Flávia Carvalho

Visual attention in children with migraine: a controlled comparative study

The aim of this study was to evaluate the visual attention of children with migraine and compare it with a control group. Thirty migrainous children and 30 controls without headache were subjected to a visual attention assessment with Trail Making Tests (TMT) A/B, Letter Cancellation Test, and the Brazilian computerized test Visual Attention Test, third edition. The migraine group was evaluated after 2 days without headache. The migraine group had an inferior performance compared with the control group on TMT A (P = 0.03) and B (P = 0.001), and more errors on tasks 1 (P = 0.032) and 2 (P = 0.015) of the Visual Attention Test, presenting difficulty with selective and alternate attention. Attention is a neurological function that depends on structures such as the brainstem, cerebral cortex and the limbic system and on neurotransmitters such as dopamine and noradrenaline. The neurochemical aspects involved in the physiopathology of migraine and attention mechanisms probably predispose these children to visual attention deficits.

PUK21 POST-KIDNEY TRANSPLANT MORBIDITY RELATED RE-HOSPITALIZATIONS IN THE BRAZILIAN PUBLIC HEALTH SYSTEM: CAUSES, RESOURCES USE AND COSTS BASED ON AN ADMINISTRATIVE REGISTRY REVIEW FROM 2004 TO 2009

PUK21 POST-KIDNEY TRANSPLANT MORBIDITY RELATED RE-HOSPITALIZATIONS IN THE BRAZILIAN PUBLIC HEALTH SYSTEM: CAUSES, RESOURCES USE AND COSTS BASED ON AN ADMINISTRATIVE REGISTRY REVIEW FROM 2004 TO 2009 David-Neto E, Carvalho DBM, Asano E, Nita M, Carvalho F, Dan S, Donato BM, Rahal E, The KIT73 STUDY GROU P Hospital das Clínicas da Faculdade de Medicina da USP, HCFMUSP, São Paulo, São Paulo, Brazil, Hospital Geral Bonsucesso, Rio de Janeiro, Rio de Janeiro, Brazil, Bristol-Myers Squibb S/A, São Paulo, São Paulo, Brazil, New BD Assessoria Empresarial LTDA, São Paulo, São Paulo, Brazil, Bristol-Myers Squibb Co, Wallingford, CT, USA OBJECTIVES: Post-transplant patients have high risk of re-hospitalization, incurring relevant costs. The aim of this study is to analyze causes, resource use and costs of re-hospitalizations in a cohort of renal transplanted patients. METHODS: A longitudinal analysis of a government administrative database (Inpatient Information System—SIH/DATASUS) was performed from January 2004 to July 2009. The study cohort was all patients who had undergone kidney transplant at 7 of the main transplant hospitals in Brazil, in 2004. All patients were followed until July 2009. Demographic data (sex, age, type of donor), length of re-hospitalization, resource use and associated costs (in 2004 USD) were collected. RESULTS: A total of 1030 patients were eligible for the analysis. Mean age was 38.7 ± 14.5 years, 57.6% were male recipients and 49.6% of transplant procedures were from living donors. During the study period 2,168 hospitalizations occurred in 643 patients (62%), with a total cost of US

Family and the protection from use of tobacco, alcohol, and drugs in adolescents, National School

1,568,956. Most frequent causes of re-hospitalization were post-transplant surgical and clinical complications (40.1%) and graft rejection episodes (32.4%), accounting together for 76.9% (US

Saúde sexual dos adolescentes segundo a Pesquisa Nacional de Saúde dos Escolares Sexual health of adolescents according to the National Survey of School Health

1,207,406) of total expenses. Hospital services (ICU/Ward days, operation room, equipments, etc) represent the most significant part of re-hospitalization costs (40.9%), followed by diagnostic/laboratory exams (24.2%), medicines (13.6%) and health professional fees (11.0%). Re-hospitalizations were concentrated in the first (39.6%) and second (24.0%) years following transplant, stabilizing in the fourth and fifth years around 9% (200 hospitalizations/year). Patients receiving grafts from deceased donors accounted for 68.4% of total costs, and average costs per re-hospitalization were statistically different between patients receiving grafts from deceased (US

Associations between the practice of bullying and individual and contextual variables from the

778 ± 1,181) relative to living donors (US

BULLYING NA ESCOLA: ANÁLISE DAS RELAÇÕES DE CONFLITO ENTRE ADOLESCENTES BULLYING AT SCHOOL: ANALYSIS OF CONFLICT RELATIONS BETWEEN ADOLESCENTS ACOSO EN LA ESCUELA: ANÁLISIS DE LAS RELACIONES DE CONFLICTO ENTRE ADOLESCENTES

632 ± 973) (p < 0.01). CONCLUSIONS: The majority of patients who underwent kidney transplant in 2004 were re-hospitalized at least once until July 2009. Costs associated with these rehospitalizations were concentrated in the first year post-transplant and in cadaveric renal transplant recipients.