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- An Analysis From a Tertiary Pediatric Hospital: Does Physical Activity Play a Role in the Management of Children and Young Adults With Osteogenesis Imperfecta?Publication . Galhardo Saraiva, F; Jonet, J; Roquette, M; Ovídio, J; Pires, MS; Lameiras Campagnolo, JIntroduction: Osteogenesis imperfecta (OI) is a hereditary connective tissue disorder characterized by reduced bone density and increased proneness to fractures. It manifests across a varied clinical spectrum of expressions in children and young adults. It is crucial for children with OI to have a multidisciplinary follow-up, including orthopedics, pediatrics, and physical medicine and rehabilitation. Although exercise may have no effect on the disease itself, it might improve the autonomy, self-esteem, and fitness of these children. Methods: Retrospective cohort analysis of children and young adults aged three or more years old followed-up in a Level III Pediatric Hospital between 1995 and 2020. Demographic and clinical data were obtained from the hospital records and from the caregivers via phone calls. To our knowledge, this is the first national case series published assessing exercise habits in children with this condition. Results: Among the 21 patients studied, the median age was 14 years, with no gender predominance. Eighteen (86%) practiced regular physical activity, while the remaining three (14%), all of whom were type III OI, were totally dependent. Of the aforementioned 18 children, 12 (67%) considered practicing the same level of physical activity compared to their healthy peers, although most of them needed adaptations. The most reported extracurricular activity was swimming, in 50% of the cases. About 39% engaged in physical activity two times or less per week, and 89% practiced for one hour or less per session. Discussion: Over the years, it has become clear that physical activity is an important part of OI management. While awareness of the importance of exercise already exists, proper planning, follow-up, and monitoring are essential.
- An unusual manifestation of severe edema in nephrotic syndromePublication . Garrotes, M; Mota, M; Deuchande, S; Theias-Manso, R; Costa-Reis, P; Rita-Sandes, AKeypoints What is known – Ascites is a common finding in nephrotic syndrome. – Adherence to treatment is important to prevent nephrotic syndrome complications. What is added – Transudation of ascitic fluid through the abdominal wall is a rare complication of nephrotic syndrome. – The treatment of transudation of ascitic fluid and skin lesions is challenging and improvement may take several weeks.
- COVID-19: Impact of the Pandemic on Children’s LivesPublication . Roquette, M; Jonet, J; Pires, J; Paes-Vasconcellos, AIntroduction: The COVID-19 pandemic has had a considerable impact on the biopsychosocial elements of human beings, especially children and teenagers, as vulnerable groups. Social isolation can lead to psychiatric illness, obesity, and sleep disorders in adults. This study aimed to determine the impact of lockdown on children’s sleep, diet, physical activity, and behavior. Methods: This was a retrospective observational study conducted from May 1, 2020, to March 31, 2021. Data were collected from four healthcare centers in Cascais (Lisbon, Portugal) by administering a questionnaire in person and online. Descriptive statistical analysis was conducted using Microsoft Excel® and the SPSS® software (version 23). Results: In total, 790 responses were collected (median age 9 years old) without gender predominance. Family routine and behavioral changes were found in 84% and 63% of children, respectively. In addition, dietary changes were observed in 43% of them, with 62% reporting an increase in quantities and 23% reporting weight gain (more than 5 kg in 18%). Regarding physical activity, 44% exercised more than three times a week before the lockdown. Following COVID-19, 18% maintained this routine, and 48% quit sporting activities. Finally, sleep changes occurred in 42%, including nightmares and difficulty falling asleep. Discussion: Childhood and adolescence are periods of considerable social and psychomotor development, and any routine disruption can cause profound changes in personal and interpersonal experience during this period. The findings of this study revealed that lockdown caused changes in children’s behavior, diet, physical exercise, and sleep. It is essential to outline strategies to support children and teenagers with a multidisciplinary approach to reduce the effects of social isolation on their development.
- The challenges of maintaining patient confidentiality in pediatric settings: Letter to the editorPublication . Guerreiro, G; Pereira, D
- The impact of the COVID-19 pandemic on pediatric hospital admissions: a retrospective study in a Portuguese level II hospitalPublication . Garrotes, M; Ferreira, M; Condessa, L; Guimarães, C; Fialho, M; Sousa e Cunha, MIntroduction: Since the emergence of SARS-CoV-2, pediatric admissions from all causes have decreased. This was mainly due to a decrease in all common respiratory diseases, such as bronchiolitis and pneumonia. The aim of this study was to evaluate the impact of the pandemic on pediatric admissions and diagnoses in a level II hospital. Methods: A retrospective analysis was conducted, including all children admitted to a Portuguese level II hospital between March 2020 and December 2021 and the homologous period 2018-2019. The number of admissions, most common diagnoses, and demographic data were analyzed. Results: A total of 2956 admissions were included. A 44.1% decrease in pediatric hospital admissions was observed with the onset of the COVID-19 pandemic. Admissions for common communicable diseases such as acute bronchiolitis, acute gastroenteritis, varicella, and stomatitis decreased. An increase in respiratory illnesses, mainly due to respiratory syncytial virus, was observed when the pandemic restrictions ended. Conclusion: The COVID-19 pandemic had a major impact on pediatric hospital admissions. Social distancing measures and the use of masks limited the transmission of common infectious diseases previously responsible for hospital admissions. Future studies are needed to understand whether the changes in respiratory virus epidemiology were transient.