Revista Paulista de Pediatria (English Edition)最新文献_第9页

Fine particulate matter estimated by mathematical model and hospitalizations for pneumonia and asthma in children 用数学模型估计儿童肺炎和哮喘的细颗粒物和住院情况

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-03-01 DOI: 10.1016/j.rppede.2015.12.005

Ana Cristina Gobbo César , Luiz Fernando Costa Nascimento , Katia Cristina Cota Mantovani , Luciana Cristina Pompeo Vieira

{"title":"Fine particulate matter estimated by mathematical model and hospitalizations for pneumonia and asthma in children","authors":"Ana Cristina Gobbo César , Luiz Fernando Costa Nascimento , Katia Cristina Cota Mantovani , Luciana Cristina Pompeo Vieira","doi":"10.1016/j.rppede.2015.12.005","DOIUrl":"10.1016/j.rppede.2015.12.005","url":null,"abstract":"<div><h3>Objective</h3><p>To estimate the association between exposure to fine particulate matter with an aerodynamic diameter <2.5 microns (PM<sub>2.5</sub>) and hospitalizations for pneumonia and asthma in children.</p></div><div><h3>Methods</h3><p>An ecological study of time series was performed, with daily indicators of hospitalization for pneumonia and asthma in children up to 10 years of age, living in Taubaté (SP) and estimated concentrations of PM<sub>2.5</sub>, between August 2011 and July 2012. A generalized additive model of Poisson regression was used to estimate the relative risk, with lag zero up to five days after exposure; the single pollutant model was adjusted by the apparent temperature, as defined from the temperature and relative air humidity, seasonality and weekday.</p></div><div><h3>Results</h3><p>The values of the relative risks for hospitalization for pneumonia and asthma were significant for lag 0 (RR=1.051, 95%CI; 1.016 to 1.088); lag 2 (RR=1.066, 95%CI: 1.023 to 1.113); lag 3 (RR=1.053, 95%CI: 1.015 to 1.092); lag 4 (RR=1.043, 95%CI: 1.004 to 1.088) and lag 5 (RR=1.061, 95%CI: 1.018 to 1.106). The increase of 5mcg/m<sup>3</sup> in PM<sub>2.5</sub> contributes to increase the relative risk for hospitalization from 20.3 to 38.4 percentage points; however, the reduction of 5μg/m<sup>3</sup> in PM<sub>2.5</sub> concentration results in 38 fewer hospital admissions.</p></div><div><h3>Conclusions</h3><p>Exposure to PM<sub>2.5</sub> was associated with hospitalizations for pneumonia and asthma in children younger than 10 years of age, showing the role of fine particulate matter in child health and providing subsidies for the implementation of preventive measures to decrease these outcomes.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 1","pages":"Pages 18-23"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55271157","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: 26

Factors associated with short sleep duration in adolescents 青少年睡眠时间短的相关因素

Revista Paulista de Pediatria (English Edition) Pub Date : 2016-03-01 DOI: 10.1016/j.rppede.2015.10.007

Érico Pereira Gomes Felden , Douglas Filipin , Diego Grasel Barbosa , Rubian Diego Andrade , Carolina Meyer , Fernando Mazilli Louzada

{"title":"Factors associated with short sleep duration in adolescents","authors":"Érico Pereira Gomes Felden , Douglas Filipin , Diego Grasel Barbosa , Rubian Diego Andrade , Carolina Meyer , Fernando Mazilli Louzada","doi":"10.1016/j.rppede.2015.10.007","DOIUrl":"10.1016/j.rppede.2015.10.007","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the prevalence and factors associated with short sleep duration in adolescents from Maravilha – Santa Catarina (SC), southern Brazil.</p></div><div><h3>Methods</h3><p>The sample consisted of 516 adolescents aged 10–19 years of both genders. Issues associated with short sleep duration and difficulty falling asleep, chronotype, daytime sleepiness, physical activity, sedentary behavior and weight status were investigated.</p></div><div><h3>Results</h3><p>The prevalence of short sleep duration (<8h on school days) was 53.6%. Adolescents aged 17–19 years showed a 2.05-fold (95%CI: 1.20–3.50) greater prevalence of short sleep duration than those aged 10–12 years. The ones studying in morning and evening shifts had a higher prevalence of short sleep duration compared to those in the afternoon shift. Older age and school shift were the main factors associated with short sleep duration.</p></div><div><h3>Conclusions</h3><p>Adolescents from Maravilha showed high prevalence of short sleep duration, and older adolescents that studied in the morning and evening shifts showed reduced sleep.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 1","pages":"Pages 64-70"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.10.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55271278","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: 37

The role of uric acid in the insulin resistance in children and adolescents with obesity 尿酸在肥胖儿童和青少年胰岛素抵抗中的作用

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.005

Josiane Aparecida de Miranda , Guilherme Gomide Almeida , Raissa Isabelle Leão Martins , Mariana Botrel Cunha , Vanessa Almeida Belo , José Eduardo Tanus dos Santos , Carlos Alberto Mourão-Júnior , Carla Márcia Moreira Lanna

{"title":"The role of uric acid in the insulin resistance in children and adolescents with obesity","authors":"Josiane Aparecida de Miranda , Guilherme Gomide Almeida , Raissa Isabelle Leão Martins , Mariana Botrel Cunha , Vanessa Almeida Belo , José Eduardo Tanus dos Santos , Carlos Alberto Mourão-Júnior , Carla Márcia Moreira Lanna","doi":"10.1016/j.rppede.2015.08.005","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.005","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the association between serum uric acid levels and insulin resistance in children and adolescents with obesity.</p></div><div><h3>Methods</h3><p>Cross-sectional study with 245 children and adolescents (134 obese and 111 controls), aged 8–18 years. The anthropometric variables (weight, height and waist circumference), blood pressure and biochemical parameters were collected. The clinical characteristics of the groups were analyzed by <em>t</em>-test or chi-square test. To evaluate the association between uric acid levels and insulin resistance the Pearson's test and logistic regression were applied.</p></div><div><h3>Results</h3><p>The prevalence of insulin resistance was 26.9%. The anthropometric variables, systolic and diastolic blood pressure and biochemical variables were significantly higher in the obese group (<em>p</em><0.001), except for the high-density-lipoprotein cholesterol. There was a positive and significant correlation between anthropometric variables and uric acid with HOMA-IR in the obese and in the control groups, which was higher in the obese group and in the total sample. The logistic regression model that included age, gender and obesity, showed an odds ratio of uric acid as a variable associated with insulin resistance of 1.91 (95%CI 1.40–2.62; <em>p</em><−0.001).</p></div><div><h3>Conclusions</h3><p>The increase in serum uric acid showed a positive statistical correlation with insulin resistance and it is associated with and increased risk of insulin resistance in obese children and adolescents.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 431-436"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636750","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

Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid 骨锚式助听器对Treacher Collins综合征的听力康复

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.016

José Fernando Polanski , Anna Clara Plawiak , Angela Ribas

{"title":"Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid","authors":"José Fernando Polanski , Anna Clara Plawiak , Angela Ribas","doi":"10.1016/j.rppede.2015.08.016","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.016","url":null,"abstract":"<div><h3>Objective</h3><p>To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome.</p></div><div><h3>Case description</h3><p>3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS).</p></div><div><h3>Comments</h3><p>The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 483-487"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136556221","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: 0

Sleep in adolescents of different socioeconomic status: a systematic review 不同社会经济地位青少年的睡眠:一项系统回顾

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.009

Érico Pereira Gomes Felden, Carina Raffs Leite, Cleber Fernando Rebelatto, Rubian Diego Andrade, Thais Silva Beltrame

{"title":"Sleep in adolescents of different socioeconomic status: a systematic review","authors":"Érico Pereira Gomes Felden, Carina Raffs Leite, Cleber Fernando Rebelatto, Rubian Diego Andrade, Thais Silva Beltrame","doi":"10.1016/j.rppede.2015.08.009","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.009","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the sleep characteristics in adolescents from different socioeconomic levels.</p></div><div><h3>Data source</h3><p>Original studies found in the MEDLINE/PubMed and SciELO databases without language and period restrictions that analyzed associations between sleep variables and socioeconomic indicators. The initial search resulted in 99 articles. After reading the titles and abstracts and following inclusion and exclusion criteria, 12 articles with outcomes that included associations between sleep variables (disorders, duration, quality) and socioeconomic status (ethnicity, family income, and social status) were analyzed.</p></div><div><h3>Data synthesis</h3><p>The studies associating sleep with socioeconomic variables are recent, published mainly after the year 2000. Half of the selected studies were performed with young Americans, and only one with Brazilian adolescents. Regarding ethnic differences, the studies do not have uniform conclusions. The main associations found were between sleep variables and family income or parental educational level, showing a trend among poor, low social status adolescents to manifest low duration, poor quality of sleeping patterns.</p></div><div><h3>Conclusions</h3><p>The study found an association between socioeconomic indicators and quality of sleep in adolescents. Low socioeconomic status reflects a worse subjective perception of sleep quality, shorter duration, and greater daytime sleepiness. Considering the influence of sleep on physical and cognitive development and on the learning capacity of young individuals, the literature on the subject is scarce. There is a need for further research on sleep in different realities of the Brazilian population.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 467-473"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636758","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: 0

Perception of parents about second hand smoke on the health of their children: an ethnographic study 父母对二手烟对孩子健康影响的看法:一项民族志研究

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.010

Fabiane Alves de Carvalho Ribeiro, Micaele Kedma Ribeiro de Moraes, Joyce Cristina de Morais Caixeta, Jullieth Nadja da Silva, Amanda Sanches Lima, Samara Lamounier Santana Parreira, Viviane Lemos Silva Fernandes

{"title":"Perception of parents about second hand smoke on the health of their children: an ethnographic study","authors":"Fabiane Alves de Carvalho Ribeiro, Micaele Kedma Ribeiro de Moraes, Joyce Cristina de Morais Caixeta, Jullieth Nadja da Silva, Amanda Sanches Lima, Samara Lamounier Santana Parreira, Viviane Lemos Silva Fernandes","doi":"10.1016/j.rppede.2015.08.010","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.010","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the perception of parents about secondhand smoking in their children's health.</p></div><div><h3>Methods</h3><p>Ethnographic qualitative and quantitative study. We sought the point of view and understanding of the parents who were active smokers in relation to environmental tobacco smoke (ETS) and secondhand smoking. Mothers and fathers who are active smokers and that live with their children from seven different public schools in the city of Anápolis, Midwest Brazil, were interviewed in the first semester of in a reserved room in the schools. A descriptive and qualitative analysis was carried out through the ethnography.</p></div><div><h3>Results</h3><p>58 parents with an average time of smoking of 15.3 years and an average quantity of cigarettes smoked per day of 2 were interviewed. Among them, 59% did not know what ETS was, and 60% stated knowing what a secondhand smoker was. However, when questioned about their children as secondhand smokers, 52% did not consider them to be. Some parents knew some of the effects of secondhand smoking in the health of their children. However, the majority (52%) of them did not believe that their children would suffer any respiratory impairment or did not know about these impairments.</p></div><div><h3>Conclusions</h3><p>Children were exposed to environmental tobacco pollution in their residence if one considers parental duration of smoking and average of cigarettes smoked per day. There was a lack of knowledge of the parents about ETS, secondhand smoking and the evils that cigarettes could cause in the health of their children.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 394-399"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636872","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: 7

Factors associated with abdominal obesity in children 儿童腹部肥胖的相关因素

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.002

Matheus Ribeiro Theodósio Fernandes Melzer, Isabella Mastrangi Magrini, Semíramis Martins Álvares Domene, Paula Andrea Martins

{"title":"Factors associated with abdominal obesity in children","authors":"Matheus Ribeiro Theodósio Fernandes Melzer, Isabella Mastrangi Magrini, Semíramis Martins Álvares Domene, Paula Andrea Martins","doi":"10.1016/j.rppede.2015.08.002","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.002","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the association of dietary, socioeconomic factors, sedentary behaviors and maternal nutritional status with abdominal obesity in children.</p></div><div><h3>Methods</h3><p>A cross-sectional study with household-based survey, in 36 randomly selected census tracts in the city of Santos, SP. 357 families were interviewed and questionnaires and anthropometric measurements were applied in mothers and their 3–10 years-old children. Assessment of abdominal obesity was made by maternal and child's waist circumference measurement; for classification used cut-off points proposed by World Health Organization (1998) and Taylor et al. (2000) were applied. The association between variables was performed by multiple logistic regression analysis.</p></div><div><h3>Results</h3><p>30.5% of children had abdominal obesity. Associations with children's and maternal nutritional status and high socioeconomic status were shown in the univariate analysis. In the regression model, children's body mass index for age (OR<span>=</span>93.7; 95%CI 39.3–223.3), female gender (OR<span>=</span>4.1; 95%CI 1.8–9.3) and maternal abdominal obesity (OR<span>=</span>2.7; 95%CI 1.2–6.0) were significantly associated with children's abdominal obesity, regardless of the socioeconomic status.</p></div><div><h3>Conclusions</h3><p>Abdominal obesity in children seems to be associated with maternal nutritional status, other indicators of their own nutritional status and female gender. Intervention programs for control of childhood obesity and prevention of metabolic syndrome should consider the interaction of the nutritional status of mothers and their children.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 437-444"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636753","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: 0

Knowledge of pediatricians regarding physical activity in childhood and adolescence 儿科医生对儿童和青少年体育活动的了解

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.012

Alex Pinheiro Gordia , Teresa Maria Bianchini de Quadros , Luciana Rodrigues Silva , Gilton Marques dos Santos

{"title":"Knowledge of pediatricians regarding physical activity in childhood and adolescence","authors":"Alex Pinheiro Gordia , Teresa Maria Bianchini de Quadros , Luciana Rodrigues Silva , Gilton Marques dos Santos","doi":"10.1016/j.rppede.2015.08.012","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.012","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the knowledge and guidance given by pediatricians regarding physical activity in childhood and adolescence.</p></div><div><h3>Methods</h3><p>A cross-sectional study involving a convenience sample of pediatricians (<em>n</em>=210) who participated in a national pediatrics congress in 2013. Sociodemographic and professional data and data regarding habitual physical activity and pediatricians’ knowledge and instructions for young people regarding physical activity were collected using a questionnaire. Absolute and relative frequencies and means and standard deviations were calculated.</p></div><div><h3>Results</h3><p>Most pediatricians were females, had graduated from medical school more than 15 years ago, and had residency in pediatrics. More than 70% of the participants reported to include physical activity guidance in their prescriptions. On the other hand, approximately two-thirds of the pediatricians incorrectly reported that children should not work out and less than 15% answered the question about physical activity barriers correctly. With respect to the two questions about physical activity to tackle obesity, incorrect answers were marked by more than 50% of the pediatricians. Most participants incorrectly reported that 30min should be the minimum daily time of physical activity in young people. Less than 40% of the pediatricians correctly indicated the maximum time young people should spend in front of a screen.</p></div><div><h3>Conclusions</h3><p>In general, the pediatricians reported that they recommend physical activity to their young patients, but specific knowledge of this topic was limited. Programs providing adequate information are needed.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 400-406"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636747","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: 0

Family's presence in the pediatric emergency room: opinion of health's professionals 家庭在儿科急诊室的存在:卫生专业人员的意见

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.013

Francine Fernandes Pires Mekitarian , Margareth Angelo

{"title":"Family's presence in the pediatric emergency room: opinion of health's professionals","authors":"Francine Fernandes Pires Mekitarian , Margareth Angelo","doi":"10.1016/j.rppede.2015.08.013","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.013","url":null,"abstract":"<div><h3>Objective</h3><p>To learn the opinion of health professionals regarding the presence of family during pediatric emergency care.</p></div><div><h3>Methods</h3><p>Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals.</p></div><div><h3>Results</h3><p>The medical staff and the professionals with shorter time after graduation (<10 years) were more favorable to the presence of family during emergency procedures. Regarding the complexity of the procedures, the nursing staff proved more favorable to the presence of family during less complex procedures – peripheral venous puncture and fluid sample – whereas the consent of the medical staff was similar, regardless the performed procedure – peripheral venous puncture, fluid sample, intraosseous puncture, tracheal intubation and cardiopulmonary resuscitation.</p></div><div><h3>Conclusions</h3><p>In order to allow the presence of family in the emergency room, it is necessary to sensitize health professionals, especially the nursing staff and the longer-term acting professionals, which are more resistant to allow the family to stay with the child during the emergency care.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 460-466"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636757","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

Socioeconomic, cultural and demographic maternal factors associated with dietary patterns of infants 与婴儿饮食模式相关的社会经济、文化和人口因素

Revista Paulista de Pediatria (English Edition) Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.004

Andréa Marques Sotero , Poliana Coelho Cabral , Giselia Alves Pontes da Silva

{"title":"Socioeconomic, cultural and demographic maternal factors associated with dietary patterns of infants","authors":"Andréa Marques Sotero , Poliana Coelho Cabral , Giselia Alves Pontes da Silva","doi":"10.1016/j.rppede.2015.08.004","DOIUrl":"https://doi.org/10.1016/j.rppede.2015.08.004","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze dietary patterns of infants and its association with maternal socioeconomic, cultural, and demographic variables.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted with two groups of mothers of children up to 24 months (<em>n</em><span>=</span>202) living in the city of Maceió, Alagoas, Northeast Brazil. The case group consisted of mothers enrolled in a Family Health Unit. The comparison group consisted of mothers who took their children to two private pediatric offices of the city. Dietary intake was assessed using a qualitative and validated food frequency questionnaire (FFQ). The evaluation of the FFQ was performed by a method in which the overall rate of consumption frequency is converted into a score.</p></div><div><h3>Results</h3><p>Children of higher income families and mothers with better education level (control group) showed the highest median of consumption scores for fruits and vegetables (<em>p</em><span><</span>0.01) and meat, offal, and eggs (<em>p</em><span><</span>0.01), when compared with children of the case group. On the other hand, the median of consumption scores of manufactured goods was higher among children in the case group (<em>p</em><span><</span>0.01).</p></div><div><h3>Conclusions</h3><p>Maternal socioeconomic status influenced the quality of food offered to the infant. In the case group, children up to 24 months already consumed industrial products instead of healthy foods on their menu.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"33 4","pages":"Pages 445-452"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636749","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: 0