Volume 8, Number 2, April/June 2010

Incidence of skin conditions in neonates born at a public hospital associated with some variables in pregnant women at risk

José Roberto Paes de Almeida, Mauricio Mota de Avelar Alchorne, Mauro Abrahão Rozman

DOI: 10.1590/s1679-45082010ao1504

ABSTRACTObjectives:To verify the incidence of skin diseases in newborns of pregnant women at risk of a public hospital in the city of Santos, Brazil (Hospital Guilherme Alvaro), determining the potential relation between these dermatoses and diseases presented by the mothers.Methods:A total of 1,000 neonates were examined in the first 36 hours of life. The examination was repeated daily in each child up to hospital discharge. The paternal and newborn variables were submitted to analysis to detect statistically significant associations.Results:The most […]

Denver II: evaluation of the development of children treated in the outpatient clinic of Project Einstein in the Community of Paraisópolis

Márcia Wanderley de Moraes, Ana Paula Rodrigues Weber, Marcela de Castro e Oliveira Santos, Fabiane de Amorim Almeida

DOI: 10.1590/s1679-45082010ao1620

ABSTRACTObjectives:To evaluate the neuropsychomotor development of children treated in an outpatient clinic, using the Denver Developmental Screening Test II (DDST-R).Methods:This was an exploratory descriptive research using a quantitative approach, conducted in the outpatient clinic of the Project Einstein in the Community of Paraisopolis (PECP), São Paulo, Brazil. The sample consisted of 35 children, from birth to 6 years of age, most of them from 1 to 3 years old (19; 54.3%). They underwent the Denver II Test, which assesses four […]

Financial incentives for generic drugs: case study on a reimbursement program

Marcos Inocencio, Maria Cristina Sanches Amorim, Arnoldo Jose de Hoyos Guevara, Bruna de Vivo

DOI: 10.1590/s1679-45082010ao1478

ABSTRACTObjective:To discuss the use of financial incentives in choice of medication and to assess the economic results concerning the use of financial incentives to promote the use of genetic medication in lieu of reference drugs in a company with a reimbursement program.Methods:A case study was carried out in a large supermarket. The data was obtained in the company responsible for managing medication. The study reached 83,625 users between August 2005 and July 2007. The data was submitted to regressions in […]

Assessing knowledge of Medical undergraduate students on palliative care in end-stage disease patients

Sandra Alamino Felix de Moraes, Maisa Carla Kairalla

DOI: 10.1590/s1679-45082010ao1464

ABSTRACTObjective:To assess the knowledge on palliative care of undergraduate medical students of the 9th and 10th semesters at Universidade Nove de Julho.Methods:A self-applied and self-explanatory questionnaire was prepared with 9 objective questions and given to 50 undergraduate medical students of these semesters. The content was related to palliative care, addressing some topics, such as orthothanasia, dysthanasia, euthanasia and clinical cases. The questionnaire was applied from November 2007 to February 2008.Results:As to correct answers, the rates were 84%, 42%, 38% and […]

Bone mineral density and body composition in adolescents with failure to thrive

Thiago Sacchetto de Andrade, Luiz Anderson Lopes, Marcelo de Medeiros Pinheiro, Vera Lucia Szejnfeld, José Augusto de Aguiar Carrazedo Taddei

DOI: 10.1590/s1679-45082010ao1361

ABSTRACTObjectiveTo evaluate bone mineral mass in adolescents with failure to thrive in relation to body composition.MethodsA case control study involving 126 adolescents (15 to 19 years), in final puberty maturation being 76 eutrophic and 50 with failure to thrive (genetic or constitutional delay of growth), of matching ages, gender and pubertal maturation. The weight, height and calculated Z score for height/age and body mass index; bone mineral content, bone mineral density and adjusted bone mineral density were established for total […]

Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription

José Marcelo Farfel, Tarso Augusto Duenhas Accorsi, Marcelo Franken, Sueli Pinto Doudement, Mariane Moran, Mauro Iervolino, [...]

DOI: 10.1590/s1679-45082010ao1473

ABSTRACTObjective:Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein.Methods:Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using […]

Follow-up of premature children with high risk for growth and development delay: a multiprofessional assessment

Marcia de Freitas, Ana Merzel Kernkraut, Simone Maria Amadio Guerrero, Sonia Teresa Gaidzakian Akopian, Sandra Harumi Murakami, Vanessa Madaschi, [...]

DOI: 10.1590/s1679-45082010ao1569

ABSTRACTObjective:To describe the activities of a multiprofessional outpatient clinic performed by neonatologist, physiatrist, physical therapist, occupational therapist, speech therapist, audiologist and psychologist, who evaluated the development of premature newborns.Methods:Twenty children born at a tertiary-care hospital (São Paulo, Brazil), between April 2006 and April 2007, with birth weight below 1250 g or less than 32 weeks of gestation, were evaluated. The multiprofessional evaluation included assessment of development using the Bayley III scale, at the corrected age of 3, 6, 9, 12, […]

Evaluation of chemiluminescence method for the analysis of plasma homocysteine and comparison with HPLC method in children samples

Thais Moura Gascón, Fernanda Schindler, Claudia Giorgia Bronzatti de Oliveira, Fabiola Isabel Suano Souza, Sonia Hix, Roseli Oselka Sacardo Sarni, [...]

DOI: 10.1590/s1679-45082010ao1499

ABSTRACTObjective:To compare the results for homocysteine concentration using chemiluminescence and HPLC methods in samples from school-age children. In addition, to determine the reference values for patients of this age group and assess the real prognostic value of homocysteine in healthy children.Methods:A prospective observational study was undertaken to determine plasma levels of homocysteine using two different assays, HPLC and chemiluminescence, in 185 samples from school-age children living in Santo Andre, with no chronic or inflammatory diseases, and absence of pubertal development.Results:The […]

Urinary incontinence after vaginal delivery or cesarean section

João Bosco Ramos Borges, Telma Guarisi, Ana Carolina Marchesini de Camargo, Thomaz Rafael Gollop, Rogério Bonassi Machado, Pítia Cárita de Godoy Borges

DOI: 10.1590/s1679-45082010ao1543

ABSTRACTObjective:To assess the prevalence of stress urinary incontinence, urge incontinence and mixed urinary incontinence among women residing in the city of Jundiaí (São Paulo, Brazil), and the relation between the type of incontinence and the obstetric history of these women.Methods:A cross-sectional community-based study was conducted. A total of 332 women were interviewed; they were seen for whatever reason at the public primary healthcare units of the city of Jundiaí, from March 2005 to April 2006. A pre-tested questionnaire was administered […]

Prevalence of upper respiratory tract infections at a tertiary care hospital in the city of São Paulo

Amilton Mouro, Luci Black Tabacow Hidal, Marines Dalla Valle Martino, Jacyr Pasternark

DOI: 10.1590/s1679-45082010ao1348

ABSTRACTObjective:To evaluate the prevalence of pathogens in the upper respiratory tract according to age at a tertiary care hospital in the city of São Paulo.Methods:A total of 6,144 biological material tests from upper respiratory airways were analyzed: 740 bacterial cultures, 726 virus screenings and 4,678 rapid tests for S. pyogenes.Results:The most frequently found etiological agent was respiratory syncytial virus (29.6%; 215/726). The main agents detected per age groups were: respiratory syncytial virus (25.34%; 184/726) in patients aged 28 days-3 years; […]

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