Revista Paulista De Pediatria最新文献_第9页

ANALYSIS OF THE DIFFERENCES BETWEEN THE PRESCRIBED AND THE ADMINISTERED DIET TO PRETERM INFANTS USING AN ELECTRONIC TOO 使用电子TOO分析早产儿的处方和给药饮食之间的差异

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-07-18 DOI: 10.1590/1984-0462/;2019;37;4;00008

Olivia Araújo Zin, F. Soares, A. Abranches, Ana Carolina Carioca Costa, L. Villela, M. E. Moreira

{"title":"ANALYSIS OF THE DIFFERENCES BETWEEN THE PRESCRIBED AND THE ADMINISTERED DIET TO PRETERM INFANTS USING AN ELECTRONIC TOO","authors":"Olivia Araújo Zin, F. Soares, A. Abranches, Ana Carolina Carioca Costa, L. Villela, M. E. Moreira","doi":"10.1590/1984-0462/;2019;37;4;00008","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;4;00008","url":null,"abstract":"ABSTRACT Objective: To create an electronic instrument in order to analyze the adequacy of the preterm infants’ nutritional therapy, checking the difference between the prescribed and the administered diet. Methods: A prospective and observational study on newborns with birthweight ≤1,500g and/or gestational age ≤32 weeks, without congenital malformations. The electronic instrument was developed based on Microsoft Excel 2010 spreadsheets and aimed at automatically calculating body weight gain, calories and macronutrients received daily by each patient from parenteral nutrition, intravenous hydration and enteral feedings. The weekly means of each nutrient were used to compare the prescribed and administered diets. Results: To evaluate the instrument, 60 newborns with a birth weight of 1,289±305 g and a gestational age of 30±2 weeks were included. Of them, 9.6% had restricted growth at birth and 55% at discharge. The median length of stay was 45±17 days. There were significant differences between prescribed and administered diet for all of the macronutrients and for total calories in the first three weeks. The lipid was the macronutrient with the greatest percentage error in the first week of life. Conclusions: The use of a computational routine was important to verify differences between the prescribed and the administered diet. This analysis is necessary to minimize calculation errors and to speed up health providers’ decisions about the nutritional approach, which can contribute to patients’ safety and to good nutritional practice. Very low birth weight infants are extremely vulnerable to nutritional deficiencies and any reduction in macronutrients they receive may be harmful to achieve satisfactory growth.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"37 1","pages":"472 - 478"},"PeriodicalIF":1.7,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;4;00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48737463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

FACTORS ASSOCIATED WITH ASTHMA IN BRAZILIAN ADOLESCENTS: NATIONAL ADOLESCENT SCHOOL-BASED HEALTH SURVEY (PENSE-2012) 巴西青少年哮喘相关因素:全国青少年学校健康调查(pense-2012)

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-07-18 DOI: 10.1590/1984-0462/;2019;37;4;00002

Bianca Caroline Elias, Janiquelli Barbosa Silva, L. A. Mais, S. Warkentin, T. Konstantyner, D. Solé

{"title":"FACTORS ASSOCIATED WITH ASTHMA IN BRAZILIAN ADOLESCENTS: NATIONAL ADOLESCENT SCHOOL-BASED HEALTH SURVEY (PENSE-2012)","authors":"Bianca Caroline Elias, Janiquelli Barbosa Silva, L. A. Mais, S. Warkentin, T. Konstantyner, D. Solé","doi":"10.1590/1984-0462/;2019;37;4;00002","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;4;00002","url":null,"abstract":"ABSTRACT Objective: To identify factors associated with asthma in Brazilian adolescents. Methods: Cross-sectional study based on data from the 2012 National Adolescent School-based Health Survey (PeNSE), a Brazilian survey applied by a self-reported questionnaire in a representative sample of 9th-grade students. Descriptive and inferential analysis was made based on the demographic, socioeconomic, clinical, food consumption and environmental characteristics potentially associated with asthma. Adolescents who presented wheezing in the last 12 months were considered asthmatic. A multiple logistic regression model was adjusted for confounding factors. Significance was defined as p≤0.05. Results: A total of 106,983 adolescents were studied. The prevalence of asthma was 23.2%. The final model was composed of 11 variables that were independently associated with asthma: female sex (OR=1.17), <14 years old (OR=1.12), not living with parents (OR=1.06), the highest number of days consuming ultra-processed foods (OR=1.16), lunch or dinner time without presence of parents or guardians (OR=1.13), meals in front of the TV or while studying (OR=1.18), not having breakfast frequently (OR=1.22), having smoked cigarettes (OR=1.36), having tried alcoholic beverage (OR=1.37), having used illicit drugs (OR=1.29) and having sought health care in the last year (OR=1.67). Conclusions: The results of the present study reinforce the multifactorial characteristic of asthma diagnosis. Prevention and control strategies should focus on groups of adolescents living in inadequate conditions when it comes to family dynamics, food consumption and behavior (drug use).","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"37 1","pages":"406 - 413"},"PeriodicalIF":1.7,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;4;00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47778774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL 自闭症谱系障碍和产后因素:巴西的一项病例对照研究

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-07-18 DOI: 10.1590/1984-0462/;2019;37;4;00006

Fernanda Alves Maia, Liliane Marta Mendes Oliveira, Maria Tereza Carvalho Almeida, M. Alves, Vanessa Souza de Araújo Saeger, V. Silva, Victória Spínola Duarte de Oliveira, H. Martelli Júnior, M. Brito, M. Silveira

{"title":"AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL","authors":"Fernanda Alves Maia, Liliane Marta Mendes Oliveira, Maria Tereza Carvalho Almeida, M. Alves, Vanessa Souza de Araújo Saeger, V. Silva, Victória Spínola Duarte de Oliveira, H. Martelli Júnior, M. Brito, M. Silveira","doi":"10.1590/1984-0462/;2019;37;4;00006","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;4;00006","url":null,"abstract":"ABSTRACT Objective: To estimate the magnitude of the association between Autism Spectrum Disorder (ASD) and postnatal factors in a Brazilian population. Methods: A case-control study was performed with 253 individuals diagnosed with ASD and 886 individuals without signs of the disorder. A semi-structured questionnaire and the multiple logistic regression model were adopted in the data analysis. To estimate the magnitude of associations, the crude and adjusted Odds Ratio (OR) was used. Results: An association with the following factors was found: having been born with congenital malformation (OR 4.24; confidence interval of 95% - 95%CI 1.92-9.34), neonatal jaundice (OR 1.43; 95%CI 1.01-2.02), absence of crying at birth and seizure episode in childhood (OR 5.75; 95%CI 3.37-9.81). The magnitude of the association was higher in the children/adolescents who had two or more postnatal complications (OR 6.39; 95%CI 4.10-10.00). Conclusions: The findings of the present study suggest that malformation, neonatal jaundice, absence of crying at birth and seizure episodes in childhood are important factors to be considered when studying the etiology of ASD.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"37 1","pages":"398 - 405"},"PeriodicalIF":1.7,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;4;00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43129090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS 晚期早产儿和足月新生儿脐带血细胞分布

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-06-19 DOI: 10.1590/1984-0462/;2019;37;3;00008

Anna Carolina Boni Rolim, Marley Aparecida Lambert, J. Borges, S. Abbas, J. Bordin, D. L. Langhi Junior, A. Chiba, A. D. Santos

{"title":"BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS","authors":"Anna Carolina Boni Rolim, Marley Aparecida Lambert, J. Borges, S. Abbas, J. Bordin, D. L. Langhi Junior, A. Chiba, A. D. Santos","doi":"10.1590/1984-0462/;2019;37;3;00008","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;3;00008","url":null,"abstract":"ABSTRACT Objective: To describe the hematological profile in cord blood of late preterm and term newborns and compare blood indices according to sex, weight for gestational age and type of delivery. Methods: Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionitis, maternal or fetal hemorrhage, suspected congenital infection, 5-minute Apgar <6, congenital malformations, and Rh hemolytic disease were excluded. Percentiles 3, 5,10, 25, 50, 75, 90, 95 and 97 of blood indices were calculated for both groups. Results: 2,662 newborns were included in the sample, 51.1% males, 7.3% late preterms, 7.8% small for gestational age (SGA) and 81.2% adequate for gestational age (AGA). Mean gestational age was 35.6±1.9 and 39.3±1.0 weeks, respectively, for premature and term neonates. The erythrocytes indices and white blood cells increased from 34-36.9 to 37-41.9 weeks. Basophils and platelets remained constant during gestation. Premature neonates presented lower values of all blood cells, except for lymphocytes and eosinophils. SGA neonates presented higher values of hemoglobin, hematocrit and lower values of leukocytes, neutrophils, bands, segmented, eosinophils, monocytes and platelets. Male neonates presented similar values of erythrocytes and hemoglobin and lower leukocytes, neutrophils, segmented and platelets. Neonates delivered by C-section had lower values of red blood cells and platelets. Chronic or gestational hypertension induced lower number of platelets. Conclusions: Blood cells increased during gestation, except for platelets and basophils. SGA neonates had higher hemoglobin and hematocrit values and lower leukocytes. Number of platelets was smaller in male SGAs, born by C-section and whose mothers had hypertension.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"37 1","pages":"264 - 274"},"PeriodicalIF":1.7,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;3;00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44537775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS 摄影测量：对青少年特发性脊柱侧弯胸壁进行客观评估的建议

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-04-01 DOI: 10.1590/1984-0462/;2019;37;2;00001

A. S. Alexandre, E. Sperandio, L. Yi, Josy Davidson, P. Poletto, A. Gotfryd, M. Vidotto

{"title":"PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS","authors":"A. S. Alexandre, E. Sperandio, L. Yi, Josy Davidson, P. Poletto, A. Gotfryd, M. Vidotto","doi":"10.1590/1984-0462/;2019;37;2;00001","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;2;00001","url":null,"abstract":"ABSTRACT Objective: To evaluate the chest wall shape in patients with adolescent idiopathic scoliosis (AIS) in comparison to healthy subjects and the association between the chest wall shape with the spine deformity and lung function in patients with AIS. Methods: This cross-sectional study enrolled 30 AIS patients and 20 healthy subjects aged 11-18 years old. The Cobb angle evaluation was performed in AIS patients. The chest wall shape was assessed by the photogrammetry method, using the Postural Assessment Software (PAS). We created thoracic markers shaped as angles (A) and distances (D), as follows: A2 (right acromion/xiphoid/left acromion), A4L (angle formed between the outer point of the smallest waist circumference and its upper and lower edges on the left side), A7 (angle formed by the intersection of the tangent segments of the upper and lower scapulae angles), D1R/D1L [distance between the xiphoid process and the last false rib on the right (R) and left (L) sides], and D3 (distance between xiphoid process and anterior superior iliac spine). Results: The thoracic markers A2 and A7 were significantly higher, while the A4L and D1R/D1L were significantly reduced in the AIS group compared to the control. Moderate correlations were found between: A2 and the main and proximal thoracic Cobb angles (r=0.50, r=0.47, respectively); D1R/D1L and the main thoracic Cobb angle (r=- 0.40); and the forced expiratory volume in the first second (FEV1) and D3R (r=0.47). Conclusions: The photogrammetry method was able to detect chest wall changes in AIS patients, besides presenting correlation between Cobb angles and lung function.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"37 1","pages":"225 - 233"},"PeriodicalIF":1.7,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;2;00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42610753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Fatores associados à cárie: pesquisa de estudantes do sul do Brasil 与龋齿相关的因素:巴西南部学生的研究

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.02.004

Tássia Silvana Borges, Natalí Lippert Schwanke, Cézane Priscila Reuter, Léo Kraether Neto, Miria Suzana Burgos

{"title":"Fatores associados à cárie: pesquisa de estudantes do sul do Brasil","authors":"Tássia Silvana Borges, Natalí Lippert Schwanke, Cézane Priscila Reuter, Léo Kraether Neto, Miria Suzana Burgos","doi":"10.1016/j.rpped.2016.02.004","DOIUrl":"https://doi.org/10.1016/j.rpped.2016.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the factors associated with dental caries among students from Santa Cruz do Sul, Rio Grande do Sul, Brazil.</p></div><div><h3>Methods</h3><p>A cross‐sectional study was conducted in a random sample of 623 students of both genders, aged 10–17 years old. Tooth decay was performed using the index of the World Health Organization (1997), DMFT (permanent dentition) that expresses the sum of decayed, missing and filled teeth per person. The maternal educational level was rated using criteria of the Brazilian Association of Market Research Companies. The remaining variables were obtained by a structured questionnaire. Poisson regression analysis was used to test the association between variables using robust models and a subsequently adjusted model. Data were expressed as prevalence ratio (PR).</p></div><div><h3>Results</h3><p>Multivariate analysis identified the following factors related to the experience of dental caries: residence in rural municipalities (PR: 1.15; 95%CI: 1.0–1.3), attending a city school (PR: 3.30; 95%CI: 1.1–9.4) or a state school (PR: 3.40; 95%CI: 1.1–9.6); and having an illiterate mother or a mother that only attended up to the 4th year of school (PR: 1.67; 95%CI: 1.1–2.4) or high school (PR: 1.54; 95%CI: 1.1–2.2).</p></div><div><h3>Conclusions</h3><p>The presence of caries in students in southern Brazil was associated with residence in rural areas, mother with little education and attendance to a public school.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"34 4","pages":"Pages 489-494"},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92125615","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: 12

Quilotórax bilateral espontâneo após vômitos excessivos em criança 儿童过度呕吐后双侧自发性乳糜胸

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.007

Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi

{"title":"Quilotórax bilateral espontâneo após vômitos excessivos em criança","authors":"Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi","doi":"10.1016/j.rpped.2016.03.007","DOIUrl":"https://doi.org/10.1016/j.rpped.2016.03.007","url":null,"abstract":"<div><h3>Objective</h3><p>To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.</p></div><div><h3>Case description</h3><p>Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.</p></div><div><h3>Comments</h3><p>Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"34 4","pages":"Pages 518-521"},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92002113","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: 1

Uso do mel de abelha associado ao Ananas comosus (Bromelin) no tratamento da tosse irritativa aguda 使用与菠萝(Bromelin)相关的蜂蜜治疗急性刺激性咳嗽

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.006

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

{"title":"Uso do mel de abelha associado ao Ananas comosus (Bromelin) no tratamento da tosse irritativa aguda","authors":"Décio Medeiros Peixoto , José Angelo Rizzo , Deborah Schor , Almerinda Rêgo Silva , Dinaldo Cavalcanti de Oliveira , Dirceu Solé , Emanuel Sarinho","doi":"10.1016/j.rpped.2016.03.006","DOIUrl":"10.1016/j.rpped.2016.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the immediate improvement rate of irritative cough in patients treated with the combination of Ananas comosus 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: NCT01356693).</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"34 4","pages":"Pages 412-417"},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34393638","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: 8

Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas 小丑互动对住院儿童生命体征和非语言交流的影响

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.02.001

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

{"title":"Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas","authors":"Pauline Lima Alcântara , Ariane Zonho Wogel , Maria Isabela Lobo Rossi , Isabela Rodrigues Neves , Ana Llonch Sabates , Ana Cláudia Puggina","doi":"10.1016/j.rpped.2016.02.001","DOIUrl":"10.1016/j.rpped.2016.02.001","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 20minutes. Vital signs were assessed in two measurements with an interval of one minute 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 nonverbal 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 to 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":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"34 4","pages":"Pages 432-438"},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55268909","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

Relação entre o uso seguro de medicamentos e Serviços de Farmácia Clínica em Unidades de Cuidados Intensivos Pediátricos 儿科重症监护病房药物安全使用与临床药学服务的关系

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.004

Lucas Miyake Okumura , Daniella Matsubara da Silva , Larissa Comarella

{"title":"Relação entre o uso seguro de medicamentos e Serviços de Farmácia Clínica em Unidades de Cuidados Intensivos Pediátricos","authors":"Lucas Miyake Okumura , Daniella Matsubara da Silva , Larissa Comarella","doi":"10.1016/j.rpped.2016.03.004","DOIUrl":"10.1016/j.rpped.2016.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>Clinical Pharmacy Services (CPS) are considered standard of care and they are endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU).</p></div><div><h3>Methods</h3><p>This is a cross‐sectional study conducted in a 12 bed PICU community hospital, from Campo Largo/Brazil. Subjects with<18 years old admitted to PICU were included for descriptive analysis if received a CPS intervention.</p></div><div><h3>Results</h3><p>Of 53 patients accompanied, we detected 141 preventable drug‐related problems (DRPs) which were solved within clinicians (89% acceptance of all interventions). The most common interventions performed to improve drug therapy included: preventing incompatible intravenous solutions (21%) and a composite of inadequate doses (17% due to low, high and non‐optimized doses). Among the top ten medications associated with DRPs, five were antimicrobials. By analyzing the correlation between DRPs and PICU length of stay, we found that 74% of all variations on length of stay were associated with the number of DRPs.</p></div><div><h3>Conclusions</h3><p>Adverse drug reactions due to avoidable DRPs can be prevented by CPS in a multifaceted collaboration with other health care professionals, who should attempt to use active and evidence‐based strategies to reduce morbidity related to medications.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":"34 4","pages":"Pages 397-402"},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34350409","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}

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