Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2019.v9n3-20
I. Yparraguirre, R. Aires, Angélica Rondon, Luís Guimarães, S. Rodríguez, Rodrigo Figueiredo
{"title":"PFAPA Syndrome: A Case report and literature review","authors":"I. Yparraguirre, R. Aires, Angélica Rondon, Luís Guimarães, S. Rodríguez, Rodrigo Figueiredo","doi":"10.25060/residpediatr-2019.v9n3-20","DOIUrl":"https://doi.org/10.25060/residpediatr-2019.v9n3-20","url":null,"abstract":"","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"166 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":"116615437","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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2020.v10n2-04
Eduardo Jorge da Fonseca Lima, Amalia Almeida, Renato A. Kfouri
{"title":"Vacinas para COVID-19: perspectivas e desafios","authors":"Eduardo Jorge da Fonseca Lima, Amalia Almeida, Renato A. Kfouri","doi":"10.25060/residpediatr-2020.v10n2-04","DOIUrl":"https://doi.org/10.25060/residpediatr-2020.v10n2-04","url":null,"abstract":"","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":"129932562","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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n4-547
B. Mota, Adriana Fonseca, Anny Carolyne Santos
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.
目的:评价布莱顿儿童早期预警评分对某三级医院儿科病房住院儿童临床恶化的早期识别效果。方法:一项前瞻性队列观察研究，纳入2018年8月至2020年3月期间入住儿科病房的325名急性疾病儿童，年龄在29天至13岁之间。为了评估布莱顿儿科预警评分的诊断准确性，使用了卡迪夫和瓦勒儿科预警系统作为参考，使用的软件是R Core Team 2020。采用敏感性、特异性、阳性预测值、阴性预测值、ROC曲线下面积、真阳性阴性数、假阳性阴性数等指标评价布莱顿儿童早期预警评分的有效性。结果:布莱顿儿童早期预警评分的敏感性为19.2%，特异性为99.1%，阳性预测值为90.5%，阴性预测值为73.7%，ROC曲线下面积为0.839。此外，当得分大于3时，真阳性19人，真阴性224人，假阳性2人，假阴性80人。结论:在本研究选择的场景分析中，布莱顿儿科预警评分表现良好，表明使用它来早期识别儿科病房住院儿童的临床恶化是多么容易。
{"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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n1-483
Barbara Bianchi, C. Gil, L. Vagnini, J. Fonseca
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.
{"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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023-656
A. Santos, Maria Andrade, Eduardo Hatanaka
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.
{"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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n4-771
Bárbara Rodrigues, A. Bóscolo, L. Leão, Marcelo Reis, Lucas Pimenta, J. Lima
INTRODUCTION: Neonatal palliative care has been increasingly integrated promoting individualized care, centered on maternal and family bonds. Even progress, there are several difficulties in the implementation of conducts. OBJECTIVE: To emphasize the importance and mains difficulties in implementing neonatal palliative care. METHODS: Bibliographic survey in PubMed and Lilacs databases. The descriptor used “neonatal palliative care”, “neonatology” and “difficulties”. Ten articles were selected at the end of review. CONCLUSION: Neonatal palliative care has made great advances; however, its implementation remains a challenge, not only on the part of the family, but also due to the lack of training and qualification of professionals in the field. This shows the importance of continuing education and creating protocols that meet the needs of patients.
{"title":"Challenges in the implementation of Palliative Care in Neonatology: an integrative review","authors":"Bárbara Rodrigues, A. Bóscolo, L. Leão, Marcelo Reis, Lucas Pimenta, J. Lima","doi":"10.25060/residpediatr-2022.v12n4-771","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-771","url":null,"abstract":"INTRODUCTION: Neonatal palliative care has been increasingly integrated promoting individualized care, centered on maternal and family bonds. Even progress, there are several difficulties in the implementation of conducts. OBJECTIVE: To emphasize the importance and mains difficulties in implementing neonatal palliative care. METHODS: Bibliographic survey in PubMed and Lilacs databases. The descriptor used “neonatal palliative care”, “neonatology” and “difficulties”. Ten articles were selected at the end of review. CONCLUSION: Neonatal palliative care has made great advances; however, its implementation remains a challenge, not only on the part of the family, but also due to the lack of training and qualification of professionals in the field. This shows the importance of continuing education and creating protocols that meet the needs of patients.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"75 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":"129301668","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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n2-706
A. Melo, Lizandra Moura, Nailton Medeiros Junior, Joice Souza, Maria Julia Silva, A. Bezerra
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.
目的:根据团队所做的参数调整，验证机械通气条件下早产儿潮气量(VT)的充分性，并与体重理想潮气量进行比较。方法:这是一项横断面研究，样本由agmenon magalh医院新生儿重症监护病房住院的胎龄<37周的PTNB组成。在60秒内收集了6次VT测量，并通过计算理想潮气量(VTi)来评估VT的充分性，公式为VTi = 4ml / kg x电流重量。结果:本组16例早产儿中，68.7%的早产儿在采集时电视内容不足。GA≥30周的PTNBs TV = 12.27±2.22mL，具有统计学意义。当校正体重时，GA <30的校正VT为9.34±4.63 mL / Kg，无统计学意义，但从临床角度来看很重要。结论:30周以下新生儿的VT暴露量大于理想体重范围。有了这个，就有可能确定连续监测室速的重要性，有利于更好的通气辅助，最大限度地减少肺损伤。
{"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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n2-287
A. C. Fernandes, Francisco Brilhante Neto, Laura Aragão, Cítara Queiroz, M. Vieira, A. Moura
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.
{"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}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n4-649
Sandra Amaral, F. Pimenta, Raquel Rosas, C. Sant’Anna
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.
引言:考虑到对家庭动态的变化和影响，除了照顾儿童的责任外，慢性病儿童的父母和照顾者经常面临压力源，导致压力水平上升。因此，本综述旨在分析评估心理社会干预对患有最常见慢性病(癌症、哮喘、糖尿病和心血管疾病)儿童的父母和家庭成员压力管理效果的研究。方法:本研究归类为范围综述。文献检索包括5个电子数据库(EBSCO、b-On、PubMed、Scielo和Web of Science)发表的文章，符合纳入标准。结果:共入选文献15篇。干预措施在结果、研究设计、样本、方式和策略方面各不相同。在这15项研究中，53%的研究发现参与者的压力水平或干预组与对照组之间没有显著差异，40%的研究显示参与者的压力水平显著降低，7%的研究结果好坏参半，干预后某些情绪维度有所改善。讨论:尽管关于压力水平的结果好坏参半，但显著的结果可能证明在这一人群中进行此类干预的重要性。针对这一人群需求的个性化干预措施可能会有效降低压力水平。
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Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n2-550
M. D. F. Leite, C. Muñíz, C. Farias, D. Orofino, Daltro Castellar Junior, A. Barth
We describe a case of Marfan syndrome, referred for evaluation due to an important family history of sudden death. In the first evaluation, he presented dilation of the aortic root in addition to other clinical manifestations of the disease. Our objective is to emphasize the importance of family history as a starting point in Marfan syndrome investigation, in an effort to prevent unfavorable outcomes like aortic dissection and sudden death.
{"title":"Marfan syndrome: importance of family history - case report","authors":"M. D. F. Leite, C. Muñíz, C. Farias, D. Orofino, Daltro Castellar Junior, A. Barth","doi":"10.25060/residpediatr-2023.v13n2-550","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-550","url":null,"abstract":"We describe a case of Marfan syndrome, referred for evaluation due to an important family history of sudden death. In the first evaluation, he presented dilation of the aortic root in addition to other clinical manifestations of the disease. Our objective is to emphasize the importance of family history as a starting point in Marfan syndrome investigation, in an effort to prevent unfavorable outcomes like aortic dissection and sudden death.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"28 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114018436","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}
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