Revista Paulista de Pediatria (English Edition)最新文献_第2页

Magistral drugs in hospitalized newborns and children 住院新生儿和儿童的主要药物

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.02.012

Agueda Cabral de Souza Pereira, Elaine Silva Miranda, Selma Rodrigues de Castilho, Débora Omena Futuro, Lenise Arneiro Teixeira, Geraldo Renato de Paula

{"title":"Magistral drugs in hospitalized newborns and children","authors":"Agueda Cabral de Souza Pereira, Elaine Silva Miranda, Selma Rodrigues de Castilho, Débora Omena Futuro, Lenise Arneiro Teixeira, Geraldo Renato de Paula","doi":"10.1016/j.rppede.2016.02.012","DOIUrl":"10.1016/j.rppede.2016.02.012","url":null,"abstract":"<div><h3>Objective</h3><p>Study the use of magistral oral solutions and suspensions in infants and children at a university hospital.</p></div><div><h3>Methods</h3><p>This is a descriptive study based on the analysis of the assessed hospital's magistral drug request forms regarding the patients in the neonatal ICU, Obstetrics, Pediatrics and Pediatric Emergency from January 2012 to December 2013. The frequency of drug requests and dispensation was evaluated and the consumption of each active ingredient of the preparations was expressed as number of “infant defined daily dose” (iDDD) and of iDDD/100 bed-days.</p></div><div><h3>Results</h3><p>A total of 657 forms were analyzed – a monthly average of 27 pediatric preparations. The neonatal ICU accounted for 69.6% of these requests. Twenty-one drug items were used, of which the most common were folinic acid (88 requests), sulfadiazine (85) and captopril (73). The consumption of the active principle in these preparations varied in number of iDDD, from 7.5 (hydralazine) to 16,520.0 (folic acid), and in number of iDDD/100 bed-days in the neonatal ICU, from 0.1 (zinc sulfate) to 146.1 (folic acid).</p></div><div><h3>Conclusions</h3><p>The constant consumption of magistral oral solutions and suspensions by newborns and children of the assessed hospital indicates the need for such preparations as a pediatric therapeutic alternative in this hospital.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 403-407"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Pediatrician's knowledge on the approach of functional constipation 儿科医生关于功能性便秘治疗方法的知识

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.06.003

Mario C. Vieira , Isadora Carolina Krueger Negrelle , Karla Ulaf Webber , Marjorie Gosdal , Sabine Krüger Truppel , Solena Ziemer Kusma

{"title":"Pediatrician's knowledge on the approach of functional constipation","authors":"Mario C. Vieira , Isadora Carolina Krueger Negrelle , Karla Ulaf Webber , Marjorie Gosdal , Sabine Krüger Truppel , Solena Ziemer Kusma","doi":"10.1016/j.rppede.2016.06.003","DOIUrl":"10.1016/j.rppede.2016.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the pediatrician's knowledge regarding the diagnostic and therapeutic approach of childhood functional constipation.</p></div><div><h3>Methods</h3><p>A descriptive cross-sectional study was performed with the application of a self-administered questionnaire concerning a hypothetical clinical case of childhood functional constipation with fecal incontinence to physicians (n=297) randomly interviewed at the 36th Brazilian Congress of Pediatrics in 2013.</p></div><div><h3>Results</h3><p>The majority of the participants were females, the mean age was 44.1 years, the mean time of professional practice was 18.8 years; 56.9% were Board Certified by the Brazilian Society of Pediatrics. Additional tests were ordered by 40.4%; including abdominal radiography (19.5%), barium enema (10.4%), laboratory tests (9.8%), abdominal ultrasound (6.7%), colonoscopy (2.4%), manometry and rectal biopsy (both 1.7%). The most common interventions included lactulose (26.6%), mineral oil (17.5%), polyethylene glycol (14.5%), fiber supplement (9.1%) and milk of magnesia (5.4%). Nutritional guidance (84.8%), fecal disimpaction (17.2%) and toilet training (19.5%) were also indicated.</p></div><div><h3>Conclusions</h3><p>Our results show that pediatricians do not adhere to current recommendations for the management of childhood functional constipation, as unnecessary tests were ordered and the first-line treatment was not prescribed.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 425-431"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Maternal breastfeeding, early introduction of non-breast milk, and excess weight in preschoolers 母亲母乳喂养，早期引入非母乳喂养，以及学龄前儿童体重超标

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.05.002

Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone

{"title":"Maternal breastfeeding, early introduction of non-breast milk, and excess weight in preschoolers","authors":"Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone","doi":"10.1016/j.rppede.2016.05.002","DOIUrl":"10.1016/j.rppede.2016.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate associations between excess weight in preschool children, breastfeeding duration and age of non-breast milk introduction.</p></div><div><h3>Methods</h3><p>Cross-sectional study of a representative sample of 817 preschool children, aged 2–4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index <em>z</em>-score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.</p></div><div><h3>Results</h3><p>The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non-breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (<em>r</em>=0.154; <em>p</em><0.001) and maternal body mass index (BMI) (<em>r</em>=0.113; <em>p</em>=0.002). The correlation was inverse with the total duration of breastfeeding (<em>r</em>=−0.099; <em>p</em>=0.006) and age at non-breast milk introduction (<em>r</em>=−0.112; <em>p</em>=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.</p></div><div><h3>Conclusions</h3><p>The earlier the introduction of non-breast milk, the higher the correlation with excess weight at preschool age.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 454-459"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Association between cardiorespiratory fitness and body fat in girls 女孩心肺健康与体脂的关系

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.02.014

Giseli Minatto , Thiago Ferreira de Sousa , Wellington Roberto Gomes de Carvalho , Roberto Régis Ribeiro , Keila Donassolo Santos , Edio Luiz Petroski

{"title":"Association between cardiorespiratory fitness and body fat in girls","authors":"Giseli Minatto , Thiago Ferreira de Sousa , Wellington Roberto Gomes de Carvalho , Roberto Régis Ribeiro , Keila Donassolo Santos , Edio Luiz Petroski","doi":"10.1016/j.rppede.2016.02.014","DOIUrl":"10.1016/j.rppede.2016.02.014","url":null,"abstract":"<div><h3>Objective</h3><p>To estimate the prevalence of low cardiorespiratory fitness and its association with excess body fat, considering the sexual maturation and economic level in female adolescents.</p></div><div><h3>Methods</h3><p>Cross-sectional, epidemiological study of 1223 adolescents (10–17 years) from the public school system of Cascavel, PR, Brazil, in 2006. We analyzed the self-assessed sexual maturation level (prepubertal, pubertal and post-pubertal), the economic level (high and low) through a questionnaire and body fat (normal and high) through triceps and subscapular skinfolds. The 20-meter back-and-forth test was applied to estimate maximum oxygen consumption. Cardiorespiratory fitness was assessed according to reference criteria and considered low when the minimum health criterion for age and sex was not met. Chi-square test and logistic regression were applied, with a significance level of 5%.</p></div><div><h3>Results</h3><p>The prevalence of low cardiorespiratory fitness was 51.3%, being associated with all study variables (<em>p</em><0.001). At the crude analysis, adolescents with high body fat were associated with low cardiorespiratory fitness, when compared to those with normal body fat (<em>OR</em>=2.76; 95%CI: 2.17–3.52). After adjustment by sexual maturation, this association remained valid and showed an effect that was 1.8-fold higher (95%CI: 1.39–2.46) and after adjusting by economic level, the effect was 1.9-fold higher (95%CI: 1.45–2.61).</p></div><div><h3>Conclusions</h3><p>Approximately half of the assessed girls showed unsatisfactory levels of cardiorespiratory fitness for health, which was associated with high body fat, regardless of sexual maturation level and economic level. Effective public health measures are needed, with particular attention to high-risk groups.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 469-475"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Care needs of children with disabilities – Use of the Pediatric Evaluation of Disability Inventory 残疾儿童的护理需求——儿童残疾评估量表的使用

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.02.015

Fernanda Moreira Teles, Rosa Resegue, Rosana Fiorini Puccini

{"title":"Care needs of children with disabilities – Use of the Pediatric Evaluation of Disability Inventory","authors":"Fernanda Moreira Teles, Rosa Resegue, Rosana Fiorini Puccini","doi":"10.1016/j.rppede.2016.02.015","DOIUrl":"10.1016/j.rppede.2016.02.015","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the care needs reported by caregivers of children with disabilities going through the school inclusion process using the Pediatric Evaluation of Disability Inventory.</p></div><div><h3>Methods</h3><p>Cross-sectional study with 181 children aged 7–10 years with physical or mental disabilities, undergoing the inclusion process in elementary school in 2007. Location: 31 schools of the Regional Education Board–District of Penha, East Side the city of São Paulo. The children's care needs according to the caregivers were assessed in three areas–self-care, mobility and social function, using the Pediatric Evaluation of Disability Inventory, according to the following score: 5, Independent; 4, Supervision; 3, Minimum Assistance; 2, Moderate Assistance; 1, Maximum Assistance and 0, Total Assistance. For statistical analysis, we used Student's <em>t</em>-test and analysis of variance (ANOVA), with <em>p</em><0.05 being statistically significant.</p></div><div><h3>Results</h3><p>The lower means, with statistically significant differences, were observed for the items related to social function (55.8–72.0), followed by self-care functions (56.0–96.5); for all types of disabilities, except for children with physical disabilities, who had lower means for self-care (56.0) and mobility (63.8).</p></div><div><h3>Conclusions</h3><p>Social function was the area referred to as the one that needed a higher degree of assistance from the caregiver and the Pediatric Evaluation of Disability Inventory is a tool that can help identify these needs and develop a more targeted intervention.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 447-453"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Impact of the pneumococcal 10-valent vaccine on reducing hospitalization for community-acquired pneumonia in children 肺炎球菌10价疫苗对减少儿童社区获得性肺炎住院率的影响

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.03.008

Sandra Rodrigues da Silva , Luane Marques de Mello , Anderson Soares da Silva , Altacílio Aparecido Nunes

{"title":"Impact of the pneumococcal 10-valent vaccine on reducing hospitalization for community-acquired pneumonia in children","authors":"Sandra Rodrigues da Silva , Luane Marques de Mello , Anderson Soares da Silva , Altacílio Aparecido Nunes","doi":"10.1016/j.rppede.2016.03.008","DOIUrl":"10.1016/j.rppede.2016.03.008","url":null,"abstract":"<div><h3>Objective</h3><p>To describe and analyze the occurrence of hospitalizations for community-acquired pneumonia in children before and after the pneumococcal 10-valent conjugate vaccine implementation into the National Immunization Program.</p></div><div><h3>Methods</h3><p>This is an ecological study that includes records of children younger than one year old, vaccinated and not vaccinated with the pneumococcal 10-valent conjugate vaccine in the periods pre- and post-inclusion of the vaccine in the National Immunization Program in the area covered by the Regional Health Superintendence of Alfenas, state of Minas Gerais, Brazil. Vaccination was considered as the exposure factor and hospitalization for community-acquired pneumonia as the endpoint, using secondary annual data by municipality. The prevalence ratio and its 95% confidence interval (95%CI) were used to verify the association between variables. The Z test was used to calculate the difference between proportions.</p></div><div><h3>Results</h3><p>Considering the 26 municipalities of the Regional Health Superintendence of Alfenas, there was a significant reduction in hospitalizations for community-acquired pneumonia in children younger than one year of age, with prevalence ratio (PR)=0.81 (95%CI: 0.74–0.89; <em>p</em><0.05), indicating a 19% lower prevalence of hospitalization for community-acquired pneumonia in the post-vaccination period.</p></div><div><h3>Conclusions</h3><p>The results suggest the effectiveness of the pneumococcal 10-valent conjugate vaccine in preventing severe cases of community-acquired pneumonia in children younger than one year of age.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 418-424"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Use of honey associated with Ananas comosus (Bromelin) in the treatment of acute irritative cough 用蜂蜜加凤梨素治疗急性过敏性咳嗽

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.04.002

Décio Medeiros Peixoto , José Angelo Rizzo , Deborah Schor , Almerinda Rêgo Silva , Dinaldo Cavalcanti de Oliveira , Dirceu Solé , Emanuel Sarinho

{"title":"Use of honey associated with Ananas comosus (Bromelin) in the treatment of acute irritative cough","authors":"Décio Medeiros Peixoto , José Angelo Rizzo , Deborah Schor , Almerinda Rêgo Silva , Dinaldo Cavalcanti de Oliveira , Dirceu Solé , Emanuel Sarinho","doi":"10.1016/j.rppede.2016.04.002","DOIUrl":"10.1016/j.rppede.2016.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the immediate improvement rate of irritative cough in patients treated with the combination of <em>Ananas comosus</em> extract and honey (Bromelin<sup>®</sup>) compared with the use of honey alone (placebo group).</p></div><div><h3>Methods</h3><p>Pragmatic, double-blind, randomized, parallel-group study with children aged between 2 and 15 years, with irritative cough for at least 24hours. The double-blind assessment of cough was through the number of observed coughing episodes and intensity score for a period of 10minutes of observation. The decrease of one point in the mean total score was considered as a therapeutic effect.</p></div><div><h3>Results</h3><p>There was a reduction in coughing episodes in both groups, as well as in the cough score after 30minutes of drug or honey administration. The change in clinical score above two points, which could indicate marked improvement, occurred in five patients in the bromelin group and only in one in the placebo group, but without significant difference. There were no adverse events.</p></div><div><h3>Conclusions</h3><p>The immediate improvement rate of irritative cough was similar in patients treated with combination of <em>Ananas comosus</em> extract and honey (Bromelin<sup>®</sup>) compared with the use of honey alone (placebo group). It is possible that honey has a therapeutic effect on mucus and cough characteristics (Clinical Trials: <span>NCT01356693</span><svg><path></path></svg>).</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 412-417"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Severe protein-calorie malnutrition in two brothers due to abuse by starvation 由于饥饿的虐待，两兄弟严重的蛋白质卡路里营养不良

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.06.002

Marcela Montenegro Braga Barroso, Luiza Martins Salvador, Ulysses Fagundes Neto

{"title":"Severe protein-calorie malnutrition in two brothers due to abuse by starvation","authors":"Marcela Montenegro Braga Barroso, Luiza Martins Salvador, Ulysses Fagundes Neto","doi":"10.1016/j.rppede.2016.06.002","DOIUrl":"10.1016/j.rppede.2016.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the case of two siblings with severe protein-calorie malnutrition due to abuse by starvation.</p></div><div><h3>Cases description</h3><p>The two patients were simultaneously referred to the Hospital Municipal, where they were admitted to the Pediatric Gastroenterology clinic of a university hospital for diagnostic investigation of the cause of severe malnutrition and screening tests for Celiac Disease, Cystic Fibrosis and Environmental enteropathy among others. The exams were all normal, and after detailed research on the interactions of this family, we reached the conclusion that the malnutrition was due to abuse by starvation. The children spent approximately two months in the hospital, receiving a high-protein and high-calorie diet, with significant nutritional recovery.</p></div><div><h3>Comments</h3><p>Abuse by starvation, although rare, should always be considered of as one of the causes of child malnutrition and pediatrician should be aware of the child's development, as well as the family interactions, to prevent more severe nutritional and emotional consequences in the future.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 522-527"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children 小丑互动对住院儿童生命体征及非语言沟通的影响

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.02.011

Pauline Lima Alcântara , Ariane Zonho Wogel , Maria Isabela Lobo Rossi , Isabela Rodrigues Neves , Ana Llonch Sabates , Ana Cláudia Puggina

{"title":"Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children","authors":"Pauline Lima Alcântara , Ariane Zonho Wogel , Maria Isabela Lobo Rossi , Isabela Rodrigues Neves , Ana Llonch Sabates , Ana Cláudia Puggina","doi":"10.1016/j.rppede.2016.02.011","DOIUrl":"10.1016/j.rppede.2016.02.011","url":null,"abstract":"<div><h3>Objective</h3><p>Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction.</p></div><div><h3>Methods</h3><p>Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20min. Vital signs were assessed in two measurements with an interval of 1min immediately before and after the interaction. Non-verbal communication was observed before and during the interaction using the Non-Verbal Communication Template Chart, a tool in which non-verbal behaviors are assessed as effective or ineffective in the interactions.</p></div><div><h3>Results</h3><p>The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7–11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non-verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores.</p></div><div><h3>Conclusions</h3><p>The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 4","pages":"Pages 432-438"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34753049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Relation between safe use of medicines and Clinical Pharmacy Services at Pediatric Intensive Care Units 儿童重症监护病房药物安全使用与临床药学服务的关系

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-12-01 DOI: 10.1016/j.rppede.2016.04.001

Lucas Miyake Okumura , Daniella Matsubara da Silva , Larissa Comarella

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引用次数: 14