BACKGROUND Juvenile idiopathic arthritis (JIA) corresponds to a broad spectrum of rheumatologic diseases, which has in common the chronic arthritis of one or more joints, started before the age of 16, of unknown etiology and which can not be attributed to other causes. Chronic diseases, especially those with pain, such as JIA, have a well-established relationship with sleep-related disorders (DRS) and impairment of quality of life (QoL). This study aims to describe sleep quality and QoL of this population and to verify possible associations between them. MATERIALS AND METHODS This is an observational, cross-sectional, analytical study with data obtained through the application of a sociodemographic questionnaire and validated quality of life and quality of sleep instruments for the pediatric population. The study participants were patients aged between 3 and 18 years with JIA, who were followed up at the referral service in pediatric rheumatology at the HUPES complex of the Federal University of Bahia, in Salvador-Bahia.
Introduction: Migraine is the most common chronic headache in childhood, however, it is still little diagnosed in the pediatric group. Early crises can be very early, at 6 months of age. It may present in different ways according to the age group of the child and may or may not resemble the clinical picture of the associated manifestations that may aid in diagnosis. Methods and Objectives: The study used data available on the DataSus, in the category of hospitalization by the CID-10, in the group of less than 1 year, between 1 and 4 years, 5 and 9 years and 10 and 14 years, in the period from 2014 to 2020, to discuss the diagnosis of migraines and compare the prevalence of hospitalizations among children . Results: Between 2014 and 2020, the age group with the highest rate of hospitalization for migraine and other cephalic pain syndromes was 10-14 years, with an average of 57,13%, followed by 5-9 years (32,75%), 1-4 years (8,95%) and below 1 year (1,57%). Conclusion: Migraine has a semiological aspect that makes it difficult to identify in the pediatric group: symptoms. How diagnosis depends on a subjective report, children, especially the younger ones, become underdiagnosed. This can justify the higher incidence of hospitalizations among older children, with greater communication skills and a better description. Another factor is the absence of skilled professionals. Adaptation is necessary to assist in diagnosis, such as: associated clinical manifestations; Note; use of semi-structured interrogation and playful scales to spread the pain.
Background: Epilepsy is a neurological disease characterized by abnormal and excessive electrical discharges in the brain, with the occurrence of two or more seizures during 12 months, without causing fever, traumatic brain injury, hydroelectrolytic alteration or concomitant disease. Knowing the panorama of hospitalizations makes it possible to manage and direct resources in order to adapt to the needs of the age group. Objectives: Compare the age groups in relation to the number of hospitalizations for Epilepsy in Bahia between 2014 and 2020. Methods: Work carried out based on secondary data through public consultation to the DataSUS platform, through the Hospital Production System of the Unified Health System (SIH- SUS). All cases of hospitalization for epilepsy in children between January 2014 and December 2020, in the state of Bahia, were included. Results: The age group that presented the highest rate of hospitalization was 1-4 years old with an average of 39.49%, followed by the age group between 5-9 years old with 20.16%, in addition to those younger than 1 year old with 16, 70%, with the age groups between 10-14 years old and 15-19 being the last with 13.65% and 10% respectively. Conclusions: It is observed that there is a higher incidence rate of hospitalizations in children under 9 years of age, explained by the high rate of epilepsy that evolve, most of the time, with the disappearance in adolescence, elucidating the lowest rates in the age group over 10 years.
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