Jornal de pediatria
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Jornal de pediatria · Mar 2014
ReviewGastroesophageal reflux disease: exaggerations, evidence and clinical practice.
there are many questions and little evidence regarding the diagnosis and treatment of gastroesophageal reflux disease (GERD) in children. The association between GERD and cow's milk protein allergy (CMPA), overuse of abdominal ultrasonography for the diagnosis of GERD, and excessive pharmacological treatment, especially proton-pump inhibitors (PPIs) are some aspects that need clarification. This review aimed to establish the current scientific evidence for the diagnosis and treatment of GERD in children. ⋯ there have been few randomized controlled trials that assessed the management of GERD in children and no examination can be considered the gold standard for GERD diagnosis. For these reasons, there are exaggerations in the diagnosis and treatment of this disease, which need to be corrected.
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Jornal de pediatria · Jan 2014
Association of late-onset neonatal sepsis with late neurodevelopment in the first two years of life of preterm infants with very low birth weight.
To establish the influence of late-onset sepsis on neurodevelopment of preterm infants with very low birth weight (VLBW), according to the etiologic agent. ⋯ Neonatal sepsis has a significant influence on late neurodevelopment at 2 years of corrected age in preterm infants with VLBW, and Gram-positive infections are associated with motor deficit.
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Jornal de pediatria · Nov 2013
ReviewTemporal evolution of acute respiratory distress syndrome definitions.
to review the evolution of acute respiratory distress syndrome (ARDS) definitions and present the current definition for the syndrome. ⋯ ARDS is a serious disease that remains an ongoing diagnostic and therapeutic challenge. The evolution of definitions used to describe the disease shows that studies are needed to validate the current definition, especially in pediatrics, where the data are very scarce.
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Jornal de pediatria · Nov 2013
Evaluation of functional capacity for exercise in children and adolescents with sickle-cell disease through the six-minute walk test.
To evaluate lung functional capacity (FC) for physical exercise in children and adolescents with sickle cell disease (SCD) through the six-minute walk test (6MWT). ⋯ These patients showed a lower FC for exercise than that predicted for the age range in the literature. Patients diagnosed with HbSS/Sβ0-thalassemia had a lower performance in the test than those with HbSC/Sβ(+)-thalassemia regarding total distance walked, RR, and SpO2 after the 6MWT.
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Jornal de pediatria · Sep 2013
Editorial CommentRespiratory viral coinfection and clinical disease severity.