Jornal de Pediatria

Respiratory mechanic instability in evaluating the effectiveness of adenotonsillectomy for pediatric obstructive sleep apnea
Choi JH, Lee Y, Shin S, Ha TK and Lee SA
Respiratory mechanic instability (RMI) is characterized by irregular chest and abdominal movements due to upper airway collapse or obstruction, frequently observed during obstructive apnea or hypopnea events. This study aims to explore the potential of RMI as a determinant of adenotonsillectomy's success in treating pediatric obstructive sleep apnea (OSA).
How to identify depression and anxiety in children and adolescents
Linan CA, Rocha GM and Lucion MK
To review the epidemiology, diagnostic criteria, and therapeutic options for the most prevalent anxiety and depressive disorders in childhood and adolescence.
Development of a machine learning-based predictive model for long-term adverse outcomes in neonatal bacterial meningitis
Chen Y, Wang S, Wu J, Wang C, Li Y, Zou P, Xiao R, Zhang N, He H and Wang Y
To explore the application of machine learning methods for screening risk factors for long-term adverse prognosis in neonatal bacterial meningitis, determine the final prediction model, and evaluate its predictive value.
Epidemiological and clinical characteristics associated with enterovirus D68 respiratory diseases in Asian children: a systematic review and meta-analysis
Lu X, Li B, Li S, Wang L, Guo G, Zhang Y, Duan J and Zhu C
This study aimed to determine the epidemiology and clinical characteristics of EV-D68-associated respiratory diseases among Asian children.
The role of continuous renal replacement therapy in critically ill children with cancer and multiple organ dysfunction syndrome
Veiga FPLF, Araujo OR, Araujo AS, Bicalho MS, Andrade MC and Silva DCB
To describe the demographic and clinical characteristics of pediatric cancer patients receiving continuous renal replacement therapy (CRRT) and to analyze its effect on biochemical markers.
Association of blood transfusion-related DEHP exposure with gut microbiota alterations in preterm infants
Yang YN, Yang YSH, Yang SN, Chen YY, Lin HY and Suen JL
Avoiding early-life exposure to environmental endocrine disruptors (EDCs) is critical for neonatal growth and long-term health. However, exposure to Di-(2-ethylhexyl) phthalate (DEHP), a typical EDC and plasticizer, is unavoidable in neonatal intensive care units due to contact with polyvinyl chloride medical devices.
Warning signs for identifying neurodevelopmental disorders: a systematic literature review
Araújo LA
To synthesize the most consistent warning signs ("red flags") for NDDs: autism spectrum disorder, cerebral palsy, intellectual disability, language development disorder, coordination developmental disorder, attention deficit hyperactivity disorder, and global developmental delay.
Serological biomarker models composed of luteinizing hormone, kisspeptin, vitamin D and estradiol, and their clinical test value in girls
Shao M, Jia Z, Liu T and Zhang X
Central precocious puberty (CPP) may lead to premature pubertal onset. While the GnRH stimulation test remains the gold standard, its invasive nature and prolonged procedure limit clinical utility, particularly in pediatric populations. Emerging biomarkers, including luteinizing hormone, estradiol, kisspeptin, and vitamin D, have shown promise in distinguishing CPP from normal puberty. This study systematically evaluated the diagnostic utility of these biomarkers both individually and in novel combinatorial models, with the aim of establishing a non-invasive and more accessible diagnostic alternative for CPP.
Clinical characteristics and gaps in palliative care among tracheostomized children: a retrospective observational study
Luna LLSS, Dos Santos Levy SS, Lima LS and Duarte MDCMB
To describe the clinical characteristics of tracheostomized children in Northeastern Brazil and to identify existing gaps in the indication and implementation of palliative care.
Unraveling the relationship between childhood dry eye symptoms and sleep patterns
He Q, Sun Z, Li R, Wang Y, Li H, Song D, Du B, Liu L and Wei R
Given the increasing incidence of dry eye in children and the established role of sleep as a key health determinant, this study aimed to examine the prevalence of dry eye in children and its association with sleep, adjusting for confounders.
The role of neuropsychological assessment in the investigation of neurodevelopmental disorders
da Costa DI, de Souza RV and Fiamoncini TC
The present study aims to present and discuss the role of neuropsychological assessment (NA) in the investigation of neurodevelopmental disorders (NDDs), with an emphasis on early diagnosis, on the steps that make up the evaluation process, and on the resources that complement clinical evaluation. Furthermore, the discussion is expanded to specific conditions, such as Attention Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), and Specific Learning Disorders (SLD), considering that they represent frequent assessment demands.
Transition to adolescence in neurodevelopmental disorders: challenges and clinical perspectives
Silva EJCD and Eisenstein E
This review article describes the main clinical, emotional, educational, and social aspects involved in the transition to adolescence for individuals with these conditions. It also addresses implications for healthcare, the continuity of educational support, and the importance of individualized transition strategies, highlighting the need for a multidisciplinary approach centered on the individual and on continuity of care.
Dietary and nutritional interventions in the treatment of childhood neuropsychiatric disorders: evidence and myths
Kostenko RTD, Almeida NFA and Meneses JFSE
To analyze the current scientific literature on the main dietary and nutritional interventions proposed for children and adolescents with neuropsychiatric disorders and describe their efficacy and safety, differentiating evidence-based practices from common myths.
From the Sound of Silence to Ultrasound of Life?
Kunz S, Schlapbach LJ and Campos FJ
Jornal de Pediatria at a turning point: four years of growth and the road ahead in the age of AI
Procianoy RS
Cardiac manifestations in children and adolescents diagnosed with pediatric multisystem inflammatory syndrome related to COVID-19
Panizzi TT, de Souza KA, Stutz GB, Lemos FMCF, Rodrigues MCF, de Almeida RG, da Rocha LA, Sztajnbok FR, Fonseca AR and Bravo-Valenzuela NJM
To describe clinical and cardiologic findings in patients with multisystem inflammatory syndrome in children (MIS-C) in a follow-up of up to 3 years.
Translation and cross-cultural adaptation of the Dubowitz Neurological Examination for premature infants in a high-risk outpatient clinic in Brazil
Massarollo ACD, Wendt GW, Ferreto LED, Vieira AP, Arruda G, Nobre JRDS, Massarollo MD, Mazzo DM, Segala EEP, Pascotto CR and Follador FAC
This study aimed to translate and cross-culturally adapt the Dubowitz Neurological Examination (DNE) instrument into Brazilian Portuguese for the neurological assessment of preterm newborns (PTNBs), as well as to evaluate its psychometric properties.
Beyond overdiagnosis: reframing autism prevalence through a neurodivergent phenotype lens
Hauck S and de Oliveira LT
Reply to the letter 'Beyond overdiagnosis: reframing autism prevalence'
Castro K, Riesgo R and Gadia C
Peripheral immune indicators and their predictive value in disease progression or relapse of pediatric Langerhans cell histiocytosis
Li HL, Lian HY, Gong WY, Tian S, Li WJ, Zhang Q, Wang CJ, Ma HH, Wang D, Zhao YZ, Zhao ZJ, Dong JJ, Li ZG, Zhang R and Cui L
Langerhans cell histiocytosis (LCH) is a rare inflammatory myeloid neoplasm in which the inflammatory microenvironment plays a crucial role in the development and progression of disease. The prognostic value of circulating lymphocyte subsets and cytokines remains uncertain.
Palliative extubation in pediatrics: a scoping review
Affonseca CA, de Carvalho LFA and Anchieta LM
To evaluate evidence in the literature on palliative extubation in pediatrics in the context of palliative care, in any healthcare setting, to synthesize knowledge, identify gaps, and highlight future research opportunities.