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1.
Rev. APS ; 24(Supl 1): 236-248, 2021-12-31.
Article in Portuguese | LILACS | ID: biblio-1367265

ABSTRACT

O Ministério da Saúde prevê a disponibilização da Caderneta de Saúde da Criança (CSC) desde 2005 a todas as crianças nascidas no Brasil. Trata-se de uma ferramenta centralizadora para a atenção integral da saúde na infância e, portanto, de um instrumento valioso para o acompanhamento do crescimento das crianças. O registro correto e completo das informações é requisito básico para que a CSC cumpra seu papel estratégico. Elegemos a revisão de escopo com o objetivo de discutir os estudos primários que analisaram quantitativamente o preenchimento dos dados sobre crescimento na CSC. A pesquisa foi realizada nas bases de dados MEDLINE, LILACS, SciELO e na Biblioteca Virtual em Saúde usando os descritores "Saúde da criança"e "Registros de saúde pessoal" (em inglês, "Child Health" e "Health Records, Personal"). Além disso, foi usada a palavra-chave "Caderneta de Saúde da Criança. Foram identificados 191 trabalhos, sendo 15 artigos elegíveis para esta revisão. Os estudos observaram registro insatisfatório dos dados sobre o crescimento na CSC. O preenchimento dos gráficos de peso por idade variou entre 8,9% e 96,3%, por exemplo, revelando fragilidade no uso desse instrumento e necessidade de melhora dos registros no acompanhamento do crescimento das crianças.


The Ministry of Health has made the Caderneta de Saúde da Criança (CSC), a child health booklet, available to all children born in Brazil, since 2005. It is a strategic tool for comprehensive child health care, a valuable instrument for registering and monitoring growth. The correct and complete registration of this information is a basic requirement for the CSC to fulfill itsrole. We chose the scoping review in order to discuss primary studies that quantitatively analyze the filling in of data on growth in the CSC. The research was carried out in the databases MEDLINE, LILACS, SciELO, and in the Biblioteca Virtual em Saúde, using the descriptors in Portuguese: "Saúde da Criança" and "Registros de saúde pessoal"; in English: "Child Health" and "Health Records, Personal"; and, in addition, the keyword "Caderneta de Saúde da Criança" was also used. A total of 191 papers were identified, 15 of which were eligible for this review. The studies observed an unsatisfactory filling in of data on the growth of CSC. Completion of weight-for-age charts ranged between 8.9% and 96.3%, for example, revealing weaknesses in the use of this instrument and the need to improve records in monitoring the growth of children.


Subject(s)
Health Records, Personal , Primary Health Care , Weight by Age , Child Health , Monitoring , Integrality in Health , Growth
2.
Rev. Ciênc. Méd. Biol. (Impr.) ; 20(3): 400-405, dez 20, 2021. fig
Article in Portuguese | LILACS | ID: biblio-1354253

ABSTRACT

Introdução: alterações no padrão de crescimento de recém-nascidos prematuros podem ter implicações para sua saúde futura. A literatura dispõe de diversas ferramentas e pontos de corte para avaliação da sua adequação, logo, diferentes diagnósticos podem ser obtidos a depender do parâmetro adotado. Objetivo: determinar a diferença no diagnóstico de Retardo de Crescimento Extrauterino em prematuros, durante internamento hospitalar, conforme as curvas de Fenton e Intergrowth. Metodologia: trata-se de estudo transversal, com dados secundários, coletados durante o internamento em unidade de terapia intensiva e de cuidados intermediários convencionais neonatais de uma maternidade pública, em 2019, Coletaram-se medidas de peso e perímetro cefálico ao nascer e no momento da alta/transferência e calcularam-se seus respectivos indicadores antropométricos de acordo com as duas curvas. Utilizaramse duas classificações para o Retardo: diagnóstico de Pequeno para Idade Gestacional na alta/transferência; queda no escore Z dos indicadores maior ou igual a 1 entre o nascimento e a alta/transferência. Resultados: Não houve diferença em relação ao número de crianças classificadas como Pequeno para Idade Gestacional ao nascer, entre as curvas. Porém, no momento da alta/transferência houve maior prevalência de Pequeno para a Idade Gestacional/Retardo de Crescimento Extrauterino, de acordo com Fenton (73,6% versus 64,9%). A análise longitudinal dos indicadores de crescimento para caracterização do referido retardo por meio da curva de Fenton também detectou maior número de diagnósticos. Conclusão: conclui-se que o diagnóstico do retardo apresentou diferenças entre os referenciais. Os parâmetros de Fenton determinaram maior ocorrência dele no momento do desfecho, independente da realização da avaliação transversal ou longitudinal dos indicadores.


Introduction: changes in growth pattern of preterm infants may have implications for their future health. Literature has several tools and cutoff points to assess its adequacy, therefore, different diagnosis may be obtained depending on the adopted parameter. Objective: determine the difference in diagnosis of extrauterine growth restriction (EUGR) in preterm infants during hospitalization based on Fenton 2013) and Intergrowth-21 (2014) curves. Methods: this is a cross-sectional study with secondary data which were collected during hospitalization in an intensive care unit and neonatal conventional intermediate care in a public maternity hospital, in 2019. Results: weight and head circumference measurements were collected at birth and at discharge/transfer and their respective anthropometric indicators were calculated according to Fenton and Intergrowth-21 curves. The following EUGR criteria were used: diagnosis of small for gestational age (SGA) at discharge/transfer; decrease in Z score for indicators higher or equal to 1 between birth and discharge/transfer. There was no difference in the number of children classified as SGA at birth between the curves. However, at the time of discharge/ transfer there was a higher prevalence of SGA/EUGR according to Fenton (73.6% versus 64.9%). Longitudinal analysis of growth indicators for EUGR using Fenton curve also detected a higher number of patients with EUGR. Conclusion: the conclusion is that EUGR diagnosis showed differences between Fenton and Intergrowth methods. Fenton's parameters determined a higher occurrence of EUGR at the time of outcome, regardless of whether indicators were cross-sectionally or longitudinally evaluated.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant, Low Birth Weight , Infant, Premature , Child Development , Growth , Infant, Premature, Diseases , Cross-Sectional Studies , Gestational Age
3.
Cuad. Hosp. Clín ; 62(2): 15-25, dic. 2021. ilus.
Article in Spanish | LILACS | ID: biblio-1358036

ABSTRACT

INTRODUCCIÓN: la presencia simultánea del retraso del crecimiento y del exceso de peso en una persona representa una de las principales paradojas en la salud pública global y es de creciente preocupación en Bolivia, donde ambas condiciones en su conjunto no han sido abordadas y ocurren en un contexto de transición nutricional en el que se encuentra el país. OBJETIVO: describir la coexistencia de la doble carga de malnutrición a nivel individual en la población escolar (3-19 años) del municipio de La Paz. MÉTODOS: se realizó un estudio observacional de corte transversal analítico con datos antropométricos de 7.654 escolares pertenecientes al municipio de La Paz del año 2019. Se determinaron las prevalencias y los intervalos de confianza al 95% para emaciación, retraso en el crecimiento, sobrepeso, obesidad y sobrepeso + obesidad por sexo y grupo de edad. A nivel poblacional, la doble carga de malnutrición (DCM), se estimó en base a los umbrales de alta prevalencia sugeridos por organizaciones internacionales, a saber, prevalencias por encima del 20% y 10% para retraso en el crecimiento y sobrepeso, respectivamente. Para los análisis a nivel individual, la DCM se definió como la coexistencia de retraso en el crecimiento y sobrepeso + obesidad en los tres grupos de estudio y se comparó con su valor esperado, bajo el supuesto de distribuciones independientes de cada condición. RESULTADOS: a nivel poblacional, la prevalencia de emaciación para toda la muestra analizada fue de 3,7%, sin diferencias significativas por sexo. La prevalencia de retraso del crecimiento para el año 2019 no superó el 20% en todos los grupos de edad analizados. La prevalencia de sobrepeso fue mayor al 10% para el grupo de escolares y adolescentes. A nivel individual la doble carga de malnutrición se encontró en 2,8%, 1,9% y 2,9% en prescolares, escolares y adolescentes, respectivamente. Valores que se encontraron por debajo de lo esperado. CONCLUSIONES: las prevalencias de doble carga de malnutrición, retraso del crecimiento y sobrepeso + obesidad a nivel individual, fueron menores de lo esperado en los tres grupos de estudio, asumiendo distribuciones independientes de las dos condiciones. A pesar de ello, la coexistencia de la doble carga poblacional (municipio de La Paz) debe ser abordada en políticas y programas adecuados de salud pública(AU).


INTRODUCTION: the simultaneous presence of growth retardation and excess weight in a person represents one of the main paradoxes in global public health and is of growing concern in Bolivia, where both conditions as a whole have not been addressed and occur in a context of nutritional transition in which the country finds itself. OBJECTIVE: to describe the coexistence of the double burden of malnutrition at the individual level in the school population (3-19 years) of the municipality of La Paz. METHODS: an analytical cross-sectional observational study was carried out with anthropometric data from 7,654 schoolchildren belonging to the municipality of La Paz in 2019. The prevalences and 95% confidence intervals were determined for wasting, stunting, overweight, obesity and overweight+obesity, by sex and age group. At the population level, the double burden of malnutrition (DBM) was estimated based on thresholds of high prevalence suggested by international organizations, namely, prevalence above 20% and 10% for stunting and overweight, respectively. For individual level analyzes, DBm was defined as the coexistence of stunting and overweight + obesity in the three study groups and was compared with its expected value, under the assumption of independent distributions of each condition. RESULTS: at the population level, the prevalence of wasting for the entire sample analyzed was 3.7%, with no significant differences by sex. The prevalence of stunting for the year 2019 did not exceed 20% in all the age groups analyzed. The prevalence of overweight was higher than 10% for the group of schoolchildren and adolescents. At the individual level, the double burden of malnutrition was found in 2.8%, 1.9% and 2.9% in preschool, schoolchildren and adolescents, respectively. Values that turned out to be lower than expected. CONCLUSIONS: the prevalence of double burden, growth retardation and overweight and obesity at the individual level, were lower than expected in the three study groups, assuming independent distributions of the two conditions. Despite this, the coexistence of the double burden in the municipality of La Paz must be addressed in appropriate public health policies and programs(AU).


Subject(s)
Adolescent , Public Health , Growth , Case-Control Studies , Minors , Malnutrition
4.
Revista brasileira de ciência e movimento ; 29(1): [1-12], nov. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1344047

ABSTRACT

: O número de crianças e adolescentes com índice de sobrepeso e obesidade está aumentando. Já é consolidado que o baixo condicionamento cardiorrespiratório tem relação com riscos cardiovasculares e metabólicos. O objetivo desse trabalho é avaliar o nível de condicionamento cardiorrespiratório em adolescentes do ensino médio e relacionar com indicadores de sobrepeso e obesidade e a maturação somática. O método utilizado caracteriza-se como transversal com método associativo e abordagem quantitativa. Participaram do estudo 51 adolescentes de duas escolas (privada e pública) de uma cidade da região serrana do RS. Após medição dos índices antropométricos foi realizado um teste de campo para medição do VO2pico. As associações indicaram que a razão cintura/quadril foi o indicador antropométrico que mais se associou com o VO2pico, independente da distância para o pico de velocidade do crescimento. Todavia quando analisamos os sexos em separado, essa associação manteve o padrão apenas nas meninas, indicando que o sexo é um moderador na associação entre razão cintura/quadril, maturação somática e VO2pico em adolescentes.(AU)


The number of overweight and obese children and adolescents is increasing. It is already established that low cardiorespiratory conditioning is related to cardiovascular and metabolic risks. The aim of this study is to evaluate the level of cardiorespiratory fitness in high school adolescents and to relate with indicators of overweight and obesity and somatic maturation. This is a cross-sectional study with an associative method and quantitative approach. The study included 51 adolescents from two schools (private and public) at a countryside of Rio Grande do Sul state, Brazil. After measuring the anthropometric variables, a field test was performed to measure VO²Peak. The associations indicated that the waist/hip ratio was the anthropometric indicator that was most associated with VO2peak, regardless of the distance to the peak growth velocity. However, when we analyzed the sexes separately, this association maintained the pattern only in girls, indicating that sex is a moderator in the association between waist/hip ratio, somatic maturation and VO2peak in adolescents.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Exercise , Adolescent , Cardiorespiratory Fitness , Growth , Physical Education and Training , Education, Primary and Secondary , Overweight , Exercise Test , Heart Disease Risk Factors , Metabolism , Obesity
5.
Acta amaz ; 51(3): 181-190, set 2021.
Article in English | LILACS | ID: biblio-1353488

ABSTRACT

O espaçamento de plantio determina a forma e produtividade das árvores em plantações florestais. Entretanto, seus efeitos sobre a produtividade de plantações de espécies arbóreas da Amazônia ainda são pouco compreendidos. Objetivou-se examinar os efeitos de seis regimes de espaçamento (3 x 4, 4 x 4, 4 x 5, 5 x 5, 5 x 6, e 6 x 6 m) sobre o crescimento e morfometria de plantações de Bertholletia excelsa aos 20 anos de idade. Observamos alta sobrevivência independentemente do espaçamento (> 70%). Para fins de produção de madeira, os regimes de espaçamento intermediário e dois maiores apresentaram valores mais altos de características de produção, principalmente diâmetro, biomassa e volume, embora alguns não diferiram significativamente do menor espaçamento. Um dos espaçamentos intermediários (5 x 5 m) tendeu a maior altura comercial. As copas das árvores tenderam a ser mais largas e longas nos espaçamentos maiores, indicando potencial desses regimes para a produção de frutos. As copas das árvores excederam o espaço vital de crescimento em todos os espaçamentos, sugerindo a necessidade de desbaste antes dos 20 anos em todos os espaçamentos, para reduzir a competição intraespecífica e aumentar a produtividade. Estimamos que uma densidade de 84 árvores remanescentes por hectare seria necessária para atingir um diâmetro médio de 40 cm aos 20 anos. Portanto, B. excelsa apresentou alta sobrevivência em todos os regimes de espaçamento testados, enquanto os regimes de espaçamento intermediário e maiores proporcionaram melhor crescimento e morfometria das árvores. (AU)


Subject(s)
Agricultural Cultivation , Forestry , Bertholletia , Physical Distancing , Growth
6.
Coluna/Columna ; 20(3): 165-168, July-Sept. 2021. tab, graf
Article in English | LILACS | ID: biblio-1339742

ABSTRACT

ABSTRACT Objective To evaluate the intra- and interobserver reproducibility of the classification of proximal humeral ossification in patients with idiopathic scoliosis. Methods Observational, descriptive, cross-sectional study. Radiographs (anteroposterior) of 29 patients diagnosed with idiopathic scoliosis were chosen and investigated at the Spine Surgery Outpatient Clinic of the Department of Orthopedics and Traumatology of the Hospital Getúlio Vargas, Recife, Pernambuco. These radiographs were evaluated and classified by 9 spinal orthopedic surgeons at two moments, with a minimum interval of 30 days, for analysis of the intraobserver and interobserver reproducibility of the classification of proximal humeral ossification used as a predictor of peak growth velocity. Results Intraobserver reproducibility achieved moderate to substantial concordance with the kappa index. In the analysis of interobserver reproducibility using the Fleiss' kappa method, a reasonable to moderate concordance was observed, except for in stage 5, in which concordance ranged from substantial to almost perfect. Conclusion In this study, the reproducibility of the Li classification in most of the stages was reasonable to moderate for the interobserver assessment and moderate to substantial for the intraobserver assessment, which differs from the current literature. Level of evidence III; Diagnostic studies - Investigation of a diagnostic test.


RESUMO Objetivo Avaliar a reprodutibilidade intra e interobservadores da classificação de ossificação do úmero proximal em pacientes portadores de escoliose idiopática. Métodos Estudo observacional, descritivo e transversal. Foram selecionadas radiografias (anteroposteriores) de 29 pacientes com diagnóstico de escoliose idiopática acompanhados no Ambulatório de Cirurgia da Coluna do Departamento de Ortopedia do Hospital Getúlio Vargas, Recife, Pernambuco. Essas radiografias foram avaliadas e classificadas por nove cirurgiões ortopedistas de coluna em dois momentos, com intervalo mínimo de 30 dias, para análise da reprodutibilidade intraobservador e interobservador da classificação de ossificação do úmero proximal utilizada como preditor do pico de velocidade de crescimento. Resultados A reprodutibilidade intraobservador com o índice Kappa atingiu concordância moderada a substancial. Já na análise da reprodutibilidade interobservador com o método de kappa de Fleiss constatou-se concordância de razoável a moderada, exceto no estágio 5, no qual a concordância variou de substancial a quase perfeita. Conclusões Neste estudo, a reprodutibilidade da classificação de Li, na maioria dos estágios foi razoável a moderada na avaliação interobservador e moderada à substancial na avaliação intraobservador, o que diverge da literatura atual. Nível de evidência III; Estudos diagnósticos - Investigação de um exame para diagnóstico.


RESUMEN Objetivo Evaluar la reproducibilidad intra e interobservador de la clasificación de osificación del húmero proximal en pacientes con escoliosis idiopática. Métodos Estudio observacional, descriptivo y transversal. Se seleccionaron radiografías (anteroposteriores) de 29 pacientes con diagnóstico de escoliosis idiopática en la Clínica de Cuidados Ambulatorios de Cirugía de Columna del Departamento de Ortopedia del Hospital Getúlio Vargas, Recife, Pernambuco. Estas radiografías fueron evaluadas y clasificadas por nueve cirujanos ortopedistas de columna, en dos momentos, con un intervalo mínimo de 30 días, para analizar la reproducibilidad intraobservador e interobservador de la clasificación de osificación del húmero proximal utilizada como predictor de la velocidad máxima de crecimiento. Resultados La reproducibilidad intraobservador con el índice Kappa alcanzó concordancia de moderada a sustancial de la reproducibilidad intraobservador. En el análisis de la reproducibilidad interobservador con el método de kappa de Fleiss, se encontró concordancia de razonable a moderada, excepto en la etapa 5, en que la concordancia varió de sustancial a casi perfecta. Conclusiones En este estudio, la reproducibilidad de la clasificación de Li en la mayoría de las etapas fue de razonable a moderada en la evaluación interobservador y de moderada a sustancial en la evaluación intraobservador, lo que difiere de la literatura actual. Nivel de Evidencia III; Estudios de Diagnóstico - Investigación de una prueba de diagnóstico.


Subject(s)
Humans , Scoliosis , Reproducibility of Results , Growth
7.
Rev. cuba. pediatr ; 93(2): e1148, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1280374

ABSTRACT

Introducción: El derrame pleural paraneumónico es la enfermedad pleural más frecuente de la infancia, el 40-60 por ciento de los casos se presenta como complicación de neumonía adquirida en la comunidad. Ante la aparición de líquido pleural viscoso, con fibrina o tabiques, la fibrinólisis intrapleural aporta beneficios en la resolución de esta grave afección. Objetivo: Describir la evolución clínica e imagenológica de tres niños graves con derrame pleural paraneumónico complicado complejo y empiema. Presentación de casos: Pacientes ingresados en la Unidad de Terapia Intensiva del Hospital Pediátrico Provincial "Dr. Eduardo Agramonte Piña" con el diagnóstico de neumonía adquirida en la comunidad complicada con derrame pleural paraneumónico complicado complejo, tratados con estreptoquinasa recombinante por vía intrapleural; la primera paciente presentó crecimiento de Pseudomona en el cultivo de líquido pleural, patógeno no habitual en las infecciones respiratorias agudas procedentes de la comunidad. El segundo caso, se recibió complicada con shock séptico y el tercer paciente con ecografía torácica que mostró derrame pleural multitabicado, con grandes bolsones y gruesos tabiques. Los tres casos evolucionaron satisfactoriamente, sin necesidad de tratamiento quirúrgico, ni aparición de reacciones adversas atribuibles al fibrinolítico. Conclusiones: La administración intrapleural de la estreptoquinasa recombinante en niños graves con derrame pleural paraneumónico complicado complejo y empiema, resulta un método eficaz y seguro en la evacuación del foco séptico pleural, lo que favorece el control de la infección, sin aparición de complicaciones. Los casos presentados tuvieron evolución satisfactoria y en ninguno se produjo evento adverso relacionado con la administración de la estreptoquinasa recombinante intrapleural(AU)


Introduction: Parapneumonic pleural effusion is the most common pleural disease in childhood; 40-60 percent of cases occur as a complication of community-acquired pneumonia. Given the onset of viscous pleural fluid, with fibrin or septums, intra-pleural fibrinolysis provides benefits to solve this serious condition. Objective: Describe the clinical and imaging evolution of three seriously ill children with complex complicated parapneumonic pleural effusion and empyema. Case presentation: Patients admitted to the Intensive Therapy Unit of "Dr. Eduardo Agramonte Piña" Provincial Pediatric Hospital with the diagnosis of pneumonia acquired in the community worsen with complex complicated parapneumonic pleural effusion, and treated in the intrapleural way with recombinant streptokinase. The first patient showed growth of Pseudomona in the culture of pleural fluid, a pathogen which is not common in acute respiratory infections from the community. The second case was complicated with septic shock; and the third patient had a chest ultrasound that showed multi-sited pleural effusion, with large bags and thick septums. All three cases evolved satisfactorily, without needing surgical treatment, or having adverse reactions attributable to fibrinolytic ones. Conclusions: Intrapleural administration of recombinant streptokinase in seriously ill children with complex complicated parapneumonic pleural effusion and empyema is an effective and safe method in the evacuation of pleural septic focus, which favors infection control, without complications. The cases presented had satisfactory evolution and none of them occurred adversely related to the administration of intrapleural recombinant streptokinase(AU)


Subject(s)
Humans , Female , Infant , Child, Preschool , Pleural Effusion , Pneumonia , Respiratory Tract Infections , Infection Control , Growth , Drug-Related Side Effects and Adverse Reactions
8.
Semina cienc. biol. saude ; 42(2): 179-186, jun./dez. 2021. Ilus, Tab
Article in Portuguese | LILACS | ID: biblio-1293120

ABSTRACT

Objetivo: comparar o crescimento pondo-estatural dos lactentes aos seis meses de vida em aleitamento materno exclusivo e aleitamento complementar ou misto. Método: estudo transversal, com 38 mães e lactentes entre o quinto e o sexto mês de vida, cuja coleta de dados ocorreu em unidades de saúde de um município no Oeste do estado do Paraná, Brasil. Os dados foram analisados por estatística descritiva. Resultados: a prevalência do aleitamento materno exclusivo foi de 21% (n=8) da amostra. As variáveis antropométricas (peso, altura e perímetro cefálico - PC) dos lactentes em aleitamento materno exclusivo apresentaram médias inferiores àqueles em aleitamento materno predominante e/ou com uso de fórmula. Conclusão: o crescimento pondo-estatural dos lactentes aos seis meses de vida em aleitamento materno exclusivo e em aleitamento complementar ou misto estava dentro do esperado para a idade. Contudo, evidenciou-se baixa prevalência de aleitamento materno exclusivo. Palavras-chave: Aleitamento materno; Alimentação artificial; Desmame precoce; Crescimento; Lactente.


Objective: compare the weight-height growth of the infants at six months of life in exclusive breastfeeding and complementary or mixed breastfeeding. Method: transversal study, with 38 mothers and infants between the fifth and the sixty months of life, whose data collect occurred in primary health care units of a city in the West of the state of Paraná, Brazil. The data was analyzed by descriptive statistics. Results: the prevalence of exclusive breastfeeding was of 21% (n=8) of the sample. The anthropometrics variables (weight, height and head circumference - HC) of the infants in exclusive breastfeeding show lower averages to those in predominant breastfeeding and/or with use of formula. Conclusion: the weight-height growth of the infants at six months of life in exclusive breastfeeding and in complementary or mixed breastfeeding was inside of the expected for age. However, was evidenced low prevalence of exclusive breastfeeding.


Subject(s)
Infant, Newborn , Infant , Weaning , Bottle Feeding , Breast Feeding , Growth , Infant
9.
Rev. cuba. pediatr ; 93(2): e1126, fig
Article in Spanish | LILACS, CUMED | ID: biblio-1280368

ABSTRACT

Introducción: El nevo melanocítico congénito es una lesión pigmentada melanocítica, que está generalmente presente en el momento del nacimiento. La dermatoscopia es una técnica útil en el diagnóstico de los nevos. Objetivo: Examinar las características clínicas y dermatoscópicas de pacientes pediátricos con nevos melanocíticos congénitos. Métodos: Investigación de tipo descriptivo transversal. La población incluyó 340 pacientes pediátricos que asistieron a la consulta de dermatoscopia del Hospital Pediátrico Universitario "José Luis Miranda", Santa Clara, entre abril 2016- abril de 2017. La muestra quedó constituida por 128 pacientes con diagnóstico de nevos melanocíticos congénitos. Los datos obtenidos se analizaron a través del paquete estadístico SPSS 21.0. Se emplearon los métodos de la estadística descriptiva. Resultados: El cambio clínico más frecuente fue el crecimiento en 76 (47,8 por ciento) nevos. La localización más comprometida fue en los miembros superiores con 28 (17,6 por ciento) nevos. Existió una relación estadísticamente significativa (p< 0,05) entre el tamaño de los nevos y la localización en zonas fotoexpuestas con la presencia de cambios clínicos. El patrón en empedrado (27,7 por ciento) fue el más frecuente; sin embargo, el patrón globular (24,5 por ciento) se observó en todas las localizaciones. Ninguno de los nevos detectados empeoró hacia el melanoma maligno. Conclusiones: La mayoría de los nevos melanocíticos congénitos en este trabajo aparecieron desde el nacimiento. La presencia de cambios clínicos fue más evidente en las regiones fotoexpuestas. No se observó ningún nevo con estructuras o patrones dermatoscópicos relacionados con malignidad(AU)


Introduction: Congenital melanocytic nevi is a melanocytic pigmented lesion, which is usually present at birth. Dermatoscopy is a useful technique in the diagnosis of nevi. Objective: To examine the clinical and dermatoscopic characteristics of pediatric patients with congenital melanocytic nevi. Methods: Cross-sectional descriptive type research. The data obtained were analyzed through the SPSS 21.0 statistical package. The methods of descriptive statistics were used. Results: The most common clinical change was growth, in 76 (47.8 percent) nevi. The most compromised location was in the upper members with 28 (17.6 percent) nevi. There was a statistically significant relation (p< 0.05) among the size of the nevi and the location in photoexposed areas with the presence of clinical changes. The cobbled pattern (27.7 percent) was the most common; however, the globular pattern (24.5 percent) was observed in all locations. None of the detected nevi worsen towards malignant melanoma. Conclusions: Most congenital melanocytic nevi are shown from birth. The presence of clinical changes was most evident in photoexposed regions. No nevi was observed with dermatoscopic structures or patterns related to malignancy(AU)


Subject(s)
Humans , Referral and Consultation , Growth , Melanoma , Nevus, Pigmented
10.
Neotrop. ichthyol ; 19(2): e200101, 2021. tab, graf
Article in English | LILACS, VETINDEX | ID: biblio-1279493

ABSTRACT

he age and growth of Pseudoplatystoma corruscans, is analyzed on specimens landed in Puerto Antequera, Province of Chaco, Argentina. The study is based on length frequency distribution of 1192 individuals and growth marks of 293 pectoral spines. Previously to age assignation based on spines readings, we performed analyses that ruled out age-associated resorption of rings and corroborated the annual periodicity of mark formation. The average sizes of the radius of each ring were obtained, and the total length of fish were back-calculated to the time of the ring formation, by the regression model fitted between the total radius of the spines to the respective sizes of each fish. Such data showed a good fitting to growth models of von Bertalanffy, Gompertz and logistic for both sexes separately. Results indicate that the study of the species growth must be carried out for each sex separately and that the fishing regulations must consider this characteristic of the species since the current management guidelines could be promoting differential capture by sexes.(AU)


En este trabajo se analiza el crecimiento y la edad del Pseudoplatystoma corruscans, a partir de ejemplares desembarcados en el Puerto Antequera, provincia de Chaco, Argentina. El estudio se basó en la distribución de frecuencias de tallas de 1192 individuos y marcas de crecimiento en 293 espinas pectorales. Para asignar las edades a partir de las lecturas se realizaron análisis que permitieron descartar la reabsorción de anillos asociada a la edad y corroborar la periodicidad anual de la formación de marcas. Se obtuvieron los tamaños medios de los radios de cada anillo y se retrocalcularon las tallas al momento de su formación, mediante la relación del radio total de las espinas con las tallas respectivas de cada pez. Dichos datos mostraron un buen ajuste a las curvas de crecimiento de von Bertalanffy, Gompertz y logística para ambos sexos por separado. Los resultados demostraron que el estudio del crecimiento de la especie debe realizarse para cada sexo por separado y que las normas pesqueras deben contemplar esta característica de la especie ya que las actuales pautas de manejo podrían estar promoviendo la captura diferencial por sexos.(AU)


Subject(s)
Animals , Catfishes/anatomy & histology , Catfishes/growth & development , Age Effect , Growth , Social Control, Formal
11.
Article in English | WPRIM | ID: wpr-880377

ABSTRACT

BACKGROUND@#The Hokkaido Study on Environment and Children's Health is an ongoing study consisting of two birth cohorts of different population sizes: the Sapporo cohort and the Hokkaido cohort. Our primary objectives are to (1) examine the effects that low-level environmental chemical exposures have on birth outcomes, including birth defects and growth retardation; (2) follow the development of allergies, infectious diseases, and neurobehavioral developmental disorders, as well as perform a longitudinal observation of child development; (3) identify high-risk groups based on genetic susceptibility to environmental chemicals; and (4) identify the additive effects of various chemicals, including tobacco.@*METHODS@#The purpose of this report is to provide an update on the progress of the Hokkaido Study, summarize recent results, and suggest future directions. In particular, this report provides the latest details from questionnaire surveys, face-to-face examinations, and a collection of biological specimens from children and measurements of their chemical exposures.@*RESULTS@#The latest findings indicate different risk factors of parental characteristics on birth outcomes and the mediating effect between socioeconomic status and children that are small for the gestational age. Maternal serum folate was not associated with birth defects. Prenatal chemical exposure and smoking were associated with birth size and growth, as well as cord blood biomarkers, such as adiponectin, leptin, thyroid, and reproductive hormones. We also found significant associations between the chemical levels and neuro development, asthma, and allergies.@*CONCLUSIONS@#Chemical exposure to children can occur both before and after birth. Longer follow-up for children is crucial in birth cohort studies to reinforce the Developmental Origins of Health and Disease hypothesis. In contrast, considering shifts in the exposure levels due to regulation is also essential, which may also change the association to health outcomes. This study found that individual susceptibility to adverse health effects depends on the genotype. Epigenome modification of DNA methylation was also discovered, indicating the necessity of examining molecular biology perspectives. International collaborations can add a new dimension to the current knowledge and provide novel discoveries in the future.


Subject(s)
Biomarkers/blood , Child , Child Health , Child, Preschool , Cohort Studies , Environmental Exposure/adverse effects , Environmental Health , Environmental Pollutants/adverse effects , Female , Fetal Blood/chemistry , Follow-Up Studies , Growth/drug effects , Humans , Hypersensitivity/etiology , Infant , Japan/epidemiology , Male , Neurodevelopmental Disorders/etiology , Pregnancy , Prenatal Exposure Delayed Effects/etiology , Prevalence , Smoking/adverse effects
12.
Article in English | WPRIM | ID: wpr-921340

ABSTRACT

Objective@#This study aimed to understand the characteristics of dietary patterns among children aged 12 to 23 months and discusses the relationship between dietary patterns and the growth of children.@*Method@#Cross-sectional data were selected from the National Nutrition and Health Systematic Survey for 0 to 18 year-old children in China ( @*Results@#Four dietary patterns were identified among the children @*Conclusion@#Although China is undergoing rapid urbanization and economic development, there is still a phenomenon of insufficient intake of protein-rich foods and dairy-based dietary patterns at the stage of complementary food introduced among children aged 12 to 23 months.


Subject(s)
China , Cross-Sectional Studies , Female , Growth , Humans , Infant , Infant Nutritional Physiological Phenomena , Male
13.
Psicol. ciênc. prof ; 41(spe3): e190599, 2021. tab
Article in Portuguese | LILACS-Express | LILACS, INDEXPSI | ID: biblio-1340458

ABSTRACT

Resumo O presente estudo objetivou analisar o funcionamento familiar de pessoas com deficiência física. Foi realizada uma pesquisa transversal de natureza quantitativa, envolvendo 144 pessoas com deficiência física adquirida, de ambos os sexos, com idades entre 14 e 93 anos. Foram aplicadas as Escalas de Funcionamento Familiar (FACES IV), a de APGAR familiar e o questionário sociodemográfico. Os dados foram analisados com o Programa estatístico SPSS. Conforme os padrões de interação familiar propostos por Olson e Gorall (2006), apesar da boa funcionalidade familiar encontrada, os participantes indicaram certa indecisão ao afirmar se percebiam o funcionamento familiar como equilibrado ou desequilibrado, mas apresentaram índices mais elevados de satisfação e de comunicação na escala FACES e pontuaram mais em capacidade resolutiva no APGAR familiar. Tais resultados caracterizam a satisfação da pessoa com o tempo compartilhado entre os membros familiares no sentido de trocas e de fortalecimento mútuo. Por outro lado, os níveis de indecisão sobre a funcionalidade familiar resultaram em taxas de coesão e de flexibilidade caracterizadas como desordenadamente frouxas. Diferenças entre os sexos foram encontradas no que se refere ao APGAR. Para as pessoas de sexo feminino, existe elevada disfunção familiar, enquanto para os homens há uma boa funcionalidade familiar. Espera-se que esse estudo possa contribuir com a produção científica da área e que também possa gerar reflexões para a promoção de ações e de intervenções voltadas a esse contexto como um todo, especialmente no que se refere às políticas de inclusão e de promoção de saúde dessa população.(AU)


Abstract This study aims to analyze the family functioning of people with physical disabilities. For that, a quantitative cross-sectional research was conducted with 144 people with acquired physical disability, of both genders, aged between 14 and 93 years. Data was collected using the Family Adaptability and Cohesion Evaluation Scale IV (FACES IV); the family adaptability, partnership, growth, affection, and resolve (APGAR); and a sociodemographic questionnaire, and analyzed with the SPSS Statistical Program. According to the patterns of family interaction proposed by Olson and Gorall (2006), despite the good family functioning found in our study, participants showed uncertainty in classifying their family functioning as balanced or unbalanced. However, they presented high indices of satisfaction and communication in the FACES IV and high scores regarding response capacity and the APGAR family variables. These results indicate that individuals are satisfied with the amount of time shared with their families in regard to exchanges and mutual strengthening. Conversely, the indecision levels related to family functioning resulted in disorderly and loose cohesion and flexibility rates. APGAR results differed according to gender, with females showing high family dysfunction and males showing good family functioning. This study is expected to advance knowledge in the field, possibly stimulating reflections for the promotion of actions and interventions aimed at this context as a whole, especially regarding policies for social inclusion and health promotion.(AU)


Resumen El presente estudio tiene como objetivo analizar el funcionamiento familiar de personas con discapacidad física. Se realizó una investigación transversal de naturaleza cuantitativa, involucrando a 144 personas con discapacidad física adquirida, de ambos sexos, con edades entre 14 y 93 años. Se aplicaron la Escala de Funcionamiento Familiar (FACES IV), el cuestionario de APGAR familiar y el cuestionario sociodemográfico. Los datos fueron analizados con el programa estadístico SPSS. Según los patrones de interacción familiar propuestos por Olson y Gorall, a pesar de la buena funcionalidad familiar encontrada, los participantes indicaron cierta indecisión al afirmar si percibían el funcionamiento familiar como equilibrado o desequilibrado, pero presentaron índices más elevados de satisfacción y de comunicación en la escala FACES y puntuaron más en capacidad resolutiva en el APGAR familiar. Tales resultados caracterizan la satisfacción de la persona con el tiempo compartido entre los miembros familiares en el sentido de intercambios y de fortalecimiento mutuo. Por otro lado, los niveles de indecisión sobre la funcionalidad familiar ocasionaron tasas de cohesión y de flexibilidad caracterizadas como desordenadamente flojas. Se encontraron diferencias entre los sexos en lo que se refiere al APGAR. Para las mujeres, existe una elevada disfunción familiar, mientras que para los hombres hay una buena funcionalidad familiar. Se espera que este estudio pueda contribuir con la producción científica del área y que también pueda generar reflexiones para la promoción de acciones y de intervenciones orientadas a ese contexto como un todo, especialmente en lo que se refiere a las políticas de inclusión y de promoción de la salud de esta población.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Outcome and Process Assessment, Health Care , Disabled Persons , Family Relations , Personal Satisfaction , Architectural Accessibility , Psychology , Family , Communication , Adaptation , Uncertainty , Social Inclusion , Growth , Health Promotion , Life Cycle Stages
14.
Espaç. saúde (Online) ; 22(1): [774], 2021.
Article in Portuguese | LILACS | ID: biblio-1284489

ABSTRACT

O eixo educacional Interação, Ensino, Saúde e Comunidade tem como objetivo preparar o aluno de medicina para lidar com diferentes cenários profissionais. O estudo em questão pretende analisar, de acordo com a perspectiva do discente, a relevância das atividades desenvolvidas por esse eixo educacional na formação de médica. Assim, foram realizados 7 grupos focais, com graduandos do 2o ao 4o ano de faculdade do curso de medicina. Os primeiros seis grupos se concentraram em identificar o potencial e as limitações da disciplina e o último grupo em desenvolver sugestões para as limitações identificadas. A pesquisa revelou que há limitações a serem enfrentadas como a constante mudança de metodologias ativas adotadas para o eixo. Por outro lado, destacou-se a possibilidade de aplicar técnicas e desenvolver competências em diferentes cenários da prática de saúde, as quais promovem crescimento pessoal e profissional, ao mesmo tempo que fortalecem o ciclo de ensino-aprendizagem


Subject(s)
Research , Students , Health , Growth , Health Facility Moving , Learning , Occupational Groups , Teaching , Time , Residence Characteristics , Focus Groups , Courses
15.
Biosci. j. (Online) ; 36(5): 1507-1517, 01-09-2020. tab, graf
Article in English | LILACS | ID: biblio-1147329

ABSTRACT

Shading screens are widely used to control excessive solar radiation, thereby changing plant growth. Thus, through physiological indices the objective was to evaluate the growth of three cultivars of minitomatoes under colored meshes. The experiment was conducted from April to July in the DTCS / UNEB experimental field in experiment DBC with subdivided plots, and four replicates, comprised of three shaded environments and the control treatment, three cultivars, and seven plant sampling seasons. For growth analysis, we used the destructive method, total dry matter was determined after drying it in an oven at 65°C. The total leaf area (LAI) was obtained using the software QUANT. Results showed that there was no interaction between environments and the other factors. Regarding leaf area index, cvs. Shani and Sweet Million stood out in all environments, whereas cv. Red Sugar had a similar behavior in all environments. Shani obtained the best indices in open sun environment and in the environment covered with red shading screen, and Sweet Million obtained the best index under gray shading screen. Red Sugar had the lowest LAI, and consequently, the lowest SLA and LAR. On the other hand, it showed the highest RPF, since it obtained the highest dry matter in leaves compared to the other cultivars. Cvs. Shani and Sweet Million showed the best: TAL, TCR, TCA and TCC.


As telas de sombreamento são utilizadas para controlar a radiação solar excessiva, podendo alterar o crescimento das plantas. Desse modo, objetivou-se por meio de índices fisiológicos avaliar o crescimento de três cultivares de mini tomates sob malhas coloridas. O experimento foi conduzido no período de abril a julho no campo experimental do DTCS/UNEB em delineamento experimental DBC, com parcelas subsubdivididas, com quatro repetições, compostos de três ambientes sombreados além do controle, três cultivares e sete épocas de amostragens. Para análise de crescimento, utilizou-se o método destrutivo e as massas secas totais obtidas após secagem em estufa a 65°C. A área foliar total foi obtida usando-se o software QUANT. Os resultados mostraram que não houve interação entre os ambientes e os demais fatores. Quanto as cvs., para índice de área foliar (LAI), destacaram-se as cvs. Shani e Sweet Million dentro de cada ambiente, tendo a cultivar Red Sugar comportamento similar nos ambientes. A cv. Shani obteve os melhores índices no ambiente a céu aberto e com tela vermelha e a cv. Sweet Million o melhor índice na tela cinza. A cv. Red Sugar apresentou o menor LAI, e consequentemente à menor AFE e RAF, em contrapartida apresentou a maior RPF, uma vez que obteve a maior massa seca nas folhas quando comparada as outras cultivares. As cvs. Shani e Sweet Million apresentaram as melhores: TAL, TCR, TCA e TCC.


Subject(s)
Lycopersicon esculentum , Environment, Controlled , Physiological Phenomena , Solar Radiation , Growth
16.
Rev. cuba. med. mil ; 49(3): e573, jul.-set. 2020. []
Article in Spanish | LILACS, CUMED | ID: biblio-1144482

ABSTRACT

Introducción: En los últimos años la producción científica en América Latina y el Caribe, como en el resto del mundo, ha estado influenciada por el desarrollo de la red de redes y el movimiento de acceso abierto. También ha incidido en su desarrollo la escasa inversión en investigación, desarrollo e innovación (I+D+i), la poca cultura para la divulgación científica de muchos investigadores y la supremacía de la lengua inglesa en las revistas científicas más importantes. Objetivo: Analizar el estado de la producción científica en América Latina y el Caribe de 1996 a 2019. Desarrollo: Se analizan los principales constructos teóricos para realizar estudios bibliométricos. También se analiza el ranking latinoamericano de producción científica de las revistas indexadas en Scopus en el período 1996-2019, a partir de la herramienta SCImago Journal & Country Rank; particularmente en sus siete principales países. Conclusiones: Los resultados muestran que la producción científica en América Latina y el Caribe, ha tenido un importante crecimiento en los últimos 20 años, sin embargo, en el aumento de la socialización de los resultados científicos de investigación, existe concentración en solo algunos países y poco reconocimiento a escala global(AU)


Introduction: In recent years, scientific production in Latin America and the Caribbean, as in the rest of the world, has been influenced by the development of the network of networks and the Open Access Movement. The low investment in Research, Development and innovation (R + D + i) has also affected its development; the low culture for the scientific dissemination of many researchers; and the supremacy of the English language in the most important scientific journals. Objective: To analyze the state of scientific production in Latin America and the Caribbean from 1996-2019. Development: The main theoretical constructs for bibliometric studies are analyzed. The Latin American Ranking of scientific production of journals indexed in Scopus in the period 1996-2019 is also analyzed, based on the SCImago Journal & Country Rank tool; particularly in its seven main countries. Conclusions: The results show that scientific production in Latin America and the Caribbean has had an important growth in the last 20 years; however, in increasing the socialization of scientific research results, there is concentration in only some countries and little recognition on a global scale(AU)


Subject(s)
Humans , Periodicals as Topic , Access to Information , Scientific Research and Technological Development , Growth
17.
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 144-167 p. (Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 5, 2).
Monography in Spanish | LILACS, LIVECS | ID: biblio-1118165

ABSTRACT

Instalada la pandemia de la Covid-19 la gran expectativa colectiva gira en torno al retorno a la normalidad. En este ensayo se pone en entredicho el concepto de 'normalidad' en el contexto de los factores determinantes de la emergencia de los virus con altas tasas de morbilidad y mortalidad, evidenciando que el estado de 'normalidad pre-pandemia', al cual se aspira retornar, presenta indicadores socio-ambientales mucho más preocupantes y trágicos que aquellos que la mediática global nos suministra, de manera permanente y en tiempo real, sobre la Covid-19. Se presentan evidencias para argumentar que el principio sine qua non del crecimiento económico como motor determinante e insustituible del desarrollo, y más aún del modelo capitalista de desarrollo, es metabólicamente insostenible al demandar cantidades permanentemente incrementales de energía y bienes de la naturaleza en un planeta incapaz de sostener semejante pretensión. Las pandemias no son las únicas consecuencias fatales de la destrucción de la naturaleza y tampoco las más graves. Son síntomas de un modelo en crisis, que el desarrollo sustentable pretende aliviar sin avocarse al tratamiento de la patología que los origina. Por este motivo, se sostiene que es necesario construir una 'nueva normalidad', diferente a la 'normalidad pre-pandemia' por ser esta inviable, lo que implica evaluar los fundamentos del modelo. Se convoca a una impostergable reflexión, diversa e inclusiva, desde el seno de la comunidad científica, con el desprendimiento suficiente para admitir otras visiones y conocimientos que tienen mucho que aportar desde otras formas de coexistir con la naturaleza(AU)


Once Covid-19 pandemic established among us, the great collective expectation is about the return to normal pre-pandemic conditions. This assay questions the concept of 'normality' related to the context where high morbidity-mortality virus emerge out, showing that pre-pandemic normal conditions, have worst and overwhelming socio-environmental indicators than Covid-19 reports, daily supplied by global mass media in real time. We offer evidences that suggest that the sine qua non principle of economic growth, as indisputable driver of development, and even more, of the capitalist model, is metabolically unsustainable, due to the astonishing demands of energy and goods from nature, beyond its own capacity. Pandemics are not the only fatal consequences of ecological destruction, and by no means among the worst. They are just a symptom of the crisis of the development model, which the sustainable development pretends to relieve, ignoring the pathology that originated it. Due to this fact, we sustain that a new normal conditions is required to be created, truly different to pre-pandemic conditions, and that demands assessing the model's principles. We invite the scientific society for an urgent, inclusive and diverse reflection, willing to recognize other perspectives and knowledge, that could offer alternatives ways to coexist with nature(AU)


Subject(s)
Economic Development , Coronavirus Infections , Pandemics , Sustainable Development , Growth , Venezuela , Capitalism , Social Determinants of Health
18.
Acta bioquím. clín. latinoam ; 54(2): 125-133, jun. 2020. graf, tab
Article in Spanish | LILACS | ID: biblio-1130587

ABSTRACT

El objetivo del trabajo fue evaluar la utilidad clínica de la relación factor de crecimiento placentario/receptor de tirosin-quinasa tipo 1 soluble (sFlt-1/ PlGF) para el diagnóstico de preeclampsia (PE) en embarazadas de alto riesgo y con diagnóstico clínico de PE en un centro de salud de Córdoba, Argentina. Se procesaron 135 muestras de embarazadas: 39 con diagnóstico clínico de PE (Grupo I), 72 con riesgo de PE (Grupo II), y 24 de grupo control (Grupo III). Se utilizó una técnica automatizada de electroquimioluminiscencia (Roche). Valores <38 se consideraron sin riesgo de PE, entre 38 y 85 (< semana 34) o 38 y 110 (> semana 34) con riesgo moderado o alto riesgo dentro de las 4 semanas posteriores a la realización de dichos marcadores y >85 en embarazadas con síntomas de aparición temprana o >110 en embarazadas con síntomas de aparición tardía, PE confirmada. En el Grupo I, 33 muestras dieron relación >38 y 6 fueron menores. De 72 muestras del Grupo II 69 dieron <38 y 3 >38. Todas las muestras del Grupo III dieron relación <38. La razón de verosimilitud positiva (LR+) fue de 20,31 y la razón negativa (LR-) fue de 0,16. La relación fue >38 en la mayoría de las embarazadas con diagnóstico de PE. La determinación es útil en aquellas mujeres embarazadas que son de alto riesgo, ya sea porque tienen hipertensión o proteinuria o algún antecedente previo, en las cuales puede ser fundamental para decidir el correcto diagnóstico.


The objective of this work was to evaluate the clinical usefulness of the relation placental growth factor/soluble tyrosine-kinase type 1 receptor (sFlt-1/PlGF) for the diagnosis of PE (preeclampsia) in pregnant women at high risk and with clinical diagnosis of PE in a health center of Córdoba, Argentina. A total of 135 samples of pregnant women were processed: 39 with clinical diagnosis of PE (Group I), 72 with risk of PE (Group II), and 24 of control group (Group III). An automated electrochemiluminescence technique (Roche) was used. Ratio sFlt-1/PlGF <38 was considered without risk of PE. Between 38 and 85 (< week 34) or 38 and 110 (> week 34), with moderate risk or high risk within 4 weeks after performing these markers. To confirm diagnosis, relationships >85 in pregnant women were considered with symptoms of early onset and >110 in pregnant women with symptoms of late onset. In Group I, 33 samples reported >38 and 6 were lower. Of 72 samples from Group II, 69 gave <38 and 3, >38. All samples from Group III gave a ratio <38. The positive likelihood ratio (LR+) was 20.31 and the negative likelihood ratio (LR-), 0.16. The ratio was >38 in the majority of women already diagnosed as PE. The test is useful in those pregnant women who are at high risk of PE, either because they have hypertension or proteinuria or a previous history. In those cases it can be fundamental to decide the correct diagnosis.


O objetivo do estudo é avaliar a utilidade clínica da relação fator de crescimento placentário/receptor de tirosina-quinase tipo 1 solúvel (sFlt-1/PIGF) para o diagnóstico de pré-eclâmpsia (PE) em grávidas de alto risco e com diagnóstico clínico de PE em um centro de saúde de Córdoba, Argentina. Foram processadas 135 amostras de gestantes, sendo 39 com diagnóstico clínico de PE (Grupo I), 72 com risco de PE (Grupo II) e 24 de grupo controle (Grupo III). Foi utilizada uma técnica automatizada de eletroquimioluminescência (Roche). Valores <38 foram considerados sem risco de PE, entre 38 e 85 (

Subject(s)
Humans , Female , Pregnancy , Pre-Eclampsia , Tyrosine , Placenta Growth Factor , Hypertension , Signs and Symptoms , Health Centers , Risk , Control Groups , Determination , Pregnant Women , Diagnosis , Control , Growth
19.
Int. j. odontostomatol. (Print) ; 14(2): 141-143, June 2020. graf
Article in English | LILACS | ID: biblio-1090665

ABSTRACT

The aim of the study was to determine the possibility of using panoramic X-ray as an auxiliary tool for the identification of talent in young athletes using the physical body growth indicator. Thirty three radiographs were used of athletes aged 13 to 15 years. Analysis was performed using the Eklof and Ringertz method. Dental age (40 %) came the closest to chronological age. Dental age determined in this study proved to be the most effective radiographic method for the determination of bone maturity for use in the identification of talent through imaging exams. This method was also the simplest and can be performed by the dentist of a sports club without exposing athletes to unnecessary radiation.


El objetivo del estudio consistió en determinar la posibilidad de usar radiografía panorámica como herramienta auxiliar para la identificación de talentos en los atletas usando el indicador de crecimiento del cuerpo físico. Fueron utilizadas 33 radiografías de atletas, de entre 13 a 15 años. Se realizó un análisis de la aplicación utilizando el método de Eklof y Ringertz. Se encontró que la edad dentaria (40 %) se aproximó a la edad cronológica. La edad dental utilizada en este estudio demostró ser el método radiográfico más efectivo para la determinación de la madurez ósea para su uso en la identificación del talento a través de exámenes de imágenes. Este método también fue el más simple y puede ser realizado por el dentista de un club deportivo sin exponer a los atletas a radiaciones innecesarias.


Subject(s)
Humans , Male , Adolescent , Aptitude , Soccer , Bone Development , Radiography, Panoramic/methods , Athletic Performance , Pilot Projects , Growth
20.
Arch. argent. pediatr ; 118(2): 117-: I-124, IV, abr. 2020. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1100161

ABSTRACT

Introducción. La evaluación del crecimiento durante la infancia y la adolescencia es un componente fundamental de la atención de salud en todos sus niveles, pues es parte del diagnóstico nutricional y permite la detección oportuna de patologías relacionadas. Ecuador, al no disponer de referencias nacionales de crecimiento, ha adoptado los estándares internacionales de la Organización Mundial de la Salud. El objetivo de este estudio fue construir referencias nacionales de peso, estatura e índice de masa corporal para niños, niñas y adolescentes.Métodos. Se investigaron escolares y adolescentes ecuatorianos entre 5 y 19 años de edad durante 1999 y 2012. Los centilos 3, 10, 25, 50, 75, 90 y 97 de peso, talla e índice de masa corporal fueron estimados por el método LMS para datos transversales, que utiliza la transformación Box-Cox para normalizar la distribución de los datos a cada edad.Resultados. Participaron 5934 sujetos sanos (2788 niños y 3146 niñas). Los niños pesaban más y eran más altos que las niñas. En todos los casos, los valores mostraron un aumento creciente conforme la edad avanzaba. A los 18 años, las diferencias entre sexos promediaron 8 kg y 12,5 cm.Conclusión. Las tablas y curvas producto de este estudio constituyen la primera referencia descriptiva del crecimiento de niños ecuatorianos de 5-19 años. Son un importante instrumento de evaluación nutricional. Su implementación en la atención primaria de salud permitirá complementar el diagnóstico nutricional que, tradicionalmente, se realiza sobre la base de los estándares internacionales de la Organización Mundial de la Salud.


Introduction. The assessment of growth during childhood and adolescence is a critical component of health care at all levels, but it is also part of nutritional status diagnosis and the timely detection of related conditions. Ecuador lacks national growth references, so it has decided to adopt the international standards proposed by the World Health Organization. The objective of this study was to develop national references for weight, height, and body mass index for children and adolescents.Methods. Ecuadorian schoolchildren and adolescents aged 5-19 years were studied between 1999 and 2012. The LMS method for cross-sectional data, which uses the Box-Cox transformation to normalize data distribution at each age, was applied to estimate the 3rd, 10th, 25th, 50th, 75th, 90th, and 97th centiles for weight, height, and body mass index.Results. A total of 5934 healthy subjects (2788 boys and 3146 girls) participated. Boys were heavier and taller than girls. In all cases, values increased with age. At 18 years old, the differences between sexes averaged 8 kg and 12.5 cm.Conclusion. The tables and curves obtained with this study are the first descriptive growth references for Ecuadorian children and adolescents aged 5-19 years. They are relevant for nutritional assessment. Their use at the primary level of care will aid in nutritional status diagnosis, which has traditionally been done based on the World Health Organization's international standards.


Subject(s)
Humans , Male , Female , Child , Adolescent , Body Height , Body Weight , Body Mass Index , Growth , Epidemiology, Descriptive , Cross-Sectional Studies , Ecuador , Growth Charts
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