia and its correlation with glycemic control, duration of T1DM, family history of dyslipidemia and nutritional profile status. METHODS: Data of diagnostic information, comorbidities, birth weight, sex, family history of diabetes, dyslipidemia and heart diseases were reviewed. Anthropometric measurements, glycemic control, blood pressure (BP), lipid profile, and pharmacological treatment for dyslipidemia were obtained in four moments: after three months of diagnosis (t1), two (t2), five (t3), and ten (t4) years of illness. RESULTS: 228 patients (122 girls), mean age at diagnosis of 7.3 years, were included. In t3 and t4 there was a significant increase in BP elevation. Prevalence of dyslipidemia was 31.7% in t1, 33.7% in t2; 37.4% in t3; and in 63.6% in t4. There was a significant increase in total cholesterol and LDL-cholesterol level over time (p<0.001) and a significant increase in triglycerides levels only in t4 (p=0.002). CONCLUSION: Changes in lipid profile in children and adolescents with T1DM are prevalent, but they are undertreated, and the greater age, the greater probability of developing dyslipidemia. Thus, screening for dyslipidemia should be done and pharmacological treatment should be encouraged as recommended.","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":"127753605","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

Congenital adrenal hyperplasia in siblings - case report 兄弟姐妹先天性肾上腺增生1例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2019.v9n3-26

I. Madeira, D. Gilban, A. Bordallo, Clarice Medeiros, P. Collett-Solberg, F. Gazolla, C. Monteiro, Ana Luíza Mendes, Débora Ribeiro, Juliana Braga

引用次数: 0

Hamman syndrome in children - case report 儿童哈曼综合征病例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2021.v11n2-129

C. Martins, A. Ramalho, Anyne França, Ana Carolina Gaudard, Victor Farsoun Junior

引用次数: 0

Bartter syndrome as a cause of growth delay and sensorineural hearing loss 巴特综合征是生长迟缓和感音神经性听力损失的原因

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n1-469

LorenaTrivilin Menezes, L. Pimentel, Lavinia Menezes, Diego Rosa, Maylon Ferreira

引用次数: 0

The knowledge of elementary school students about athletics modalities 小学生对体育运动模式的认知

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n3-458

D. Souza

引用次数: 0

Aleitamento materno e terapêutica para a doença coronavírus 2019 (COVID-19) 2019年冠状病毒病(COVID-19)的母乳喂养和治疗

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2020.v10n2-323

R. Chaves, J. Lamounier, L. B. Santiago

{"title":"Aleitamento materno e terapêutica para a doença coronavírus 2019 (COVID-19)","authors":"R. Chaves, J. Lamounier, L. B. Santiago","doi":"10.25060/residpediatr-2020.v10n2-323","DOIUrl":"https://doi.org/10.25060/residpediatr-2020.v10n2-323","url":null,"abstract":"pandemia COVID-19 foi recomendado o aleitamento materno pelas mulheres suspeita ou diagnóstico confirmado de infecção. caso, adotados cuidados de biossegurança, para evitar a transmissão da doença para o recém-nascido. Revisões de publicações disponíveis mostram que os medicamentos indicados para o tratamento da COVID-19 não são contraindicados para uso pela nutriz, possível compatibilizar o tratamento com o aleitamento. outras formas de tratamento, ainda sob pesquisa, compatíveis em que apresentarem condições clínicas para amamentar ou extrair o leite materno. modo, é necessária a constante atualização sobre esse tema, virtude das diversas pesquisas envolvendo novos e Abstract In the recent COVID-19 pandemic, it was recommended to continue breastfeeding by women with suspected or confirmed diagnosis of infection. In this case, biosafety care must be adopted to prevent the transmission of the disease to the newborn. Review of available publications shows that the drugs indicated for the treatment of COVID-19 are not contraindicated for use by the nursing mother, making it possible to make treatment compatible with breastfeeding. In addition, other forms of treatment still under research are compatible in mothers who have clinical conditions to breastfeed or express breast milk. Thus, it is necessary to constantly update this topic due to the various researches involving new and numerous medications for the treatment of COVID-19. This article presents the drugs that can be used in the treatment of COVID-19 and its relationship with breastfeeding.","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":"133894623","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

Prevention care and follow-up of premature infants - Point of view from paediatric nephrologist 早产儿的预防、护理和随访——儿科肾病专家的观点

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n2-775

Michelle Toscan, Samantha Dickel, V. Souza, B. Araújo

{"title":"Prevention care and follow-up of premature infants - Point of view from paediatric nephrologist","authors":"Michelle Toscan, Samantha Dickel, V. Souza, B. Araújo","doi":"10.25060/residpediatr-2023.v13n2-775","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-775","url":null,"abstract":"Objective: review renal and cardiovascular complications derived from premature births, to warn the pediatrician about preventive care and to recommend an approach toward the follow-up. Metodology: non-systematic review of literature which based its data on: National Library of Medicine, US National Library of Medicine, Latin American and Caribbean Literature on Health Sciences and Scientific Electronic Library Online, ranging from 2010 to 2021. The articles were delved into the issues of prematurity, low birth weight, restricted intrauterine growth and its relation with cardiovascular and renal diseases; and proposed followup strategies. Results: the incidence of premature births has increased in the last few decades, with a variation between 5% to 14%, and, consequently, the rate of chronic-related diseases related to this situation has increased as well. The number of incomplete and immature nephrons in premature babies derives from the lack of completeness of nephrogenesis, which takes place at around 36 weeks of pregnancy. This nephron deficit necessitates a hemodynamic adaptation to meet the demands of urinary excretion. This process may be responsible for glomerular hypertension, the hypertrophy of remaining nephrons and resulting renal injuries. Factors such as low birth weight, restricted intrauterine growth and premature birth all contribute towards the global increase of the prevalence of renal disease, systemic arterial hypertension and metabolic syndrome. Conclusion: children born premature, with low birth weight and restricted intrauterine growth must have their arterial pressure and kidney functions monitored throughout the paediatric follow-up, and sent to a paediatric nephrologist whenever any abnormalities are detected","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"40 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":"128939728","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

Benefícios do aleitamento materno exclusivo durante os primeiros meses de vida do recém-nascido 在新生儿生命的最初几个月纯母乳喂养的好处

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-773

I. Santos, Aline Curado, Anna Raquel Freire, Beatriz Martins, R. Barros, Maria Augusta Wehbe

{"title":"Benefícios do aleitamento materno exclusivo durante os primeiros meses de vida do recém-nascido","authors":"I. Santos, Aline Curado, Anna Raquel Freire, Beatriz Martins, R. Barros, Maria Augusta Wehbe","doi":"10.25060/residpediatr-2022.v12n4-773","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-773","url":null,"abstract":"The guarantee of Exclusive Breastfeeding until the ideal age is still an important challenge in Brazil. In this sense, there are several factors that are necessary in the early interruption of exclusive breastfeeding, from false information to difficulties in offering breast milk. However, it is up to health professionals to have full mastery of aspects related to the benefits of breast milk for the health and well-being of infants and nursing mothers for better assistance in their follow-up. As a result, a narrative literature review was undertaken, with emphasis on the main aspects and benefits of breast milk for infant health, based on 17 articles found in the Medline and SciELO databases. Studies that dealt with the purpose of the review were selected, based on the examination of the respective abstracts. From the review of selected studies, it was found that Exclusive Breastfeeding has benefits beyond the nutritional field and offers a lower risk of developing chronic diseases such as diabetes, hypertension, obesity and provides protection against different types of cancer to the mother. It was also discussed that Primary Health Care plays a key role in ensuring that infants receive breast milk for the ideal time. On the other hand, there are still obstacles in the promotion of quality breastfeeding, especially for mothers and infants in situations of greater social vulnerability, an aspect that must be considered in health care.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"14 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":"125244084","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