Endoscopic findings in children with stridor.

SummaryCongenital and acquired airway diseases are responsible for upper respiratory distress and stridor in children. In neonatal intensive care units, we have seen increased survival in premature babies, but also a high incidence of airway complications related to intubation, which present as stridor.AimTo review endoscopic findings in children with stridor.Study designa cross-sectional cohort study.MethodsA retrospective analysis was done of 55 cases of children with stridor who underwent endoscopic exams, between January 1997 and December 2003.Results69% were aged below one year. The main indications for endoscopy were post-extubation stridor (63.63%) and evaluation of neonatal stridor (21.82%). Many associated diseases were seen, including lung diseases (60%), neurological condition (45.4%), and GERD (40%). The main endoscopic findings and indications for tracheotomy were subglottic stenosis (27.27%) and airway inflammatory process (21.82%) occurring in children under five years old. Congenital disorders were more frequent in children under age one year.ConclusionNeonatal stridor has many causes; those related to tracheal intubation are more frequent in hospitals that treat more complex diseases. Pediatricians and otorhinolaryngologists should know the main causes of stridor and perform detailed clinical evaluations to determine case severity. The endoscopic examination, must be meticulous

Desempenho de novilhos em crescimento em pastagem de Brachiaria decumbens suplementados com diferentes fontes energéticas no período da seca e transição seca-águas Development of growing steers on Brachiaria decumbens supplemented with different energy sources during the dry season and transition from dry to wet season

Objetivou-se, neste trabalho, estudar o efeito da suplementação, com diferentes fontes energéticas, sobre o desempenho de novilhos em crescimento e a viabilidade econômica da suplementação, bem como avaliar a disponibilidade e composição química da braquiária (Brachiaria decumbens Stapf), no período de julho a novembro, na região Oeste do Estado de São Paulo. Foram utilizados 42 novilhos da raça Nelore, distribuídos em três piquetes de 7,2 ha cada. As fontes energéticas utilizadas como suplementos foram: milho desintegrado com palha e sabugo (MDPS), farinha de mandioca de varredura (FMV) e casca do grão de soja (CGS). Todos os tratamentos continham farelo de algodão, para atingir 25% de PB, e foram fornecidos em nível de 1,3% do PV. As pesagens dos animais foram realizadas a cada 14 dias e a disponibilidade de forragem foi estimada a cada 28 dias. A disponibilidade média de forragem foi de 2.570 kg de MS/ha e 1.306 kg de lâmina foliar/ha. A proporção de lâmina foliar apresentou comportamento quadrático em função do período experimental, com valor mínimo de 46,58%, observado em agosto. Os teores médios de proteína bruta foram de: 4,45% para planta inteira; 5,30% para lâmina foliar e 2,83% para o colmo + bainha. Os teores médios de FDN e FDA foram, respectivamente, de 70,61% e 39,93% para a planta inteira; 65,76% e 34,91% para a lâmina foliar e 75,83% e 47,90% para o colmo + bainha. Entre os suplementos não houve diferença para ganho médio diário, apresentando média de 0,836 kg/animal/dia. O suplemento mais viável economicamente foi o que continha a farinha de mandioca de varredura, pois, além de apresentar menor custo, foi o que proporcionou maior ganho animal, mostrando melhor relação receita: custo.<br>The aim of this work was evaluate the effect of supplementation with different energetic sources, on growing steers performance and economical viability, and also evaluate the structure and chemical composition of Signalgrass (Brachiaria decumbens) from July to November, on São Paulo state west region. Forty-two animals (Nelore) and three pastures of 7.2 ha each, were used. The energy sources used for supplements were: corn and cob with husks (CCH), cassava meal (CM) and soybean hulls (SH); each treatment had cottonseed meal to reach 25% of CP, and was given at 1.30% of BW. The animal weight was verified at each 14 days and forage characteristics were evaluated at each 28 days. The average availability of forage was 2570 kg DM/ha and 1306 kg leaves/ha. Leaves proportion showed a quadratic behavior in function of experimental period, with minimum value of 46.58 % observed in August. The average levels of CP were 4.45% for all plant, 5.30% for leaf e 2.83% for steam. The average levels of NDF and ADF were, respectively 70.61% and 39.93% for all plant, 65.76% and 34.91% for leaf, and 75.83% and 47.90% for steam. The supplements were not different on average daily gain, with average of 0.836 kg/animal/day. The supplement more economically viable was the cassava meal, which showed lesser coasts and bigger animal gain with better relation income:costs

Rotavirus e adenovirus em crianças de 0-5 anos hospitalizadas com ou sem gastrenterite em Goiânia - GO., Brasil Rotavirus and adenovirus in children 0-5 years of age with or without gastrenteritis in hospitals from Goiânia - GO, Brazil

De junho/1987 a julho/1990 foram estudadas 557 amostras fecais de crianças hospitalizadas de 0-5 anos de idade, na cidade de Goiânia-GO., para detecção de rotavírus e adenovírus. Destas, 291 provinham de crianças diarréicas e 266 de não diarréicas. Das amostras não diarréicas, 64 eram provenientes de crianças de berçário. Das 557 amostras, 261 foram analisadas pela imunomicroscopia eletrônica (IME), eletroforese em gel de poliacrilamida (EGPA-SDS) e ensaio imunoenzimático para rotavírus e adenovírus (EIARA) e as demais apenas pela EGPA e EIARA. Rotavírus e adenovírus mostraram positividade de 17,2% e 2,1% respectivamente, e na condição de diarréia ou não, observou-se percentuais de 29,2% e 4,1% respectivamente para rotavírus (p<0,05) e 2,4% e 1,5% para adenovírus. Rotavírus foram mais prevalentes entre as crianças de 1-11 meses de idade e não foram vistos em nenhum recém-nato de berçário. Os adenovírus ocorreram na faixa de 1-3 anos. Rotavírus apresentaram maior circulação entre os meses de maio a agosto (p<0,05), não sendo encontrados de dezembro a fevereiro.<br>In order to detect rotavirus and adenovirus 557 feces samples from hospitalized children (0-5 years of age) were analysed from June 1987 to July 1990 in Goiânia-city.Two hundred and ninety one samples were from children with diarrhoea and 266 were from children without diarrhoea. Amongst this later group, 64 samples were from children from the nursery. Two hundred and sixty one out of 557 samples were analysed by immunoelectron microscopy (IEM), polyacrylamide gel electrophoresis (SDS-PAGE) and enzymatic immunoassay for rotavirus and adenovirus (EIARA) whereas the rest (296 samples) were analysed by SDS-PAGE and EIARA. Positivity of rotavirus and adenovirus was 17.2% and 2.1% respectively. Concerning rotavirus and adenovirus there was 29.2% and 2.4% positivity within the group with diarrhoea and 4.1% and 1.5% positivity amongst children without diarrhoea (p<0.05). Rotavirus were more prevalent amongst children which age ranged from 1 to 11 months of age. No newborn child from the nursery was positive for rotavirus. Adenovirus were detected amongst children from 1 to 3 years of age. Rotavirus circulation peak occurred between May and August (p<0.05) and no positive case was detected from December to February. Two hundred out of 291 diarrheic samples were also studied concerning bacteria and pathogenic parasites and equal percentages (17.0%) were found for both rotavirus and pathogenic bacteria. Eighty nine samples of rotavirus were detected by SDS-PAGE and 86 of these (96.6%) belonged to the subgroup II with 13 different electrophoretic patterns. Predominance of a given eletropherotic profile was observed in each year of the study