{"id":"https://openalex.org/W117752775","doi":null,"title":"[Diagnostic limitations of the physical examination in the identification of children with anemia].","display_name":"[Diagnostic limitations of the physical examination in the identification of children with anemia].","publication_year":1996,"publication_date":"1996-07-01","ids":{"openalex":"https://openalex.org/W117752775","mag":"117752775","pmid":"https://pubmed.ncbi.nlm.nih.gov/9138361"},"language":"pt","primary_location":{"id":"pmid:9138361","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9138361","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista da Associacao Medica Brasileira (1992)","raw_type":"Clinical Trial"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032127156","display_name":"Vera L\u00facia Sdepanian","orcid":"https://orcid.org/0000-0003-2614-710X","observed_orcids":["https://orcid.org/0000-0003-2614-710X"]},"institutions":[{"id":"https://openalex.org/I88273585","display_name":"Universidade Federal de S\u00e3o Paulo","ror":"https://ror.org/02k5swt12","country_code":"BR","type":"education","lineage":["https://openalex.org/I88273585"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"V L Sdepanian","raw_affiliation_strings":["Departamento de Pediatria da Universidade Federal de S\u00e3o Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departamento de Pediatria da Universidade Federal de S\u00e3o Paulo","institution_ids":["https://openalex.org/I88273585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046808385","display_name":"W S Silvestrini","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"W S Silvestrini","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5012788553","display_name":"Mauro Batista de Morais","orcid":"https://orcid.org/0000-0003-4014-5549","observed_orcids":["https://orcid.org/0000-0003-4014-5549"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M B de Morais","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.00953622,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":92},"biblio":{"volume":"42","issue":"3","first_page":"169","last_page":"74"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10452","display_name":"Iron Metabolism and Disorders","score":0.25999999046325684,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10452","display_name":"Iron Metabolism and Disorders","score":0.25999999046325684,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.1624000072479248,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13309","display_name":"Reliability and Agreement in Measurement","score":0.09849999845027924,"subfield":{"id":"https://openalex.org/subfields/1804","display_name":"Statistics, Probability and Uncertainty"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-anemia","display_name":"childhood anemia","score":0.8889999985694885},{"id":"https://openalex.org/keywords/physical-examination","display_name":"physical examination","score":0.656000018119812},{"id":"https://openalex.org/keywords/conjunctival-pallor","display_name":"conjunctival pallor","score":0.949999988079071},{"id":"https://openalex.org/keywords/hemoglobin-levels","display_name":"hemoglobin levels","score":0.5540000200271606},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.8970000147819519},{"id":"https://openalex.org/keywords/inter-examiner-agreement","display_name":"inter-examiner agreement","score":0.6190000176429749},{"id":"https://openalex.org/keywords/hemoglobin-screening","display_name":"hemoglobin screening","score":0.6019999980926514},{"id":"https://openalex.org/keywords/pediatric-outpatients","display_name":"pediatric outpatients","score":0.5669999718666077}],"concepts":[{"id":"https://openalex.org/C2778124894","wikidata":"https://www.wikidata.org/wiki/Q2336398","display_name":"Pallor","level":2,"score":0.9713796377182007},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8351367712020874},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.8255751729011536},{"id":"https://openalex.org/C2778917026","wikidata":"https://www.wikidata.org/wiki/Q43041","display_name":"Hemoglobin","level":2,"score":0.7233985662460327},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.6413639783859253},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5051632523536682},{"id":"https://openalex.org/C2779744641","wikidata":"https://www.wikidata.org/wiki/Q9614","display_name":"Tongue","level":2,"score":0.4637013375759125},{"id":"https://openalex.org/C2983449737","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Clinical diagnosis","level":2,"score":0.43790966272354126},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.3206368088722229},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.292949378490448},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.15601694583892822}],"mesh":[{"descriptor_ui":"D000740","descriptor_name":"Anemia","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D000740","descriptor_name":"Anemia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006454","descriptor_name":"Hemoglobins","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010808","descriptor_name":"Physical Examination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015203","descriptor_name":"Reproducibility of Results","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:9138361","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9138361","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista da Associacao Medica Brasileira (1992)","raw_type":"Clinical Trial"},{"id":"mag:117752775","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9138361","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2032612715","https://openalex.org/W2130855665","https://openalex.org/W2104347712","https://openalex.org/W7217355017","https://openalex.org/W7218042540","https://openalex.org/W7098091157","https://openalex.org/W2957904764","https://openalex.org/W3080119239","https://openalex.org/W7913059","https://openalex.org/W7217789018"],"abstract_inverted_index":{"A":[0],"total":[1],"of":[2,21,25,42,53,62,67,89,96,112,146,163,175,188,190,195,199,207,217],"143":[3],"children":[4,131],"was":[5,81,121],"randomly":[6],"selected":[7],"from":[8,31,103,124,182],"a":[9,153,214],"Pediatric":[10],"out-patients":[11],"clinic":[12],"in":[13,83,220],"order":[14],"to":[15,33,105,126,184],"evaluate":[16],"the":[17,22,40,57,60,68,113,118,130,157,161,173,176,191,196,205],"accuracy":[18,192],"and":[19,73,169,179,193],"reproductibility":[20,194],"clinical":[23,44,115,144,197],"signs":[24,116,198],"anemia.":[26,147],"The":[27,75,87,110,148],"patients,":[28],"who":[29,101],"ranged":[30,102,123],"6":[32,104],"68":[34],"months":[35,107],"old,":[36],"were":[37],"assessed":[38],"on":[39],"basis":[41],"2":[43,49,119,158],"examinations":[45,120,159],"performed":[46],"independently":[47],"by":[48],"physicians.":[50],"Clinical":[51],"diagnosis":[52],"anemia":[54,90],"relied":[55],"upon":[56],"examination":[58],"for":[59,117,160,172],"presence":[61],"pallor":[63,165],"through":[64],"an":[65],"inspection":[66],"skin,":[69],"conjunctivaes,":[70,177],"lips,":[71],"tongue":[72],"palms.":[74],"reference":[76],"standard":[77],"taken":[78],"into":[79],"consideration":[80],"hemoglobin":[82,133,208],"venous":[84],"blood":[85],"samples.":[86],"prevalence":[88],"(hemoglobin":[91],"<":[92],"11.0":[93],"g/dL)":[94],"consisted":[95],"41.3%,":[97],"predominating":[98],"among":[99],"patients":[100],"24":[106],"old":[108],"(59.3%).":[109],"sensitivity":[111],"different":[114],"low":[122],"28.8%":[125],"52.5%.":[127],"Almost":[128],"all":[129],"with":[132],"concentration":[134,209],"lower":[135],"than":[136],"9.0":[137],"g/dL":[138],"presented":[139],"at":[140],"least":[141],"one":[142],"suggestive":[143],"sign":[145],"Kappa":[149],"coefficient":[150],"(K)":[151],"demonstrated":[152],"mild":[154],"agreement":[155,171],"between":[156],"assessment":[162],"cutaneous":[164],"(K":[166,181],"=":[167],"+0.32)":[168],"moderate":[170],"evaluation":[174],"lips-tongue":[178],"palms":[180],"+0.55":[183],"+0.59).":[185],"In":[186],"view":[187],"limitation":[189],"anemia,":[200],"we":[201],"may":[202],"state":[203],"that":[204],"determination":[206],"should":[210],"be":[211],"introduced":[212],"as":[213],"routine":[215],"procedure":[216],"major":[218],"importance":[219],"health":[221],"care":[222],"services.":[223]},"counts_by_year":[{"year":2021,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}