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We aimed to evaluate performance, body development, metabolism, and expression of genes related to skeletal muscle hypertrophy in non-castrated male dairy kids fed with different levels of MR during the pre-weaning period. Sixty newborn male kids, not castrated, from Saanen and Swiss Alpine breeds, with an average body weight (BW) of 3.834 ± 0.612 kg, were distributed in a randomized block design. Breeds were the block factor in the model (random effect). Kids were allocated into 2 nutrition plans (n = 30 kids per treatment) categorized as follows: low nutritional plan (LNP; 1L MR/kid/day) or high nutritional plan (HNP; 2L MR/kid/day). All kids were harvested at 45 d of life. The majority of nitrogen balance variables were affected by the nutritional plan (P < 0.050). Morphometric measures and body condition score (2.99 - LNP vs. 3.28 - HNP) were affected by nutritional plan (P < 0.050), except hip height, thoracic depth and hip width. The nutritional plan affected the body components (P < 0.050), except esophagus and trachea. Animal performance and carcass traits were influenced by nutritional plan (P < 0.050), except carcass dressing (48.56% on average). Nutritional plan affected (P < 0.050) some blood profile variables as the total cholesterol (141.35 vs. 113.25 mg/dL), triglycerides (60.53 vs. 89.05 mg/dL), LDL (79.76 vs. 33.66 g/mL) and IGF-1 (17.77 vs. 38.55 ng/mL) for LNP and HNP respectively. Hypertrophy was greater in HNP than LNP animals (P < 0.050), being represented by the proportion of sarcoplasm (39.76 vs. 31.99%). LNP had a greater mTOR abundance than HNP (P = 0.045), but AMPK was not affected by the nutritional plan. Our findings show that a higher milk replacer allowance enhances animal performance, body development, metabolic parameters, and cellular hypertrophy in pre-weaned dairy kids.

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BACKGROUND: The "FIFA 11+" is an injury prevention program conceived for soccer athletes aged over 14. The use of FIFA 11+ Kids in soccer was associated with a reduction of the overall risk of injuries in children by 48%, and of 74% for serious injuries. However, to the best of our knowledge, a systematic review of the literature on the effects of FIFA 11+ Kids is still missing. Therefore, a systematic review was conducted to ascertain the benefits of the "FIFA 11+ KIDS" program in children who practice soccer. METHODS: This systematic review was conducted according to the PRISMA recommendations and prospectively registered in PROSPERO. The electronic search was conducted in the following databases: Web of Science, PubMed, Medline via Ovid, EMBASE and SportDiscuss via EBSCO. Database searches were performed in January 2024. This review included studies that evaluated the effects of the "FIFA 11+ KIDS" program. Eligible studies had to describe program implementation and the mean age of the children. RESULTS: A total of 11 articles were included in this systematic review from a pool of 8513 articles screened across various databases. These articles involved over 10,000 young participants from 8 countries, primarily aged 7-14 years, with the majority being soccer athletes. Study quality varied, with four categorized as high, four as good, and three as fair quality. Objectives varied across studies, with four focusing on FIFA 11+ Kids' efficacy in injury prevention, five examining its impact on performance and physical abilities, and two assessing its effects on children's focus and attention skills. Notably, injury prevention studies reported around a 50% reduction in overall injuries and nearly 60% in severe injuries, with a dose-response relationship observed with increased weekly sessions. Significant improvements were noted in physical and functional tests such as the Y balance, jump tests, and various soccer skills, along with positive effects on children's focus and attention, as indicated by 13-18% improvements in Attention Scale for Elementary School Children (ASESC) scores. CONCLUSION: The FIFA 11+ KIDS injury prevention program appears to be effective in reducing injuries in young football players. This can positively influence player and team overall performance and might support the long-term athlete development of these young athletes. These findings highlight the importance and necessity of injury prevention in young athletes.

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OBJECTIVE: To investigate the extent of extraskeletal manifestations along with inpatient outcomes and complications associated with osteogenesis imperfecta (OI). STUDY DESIGN: This cross-sectional study utilized the Kids' Inpatient Database as a part of the Healthcare Cost and Utilization Project to investigate inpatient hospital outcomes and management in patients with OI from 1997 through 2016. Data regarding hospital characteristics, cost of treatment, inpatient outcomes, and procedures were collected and analyzed. RESULTS: There were 7291 admissions that listed OI as a diagnosis in the Kids' Inpatient Database from 1997 through 2016. Unexpectedly, more than one-third of all admissions in these children with OI presented with an extraskeletal manifestation. The rate of major complications was 3.85%. The rate of minor complications was 19.4%, most commonly respiratory problems. The mortality rate was 18.2% in the neonatal period and 1.0% in all other admissions. Total charges of hospital stay increased over the years. CONCLUSIONS: We identified a striking prevalence of extraskeletal manifestations in OI along with inpatient outcomes and complications associated with OI, of which respiratory complications were predominant. We observed a significant financial burden for patients with OI and identified additional risks for financial crisis, in addition to disparities in care identified among socioeconomic groups. These data contribute to a more holistic understanding of OI from diagnosis to management.

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El mixoma cardiaco constituye uno de los tumores benignos más frecuentes entre los tumores cardiacos. El mismo se caracteriza por la obstrucción del flujo sanguíneo por trombosis o émbolo, resultando en causa de insuficiencia cardiaca con disfunción ventricular, síncope ortostático, isquemia de diferentes órganos de acuerdo a la arteria afectada, e incluso muerte súbita. Presentamos 2 casos en pacientes pediátricos: el primer caso, una adolescente con ACV isquémico y el segundo caso se trata de un adolescente con isquemia a nivel de miembros inferiores por una tromboembolia en la Aorta distal. En ambos casos se realizó la exéresis del tumor, con éxito.

Cardiac myxoma is one of the most frequent benign tumors among cardiac tumors. It is characterized by the obstruction of blood flow due to thrombosis or embolus, resulting in heart failure with ventricular dysfunction, orthostatic syncope, ischemia of different organs depending on the affected artery, and even sudden death. We present 2 cases in pediatric patients: the first case, an adolescent with ischemic stroke and the second case is an adolescent with ischemia in the lower limbs due to a thromboembolism in the distal aorta. In both cases, the exeresis of the tumor was performed successfully.

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Introducción: El acceso a servicios odontológicos es importante para garantizar una adecuada salud bucal. Por ello, es importante evaluar las barreras geográficas que pueden repercutir en el acceso, como la altitud. Objetivo: Determinar la asociación entre el acceso a los servicios odontológicos y la altitud de residencia de los niños menores de 12 años en Perú, 2019. Métodos: El estudio fue de tipo transversal con una muestra de 42 350 registros de niños menores de 12 años. Las variables fueron acceso a la atención odontológica, tiempo de la atención odontológica, lugar de la atención odontológica, altitud, región, área de residencia, lugar de residencia, región natural, seguro de salud, índice de riqueza, sexo y edad. Se realizó un análisis descriptivo y bivariado con la prueba de chi cuadrado. Los resultados pasaron por un análisis multivariado mediante la regresión de Poisson para obtener las razones de prevalencia y razones de prevalencia ajustadas. Se contó con un nivel de confianza de 95 por ciento y un p < 0,05. Resultados: Se encontró que la altitud estuvo vinculada con el acceso a la atención odontológica (RP = 1,15; IC95 por ciento:1,12 - 1,18; p < 0,001), también cuando se consideran las variables área de residencia, lugar de residencia, región natural, seguro de salud, índice de riqueza, sexo y edad (RPa = 1,10; IC95 por ciento: ºº1,04 - 1,16; p < 0,001). Conclusiones: En 2019, los niños peruanos menores de 12 años, que viven a más de 2500 msnm, tuvieron mayor probabilidad de recibir una atención odontológica en los últimos 2 años(AU)

Introduction: Access to dental services is important to guarantee adequate oral health. Therefore, it is important to assess the geographical barriers that may affect access, such as altitude. Objective: To determine the association between access to dental services and the altitude of residence of children under 12 years of age in Peru, 2019. Methods: The study was a cross-sectional with a sample of 42,350 records of children under 12 years of age. The variables were access to dental care, time of dental care, place of dental care, altitude, region, area of residence, place of residence, natural region, health insurance, wealth index, sex and age. A descriptive and bivariate analysis was performed with the chi square test. The results underwent multivariate analysis using Poisson regression to obtain prevalence ratios and adjusted prevalence ratios. There was a confidence level of 95 percent and p < 0.05. Results: It was found that altitude was linked to access to dental care (PR = 1.15; 95 percent CI: 1.12 - 1.18; p < 0.001), it was also found when considering the variables area of residence, place of residence, natural region, health insurance, wealth index, sex and age (RPa = 1.10; 95 percent CI: ºº1.04 - 1.16; p < 0.001). Conclusions: In 2019, Peruvian children under 12 years, living at more than 2500 masl, were more likely to receive dental care in the last 2 years(AU)

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(analítico) Este artículo tiene por objetivo investigar los efectos del apoyo familiar y del grupo de pares, junto con la satisfacción con la vida, sobre el uso problemático de los teléfonos celulares entre los adolescentes costarricenses. Basado en datos de la encuesta nacional Global Kids Online, se desarrollaron modelos de ecuaciones estructurales para predecir el uso problemático de teléfonos celulares de adolescentes (M = 14.8, n = 530). Los resultados muestran que el apoyo entre pares correlaciona positiva y directamente con el uso problemático del teléfono celular, mientras que la percepción de la satisfacción con la vida tiene una correlación opuesta, funcionando como un factor protector. El apoyo del grupo de pares y, más aún, el apoyo familiar, ejercen efectos indirectos sobre el uso problemático del teléfono móvil.

(analytical) This study aimed to research the effects of family support and peer group support, along with the life satisfaction, on the problematic use of cell phones among costa rican adolescents. Based on data from the national survey Global Kids Online, structural equation models were developed in order to predict the problematic use of cell phones of adolescents investigated in this study (M=14.8, n = 530). The main findings indicate that peer support has a positive and direct correlation with the problematic use of the cell phone, while the perception of the life satisfaction is correlated in the opposite direction, functioning as a protective factor. Peer and family support have an indirect protective effect against the problematic use of cell phones, stronger in the case of family support.

(analítico) Este estudo teve como objetivo pesquisar os efeitos do apoio familiar e do grupo de pares, juntamente com a satisfação com a vida, no uso problemático de telefones celulares entre adolescentes costarriquenhos. Com base nos dados da pesquisa nacional Global Kids Online, foram desenvolvidos modelos de equações estruturais para prever o uso problemático de celulares dos adolescentes investigados neste estudo (13 a 17 anos; n = 530). Os principais achados indicam correlação positiva e direta do apoio dos pares com o uso problemático do celular, enquanto a perceção da satisfação com a vida está correlacionada de maneira inversa, funcionando como fator de proteção. O apoio dos pares e da família tem um efeito protetor indireto contra o uso problemático de telefones celulares, mais forte no caso do apoio familiar.

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ABSTRACT Sports as a tool for social transformation helps in the development of children, improving their quality of life. This study aimed to analyze, using the KIDSCREEN-52 tool, the HRQoL (Healf Related Quality of Life) of 252 children aged between 8 and 12 years old, beneficiaries of the socio-sporting project Futsal Social, with a breakdown by sex and age. The results were tabulated in an SPSS spreadsheet, version 26.0. The Kolmogorov-Smirnov test was used to test normality, and ANOVA was used for variable association. The overall mean HRQoL score indicated a good perception of the quality of life. The lowest mean score was found in dimension 7 (financial aspects) with 63±21 points. Conclusion: In general, the investigated children presented a good perception of HRQoL.

RESUMO O esporte como ferramenta de transformação social auxilia no desenvolvimento das crianças, melhorando sua qualidade de vida. Este estudo teve como objetivo analisar, através da ferramenta KIDSCREEN-52, a QVRS (Healf Related Quality of Life) de 252 crianças com idades compreendidas entre os 8 e os 12 anos, beneficiárias do projeto sócio-desportivo Futsal Social, discriminadas por sexo e idade. Os resultados foram tabulados em planilha SPSS, versão 26.0. O teste de Kolmogorov-Smirnov foi utilizado para testar a normalidade e ANOVA para associação de variáveis. A média geral do escore de QVRS indicou uma boa percepção da qualidade de vida. A menor pontuação média foi encontrada na dimensão 7 (aspectos financeiros) com 63±21 pontos. Conclusão: De maneira geral, as crianças investigadas apresentaram boa percepção de QVRS.

RESUMEN El deporte como herramienta de transformación social ayuda en el desarrollo de los niños, mejorando su calidad de vida. Este estudio tuvo como objetivo analizar, mediante la herramienta KIDSCREEN-52, la CVRS (Calidad de Vida Relacionada con la Salud) de 252 niños con edades comprendidas entre 8 y 12 años, beneficiarios del proyecto sociodeportivo Futsal Social, con desglose por sexo y edad. Los resultados se tabularon en una hoja de cálculo SPSS, versión 26.0. Se utilizó la prueba de Kolmogorov-Smirnov para probar la normalidad y ANOVA para la asociación de variables. La puntuación media global de la CVRS indicó una buena percepción de la calidad de vida. La puntuación media más baja se encontró en la dimensión 7 (aspectos financieros) con 63±21 puntos. Conclusión: En general, los niños investigados presentaron una buena percepción de la CVRS.

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Virtual reality in Pediatric Dentistry has enormous potential, in the treatment of phobia of dental treatments, this technology is also promising, since it shows satisfactory results and in the surgical area it has a high potential for complex treatments, allowing predictable and safe results. However, future studies should have to establish technological standards with high data quality and in the development of applications approved for clinical routine. Distraction is a non-pharmacological pain management technique commonly used by Pediatric Dentists to control pain and anxiety. There are some new techniques that use audio and video stimulation and distract the patient by exposing him to three-dimensional videos. These techniques are called virtual reality audiovisual systems. The objective of this case was to evaluate the effectiveness of virtual reality glasses as a distraction aid to reduce anxiety in a 7-year-old girl who attends the pediatric dentistry office to perform a dental extraction procedure.

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O presente estudo teve como objetivo realizar uma revisão sistemática da literatura de intervenções voltadas para crianças e suas mães expostas à violência por parceiro íntimo (VPI). Foi realizada uma busca às bases de dados Scopus, PubMed, Web of Science e Bireme utilizando os termos "violência doméstica/domestic violence", "violência entre parceiros íntimos/intimate partner violence/violencia entre parejas íntimas", "crianças/children/ niños", "expostas/exposed/expuestos", "intervenção/intervention/intervención", "tratamento/treatment/tratamiento", "grupo/group". A partir dos critérios de inclusão/exclusão, os estudos foram selecionados e analisados. Nos 13 estudos analisados, verificou-se predominância de estudos pré e pós-teste com grupos paralelos de mães e crianças, com objetivos voltados aos sintomas (trauma, ansiedade, depressão, problemas de comportamento) e fortalecimento de vínculo mãe-filho. A condução de tratamento concomitante associou-se a resultados positivos na redução de sintomas e consequências negativas da exposição à VPI. Tais achados lançam uma luz importante para a área de prevenção e intervenção sugerindo que o tratamento concomitante mães-filhos favorece o desenvolvimento de relações positivas e saudáveis entre eles

The present study aimed to conduct a systematic literature review on interventions aimed at children and their mothers exposed to intimate partner violence (IPV). A search in the Scopus, PubMed, Web of Science and Bireme databases was conducted using the terms "violência doméstica/domestic violence", "violência entre parceiros íntimos/ intimate partner violence/ violência entre parejas íntimas", "crianças/ children/ niños", "expostas/ exposed/ expuestos", "intervenção/ intervention/ intervención", "tratamento/ treatment/ tratamient", "grupo/ group". Through inclusion / exclusion criteria, the studies were selected and analyzed. Thirteen studies were analyzed and it was observed a predominance in pre-post-test studies with parallel groups of mothers and children. The objectives focused on symptoms (trauma, anxiety, depression, behavior problems) and strengthening mother-child bonds. Conducting concomitant treatment was associated with positive results in reducing symptoms and negative consequences of IPV exposure. These findings shed an important light on violence prevention and intervention, suggesting that concomitant mother-child treatment favors the development of positive and healthy relationships between them.

El presente estudio tuvo como objetivo conducir una revisión sistemática de la literatura de intervenciones dirigidas a los niños y sus madres expuestos a la violencia entre parejas íntimas (VPI). Fueran realizadas búsquedas en las bases de datos Scopus, PubMed, Web of Science y Bireme utilizando los términos "violência doméstica/domestic violence", "violência entre parceiros íntimos/intimate partner violence/violencia entre parejas íntimas", "crianças/ children/niños", "expostas/exposed/expuestos", "intervenção/intervention/intervención", "tratamento/ treatment/tratamiento", "grupo/group". A partir de los criterios de inclusión/exclusión, los estudios fueron seleccionados y analizados. En los trece estudios analizados, hubo un predominio de los estudios con análisis pre-pos testes con grupos paralelos de madres y niños, con objetivos centrados en los síntomas (trauma, ansiedad, depresión, problemas de comportamiento) y en el fortalecimiento del vínculo madre-hijo. La realización de un tratamiento concomitante se asoció con resultados positivos en la reducción de los síntomas y las consecuencias negativas de la exposición a VPI. Estos resultados hallazgos arrojan una luz importante sobre el área de prevención e intervención, lo que sugiere que el tratamiento concomitante de madre e hijo favorece el desarrollo de relaciones positivas y saludables entre ellos.

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OBJECTIVE: To summarize the most relevant data from a systematic review on the impact of COVID-19 on children and adolescents, particularly analyzing its psychiatric effects. METHODS: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and included experimental studies (randomized-individually or pooled-and non-randomized controlled trials), observational studies with a group for internal comparison (cohort studies-prospective and retrospective-and case-control) and qualitative studies in the period from 2021 to 2022. RESULTS: The search identified 325 articles; we removed 125 duplicates. We selected 200 manuscripts, chosen by title and selected abstracts. We excluded 50 records after screening titles and abstracts, as they did not meet the inclusion criteria. We retrieved 150 records selected for a full reading. We excluded 90 text articles and we selected 25 records for the (n) final. Limitations: Due to the short period of data collection, from 2021 to 2022, there is a possibility of lack of relevant studies related to the mental health care of children and adolescents. In addition, there is the possibility of publication bias, such as only significant findings being published. CONCLUSION: The impact of COVID-19 on the mental health of children and adolescents is of great concern to child and youth psychiatry. Situations such as fear, anxiety, panic, depression, sleep and appetite disorders, as well as impairment in social interactions caused by psychic stress, are punctual markers of pain and psychic suffering, which have increasing impacts on the mental health panorama of children and adolescents globally, particularly in vulnerable and socially at-risk populations.

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Contextualização: Diante da pandemia COVID-19, declarada em março de 2020, a Universidade Federal de Minas Gerais se adaptou aos desafios da telessaúde para o estágio supervisionado em Terapia Ocupacional, na saúde da criança e adolescente, respaldada pela resolução no 516 do Conselho Federal de Fisioterapia e Terapia Ocupacional. Processo de Intervenção/acompanhamento: Este trabalho relata a criação do serviço remoto de Terapia Ocupacional, descrevendo seu processo organizacional, coordenado para assistir 16 famílias de crianças com transtornos do desenvolvimento. Análise crítica da prática: As metas funcionais das crianças de nove das famílias foram alcançadas totalmente e 85,7% responderam positivamente, evidenciando a eficácia do modelo remoto. No entanto, observou-se dilatação da carga horária do estágio, devido à intensificação das atividades assíncronas para elaboração de materiais personalizados, aumentando a percepção de sobrecarga da equipe. Síntese das considerações: Para manter resultados funcionais positivos, evitando a sobrecarga, faz-se necessário reavaliar a carga horária destinada às atividades assíncronas.

Contextualization: Faced with the COVID-19 pandemic declared in March 2020, the Federal University of Minas Gerais adapted to the challenges of telehealth for the supervised internship in Occupational Therapy, in child and adolescent health, supported by Resolution No. 516 of the Federal Council of Physiotherapy and Occupational Therapy. Intervention process/accompaniment: The present work reports the creation of the remote Occupational Therapy service describing its coordinated organizational process to assist 16 families of children with developmental disorders. Critical analysis of the practice: The functional goals of the children of nine of the families were fully achieved and 85.7% responded positively, evidencing the effectiveness of the remote model. However, there was an increase in the workload of the internship, due to the intensification of asynchronous activities for the development of personalized materials, increasing the perception of the team's overload. Summary of considerations: To maintain positive functional results, avoiding overload, it is necessary to reassess the workload allocated to asynchronous activities.

Contextualización: Ante la pandemia COVID-19 declarada en marzo de 2020, la Universidad Federal de Minas Gerais se adaptó a los desafíos de la telesalud para la pasantía supervisada en Terapia Ocupacional, en salud infantil y adolescente, respaldada por la Resolución No. 516 del Consejo Federal. de Fisioterapia y Terapia Ocupacional. Proceso de intervención: El presente trabajo reporta la creación del servicio de Terapia Ocupacional a distancia describiendo su proceso organizativo coordinado para asistir a 16 familias de niños con trastornos del desarrollo. Análisis crítico de la práctica: Las metas funcionales de los hijos de nueve de las familias se cumplieron en su totalidad y el 85,7% respondió positivamente, evidenciando la efectividad del modelo remoto. Sin embargo, hubo un aumento en la carga de trabajo de la pasantía, debido a la intensificación de actividades asincrónicas para el desarrollo de materiales personalizados, aumentando la percepción de sobrecarga del equipo. Resumen de consideraciones: Para mantener resultados funcionales positivos, evitando la sobrecarga, es necesario reevaluar la carga de trabajo asignada a las actividades assincrônicas.

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RESUMEN Introducción: Actualmente se ha observado que la hipovitaminosis D y la obesidad pueden influir en el desarrollo de enfermedad cardiovascular en el futuro. Objetivo: Identificar la asociación entre deficiencia de vitamina D y factores de riesgo cardiometabólicos en los pacientes pediátricos del noroeste de México. Materiales y métodos : se incluyeron niños de 6 a 15 años, se les midieron variables somatométricas, niveles séricos de colesterol total, C-HDL, C-LDL, triglicéridos, glucosa, insulina, vitamina D e índice HOMA-IR. Se identificó la asociación de factores de riesgo cardiometabólicos y la deficiencia de vitamina D, mediante la prueba de Chi cuadrado. Resultados: De los 114 pacientes evaluados, se detectó eutrofia en 42.1%, sobrepeso en 12.3%, obesidad en 41.2% y desnutrición en 4.4%. La prevalencia de deficiencia en vitamina D, insuficiencia y suficiencia fueron 18.4%, 27.2% y 54.4% respectivamente. La deficiencia de vitamina D mostró mayor predominio en pacientes con obesidad (27 %). La hipertrigliceridemia se asoció estadísticamente con deficiencia de vitamina D (p 0.041). Se observaron correlaciones inversas entre niveles de vitamina D con HOMA (r=-0.191; p=0.41), score Z IMC (r=-0.210; p=0.025) e insulina (r=-0.227; p=0.015). Conclusiones: La deficiencia de vitamina D se asocia en niños con un IMC elevado y resistencia a la insulina, lo cual puede acelerar el desarrollo de síndrome metabólico, diabetes mellitus tipo 2 y enfermedad cardiovascular.

ABSTRACT Introduction: It has currently been observed that hypovitaminosis D and obesity can influence the future development of cardiovascular disease. Objective: To identify the association between vitamin D deficiency and cardiometabolic risk factors in pediatric patients from northwestern Mexico. Materials and methods: Children aged 6 to 15 years were included, somatometric variables, serum levels of total cholesterol, HDL-C, LDL-C, triglycerides, glucose, insulin, vitamin D and HOMA-IR index were measured. The association of cardiometabolic risk factors and vitamin D deficiency was identified using the Chi square test. Results: Of the 114 patients evaluated, normal body-mass index was detected in 42.1%, 12.3% were overweight, 41.2% were obese and 4.4% were malnourished. The prevalence of vitamin D deficiency, insufficiency and sufficiency were 18.4%, 27.2% and 54.4% respectively. Vitamin D deficiency was more prevalent in obese patients (27%). Hypertriglyceridemia was statistically associated with vitamin D deficiency (p = 0.041). Inverse correlations were observed between vitamin D levels with HOMA (r = -0.191; p = 0.41), BMI Z score (r = -0.210; p = 0.025) and insulin (r = -0.227; p = 0.015). Conclusions: Vitamin D deficiency is associated with a higher BMI and insulin resistance in children, which can accelerate the development of metabolic syndrome, type 2 diabetes mellitus and cardiovascular disease.

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OBJECTIVES: To describe the epidemiology of pericardial effusion in hospitalized children and evaluate risk factors associated with the drainage of pericardial effusion and hospital mortality. STUDY DESIGN: A retrospective study of a national pediatric discharge database. RESULTS: We analyzed hospitalized pediatric patients from the neonatal age through 20 years in the Kids' Inpatient Database 2016, extracting the cases of pericardial effusion. Of the 6 266 285 discharged patients recorded, 6417 (0.1%) were diagnosed with pericardial effusion, with the highest prevalence of 2153 patients in teens (13-20 years of age). Pericardial effusion was drained in 792 (12.3%), and the adjusted risk of pericardial drainage was statistically low with rheumatologic diagnosis (OR, 0.485; 95% CI, 0.358-0.657, P < .001). The overall mortality in children with pericardial effusion was 6.8% and 10.9% of those who required pericardial effusion drainage (P < .001). The adjusted risk of mortality was statistically high with solid organ tumor (OR, 1.538; 95% CI, 1.056-2.239, P = .025) and pericardial drainage (OR, 1.430; 95% CI, 1.067-1.915, P = .017) and low in all other age groups compared with neonates, those with cardiac structural diagnosis (OR, 0.322; 95% CI, 0.212-0.489, P < .001), and those with rheumatologic diagnosis (OR, 0.531; 95% CI, 0.334-0.846, P = .008). CONCLUSION: The risk of mortality in hospitalized children with pericardial effusion was higher in younger children with solid organ tumors and those who required pericardial effusion drainage. In contrast, it was lower in older children with cardiac or rheumatologic diagnoses.

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Objetivo:Caracterizar o perfil clínico epidemiológico de crianças com estomia atendidas no ambulatório de um hospital público de ensino de referência na área infantil no Brasil. Método: Estudo descritivo, documental, retrospectivo e de natureza quantitativa, realizado por meio da extração de dados sociodemográficos e clínicos de prontuários eletrônicos de crianças com estomia, acompanhadas de 2014 a 2018. Os dados passaram por estatística descritiva e, na análise, foram organizados em uma planilha no programa Microsoft Excel versão 2010, distribuídas em três tabelas, seus valores representados em frequência absoluta e relativa. Resultados: Das 85 crianças com estomia, houve predominância do sexo masculino, idade entre 1 a 4 anos. Anomalia anorretal foi considerada o principal diagnóstico. Constatou-se elevado número de colostomias confeccionadas. Dermatite de contato foi a complicação periestomal mais frequente. Verificou-se a dificuldade na rotina de comparecimento das famílias ao ambulatório e constatou-se a mãe como cuidadora principal. Conclusão: O estudo concluiu relevantes aspectos relacionados ao planejamento do cuidado pautado na demanda de cada criança e na educação em saúde para a prevenção de complicações, ações indispensáveis na oferta do cuidado de enfermagem seguro e de qualidade, como também favorecer operacionalização das políticas públicas relacionadas à saúde da criança com estomias.

Objective:To characterize the epidemiological clinical profile of children with ostomies treated in the outpatient clinic of a reference public teaching hospital for children in Brazil. Method: Descriptive, documentary, retrospective and quantitative study, carried out by extracting sociodemographic and clinical data from electronic medical records of children with ostomies, monitored from 2014 to 2018. The data underwent descriptive statistics, and in the analysis, the data were organized in a spreadsheet in Microsoft Excel version 2010, distributed in three tables, their values represented in absolute and relative frequency. Results: Of the 85 children with ostomy, there was a predominance of males, aged between 1 and 4 years. Anorectal anomaly was considered the main diagnosis. There was a high number of colostomies made. Contact dermatitis was the most frequent peristomal complication. There were difficulties in the routine of families attending the outpatient clinic, and the mother as the main caregiver. Conclusion: The study found relevant aspects related to care planning based on the demand of each child and health education for the prevention of complications, essential actions in the provision of safe and quality nursing care, as well as favoring the operationalization of public policies related to the health of children with ostomies.

Objetivo:Caracterizar o perfil clínico epidemiológico de crianças com estomia atendidas no ambulatório de um hospital público de ensino de referência na área infantil no Brasil. Método: Estudo descritivo, documental, retrospectivo e de natureza quantitativa, realizado por meio da extração de dados sociodemográficos e clínicos de prontuários eletrônicos de crianças com estomia, acompanhadas de 2014 a 2018. Os dados passaram por estatística descritiva e, na análise, foram organizados em uma planilha no programa Microsoft Excel versão 2010, distribuídas em três tabelas, seus valores representados em frequência absoluta e relativa. Resultados: Das 85 crianças com estomia, houve predominância do sexo masculino, idade entre 1 a 4 anos. Anomalia anorretal foi considerada o principal diagnóstico. Constatou-se elevado número de colostomias confeccionadas. Dermatite de contato foi a complicação periestomal mais frequente. Verificou-se a dificuldade na rotina de comparecimento das famílias ao ambulatório e constatou-se a mãe como cuidadora principal. Conclusão: O estudo concluiu relevantes aspectos relacionados ao planejamento do cuidado pautado na demanda de cada criança e na educação em saúde para a prevenção de complicações, ações indispensáveis na oferta do cuidado de enfermagem seguro e de qualidade, como também favorecer operacionalização das políticas públicas relacionadas à saúde da criança com estomias.

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RESUMO

More than 2.3 million children under the age of five in Yemen suffer from acute malnutrition. Approximately 450,000 are expected to suffer from severe acute malnutrition and may die if they do not receive urgent treatment. In this context, without security, stability, and better access for farmers to have the means to resume growing food, children and their families continue to sink deeper and deeper into hunger and malnutrition.

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RESUMO

More than 2.3 million children under the age of five in Yemen suffer from acute malnutrition. Approximately 450,000 are expected to suffer from severe acute malnutrition and may die if they do not receive urgent treatment. In this context, without security, stability, and better access for farmers to have the means to resume growing food, children and their families continue to sink deeper and deeper into hunger and malnutrition. As a result, malnourished children are more vulnerable to illnesses, including diarrhea, respiratory infections, and malaria, which are a major concern in Yemen. This situation is a vicious and often deadly cycle.

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Anxiety is a feeling of fear, dread or restlessness and can develop into a weight-related disorder. The objective was to analyze the psychometric properties of the trait anxiety subscale of the Physical Appearance State and Trait Anxiety Scale (PASTAS), as well as the invariance in Mexican preadolescents. The sample consisted of 604 participants, 285 female and 319 male, whose ages ranged between 11 and 12 years (M = 11.37; SD = 0.48). The questionnaire's factor structure was analyzed using confirmatory factor analyses. The analyses show the viability and adequacy of a two-factor structure (weight and non-weight factors) both for the total sample and for the populations of male and female. The two-factor structure showed adequate reliability and validity fit indicators. The factor structure, the factor loadings and intercepts are considered invariant according to the variable sex; however, differences between female and male participants were found for levels of anxiety caused by physical appearance. In conclusion, the PASTAS can be considered a convenient instrument to assess the variables related to anxiety generated by one's physical appearance, as well as allowing more participants to be quickly assessed.

RESUMO

Violence against women is a profound global injustice. It is a major obstacle to fulfilling the human rights of women and their children. Confined to their aggressors, women exposed to this violence have even greater difficulty in accessing support networks and care services. Furthermore, the economic impact of the pandemic, which disproportionately affected women, created additional barriers. In reality, however, femicide is forgotten, underestimated, and poorly prosecuted throughout the world. In this context, more than 100 children witnessed a murder or were at home when it took place. This form of indirect violence is vicarious, in which children are left out, anonymous, and invisible. The trauma generated potentiates mentalization difficulties, emotional dependence, and instability in future relationships, caused by pain and psychological suffering.

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Abstract Aim: This study aimed to describe how specific training for goalkeepers of youth handball teams is planned and executed in Brazil. Methods: This cross-sectional descriptive and quantitative study was based on information from 134 coaches responsible for specific training of handball goalkeepers for youth (under 12 - U12; U14; U16; and U18) teams. The selection of participants was non-randomly for convenience, using the virtual snowball method. The information was obtained through an online self-completion questionnaire carried out by the Google Forms platform. The questionnaire data were tabulated and assessed using the SPSS statistical program, and the information was presented using descriptive statistics. Results: The results show that specific training of goalkeepers occurs in 71.1% of youth handball teams. About the structure of the specific training session, most of it is performed 1 or 2 times a week (70.9%), lasting from 25 to 60 min (73.9%) and given by the team's leading coaches (77.6%). More than half of the participants stated that the training session occurs with the goalkeepers and the person in charge (55.2%). Most participants (69.4%) stated that the teams analyze and assess the goalkeepers' performance, and the training planning takes place weekly (39.6%). Conclusion: This data provides essential information that partially fills gaps in the literature and allows researchers and coaches to reflect on their practices, considering the importance of planning specific training for goalkeepers.

RESUMO

Abstract Congenital malformations are abnormalities of structure, formation or function observable at birth that causes great economic losses in livestock industry. In this study, we describe the incidence of the main congenital anomalies encountered in the last year (June 2020-June 2021) in ruminants from Elazig region according to species, breed, age and sex, number of pregnancies, rectal examination, and method of conception employed. A total of 79 congenital anomalies encountered in 73 animals during this study were evaluated. Of 73 animals most of congenital anomalies were calves (84.93%) and males (68.49%). It was determined that the most common type of congenital anomaly in calves was hernia umbilicalis (21.51%) while in lambs and goat kids was atresia ani. Most of these anomalies were formed in the abdominal wall and organs of gastrointestinal system (46.84%). Congenital anomalies in calves and lambs were more frequently when they came from the first pregnancy of their dams, while in goat kids when their dam had the second pregnancy. Most of small ruminant that had congenital anomalies came from dams with multiple gestation. Rectal examinations performed in cattle during the early stages of gestation was probably one of a predisposing factor for the formation of congenital malformations in this specie. More studies that include the participation of diagnostic laboratories are needed to improve the characterization of congenital anomalies that contribute to the implementation of preventive and control measures in the herds of these species in our region.

Resumen Las malformaciones congénitas son anomalías de estructura, formación o función observables al nacer que provocan grandes pérdidas económicas en la industria ganadera.. En este estudio, se investigó la incidencia de las principales anomalías congénitas encontradas en el último año (junio de 2020-junio de 2021) en rumiantes en la región de Elazig. según especie, raza, edad, sexo, número de preñeces, examen rectal y método de concepción empleado . Se evaluaron un total de 79 anomalías congénitas encontradas en 73 animales . De 73 animales con anomalías congénitas, la mayoría eran terneros (84, 93%) y machos (68,49%). Se determinó que el tipo de anomalía más común en los terneros fue la hernia umbilical (21,51%) mientras que en corderos y cabritos fue la atresia anal. La mayoría de estas anomalías se formaban principalmente en los órganos de la pared abdominal y órganos del sistema gastrointestinal (46,84%). . Las anomalías congénitas en terneros y corderos eran más frecuentes cuando provenían de las madres de primera preñez , mientras que en los cabritos cuando las madres tenían su segunda preñez La mayoría de los rumiantes menores con anormalidades congénitas provenían de madres con gestaciones múltiples. El examen rectal realizado en las vacas durante los primeros estadios de la gestación, fue probablemente uno de los factores predisponentes para la formación de malformaciones congénitas en esta especie. Se requieren más estudios que incluyan la participación de laboratorios de diagnóstico para mejorar la caracterización de las anormalidades congénitas y contribuir a la implementación de medidas de prevención y control en los rodeos de estas especies en nuestra región.