Objective: To establish a profile of the victim of child-abuse, and of the individual who commits the abuse against children.Method: 225 cases of confirmed child-abuse (SOS Criança -Curitiba) were studied in 1998; a protocol with queries to analyze the child and the abuser was applied.Results: The following models were found: 56% of the children were in school age; 59.6% were the first child of the couple; 84.4% were natural offspring and 71.1% of the children had a satisfactory school record. Multiple injuries (38.2%) were found on the victims' bodies, the majority of them bruises (37.8%). The main aggressor was the mother (42.2%); 25.8% of them said the reason for the violence was disciplinary, and 72% denied using alcohol. Conclusion:The children who suffer more from physical abuse, according to the study, are first-born children of married parents, between 5 and 11 years old; their schooling level is compatible with their age. The mother, with her own hands, is the main aggressor; she normally leaves bruises in several parts of the victim's body, with the objective of educating, or setting limits to the child. ResumoObjetivo: conhecer o perfil da criança vítima de agressão física e do agente responsável pela violência contra ela.Método: investigaram-se 225 casos confirmados de abuso físi-co do SOS Criança, de Curitiba, durante o ano de 1.998, aos quais se aplicou um protocolo com quesitos voltados à análise da criança violentada e do agente agressor.Resultados: registraram-se os seguintes modelos: 56% das crianças avaliadas apresentavam-se em idade escolar; 59,6% eram o primeiro filho da família; 84,4% consistiam em filhos naturais e 71,1% das crianças apresentavam satisfatório rendimento escolar. Múltiplas lesões (38,2%) atingiram o corpo das vítimas, e os ferimentos, na maioria das vezes (37,8%), apresentaram-se como hematomas. O principal agente agressor foi a mãe (42,2%), das quais 25,8% alegaram a causa disciplinar para o abuso, utilizaram-se das mãos (32,5%) para efetuar a violência e 72% delas negam o uso de bebida alcóolica.Conclusões: As crianças que mais sofrem agressão física, segundo a amostra estudada, consistem em filhos legítimos e primogênitos, com faixa etária entre 5 e 11 anos e com nível escolar compatível com a idade. A mãe, com suas próprias mãos, resume-se no principal agente agressor, e deixa geralmente hematomas, em diversos segmentos do corpo da criança, com o princípio de educar, ou seja, a colocação de limites. Introdução O abuso físico é uma lesão provocada na criança causada por um responsável -por qualquer razão. As lesões incluem os danos ao tecido além do eritema, por um tapa em qualquer área do corpo, que não a mão ou as nádegas. O uso de um instrumento em qualquer parte do corpo é abuso 10 .A incidência do abuso físico parece ter aumentado, ultimamente, devido ao maior número de notificações e à mudança na legislação, a qual determina a notificação obrigatória de casos suspeitos 2 . Além disso, esta escalada ocorre no momento em que os óbitos por doenças médicas e t...

Background: Sexual dysfunctions (SD) are common but underreported in Parkinson’s disease (PD) and have negative impacts on the quality of life (QoL) and partnership. Methods: We analyzed the data set from the PRISM study for demographics of SD and their influence on quality of life and partnership. Results: 449/861 (52.1%) PD patients reported SD, with male patients being affected more often and having a longer course of disease. The most common SD in men was erectile dysfunction (ED) (n = 152), while women’s most frequent complaints were orgasm dysfunction (n = 84) and reduced libido (n = 81). Hypersexual SDs were reported significantly more often by men. Spousal caregivers of patients reporting inability to relax and enjoy sex and reduced libido indicated a negative influence on the relationship in general. Negative effects on the sexual relationship were reported significantly more often for patients with ED, difficulties with sexual arousal, inability to relax and enjoy sex, and reduced libido. Hypersexual dysfunctions showed no effect on the relationship. Conclusion: SD is a common but underreported problem in the treatment of patients with PD. Due to the negative influence on the relationship and QoL of patients and caregivers, SD should be assessed routinely.

Objective: To establish a profile of the victim of child-abuse, and of the individual who commits the abuse against children. Method: 225 cases of confirmed child-abuse (SOS Criança-Curitiba) were studied in 1998; a protocol with queries to analyze the child and the abuser was applied. Results: The following models were found: 56% of the children were in school age; 59.6% were the first child of the couple; 84.4% were natural offspring and 71.1% of the children had a satisfactory school record. Multiple injuries (38.2%) were found on the victims' bodies, the majority of them bruises (37.8%). The main aggressor was the mother (42.2%); 25.8% of them said the reason for the violence was disciplinary, and 72% denied using alcohol. Conclusion: The children who suffer more from physical abuse, according to the study, are first-born children of married parents, between 5 and 11 years old; their schooling level is compatible with their age. The mother, with her own hands, is the main aggressor; she normally leaves bruises in several parts of the victim's body, with the objective of educating, or setting limits to the child.

ObjectiveHematopoietic stem cell transplantation has been successfully used to treat the pediatric population with malignant and non-malignant hematological diseases. This paper reports the results up to 180 days after the procedure of all unrelated hematopoietic stem cell transplantations in pediatric patients that were performed in one institution.MethodsA retrospective review was performed of all under 18-year-old patients who received unrelated transplantations between 1995 and 2009. Data were analyzed using the log-rank test, Cox stepwise model, Kaplan–Meier method, Fine and Gray model and Fisher's exact test.ResultsThis study included 118 patients (46.8%) who received bone marrow and 134 (53.2%) who received umbilical cord blood transplants. Engraftment occurred in 89.47% of the patients that received bone marrow and 65.83% of those that received umbilical cord blood (p-value < 0.001). Both neutrophil and platelet engraftments were faster in the bone marrow group. Acute graft-versus-host disease occurred in 48.6% of the patients without statistically significant differences between the two groups (p-value = 0.653). Chronic graft-versus-host disease occurred in 9.2% of the patients with a higher incidence in the bone marrow group (p-value = 0.007). Relapse occurred in 24% of the 96 patients with malignant disease with 2-year cumulative incidences of 45% in the bone marrow group and 25% in the umbilical cord blood group (p-value = 0.117). Five-year overall survival was 47%, with an average survival time of 1207 days, and no significant differences between the groups (p-value = 0.4666).ConclusionDespite delayed engraftment in the umbilical cord blood group, graft-versus-host disease, relapse and survival were similar in both groups.