Começo com um apelo comercial. A Health4Moz tem uma iniciativa muito original a decorrer no no restaurante Sêmea by Euskalduna, no Porto. Chama-se Cook4Moz e inclui pratos solidários, workshops e um jantar (a anunciar em breve). Por favor, visitem e participem 🙂

1.  Este primeiro artigo toca num ponto controverso para os cirurgiões pediátricos. Um prematuro com hérnia inguinal deve ser operado antes da alta? Devemos protelar para quando for maior? Quanto tempo? Clinical regression of inguinal hernias in premature infants without surgical repair. Families of 68 infants consented to delay repair. 23 infants (33.8%) had hernias that clinically regressed at median follow up from diagnosis of 14.1 weeks. Univariate analysis demonstrated female sex as a significant predictor of hernia clinical regression (OR: 3.08; p = 0.046). Of the 45 infants who underwent repair, 84.4% safely progressed to 55 weeks corrected GA prior to. Na minha experiência, em crianças e pais seleccionados, que consigam detectar precocemente os sinais de encarceramento, podemos ir adiando a cirurgia. Muitas vezes até aos 6 meses de idade corrigida, altura em que já fará a cirurgia em ambulatório.

2. O segundo artigo pareceu-me importante, porque alerta uma epidemia mais disseminada (mas não tão mortal, espero) que a COVID-19. Maternal nighttime phone use and impacts on daily happiness and exhaustion. O artigo versa sobre as mães, mas percebe-se que os alertas são extensíveis aos pais. The associations between maternal bedtime mobile phone use and next-day exhaustion and mood may have implications for maternal and child outcomes, as parental cognitive resources could become depleted and thus negative parenting behaviors ensue.

3. No Journal of Paediatric and Child Health, surgiu mais um artigo de revisão excelente. Hymen and virginity: What every paediatrician should know. Virginity’ has no medical or scientific definition. It is a social, cultural and religious construct, which refers to the absence of former engagement in sexual intercourse. However, it is not uncommon for the paediatrician to face virginity-related concerns in various clinical situations: after an alleged sexual assault, during evaluations of post-accidental traumas, in adolescents’ well-care visits, and following requests for virginity testing, certificates of virginity or hymenoplasty. This narrative review provides an overview of the notion of virginity through different perspectives such as culture, anatomy, forensic medicine, ethics and sex education. 

4. Na mesma revista, aparece uma Clinical Image português: Unusual axillary tumefaction (parabéns aos serviço de Viana do Castelo); e um editorial delicioso: The illusion of superiority: the Dunning-Kruger effect and COVID-19.  Kruger and Dunning wrote ‘….people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it’. The phenomenon subsequently became known as the Dunning–Kruger effect, sometimes called ‘the unskilled and unaware effect’. It provided scientific evidence for what Charles Darwin had recognised in 1871, more than a century earlier, when he wrote in The Descent of Man: ‘Ignorance more frequently begets confidence than does knowledge’. Já imaginam por onde isto vai 🙂

Abraço,
João

Por João Moreira Pinto, MD PhD, Cirurgião Pediátrico
Linked in  | Facebook | e-Mail: moreirapinto@gmail.com
Cirurgia Pediátrica, Centro Hospitalar Universitário do Porto | Hospital da Luz Arrábida/Guimarães | Hospital-Escola Fernando Pessoa