Abstract：
OBJECTIVE:To identify the relationship between admission hyperglycemia and outcome in children with severe brain injury at hospital discharge and 6 months later. METHOD:A retrospective analysis of blood glucose levels was conducted in 61 children with severe brain injury admitted to the Pediatric Intensive Care Unit between November 1, 2005 and October 30, 2009. Hyperglycemia was considered for a cut off value of > 150 mg/dL, based on literature. Outcome was measured with the Glasgow Outcome Scale at hospital discharge and 6 months after discharge. Death was also analyzed as an outcome measure. RESULTS:Mean admission blood glucose of the patients was 251 mg/dL (68-791). Hyperglycemia was noted on admission in 51 (83.6%) patients. A moderately significant positive correlation was found between admission blood glucose and severity of head trauma according to Abbreviated Injury Score (r = 0.46). Mean admission glucose level of non-survivors was significantly higher (207 mg/dL vs. 455 mg/dL, p < 0.001). Mean blood glucose level of the patients in bad outcome group was found significantly higher compared to that of the patients in good outcome group at hospital discharge and 6 months after discharge (185 mg/dL vs. 262 mg/dL, p < 0.15 and 184 mg/dL vs. 346 mg/dL, p < 0.04, respectively). CONCLUSIONS:Hyperglycemia could be considered as a marker of brain injury and, when present upon admission, could reflect extensive brain damage, frequently associated with mortality and bad outcome. Further studies are needed to investigate the effect of strict glycemic control on mortality and outcomes.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Aşılıoğlu N,Turna F,Paksu MSdoi
10.2223/JPED.2097subject
Has Abstractpub_date
2011-07-01 00:00:00pages
325-8issue
4eissn
0021-7557issn
1678-4782journal_volume
87pub_type
杂志文章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：: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：:Immediate skin test reactions are the hallmark of atopic diseases. EMLA (eutectic mixture of local anesthetics) is a local anesthetic that reduces the pain and apprehension for skin testing. We studied EMLA effects on the skin prick test with allergen and histamine. Reactions were evaluated by means of wheal and flare...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.613
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:Since the present group had already described the composition of the intestinal microbiota of Brazilian infants under low social economic level, the aim of the present study was to analyze the microbial community structure changes in this group of infants during their early life due to external factors. METH...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2017.05.013
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To assess the evolution of nutritional status in children admitted to the Teaching Hospital of Universidade Federal de Alagoas. METHODS:A retrospective study was performed on 52 children (0-10 yrs) whose length of hospital stay exceeded 10 days (from February to July/2001). We compared their nutritional stat...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.905
更新日期：2002-11-01 00:00:00
abstract：:OBJECTIVE: Describe the morbidity associated with a rare disease due to an embryological defect. METHODS: Retrospective revision of medical and necropsy reports. Bibliographic research using MEDLINE, LILACS and Index Medicus databases. RESULTS: 1 year-old male patient, admitted with generalized tonic-clonic seizures, ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.320
更新日期：1999-07-01 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 calcium intake in adolescents according to sociodemographic variables, health-related behaviors, morbidities, and body mass index. METHODS:This was a cross-sectional population-based study, with a two-stage cluster sampling that used data from a survey conducted in Campinas, São Paulo, Brazil, bet...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2015.09.004
更新日期：2016-05-01 00:00:00
abstract：:The objective of this study is evaluate the pulmonary function in full term newborn infants, comparing classic with non-invasive techniques. We describe the pulmonary function laboratory and software developed at Instituto Fernandes Figueira. We studied 10 healthy full-term newborn infants (birthweight 3.260 g + - 460...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.772
更新日期：1994-05-01 00:00:00
abstract：OBJECTIVE:To analyze the influence of obesity status on immune cell count and concentration of the hormones cortisol and leptin, in order to establish a relationship among the variables analyzed. METHODS:We recruited 27 obese [body mass index (BMI) > or = 95th percentile] and 21 non-obese (BMI < or = 75th percentile) ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.1845
更新日期：2008-11-01 00:00:00
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: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：OBJECTIVE:To characterize the deaths of 193 children with sickle cell disease screened by a neonatal program from 1998 to 2012 and contrast the initial years with the final years. METHODS:Deaths were identified by active surveillance of children absent to scheduled appointments in Blood Bank Clinical Centers (Hemomina...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2014.08.006
更新日期：2015-05-01 00:00:00
abstract：:OBJECTIVE: The association between cryptosporidiosis and persistent diarrhea has been studied in many countries. The aim of this study was to verify the incidence of this parasite in children with persistent diarrhea. Children infected or not with protozoan cryptosporidium were compared in relation to laboratory and c...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.425
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE:The modified shuttle test is a field test that avoids the ceiling effect, and there are no reports of a multidimensional assessment concerning physical activity in asthmatic patients. Thus, the aim was to evaluate functional capacity by MST, additionally to perform a multidimensional assessment as physical ac...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2018.07.011
更新日期：2020-01-01 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：:OBJECTIVE: The aim of this article is to review and update the knowledge about sleep disorders in childhood. SOURCES: Normal sleep ontogenesis and therapeutics for the most prevalent sleep disorders were reviewed. The text was based on classical articles and books and on Medline (publications from 2000 and 2001) using...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.852
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to perform a review to investigate the influence of breastfeeding as a protective agent against the onset of diabetes in children. SOURCES:non-systematic review of SciELO, LILACS, MEDLINE, Scopus, and VHL databases, and selection of the 52 most relevant studies. A total of 21 articl...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2013.02.024
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To observe the behavior of the plotted vectors on the RXc (R - resistance - and Xc - reactance corrected for body height/length) graph through bioelectrical impedance analysis (BIVA) and phase angle (PA) values in stable premature infants, considering the hypothesis that preterm infants present vector behavio...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2016.04.005
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the alterations of heart rate, blood pressure, psychological aspects and oxygen saturation after continuous fenoterol inhalation (0.5 mg/Kg) by children with severe acute asthma. METHODS:We studied 30 patients with severe acute asthma who were treated at the pediatric ward of Hospital Universitár...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2002-09-01 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: Review the theoretical bases on the maintenance of the acid-basic balance, the pathophysiology of the disturbances and its therapeutics in the child.METHODS: References were obtained from computerized searches on the National Library of Medicine (Medline), recent review articles and personal files.RESULTS: ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.393
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of celiac disease in patients with myocarditis and dilated cardiomyopathy. METHODS:Fifty-six patients between 1 and 18 years old with dilated cardiomyopathy or myocarditis were evaluated and followed up at Instituto de Medicina Integral Professor Fernando Figueira. Patients with p...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2219
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVES:To show important aspects of gastroduodenal peptic ulcer and of Helicobacter pylori infection in children and adolescents. SOURCES:Technical textbooks and MEDLINE and LILACS databases including publications between 1966 and 2006. SUMMARY OF THE FINDINGS:The etiology of peptic ulcer in children and adolesce...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.1529
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:Review the literature on excessive crying in young infants, also known as infantile colic, and its effects on family dynamics, its pathophysiology, and new treatment interventions. DATA SOURCE:The literature review was carried out in the Medline, PsycINFO, LILACS, SciELO, and Cochrane Library databases, usin...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2016.01.004
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVES:To rescue medical genetics concepts that are necessary to understand the advances in the genetic-molecular characterization of primary immunodeficiencies, to help in the understanding and adequate interpretation of their results. SOURCE OF DATA:Non-systematic literature review, searching for articles since ...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2020.09.007
更新日期：2020-10-26 00:00:00
abstract：:This is a qualitative study, preliminary considered, whose objective is listening to children's parents who have carried out the cancer treatment trying insights about the meanings which relate to lived experiences by and with their children. From the question: "How is your kid, since he became free from the disease a...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:to evaluate changes in the biochemical profile of children treated or being treated for moderate or severe stunting in a nutrition recovery and education center. METHODS:this was a retrospective longitudinal study of 263 children treated at this center between August of 2008 to August of 2011, aged 1 to 6 ye...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2013.12.007
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To investigate the association between postpartum depression and the occurrence of exclusive breastfeeding. METHOD:This is a cross-sectional study conducted in the states of the Northeast region, during the vaccination campaign in 2010. The sample consisted of 2583 mother-child pairs, with children aged from...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2016.08.005
更新日期：2017-01-01 00:00:00
abstract：:OBJECTIVES: Air pollution has been a significant worldwide problem with repercussions in the respiratory tract, along the years. The main objectives of this review are to present results from studies on the harmful effects of allergens as well as of pollutants over the respiratory tract.METHOD: Published studies were ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.481
更新日期：1998-07-01 00:00:00
