Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo最新文献

{"title":"Epidemiological profile of urinary tract infections in children before and during the COVID-19 pandemic: an observational study.","authors":"Bruna Luiza Thesolim, Bárbara Martins Lima, Cristina Ortiz Sobrinho Valete","doi":"10.1590/1984-0462/2026/44/2025365","DOIUrl":"10.1590/1984-0462/2026/44/2025365","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate whether the COVID-19 pandemic influenced the epidemiological, microbiological, and antimicrobial resistance profiles of urinary tract infections (UTI) in children admitted to a pediatric service.</p><p><strong>Methods: </strong>This retrospective ecological study included patients under 12 years of age admitted to a Brazilian university hospital with a diagnosis of UTI based on clinical and laboratory criteria. Two periods were analyzed: 2018-2019 (pre-pandemic) and 2022-2023 (pandemic period).</p><p><strong>Results: </strong>A total of 8007 urine cultures were analyzed, of which 203 met criteria for UTI (128 in the first and 75 in the second period). A higher proportion of neonates was observed in the second period. Escherichia coli remained the predominant pathogen. Klebsiella pneumoniae showed an increase in frequency (p=0.02) and resistance (p<0.001), while Pseudomonas aeruginosa also increased in frequency (p=0.02) and resistance (p=0.01). The susceptibility profile of other pathogens remained stable, with persistently high sensitivity to amikacin, meropenem, and third-generation cephalosporins.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic period was associated with changes in the epidemiological and microbiological profile of pediatric UTIs. The increased frequency of healthcare-associated pathogens highlights the importance of continuous microbiological surveillance and rational antimicrobial use in pediatric practice.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025365"},"PeriodicalIF":2.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classical and specific bioelectrical impedance vector analysis values of children and adolescent athletes according to maturational status: a cross-sectional study.","authors":"Leandro Narciso Santiago, Priscila Custódio Martins, Diego Augusto Santos Silva","doi":"10.1590/1984-0462/2026/44/2025349","DOIUrl":"10.1590/1984-0462/2026/44/2025349","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to analyze classic (BIVAc) and specific (BIVAsp) bioelectrical impedance vector analysis values of children and adolescent athletes according to their maturational status.</p><p><strong>Methods: </strong>A total of 78 subjects (36 male and 42 female), classified as prepubertal and pubertal, participated in the study. Bioelectrical parameters such as resistance (R), reactance (Xc), and impedance (Z) were measured using a tetrapolar bioelectrical impedance analysis (BIA) device (Sanny® BIA1011AF, 50 kHz, 800 μA) and subsequently normalized by height (BIVAc) and by body circumferences and height (BIVAsp). Five adjustment models were developed using analysis of covariance: raw; sex; sex and age; sex, age, and training experience; and sex, age, training experience, and weekly training volume.</p><p><strong>Results: </strong>Prepubertal children and adolescent athletes displayed higher raw bioelectrical values (R, Xc, and Z) than pubertal athletes, even after adjusting for covariates. The BIVAc approach yielded higher values across all adjustment models (p<0.01). In contrast, no significant differences were observed between prepubertal and pubertal groups in the BIVAsp approach, even after adjusting for all models (p>0.05).</p><p><strong>Conclusions: </strong>Prepubertal children and adolescent athletes exhibit higher values of R, Xc, and Z than pubertal athletes, both in raw analyses and when normalized for height (BIVAc). However, when normalized by body circumferences and height (BIVAsp), these differences were no longer significant, suggesting that height normalization preserves maturational differences, whereas normalization by body circumferences attenuates them.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025349"},"PeriodicalIF":2.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low birth weight and intrauterine growth restriction and their relationship with handgrip strength in adolescents.","authors":"Brena Cristina Batista Barros, Juliana Ramos Carneiro, Vanessa de Oliveira Martins, Rosângela Fernandes Lucena Batista, Vanda Maria Ferreira Simões, Antônio Augusto Moura da Silva, Liliana Yanet Gómez Aristizábal, Susana Cararo Confortin","doi":"10.1590/1984-0462/2026/44/2025226","DOIUrl":"10.1590/1984-0462/2026/44/2025226","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between low birth weight (LBW) and intrauterine growth restriction (IUGR) with handgrip strength (HGS) in adolescents.</p><p><strong>Methods: </strong>Birth cohort study from São Luís, Maranhão, Brazil, conducted between 1997 and 1998. The Jamar Plus+ dynamometer was used to measure HGS during the second follow-up. Birth weight was assessed from information from the participants' hospital records. LBW was defined as a birth weight <2500 g, while IUGR was defined as a Kramer's index <0.85. The associations of LBW and IUGR with HGS were estimated using linear regression models. The directed acyclic graph (DAG) was used to identify the variables for adjustment.</p><p><strong>Results: </strong>We evaluated 544 individuals who participated in the baseline and second follow-up, and 279 who participated in the first and second follow-ups. In crude and adjusted analyses, LBW was not associated with HGS. However, in the crude analysis, male adolescents with IUGR had lower HGS (β: -4.17; 95%CI -7.67; -0.66) compared with those without IUGR. In the adjusted analysis, the association was maintained, with male adolescents with IUGR showing a reduction of 4.36 kgf (β -4.36; 95%CI -7.88; -0.85) in HGS compared with those without IUGR. There was no association between IUGR and HGS in females.</p><p><strong>Conclusions: </strong>LBW was not associated with HGS. However, male adolescents with IUGR had lower HGS.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025226"},"PeriodicalIF":2.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13524225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partial trisomy of 1q42.1 and 8q24.3 deletion: a family history.","authors":"Natasha Malgarezi de Moraes, Marcela Rodrigues Nunes, Rafaella Mergener, Ana Kalise Böttcher da Silveira, Helena Froener Peruzzo, Lívia Polisseni Cotta Nascimento, Mariluce Riegel, Paulo Ricardo Gazzola Zen","doi":"10.1590/1984-0462/2026/44/2025354","DOIUrl":"10.1590/1984-0462/2026/44/2025354","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of an unbalanced inheritance in a patient, while investigating and elucidating family history.</p><p><strong>Case description: </strong>This is a case report of a patient carrying an unbalanced combination consisting of a partial trisomy of 1q42.1 and a microdeletion in 8q24.3, resulting from the segregation of the familial balanced reciprocal translocation between chromosomes 1 and 8.</p><p><strong>Comments: </strong>A genetic investigation was carried out in the family, elucidating the segregation mechanisms, possible outcomes, and inheritance lineage of this balanced translocation and its unbalanced forms. This case report was the first involving these two specific chromosomal regions.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025354"},"PeriodicalIF":2.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-effectiveness of the timing of respiratory extracorporeal membrane oxygenation initiation in pediatric patients.","authors":"Gianmarco Camelo-Pardo, Alejandra Mendoza-Monsalve, Maricel Licht-Ardila, Angélica Lucero Ortiz-Córdoba, José Rafael Almarales-Navarro, Alexandra Hurtado-Ortiz, Anderson Bermon, Edgar Fabián Marique-Hernández","doi":"10.1590/1984-0462/2026/44/2025275","DOIUrl":"10.1590/1984-0462/2026/44/2025275","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the cost-effectiveness of early versus late initiation of extracorporeal membrane oxygenation (ECMO) in pediatric patients with acute respiratory distress syndrome admitted to the intensive care unit.</p><p><strong>Methods: </strong>A cost-effectiveness analysis was conducted from the hospital provider perspective, comparing early (≤7 days) versus late (>7 days) initiation of ECMO. Direct medical costs and 90-day survival were incorporated into a decision tree to estimate the incremental cost-effectiveness ratio. Deterministic and probabilistic sensitivity analyses were performed using a willingness-to-pay threshold equivalent to three times the Colombian gross domestic product per capita.</p><p><strong>Results: </strong>Among 78 patients, most patients received early ECMO initiation, and this strategy was associated with similar mortality and comparable total direct medical costs compared with late initiation. Probabilistic simulations indicated a higher probability of cost-effectiveness for early initiation across different willingness-to-pay thresholds. Cost parameters were the main drivers of variability in the incremental cost-effectiveness ratio.</p><p><strong>Conclusions: </strong>No statistically significant differences were observed between early and late ECMO initiation in survival or costs. A possible economic trend favoring early initiation should be interpreted cautiously, given limited statistical power.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025275"},"PeriodicalIF":2.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I know that exercise is very good for me\": perception of pediatric patients with cystic fibrosis about physical exercise program.","authors":"Cristiane Cenachi Coelho, Marcella Guimarães Assis, Evanirso da Silva Aquino, Lídia Cunha de Oliveira, Priscila Souza, Anny Caroline Silva Ribeiro Oliveira, Fernanda Cordoba Lanza, Danielle Aparecida Gomes Pereira","doi":"10.1590/1984-0462/2026/44/2025358","DOIUrl":"10.1590/1984-0462/2026/44/2025358","url":null,"abstract":"<p><strong>Objective: </strong>To explore and understand the perception of children and adolescents with cystic fibrosis diagnosis regarding the integration of a home physical exercise program into their daily routine.</p><p><strong>Methods: </strong>This study used a qualitative method. Children and adolescents diagnosed with cystic fibrosis who were being followed up in a home exercise program participated by answering a semi-structured, face-to-face interview. The data were analyzed using the thematic analysis technique.</p><p><strong>Results: </strong>Data from 38 participants were collected: 29 were pre-school/school ages (between six and 12 years old), nine were adolescents (between 13 and 16 years old). The median age of the participants was ten (interquartile range 8-10) years. Three thematic categories were identified from analyzing the interviews using a qualitative, descriptive and exploratory methodology: 1) I feel that I am better; 2) I did almost everything (all the exercises of the daily routine); 3) \"If I could remove one exercise…\" (the expression of preferences).</p><p><strong>Conclusions: </strong>The perception of children and adolescents with cystic fibrosis diagnosis who completed the home exercise program was that it improved their health condition. This type of program positively changed the participants' perception of their symptoms and may allow participants diagnosed with cystic fibrosis to have greater engagement and adherence to their care.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025358"},"PeriodicalIF":2.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physicians' eye-tracking in neonatal intensive care: evaluating a mechanical ventilator panel.","authors":"Pâmella Cristina do Prado Franco, Marina Carvalho de Moraes Barros, Roberto Gonçalves de Magalhães Júnior, Simone Yumi Tsuji Assunção, Beatriz Mesquita Mello, Ana Silvia Scavacini Marinonio, Mandira Daripa Kawakami, Milton Harumi Miyoshi, Maria Fernanda de Almeida, Tatiany Marcondes Heiderich, Rafael Nobre Orsi, Carlos Eduardo Thomaz, Ruth Guinsburg","doi":"10.1590/1984-0462/2026/44/2025313","DOIUrl":"https://doi.org/10.1590/1984-0462/2026/44/2025313","url":null,"abstract":"<p><strong>Objective: </strong>Assess physicians' visual attention when evaluating a mechanical ventilator panel to decide whether to adjust ventilatory parameters in a newborn on mechanical ventilation.</p><p><strong>Methods: </strong>Experimental study involving physicians caring for critically ill neonates. Three clinical scenarios related to arterial blood gas abnormalities (hypoxemia, hypercarbia or normal blood gases) were presented on a computer screen, followed by a 30-second video of a ventilator panel while eye-tracker recorded their gaze. Three areas of interest (AOI) were defined: monitored parameters, adjusted parameters, curves and loops. Visual attention was analyzed in the first 10 seconds of the video. Outcomes included visual fixation (Yes/No), number, and duration (seconds) of visual fixations on each AOI. Multivariate analysis of variance was used to compare outcomes among AOI.</p><p><strong>Results: </strong>Seventy-five physicians participated, with ocular signal capture acquisition in 95±5% of the time. All physicians (100%) fixated their gaze on the curves/loops, 95% on monitored parameters and 80% on adjusted parameters. Visual fixations were more frequent and longer for curves/loops (8.03±5.98; 2.07±1.61sec), followed by monitored (5.40±5.00; 1.21±1.29sec) and by adjusted parameters (14.72±7.64; 3.71±2.12sec). No differences were observed across clinical scenarios. Physicians without specialization in neonatology or pediatric intensive care focused more on adjusted parameters than specialists.</p><p><strong>Conclusions: </strong>When evaluating a ventilator panel to decide respiratory management, physicians focused more on the curves and loops, regardless of the clinical scenario. Physicians without specialized training in neonatology or pediatric intensive care had greater visual fixation on adjusted parameters of the ventilator panel than specialists.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025313"},"PeriodicalIF":2.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of a Brazilian version of the Checklist for Assessment of Gender Disadvantage (CAGED) in adolescents.","authors":"Luciana Lourenção Andreta, Larissa Araújo Galdino da Silva, Matheus Gallo Cruz, Letícia Bernucci de Oliveira, Maria Carolina Garcia Bronharo, Maria Clara Machado Wintruff, Lília D Souza Li","doi":"10.1590/1984-0462/2026/44/2025240","DOIUrl":"10.1590/1984-0462/2026/44/2025240","url":null,"abstract":"<p><strong>Objective: </strong>To validate and culturally adapt a Brazilian version of the Checklist for Assessment of Gender Disadvantage (CAGED) for girls, boys, and gender-diverse adolescents, and determine the optimal cutoff point.</p><p><strong>Methods: </strong>The original instrument, designed to assess perceptions of gender inequity among girls, was validated alongside a version for boys and gender-diverse people through seven stages: translation, synthesis, back translation, expert evaluation, pre-testing with 29 adolescents, re-evaluation, and clinical validation with 459 adolescents. To assess perceived gender discrimination, in addition to the original binary response options (yes/no), three alternative responses were tested to clarify whether \"it never happened\" or \"it happened but does not bother me\". The Content Validation Index (CVI) was calculated, with scores ≥0.80 indicating acceptable agreement. The scale's reliability was assessed using Cronbach's alpha, with a threshold of ≥0.70 indicating good internal consistency. The Self-Reporting Questionnaire (SRQ-20) was used as the gold standard to construct a receiver operating characteristic (ROC) curve and determine the optimal sensitivity, specificity, and cutoff point for the CAGED.</p><p><strong>Results: </strong>The translation demonstrated excellent agreement, with all CVIs exceeding 0.80. The Cronbach's alpha in the pre-test was 0.97. Both response formats proved adequate, with CVIs of 0.83 for the binary and 0.79 for the three-response alternatives. The cutoff point with the highest sensitivity (72.08%) and specificity (82.61%) was 4. The area under the ROC curve was 0.823.</p><p><strong>Conclusions: </strong>The CAGED was successfully translated and culturally adapted for Brazilian adolescents, showing high internal consistency and clarity.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025240"},"PeriodicalIF":2.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of balance, coordination, and strength training in children with low vision: a randomized controlled study.","authors":"Server Erdoğmuş Gülcan, Erdoğan Kavlak","doi":"10.1590/1984-0462/2026/44/2025242","DOIUrl":"10.1590/1984-0462/2026/44/2025242","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of an eight-week physiotherapy program focusing on balance, coordination, and muscle strengthening on gait, mobility, posture, and motor proficiency in children with low vision.</p><p><strong>Methods: </strong>Twenty-two children aged 7-14 years with ophthalmologist-diagnosed low vision, based on World Health Organization criteria, were randomly assigned to treatment (n=10) or control (n=12) groups. The treatment group completed three 75-minute sessions per week for eight weeks, including balance, coordination, and muscle-strengthening exercises. Outcomes were assessed using the BOT-2 Short Form, New York Posture Assessment Test, Lovett muscle grading, and BTS G-Walk. Statistical analyses were performed using Statistical Package for the Social Sciences, version 25.0.</p><p><strong>Results: </strong>The treatment group showed significant pre- to post-intervention gains in total BOT-2 SF scores and in subscales related to fine motor integration, bilateral coordination, running speed, agility, and strength (p<0.05), with small to moderate effect sizes (Cohen's d ≈ 0.30-0.90). The control group demonstrated smaller improvements, significant only in some subscales. Postural alignment increased significantly in both groups, with greater effect observed in the treatment group (Cohen's d=0.74) (p<0.05). Gait analysis revealed increases in left step length and right pelvic propulsion only in the treatment group (p<0.05), whereas no significant changes were observed in the remaining spatiotemporal gait parameters. Manual muscle testing showed strength gains in both groups, with no statistically significant differences between them.</p><p><strong>Conclusions: </strong>An eight-week, thrice-weekly physiotherapy-based balance, coordination, and strengthening program improves motor proficiency, posture, gait, and muscle strength in children with low vision, supporting its use in pediatric rehabilitation.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025242"},"PeriodicalIF":2.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of artificial intelligence on scientific production: reflections in times of intense technological and social transformation.","authors":"Tulio Konstantyner, Marina Carvalho de Moraes Barros, Fabio Carmona","doi":"10.1590/1984-0462/2026/44/Editorial","DOIUrl":"10.1590/1984-0462/2026/44/Editorial","url":null,"abstract":"","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"eEditorial"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}