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 individuals as units of observation and including time series analysis. Data were obtained from the state of São Paulo information system of deaths and the results of the 1980, 1991 and 2000 censuses. Seasonal variations were described and log linear polynomial regression models were employed to analyze trends, using the sociodemographic characteristics of mothers and their children. Analyses were carried out of the changes in the town's sociodemographic indicators from 1980 to 2000, the average mortality rates among under-5s due to diarrhea and the differences between districts during the 1990s. RESULTS:There were a total of 1,360 deaths, 94.3% of which were before 1 year of age and 75.3% of which were before 6 months. There was a 98.3% reduction in mortality and the period of peak mortality shifted from summer to autumn/fall. The median age at death increased from 2 months at the first three quinquenium of study to 3 months at the last. The residual deaths were among the children of mothers aged 20 to 29 years and of mothers who had spent less than 8 years in education. The relative risk between the worst-affected district and the average rate for the town reduced from 3.4 to 1.3 from the first 5 years of the 1990s to the second half of the decade. CONCLUSIONS:Our results demonstrate an increase in the age of greatest vulnerability and indicate that it is probable that the agent most often linked with mortality due to diarrhea has changed.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Melli LC,Waldman EAdoi
10.2223/JPED.1856subject
Has Abstractpub_date
2009-01-01 00:00:00pages
21-7issue
1eissn
0021-7557issn
1678-4782journal_volume
85pub_type
杂志文章abstract：OBJECTIVE:The main concepts involved in the therapeutic management of intracranial hypertension are revisited, including pathophysiology, monitoring, the traditional approach, and also the presentation of recently proposed therapies. SOURCE OF DATA:The main medical literature data bases (especially Medline and Lilacs)...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/jped.1090
更新日期：2003-11-01 00:00:00
abstract：:OBJECTIVE: To assess the prevalence of prenatal exposure to cocaine in a sample of newborns using two methods: fluorescence polarization immunoassay and interview with the mother. METHODS: This cross-sectional study was carried out in a university teaching hospital. The population included all live births between Marc...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.277
更新日期：2001-09-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to identify the causes of congenital microcephaly in Rio Grande do Sul, a state in southern Brazil, where no ZIKV outbreak was detected, from December 2015 to December 2016, which was the period when ZIKV infection was at its peak in northeast Brazil. METHODS:This was a cross-sectio...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2018.05.013
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To review the main causes of new bronchopulmonary dysplasia and the strategies utilized to decrease its incidence in extremely low birth weight infants. SOURCES OF DATA:For this review a MEDLINE search from 1966 to October 2004, the Cochrane Database, abstracts from the Society for Pediatric Research and rec...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/1304
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:To meta-analyze health-related quality of life in pediatric patients with chronic kidney disease in comparison to healthy patients according to the dimensions of the PedsQL instrument. SOURCES OF DATA:A systematic review was performed with meta-analysis for the mean difference in each of the health-related q...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2020.10.013
更新日期：2020-12-17 00:00:00
abstract：:The diagnosis of acute otitis media (AOM) is made on clinical basis. The gold-standard tests are invasive. There are few studies quantifying the diagnostic power of the signs and symptoms. A sample of 300 children were analyzed to establish the diagnostic power of isolated and combinated signs and symptoms in AOM. The...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.588
更新日期：1996-03-01 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:To provide recent guidelines to reduce the incidence of diarrheal diseases. We discuss the definition, clinical aspects, pathophysiology, diagnosis, management, and prevention of persistent diarrhea. SOURCES:Electronic search of the MEDLINE database, Google search. SUMMARY OF THE FINDINGS:Acute diarrhea may...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.2087
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:To investigate the extent to which sexual orientation-based bullying relates to self-reported feelings of loneliness and sleeping difficulty among Brazilian middle school students. METHOD:This is a cross-sectional study using data from the 2015 PeNSE (Pesquisa Nacional de Saúde do Escolar), a survey designed...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2020.03.005
更新日期：2020-04-15 00:00:00
abstract：:Epidemiologic principles and methods have been widely employed in clinical research. The purpose of this paper is to discuss basic epidemiological concepts applied to the investigation of the determinants of infant diseases. The theoretical framework outlines the hypothesis of the investigation. The design of the stud...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.742
更新日期：1995-05-01 00:00:00
abstract：:OBJECTIVES: The aims of this review are to present research data about aerosoltherapy and to discuss the optimization of this form of drug administration.METHOD: Review of the literature, covering some of the most important studies about aerosoltherapy, inhaler devices, pharmacokinetics and pharmacodynamics of inhaled...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.428
更新日期：1998-05-01 00:00:00
abstract：:BCG-test reaction was carried out in 91 non-tuberculous children between 2 and 11 years old, who had received BCG vaccination during the first six months of life to critically evaluate the usefulness of this test in Pediatric practice. The BCG-test profile of the vaccinated group was shown to have a unimodal distribut...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.678
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of zinc on the appetite for salt foods in children aged 8 months to 5 years. METHOD:Double-blind, placebo-controlled study. Two groups of 20 children refusing to eat salt foods were followed during 6 months. The children in the first group received zinc chelate 1 mg/kg daily for 3 mont...
journal_title：Jornal de pediatria
pub_type： 临床试验,杂志文章
doi：10.2223/1134
更新日期：2004-01-01 00:00:00
abstract：:OBJECTIVE: Aiming a better understanding of the distribution of enteropathogens in Brazil, we have investigated the prevalence of enteropathogens in acute infantile diarrhea in children of low economic level from São José do Rio Preto, SP.METHODS: A prospective study with 196 children under age five, all with diarrhea...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.444
更新日期：1998-07-01 00:00:00
abstract：:OBJECTIVE: To make a brief review about mechanical ventilation in Pediatrics.METHODS: Review of the classification of types of mechanical ventilation, characteristics of pression and flow waves and indications for its installation. In a sequential way we discuss the various modes of ventilation (control ventilation, a...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.476
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the association of intimate partner violence during the gestational period and the development of externalizing and internalizing behavioral problems in children and adolescents. SOURCE OF DATA:A meta-analysis of cohort and case-control studies was performed, using studies selected from electroni...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2018.01.007
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To assess the health-related quality of life (HRQoL) of children surviving to pediatric intensive care discharge. METHODS:A prospective evaluation of HRQoL at admission and 6 months later was carried out with children aged 6 years or more, admitted to three tertiary pediatric intensive care units (PICUs) fro...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2151
更新日期：2012-01-01 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: To verify the effects of malnutrition and nutritional rehabilitation regarding seizure threshold, body weight and brain weight in rats. METHODS: Pregnant Wistar rats and their pups were used. Part of the rat pups were submitted to a malnutrition protocol and the rest served as nourished controls. At P15, ma...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2002-01-01 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 observe the intensity of the inflammatory reaction caused by urine on the intestinal wall of rats. METHODS:Experimental model, using 20 Wistar rats divided into two groups. All the animals were submitted to abdominal puncture at the right inferior quadrant, twice daily for five days. In Group I (control g...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.1113
更新日期：2003-11-01 00:00:00
abstract：OBJECTIVE:A review article was carried out, addressing the clinical and epidemiological characteristics of immune system deficiencies, which are associated with or predispose to recurrent infectious processes, autoimmune diseases, auto inflammatory diseases, or neoplasms, and which are classified as inborn errors of im...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2020.10.009
更新日期：2020-11-22 00:00:00
abstract：:OBJECTIVE: This paper examines the main causes of mortality among adolescents ages 10 to 19 in the city of Rio de Janeiro with a focus on mortality prevention. METHODS: Mortality data from 1981 to 1995 were taken from the Mortality Information System of the Brazilian Ministry of Health. Age and sex specific mortality ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.325
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVES:To assess the prevalence of congenital hypothyroidism and the ability of various neonatal thyroid-stimulating hormone (TSHneo) cutoff values to detect this disease. METHODS:This cohort study was based on the retrospective collection of information available from the Reference Service for Newborn Screening d...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2016.07.006
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVES:To evaluate the impact of heptavalent pneumococcal conjugate vaccine in invasive pneumococcal diseases in the United States, and to analyze the potential impact of this vaccine in Brazil. SOURCES OF DATA:MEDLINE, LILACS, Cochrane Database Reviews, as well as the websites of the Centers for Disease Control a...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.1475
更新日期：2006-07-01 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：:In order to better understand the natural history of chronic functional constipation, a questionnaire was applied to 163 children and infants, before beginning standardized treatment. Median age (range) at start was 3 mo(0-108 mo) but age at arrival at the Pediatric Gastroenterology Unit was 53 mo(2-146 mo). In 62.4% ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.688
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVES:To perform a bibliometric analysis of theses and dissertations on prematurity in the Capes database from 1987 to 2009. METHODS:This is a descriptive study that used the bibliometric approach for the production of indicators of scientific production. Operationally, the methodology was developed in four steps...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2232
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:Meningococcal disease continues to be a serious public health concern, being associated with high morbidity and mortality rates worldwide, particularly in Brazil. In addition to discussing recent changes in the global epidemiology of meningococcal disease, we also analyze the development and impact of new con...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.1495
更新日期：2006-07-01 00:00:00
abstract：:OBJECTIVE: To review and discuss different contraceptive methods currently used by adolescents, and also discuss adolescent pregnancy, including the associated risks and the importance of prenatal care. METHODS: Review of literature and clinical experience with different contraceptive methods and with adolescent pregn...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.305
更新日期：2001-11-01 00:00:00
