RESUMOEstudo qualitativo que objetivou conhecer percepções maternas sobre o nascimento do fi lho prematuro e os cuidados após a alta. Os dados foram coletados por meio de entrevista semiestruturada com 16 mães de prematuros internados em UTIN, ou em acompanhamento pelo ambulatório de seguimento de recém-nascidos egressos de UTIN. As entrevistas foram gravadas, transcritas e interpretadas com base na Análise de Conteúdo. Os resultados revelaram sentimentos de tristeza, angústia, culpa e impotência. Registrou-se, ainda, confi ança na equipe de saúde, insegurança com os cuidados ao fi lho em casa, a importância da rede de apoio social e da espiritualidade para as famílias. Profi ssionais que trabalham com prematuros devem dedicar maior atenção às suas famílias, compreendendo experiências críticas e acolhendo de forma humanizada. Descritores: Nascimento Prematuro; Unidades de Terapia Intensiva Neonatal; Cuidado da Criança; Pesquisa Qualitativa. ABSTRACT This is a qualitative study, which aimed to identify maternal perceptions on premature birth and care of the newborn during hospitalization and after discharge. The data were collected through semi-structured interviews with 16 mothers of premature infants in NICU or in follow up ambulatory for infants discharged from NICU. The interviews were taped, transcribed and analyzed based on Content Analysis. Results revealed feelings of sadness, anguish, guilt and powerlessness. It was also reveled confi dence in the health care team, uncertainty with the care of child at home, the importance of social network support and the role of spirituality for families. Professionals who work with infants should devote more attention to their families, understanding and accepting critical experiments in a humane way. Key words: Premature Birth; Neonatal Intensive Care Units; Child Care; Qualitative Research. RESUMENInvestigación cualitativa con el objetivo de conocer la percepción materna sobre el nacimiento prematuro e el cuidado del recién-nacido durante la hospitalización e después del alta. Los datos fueron tomados mediante entrevista semi-estructurada a 16 madres con hijos prematuros internados en la UTIN o en la supervisión del seguimiento del ambulatorio para niños prematuros dados de alta de la UCIN. Las entrevistas fueron grabadas, transcritas y analizadas sobre la base de Análisis de Contenido. Los resultados revelaron sentimientos de tristeza, angustia, culpa e impotencia. Se registró también la confi anza en el equipo de salud, la incertidumbre con el cuidado del niño en el hogar, la importancia de la red de apoyo social y de la espiritualidad para las familias. Los profesionales que trabajan con niños deben prestar más atención a sus familias, comprendiendo y aceptando los experimentos críticos de una manera humana.

Objective To evaluate post-operative complications of circumcision requiring surgical reintervention.Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016.Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients’ age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found.Conclusion There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients’ age did not influence in complications.

Objective: To evaluate clinical stability of neurologically impaired children and adolescents with recurrent pneumonia submitted to laryngotracheal separation. Methods: Between October 2002 and June 2015, 92 neurologically impaired children from a reference service, with median age of 68.5 months were submitted to laryngotracheal separation. Data were evaluated and statistical analysis was made by Student's t test and Pearson's χ 2 test (significance level adopted of 95%). Results: Fifty-three children were male (57.6%). Forty-six children required admission to intensive care, and 42.4% needed mechanical ventilation. We observed that 90.2% of patients were exclusively fed by gastrostomy and 72.4% of the gastrostomies were performed before the tracheal surgery. Thirteen (14.1%) children had postoperative complications as follows: fistulae (5.4%), bleeding (4.3%), granuloma (2.2%) and stenosis (3.2%). A total of 24 patients had pneumonia in the postoperative period (26.1%), but there was a significant drop in occurrence of this condition after surgery (100% versus 26.1%; p<0.001). Twenty-three patients (25%) died. Postoperative complications were similar when comparing patients who died and those that presented good outcome (16.7% versus 13.2%; p=0.73). Conclusion: When well-indicated, the laryngotracheal separation reduces the incidence of postoperative pulmonary infections, thus improving quality of life and reducing admissions to hospital. Laryngotracheal separation should be indicated as a primary procedure in patients with cerebral palsy and recurrent aspiration pneumonia.

laparoscopy is a safe method to correct choledochal cysts, even in younger children, with low rates of complications and low rates of conversion to open surgery when performed by well trained surgeons.

The first isolation of the rabies virus in frugivorous bats of the species Artibeus lituratus in Montes Claros, State of Minas Gerais, is presented. The diagnosis was obtained through the direct immunofluorescence reaction, biological tests and viral profiling. Although canine rabies is under control in this city, the rabies virus continues to circulate in bats in the urban area.

Nephroblastoma in a children younger than 3 months is a very rare condition, comprising less than 2% of cases. The aim of this study is to present a case of nephroblastoma diagnosed in a newborn. Female baby, presented at the urology pediatric service with 70 days newborn. Mother reported increased abdominal volume, which was first noticed at 15 days of life with progressive worsening. CT scanning showed a giant, solid, rounded mass, with smooth margins, originating from the right kidney and displacing the kidney to a posteroinferior position. Total nephrectomy was performed and pathologic examination confirmed nephroblastoma. No neoadjuvant chemoterapy was performed and postoperative vincristin was administered. One year after surgery, patient remains in follow up with the pediatric oncology service and presented no complications or signs of recurrence. Nephroblastoma in newborn is a rare condition, their detection in neonatal period and early infancy must be stimulated and studies focused on the possibility of congenital presentations must still be made.

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