RESUMO
No Abstract available.
Assuntos
Luxação Congênita de Quadril , Humanos , Legislação como AssuntoRESUMO
The developmental dysplasia of the hip (DDH), where the spectrum of deformity varies from a slight mismatch in the articular surfaces between the ilium and femur, which will bring a premature wear of the joint, until the situation more serious when the femoral head is out of the acetabulum, causing a host of disorders side as curvature of the spine, significant shortening of the limb deformities in the knee and the contralateral hip, as well as causing pain and loss of joint mobility mentioned. All this makes the spectrum of abnormalities in a person being disabled with a social and economic burden for the family and society. "Preventing" a clinical entity such as developmental dysplasia of the hip does not mean to anticipate the presentation, because children continue to be born with this problem, but to have a program for early detection and early treatment and thus prevent the occurrence. The goal of this study was to provide the medical community that timely tool for prevention. When diagnosed and treated in a timely and favorable prognosis qualified for motor function and quality of life.
Assuntos
Luxação Congênita de Quadril/diagnóstico , Consenso , Diagnóstico Precoce , Feminino , Luxação Congênita de Quadril/diagnóstico por imagem , Luxação Congênita de Quadril/epidemiologia , Humanos , Lactente , Recém-Nascido , Masculino , Prevalência , Radiografia , Reprodutibilidade dos TestesRESUMO
OBJECTIVES: The purpose of this study is to show that a simplified stretching exercise regimen for the pelvic limbs, together with analgesics and physical therapy, may improve growing pains during an 8-week period. The Evans and Scutter diagnostic criteria modified by Peterson were used. MATERIAL AND METHODS: Prospective, longitudinal study of the clinical trial type, conducted from November 2002 to December 2008. The following tests were requested from patients: CBC, rheumatoid factor, antistreptolysins and a pharyngeal smear. A simplified regimen consisting of three stretching exercises for the adductors, the knee extensors and the hamstrings, plus analgesics and physical therapy was used. Both parents and patients were instructed on the regimen. The treatment was performed by parents at home. ANALYSIS: The sampling was non-randomized; patients were selected based on the diagnosis. The statistical analysis included the central tendency measurements and scatter plots, the Z-test for comparison of means, and the linear correlation. RESULTS: The correlation between treatment and pain relief resulted in an r = 0.97, the correlation between pain and the study variables resulted in the following: sports practice r = 0.82, obesity r = 0.86. The Z-test corroborates the improvement in the clinical picture with the treatment provided, with p = 0.0001. CONCLUSION: The simplified treatment regimen was effective to improve growing pains in the patients in the study. The high risk factors were: age, male gender and practicing sports.
Assuntos
Terapia por Exercício , Manejo da Dor/métodos , Criança , Pré-Escolar , Ensaios Clínicos como Assunto , Feminino , Crescimento , Humanos , Masculino , Estudos ProspectivosRESUMO
La enfermedad ulcerosa en ninos se presenta en forma aguda principalmente en estomago, consecutiva a stress o gastritis medicamentosa, se considera para la ulcera duodenal. De julio de 1978 a julio de 1982 se realizaron 110 esofagogastroduodenoscopias en ninos, por sospecha de lesion peptica duodenal en 17 de ellos y solo en 12 se confirmo lesion peptica ulcerosa en duodeno. De los 12 ninos estudiados encontramos 10 del sexo masculino; la edad predominante fue 12 anos; el cuadro clinico consistio en sindrome ulceroso en 4 pacientes, la mayoria de las veces el primer sintoma fue hemorragia de vias digestivas o dolor en epigastrio. El estudio radiologico se efectuo en 10 de los pacientes, ya que en los otros dos se hizo primero estudio endoscopico por hemorragia activa, en esos 10 estudios la lesion ulcerosa se observo en 3, fue dudosa en 4 y no se visualizo en 3. Los resultados del estudio endoscopico demostraron en 11 pacientes el esofago normal, en 1 se observo hernia hiatal; en duodeno el sitio mas frecuente de la lesion peptica fue la cara anterior del bulbo duodenal en 9 ninos, en dos sobre la cara posterior y en el restante ademas de la ulcera en cara posterior se observo duodenitis
Assuntos
Criança , Adolescente , Humanos , Masculino , Feminino , Úlcera Duodenal , Esofagoscopia , Úlcera Péptica HemorrágicaRESUMO
La presencia de epitelio columnar ulcerado con hernia hiatal y reflujo, ha sido ampliamente documentado en el adulto, son pocos los informes sobre esta entidad en el nino. En el departamento clinico de endoscopias de 1975 a julio de 1982, se estudiaron 106 ninos con hernia hiatal de los cuales 16 se comprobo el sindrome de Barrett. Quince fueron hombres y una mujer el grupo de edad correspondio a aquellos comprendidos entre 2 y 6 anos con 10 sujetos, los sintomas mas frecuentes fueron: disfagia y vomito, todos se trataron con dilataciones esofagicas y funduplicacion.Se considera importante llevar un protocolo de pacientes que presentan hernia hiatal en la infancia y practicarles endoscopia con toma de biopsia para poder hacer el diagnostico de esofago de Barrett