Echocardiography Learning by Pediatricians While Screening Congenital Heart Disease with the Aid of Telemedicine.

Congenital heart disease (CHD) affects 1% of all newborns and is a major public health problem. Most children with CHD benefit from early diagnosis to optimize management. However, in many places there are no specialized professionals to do so.

A telemedicine network for remote paediatric cardiology services in north-east Brazil.

Problem: Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries.

Approach: In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Círculo do Coração. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities.

Impact of a Virtual Clinic in a Paediatric Cardiology Network on Northeast Brazil.

Introduction. Congenital heart diseases (CHD) affect approximately 1% of live births and is an important cause of neonatal morbidity and mortality. Despite that, there is a shortage of paediatric cardiologists in Brazil, mainly in the northern and northeastern regions.

Acanthosis nigricans and insulin resistance in overweight children and adolescents.

Background: Studies have suggested an association between the presence of acanthosis nigricans (AN) and the development of diabetes.

Objective: To investigate the association between AN and insulin resistance (IR) in overweight children and adolescents receiving care at the Center for Childhood Obesity, Campina Grande, PB.

Methods: This cross-sectional study was conducted between April 2009 and April 2010 including 194 individuals of 2 to 18 years of age receiving care within the Brazilian national health network.