Pediatricians have a privileged opportunity to advise parents and caregivers on the importance of reading for babies and young children, which is a significant stimulus for language development and learning to read in childhood. This is a recommendation that should be part of regular childcare topics. This study sought to assess knowledge and behavior of pediatric residents regarding reading promotion and stimulus during childhood. A quantitative, descriptive, and cross-sectional study was carried out through the application of a questionnaire for pediatric residents in 2019. The data obtained was analyzed using descriptive statistical analysis. Although our results showed there were gaps in medical training during medical school and residency, 59.1% and 68.2%, respectively, all respondents agreed on the importance of encouraging reading in childhood. However, 22.7% stated that they do not feel comfortable in encouraging reading and 50% do not include the topic during consultation. These indicate there is a need to expand the insertion of encouraging reading in childhood as theme during medical undergraduate and postgraduate courses. Extending the duration of pediatrics residency to three years might provide an improved training in primary care and present an opportunity to include the discussion of this topic.

The sequence of visits and procedures performed by the patient in the health system, also known as the patient's pathway or trajectory, can reveal important information about the clinical treatment adopted and the health service provided. The rise of electronic health data availability made it possible to assess the pathways of a large number of patients. Nevertheless, some challenges also arose concerning how to synthesize these pathways and how to mine them from the data, fostering a new field of research. The objective of this mini-course is to present the area of patient pathway mining, highlighting representation models, mining techniques, methods of analysis and examples of case studies. ResumoA sequência de atendimentos e procedimentos realizados pelo paciente no sistema de saúde, a qual é denominada jornada ou trajetória do paciente, pode revelar informações importantes sobre o tratamento clínico adotado e o serviço de saúde prestado. Com o aumento no registro de dados de saúde de forma eletrônica, tornou-se possível o estudo das jornadas de um grande volume de pacientes. No entanto, surgiram também desafios sobre como sintetizar essas jornadas e de que modo extraí-las dos dados, fomentando um novo campo de pesquisa. O objetivo deste minicurso é apresentar a área de mineração de jornadas de pacientes, destacando modelos de representação, técnicas de mineração, métodos de análise e exemplos de estudos de caso. IntroduçãoO aumento de casos de doenças crônicas e de doenças agudas que deixam sequelas como a COVID-19 adicionaram outras complicações na já complexa assistência que demandam estes pacientes. Geralmente esses pacientes possuem múltiplas condições crônicas ou

Subglottic hemagioma is a rare cause of stridor, but it is one of the most common vascular neoplasms of the airways in childhood. If the treatment is not promptly instituted, it becomes a life-threatening condition. The diagnosis should be suspected when infants outside the age range for acute laryngitis present with stridor associated with severe respiratory effort, without viral prodromes, with a condition that is not responsive to initial therapeutic measures considering the main diagnostic hypothesis. Infantile hemangiomas begin to proliferate during the first year of life (between the 1st and 2nd month of life). Involution usually occurs between 6 months and 12 months of life (most involution until 4 years). The case is a 5-month-old female infant, with sudden stridor associated with respiratory distress without viral prodromes or fever, with little response to inhaled short-acting beta-agonist, inhaled adrenaline, as well as corticosteroids inhalation/parenteral. Bronchoscopy showed a bulging of the submucosa to the right of the subglottis with slight vascularization, suggestive of subglottic hemangioma. Treatment with propranolol was initiated orally with the aim of regressing the hemangioma and after clinical stability, the infant was discharged with outpatient follow-up.

The goal of this study was to evaluate the effect of contrasting growth rate in pre and post-weaning period on carcass traits and meat quality of feedlot Nellore cattle. To high weight gain, in pre and post-weaning period, were be considered management groups with mean weight gain above the third quartile of pre-weaning (PREW) or post-weaning (PROW) weight gain distribution of population to group of moderate gain were be considered management lots with daily average gains between the first and third quartiles of PREW or PROW weight gain distribution of population. In the low gain group will be considered management lots with daily average gains lower than the first quartile of PREW or PROW weight gain distribution of population. We used a total of 500 bulls, registered in the National Association of Breeders and Researchers, fed during 90 days with the same diet, confined and slaughtered. The PREW presented a weight gain rate (WGR) of 57.1, 67.3, and 77.7 kg for low, moderate and high WGR, respectively; and the PROW of 110.3, 113.4, and 119.4 kg for low, moderate and high WGR, respectively. The hot carcass weight influenced WGR in pre-weaning (297.56±11.80, 323.53±10.09, and 364.31±18.88 kg) for low, moderate and high, respectively (P = 0.03). The carcass dressing was affected by weaning period in WGR (pre-weaning: 54.18, 54.33, and 57.88 %; P = 0.034, and post-weaning 55.52, 56.23, and 54.66%; P = 0.471) for low, moderate and high WGR, respectively. The contrasting weight gain groups did not influence the marbling score in PREW (P = 0.128) and PROW (P = 0.772), back fat thickness in PREW (P = 0.719) and PROW (P = 0.833), ribeye area in PREW (P = 0.472) and PROW (P = 0.833), tenderness in PREW (P = 0.936) and PROW (P = 0.911). In general, the gain rate did not improve the carcass traits and meat quality of feedlot Nellore cattle.

Neste artigo, são analisadas as trajetórias de atendimento de pacientes na rede de atenção básica de saúde no município de São Paulo. Avaliar como é a trajetória dos pacientes do SUS, seja entre os atendimentos, seja entre as unidades de atendimento, e uma atividade importante para o entendimento é aprimoramento do sistema. Assim, neste artigo, foca-se num contexto de alta relevância social representado pela avaliação da trajetória de gestantes atendidas pelo SUS no município de São Paulo durante os anos de 2014 e 2015. São analisadas as trajetórias dessas gestantes em seus atendimentos e entre as unidades do sistema de saúde. Acredita-se que as análises apresentadas possam auxiliar em um melhor entendimento do sistema e subsidiar decisões para o aprimoramento do sistema de saúde atual.