- Diabetes Management and Research
- Diabetes and associated disorders
- Pancreatic function and diabetes
- Diabetes Treatment and Management
- Obesity, Physical Activity, Diet
- COVID-19 Clinical Research Studies
- Medical Image Segmentation Techniques
- Congenital heart defects research
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Cardiovascular Disease and Adiposity
- Health and Lifestyle Studies
- Image and Object Detection Techniques
- Neonatal Health and Biochemistry
- Science and Education Research
- Adipokines, Inflammation, and Metabolic Diseases
- Mobile Health and mHealth Applications
- Irrigation Practices and Water Management
- Childhood Cancer Survivors' Quality of Life
- Congenital Heart Disease Studies
- Thyroid Disorders and Treatments
- Sympathectomy and Hyperhidrosis Treatments
- Telemedicine and Telehealth Implementation
- International Science and Diplomacy
- Celiac Disease Research and Management
Instituto Hispalense de Pediatria
2021-2025
University of Almería
2024-2025
Universidad Autónoma de Madrid
2019-2021
Hospital Infantil Universitario Niño Jesús
2017-2020
Universidade de São Paulo
2018-2020
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2019
Universidade Federal de Pernambuco
2012-2019
Universidade Federal de Ciências da Saúde de Porto Alegre
2010-2014
Fundação Universitária de Cardiologia
2014
Coronavirus diasease (COVID-19) is an infectious disease that started in Wuhan, China late 2019 and later spread around the world. Diabetes has been recognized as a possible risk factor for COVID-19 complications.International Society Pediatric Adolescent (ISPAD) investigated perceptions, challenges experience of health care professionals (HCP) taking children young people with diabetes worldwide during pandemic.From 21st April to 17th May 2020, pandemic, web-based survey was sent ISPAD...
Telemedicine for routine care of people with diabetes (PwD) during the COVID-19 pandemic rapidly increased in many countries, helping to address several barriers usually seen.This study aimed describe healthcare professionals' (HCPs) experience on telemedicine use and investigate changes challenges associated its implementation.A cross-sectional electronic survey was distributed through global network JENIOUS members ISPAD. Respondents' professional practice profiles, clinic sizes, their...
The study aimed to estimate the prevalence of skin problems in children and adolescents with type 1 diabetes (T1D) using insulin pumps (IPs) and/or continuous glucose monitoring (CGM) our center analyze their association various factors. As part international ISPAD JENIOUS-initiated SKIN-PEDIC project, we interviewed examined patients who visited regional pediatric Opole (Poland) for four weeks regarding use IP CGM presence problems. Body mass index (BMI) glycemic parameters were obtained...
We aimed to explore the knowledge, attitude, and management of neonatal diabetes mellitus (NDM) among members International Society for Pediatric Adolescent Diabetes (ISPAD). Members society were invited complete an online questionnaire posted on ISPAD website. received 108 responses from 45 different countries. Of these, 103 involved in NDM management. 87.9% participants would start insulin at diagnosis, 11% prefer sulfonylurea (SU); 54.6% with pump, 80.6% use continuous glucose monitoring....
Introduction: Children and adolescents with diabetes are increasingly using technological devices to maintain normoglycemia. However, skin problems associated these becoming a significant issue. This study aimed investigate prevalence of issues in children adoles-cents globally identify important factors problems. Methods: multinational involved 22 pediatric centers. Over 4-week period, pseud anonymized data were collected on devices, includ-ing demographic factors, visual problems, type...
FUNDAMENTO: Inúmeros fatores vêm contribuindo para a mudança do perfil paciente com cardiopatia congênita (CC), incluindo o diagnóstico pré-natal e disponibilidade de novos procedimentos terapêuticos. O conhecimento dessas mudanças é fundamental um melhor atendimento. OBJETIVOS: Descrever dos pacientes CC serviço referência no Estado Rio Grande Sul, Brasil. MÉTODOS: Trata-se estudo transversal, 684 portadores CC, em cardiologia pediátrica, janeiro 2007 maio 2008. Esses foram entrevistados...
Introduction To study healthcare professionals’ (HCP) perceptions on decision making to start insulin pumps and continuous glucose monitoring (CGM) systems in pediatric type 1 diabetes. Research design methods An electronic survey supported by the International Society for Pediatric Adolescent Diabetes (ISPAD) was disseminated through a weblink structured as follows: (1) HCP’s sociodemographic work profile; (2) about indications contraindications (3) CGM systems; (4) six case scenarios....
Frequency, dimensions, management, and outcomes of the COVID-19 pandemic in children with endocrine disorders diabetes were assessed.A cross-sectional electronic survey was distributed to global network societies. Respondents' professional practice profiles, clinic sizes, their country practice, impact on diseases investigated.Respondents from 131 pediatric centers 51 countries across all continents completed survey. Routine check-ups education altered most clinics. Over 20% clinics...
There are several kinds of information that can be achieved in ancient documents. In general, image processing research on this subject works with images letters or Topographic maps and floor plans also an important source about history. paper, we introduce a new algorithm for segmentation plans. It aims to remove most part non textual elements leaving just the text. This allows further automatic identification map plan through character recognition techniques. The proposed method uses edge...
Advances in diabetes technological devices led to optimization of care; however, long-lasting skin exposure may be accompanied by an increasing occurrence cutaneous reactions.We used open-link web-based survey evaluate diabetes-care providers' viewpoint on prevalence, management practices, and knowledge related reactions with the use devices. A post hoc analysis was applied investigate differences level awareness this topic relation experience technology.One hundred twenty-five responses...
This global survey evaluated the practices and adherence to international Clinical Practice Consensus Guidelines (CPCG) of physicians involved in pediatric diabetes care regarding screening, prevention treatment vascular complications type 1 (T1D).
Lifestyle changes have an impact on lipid metabolism. The overload of circulating lipids may lead to endothelial dysfunction, oxidative stress and exaggerated inflammatory response, which be further aggravated in the presence overweight. This study aims describe postprandial metabolism response overweight normal-weight adolescents. Sixty-two adolescents aged 11–18 years were divided into two groups: (OW; n =38) normal weight (NW; =24). Total cholesterol (TC), low-density lipoprotein (LDL-C),...
Abstract Background The approach to the clinical management of Graves’ disease (GD) is debatable. This study aimed identify predictors remission in pediatric GD. Methods A longitudinal 36 children and adolescents with GD followed from 1997 2017 at a single tertiary hospital was performed. Clinical biochemical parameters, including comorbidities, treatment anti-thyroid drugs (ATD) or definitive therapy (radioiodine [RIT] thyroidectomy), as main outcome were collected. We performed...
Background. Managing glycemia around exercise is challenging for individuals with type 1 diabetes (T1D) and their healthcare professionals (HCP). We investigated HCP knowledge confidence counseling youth T1D worldwide. Objective. To assess familiarity ISPAD Clinical Practice Consensus Guidelines to deliver recommendations about exercise. Methods. A new online survey was developed on strategies competencies T1D, comprising of 64 questions, divided into eight different categories, assessing...
Transient hypothyroidism can present itself as clinically asymptomatic or with few symptoms. Early treatment levothyroxine (L-T4) prevents complications related to this disorder. We report a case of male infant concomitant short bowel syndrome and transient treated rectal L-T4. A 4-month-and-10-day-old boy previous gastroschisis underwent multiple surgical approaches for small resection developed syndrome. suspected because jaundice (direct bilirubin up 59 mg/dL), the absence evacuation,...
This paper presents a new method for shoreline segmentation. The images are generated by five digital cameras installed on the roof of building at Boa Via gem beach, Recife, Brazil. joined creating mosaic. proposed deals with different color systems, removal details from background image, edge detection Canny algorithm and final step restoration. proposal is applied to set collected hours (from morning night) days. Shoreline identification an important in monitoring coastal areas order...
A low computational cost technique is presented for boundary detection inspired by the human visual system perception. The current contributions are a chromatic color difference model, morphological texture suppression filtering, and neighborhood related edge thinning. proposed dRdGdB model defines RGB inter-component difference, showed significant improvement in performance of compared to RGB, CIELAB, YCbCr, HSV YIQ. These improvements turn prior detector into detector, allowing high...
<b><i>Introduction:</i></b> Celiac disease (CD) is among the diseases most commonly associated with type 1 diabetes (T1D). This study aimed to evaluate worldwide practices and attitudes of physicians involved in pediatric care regarding diagnosing managing CD children T1D. <b><i>Methods:</i></b> The 30-item survey was conducted between July December 2023 at targeting pediatricians special interest T1D CD. It shared by JENIOUS – young...