08/Feb/2022
Maternal and early childhood factors associated with asthma and obesity in children aged 6 to 7 years: a case control study
DOI: 10.31744/einstein_journal/2022AO5609
ABSTRACT Objective To determine the maternal and early childhood factors associated with asthma and obesity in children aged 6 to 7 years. Methods A case-control study conducted with children aged 6 to 7 years. Applications with questions about asthma symptoms in the last 12 months, maternal and childhood data in the first 2 years of life, and anthropometric data were collected. Children who presented asthma symptoms were considered as cases and those without asthma symptoms were considered as controls, later […]
Keywords: Asthma; Child; Obesity; Overweight
08/Feb/2022
Omental lipoma in pediatric age group: clinical presentation, image findings and management
DOI: 10.31744/einstein_journal/2022RC5584
ABSTRACT A 2-year-old female patient, admitted in the emergency room, presented diarrhea for 5 days and bloody stools in the last 24 hours. Physical examination revealed no significant findings. Ultrasound was initially performed, showing an elongated, well delimited and solid mass occupying since right hypocondrium until left iliac fossa, displacing adjacent structures. In sequence, magnetic resonance imaging was performed for confirmation of findings suggestive of omentum lipoma. After 1 week, the surgical resection was performed by videolaparoscopic acess. During 2-year […]
Keywords: Child; Omental lipoma/imaging diagnostic
21/Dec/2021
Transition of care in pediatric surgery
DOI: 10.31744/einstein_journal/2021AO6314
ABSTRACT Objective To identify among pediatric surgeons across Brazil how the transition of pediatric patients to adult clinics is carried out. Methods A questionnaire was emailed to pediatric surgeons registered with the Associação Brasileira de Cirurgia Pediátrica in 2018. The data assessed included training time, maximum age of care, subspecialty of practice, outpatient follow-up of adult patients, reason for continuing care of adult patients, referral to adult specialties, concern with transition of care, and what has been done to improve […]
Keywords: Adolescent; Child; General surgery; Transition to adult care; Transitional care
25/Nov/2021
Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: children and adolescents
DOI: 10.31744/einstein_journal/2021AE5254
ABSTRACT The Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Children and Adolescents was developed by dietitians, physicians, and pediatric hematologists from 10 Brazilian reference centers in hematopoietic stem cell transplantation. The aim was to emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to patient´s nutritional assessment. This consensus is intended to improve and standardize nutrition therapy during hematopoietic stem cell transplantation. The consensus was approved by the Brazilian Society […]
Keywords: Adolescent; Child; Hematopoietic stem cell transplantation; Nutrition assessment; Nutrition therapy; Nutritional status; Pediatrics
02/Jun/2021
High-flow nasal cannula failure: can clinical outcomes determine early interruption?
DOI: 10.31744/einstein_journal/2021AO5846
ABSTRACT Objective: To evaluate the evolution of clinical outcomes in children with bronchiolitis who used a high-flow nasal cannula, and to determine after long of non-clinical improvement the therapy should be discontinued, and treatment should be escalated to other forms of ventilatory support. Methods: An observational retrospective study of infants with bronchiolitis who used a high-flow nasal cannula. Patients were divided into two study groups according to success or failure of high-flow nasal cannula therapy, namely the Success Group and […]
Keywords: Bronchiolitis; Cannula; Child; Respiration; Risk Factors
26/Nov/2020
Transfusion-related acute lung injury associated to intravenous immunoglobulin infusion in a pediatric patient
DOI: 10.31744/einstein_journal/2020RC5606
ABSTRACT Case report of a patient with an immunodeficiency who demands regular replacement of intravenous immunoglobulin. She presented an episode of transfusion-related acute lung injury shortly after using an immunoglobulin product different than the one she usually received. The patient evolved with respiratory changes (hypoxia, dyspnea, change in pulmonary auscultation) minutes after the end of the infusion, and received non-invasive respiratory support. She was discharged after 36 hours with good outcome. The patient achieved full recovery, showing no further reactions […]
Keywords: Child; Drug-related side effects and adverse reactions; Immunoglobulins; Immunoglobulins, intravenous; Immunologic deficiency syndromes; Transfusion-related acute lung injury
19/Nov/2020
Vomiting in newborns as a result of a duodenal membrane: two case reports
DOI: 10.31744/einstein_journal/2020RC4641
ABSTRACT Vomiting episodes in newborns are extremely common and often attributed to gastroesophageal reflux. The symptoms of vomiting, however, may be caused by other complications. In this report, we present two cases of a 1-month-old male and a 2-month-old female, both presenting vomiting episodes that led to malnutrition. Some pediatricians often attribute the diagnosis of gastroesophageal reflux to newborns that are vomiting; however, there is a portion of the population that has other causes that lead to similar symptoms. The […]
Keywords: Child; Duodenal membrane; Gastroesophageal reflux; Malnutrition
09/Sep/2020
Red blood cell prescription and recognition of transfusion reactions by pediatricians
DOI: 10.31744/einstein_journal/2020AO5446
ABSTRACT Objective To assess the level of knowledge of emergency pediatricians on red blood cell transfusions and their reactions. Methods Written survey with emergency pediatricians from a pediatric hospital. Results Less than 20% of pediatricians showed appropriate knowledge on prescribing red blood cells and recognition of transfusion reactions. There was no significant statistical regarding time since graduation and blood transfusion classes in undergraduate studies or during medical residency. Conclusion Pediatricians have insufficient knowledge about red blood cell transfusions and recognition […]
Keywords: Child; Education, medical; Erythrocyte transfusion; Transfusion medicine; Transfusion reaction
07/Jul/2020
Gastrointestinal manifestations and nutritional therapy during COVID-19 pandemic: a practical guide for pediatricians
DOI: 10.31744/einstein_journal/2020RW5774
ABSTRACT Coronavirus disease 2019 (COVID-19) is a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has spread globally in pandemic proportions. Accumulative evidence suggests SARS-CoV-2 can be transmitted through the digestive system, the so-called fecal-oral route of transmission, and may induce several gastrointestinal manifestations. MEDLINE® and Embase databases were extensively searched for major clinical manifestations of gastrointestinal involvement in children and adolescents with COVID-19 reported in medical literature, and for nutritional therapy-related data. Findings and recommendations […]
Keywords: Adolescent; Betacoronavirus; Child; Coronavirus infections/complications; COVID-19; Gastrointestinal diseases/etiology; Inflammatory bowel diseases; Nutritional therapy; SARS-CoV-2
03/Jun/2020
Long-latency auditory evoked potential in children with stuttering
DOI: 10.31744/einstein_journal/2020AO5225
ABSTRACT Objective To analyze the latency and the amplitude values of Mismatch Negativity and P300 cognitive potential in children with stuttering, with no auditory complaints, with auditory thresholds within the normality range, comparing them to the findings of a Control Group. Methods A cross-sectional study involving 50 children of both sexes, 15 with stuttering and 35 without stuttering, aged 6 to 11 years, with no diagnosis of ear pathology or other diseases. All children were submitted to peripheral audiological evaluation […]
Keywords: Child; Electrophysiology; Evoked potentials; Hearing; Stuttering