Consenso em reumatologia pediátrica: parte II - definição de melhora clínica para o lúpus eritematoso sistêmico e dermatomiosite juvenil

OBJETIVO: avaliar as medidas de atividade e critérios de melhora clínica para o lúpus eritematoso sistêmico juvenil (LESJ) e dermatomiosite juvenil (DMJ), desenvolvidos por meio de consenso entre especialistas. MÉTODOS E RESULTADOS: para o LESJ, as medidas essenciais em cinco domínios e as respectivas variáveis foram: 1) avaliação global pelo médico por escala analógica visual de 0-10 cm; 2) avaliação da qualidade de vida relacionada à saúde (índice Físico - CHQ-PF50); 3) avaliação da atividade pelos pais/paciente por escala analógica visual de 0-10 cm; 4) avaliação renal (proteinúria 24 h); e 5) avaliação global da atividade por instrumento específico (SLEDAI ou ECLAM). A definição preliminar de melhora clínica para o JSLE foi: melhora > 50% em pelo menos 2 das 5 variáveis e não mais que uma com piora > 30%, a qual não pode ser a proteinúria de 24h em casos com envolvimento renal. Os seis domínios e as respectivas variáveis selecionadas para a atividade na DMJ foram: 1) avaliação global pelo médico por escala analógica visual de 0-10 cm; 2) avaliação da força muscular proximal por meio de teste específico - CMAS-Childhood Myositis Assessment Scale 0-52; 3) avaliação da capacidade funcional (CHAQ); 4) avaliação da atividade pelos pais/paciente por escala analógica visual de 0-10 cm; 5) avaliação da qualidade de vida relacionada à saúde (Índice Físico - CHQ-PF50); 6) avaliação global da atividade por meio de instrumento específico (DAS - Disease Activity Score). A definição preliminar de melhora clínica para a DMJ foi: pelo menos 3 de quaisquer das 6 variáveis com melhora > 20% e não mais que uma com piora > 30%, a qual não pode ser o CMAS. CONCLUSÕES: estas variáveis foram testadas em uma casuística representativa e mostraram propriedades estatísticas adequadas de responsividade e validade discriminativa, podendo ser estudadas em ensaios terapêuticos.

Celulite juvenil canina – relato de casos

Juvenile cellulitis or juvenile sterile granulomatous lymphadenitis is a rare disorder that affects puppies between three weeks to six months years old. Clinical signs include alopecia, edema, papules, pustules and crusts especially on eyelids. Definitive diagnosis requires cytological and histological evaluation and early and aggressive therapy is recommended, once scars after recovery can be severe. The choice treatment is the high dose of corticosteroids use such as prednisone. Three animals of canine species were attended at the Veterinary Hospital Clinical Small Animal Service presenting different clinical signs. Hemogram, skin lesions and submandibular lymph nodes cytological examination was collected and analyzed. The treatment was instituted, using cephalexin (22mg/kg, twice daily) up to control of secondary bacterial infection, and prednisone (2mg/kg, once a day) until clinical resolution. Complete cure was obtained at the end of treatment. The aim of this work is to report three clinical cases of juvenile cellulitis in dogs.

Propriedades de contração na madeira juvenil e adulta de Pinus taeda L.

This paper had the objective of studying variability of radial, tangential, longitudinal and volumetric shrinkage between the juvenile and mature wood, from a 35 year-old Pinus taeda L., from Horto Florestal of Manduri at São Paulo State, Brazil. First of all the experimental program determinations were related to the juvenile wood, region of the transition and region of the mature wood, using anatomical analysis (length of the axial tracheids), according to ABNT and IAWA codes. Results had shown that the area of juvenile wood of this species occurs approximately until the 20th growth ring, being more representative until the 12th ring. The transition area of this wood occurs between the 12th and 20th growth ring. In the second part of the work the shrinkage of the juvenile and mature wood were evaluated. Values of the radial, tangential and volumetric shrinkage were smaller and more variable on the juvenile wood. The longitudinal shrinkage did not present significant differences between the two wood types; medium values were slightly inferior and very variable on juvenile wood related to mature wood.

Mensuração do comprimento das fibras para a determinação da madeira juvenil em Eucalyptus citriodora

The juvenile wood has peculiar characteristics from the anatomical structure and physical-mechanical properties, considering these aspects the knowledge of the wood is essential for wood adequate utilization. The aim of this work was to determinate the zone of juvenile wood of pith-bark direction in Eucalyptus citriodora. The juvenile and mature wood zones were determined across fiber length measurement in various height in the tree stem. Results showed that juvenile wood zone occurs approximately up to the 45 at 55 mm from the pith.

Violência na infância: Londrina (1930-1970)

Based on criminal processes regarding child sexual abuse from the early 1940s to the late 1970s, this article intents to analyze both the conception of innocence and childhood held at that time, and the influence of such on the local judiciary.

Protagonismo juvenil en proyectos locales: lecciones del Cono Sur

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Participación juvenil y ciudadanía

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Programa de empleo juvenil: Encuentro de Mejores Prácticas con Jóvenes del Cono Sur

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Mercado de trabajo juvenil: situación y políticas

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Magnitud y heterogeneidad: políticas de fomento del empleo juvenil y las micro y pequeñas empresas

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Violência denunciada: ocorrências de maus tratos contra crianças e adolescentes registradas em uma unidade policial.

This study aimed to investigate the profile of the occurrence of abuse against children and adolescents. We analyzed the data recorded in police reports from the Department of Women's Defense, Araçatuba-SP, in 2008, relating to assault, victim-offender relationship, sociodemographic characteristics of offenders and victims, and victims' demand for health services. Among the accusations, there was a higher prevalence of physical abuse, being the residence the place of higher incidence of aggression. In most cases, the aggressor was the mother of the child, being the subject of aggression not reported, in most cases. Thus, we can define the profile of violent incidents against children, contributing to the visualization, knowledge and to deal with the problem.

Hacia la construcción de lecciones del posconflicto en América Latina y el Caribe: una mirada a la violencia juvenil en Centroamérica

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Violencia escolar y juvenil: un intento por comprender sus motivaciones

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Metodologias de pesquisa para o estudo geográfico da sociabilidade juvenil

This study aims to present the methodologies of research used to carry out the dissertation requirements related to the different times and spaces linked to the youth sociability. The methodologies are about qualitative features not at all unknown to the geography studies despite the little account taken on them. The methodologies are: eyewitness accounts, Oral History, interviews and groups of debate. With this purpose, this work intends to bring some contribution to geographers and beginners that have been looking for methodological references to their researches it also tries to facilitate the discussion on the methodological dimension in the geographical studies.

America Central: estimaciones de la mortalidad infantil y juvenil. Aplicacion de la tecnica de Brass y las variantes de Sullivan y Trussell, 1970

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