O impacto da doença crônica de crianças e adolescentes hospitalizados na dinâmica familiarThe impact of chronic disease of hospitalized children and adolescents on family dynamics

Domestic violence against children and adolescents is a public health issue, as it jeopardizes development. The purpose of this study was to identify parents 'or guardians' understanding of domestic violence. Descriptive method that sought evidence through the application of a questionnaire used by Biscegli et al. (2008). The results were analyzed by Chi-square and Fisher's exact tests, in which the parents or guardians would never agree to any punishment by the employees, 46.9% agree that the best way would be conversation and 85% that the spanking impairs the relationship. Of the respondents with more than two children, 88.2% believe that cursing the child causes harm, but for those with two or less, this rate drops to 50%. We conclude that the guardians of the children demonstrated a satisfactory level of knowledge about child violence but did not discard the cultural influence and the possibility of practicing certain types of violence.

Currently the Brazilian pediatric population has been exposed to risk factors caused by physical inactivity and poor diet, resulting in an increase in the Body Mass Index (BMI), which can lead to vascular problems even in childhood. The objectivewasto verify the influence of BMIon pressure levels. The sample consisted of 61 children of both sexes, chronological age between six and seven years and regularly enrolled/attending school. These children were evaluated in their hemodynamic variables (systolic -SBP and diastolic –DBP blood pressure), body weight, and height. Mean and standard deviation of participants' ages were 7±0.3 years, SBP had 89.4±10 and DBP of 57±6.9, eutrophic patients had 88.7±1.1 for SBP and 56±5 for DBP,and for those with overweight/obesityof109±5 for SBP and 70.7±8.2 for PAD(p=0.0001).Pearson's correlation for BMI with SBP and DBP was moderate for both, but with beta of 1.53 in linear regression for SBP and 0.96 for DBP. It was concluded thatBMI directly influences systolic and diastolic blood pressure levels and the control of overweight / obesity is necessary at the initial ages of life