| Artigos Científicos |
Fatores associados a tosse seca, tosse produtiva e tosse noturna em adultos jovens na Nigéria Body Composition in Preterm Infants Who Are Fed Long-Chain Polyunsaturated Fatty Acids: A Prospective, Randomized, Controlled Trial Quando indicar o Palivizumab na profilaxia da infecção do trato respiratoria inferior pelo vírus sinsicial respiratório? Food allergy: separating the science from the mythology Association Between adenotonsillar hypertrophy, tonsillitis and painful crises in sickle cell disease Oxidative Stress in Obstructive Sleep Apnea Sudden Infant Death Syndrome (SIDS) and Other Infant Death (OID) and Crib Matching Program Information Protocolo para observação do desenvolvimento cognitivo e de linguagem expressiva The rise and fall of the metabolic syndrome Healthy Steps for Young Childre: Sustained Results at 5.5 years Impact of Implementing Developmental Screening at 12 and 24 Moths in a Pediatric Pratice Prevalence of Developmental Delays and Participation in Early Intervention Services for Young Children A Promising Opportunity for Developmental and Behavioral Pediatrics at the Interface of Neuroscience, Psychology, and Social Policy: Remarks on Receiving the 2005 Developmental and Behavioral Neess and Service Use for Young Children in Child Welfare Use of Practice Guidelines in the Primary Care of Children Whith Attention-Deficir/ Hyperactivity Disorder Guidelines for Early Identification Screening, and Clinical Mangement of Children Whith Autism Sprectrum Disorders Síndrome de Osgood-Schlatter Pneumonias virais: aspectos epidemiologicos, clínicos, fisiopatológicos e tratamento. Comparação do efeito de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorespiratórios de lactentes com bronquiolite viral aguda. Prevalência de internações por convulsões febris em serviço de pediatria no sul do país: análise dos fatores associados. Padrão e ritmo de aquisição das habilidades motoras de lactentes pré-termo nos quatro primeiros meses de idade corrigida. Percepção de mães acerca da qualidade de vida de crianças com paralisia cerebral. Efeito broncodilatador do salbutamol inalado através de espaçadores com e sem tratamento antiestático. Inalador dosimetrado com espaçador artesanal versus nebulizador no tratamento da crise de sibilância na criança. Manual sobre neurofibromatose tipo I Crianças portadoras de neurofibromatose tipo II: o pediatra geral pode reconhecer esta entidade? Métodos de fisioterapia respiratória guiadas pela ausculta pulmonar Paralisia Facial Idiopática de Bell. Physical therapy in peripheral facial paralysis: retrospective study. Torcicolo congênito: avaliação de dois tratamentos fisioterapêuticos. Treinamento muscular inspiratório e exercícios respiratórios em crianças asmáticas. Síndrome de Schwartz-Jampel: relato de caso. Menkes' Disease. Perfil de sensibilização a alérgenos domiciliares em pacientes ambulatoriais. Comportamento de lactentes nascidos a termo pequenos para a idade gestacional, no primeiro trimestre de vida. Características clínicas dos pacientes alérgicos que vivem em cidade de clima tropical. Avaliação das variáveis clinicas e neurocomportamentais de recém-nascidos pré-termo. Treinamento muscular inspiratório e exercícios respiratórios em crianças asmáticas. Fever without source: evaluation of a guideline. Hyperbilirubinemia and Kernicterus: 50 Years Later. Inalador dosimetrado com espaçador artesanal versus nebulizador no tratamento da crise de sibilância na criança. Sociedade Basileira de Cardiologia. The Global Initiative for Asthma. IV Diretrizes Brasileiras para o Manejo da Asma. III Diretrizes para Tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia. Effect of breast feeding on risk of coeliac disease: a systematic review and meta-analysis of observational studies. Coeliac disease (CD) is a disorder that may depend on genetic, immunological, and environmental factors. Recent observational studies suggest that breast feeding may prevent the development of CD. To evaluate articles that compared effects of breast feeding on risk of CD. Systematic review and meta-analysis of observational studies published between 1966 and June 2004 that examined the association between breast feeding and the development of CD. Six case-control studies met the inclusion criteria. With the exception of one small study, all the included studies found an association between increasing duration of breast feeding and decreased risk of developing CD. Meta-analysis showed that the risk of CD was significantly reduced in infants who were breast feeding at the time of gluten introduction (pooled odds ratio 0.48, 95% CI 0.40 to 0.59) compared with infants who were not breast feeding during this period. Breast feeding may offer protection against the development of CD. Breast feeding during the introduction of dietary gluten, and increasing duration of breast feeding were associated with reduced risk of developing CD. It is, however, not clear from the primary studies whether breast feeding delays the onset of symptoms or provides a permanent protection against the disease. Long term prospective cohort studies are required to investigate further the relation between breast feeding and CD. Arch Dis Child 2006, 91(1):39-43 Review Article: Future Research on Coeliac Disease. Risk of Celiac Disease Autoimmunity and Timing of Gluten Introduction in the Diet of Infants at Increased Risk of Disease. Estudo da hiper-responsividade brônquica em pacientes portadores de refluxo gastroesofágico. The Asthma Predictive Index: A very useful tool for predicting asthma in young children. Recurrent wheezing is a common problem in young children: approximately 40% of children wheeze in their first year of life. However, only 30% of preschoolers with recurrent wheezing still have asthma at the age of 6 years. Nevertheless, asthma, the most prevalent chronic disease in children, is difficult to diagnose in infants and preschoolers. This article reviews the importance of determining at an early age which infants/preschoolers will have asthma later in life, analyzes the pros and cons of different predictive indices, and discusses the efficacy of the Asthma. J Allergy Clin Immunol 2010, 125:1206-11 How frequent is adenoid obstruction? Impact on the diagnostic approach. The rate of adenoidectomy has increased over the past years. The initial assessment methods are sometimes overused. The aims of the present study were to evaluate the use of these methods, estimate the incidence of obstructive adenoid and refine the approach to this problem.Methods: This is a prospective observational study. All children referred for chronic nasal obstruction had anterior rhinoscopy and a routine physical examination. The palatal airway was assessed on lateral nasopharyngeal roentgenograms when these were requested. The degree of obstruction was measured on endoscopy when performed. The efficacy of each method was evaluated, as well as its necessity. The incidence of obstructive adenoid was calculated. A total of 213 patients aged 6 months–13 years (mean 5.1 years, median 4 years) were enrolled. One hundred patients had radiological evaluation while 65 had endoscopy during their initial assessment. Endoscopy was the most efficacious in reaching a proper diagnosis (100%) followed by clinical assessment (84.2%), and radiology (75%). The necessity of endoscopy, however, was 63.1% and that of radiology 63% within their respective groups. The incidence of obstructive adenoid was 57.7% (1.6% choanal). Clinical assessment, therefore, could have been sufficient in 41.8%, radiology in 44.1%; and endoscopy in 12.2% of the studied population to reach a proper diagnosis. Clinical assessment is crucial to evaluate chronic nasal obstruction. The lateral nasopharyngeal roentgenogram provides objective evaluation of the adenoid but its limitations should be considered. Nasal endoscopy may substitute for radiology but should be reserved for unusual cases. Pediatrics International 2009, 51(4): 478-83 Nasal Obstruction in infancy. Neonatal rhinitis. Neonatal rhinitis as a distinct disease entity has not been well-studied. The recognition and treatment of this condition is important since neonates are obligate nasal breathers, and mismanagement of this entity can result in poor feeding or even death from respiratory distress. We undertook a retrospective analysis of 20 patients seen at the Children's Hospital of San Diego over the period 1990–1991. Eighteen patients developed neonatal rhinitis in the months of August to January and only two between February and July. Clinical presentation and an effective management algorithm are discussed. Early recognition on the basis of clinical features followed by a two-step therapeutic trial consisting of conservative therapy and corticosteroid drops are advocated. Based on the above findings we have defined neonatal rhinitis as mucoid rhinorrhea with nasal mucosal edema in the afebrile newborn that results in stertor, poor feeding and respiratory distress which responds promptly to decadron 0.1% drops within a week. We recommend reserving diagnostic procedures for complicated cases that do not respond to the proposed regimen. International Journal of Pediatric Otorhinolaryngology 14 February 1997, 39(1):59-65 What Is the Lifetime Risk of Physician-diagnosed Asthma in Otario, Canada? Asthma is the most common chronic respiratory disease in Canada. The estimates of risk of developing asthma may help researchers and health planners set research agendas, predict the burden of asthma on society, and target the at-risk population for asthma prevention, management, and control.To estimate the lifetime risk of physician-diagnosed asthma. All individuals aged 0–79 years living in Ontario, Canada on April 1, 1996 who had not been diagnosed with asthma were monitored for 11 years until March 31, 2007. They were censored when they were diagnosed with asthma, turned age 80 years, or died. The lifetime risk (from birth to age 79 yr) of physician-diagnosed asthma was calculated by a modified survival analysis technique. Results were stratified by sex, rurality, and neighborhood income. Overall, the lifetime risk of physician-diagnosed asthma was 33.9%. Whereas the overall lifetime risk was higher in females (35.0 vs. 32.9%; P < 0.001), the cumulative risk was higher in males in early years. The lifetime risk was higher in individuals living in urban areas (34.5 vs. 30.1%; P < 0.001) or low-income neighborhoods (35.0% in the lowest income quintile vs. 32.2% in the highest; P < 0.001). Our estimated overall lifetime risk indicates that one of every three individuals in Ontario, Canada has physician-diagnosed asthma during one's lifetime. American Journal of Respiratory and Critical Care Medicine 2010, 181: 337-43 Allergic Rhinitis and its Impact on Asthama (ARIA) Refluxo gastroesofágico e asma na infância: um estudo de sua relação através de monitoramento do pH esofágico. Prevalência da rinite alérgica e seu impacto na utilização dos serviços de pronto-atendimento em um grupo de crianças e adolescentes com asma persistente moderada e grave. Infecção pulmonar por pseudomonas aeruginosa na fibrose cística: diagnóstico sorológico e conduta. |