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1.
Rev Paul Pediatr ; 39: e2020217, 2021.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-32876096

RESUMEN

OBJECTIVE: To analyze the current scientific literature to document, in an integrative review, the main findings that correlate Kawasaki disease (KD) to COVID-19. DATA SOURCES: The search was carried out in June 2020 in the following databases: Biblioteca Virtual em Saúde (BVS), periódico da CAPES and U.S National Library of Medicine (PubMed). The combination of descriptors used was [(COVID-19 OR SARS-CoV-2) AND (Kawasaki disease)], and the inclusion criteria stipulated were studies published from January 2019 to June 2020, without restriction of language or location, and available online in full. News, editorials, comments, and letters, as well as duplicates and articles that did not answer the guiding question were excluded. DATA SYNTHESIS: A total of 97 articles were identified, of which seven comprised this review. The association of KD to the new coronavirus appears to trigger a severe clinical condition of vasculitis. Different from the usual, in this inflammatory syndrome, patients are older, and prevalence is higher in children from African or Caribbean ancestry; clinical and laboratory manifestations are also atypical, with a predominance of abdominal complaints and exaggerated elevation of inflammatory markers. In addition, there was a greater report of rare complications and greater resistance to the recommended treatment for KD. CONCLUSIONS: Pediatric COVID-19 and its potential association to severe KD, still unfamiliar to health professionals, reinforces the importance of testing patients with vasculitis for the new coronavirus and the need to wage high surveillance and preparation of the health system during the current pandemic.


Asunto(s)
Infecciones por Coronavirus , Síndrome Mucocutáneo Linfonodular , Pandemias , Neumonía Viral , Síndrome de Respuesta Inflamatoria Sistémica/virología , Betacoronavirus/aislamiento & purificación , Niño , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/inmunología , Infecciones por Coronavirus/fisiopatología , Manejo de la Enfermedad , Humanos , Síndrome Mucocutáneo Linfonodular/epidemiología , Síndrome Mucocutáneo Linfonodular/terapia , Síndrome Mucocutáneo Linfonodular/virología , Neumonía Viral/epidemiología , Neumonía Viral/inmunología , Neumonía Viral/fisiopatología
3.
An. pediatr. (2003. Ed. impr.) ; 92(4): 241.e1-241.e11, abr. 2020. mapas, graf, tab
Artículo en Español | IBECS | ID: ibc-186847

RESUMEN

El 31 de diciembre de 2019, la Comisión Municipal de Salud y Sanidad de Wuhan (provincia de Hubei, China) informó sobre la existencia de 27 casos de neumonía de etiología desconocida con inicio de síntomas el 8 de diciembre, incluyendo 7 casos graves, con exposición común a un mercado de marisco, pescado y animales vivos en la ciudad de Wuhan. El 7 de enero de 2020, las autoridades chinas identificaron como agente causante del brote un nuevo tipo de virus de la familia Coronaviridae, denominado temporalmente «nuevo coronavirus», 2019-nCoV. El 30 de enero de 2020 la Organización Mundial de la Salud (OMS) declara el brote una Emergencia Internacional. El día 11 de febrero la OMS le asigna el nombre de SARS-CoV2 e infección COVID-19 (Coronavirus Infectious Disease). El Ministerio de Sanidad convoca a las Sociedades de Especialidades para la elaboración de un protocolo clínico de manejo de la infección. La Asociación Española de Pediatría nombra un grupo de trabajo de las Sociedades de Infectología Pediátrica y Cuidados Intensivos Pediátricos que se encargan de elaborar las presentes recomendaciones con la evidencia disponible en el momento de su realización


On 31 December 2019, the Wuhan Municipal Committee of Health and Healthcare (Hubei Province, China) reported that there were 27 cases of pneumonia of unknown origin with symptoms starting on the 8 December. There were 7 serious cases with common exposure in market with shellfish, fish, and live animals, in the city of Wuhan. On 7 January 2020, the Chinese authorities identified that the agent causing the outbreak was a new type of virus of the Coronaviridae family, temporarily called «new coronavirus», 2019-nCoV. On January 30th, 2020, the World Health Organisation (WHO) declared the outbreak an International Emergency. On 11 February 2020 the WHO assigned it the name of SARS-CoV2 and COVID-19 (SARS-CoV2 and COVID-19). The Ministry of Health summoned the Specialties Societies to prepare a clinical protocol for the management of COVID-19. The Spanish Paediatric Association appointed a Working Group of the Societies of Paediatric Infectious Diseases and Paediatric Intensive Care to prepare the present recommendations with the evidence available at the time of preparing them


Asunto(s)
Humanos , Lactante , Preescolar , Niño , Adolescente , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/terapia , Neumonía Viral/diagnóstico , Neumonía Viral/terapia , Coronavirus/clasificación , Coronavirus/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Índice de Severidad de la Enfermedad , Sociedades Médicas , España
4.
Eur. j. psychol. appl. legal context (Internet) ; 12(2): 61-68, jul.-dic. 2020. tab
Artículo en Inglés | IBECS | ID: ibc-190650

RESUMEN

School coexistence/violence is often the subject of social alarm. There is no consensus on the prevalence of violent behavior in the classroom, but there does seem to be about its differences according to sex, socioeconomic level, or the importance of preventive interventions for its reduction. Models consider attitudes towards violence as an indicator of risk for its expression. The objectives of this study are to explore the psychometric properties of the revised version of Cuestionario de Actitudes Hacia la Violencia [Attitudes towards Violence Questionnaire] (CAHV-25) in primary and secondary education students, proposing a version of four scales and a total of 28 items, along with the exploration of their significance as a function of sex and academic cycle. A qualitative review of CAHV-25 and a psychometric study of the revised version in each of its original dimensions was carried out, obtaining the fit indicators of exploratory and confirmatory factor analysis. In addition, the scale was studied as a function of sex and educational stage se in school children (N = 600) of the Region of Murcia (Spain). The four dimensions show better psychometric properties in their revised version. Attitudes towards violence are more present in males and in secondary school. As conclusions, the proposed version optimizes the detection of attitudes towards violence in schoolchildren and suggests more specific school violence prevention programs


La convivencia/violencia escolar, a menudo, es objeto de alarma social. No parece existir consenso en la prevalencia de conductas violentas en las aulas, pero sí en sus diferencias según sexo, nivel socioeconómico o la importancia de las intervenciones preventivas para su disminución. Los modelos sitúan a las actitudes hacia la violencia como un indicador de riesgo para la manifestación de dichas conductas. Los objetivos del presente estudio son explorar las propiedades psicométricas de la versión ampliada del Cuestionario de Actitudes Hacia la Violencia (CAHV-25) en alumnos de Educación Primaria y Secundaria, proponiendo una versión dividida en cuatro escalas y 28 ítems en total, junto a la exploración de la significación según sexo y etapa académica. Se ha llevado a cabo una revisión cualitativa del cuestionario CAHV-25 y se realizó un estudio psicométrico de la misma para cada una de sus dimensiones originales obteniendo los indicadores de ajuste de Análisis Factorial Exploratorio y Confirmatorio en menores de Educación Primaria y Secundaria (N = 600) de la Región de Murcia (España). Los resultados indican que las cuatro dimensiones tienen mejores propiedades psicométricas en su versión revisada. Las actitudes hacia la violencia son mayores en varones y en Secundaria. Se concluye que la versión propuesta permite maximizar la detección de actitudes hacia la violencia en menores escolarizados, sirviendo de base para el planteamiento de posibles programas de prevención de violencia escolar más específicos


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Encuestas y Cuestionarios , Estudiantes/psicología , Violencia/psicología , Actitud , Análisis Factorial , Conducta del Adolescente , Estudios Transversales , Prevalencia , Psicometría
5.
Texto & contexto enferm ; 29: e20200156, Jan.-Dec. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117301

RESUMEN

Objetivo: identificar en la literatura la producción científica sobre exámenes y manifestaciones clínicas de COVID-19 en niños y discutir el papel de la enfermería en su atención. Métodos: revisión integradora, cuya búsqueda tuvo lugar entre abril y junio de 2020, en las bases de datos de Web of Science, CINAHL, BDENF, IBECS, LILACS, MEDLINE (a través de PubMed) para responder a la pregunta orientadora: lo que revelan los artículos de investigación sobre COVID -19 en niños? Se incluyeron artículos de investigación originales, publicados de enero a mayo de 2020. Estudios sin metodología de investigación (informes de casos, reflexión, recomendaciones), artículos de revisión, estudios que se centraron en otros temas o se llevaron a cabo exclusivamente con recién nacidos, bebés, población de adolescentes y adultos. Resultados: las búsquedas en las bases de datos buscadas capturaron 314 referencias. Después de las exclusiones, se seleccionaron 59 estudios para ser leídos en su totalidad; de estos, se seleccionaron 14 artículos para componer esta revisión, agrupados empíricamente, de acuerdo con sus similitudes, en dos categorías: Exámenes utilizados en COVID-19 en niños; y Principales hallazgos clínicos en COVID-19 en niños. Conclusión: los estudios enfatizan los exámenes COVID-19 y los hallazgos clínicos en niños; por lo tanto, el papel de la enfermería se destaca al preparar y realizar estos exámenes, ya que son un instrumento para evaluar y monitorear a los niños con COVID-19, así como para promover una atención adecuada y calificada para minimizar los signos y síntomas de esta enfermedad. enfermedad, con miras a la pronta restauración de su salud.(AU)


Objective: to identify in nursing literature scientific production on tests and clinical characteristics of COVID-19 in children and discuss the role of nursing in their care. Methods: an integrative review, which took place between April and June 2020, at Web of Science, CINAHL, BDENF, IBECS, LILACS, MEDLINE (via PubMed) to answer the guiding question: what do research articles on COVID-19 in children reveal? Original research articles published from January to May 2020 were included. Studies without research methodology (case reports, reflection, recommendations), review articles, studies focusing on other themes or conducted exclusively with neonates, infants, adolescents, and adults were excluded. Results: database search found 314 references. After exclusions, 59 studies were selected to be read in full. Of these, 14 articles were selected to compose this review, empirically grouped according to their similarities into two categories: Tests used in COVID-19 in children and Main clinical findings of COVID-19 in children. Conclusion: studies emphasize clinical tests and findings of COVID-19 in children; therefore, the role of nursing at the time of preparation and performance of such tests stands out, since they are an instrument for assessment and follow-up of children with coronavirus as well as in the promotion of adequate and qualified care to minimize the signs and symptoms of this disease, with a view to prompt restoration of their health.(AU)


Objetivo: identificar en la literatura la producción científica sobre exámenes y manifestaciones clínicas de COVID-19 en niños y discutir el papel de la enfermería en su atención. Métodos: revisión integradora, cuya búsqueda tuvo lugar entre abril y junio de 2020, en las bases de datos de Web of Science, CINAHL, BDENF, IBECS, LILACS, MEDLINE (a través de PubMed) para responder a la pregunta orientadora: lo que revelan los artículos de investigación sobre COVID -19 en niños? Se incluyeron artículos de investigación originales, publicados de enero a mayo de 2020. Estudios sin metodología de investigación (informes de casos, reflexión, recomendaciones), artículos de revisión, estudios que se centraron en otros temas o se llevaron a cabo exclusivamente con recién nacidos, bebés, población de adolescentes y adultos. Resultados: las búsquedas en las bases de datos buscadas capturaron 314 referencias. Después de las exclusiones, se seleccionaron 59 estudios para ser leídos en su totalidad; de estos, se seleccionaron 14 artículos para componer esta revisión, agrupados empíricamente, de acuerdo con sus similitudes, en dos categorías: Exámenes utilizados en COVID-19 en niños; y Principales hallazgos clínicos en COVID-19 en niños. Conclusión: los estudios enfatizan los exámenes COVID-19 y los hallazgos clínicos en niños; por lo tanto, el papel de la enfermería se destaca al preparar y realizar estos exámenes, ya que son un instrumento para evaluar y monitorear a los niños con COVID-19, así como para promover una atención adecuada y calificada para minimizar los signos y síntomas de esta enfermedad. enfermedad, con miras a la pronta restauración de su salud.(AU)


Asunto(s)
Humanos , Preescolar , Niño , Enfermería Pediátrica , Diagnóstico de Enfermería , Infecciones por Coronavirus , Salud del Niño , Revisión
6.
Texto & contexto enferm ; 29: e20180348, Jan.-Dec. 2020. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059138

RESUMEN

ABSTRACT Objective: To identify the factors associated with clinical deterioration recognized by a Pediatric Early Warning Score. Method: A cross-sectional study conducted in a tertiary pediatric public hospital with 271 children aged from zero to ten, hospitalized between May and October 2015. For the identification of the children with and without signs of clinical deterioration, the translated, adapted and validated version of the Brighton Pediatric Early Warning Score was applied to the Brazilian context. Logistic regression analysis and prevalence ratio (PR) were used to measure the association between the variables studied. A 95% Confidence Interval (CI) and p value were adopted as a measure of statistical significance to identify potential associated factors. Results: The factors associated with the clinical deterioration of the children studied were age ≤ 2 years old (p=0.000), hospitalization in the emergency unit (p=0.000), comorbidity (p=0.020) and clinical diagnosis of respiratory disease (p=0.000). Conclusion: Children ≤ 2 years old, with comorbidity, diagnosed with respiratory disease and hospitalized in the emergency unit showed an increased likelihood of clinical deterioration. The identification of factors associated with clinical deterioration may alert and direct the health team to children more susceptible to this phenomenon.


RESUMEN Objetivo: identificar los factores asociados al deterioro clínico reconocido por una Puntuación Pediátrica de Alerta Temprana. Método: estudio de corte transversal realizado en un hospital público pediátrico terciario con 271 niños de cero a diez años de edad, hospitalizados entre mayo y octubre de 2015. Para identificar a los niños con y sin signos de deterioro clínico, se aplicó la versión traducida, adaptada y validad del Brighton Pediatric Early Warning Score para el contexto brasileño. Se utilizaron el análisis de regresión logística y la relación de prevalencia (RP) para medir la asociación entre las variables estudiadas. Se adoptaron el Intervalo de Confianza (IC) del 95% y el Valor de p como medida de significancia estadística para identificar los potenciales factores asociados. Resultados: los factores asociados al deterioro clínico de los niños estudiados fueron los siguientes: edad ≤ 2 años (p=0,000), internación en la unidad de emergencia (p=0,000), comorbilidad (p=0,020) y diagnóstico clínico de enfermedad respiratoria (p=0,000). Conclusión: los niños con una edad máxima de 2 años, con alguna comorbidad, con diagnóstico de enfermedad respiratoria e internadas en la unidad de emergencia presentaron una mayor probabilidad de deterioro clínico. Identificar factores asociados al deterioro clínico puede servir como alerta y orientar al equipo de salud hacia los niños más susceptibles a este fenómeno.


RESUMO Objetivo: identificar os fatores associados à deterioração clínica reconhecida por um Escore Pediátrico de Alerta Precoce. Método: estudo de corte transversal, realizado num hospital público pediátrico terciário, com 271 crianças de zero a dez anos, hospitalizadas entre maio e outubro de 2015. Para a identificação das crianças com e sem sinais de deterioração clínica, foi aplicada a versão traduzida, adaptada e validada do Brighton Pediatric Early Warning Score para o contexto brasileiro. Foram utilizadas a análise de regressão logística e a razão de prevalência (RP) para medir a associação entre as variáveis estudadas. O Intervalo de Confiança (IC) de 95% e Valor de p foram adotados como medida de significância estatística para a identificação dos potenciais fatores associados. Resultados: os fatores associados à deterioração clínica das crianças estudadas foram idade ≤ 2 anos (p=0,000), internamento na unidade de emergência (p=0,000), comorbidade (p=0,020) e diagnóstico clínico de doença respiratória (p=0,000). Conclusão: crianças ≤ 2 anos, portadoras de comorbidade, com diagnóstico de doença respiratória e internadas na unidade de emergência apresentaram aumento da probabilidade de deterioração clínica. A identificação de fatores associados à deterioração clínica pode alertar e direcionar a equipe de saúde para crianças mais suscetíveis a esse fenômeno.


Asunto(s)
Humanos , Recién Nacido , Lactante , Preescolar , Niño , Enfermería Pediátrica , Niño Hospitalizado , Salud , Salud del Niño , Deterioro Clínico , Alertas , Hospitalización
7.
Rev. enferm. UERJ ; 28: e48514, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117619

RESUMEN

Objetivo: analisar as dissertações e teses defendidas nos cursos de Pós-Graduação Stricto Sensu em Enfermagem, no Brasil, relativas ao tema criança com estoma, destacando seus aspectos epistemológicos. Método: estudo documental, descritivo, considerando o recorte temporal entre 2009 e 2019. Utilizou-se a Metodologia de Categorização Epistemológica para a Pesquisa na Enfermagem. Resultados: selecionaram-se doze estudos: dez dissertações de mestrado e duas teses de doutorado. Nota-se o predomínio de estudos na área/campo epistêmico assistencial, na linha de pesquisa: Processo de Cuidar em Saúde e Enfermagem. Identificou-se um maior interesse de estudos no contexto domiciliar e ambulatorial. Há predomínio da abordagem qualitativa e uso da entrevista para coleta de dados. Conclusão: os aspectos epistemológicos destacados possibilitam afirmar que as dissertações e teses relacionadas ao tema estão predominantemente orientadas para um pragmatismo epistemológico da assistência de enfermagem à criança com estoma e sua família, com objetos científicos delimitados para alcançar a compreensão desse fenômeno.


Objective: to examine postgraduate Nursing dissertations and theses defended in Brazil on the subject of children with stoma, highlighting their epistemological aspects. Method: this descriptive study considered studies published between 2009 and 2019 using the Epistemological Categorization methodology for research in Nursing. Results: twelve studies were selected: ten master's dissertations and two doctoral theses. The predominant epistemic area/field was "care", in the research line: "care process in health, and nursing". Studies were found to show greater interest in the home and outpatient context. The qualitative approach and data collection by interview predominated. Conclusion: from the epistemological aspects highlighted, it can be said that the dissertations and theses on the subject of children with stomata were predominantly oriented towards an epistemological pragmatism in nursing care for children with stoma and their families, with scientific objects delimited to achieve an understanding of this phenomenon.


Objetivo: analizar las disertaciones y tesis de posgrado en Enfermería defendidas en Brazil sobre el tema de niños con estoma, destacando sus aspectos epistemológicos. Método: este estudio descriptivo consideró estudios publicados entre 2009 y 2019 utilizando la metodología de Categorización Epistemológica para la investigación en Enfermería. Resultados: se seleccionaron doce estudios: diez tesis de maestría y dos tesis doctorales. El área / campo epistémico predominante fue el "cuidado", en la línea de investigación: "proceso de cuidado en salud y enfermería". Se encontró que los estudios muestran un mayor interés en el contexto domiciliario y ambulatorio. Predominó el enfoque cualitativo y la recolección de datos por entrevista. Conclusión: a partir de los aspectos epistemológicos destacados, se puede decir que las disertaciones y tesis sobre el tema de los niños con estoma estuvieron orientadas predominantemente hacia un pragmatismo epistemológico en la atención de enfermería al niño con estoma y sus familias, con objetos científicos delimitados para lograr un entendimiento. de este fenómeno.


Asunto(s)
Humanos , Niño , Estomía/educación , Cuidado del Niño , Educación de Postgrado en Enfermería , Brasil , Investigación en Enfermería , Recolección de Datos , Estomas Quirúrgicos , Atención de Enfermería
8.
Rev. enferm. UERJ ; 28: e39729, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1116093

RESUMEN

Objetivo: identificar as principais causas de óbito entre adolescentes de 10 a 19 anos em um município no interior do estado do Rio de Janeiro. Método: estudo descritivo, exploratório de abordagem quantitativa, a partir do levantamento de dados em registros de óbitos do município de Rio das Ostras. O desfecho foi causa básica do óbito. Os dados foram processados no Programa R. Resultados: foram observados 84 (100%) óbitos, com maior prevalência entre adolescentes de 17 a 19 anos, 49 (58,3%), do sexo masculino, 71 (84,5%) e de cor parda, 38 (45,2%). As principais causas de óbitos foram homicídio/perfuração por arma de fogo, 35 (41,7%), e acidentes, 32 (38,1%). Conclusão: o reconhecimento dessa vulnerabilidade configura importante caminho para o enfrentamento e resolução desse grave problema, sobretudo municípios localizados longe de centros urbanos, parece muitas vezes esquecido, no que tange o cumprimento de estatutos e políticas públicas a favor desse grupo etário.


Objective: to identify the main causes of death among adolescents aged 10 to 19 years in a municipality in the state of Rio de Janeiro. Method: in this exploratory, descriptive, quantitative study, based on data collected from death records in the municipality of Rio das Ostras, the basic cause of death was the outcome. The data were processed in the statistics software, R. Results: of the 84 (100%) deaths observed, prevalence was higher among adolescents aged 17 to 19 years (49; 58.3%), males (71; 84.5%), and pardos (38; 45.2%). The main causes of deaths were firearm Injury / homicide (35; 41.7%) and accidents (32; 38.1%). Conclusion: one important step towards confronting and solving this serious problem is to acknowledge this vulnerability, especially in municipalities distant from urban centers, which often seem neglected as regards compliance with statutes and public policies in favor of this age group.


Objetivo: identificar las principales causas de muerte entre adolescentes de 10 a 19 años en un municipio del estado de Río de Janeiro. Método: en este estudio exploratorio, descriptivo, cuantitativo, basado en los datos recopilados de los registros de defunciones en el municipio de Rio das Ostras, la causa básica de la muerte fue el resultado. Los datos se procesaron en el programa estadístico R. Resultados: de las 84 (100%) muertes observadas, la prevalencia fue mayor entre los adolescentes de 17 a 19 años (49; 58.3%), varones (71; 84.5%) y pardos (38; 45,2%). Las principales causas de muerte fueron lesiones por arma de fuego / homicidio (35; 41.7%) y accidentes (32; 38.1%). Conclusión: un paso importante para enfrentar y resolver este grave problema es reconocer esta vulnerabilidad, especialmente en municipios alejados de los centros urbanos, que a menudo parecen descuidados en cuanto al cumplimiento de los estatutos y las políticas públicas a favor de este grupo de edad.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Adulto Joven , Accidentes/estadística & datos numéricos , Causas de Muerte , Poblaciones Vulnerables/estadística & datos numéricos , Homicidio/estadística & datos numéricos , Brasil , Epidemiología Descriptiva , Factores de Edad , Vulnerabilidad Social , Mortalidad Prematura
9.
Estima (Online) ; 18(1): e0520, jan.-dez. 2020. tab, graf
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1096460

RESUMEN

Objetivo: Identificar o perfil de crianças e de adultos com estomia atendidos em um Centro Estadual de Referência do Estado da Bahia. Método: Trata-se de pesquisa descritiva transversal, com abordagem quantitativa, com amostra de conveniência de 43 pacientes que atenderam aos critérios de inclusão. Os dados foram coletados por meio de entrevista e avaliação da estomia e pele ao redor, analisados por estatística descritiva, com distribuição de frequência e percentual. Resultados: Houve predomínio do sexo masculino, idade de 40 a 59 anos, solteiros, com ensino fundamental incompleto, renda familiar de um salário mínimo, tendo o câncer colorretal e trauma por arma de fogo como responsáveis pela estomia. Destacou-se a ocorrência da colostomia descendente temporária, uso de dispositivo drenável, peça única, recortável, com recorte maior que o diâmetro da estomia, presença de dermatite. A higienização da estomia e troca do dispositivo eram realizadas de forma independente pela maioria. Conclusão: Os resultados do estudo indicaram necessidade de reavaliar as estratégias utilizadas na assistência especializada com ênfase nas ações educativas voltadas ao autocuidado e maior participação do usuário no programa, objetivando sua reabilitação e melhoria na qualidade de vida.


Asunto(s)
Perfil de Salud , Estomía , Niño , Adulto
10.
Allergol. immunopatol ; 48(5): 500-506, sept.-oct. 2020. graf
Artículo en Inglés | IBECS | ID: ibc-192549

RESUMEN

The reasons for the relative resistance of children to certain infections such as that caused by coronavirus SARS-CoV2 are not yet fully clear. Deciphering these differences can provide important information about the pathogenesis of the disease. Regarding the SARS-CoV2 virus, children are at the same risk of infection as the general population of all ages, with the most serious cases being found in infants. However, it has been reported that the disease is much less frequent than in adults and that most cases are benign or moderate (even with high viral loads), provided there are no other risk factors or underlying diseases. It is not clear why they have lower morbidity and virtually no mortality. A series of findings, relationships and behavioral patterns between the infectious agent and the child host may account for the lower incidence and a greatly attenuated clinical presentation of the disease in children


No disponible


Asunto(s)
Humanos , Niño , Índice de Severidad de la Enfermedad , Infecciones por Coronavirus/inmunología , Neumonía Viral/inmunología , Betacoronavirus/inmunología , Betacoronavirus/patogenicidad , Factores de Edad
11.
Comunidad (Barc., Internet) ; 22(2): 0-0, jul.-oct. 2020. graf
Artículo en Español | IBECS | ID: ibc-193597

RESUMEN

En 2006 nace una ONG en Boulembou (A 500 km de Dakar), fundada por cooperantes e inmigrantes del pueblo en nuestro país, donde se hicieron estudios para definir el entorno y asambleas y comités para priorizar intervenciones. OBJETIVOS: conocer el funcionamiento de un proyecto comunitario y formar parte de una ONG de codesarrollo, así como obtener y valorar los resultados de sus acciones a medio y largo plazo sobre la población. MÉTODOS: codesarrollo (las personas inmigrantes ayudan en realizar intervenciones en sus países de origen) y salud comunitaria (acciones para mejorar la salud de una comunidad más allá de la individual). RESULTADOS: el pueblo tiene agua potable, huertos, centro de salud (enfermero, comadrona y agentes de salud) y mejoras en la escuela. DISCUSIÓN: el enfoque y las líneas de trabajo realizadas desde un punto de vista comunitario y de codesarrollo han permitido que los proyectos se autogestionen y autofinancien para poder seguir evolucionando y progresando


An NGO was founded in 2006 in Boulembou (located 500 km from Dakar). It was founded by aid workers and immigrants from this town to our country. Studies were performed there to define the setting and to start meetings and committees to prioritize interventions. OBJECTIVES: To ascertain the operation of a community project and be part of a co-development NGO in addition to obtaining and evaluating the impact of its actions on the population in the medium and long term. METHODS: Co-development (immigrants assist with development in countries of origin) and community health (actions targeted at improving community health). RESULTS: The town now has drinking water from fountains, orchards and a healthcare centre (with a nurse, midwife and healthcare agents) in addition to school improvements. DISCUSSION: Projects were implemented from a community and co-development point of view and have facilitated self-management and self-financing to continue evolving and progressing by themselves


Asunto(s)
Humanos , Masculino , Femenino , Niño , Participación de la Comunidad , Organizaciones , Atención Primaria de Salud/métodos , Emigrantes e Inmigrantes , Cooperación Internacional , Senegal , Salud Pública , Evaluación de Programas y Proyectos de Salud
14.
J Indian Soc Pedod Prev Dent ; 38(3): 266-273, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004725

RESUMEN

Aim: This longitudinal, observational study was conducted in the schools of Yamunanagar, Haryana, to evaluate and compare the predictive value of formal type of caries risk assessment using reduced Cariogram software, including only seven factors and informal type among 8-9 years' school-going children. Methods: A.total of 111 school-going children were included in the study. Risk profile for each child was created using cariogram as well as informal factors. The same children were scheduled for re-examination at an interval of 9 and 18 months. The caries status was recorded again using the Collapsed International Caries Detection and Assessment System (ICDAS) concept. Statistical Analysis: The precoded data were transferred to the computer and analyzed using the SPSS software (version 17.0). Data were analyzed for the identification of children with lesion progression and numbers of lesions progressing using the Transition Scoring System. Results: Cariogram being a multifactorial model gives significant individual weightage to each etiological factor causing dental caries as compared to informal caries risk assessment which though easy to implement yet unstructured unlike cariogram and thus does not guarantee consistent implementation. Conclusion: Cariogram is a perfect option for patient motivation and supports the clinician in decision making for planning preventive strategies for the patients. Along with this, a combination of the factors for informal caries risk assessment can help in making a simple yet multifactorial model which can be applied in daily practice.


Asunto(s)
Caries Dental/diagnóstico , Niño , Humanos , Medición de Riesgo , Instituciones Académicas , Programas Informáticos
15.
J Indian Soc Pedod Prev Dent ; 38(3): 259-265, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004724

RESUMEN

Background: Dental fear is a common cause of uncooperative behavior among young children, which poses a challenge in providing effective dental treatment. With the advancements in technology, several behavior guidance techniques in the form of distraction have emerged over time for managing uncooperative pediatric dental patients. Aim: The aim of this study is to compare and evaluate the effectiveness of four different behavior guidance techniques in managing uncooperative pediatric patients by measuring pre- and post-operative dental fear/anxiety levels using physiological and nonphysiological parameters. Methodology: Sixty systemically healthy children aged 5-8 years with negative behavior as per Frankl's Rating Scale, requiring restoration were included in the study and randomly divided into four equal groups (n = 15), based on the guidance techniques used: Tell-Show-Do (TSD) as a control group and audio distraction, audiovisual distraction (AVD) (virtual reality [VR]) and Mobile Phone Game Distraction as test groups. Pre- and post-intervention levels of the child's fear/anxiety were assessed using both physiological (blood pressure and pulse rate) and nonphysiological (facial image scale) parameters. The data were evaluated using t-test and one-way ANOVA test. Results: A statistically significant difference was observed in both physiological and non-physiological parameters post-intervention in the groups with a maximum decrease in the AVD (VR) group. Conclusions: AVD (VR) was found to be the most effective while TSD alone as the least effective behavior guidance technique in reducing dental fear/anxiety in uncooperative pediatric dental patients.


Asunto(s)
Ansiedad al Tratamiento Odontológico/prevención & control , Realidad Virtual , Niño , Conducta Infantil , Preescolar , Frecuencia Cardíaca , Humanos , Resultado del Tratamiento
16.
J Indian Soc Pedod Prev Dent ; 38(3): 319-322, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004733

RESUMEN

Melanotic neuroectodermal tumor is a rare benign congenital neoplasm involving the head-and-neck region found in infants <1 year of age. The lesion most commonly affects the maxilla. We report the case of a 4-month-old male child with a tumor involving the anterior region of the maxilla along with a brief review of literature, differential diagnosis, and treatment.


Asunto(s)
Tumor Neuroectodérmico Melanótico , Niño , Diagnóstico Diferencial , Humanos , Lactante , Masculino , Maxilar , Tumor Neuroectodérmico Melanótico/diagnóstico , Tumor Neuroectodérmico Melanótico/diagnóstico por imagen , Tumor Neuroectodérmico Melanótico/cirugía
17.
J Indian Soc Pedod Prev Dent ; 38(3): 315-318, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004732

RESUMEN

A 7-month-old female child born to nonconsanguineous parents with a history of global developmental delay, since early infancy had reported to the department with facial features of mild dysmorphism. History of finger sucking and finger biting was evident, as there was a massive scab tissue over the dorsal aspect of the index finger, above the finger nail bed. A huge ulcer was evident on the right side of the dorsal aspect of anterior two-thirds of the tongue. Genetic evaluation through targeted gene sequencing confirmed the diagnosis as hereditary sensory, autonomic neuropathy Type VIII (Online Mendelian Inheritance in Man - 616488). A homozygous missense variation in exon 3 of PRDM12 was detected. A multidisciplinary approach was planned for the management of the child. A soft splint on the maxilla was fabricated and stabilized with an adhesive. However, the final diagnosis was confirmed by a DNA genomic sequencing test, namely a multigene panel testing or comprehensive genomic sequencing.


Asunto(s)
Neuropatías Hereditarias Sensoriales y Autónomas/diagnóstico , Neuropatías Hereditarias Sensoriales y Autónomas/genética , Neuropatías Hereditarias Sensoriales y Autónomas/terapia , Proteínas Portadoras , Niño , Femenino , Succión del Dedo , Genómica , Humanos , Lactante , Proteínas del Tejido Nervioso , Lengua
18.
J Dent Hyg ; 94(5): 14-21, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33008945

RESUMEN

Purpose: Children of Hispanic seasonal or migrant farmworkers in the United States (US) experience high rates of Early Childhood Caries (ECC) and have high rates of untreated dental caries. The purpose of this study was to explore Hispanic seasonal farmworker caregivers' beliefs and/or perceptions regarding ECC their children's oral health.Methods: A qualitative explanatory model interview approach was used with a purposive sample of Hispanic parents/caregivers, working and residing in Orange and Ulster Counties, New York. The Explanatory Model Interview Catalogue (EMIC) was used as a guide to the semi-structured, recorded interviews conducted in locations selected by the participants. The texts were independently read and thematically analyzed by two researchers.Results: A total of 20 parents/caregivers consented to participate. Six themes were identified for the components of the EMIC and included: etiology: eating candy/sweets (65%); sign/symptoms of decay: tooth color change (50%); pathophysiology: not brushing daily (75%); course of disease/impact on daily life: appearance (40%); impact of caries on child's future health: affects child until adult teeth erupt (25%); treatment for pain: tooth brushing (55%). Over half of the respondents (55%) indicated that getting dental care for their children was a priority.Conclusion: Results from this study showed that Hispanic seasonal farmworkers have a desire to maintain their children's oral health. However, they lacked knowledge in some key concepts related to the disease process and prevention of ECC. Caregivers need additional oral health education with consideration for oral health literacy.


Asunto(s)
Cuidadores , Caries Dental , Adulto , Niño , Preescolar , Agricultores , Hispanoamericanos , Humanos , New York , Estaciones del Año
19.
J Dent Hyg ; 94(5): 38-43, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33008948

RESUMEN

Purpose: Dental caries is a chronic childhood disease disproportionately affecting children from low socioeconomic backgrounds. Free preventive oral health events sponsored by dental organizations are frequently under enrolled. The purpose of this study was to explore parental perceptions and barriers to participation in preventive dental care programs for their children.Methods: The transtheoretical model and social cognitive theory were used to design this qualitative case study. Open-ended questions were used to interview 20 purposefully sampled participants regarding their perceptions of free preventive dental care programs. Interviews were audio recorded, data were transcribed verbatim, coded, and analyzed thematically until saturation.Results: Two male and 18 female parents ranging in age from 22 to 49 years, with at least one child enrolled in a Title 1 New York City public elementary school, agreed to participate. Nine themes emerged from the data addressing the primary research question on the perceived barriers preventing parents from allowing their children to attend a free preventative dental care program. The themes included too busy, afraid, lack of trust, cultural differences, lack of awareness of the program, cost of care, money, negative childhood experiences and lack of dental insurance.Conclusion: Results from this study demonstrate the need to understand barriers to full enrollment in preventive oral health programs. Particular attention should be given to cultural differences between the program providers and the local residents. Preventative oral health program organizers need to explore multiple communication options to notify parents of upcoming programs.


Asunto(s)
Caries Dental/prevención & control , Niño , Atención Odontológica , Femenino , Humanos , Masculino , Ciudad de Nueva York , Salud Bucal , Padres
20.
Gastroenterol Nurs ; 43(5): 375-381, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33003024

RESUMEN

Elective surgical and endoscopic procedures were suspended nationwide during the March 2020 COVID-19 pandemic to minimize exposure and healthcare resource utilization. This resulted in an unprecedented backlog of procedures in most clinical practices including pediatrics. Our group developed an internal process toward the rational development of an algorithm prioritizing elective procedures. This was based on patient disease severity defined by the presence of alert symptoms, symptom severity for dysphagia and abdominal pain, and diagnostic investigation findings. The underlying rationale is to prioritize patients in whom suspected disease course would be greatest impacted by endoscopy. We developed a nurse phone call-based process utilizing REDCap®, identifying relevant symptoms categorized by severity, and a validated functional impairment questionnaire for abdominal pain. We abstracted key laboratory and radiological findings also categorized by severity. The order of priority of procedures was established on the basis of a 4-tiered system factoring both presence and severity of symptoms or prior diagnostic testing results. We present the framework that we have adopted toward prioritizing procedures with the assumption that it offers an objective methodology and that can be efficiently and more broadly applied to other similar practice scenarios. Our tool may have wide-ranging implications both in the current COVID-19 pandemic and in other scenarios of limited resource allocation and deserves further investigation.


Asunto(s)
Citas y Horarios , Betacoronavirus , Control de Enfermedades Transmisibles/organización & administración , Infecciones por Coronavirus/prevención & control , Procedimientos Quirúrgicos del Sistema Digestivo , Procedimientos Quirúrgicos Electivos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Adolescente , Algoritmos , Niño , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Endoscopía , Femenino , Humanos , Masculino , Selección de Paciente , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Evaluación de Síntomas , Triaje
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