Exploring pairing of new graduate nurses with mentors: An interpretive descriptive study.

AIMS AND OBJECTIVES: To explore mentorship pairing practices for new graduate nurses in a tertiary care hospital. BACKGROUND: Many organisations have implemented mentorship transition programmes to decrease new nursing graduate turnover in the first two years of practice. Little is known about mentorship pairing processes. DESIGN: An interpretive descriptive qualitative study was conducted in a multicampus academic health science centre in Ontario, Canada. The COREQ reporting guideline was used. METHODS: Thirty-one semistructured interviews were conducted from July 2018-July 2019 in a multicampus academic health science centre with new nursing graduates, experienced nurses and nurse leaders who participated in the New Graduate Guarantee programme or were involved in the mentor-mentee pairing process in 2016 or 2017. Data collected were analysed using thematic analysis within the groups and triangulated across groups. RESULTS: Neither the new graduates nor the mentors were aware of the pairing processes. Nursing leaders relied on their knowledge of the participants to pair new graduates and mentors with many stating participants' personalities were considered. New graduates and mentors described making an initial connection and socialisation as important themes related to facilitating the pairing process. Organisational influences on pairing included taking breaks together, the location of the final student placement, and the management of workload and scheduling. CONCLUSIONS: Increased awareness and transparency regarding nursing mentorship pairing processes is required. Pairing processes suggested by participants warrant further investigation to determine efficacy. RELEVANCE: Findings reinforce the need to discuss and research nursing specific mentorship pairing processes.

Diagnostic performance of a newly developed salivary cortisol and cortisone measurement using an LC-MS/MS method with simple and rapid sample preparation.

BACKGROUND: Late-night salivary cortisol level is one of the first-line tests recommended by the Endocrine Society for the diagnosis of endogenous hypercortisolism. Most routine laboratories measure cortisol levels using immunoassay tests which fail to determine low cortisol levels accurately due to the numerous interfering substances. A liquid chromatography-tandem mass spectrometry (LC-MS/MS) method with simple and rapid sample preparation was developed for the simultaneous measurement of cortisol and cortisone and its performance in the diagnosis of endogenous hypercortisolism was evaluated. METHODS: 324 late-night saliva samples were analyzed from which 272 samples were derived from patients with a suspected diagnosis of endogenous hypercortisolism. Salivary cortisol levels were assayed using an electrochemiluminescent immunoassay (ECLIA, Cortisol II, Roche), and simultaneous measurement of cortisol and cortisone was performed using an LC-MS/MS method. RESULTS: A strong correlation between cortisol results measured using ECLIA and LC-MS/MS (r 2 = 0.892) was demonstrated. Receiver operating characteristics (ROC) analysis showed good diagnostic performance of cortisol and cortisone levels assayed using LC-MS/MS method and for cortisol measured using ECLIA. CONCLUSIONS: Late-night salivary cortisol and cortisone are useful parameters for the diagnosis of hypercortisolism. Using samples obtained from patients where the diagnosis of hypercortisolism is extremely challenging cut-off values for midnight salivary cortisol and cortisone measured by LC-MS/MS method were established.

Comparative Study of the Use of Trichloroacetic Acid and Phenolic Acid in the Treatment of Atrophic-Type Acne Scars.

BACKGROUND: Many therapies involving varying degrees of complexity have been used to treat acne scars, but none is considered the gold standard treatment. OBJECTIVE: A comparative evaluation of 88% phenol and 90% trichloroacetic acid (TCA) applied using the chemical reconstruction of skin scars (CROSS) technique. MATERIALS AND METHODS: A nonrandomized, single-blinded self-controlled clinical trial was conducted among patients with ice pick-type and boxcar-type atrophic acne scars. Using 88% phenol on the left hemiface and 90% TCA on the right hemiface was adopted as the standard practice of the CROSS technique. The dermatological quality of life index (DLQI) questionnaire, acne scar grading scale Échelle d´Evaluation Clinique des Cicatrices d'Acne (ECCA), and evaluation of improvement were performed pretreatment and post-treatment. RESULTS: Regarding ECCA, significant differences were found in pretreatment and post-treatment (p < .001). Regarding tolerance to pain, it was found that the discomfort felt with 90% TCA was significantly less than that felt with 88% phenol (p = .020). Regarding the quality of life measured with the DLQI, the results showed that the mean score in post-treatment assessment was significantly lower than that in the pretreatment assessment (p < .05). Hypochromia and enlargement scar were only seen after the use of 90% TCA. CONCLUSION: This study confirmed the efficacy of both TCA and phenol for treating such scars, with less severe complications from the use of phenol.

EFFICIENCY OF PREPARED BAITS OF LONE OR/AND ADMIXED FOUR BOTANICAL OILS ON THE VIABILITY OF SUCCESSIVE RAISED GENERATIONS OF AGROTIS IPSILON (HUFNAGEL) (INSECTA: LEPIDOPTERA: NOCTUIDAE) AFTER TREATING THE PARENT ONES.

The present study is initiated to determine the toxic and delayed effects of four botanical oils on the greasy cutworm A. ipsilon, aiming to attain an alternative environmentally safe and effective phytochemicals against the insect-pest. Four botanical oils (camphor, red basil, menthol and rose oil) were added at rates of 0.5 and 1.0% (v/w). The tested oils were added alone, and/or admixed at proportional rate of 1:1 in the prepared baits against the exposed 4th instar till the 6th instar larvae of the insect. The study was run under the laboratory higrothermic conditions of 25±2°C and 65±5% R.H. The results showed that the tested baits of camphor, red basil and menthol oils at concentration rates of 0.5 and 1.0% (v/w) adversely affected the inspected parameters of fitness components of the treated individuals of parent (p) generation. They gave more or less fewer numbers of weak unviable adult-moths, which were either sterile or they laid few numbers of infertile eggs and died before the induction of (F1) progeny. That failure could be elucidated by the rapid occurrence of drastic effects on the biological performance of both the influenced sexes of adult-moths along the period of parent's development. Finally it ended by the inhibited induction of (F1) progeny. A delayed effect of the prepared baits of rose oil at 0.5 and 1.0% (v/w), was assessed on the following raised F1, F2, F3 and F4 generations after parent's treatment. The delayed effect was detected as less efficient latent effect on each of these consequently raised generations; characterized by the gradual decrease of the number of alive immatures and adult-moths. The effect was recorded as gradual increase of dead and malformed individuals and adult-moths. In addition to the gradual decrease of deposited and/or hatched eggs up to the 4th generation, which ended by the complete failure of the development. That failure could be also attributed to the cumulated effects of the induced recessive lethal genes in both the influenced sexes during the periods of raised F1, F2 and F3 generations. The recessive lethal genes caused drastic unprofitable effects that appeared at the beginning of the 4th generation that failed. Also, the tested baits (0.5 and 1.0%, v/w) of each of admixed camphor, red basil and menthol oil with rose oil (1:1), greatly affected the developmental parameters of the treated insects. The highest efficient toxicity and an adverse biological performance of the admixed camphor and/or red basil oils with rose oil at 0.5 and 1.0 (v/w), and menthol/rose oil at 0.5% (v/w) on the treated parent generation were detected. The previous treatment gave unviable sterile adults, which died before the induction of (F1) progeny. That recorded failure of (F1) proves the fastest toxic efficiency and a drastic biological performance which were entirely unable to induce (F1) progeny. The tested bait of mixed menthol/rose oils (1.0%, v/w), showed significant reduction in all studied parameters of F1 and F2 fitness components. The tested bait raised sterile unviable adult-moths of (F2) generation which furtherly ended by the distinct failure of (F2) development. This effect may be caused by the cumulative effects of the induced recessive lethal genes in both of the affected sexes through the developmental period of (F1) generation after (P) one treatment, inducing apparent drastic effects, which were revealed at the beginning of (F2) generation. Remarkably, the inspected faster or slower occurred toxicity and drastic biological performance of these admixed botanical oils, may be referred to the synergistic action for most of the evaluated mixtures or/and the additive one for menthol/rose oil (1.0%), which needs further investigation.

Efficiency of guva and lemon grass fine dusts on the potato tuber moth Phthorimaea operculella (Zeller) (Lepidoptera: Gelechiidae).

The present study was initiated to elucidate the effect of potato tubers treatment using fine dusts of Psidium guajava, Cymbopogon citratus, talc powder and their progressive dilutions(w/w) on the fitness components of raised generations of the potato tuber moth (PTM), Phthorimaea operculella. Results showed a direct as well as cumulative delayed effect of the tested plants fine dusts, either alone or admixed with talc powder in progressive dilutions from 5% up to 50% w/w on the viability of developing immatures and potentiality of adult moths. The revealed effects of each of the tested crude plant fine dusts or talc powder alone and/or their progressive dilutions (w/w) could be explained briefly as gradual significant shortening of life span of both sexes, prolongation of larval duration, reduction in number of raised pupae, increase of malformed ones, sharp decrease in the rate of emerged moths, deposited eggs, and developing of immatures; According to lower used dilutions of each tested plant fine dust from 5% to 20%, the complete inhibition of reproductive potential of both adult sexes, the going on metamorphic development of deposited eggs and/or raised immatures of the following generation, after the treatment of parent one, had been revealed the following distinct failure of: a) F1 development after former treatment of parent generation with the higher concentrations of 30-50% of both tested plant fine dusts and the lower prepared dilutions (10% and 20% (w/w)) of both the tested Psidium guajava and (20% (w/w)) Cymbopogom citratus plant fine dusts, resulted in fewer number of the emerged moths that were unviable, weak, sterile and died before induction the F1 progeny, b) F2 development due to the former treatment of the parents with talc powder, Psidium guajava fine dusts alone or its prepared dilutions of (5% (w/w)) and Cymbopogom citratus dilution of (10%(w/w)) gave unviable weak and sterile moths unable to induce the F2 progeny, c) F3 development post former treatment of the parent generations with Cymbopogom citratus dilution of 5% (w/w) induced unviable sterile moths and died after emergence and d) F4 development owing to the former parent treatment with Cymbopogon citratus fine dust alone; The complete failure of each of the above mentioned generations could be attributed to the cumulative effect of induced recessive lethal genes in both sexes along the extended period of each of these following generations, post former treatment of parent one, causing apparent undesirable effects, that appeared at the beginning of each of them.

Silica@zirconia@poly(malic acid) nanoparticles: promising nanocarriers for theranostic applications.

Silica@zirconia@poly(malic acid) nanocarriers of 110 nm mean diameter were designed, synthesized and characterized for the targeted delivery of diagnostic and therapeutic 99mTc to folate-overexpressing tumors. An important achievement was that a multifunctional l-(-)-malic-acid-based copolymer was formed in situ at the surface of the inorganic cores in a single synthetic step incorporating l-(-)-malic acid, ß-cyclodextrin rings, folic acid moieties, and polyethylene glycol chains. Morphological and in-depth structural analysis of the particles proved their core@shell structure. Stability experiments in aqueous media evidenced that stable suspensions can be obtained from the lyophilized powder in 10 mM phosphate buffer at pH 7.4. During 14-day degradation experiments, the nanoparticles were found to be slowly dissolving (including inorganic core) in saline and also in total cell medium. An in vitro toxicity assay on hepatocytes showed a concentration-dependent decrease of cell viability down to 63 ± 1% at the highest applied concentration (0.5 mg ml-1). Proof of concept experiments of technetium-99m radiolabelling and in vivo labelling stability are presented.

A novel approach for the management of the chalkbrood disease infesting honeybee Apis mellifera L. (Hymenoptera: Apidae) colonies in Egypt.

Except for, very few articles regarding the influence of some organic acids on the causative pathogen, Ascosphaera apis Maassen, no other studies pertaining to the management of the chalkbrood disease were performed, so far in Egypt. Laboratory investigations indicated that the fungicides, i.e (Galben C 46%, Radomil gold pluse WP 42.5% and Daconil 2787) at their recommended rates did not exert any effect on the mycelical growth of the fungus. Therefore, these fungicides were completely excluded from the subsequent apiary trials. As to the Mycostatin, it was found clearly that this mycostatic compound was effective at the rates of 50.000 and 100.000 IU. Regarding the essential oils (ceder, clove, peppermint, parsley, black cumin, garden rocket, and ricin), ceder oil surpassed the other oils and materials in controlling the subject disease. It is peculiar that no studies on the efficacy of ceder are available in the literature, so the present work using ceder oil is recorded for the first time worldwide. Thymol substance at the rate of 2% showed also a great success in managing the CHB disease. Baised on the obtained results, the promising materials in controlling the disease could be arranged according to their efficacy in a descending order as follows: ceder oil>thymol>mycostatin and oxalic acid, so these highly effective materials were again tested under the apiary conditions. Outdoors (apiary) studies revealed that ceder oil 4% gave 100% reduction in mummies numbers. Reductions in number of fallen mummies ranged from 63.22 to 96.94, 18.93 to 81.74, and 10.11 to 68.16%, on average, for thymol, mycostatin, and oxalic acid, respectively. From the practical point of view, thymol could be recommended for controlling the CHB disease, as it is the cheapest material and proved to increase the brood nest as well. In addition, thymol has other uses in the field of apiculture.

Assessment of losses in honey yield due to the chalkbrood disease, with reference to the determination of its economic injury levels in Egypt.

In Egypt, the chalk brood (CHB) disease caused by the fungus, Ascosphaera apis Maassen started again infesting the honeybee, Apis melifera L (Hymenoptera: Apidae) colonies after a cessation pause of seven to nine years. For the first time, an attempt has been made to look into the problem of the CHB disease from the view point of assessing losses in both clover (Trifolium alexandrinum) and chinus (Chinus molus) honey yields. In this regard, two techniques were adopted. Under the natural conditions of the experimental apiary (first technique), loss in clover honey was 18.412 +/- 0.663%, on average, whereas the average loss in chinus honey was 18.332 +/- 1.536%. In the second technique of loss appraisal (artificial infection). The tested honeybee colonies were artificially infected with four sources of A. apis infection, I.e. black mummies, white mummies, pollen grains and water, in addition to controls to create the so-called "different levels of infection". The mean percentages of losses in clover honey were 30.06 +/- 1.807, 27.95 +/- 1.062; 21.13 +/- 0.987; 16.96 +/- 0.672 and 0.00 +/- 0.00 for black mummies, white mummies, pollen grains, water and control, respectively. Taking into account the relationship between number of resulted mummies in each source of infection and % loss in clover honey, it could be concluded that as the resulted mummies increased, the corresponding clover honey yield decreased in each source of infection. It was noticed that the % loss in clover honey differed as the used technique differed. For example, the percentage loss in clover honey produced from colonies exposed to the natural conditions was relatively less than that of the artificially infected ones. This has been discussed in the text. However, the causative pathogen of CHB disease resulted in serious decrease in honey production. Loss appraisal is a perquisite step for the determination of the economic injury levels (EILs). By regressing % loss in clover honey yield against the total number of fallen mummies, the linear equation was worked out to be: Y = 0.242 + 0.040 x (r2 = 0.99, F = 62408.865). Depending on the total costs of controlling CHB disease, the EIL values were 31.875 and 11.250 mummies/colony for cedar oil and thymol granules, subsequently. As to the chinus honey the corresponding EILs were 18.940 and 6.683 mummies/colony for cedar oil and thymol granules, in respect, as a result of adopting the regression formula: Y = -6.762 + 0.101 X. As for the clover honey (artificial infection) the EIL values were 39.844 and 14.063 mummies/ colony in case of using cedar oil and thymol grains, subsequently. These values were worked out using the formula Y = 5.871 + 0.032 X. From the practical point of view, apiarists should not use thymol or cedar oil as fallen mummies don't reach the suggested EILs values to minimize control costs as much as possible.

An enhanced method for human action recognition.

This paper presents a fast and simple method for human action recognition. The proposed technique relies on detecting interest points using SIFT (scale invariant feature transform) from each frame of the video. A fine-tuning step is used here to limit the number of interesting points according to the amount of details. Then the popular approach Bag of Video Words is applied with a new normalization technique. This normalization technique remarkably improves the results. Finally a multi class linear Support Vector Machine (SVM) is utilized for classification. Experiments were conducted on the KTH and Weizmann datasets. The results demonstrate that our approach outperforms most existing methods, achieving accuracy of 97.89% for KTH and 96.66% for Weizmann.

Prevalence of community-acquired methicillin-resistant Staphylococcus aureus and antibiotic resistance in patients with atopic dermatitis in Porto Alegre, Brazil.

BACKGROUND: Atopic dermatitis (AD) is a skin manifestation of atopy caused by hyperreactivity to various antigens. Studies have shown that 60-100% of patients with this condition present with colonization by Staphylococcus aureus. Given increasing rates of antimicrobial resistance, the sensitivity to antimicrobials of S. aureus colonizing atopic patients has been investigated. Cross-sectional studies worldwide suggest that the prevalence of methicillin-resistant S. aureus infection (MRSA) in the AD population varies from 0% to 30.8%. OBJECTIVES: The objectives of this study were to determinate the prevalence of S. aureus and MRSA in patients with AD in two dermatologic centers in Porto Alegre, Brazil. METHODS: A total of 91 patients with AD attending two dermatologic centers in Porto Alegre were enrolled in this study from December 2009 to July 2011. Two skin swabs were taken from each patient, one from the nares and the other from a non-infected eczematous skin lesion. The swabs were sent to the laboratory, where standard procedures to isolate bacteria and identify S. aureus, antimicrobial resistance, and sensitivity patterns were carried out. The severity of AD was defined using the Eczema Area and Severity Index (EASI). RESULTS: Of the 91 patients sampled, 67 (73.6%) patients were found to be positive for S. aureus colonization. Nasal swabs were positive in 55 (60.4%) patients, lesional swabs in 44 (48.4%) patients, and both lesional and nasal swabs were positive in 32 (35.2%) patients. Patients with positive swabs had a higher mean ± standard deviation EASI score [mean (9.1 ± 8.8)] compared with patients with negative swabs (3.9 ± 3.6) (P = 0.002). None of the 91 patients showed any evidence of MRSA infection. Overall, nearly 32% of the S. aureus isolated from nasal swabs and 36.40% of the S. aureus isolated from lesional swabs was resistant to erythromycin. CONCLUSIONS: The results of this study confirm a high rate of S. aureus colonization in pediatric patients with AD and indicate a relevant association between colonization and high EASI score. No MRSA was found in cultures from this sample of patients in southern Brazil. Nearly one-third of isolates were identified as resistant to erythromycin, an antibiotic that is commonly used in pediatric patients.

Epidemiology of melasma in Brazilian patients: a multicenter study.

BACKGROUND: Melasma is an acquired, irregularly patterned, light to dark-brown hypermelanosis, with symmetric distribution mostly over the face. The aim of this study was to evaluate clinical characteristics and factors related to melasma in Brazilian patients. METHODS: This was a cross-sectional, multicenter study performed in Brazil. Investigators examined and questioned 953 patients over 18 years of age on clinical characteristics and other factors related to their melasma. RESULTS: Melasma was more prevalent in women (97.5%) and in Fitzpatrick skin phototypes II (12.8%), III (36.3%), and IV (39.7%). Skin phototypes II and III and family history of melasma had early onset of the disorder when compared with skin phototypes IV, V, and VI (P<0.0001). Similar results were also observed when these same groups were compared with the absence of family history (P<0.0001). Extra-facial melasma was more frequent in postmenopausal women compared with those who were not experiencing menopause (14.2% vs. 3.5%, P<0.0001). CONCLUSIONS: Data suggested that the age of melasma onset are related to skin phototypes and family history. Additionally, extra-facial melasma was more common in menopausal women. This is the first study on the epidemiology of melasma in Brazil involving a large sample of the population. These data can be a source of new relevant research on the cause and development of melasma.

Effect of sequential applications of foliar nutrients, biofertilizers and sowing dates on the incidence of corn stem borers in Egypt.

In this study either early sown (May 1st) or lately sown (June 2nd) corn plants were treated with Phosphorin & Rhizobactrin as biofertilizers and sprayed with six selected foliar nutrients, i.e. Polymex; Greenzit SP100, Greenzit NPK, Potasin-F, Copper sulphate and Ascorbic acid; in mono-, bi-, and/or tri-sequential applications. Such practices were conducted to show their beneficial effects compared with the chemical treatment in checking the incidence of the stem borers and hence increasing the corn yield. The obtained results could be summarized in the following chief points: (a) the lately sown biofertilized plants showed somewhat higher levels of infestation than the early planted ones., (b) in general, spraying the biofertilized corn plants in both sowing dates with the tested foliar nutrients, significantly decreased the rate of the stem borers infestation than the untreated plants of control., (c) the foliar sprays of Greenzit NPK alone, bi- or tri-sequential applications of Potasin-F, Polymex, Ascorbic acid and Copper sulphate achieved considerable success in reducing larval numbers of the borers species. For example, in case of using the bi-sequential nutrients (Polymex/Ascorbic acid) the numbers were 1.2, 1.5 and 1.2 larvae/5 plants, whereas the numbers were 1.3, 1.0 and 0.7 larvae/5 plants as a result, of the tri-sequential applications (Potasin-F/Ascorbic acid/Polymex) for the pink stem borer, Sesamia cretica, (Led.), the purple lined borer, Chilo agamemnon, (Bels.), and the European corn borer Ostrinia nubilalis (Hb.), in respect, vs. 4.8, 4.5 and 2.9 larvae/5 plants for the same stem borers, respectively, in case of the untreated corn plants. In addition, the other trisequential applications (Polymex/ascorbic acid/Copper sulphate), (Potasin-F/Copper sulphate/ascorbic acid) and (Potasin-F/Copper sulphate/Polymex) reduced the stem borers infestation; (d) from the view point of the interaction effects of sowing dates and the tested foliar nutrients, it was found that the tri-sequential sprayings (Potasin-F/Copper sulphate/Polymex) and/or (Potasin-F/Copper sulphate/Ascorbic acid) have lowered the rate of the stem borers infestation to 3.3 and 3.3 and 5.7 and 4.3 larvae/5 plants for the tri-applications in the 1st and 2nd sowing dates, respectively. Such reductions in the levels of infestation led to an increase in the grain yield up to 6.9 and 7.2 and 5.4 and 5.8 ton/fed, for the early and lately sown corn plants, in respect, and (e) All the foliar nutrients, with no exception, proved to be efficient in managing the stem borers infestation as compared with the insecticide treatment using Polytrin. Although the chemical application had lowered the level of infestation to 2.3 and 5.7 larvae/5 plants in the 1st and 2nd sowing dates as compared with 9.7 and 14.7 larvae/5 untreated plants for the same sowing dates, lesser grain yield of 5.6 and 4.4 ton/fed. was obtained in the first and second dates of planting, successively, in comparison to the grain yield resulted from the tri-applications of Potasin-F/Copper sulphate with either Polymex or Ascorbic acid. The abovementioned results assured the profitable effects of using foliar nutrients as well as the biofertilizers for attaining healthy corn plants, which would be capable of tolerating the injury inflicted by the studied stem borers and compensating for the harmful effects of insects infestation, so high grain yields could be obtained than those of the untreated and/or the insecticide treated plants.

A dermatite atópica na criança: uma visão psicossomática / Atopic dermatitis in infants: a psychosomatic approach

A pele é a nossa fronteira com o mundo, fazendo trocas e contato com o meio ambiente. Sendo assim, não seria ela capaz de sinalizar, através de suas alterações, o nosso anseio pelo outro, a necessidade de "trocas afetivas"? Os autores apresentam a observação da evolução clínica e emocional de uma criança de 2 anos de idade, portadora de dermatite atópica, participante do Grupo de Apoio à Dermatite Atópica, com sua formação pioneira interdisciplinar, durante 9 meses de acompanhamento da criança no grupo. Como resultados, foram evidenciadas mudanças no comportamento da criança frente ao livre brincar, uma interação social mais concreta, com diminuição da irritabilidade e agressividade e, principalmente, maior e melhor vinculação entre a dupla mãe-criança, assim como marcada melhora do quadro dermatológico. Conclui-se que a abrangência, proporcionada pelo atendimento interdisciplinar, possibilita uma intervenção precoce na relação mãe-criança, podendo ser considerada como uma estratégia de prevenção em saúde mental materno-infantil, evitando possíveis patologias futuras.

Avaliação dos sintomas emocionais e comportamentais em crianças portadoras de dermatite atópica / Evaluation of emotional and behavioral symptoms in children and adolescents with atopic dermatitis

INTRODUÇÃO: A dermatite atópica (DA) é uma doença inflamatória crônica da pele que apresenta um impacto significativo na qualidade de vida dos pacientes, em conseqüência de episódios recorrentes durante a vida. Considerando estudos recentes que descrevem a associação entre aspectos psicológicos e DA, acredita-se que a investigação da existência de um possível perfil comportamental destas crianças possa auxiliar o desenvolvimento de intervenções psicoterápicas específicas, assim como aumentar o conhecimento sobre a doença. MÉTODOS: Este trabalho tem como objetivo realizar uma avaliação do perfil sociocomportamental de crianças portadoras de DA, comparando-as com crianças sem a doença. Neste estudo, do tipo caso-controle, foram incluídos dois grupos com idades entre 4 e 18 anos: o grupo-estudo, com pacientes portadores de DA que consultam no ambulatório do Hospital de Clínicas de Porto Alegre (HCPA), e o grupo-controle, composto por crianças e adolescentes sem doença dermatológica, matriculados em escola da rede pública de Porto Alegre. O tamanho estimado da amostra foi de 25 indivíduos em cada grupo. A coleta dos dados realizou-se através do Child Behavior Checklist (CBCL), validado no Brasil com o nome de Inventário de Comportamento da Infância e Adolescência. RESULTADOS: Foram encontradas diferenças estatisticamente significativas nas duas dimensões globais (internalização e externalização), sendo que as crianças portadoras de DA mostraram mais sintomas relacionados com ansiedade, depressão, alterações de pensamento e comportamento agressivo quando comparadas com crianças sem a doença. CONCLUSÃO: Os resultados demonstram a necessidade de abordagens interdisciplinares no tratamento da criança com DA, valorizando não só as lesões dermatológicas, como também os aspectos emocionais dos indivíduos.

Audiometria de tronco cerebral em crianças com transtorno do déficit de atençäo com hiperatividade (TDAH) / Auditory brainstem responses in children with attention deficit hyperactive disorder (TDAH)

A Associaçäo Americana de Psiquiatria (1994) define como característica de Transtorno de Déficit de Atençäo com Hiperatividade à desatençäo, a impulsividade e ou hiperatividade - impulsividade. As crianças com este transtorno demonstram dificuldade para manter a atençäo em tarefas, distraem-se com facilidade e däo a impressäo de näo estarem escutando o que foi dito. Apresentam também dificuldades de aprendizagem, que podem estar relacionadas com alguma alteraçäo no processo auditivo central. Este trabalho visa avaliar a integridade da via auditiva no tronco cerebral em crianças com TDAH, através da audiometria de tronco cerebral. Observamos atraso nas latências absolutas das ondas I e V e interpicos III-V e I-V em poucas crianças avaliadas, e ausência de reprodutibilidade das ondas em apenas uma criança. Com base nos resultados podemos concluir que crianças portadoras de TDAH podem apresentar alteraçöes na conduçäo nervosa da via auditiva no tronco cerebral, devendo, portanto ser incluido este tipo de avaliaçäo na rotina audiológica das mesmas

Audiometria de tronco cerebral em criancas com transtorno do deficit de atencao com hiperatividade (tdah)

A associacao Americana de Psiquiatria (1994) define como caracteristica de Transtorno de Deficit de Atencao com Hiperatividade a desatencao, a impulsividade e ou hiperatividade - impulsividade. As criancas com este transtorno demonstram dificuldade para manter a atencao em tarefas, distraem-se com facilidade e dao a impressao de nao estarem escutando o que foi dito. Apresentam tambem dificuldades de aprendizagem, que podem estar relacionadas com alguma alteracao no processamento auditivo central. Este trabalho visa avaliar a integridade da via auditiva no tronco cerebral em criancas com TDAH, atraves da audiometria de tronco cerebral. Observamos atraso nas latencias absolutas das ondas I e V e interpicos III-V e I-V em poucas criancass avaliadas, e ausencia de reprodutibilidade das ondas em apenas uma crianca. Com base nos resultados podemos concluir que criancas portadoras de TDAH podem apresentar alteracoes na conducao nervosa da via auditiva no tronco cerebral, devendo, portanto ser incluido este tipo de avaliacao na rotina audiologica das mesmas.