Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.03.007
Carolina Corsi, Mariana Martins dos Santos, Luísa de Andrade Perez Marques, Nelci Adriana Cicuto Ferreira Rocha
Objective
To assess the impact of extrinsic factors on fine motor performance of children aged 2-years old.
Methods
73 children attending public and 21 private day care centers were assessed. Day care environment was evaluated using the Infant/Toddler Environment Rating Scale–Revised Edition (ITERS-R), fine motor performance was assessed through the Bayley Scales of Infant and Toddler Development–III (BSITD-III), socioeconomic data, maternal education and time of start at the day care were collected through interviews. Spearman's correlation coefficient was calculated to assess the association between the studied variables.
Results
The time at the day care was positively correlated with the children's performance in some fine motor tasks of the BSITD-III, showing that the activities developed in day care centers were important for the refinement of specific motor skills, while the overall fine motor performance by the scale was associated with maternal education and the ITERS-R scale sub-item “language and understanding”.
Conclusions
Extrinsic factors such as higher maternal education and quality of day care centers are associated with fine motor performance in children attending day care.
{"title":"Impact of extrinsic factors on fine motor performance of children attending day care","authors":"Carolina Corsi, Mariana Martins dos Santos, Luísa de Andrade Perez Marques, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1016/j.rppede.2016.03.007","DOIUrl":"10.1016/j.rppede.2016.03.007","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of extrinsic factors on fine motor performance of children aged 2-years old.</p></div><div><h3>Methods</h3><p>73 children attending public and 21 private day care centers were assessed. Day care environment was evaluated using the Infant/Toddler Environment Rating Scale–Revised Edition (ITERS-R), fine motor performance was assessed through the Bayley Scales of Infant and Toddler Development–III (BSITD-III), socioeconomic data, maternal education and time of start at the day care were collected through interviews. Spearman's correlation coefficient was calculated to assess the association between the studied variables.</p></div><div><h3>Results</h3><p>The time at the day care was positively correlated with the children's performance in some fine motor tasks of the BSITD-III, showing that the activities developed in day care centers were important for the refinement of specific motor skills, while the overall fine motor performance by the scale was associated with maternal education and the ITERS-R scale sub-item “language and understanding”.</p></div><div><h3>Conclusions</h3><p>Extrinsic factors such as higher maternal education and quality of day care centers are associated with fine motor performance in children attending day care.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 439-446"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274302","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.03.010
Vicky Nogueira Pileggi, Antonio Rodolpho Hakime Scalize, José Simon Camelo Junior
Objective
To compare the phase angle of patients with osteogenesis imperfecta treated at a tertiary university hospital with patients in a control group of healthy children, and to assess the nutritional status of these patients through the body mass index proposed by the World Health Organization.
Methods
Cross-sectional study carried out in a university hospital that included seven patients with osteogenesis imperfecta and a control group of 17 healthy children of the same gender and age. Weight and height were measured and bioelectrical impedance was performed. Subsequently, the phase angle was calculated based on resistance and reactance values.
Results
The phase angle of the group of children with osteogenesis imperfecta was significantly lower than that of the control group (p<0.05). The body mass index criterion for age of the World Health Organization showed no difference between groups.
Conclusions
Children with osteogenesis imperfecta have a nutritional risk detected by the phase angle, which is a useful tool for nutritional screening. The calculation result could help in the diet therapy of patients with osteogenesis imperfecta.
{"title":"Phase angle and World Health Organization criteria for the assessment of nutritional status in children with osteogenesis imperfecta","authors":"Vicky Nogueira Pileggi, Antonio Rodolpho Hakime Scalize, José Simon Camelo Junior","doi":"10.1016/j.rppede.2016.03.010","DOIUrl":"10.1016/j.rppede.2016.03.010","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the phase angle of patients with osteogenesis imperfecta treated at a tertiary university hospital with patients in a control group of healthy children, and to assess the nutritional status of these patients through the body mass index proposed by the World Health Organization.</p></div><div><h3>Methods</h3><p>Cross-sectional study carried out in a university hospital that included seven patients with osteogenesis imperfecta and a control group of 17 healthy children of the same gender and age. Weight and height were measured and bioelectrical impedance was performed. Subsequently, the phase angle was calculated based on resistance and reactance values.</p></div><div><h3>Results</h3><p>The phase angle of the group of children with osteogenesis imperfecta was significantly lower than that of the control group (<em>p</em><0.05). The body mass index criterion for age of the World Health Organization showed no difference between groups.</p></div><div><h3>Conclusions</h3><p>Children with osteogenesis imperfecta have a nutritional risk detected by the phase angle, which is a useful tool for nutritional screening. The calculation result could help in the diet therapy of patients with osteogenesis imperfecta.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 484-488"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274461","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}
To describe the efficacy and safety of chloral hydrate sedation in infants for pulmonary function tests.
Methods
All sedation attempts for pulmonary function tests in infants carried out between June 2007 and August 2014 were evaluated. Obstructive sleep apnea and heart disease were contraindications to the exams. Anthropometric data, exam indication, used dose, outcomes of sedation and clinical events were recorded and described.
Results
The sedation attempts in 277 infants (165 boys) with a median age of 51.5 weeks of life (14–182 weeks) were evaluated. The main indication for the tests was recurrent wheezing (56%) and the chloral hydrate dose ranged from 50 to 80mg/kg (orally). Eighteen (6.5%) infants had some type of clinical complication, with the most frequent being cough and/or airway secretion (1.8%); respiratory distress (1.4%) and vomiting (1.1%). A preterm infant had bradycardia for approximately 15 minutes, which was responsive to tactile stimulation. All observed adverse effects were transient and there was no need for resuscitation or use of injectable medications.
Conclusions
The data demonstrated that chloral hydrate at the employed doses is a safe and effective medicament for sedation during short procedures in infants, such as pulmonary function tests. Because of the possibility of severe adverse events, recommendations on doses and contraindications should be strictly followed and infants should be monitored by trained staff.
{"title":"Efficacy and safety of chloral hydrate sedation in infants for pulmonary function tests","authors":"Gustavo Falbo Wandalsen , Fernanda de Cordoba Lanza , Márcia Cristina Pires Nogueira , Dirceu Solé","doi":"10.1016/j.rppede.2016.06.001","DOIUrl":"10.1016/j.rppede.2016.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the efficacy and safety of chloral hydrate sedation in infants for pulmonary function tests.</p></div><div><h3>Methods</h3><p>All sedation attempts for pulmonary function tests in infants carried out between June 2007 and August 2014 were evaluated. Obstructive sleep apnea and heart disease were contraindications to the exams. Anthropometric data, exam indication, used dose, outcomes of sedation and clinical events were recorded and described.</p></div><div><h3>Results</h3><p>The sedation attempts in 277 infants (165 boys) with a median age of 51.5 weeks of life (14–182 weeks) were evaluated. The main indication for the tests was recurrent wheezing (56%) and the chloral hydrate dose ranged from 50 to 80mg/kg (orally). Eighteen (6.5%) infants had some type of clinical complication, with the most frequent being cough and/or airway secretion (1.8%); respiratory distress (1.4%) and vomiting (1.1%). A preterm infant had bradycardia for approximately 15 minutes, which was responsive to tactile stimulation. All observed adverse effects were transient and there was no need for resuscitation or use of injectable medications.</p></div><div><h3>Conclusions</h3><p>The data demonstrated that chloral hydrate at the employed doses is a safe and effective medicament for sedation during short procedures in infants, such as pulmonary function tests. Because of the possibility of severe adverse events, recommendations on doses and contraindications should be strictly followed and infants should be monitored by trained staff.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 408-411"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275309","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.07.001
Mirna Chehade
{"title":"In time: Eosinophilic esophagitis: when to suspect it and how to diagnose it in children and adolescents","authors":"Mirna Chehade","doi":"10.1016/j.rppede.2016.07.001","DOIUrl":"10.1016/j.rppede.2016.07.001","url":null,"abstract":"","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 395-396"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275697","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.02.005
Enrico Ghizoni , Rafael Denadai , Cesar Augusto Raposo-Amaral , Andrei Fernandes Joaquim , Helder Tedeschi , Cassio Eduardo Raposo-Amaral
Objective
To review the current comprehensive care for nonsyndromic craniosynostosis and nonsynostotic cranial deformity and to offer an overall view of these craniofacial conditions.
Data source
The review was conducted in the PubMed, SciELO, and LILACS databases without time or language restrictions. Relevant articles were selected for the review.
Data synthesis
We included the anatomy and physiology of normal skull development of children, discussing nuances related to nomenclature, epidemiology, etiology, and treatment of the most common forms of nonsyndromic craniosynostosis. The clinical criteria for the differential diagnosis between positional deformities and nonsyndromic craniosynostosis were also discussed, giving to the pediatrician subsidies for a quick and safe clinical diagnosis. If positional deformity is accurately diagnosed, it can be treated successfully with behavior modification. Diagnostic doubts and craniosynostosis patients should be referred straightaway to a multidisciplinary craniofacial center.
Conclusions
Pediatricians are in the forefront of the diagnosis of patients with cranial deformities. Thus, it is of paramount importance that they recognize subtle cranial deformities as it may be related to premature fusion of cranial sutures.
{"title":"Diagnosis of infant synostotic and nonsynostotic cranial deformities: a review for pediatricians","authors":"Enrico Ghizoni , Rafael Denadai , Cesar Augusto Raposo-Amaral , Andrei Fernandes Joaquim , Helder Tedeschi , Cassio Eduardo Raposo-Amaral","doi":"10.1016/j.rppede.2016.02.005","DOIUrl":"10.1016/j.rppede.2016.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To review the current comprehensive care for nonsyndromic craniosynostosis and nonsynostotic cranial deformity and to offer an overall view of these craniofacial conditions.</p></div><div><h3>Data source</h3><p>The review was conducted in the PubMed, SciELO, and LILACS databases without time or language restrictions. Relevant articles were selected for the review.</p></div><div><h3>Data synthesis</h3><p>We included the anatomy and physiology of normal skull development of children, discussing nuances related to nomenclature, epidemiology, etiology, and treatment of the most common forms of nonsyndromic craniosynostosis. The clinical criteria for the differential diagnosis between positional deformities and nonsyndromic craniosynostosis were also discussed, giving to the pediatrician subsidies for a quick and safe clinical diagnosis. If positional deformity is accurately diagnosed, it can be treated successfully with behavior modification. Diagnostic doubts and craniosynostosis patients should be referred straightaway to a multidisciplinary craniofacial center.</p></div><div><h3>Conclusions</h3><p>Pediatricians are in the forefront of the diagnosis of patients with cranial deformities. Thus, it is of paramount importance that they recognize subtle cranial deformities as it may be related to premature fusion of cranial sutures.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 495-502"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273259","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}
To describe the factors associated with dental caries among students from Santa Cruz do Sul, Rio Grande do Sul, Brazil.
Methods
A cross-sectional study was conducted in a random sample of 623 students of both genders, aged 10–17 years old. Tooth decay was performed using the index of the World Health Organization (1997), DMFT (permanent dentition) that expresses the sum of decayed, missing and filled teeth per person. The maternal educational level was rated using criteria of the Brazilian Association of Market Research Companies. The remaining variables were obtained by a structured questionnaire. Poisson regression analysis was used to test the association between variables using robust models and a subsequently adjusted model. Data were expressed as prevalence ratio (PR).
Results
Multivariate analysis identified the following factors related to the experience of dental caries: residence in rural municipalities (PR: 1.15; 95%CI: 1.0–1.3), attending a city school (PR: 3.30; 95%CI: 1.1–9.4) or a state school (PR: 3.40; 95%CI: 1.1–9.6); and having an illiterate mother or a mother that only attended up to the 4th year of school (PR: 1.67; 95%CI: 1.1–2.4) or high school (PR: 1.54; 95%CI: 1.1–2.2).
Conclusions
The presence of caries in students in southern Brazil was associated with residence in rural areas, mother with little education and attendance to a public school.
{"title":"Factors associated with caries: a survey of students from southern Brazil","authors":"Tássia Silvana Borges, Natalí Lippert Schwanke, Cézane Priscila Reuter, Léo Kraether Neto, Miria Suzana Burgos","doi":"10.1016/j.rppede.2016.02.013","DOIUrl":"https://doi.org/10.1016/j.rppede.2016.02.013","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the factors associated with dental caries among students from Santa Cruz do Sul, Rio Grande do Sul, Brazil.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in a random sample of 623 students of both genders, aged 10–17 years old. Tooth decay was performed using the index of the World Health Organization (1997), DMFT (permanent dentition) that expresses the sum of decayed, missing and filled teeth per person. The maternal educational level was rated using criteria of the Brazilian Association of Market Research Companies. The remaining variables were obtained by a structured questionnaire. Poisson regression analysis was used to test the association between variables using robust models and a subsequently adjusted model. Data were expressed as prevalence ratio (PR).</p></div><div><h3>Results</h3><p>Multivariate analysis identified the following factors related to the experience of dental caries: residence in rural municipalities (PR: 1.15; 95%CI: 1.0–1.3), attending a city school (PR: 3.30; 95%CI: 1.1–9.4) or a state school (PR: 3.40; 95%CI: 1.1–9.6); and having an illiterate mother or a mother that only attended up to the 4th year of school (PR: 1.67; 95%CI: 1.1–2.4) or high school (PR: 1.54; 95%CI: 1.1–2.2).</p></div><div><h3>Conclusions</h3><p>The presence of caries in students in southern Brazil was associated with residence in rural areas, mother with little education and attendance to a public school.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 489-494"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137313885","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.02.001
Renan Marrichi Mauch, Arthur Henrique Pezzo Kmit, Fernando Augusto de Lima Marson, Carlos Emilio Levy, Antonio de Azevedo Barros-Filho, José Dirceu Ribeiro
Objective
To review the literature addressing the relationship of growth and nutritional parameters with pulmonary function in pediatric patients with cystic fibrosis.
Data source
A collection of articles published in the last 15 years in English, Portuguese and Spanish was made by research in electronic databases – PubMed, Cochrane, Medline, Lilacs and Scielo – using the keywords cystic fibrosis, growth, nutrition, pulmonary function in varied combinations. Articles that addressed the long term association of growth and nutritional parameters, with an emphasis on growth, with pulmonary disease in cystic fibrosis, were included, and we excluded those that addressing only the relationship between nutritional parameters and cystic fibrosis and those in which the aim was to describe the disease.
Data synthesis
Seven studies were included, with a total of 12,455 patients. Six studies reported relationship between growth parameters and lung function, including one study addressing the association of growth parameters, solely, with lung function, and all the seven studies reported relationship between nutritional parameters and lung function.
Conclusions
The review suggests that the severity of the lung disease, determined by spirometry, is associated with body growth and nutritional status in cystic fibrosis. Thus, the intervention in these parameters can lead to the better prognosis and life expectancy for cystic fibrosis patients.
{"title":"Association of growth and nutritional parameters with pulmonary function in cystic fibrosis: a literature review","authors":"Renan Marrichi Mauch, Arthur Henrique Pezzo Kmit, Fernando Augusto de Lima Marson, Carlos Emilio Levy, Antonio de Azevedo Barros-Filho, José Dirceu Ribeiro","doi":"10.1016/j.rppede.2016.02.001","DOIUrl":"10.1016/j.rppede.2016.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>To review the literature addressing the relationship of growth and nutritional parameters with pulmonary function in pediatric patients with cystic fibrosis.</p></div><div><h3>Data source</h3><p>A collection of articles published in the last 15 years in English, Portuguese and Spanish was made by research in electronic databases – PubMed, Cochrane, Medline, Lilacs and Scielo – using the keywords cystic fibrosis, growth, nutrition, pulmonary function in varied combinations. Articles that addressed the long term association of growth and nutritional parameters, with an emphasis on growth, with pulmonary disease in cystic fibrosis, were included, and we excluded those that addressing only the relationship between nutritional parameters and cystic fibrosis and those in which the aim was to describe the disease.</p></div><div><h3>Data synthesis</h3><p>Seven studies were included, with a total of 12,455 patients. Six studies reported relationship between growth parameters and lung function, including one study addressing the association of growth parameters, solely, with lung function, and all the seven studies reported relationship between nutritional parameters and lung function.</p></div><div><h3>Conclusions</h3><p>The review suggests that the severity of the lung disease, determined by spirometry, is associated with body growth and nutritional status in cystic fibrosis. Thus, the intervention in these parameters can lead to the better prognosis and life expectancy for cystic fibrosis patients.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 503-509"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272965","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.03.013
Aline Dill Winck , João Paulo Heinzmann-Filho , Rafaela Borges Soares , Juliana Severo da Silva , Cristhiele Taís Woszezenki , Letiane Bueno Zanatta
Objective
To assess the effects of obesity on lung volume and capacity in children and adolescents.
Data source
This is a systematic review, carried out in Pubmed, Lilacs, Scielo and PEDro databases, using the following Keywords: Plethysmography; Whole Body OR Lung Volume Measurements OR Total Lung Capacity OR Functional Residual Capacity OR Residual Volume AND Obesity. Observational studies or clinical trials that assessed the effects of obesity on lung volume and capacity in children and adolescents (0–18 years) without any other associated disease; in English; Portuguese and Spanish languages were selected. Methodological quality was assessed by the Agency for Healthcare Research and Quality.
Data synthesis
Of the 1,030 articles, only four were included in the review. The studies amounted to 548 participants, predominantly males, with sample size ranging from 45 to 327 individuals. 100% of the studies evaluated nutritional status through BMI (z-score) and 50.0% reported the data on abdominal circumference. All demonstrated that obesity causes negative effects on lung volume and capacity, causing a reduction mainly in functional residual capacity in 75.0% of the studies; in the expiratory reserve volume in 50.0% and in the residual volume in 25.0%. The methodological quality ranged from moderate to high, with 75.0% of the studies classified as having high methodological quality.
Conclusions
Obesity causes deleterious effects on lung volume and capacity in children and adolescents, mainly by reducing functional residual capacity, expiratory reserve volume and residual volume.
{"title":"Effects of obesity on lung volume and capacity in children and adolescents: a systematic review","authors":"Aline Dill Winck , João Paulo Heinzmann-Filho , Rafaela Borges Soares , Juliana Severo da Silva , Cristhiele Taís Woszezenki , Letiane Bueno Zanatta","doi":"10.1016/j.rppede.2016.03.013","DOIUrl":"10.1016/j.rppede.2016.03.013","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the effects of obesity on lung volume and capacity in children and adolescents.</p></div><div><h3>Data source</h3><p>This is a systematic review, carried out in Pubmed, Lilacs, Scielo and PEDro databases, using the following Keywords: Plethysmography; Whole Body OR Lung Volume Measurements OR Total Lung Capacity OR Functional Residual Capacity OR Residual Volume AND Obesity. Observational studies or clinical trials that assessed the effects of obesity on lung volume and capacity in children and adolescents (0–18 years) without any other associated disease; in English; Portuguese and Spanish languages were selected. Methodological quality was assessed by the Agency for Healthcare Research and Quality.</p></div><div><h3>Data synthesis</h3><p>Of the 1,030 articles, only four were included in the review. The studies amounted to 548 participants, predominantly males, with sample size ranging from 45 to 327 individuals. 100% of the studies evaluated nutritional status through BMI (z-score) and 50.0% reported the data on abdominal circumference. All demonstrated that obesity causes negative effects on lung volume and capacity, causing a reduction mainly in functional residual capacity in 75.0% of the studies; in the expiratory reserve volume in 50.0% and in the residual volume in 25.0%. The methodological quality ranged from moderate to high, with 75.0% of the studies classified as having high methodological quality.</p></div><div><h3>Conclusions</h3><p>Obesity causes deleterious effects on lung volume and capacity in children and adolescents, mainly by reducing functional residual capacity, expiratory reserve volume and residual volume.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 510-517"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274580","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.07.002
Karel Allegaert
{"title":"Adverse drug events in pediatric intensive care are common, but improvement strategies exist and are effective","authors":"Karel Allegaert","doi":"10.1016/j.rppede.2016.07.002","DOIUrl":"10.1016/j.rppede.2016.07.002","url":null,"abstract":"","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 393-394"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275759","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}
Pub Date : 2016-12-01DOI: 10.1016/j.rppede.2016.04.003
Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi
Objective
To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.
Case description
Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.
Comments
Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.
{"title":"Bilateral spontaneous chylothorax after severe vomiting in children","authors":"Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi","doi":"10.1016/j.rppede.2016.04.003","DOIUrl":"10.1016/j.rppede.2016.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.</p></div><div><h3>Case description</h3><p>Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.</p></div><div><h3>Comments</h3><p>Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 518-521"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275005","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}
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