O presente estudo, de natureza teorica, constitui-se em uma etapa de uma pesquisa maior que tem por objetivo contribuir na construcao de uma Pedagogia da Infância Oprimida. Analisa na obra de Paulo Freire quando, onde e como este autor explicitou sua compreensao de infância e crianca. Realiza, neste sentido, um rastreamento em suas obras publicadas em portugues, iniciando pelo periodo que antecede seu exilio em outubro de 1964. Defende a obra de Freire como um referencial teorico importante para analise das condicoes de vida das criancas e, assim, para a constituicao de uma pedagogia comprometida com a infância oprimida; pedagogia esta que possibilite abertura suficiente para ter com as criancas um olhar de respeito as suas singularidades, necessidades e direitos. Aproxima, entao, o conceito de infância em Giorgio Agamben ao de inacabamento em Paulo Freire na perspectiva de constituicao de uma Pedagogia pensada com as criancas. Conclui que ja em sua primeira obra, “Educacao e atualidade brasileira”, de 1959, Paulo Freire sinaliza para uma compreensao da crianca como protagonista de sua/nossa historia.
Objectives This study aimed to describe the long-term outcome and immunological status of children born to mothers with antiphospholipid syndrome, to determine the factors responsible for childhood abnormalities, and to correlate the child's immunological profile with their mothers. Methods A prospective follow-up of a European multicentre cohort was conducted. The follow-up consisted of clinical examination, growth data, neurodevelopmental milestones and antiphospholipid antibodies (APL) screening. Children were examined at 3, 9, 24 months and 5 years. Results 134 children were analysed (female sex in 65 cases, birth weight 3000±500 g, height 48±3 cm). Sixteen per cent had a preterm birth (<37 weeks; n=22), and 14% weighted less than 2500 g at birth (n=19). Neonatal complications were noted in 18 cases (13%), with five infections (4%). During the 5-year follow-up, no thrombosis or systemic lupus erythematosus (SLE) was noted. Four children displayed behavioural abnormalities, which consisted of autism, hyperactive behaviour, feeding disorder with language delay and axial hypotony with psychomotor delay. At birth lupus anticoagulant was present in four (4%), anticardiolipin antibodies (ACL) IgG in 18 (16%), anti-β2 glycoprotein-I (anti-β2GPI) IgG/M in 16 (15%) and three (3%), respectively. ACL IgG and anti-β2GPI disappeared at 6 months in nine (17%) and nine (18%), whereas APL persisted in 10% of children. ACL and anti-β2GPI IgG were correlated with the same mother's antibodies before 6 months of age (p<0.05). Conclusion Despite the presence of APL in children, thrombosis or SLE were not observed. The presence of neurodevelopmental abnormalities seems to be more important in these children, and could justify long-term follow-up.
Acute pancreatitis is a rare but life-threatening complication in patients with transplanted kidney. The incidence of acute pancreatitis after kidney transplantation ranges from 2% to 7%, with mortality rate between 50 and 100%. We report a case of a female patient aged 46 years, developing an interstitial acute pancreatitis 8 years following a renal transplantation. The specific aethiological factor was not clearly established, although possibility of biliary pancreatitis with spontaneous stone elimination and/or medication-induced pancreatitis remains the strongest. Every patient after renal transplantation with an acute onset of abdominal pain should be promptly evaluated for presence of pancreatitis with a careful application of the most appropriate diagnostic procedure for each individual patient.
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