Association between nutrient intake from vegetables and BMI category of in-school adolescents in urban and rural areas in Davao City, Philippines.

Consumption of vegetables may contribute to alleviating the double burden of malnutrition, which is widespread among adolescents. However, the link between specific nutrient intakes from vegetables and the body mass index (BMI) of in-school adolescents is not widely studied. This study determined the association between the nutrient intakes from the vegetables consumed and the BMI category of in-school adolescents in urban and rural areas in Davao City, Philippines. Self-reported vegetable consumption was collected from the respondents, and the corresponding nutrient intakes were calculated using the USDA food composition tables. The BMI of the participating adolescents was also measured. The results show that being underweight or overweight is generally associated with lower macronutrient and micronutrient intakes from the vegetables consumed, namely, bell pepper, bitter gourd, cabbage, carrot, chayote, Chinese cabbage, cucumber, eggplant, Malabar spinach, moringa, mung bean, okra, potato, sponge gourd, squash, string beans, sweet potato, sweet potato tops, taro, tomato, water spinach (P < 0.05). The nutrient intakes from vegetables consumed by adolescents from urban households were generally higher. The findings highlight the contribution of vegetables to the nutrient intakes in the adolescent population. This study reinforces the need for targeted dietary guidelines and further promotion of vegetables, especially indigenous ones, to improve the nutritional status of adolescents in the Philippines.

Living alone and using social media technologies: The experience of Filipino older adults during the COVID-19 pandemic.

Prolonged implementation of lockdowns during the coronavirus disease 2019 (COVID-19) pandemic has resulted in older adults living alone in social isolation. The purpose of the study was to describe the meaning of the experience of Filipino older adults, who are living alone and using social media technologies during the COVID-19 pandemic. Eight participants who met the inclusion criteria were interviewed using the snowball selection technique. Transcribed interviews were read while also listening to the recorded interviews and highlighting significant words, phrases, and statements. An iterative process of analysis using van Manen's phenomenological approach identified thematic structures and categories revealing life-worlds of corporeality, relationality, temporality, spatiality, and materiality. The five general essences of flourishing, communicating, struggling, journeying and empowering, described the meaning of living alone and using social media technologies among older adults during the pandemic. The experience was expressed as "flourishing despite struggling to communicate, while journeying and empowering oneself and others." Older adults in isolation struggled to communicate with others however, with social technologies opportunities were opened for them in securing needed food, safety and security, maintaining their health, and their social connectedness. Despite the physical isolation and living arrangements during the pandemic, the use of social media technologies sustained older persons' well-being.

P and Ca requirements for Japanese quail.

Four experiments were conducted to estimate the phosphorus and calcium requirements for weight maintenance and weight gain in Japanese quails during their growth phase from 16 to 36 days. Japanese quails aged 16 days were used for estimating the phosphorous and calcium requirements for weight maintenance or weight gain, with these quails composing each reference slaughter group and the others distributed in a completely randomized design, housed in cages of galvanized wire (33 × 33 × 16 cm) that were stored in acclimatized chambers with specific environmental temperatures. The light programme used during the 20-day experimental period was 24 h of artificial light. Analysis of the data showed that the prediction equations for estimating the phosphorus and calcium requirements for weight maintenance and weight gain of Japanese quails between 16 and 36 days of age were P (g/quail/day) = P0.75 *(9.3695 + 7.7397*T) + 9.70*WG, in which P is the phosphorus requirement, and Ca (g/quail/day) = P0.75 *(363.99 - 8.0262*T) + 28.15*WG, in which Ca is the calcium requirement, P is BW (kg), T is temperature (°C) and WG (g/quail/day).

[Intestinal invagination in children. Reduction with pneumo-enema]. / Invaginação intestinal na criança. Redução com pneumo-enema.

UNLABELLED: Pneumatic reduction of intussusception in children is an effective and safe procedure, although controversy persists concerning contraindications. The shown by this procedure when compared to barium reduction have led to its implementation in our Service. AIM: To evaluate the usefulness of a 'handicraft method' of pneumatic reduction of intussusception with very restricted contraindications (peritonitis or shock). MATERIAL AND METHODS: The prospective study included 50 attempts at pneumatic reduction in 48 children (age range: 1.5-24 months). After confirmation of the diagnosis by ultrasonography. Then, air insufflation of the colon was performed under manometric and fluoroscopic control. After confirmation of diagnosis by ultrasonography, air insufflation of the colon was performed under manometric and fluoroscopic control in an operative room. Evolution longer than 24 hours was considered diagnostic delay, leukocytosis if WBC > 15 x 10(9)/l and distal localisation after splenic angle. Immediate laparotomy was undertaken in case of unsuccessful or doubtful reduction. RESULTS: Thirty-five reduction procedures (70%) were effective ab initio. In the 15 children submitted to laparotomy, seven were completely reduced (14%), five were manually reduced (10%), two presented intestinal necrosis (4%) and one (recurrence) had an ileal duplication (2%). The "real" efficacy (84%) was lower, even though significantly affected by diagnostic delay (81% vs 83%), rectal bleeding (81% vs 100%) or leukocytosis (71% vs 81%); efficacy was significantly lower only in distal localised cases (67% vs 97%, p = 0.02). There was one more recurrence (4%) and no other complications. CONCLUSIONS: The adopted method of pneumatic reduction was highly effective with low morbidity. Restricted contraindications were appropriate.

Collar de Cobb. Causa rara de hematuria / Cobb's collar. A rare cause of haematuria

El collar de Cobb es un estrechamiento congénito de la uretra bulbar con presentación clínica y grado de obstrucción variables. Presentamos un caso clínico de un niño de 13 años de edad con hematuria macroscópica terminal y uretrorragia postmiccional. La cistoscopia identificó una membrana en la uretra bulbar, inmediatamente distal al esfínter externo, y vasos prominentes en la uretra prostática. La incisión endoscópica transuretral realizada fue curativa. Los autores hacen también una breve revisión de la embriopatogenia, clínica y tratamiento de esta patología rara (AU)

Acute gastric volvulus secondary to a Morgagni hernia.

Gastric volvulus (GV) is a rare surgical emergency in infancy and childhood. The first case of a child with an acute GV secondary to a Morgagni hernia (MH) is reported. The authors briefly discuss the etiology, clinical features, and management of acute GV and review the scattered reports of strangulated MHs in children.

[Cobb's collar. Unusual cause of hematuria]. / Collar de Cobb. Causa rara de hematuria.

The Cobb's collar is a congenital narrowing of the bulbar urethra with variable clinical presentation and obstruction grade. Herein we report a clinical case of a 13-year-old boy presenting terminal macroscopic haematuria and post-mictional urethral bleeding. At cystoscopy a membrane on the bulbar urethra distal to the external sphincter and prominent vessels in the prostatic urethra were found. Transurethral endoscopic incision was carried out with no complications or recurrence at 9-month follow-up. The authors briefly review the embryopathogenesis, clinical features and treatment of this uncommon anomaly.

Revision del tratamiento del ureterocele en el recien nacido y lactante / Ureterocele in the newborn: review of its treatment

Once pacientes entre 3 dias y 7 meses de edad, 8 afectos de ureterocele ectopico y 3 ureterocele ectopico correspondian a un sistema doble y uno a un sistema simple. Los 3 ureteroceles intravesicales correspondieron a sistemas simples. Del total, seis casos presentaron patologia asociada ipsi y/o contralateral. Luego de la descomprension, la unidad afecta mejoro en todos los pacientes. El control demostro la mejoriaen 2 de los casos de sistema simple, apareciendo funcion solo en un uno de los sistemas dobles previamente incluidos. La ureterohidronefrosis de los hemirriñones inferiores homo y contralateral y los reflujos preexistentes mejoraron. Aparecio reflujo en el ureterocele y hemirriñon tributario en 3 casos y en el hemirriñon inferior en uno. En dos pacientes constituye el tratamiento definitivo, los beneficios obtenidos mediante la descomprension, compensan los riesgos de un posible reflujo iatroganico

Revision del tratamiento del ureterocele en el recien nacido y lactante / Ureterocele in the newborn: review of its treatment

Once pacientes entre 3 dias y 7 meses de edad, 8 afectos de ureterocele ectopico y 3 ureterocele ectopico correspondian a un sistema doble y uno a un sistema simple. Los 3 ureteroceles intravesicales correspondieron a sistemas simples. Del total, seis casos presentaron patologia asociada ipsi y/o contralateral. Luego de la descomprension, la unidad afecta mejoro en todos los pacientes. El control demostro la mejoriaen 2 de los casos de sistema simple, apareciendo funcion solo en un uno de los sistemas dobles previamente incluidos. La ureterohidronefrosis de los hemirriñones inferiores homo y contralateral y los reflujos preexistentes mejoraron. Aparecio reflujo en el ureterocele y hemirriñon tributario en 3 casos y en el hemirriñon inferior en uno. En dos pacientes constituye el tratamiento definitivo, los beneficios obtenidos mediante la descomprension, compensan los riesgos de un posible reflujo iatroganico

Gastric duplication presenting rectal bleeding. A clinical case supporting McLedtchie's theory.

This is a case of a 5-month-old girl with massive rectal bleeding caused by a gastric duplication. Cyst heterotopic pancreas and pancreatic duplication, an association not previously reported were present. The peculiar clinical presentation was due to cyst perforation that had subsequently eroded the transverse colon. Coexistent gastric containing heterotopic pancreas and pancreatic duplications were probably produced as traction diverticular by an embryonic entoectodermal adhesions.