Abstract:
PURPOSE:To determine the prevalence of innocent murmur among adolescents, and to evaluate the clinical features in comparison with echocardiogram (two-dimensional, M-mode, Doppler, and color-Doppler) in the assessment of heart murmurs. METHODS:The study was carried out from March to December, 1992, and involved high school students coming from families of the medium and low-medium social classes. Considering the total of 1400 students registered in a public school, 536 adolescents aging from 10 to 20 years were admitted in this study. Twenty seven students with heart murmur were submitted to Echocardiography in order to find any cardiac lesions. RESULTS:Among 536 adolescents, 171 (32%) had some kind of heart murmur. On the basis of the clinical diagnosis, 160 (29.9%) patients were classified as having innocent murmur and 11 (2.1%) as having "pathologic murmur". Out of 27 students submitted to echocardiography, 20 of them with clinical diagnosis of innocent murmur showed normal results. Among seven students with clinical diagnosis of "pathologic murmur", the echocardiography recognized cardiac lesions in two (small ventricular septal defect and rheumatic heart disease: combined mitral incompetence and stenosis, and aortic incompetence). CONCLUSION:From the data obtained, the prevalence of innocent murmur among adolescents was 29.9% on the basis of clinical diagnosis. It is suggested that careful clinical examination by physicians skilled in cardiac examination is the recommended method for the diagnosis of innocent murmur (sensitivity of 100% and specificity of 80%).
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Meira ZM,Barros MV,Capanema FD,Castilho SR,Vitarelli AM,Mota CCdoi
10.2223/jped.636keywords:
subject
Has Abstractpub_date
1996-09-01 00:00:00pages
324-8issue
5eissn
0021-7557issn
1678-4782journal_volume
72pub_type
杂志文章abstract:OBJECTIVE:To analyze the trend in mortality due to diarrhea among children under 5 in the town of Osasco (SP), Brazil, between 1980 and 2000. METHODS:This is a descriptive observational study with two different designs, the first using individuals as the unit of study, and the other ecological, using groups of individ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1856
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families. METHODS:Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritio...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1966
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To assess the applicability of salivary C-reactive protein, mean platelet volume, neutrophil-lymphocyte ratio, and platelet lymphocyte ratio in the diagnosis of neonatal sepsis. METHODS:Prospective case-control study of 70 full-term neonates, 35 with sepsis (20 with proven sepsis and 15 with clinical sepsis)...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.03.006
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To describe the main predictors for excess birth weight in Brazilian children. DATA SOURCES:Systematic review carried out in the bibliographic databases: PubMed/MEDLINE, Cochrane, Scopus, Web of Science, and LILACS. The research in the gray literature was performed using the Google Scholar database. The bias...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.04.006
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To analyze some factors related to injuries and children and adolescents' hospitalization. METHODS:This is a prospective, descriptive and observational research that took place at Marcio Cunha Hospital, Ipatinga, Minas Gerais, in the period of December 1st, 1999 to November 30th, 2000. The sample included 69...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To investigate the determinants of dyslipidemia in preschoolers. METHODS:A total of 227 preschoolers residing in an urban area of the city of Diamantina, Minas Gerais, Brazil were evaluated at age 5 years, using a cross-sectional design. Dietary intake from a food frequency questionnaire, anthropometric/bioc...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.02.020
更新日期:2013-09-01 00:00:00
abstract::Spermatic cord torsion is an urologic emergency that requires urgent evaluation and possibly emergency surgical management. In a neonate it occurs during testicular descent and is usually due to an extravaginal torsion, where the testis and sperinatic cord twist. We present a case of intravaginal testicular torsion in...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:Evaluate the prevalence of retinopathy of prematurity (ROP) in very low birthweight infants (birthweight<1500 g). METHOD:A prospective examination was conducted on 102 neonates with very low birthweight admitted to the BAM-HC (FMUSP) between 01/01/92 and 12/31/93. The mapping of the retina with scleral depre...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.564
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:To analyze the parents' perception of their infants hospitalization in a neonatal intensive care unit (NICU) and suggest a more humane and individualized care in this highly stressful environment. METHODS:We recorded and analyzed the interview of 20 young, low socioeconomic class couples having their first b...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.543
更新日期:1997-09-01 00:00:00
abstract::OBJECTIVE: This paper is a review on the topic of adolescent-onset anorexia nervosa. According to the literature, this disorder presents high morbidity and mortality, with increasing incidence over the last decades, thus enhancing the importance of scientific investigation on the subject. METHODS: The authors performe...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.170
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To present an updated review of the most common upper respiratory infections (URI) in children seen by the pediatrician in outpatient clinics, for better diagnostic and therapeutic decisions. SOURCES:References from Medline database were reviewed. The most relevant articles were selected. SUMMARY OF THE FIN...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/jped.1002
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To analyze the sociodemographic, school, and family factors associated with the patterns of binge drinking and frequent or heavy drinking among adolescents. METHODS:This was a cross-sectional study, nested in a randomized controlled trial, of 6285 seventh and eighth grade adolescent students from Brazilian p...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jped.2018.08.005
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To report the case of two siblings with chronic granulomatous disease. Chronic granulomatous disease is a primary immunodeficiency disorder characterized by abnormal microbicidal activity. Mutations in the p47-phox gene (NCF-1) are present in about 30% of the patients with chronic granulomatous disease; this ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::OBJECTIVE: Neonatal tetanus is an infection with high mortality, constituting a problem in underdeveloped countries, where there is faulty prenatal attendance. In spite of this and of the decreasing incidence of the disease in the state of Rio Grande do Sul, we report a case of neonatal tetanus identified in 1997. MET...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.80
更新日期:2000-09-01 00:00:00
abstract::Iron deficiency is the most frequent form of nutritional anemia, and infants represent one of the major risk groups. The present study was meant to evaluate the iron content of infant diets cooked in iron utensils and in aluminum utensils prepared by volunteer mothers at home. The iron content was analyzed by atomic a...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.706
更新日期:1995-03-01 00:00:00
abstract::OBJECTIVES: To characterize primitive neuroectodermal tumor of the kidney as a differential diagnosis for Wilms tumor, and to emphasize the severity of the disease. METHODS: We report the case of a patient with a diagnosis of primitive neuroectodermal tumor of the kidney who underwent nephrectomy and complete tumor re...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.111
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To measure the prevalence of children with adequate weight who feel fat and to examine the factors associated with this perception. METHODS:Cross-sectional study with 901 schoolchildren aged 8-11 years selected by cluster sampling. The children had their weight and height measured, and answered a questionnai...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1477
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To present, in an essay form, two distinct views on well-child care. METHODS:Using several different methods of historical analysis, the two most common views on well-child care are presented: the positivist one, whose foundation is essentially based upon historical facts, and that of social criticism, conce...
journal_title:Jornal de pediatria
pub_type: 历史文章,杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:to investigate the pulmonary response to exercise of non-morbidly obese adolescents, considering the gender. METHODS:a prospective cross-sectional study was conducted with 92 adolescents (47 obese and 45 eutrophic), divided in four groups according to obesity and gender. Anthropometric parameters, pulmonary ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.08.005
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To evaluate compliance in children with acute lymphoblastic leukemia. METHOD:Compliance was assessed through specific interviews. RESULTS:A total of 73 patients who had concluded the maintenance phase of chemotherapy were enrolled on the study. Eighty-one percent of the interviews were conducted with the pa...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract::The authors interviewed 76.2% of the pediatricians from the Pediatric Department-School of Medical Sciences-Campinas University-UNICAMP, to analyse the difficulties of this professional group in the evaluation of the domestic violence against children. From the group of professionals, 86.7% had already attended a situ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.798
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate what effect the ingestion of sardines, rich in omega-3 series polyunsaturated fatty acids, has on the composition of breastmilk. METHODS:This was a prospective study of 31 nursing mothers under observation at the Hospital Guilherme Alvaro. Each was given 2 kg of ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1439
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:This study reviews clinical features, evolution, comorbidity and suicidal behavior in childhood and adolescence depression. Its objective is to provide clear information on this common, severe and not very easily recognized pathology. SOURCES:Literature searches were performed through Medline (1991-2000), wi...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the motor performance of premature neonates using the Alberta Infant Motor Scale (AIMS) and to investigate the influence of birth weight on motor acquisition. METHODS:A cross-sectional study was carried out of a prospective cohort of 44 premature newborn infants with gestational ages from 32 to ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1741
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To evaluate bone mineral density and bone mineral content of skeleton and lumbar spine of pre-pubertal children and to correlate results thus found with sex, bone age, body weight, height and insulin-like growth factor 1 serum level. METHODS:26 boys and 12 girls aged between 7 and 8 years old, students from ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.555
更新日期:1997-07-01 00:00:00
abstract::OBJECTIVE: Growth curves can be used to assess intrauterine growth, to predict diseases in newborns, and to characterize different populations. The objective of this study was to obtain intrauterine growth curves of newborns from the maternity ward of the Hospital Albert Einstein (MAE) and compare them with intrauteri...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.202
更新日期:2001-05-01 00:00:00
abstract::OBJECTIVE: Morbidity and mortality of premature infants have decreased considerably over the last decades, therefore, adequate nutrition of the premature is a major concern. Enteral feeding is the route of choice, but when it is not possible the parenteral route, which contains glucose as one of its main components, i...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.463
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:Plastic bronchitis is an unusual condition in children, associated with formation of mucofibrinous casts and mucous plugging of the tracheobronchial tree. Given that this illness is part of the differential diagnosis of acute respiratory failure, early treatment is important for improved prognosis. The aim of...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1425
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:To review well-known aspects of exogenous surfactant therapy, and to discuss controversial points regarding the current state of research. SOURCES:Review of the literature, using Medline and Cochrane Database Library, in association with the authors' experience in relation to exogenous surfactant replacement...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.900
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To assess pulmonary function in children and adolescents subjected to correction of rheumatic valve disease in order to quantify changes caused by factors inherent to surgery and rheumatic heart disease. METHODS:This was a longitudinal and quantitative intervention study, undertaken at a children's hospital ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1462
更新日期:2006-03-01 00:00:00