<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1900-6586</journal-id>
<journal-title><![CDATA[Revista Científica General José María Córdova]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cient. Gen. José María Córdova]]></abbrev-journal-title>
<issn>1900-6586</issn>
<publisher>
<publisher-name><![CDATA[Escuela Militar de Cadetes "General José María Córdova"]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1900-65862018000200081</article-id>
<article-id pub-id-type="doi">10.21830/19006586.323</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Staging puberty in children with cerebral palsy]]></article-title>
<article-title xml:lang="es"><![CDATA[Etapa puberal en niños con parálisis cerebral]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estágio puberal de crianças com paralisia cerebral]]></article-title>
<article-title xml:lang="fr"><![CDATA[Scène de la puberté chez les enfants atteints de paralysie cérébrale]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Aguiar Sabbag]]></surname>
<given-names><![CDATA[Alexandre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins Szczypior Costin]]></surname>
<given-names><![CDATA[Ana Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves Menegassi]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertolino Silva]]></surname>
<given-names><![CDATA[Juliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marcondes Braga]]></surname>
<given-names><![CDATA[Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borba Neves]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Universitário Campos de Andrade  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Universitário Campos de Andrade  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitário Campos de Andrade  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Universitário Campos de Andrade  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Federal do Paraná  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade Tecnológica Federal do Paraná  ]]></institution>
<addr-line><![CDATA[Apucarana ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>16</volume>
<numero>22</numero>
<fpage>81</fpage>
<lpage>91</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1900-65862018000200081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1900-65862018000200081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1900-65862018000200081&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This study evaluates the pubertal development of children diagnosed with cerebral palsy and identifies the gender with the highest incidence of early maturation of primary and secondary sexual characteristics. We assessed 25 Caucasians children between the age of 5 and 10 diagnosed with Cerebral Palsy. The children&#8217;s stage of sexual maturation was evaluated and classified according to the Tanner Stages. In the collected data, precocious maturation of secondary sexual characteristics was observed in three girls and nine boys. Statistically, there was a significant difference between the development of genitalia in boys and breasts in girls (p = 0.01). The boys presented a higher maturation speed of genitalia than the girls&#8217; in their breasts (thelarche). The girls showed a higher development of hair (pubarche) than boys (p = 0.05). The direct relationship between neurological disorders and precocious maturation of the secondary sexual characteristics in children with cerebral palsy was concluded.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este estudio evalúa el desarrollo puberal de niños diagnosticados con parálisis cerebral e identifica el género con la mayor incidencia de maduración precoz de los caracteres sexuales secundarios. Se evaluaron 25 niños entre 5 y 10 años, caucásicos y con diagnóstico de parálisis cerebral. Se evaluó y clasificó la fase de maduración sexual del paciente de acuerdo con la Escala de Tanner. Se observó una maduración temprana de los caracteres sexuales secundarios en tres niñas y nueve niños y una diferencia estadísticamente significativa entre el desarrollo genital en los niños y las mamas en las niñas (p = 0,01). Los niños presentaron una velocidad de maduración de los genitales mayor al de las mamas en las niñas (telarca). Las niñas tienen un mayor desarrollo de los vellos púbicos (pubarca) que los niños (p = 0,05). Se concluye que existe una relación directa entre los trastornos neurológicos y la maduración de los caracteres sexuales secundarios en niños con parálisis cerebral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Este estudo avalia o desenvolvimento da puberdade de crianças diagnosticadas com paralisia cerebral e identifica o género com maior incidência de maturação precoce das características sexuais secundárias. Foram avaliadas 25 crianças entre 5 e 10 anos, caucasianos e com diagnóstico de paralisia cerebral. A fase de maturação sexual do paciente foi avaliada e classificada de acordo com a Escala de Tanner. Foram observadas três meninas e nove meninos com maturação precoce das características sexuais secundárias. Observou-se uma diferença estatisticamente significativa entre o desenvolvimento genital em meninos e da mamas em meninas (p = 0,01). Os meninos têm uma maior taxa de maturação dos órgãos genitais que aquela observada nas mamas das meninas (telarca). As meninas apresentaram um maior desenvolvimento de pêlos (pubarca) que os meninos (p = 0,05). Concluiu-se que há uma relação direta entre os distúrbios neurológicos e a maturação das características sexuais secundárias em crianças com paralisia cerebral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Résumé Cette étude était évalue le développement de la puberté des enfants diagnostiqués avec la paralysie cérébrale et identifie le genre avec l&#8217;incidence plus élevée de maturation précoce des caractères sexuels secondaires. Nous avons évalué 25 enfants âgés de 5 à 10 ans, caucasiens, avec un diagnostic de paralysie cérébrale. La phase de maturation sexuelle du patient a été évaluée et classée selon l&#8217;échelle de Tanner. Une maturation précoce des caractères sexuels secondaires a été observée chez trois filles et neuf garçons et une différence statistiquement significative entre le développement des organes génitaux chez les garçons et sein chez les filles (p = 0,01). Les garçons avaient un taux de maturation des organes génitaux plus élevé que celui observé dans les seins des filles (thélarche). Les filles avaient un développement de cheveux supérieur (pubarche) que les garçons (p = 0,05). Il a été conclu qu&#8217;il existe une relation directe entre les troubles neurologiques et la maturation des caractères sexuels secondaires chez les enfants atteints de paralysie cérébrale.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[central nervous system diseases]]></kwd>
<kwd lng="en"><![CDATA[cerebral palsy]]></kwd>
<kwd lng="en"><![CDATA[precocious puberty]]></kwd>
<kwd lng="es"><![CDATA[enfermedades del sistema nervioso central]]></kwd>
<kwd lng="es"><![CDATA[parálisis cerebral]]></kwd>
<kwd lng="es"><![CDATA[pubertad precoz]]></kwd>
<kwd lng="pt"><![CDATA[doenças do sistema nervoso central]]></kwd>
<kwd lng="pt"><![CDATA[paralisia cerebral]]></kwd>
<kwd lng="pt"><![CDATA[puberdade precoce]]></kwd>
<kwd lng="fr"><![CDATA[infirmité motrice cérébrale]]></kwd>
<kwd lng="fr"><![CDATA[maladies du système nerveux central]]></kwd>
<kwd lng="fr"><![CDATA[puberté précoce]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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