Nascer e Crescer最新文献_第8页

Definition and characterization of muskoloskeletal pain and associated diseases 肌肉骨骼疼痛和相关疾病的定义和特征

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.15457

M. Fernandes, Inês Melo, F. Costa, M. Salgado

引用次数: 0

Fever and clinical thermometry: What do physicians and nurses really know? 发烧和临床体温测量:医生和护士真正了解什么?

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.17730

C. Neves, I. Luz, M. Salgado

{"title":"Fever and clinical thermometry: What do physicians and nurses really know?","authors":"C. Neves, I. Luz, M. Salgado","doi":"10.25753/BIRTHGROWTHMJ.V28.I4.17730","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I4.17730","url":null,"abstract":"Introduction: Fever is a leading cause of Pediatric visits. However, most studies used as reference for fever assessment had a cross-sectional design and were conducted in adults. Different and more precise fever definitions exist within the field of knowledge known as clinical thermometry. Aims: To assess basic knowledge of health professionals working in Pediatrics regarding fever physiopathology and clinical thermometry. Material and Methods: A cross-sectional analytical study was performed between February and July 2014 through application of an anonymous closed-end questionnaire to health professionals. Results: From 426 questionnaires applied, 29% were completed by nurses and 71% by physicians. Within the whole group, 89% did not know how human “normal temperature” was determined, 70% did not recognize the “individual definitions” of fever, 33% acknowledged a “subfebrile” status, 39% did not recognize the most and least accurate anatomical sites for temperature measurement, and 57% did not recognize the dynamic difference between core and peripheral temperatures. Hyperthermia and fever definitions were confounded by 78% of nurses and 56% of physicians. Conclusions: Most health professionals surveyed had a limited knowledge of fever and clinical thermometry. The traditional oversimplification of this subject can lead to underestimation of true febrile statuses.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"80 1","pages":"191-202"},"PeriodicalIF":0.0,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84107939","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: 0

Physical exercise and leg pain - What is the relationship? 体育锻炼与腿部疼痛有什么关系?

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.15161

Patrícia Miranda, João Nascimento, P. Estanqueiro, M. Salgado

引用次数: 0

The Groningen Protocol for neonatal euthanasia: Our perspective 新生儿安乐死的格罗宁根协议:我们的观点

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.17482

Daniela Alves, Eva Dias Costa

{"title":"The Groningen Protocol for neonatal euthanasia: Our perspective","authors":"Daniela Alves, Eva Dias Costa","doi":"10.25753/BIRTHGROWTHMJ.V28.I4.17482","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I4.17482","url":null,"abstract":"Introduction: The Netherlands has pioneered the implementation of recommendations and laws regulating voluntary active euthanasia. Since 2002 it has allowed active euthanasia in children aged 12 and over. The Groningen Protocol, established in 2005, introduced the possibility of ending the life of newborns who fulfill certain specific criteria. It was drafted by Verhagen and Sauer at the University Medical Centre in Groningen and was granted authorization for national implementation from the Dutch Association of Pediatric Care. Methods: A literature search was conducted to analyze the Groningen Protocol and arguments supporting and opposing it. Results: Seemingly competing tenets of principalism – respect for autonomy, beneficence, nonmaleficence, and justice – are invoked as core arguments both for and against the protocol. The scale hangs in the sense of opposition to the protocol, essentially because of the weight of some of the arguments presented. Conclusion: From our perspective, the Groningen Protocol seems to have been built primarily to allow deliberately ending the life of a newborn baby without fear of criminal prosecution. In addition, included criteria are prone to subjectivity and may lead to abuse. The protocol’s proposal to regulate a very rare practice such as the anticipation of death in a seriously ill newborn promotes acceptance of active euthanasia for those who are most vulnerable and cannot express their own will.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"123 ","pages":"185-190"},"PeriodicalIF":0.0,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72425816","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: 0

Time to diagnosis of pediatric oncologic disease: Ten-year experience from a Level II hospital 小儿肿瘤疾病的诊断时间:二级医院十年经验

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.15328

I. Carneiro, R. Ramos, P. Fonseca, T. Martins, F. Pereira, M. Braga

{"title":"Time to diagnosis of pediatric oncologic disease: Ten-year experience from a Level II hospital","authors":"I. Carneiro, R. Ramos, P. Fonseca, T. Martins, F. Pereira, M. Braga","doi":"10.25753/BIRTHGROWTHMJ.V28.I4.15328","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I4.15328","url":null,"abstract":"Objectives: Despite rare, childhood cancer is a major cause of child morbidity and mortality. Reducing time to diagnosis and engaging health professionals in early treatment are key when dealing with pediatric cancer. In this study, time to diagnosis and its determinants were assessed. Methods: A descriptive and observational study in the Pediatric Department of a Level II hospital was conducted using clinical records of children diagnosed with cancer between 2007 and 2016. Using Mann-Whitney’s test, Kruskal-Wallis’ test, and Spearman’s correlation test, differences in time to diagnosis across subgroups of children according to age, gender, parental age, type of first medical visit, and diagnosis were assessed. Results: One hundred and five pediatric tumor cases were included in the analysis: 48 (46%) brain and central nervous system tumors, 32 (30%) hematological tumors, and 25 (24%) solid tumors. In the hematological subgroup, older age was associated with longer time to medical services demand (r=0.38, p=0.04) and children initially observed in primary health care exhibited longer time to diagnosis compared with children initially observed in Pediatric emergency services (median 1.9 vs 0 weeks, p=0.01). The median number of medical visits before the definitive diagnosis was one (min=0, max=7). Conclusions: Differences found in time to diagnosis between different types of medical services disclose the need for improving diagnosis in the primary care setting. A high index of suspicion is mandatory, especially among adolescents, as this is a subgroup typically associated with longer times to diagnosis.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"8 1","pages":"179-184"},"PeriodicalIF":0.0,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72845913","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: 0

Bilateral transphyseal fractures: Is there more than we can see? 双侧锁骨旁骨折:是否有更多我们看不到的?

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.14702

M. Serrado, Natacha Abreu, P. Mendes, P. Alves

引用次数: 0

Pediatric cardiology in the 21st century: advances and challenges 21世纪的儿科心脏病学:进步与挑战

Nascer e Crescer Pub Date : 2019-12-16 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.19085

C. Mota

引用次数: 1

Um caso de síndrome de swyer-james-macleod diagnosticado na adolescência 青少年时期诊断出的斯威尔-詹姆斯-麦克劳德综合征

Nascer e Crescer Pub Date : 2019-12-01 DOI: 10.25753/BIRTHGROWTHMJ.V28.I4.15413

R. Fernandes, L. Cunha, M. Loureiro, I. Rezende, S. Álvares, H. Falcão

引用次数: 0

Supplement I: CMIN SUMMIT’19 Desafios da Doença Crónica 补充一:CMIN峰会' 19慢性疾病的挑战

Nascer e Crescer Pub Date : 2019-10-28 DOI: 10.25753/BIRTHGROWTHMJ.V28.IS1.18782

Cmin Summit

引用次数: 0

Pollen-food syndrome in the adolescent 青少年花粉食物综合征

Nascer e Crescer Pub Date : 2019-10-14 DOI: 10.25753/BIRTHGROWTHMJ.V28.I3.15730

J. Pita, M. Marques, M. Labrador-Horrillo, H. Falcão, L. Cunha

引用次数: 0