Percentile curve of distress scores as a clinical aid for the evaluation and management of cancer patient's distress

2014 ◽  
Vol 23 (9) ◽  
pp. 1068-1072 ◽  
Author(s):  
Cristiane Decat Bergerot ◽  
Bartholomeu Tôrres Tróccoli ◽  
Errol J. Philip ◽  
Marco Murilo Buso
Keyword(s):  
Author(s):  
Sanhua Zhang ◽  
Chongmin Jiang ◽  
Chunjing Tu

Background: The current national growth and development standard of preschool children in China was formulated in 2003, which has many deficiencies. It is necessary to construct more scientific percentile curve and growth reference standards in order to evaluate more effectively the growth, development and health status of Chinese children. Methods: Based on the physical and health data of 31 provinces in China measured in 2010 and 2014, the GAMLSS model was used to construct the growth reference standard and correlation curve. Results: We obtained growth reference standards for percentile curve and Z-score curve of height-for-age, sitting height-for-age, Weight-for-age, Chest circumference-for-age of Chinese preschool children. The C50 percentile of all indicators showed an obvious increasing trend with aged 3.0 to 6.5. Such as, the height of boys and girls increased by 21.1cm and 20.3cm respectively, the sitting height boys and girls increased by 10.3cm and 10.1cm respectively, the weight of boys and girls increased by 7.1 kg and 6.3 kg respectively, the Chest circumference of boys and girls increased by 6cm and 5.2 cm respectively. Conclusion: The children's growth and development charts provided in this study provide effective monitoring and personalized evaluation tools for the growth and development assessment of preschool children, as well as for the reduction of malnutrition, prevention and control of childhood obesity. It is recommended to be used in some areas such as child health, medical treatment and public health.


PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 834-840 ◽  
Author(s):  
Yvan Vandenplas ◽  
Harry Goyvaerts ◽  
Rudy Helven ◽  
Liliane Sacre

Continuous long-term esophageal pH monitoring has become the preferred test to quantify acid gastroesophageal reflux. Because reflux to a limited extent is physiologic, the determination of optimal thresholds to separate normal from abnormal reflux is mandatory. Esophageal pH was measured during 24 hours in 509 healthy thriving infants, aged 3 days to 1 year, using a glass microelectrode with an external reference electrode connected to a portable recorder. Percentiles of the four parameters studied (reflux index or percent of the investigation time with a pH <4, number of episodes with a pH <4 during 24 hours, number of episodes lasting >5 minutes, the duration of the longest episode (in minutes)) are presented. A percentile curve of the reflux index regarding the age distribution shows that the normal range for the reflux index during the first 12 months of life is about 10% (95 percentile), decreasing from 13% at birth to 8% at 12 months. Application of an age-related percentile curve offers a close-to-reality possibility of data interpretation and illustrates that there is inevitably an overlap of data between normal and abnormal populations, because reflux is a phenomenon occurring to some extent in every human being.


Author(s):  
Stefanie Albers ◽  
Thomas S. Mir ◽  
Munif Haddad ◽  
Stephanie Läer

AbstractThe aim of the present study was the investigation of N-terminal pro-brain natriuretic peptide (NT-proBNP) in the pediatric population. This is essential for adequate monitoring and classification of pediatric patients with heart disease, but no consistent data are available yet. In addition, the comparability of two commercially available NT-proBNP assays and the inter-laboratory variability for the most suitable one were assessed. For this purpose, 408 subjects (1–29years) were included. NT-proBNP was determined with a non-competitive electrochemiluminescent immunoassay (Roche NT-proBNP; n=402) and a competitive enzyme-immunoassay (Biomedica NT-proBNP; n=402). Inter-laboratory variability was evaluated for the Roche assay by stepwise inclusion of four and 11 centers throughout Germany, respectively. Roche NT-proBNP ranged from 5.0 to 391.5ng/L, with higher values for younger children. The 97.5th (75th) percentile curve ranged from 319.9ng/L (231.2 ng/L, 1–3years) to 114.9ng/L (53.3 ng/L, 18years). In contrast, Biomedica NT-proBNP ranged from 253.7 to 7602.8 ng/L, with no significant age dependency. The mean difference between the assays was 1649.7ng/L (95% confidence interval 1546.3–1753.1ng/L). Inter-laboratory variability ranged from 6.5% to 3.8%, covering a range from 51.3 to 6618.1ng/L. The assay seems to influence the interpretation of resulting NT-proBNP values and therefore has to be chosen carefully. For the monitoring and classification of pediatric patients with congenital heart disease, age-based NT-proBNP values should be used.


Author(s):  
Martin Zvonar ◽  
Lovro Štefan ◽  
Mario Kasović

Purpose: The main purpose of the present study was to establish percentile curves for body-mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and WHtR(exp) in adolescents. Methods: In this cross-sectional study, we recruited 1036 secondary-school students aged 15 to 18 years from eight randomly selected schools (55.3% girls). BMI, WC, WHtR and WHtR(exp) were calculated using standardized measuring protocol. The sex- and age-specific smoothed percentile curves with 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentile for each anthropometric measure were constructed using Cole’s LMS method. Results: In boys, both BMI and WC percentile curves increased by age, yet the 95th percentile curve for WHtR and WHtR(exp) decreased by age. In girls, the 95th percentile curve for BMI remained unchanged through the age of 15 to 18 years, yet the 90th and 95th percentile curves for WC and WHtR decreased by age. Conclusion: This is the first study in Croatia to establish combined BMI, WC, WHtR and WHtR(exp) percentile curves and add some new insight on anthropometric measures in 15- to 18-year-old adolescents.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Vinicio Andrade ◽  
Felipe Andrade ◽  
Pablo Riofrio ◽  
Fúlvio B. Nedel ◽  
Miguel Martin ◽  
...  

Abstract Background In populations above 3,000 meters above sea level (m.a.s.l.) normal values of oxygen saturation (SpO2) above 90% have been reported. Few studies have been conducted in cities of moderate altitude (between 2,500 and 3,000 m a.s.l). We set out to describe the range of SpO2 values measured with a pulse oximeter in healthy children between 1 month and 12 years of age living in an Ecuadorian Andean city. Methods A cross-sectional study was carried out in Quito, Ecuador, located at 2,810 m a.s.l. SpO2 measurement in healthy children of ages ranging from 1 month to 12 years of age residents in the city were recorded by pulse oximetry. Age and gender were recorded, and median and 2.5th and 5th percentile were drawn. Non parametric tests were used to compare differences in SpO2 values by age and gender. Results 1,378 healthy children were included for the study, 719 (52.2%) males. The median SpO2 for the entire population was 94.5%. No differences were observed between SpO2 median values by age and gender. The 2.5th percentile for global SpO2 measurements was 90%, in children under 5 years of age was 91% and it was 90% in children older than 7. Conclusions Our results provide SpO2 values for healthy children from 1 to 12 years old residents in Quito, a city of moderate altitude. The SpO2 percentile curve could contribute as a healthy range for the clinical evaluation of children residing at this altitude.


2020 ◽  
Author(s):  
Vinicio Andrade Mayorga ◽  
Felipe Andrade ◽  
Pablo Riofrío ◽  
Fulvio Nedel ◽  
Miguel Martin ◽  
...  

Abstract Background In populations above 3,000 meters above sea level (m.a.s.l.) normal values of oxygen saturation (SpO2) above 90% have been reported. Few studies have been conducted in cities of moderate altitude (between 2,500 and 3,000 m a.s.l). We set out to describe the range of SpO2 values measured with a pulse oximeter in healthy children between 1 month and 12 years of age living in an Ecuadorian Andean city. Methods A cross-sectional study was carried out in Quito, Ecuador, located at 2,810 m a.s.l. SpO2 measurement in healthy children of ages ranging from 1 month to 12 years of age residents in the city were recorded by pulse oximetry. Age and gender were recorded, and median and 2.5 th and 5 th percentile were drawn. Non parametric tests were used to compare differences in SpO2 values by age and gender. Results 1,378 healthy children were included for the study, 719 (52.2%) males. The median SpO2 for the entire population was 94.5%. No differences were observed between SpO2 median values by age and gender. The 2.5 th percentile for global SpO2 measurements was 90%, in children under 5 years of age was 91% and it was 90% in children older than 7. Conclusions Our results provide SpO2 values for healthy children from 1 to 12 years old residents in Quito, a city of moderate altitude. The SpO2 percentile curve could contribute as a healthy range for the clinical evaluation of children residing at this altitude.


2020 ◽  
Author(s):  
Vinicio Andrade Mayorga ◽  
Felipe Andrade ◽  
Pablo Riofrío ◽  
Fulvio Nedel ◽  
Miguel Martin ◽  
...  

Abstract Background In populations above 3,000 meters above sea level (m.a.s.l.) normal values of oxygen saturation (SpO2) above 90% have been reported. Few studies have been conducted in cities of moderate altitude (between 2,500 and 3,000 m a.s.l). We set out to describe the range of SpO2 values measured with a pulse oximeter in healthy children between 1 month and 12 years of age living in an Ecuadorian Andean city.Methods A cross-sectional study was carried out in Quito, Ecuador, located at 2,800 m a.s.l. SpO2 measurement in healthy children of ages ranging from 1 month to 12 years of age residents in the city were recorded by pulse oximetry. Age and gender were recorded, and median and 2.5th and 5th percentile were drawn. Non parametric tests were used to compare differences in SpO2 values by age and gender.Results 1,378 healthy children were included for the study, 719 (52.2%) males. The median SpO2 for the entire population was 94.5%. No differences were observed between SpO2 median values by age and gender. The 2.5th percentile for global SpO2 measurements was 90%, in children under 5 years of age was 91% and it was 90% in children older than 7. Conclusions Our results provide SpO2 values for healthy children from 1 to 12 years old residents in Quito, a city of moderate altitude. The SpO2 percentile curve could contribute as a healthy range for the clinical evaluation of children residing at this altitude.


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Arimi Mitsunaga ◽  
Taro Yamauchi

Abstract Background Growth references (growth charts) are used to assess the nutritional and growth status of children. In developed countries, there are growth charts based on the country’s national surveys. However, many developing countries do not have their own growth references, so they usually use WHO and US CDC references. In such cases, it is known that the growth statuses of the subject are underestimated or overestimated. This study sought to accurately assess the growth status of children by developing a local growth chart for children living in the Southern Province of Zambia. Methods Anthropometric measurements were conducted on 1135 children aged 2–19 years in the target area. The height and weight data for each sex and age were smoothed using the LMS method, and a percentile curve of height and weight was developed. Based on the US CDC reference, three indicators of undernutrition (stunting, underweight, and thinness) were calculated to determine the proportion of those who are undernourished (z-score < − 2). Results The 50th percentile curve of height and weight in the growth chart of the target population was equivalent to the 5–25th percentile curve of the US reference, and the children of Zambia were both small and of low weight. Conversely, although many subjects are small and of low weight, it was found that there were few poor nutritional statuses as judged by BMI. Through comparison with a previous study in the Southern Province of Zambia, a secular change in the growth of children over 20 years was found. Although there was no significant increase in height and weight in the older age group, there was a significant increase in height and weight at an earlier age. This is thought to be due to an increase in the growth rate of children due to improved socioeconomic conditions, women’s education level, and improvement in health care standards. Conclusions The subjects were small and of low weight compared to the US population, but the nutritional status was not poor by BMI. The height and weight at an earlier age increased compared to 20 years ago.


2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Raquel Saccani ◽  
Nadia Cristina Valentini ◽  
Keila Ruttnig Guidony Pereira ◽  
Cibelle Kayenne Martins Roberto Formiga ◽  
Maria Beatriz Martins Linhares

Abstract Introduction: The motor trajectory of pre-term children is an important indicator of health during infancy, since alterations may be a signal for the need of professional intervention. Objective: To describe percentiles and motor development curves for Brazilian preterm infants in the first year of life, determining the reference values for categorization of motor performance assessed by the AIMS. Methods: Participated in this cross-sectional study 976 children born pre-term, newly-born to 12 months of corrected age. The Alberta Infant Motor Scale (AIMS) was used to assess participants’ motor development. The scores of the Brazilian norms were used as comparison criteria. Results: Children born pre-term showed lower scores compared to children born full-term indicating the need for a specific percentile curve for that population. The scores differentiated at P1 to P99 percentiles allowing for the categorization of children with typical development, at risk and with atypical development. At 0, 4, 8, 9, 10, 11 and 12 months an overlapping of extreme percentiles (P1, P5 and P10; P90, P95 and P99) was observed, but not in the other percentiles. Conclusion: The percentiles described indicate that preterm children presented lower motor performance than full-term children and AIMS has discriminant power for the clinical evaluation of these children. The developmental curves showed lower capacity for behavioral differentiation in the extreme percentiles.


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