Objective: To evaluate the persistence of nutritional deficit in a sample of schoolchildren. Methods: A cross-sectional study of 1,761 schoolchildren between 6 and 10 years from 3 schools. They were assessed by Z scores of weight for height and height for age, according to the World Health Organization. The variables studied were gender, age, grade and school year. The χ² test was used to relate the nutritional deficit with the variables. Results: Of all children 8.5% were malnourished according to the weight for height Z score, 21.6%, according to height for age. The analysis of the weight for height Z score revealed that 59.7% were male and 40.3% female. The mean age was 8.9 years. As to the Z score of height for age, 53.9% were males and 46.1% females. The risk of malnutrition was higher among boys: 59.7% for the weight for height index and 53.9% for height for age. There was no statistical difference between schools, gender and school year. As to nutritional status, school period (p < 0.0001) and students' grade (p = 0.0105), we observed statistical significance. Conclusion: Malnutrition still persists among the low-income population and males had a higher percentage of malnutrition. Nutritional evaluation of students is an extremely important tool for understanding the dynamics of child nutrition and development.Keywords: Protein-energy malnutrition; Nutritional status; Nutritional assessment; Child nutrition RESUMO Objetivo: Verificar a persistência do déficit nutricional em amostra de escolares. Métodos: Estudo transversal com 1.761 escolares de 6 a 10 anos provenientes de 3 escolas de ensino fundamental. Foram avaliados pelos escores Z de peso/estatura e estatura/idade, segundo a Organização Mundial da Saúde. As variáveis estudadas foram: gênero, idade, série e período escolar. O teste do χ² relacionou o déficit nutricional com as variáveis. Resultados: Segundo o escore Z de peso/estatura 8,5% eram desnutridas; 21,6% de acordo com estatura/idade. A análise do escore Z de peso/estatura revelou que 59,7% eram meninos e 40,3% meninas. A média de idade foi de 8,9 anos. Quanto ao escore Z de estatura/idade 53,9% eram do gênero masculino e 46,1% do gênero feminino. O risco de desnutrição foi maior entre os meninos: 59,7% para o índice peso/estatura e 53,9% para o estatura/idade. Não houve diferença estatística na comparação entre as escolas, o gênero e o período escolar. Já entre estado nutricional, período (p < 0,0001) e série dos escolares (p = 0,0105), observamos significância. Conclusão: A desnutrição ainda é persistente entre a população de baixa renda e o gênero masculino apresentou maior prevalência. Pode-se considerar que a avaliação nutricional é uma ferramenta de extrema importância para compreensão da dinâmica nutricional de crianças e seu desenvolvimento.

Posters 534 support and hospital stay. Little is known about the nutritional and growth outcomes of surgical neonates (SNs) post-hospital discharge. This study evaluates the prevalence of "failure to thrive" (FTT) in SNs after hospital discharge. Methods:A retrospective analysis was done at Chelsea and Westminster Hospital, a tertiary referral centre for neonatal surgery. Babies who had major GI surgery over an 18-month period (1Jan2006-31Jul2007) were identified from unit's database. Further data were collated from medical case notes, dietetic records, parental satisfaction survey and physician feedback. FTT was defined as weight decreasing over 2 centile lines using unit's standardized growth centile chart.Results: Sixty-five of 80 eligible infants were analysed. Key surgical diagnosis included necrotizing enterocolitis, duodenal stenosis, tracheoesophageal fistula, Hirschsprung's disease and exomphalous. Nineteen SNs(29%) developed FTT, 12/19 as inpatients (4 with further growth impairment postdischarge) and 7/19 after discharge/transfer to local hospital.Twenty SNs(30.8%) were referred for dietetic follow-up after discharge for associated comorbidity e.g. FTT, gastroesophageal reflux, and milk intolerance and in 22/65(33.8%) they required milk change post-discharge e.g. to a hypoallergenic or hypercalorific formula. Post-discharge FTT was common if babies only had surgical without coexisting neonatal follow-up.

Aims: Qualitative and quantitative evaluation of all-cause mortality in pediatric age (0-19 years) in Catanzaro from1985 to 2008. Methods: We evaluated all-cause mortality using the "Cancer Registry of the City of Catanzaro". The data were obtained from the ISTAT death cards provided by the Institute of Forensic Medicine, ASP of Catanzaro. The residents of Catanzaro were 1,148,949M; 1,213,267F. Total deaths were 0->85 yrs of age: 7,314M ;6,606F. The statistic variable used has been Crude Rate (CR) referred to 100,000 inhabitants.

Posters 705(CF) using their narratives, of social life, careers, illness and the heath service. Their stories and the challenges they have faced within the clinical area can enable health professionals to enhance practice in regards to their specific care. Aim of the study:To explore the transition from child to young adult for individuals with CF and interpret this using their personal stories . Methods:The methodology undertaken has drawn upon the values of social phenomenological which enable a balance to be drawn between the person and society.Methods: I used individual life story interviews (McAdams 2001) which were semi-structured the participants were 2 young men and 6 young women from the age of 16 to 23 yrs. Narrative analysis was used to explore the findings. Results:The topics which arose from life stories including family, school, relationships, work, and the impact of the illness (Kehily 2007). Conclusion / discussion: Themes identified wereTransition from: Child to Adult /Dependency to Independency and Back to Dependency /Wellness to Illness/ Service User Child to Service User Adult and these were discussed in the light of the specific issues of transition for young people with CF as they strive for independence.Practical relevance: Specific skills are required to support young people with CF as they transfer to adult services and beyond. Objectives: Child abuse is one of the major public health problems worldwide. This study was aimed to assess the proportion of child abuse and to identify factors associated with child abuse as reported by mothers in Karachi, Pakistan. Methods:A cross-sectional study was conducted in primary care clinics affiliated with a tertiary care teaching hospital of private sector in Karachi, Pakistan. After taking consent, 412 mothers were interviewed by trained data collectors. Pre-tested questionnaire was used consisting of: sociodemographics, mother's marital life satisfaction, mother's perception about home environment and violence against herself and her children. Multivariate analysis was calculated to identify independent factors associated with child abuse.Results: Over one-quarter (25.5%) of children were abused physically and 17.9% abused psychologically. In all, 32.5% of children had experienced at least one or the other form of abuse. Abuse was reported more among children whose mothers had no/ less years of schooling (p=0.02), father being smoker (p=0.04), mother being violated (p< 0.001), mother being not satisfied with her marital life (p< 0.001), mother being reported home environment as stressful (p=0.02) and child being a female (p< 0.001). In final multivariate analysis, factors found to be independently associated with child abuse were mothers who were violencde by their husband (AOR=4.2; 95% CI: 2.2-7.9) and child being female (AOR=8.7; 95% CI: 4.5-16.8). Conclusion:This study revealed that one-third of the children were physically and/ or psychologically abused. Further studies are required to explore this important health issue in more detail. Objec...