Our results show that, in these children, umbilical vein catheterization did not lead to development of portal vein thrombosis. However, when other risk factors such as umbilical infection, traumatic catheterization are associated, children should be screened for obstruction of the portal vein.

A 2-month-old female patient presented an extensive bilateral parotid hemangioma (PH) focally ulcerated. Additionally, hepatic ultrasonography revealed a hemangioendothelioma located at right lobe. She was treated with oral prednisolone (3 mg/kg/day) during 10 months with clinical improvement of PH, despite failure to thrive and arterial hypertension. However, regrowth of the lesion occurred after discontinuation of oral steroid. Propranolol hydrochloride (2 mg/kg/day divided into two doses) was then started and maintained for 16 months, with marked involution of the hemangioma and with no systemic side effects during treatment course. Curiously, also the liver hemangioendothelioma completely resolved after starting propranolol. PH is a threatening cervicofacial segmental hemangioma that frequently proliferates after the year of age and needs long-term treatment. On the other hand, hepatic hemangioendotheliomas may be associated with cutaneous hemangiomas in some patients and their natural history is similar to these, although patients may die of associated conditions. As for other infantile hemangiomas, propranolol proved to be an effective, safe, and well-tolerated treatment for PH. Its role in liver hemangiomas and hemangioendotheliomas should also be taken into account.

No abstract

The knowledge of normal cerebrovascular physiology is essential to understand the pathogenesis of neonatal brain damage and can help pediatricians in an accurate interpretation of the flow profile in neurological pathology.

Para este estudo partimos da questão-chave - Como é que os imigrantes hispânicos encontram ajuda nas igrejas do triângulo federal Washington DC e Maryland e Virginia face a políticas migratórias de perseguição religiosa, preconizadas pelos Estados Unidos da América? Definimos como objetivos verificar se as igrejas são um espaço de abrigo e apoio aos imigrantes, analisar se são organizações de reunião onde os imigrantes reforçam a sua identidade, compreender se têm um papel ativo na participação/relação com a Igreja. A metodología é de natureza mista, qualitativa/quantitativa, apoiada em dados estatísticos, entrevistas semiestruturadas, inquéritos por questionário, sendo uma amostra probabilística e intencional. A análise dos dados mostra que, para além da crise da pós-globalização e do relançamento do debate identitário, em vez de se repensar a idiossincrasia americana de acordo com os seus princípios fundadores baseados na liberdade, igualdade, pluralidade étnica For the study we leave the key issue – How is that hispanics immigrants have found help in the churches of federal triangle Washington DC and Maryland and Virginia in the face of the migration policies of religious persecution advocated by the Unite States of America? We define as a aims to verify that the churches are a space of shelter and support to immigrants, to analyze if the churches are meeting organizations were immigrants reinforce your identity, to understand if have an active role in religious involvement and relationship with the Curch. The methodology is mixed qualitative/quantitative nature, supported by statistical, inteviews and questionaries, and it was a probability and intentional sample. Data analysis made possible to conclued that beyond the crisis of globalization, and the revival of identity debate, instead of rethinking the american idiosyncrasy according to the founding principles based in the liberty, equality and ethnic and cultural plurality, its postmodern deconstruction has been fostered, giving rise to paradoxical situations of migratory and religious persecution. e cultural, tem sido fomentada a sua desconstrução, dando lugar a situações paradoxais de perseguição migratória e religiosa.

(Abstracted from Am J Perinatol 2017;34:529–534) An unavoidable part of every health care professional's life is nighttime shifts that may have negative effects on both the providers themselves and the patients they care for. Absence of experienced staff during the night and exhaustion after long working days could lead to errors and subsequently adverse neonatal and maternal outcomes.

No abstract

The objective of this study was to assess possible day-night differences in perinatal and maternal labor outcomes in a hospital setting with no day-night differences in the presence of experienced medical staff. This was a retrospective study conducted over 5 years between 2008 and 2012. This study was set at the obstetric delivery unit in a tertiary hospital. A total of 9,143 singleton deliveries were assessed after 34 weeks of gestation and after exclusion of major congenital malformations, inductions of labor, and elective cesarean sections. Data were collected using the hospital electronic medical records. Time periods of 8 hours were defined (daytime between 8 am and 4 pm, evening time between 4 pm and 12 pm, and nighttime between 12 pm and 8 am). Differences between the three time periods were assessed using software R Core Team (2013). Main outcome measures were neonatal birth asphyxia, neonatal intensive care unit admission, and neonatal death. There were no differences in perinatal and maternal outcomes in the course of the day, apart from a higher incidence of third- and fourth-degree tears during the evening. Neonatal outcome after obstetric emergencies (uterine rupture, partial placental abruption, and cord prolapse) also showed no day-night differences. Adverse nighttime-related outcomes may be avoided by the 24/7 presence of experienced medical staff.