Case series of 103 children with SARS-CoV-2 infection in Portugal

Copyright © Ordem dos Médicos 2020Introduction: The North Lisbon University Hospital Center was activated for referral of SARS-CoV-2 infected patients on the 11th March 2020. The aim of this study is to describe the experience at the Department of Pediatrics in the approach and the clinical outcomes of infected children. Material and methods: A descriptive observational study was performed. Children and adolescents (0 to 18 years) with SARS-CoV-2 infection, diagnosed in the emergency room or admitted to the Department of Pediatrics between March 11th and June 18th, were included. Hospital records and Trace COVID-19 platform were reviewed and patient caregivers were interviewed to assess follow up. Results: Among 103 diagnosed children, 83% had a known previous contact with an infected patient, 43% presented fever and 42% presented respiratory symptoms. Ten percent had risk factors and 21% were aged under one year old. Ten percent were hospitalised, one needing intensive care, with paediatric inflammatory multisystem syndrome. Blood tests were performed in 9% and chest radiograph in 7%. No children required ventilation, antiviral therapy or underwent thoracic computed tomography scan. Eight percent of children returned to the emergency room and one child was hospitalised. The clinical outcome is known in 101 patients and is favourable in all. Discussion: Most children had an epidemiological link and little clinical repercussion, even during the first year of life. The expected mild severity in children justified the use of established clinical criteria and recommendations for similar conditions, regarding tests and hospitalizations. No antiviral treatments were given due to lack of evidence of its benefits. Conclusion: This strategy contributed to a low consumption of hospital resources and proved safe in this series.info:eu-repo/semantics/publishedVersio

Enabling Green Building’s Comfort Using Information and Communication Technologies: A Systematic Review of the Literature

The current environmental concerns increase the importance of sustainability in the construction industry. In this respect, information and communication technologies were identified to support automation and control systems promoting occupant’s comfort while safeguarding energy efficiency. In this study, a systematic review was performed to identify relevant applications supported by information and communications technologies with impact in the comfort of the occupants of green buildings. Results indicate that the scientific literature presents valuable arguments regarding the importance of information technologies to increase the occupant’s comfort and to minimize energy consumption of the modern green buildings.The present study was developed in the scope of the Smart Green Homes Project [POCI-01-0247 FEDER-007678], a co-promotion between Bosch Termotecnologia S.A. and the University of Aveiro. It is financed by Portugal 2020, under the Competitiveness and Internationalization Operational Program, and by the European Regional Development Fund.publishe

Exuberant Varicella-Zoster exanthema and Pneumonia as clinical clue for HIV infection

Copyright © 2015 Elsevier Inc. All rights reserved.A 4-year-old boy presented to the hospital in the sixth day of ongoing varicella infection with high fever, respiratory distress, and hypoxemia. Physical examination showed tachypnea, a generalized vesicular exanthema, perioral impetigo, bilateral rales, and diminished breath sounds at pulmonary auscultation. Chest radiograph revealed bilateral, multifocal, heterogeneous alveolar opacities with nodular pattern, reaching the periphery.info:eu-repo/semantics/publishedVersio