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Search Results: 1 - 10 of 305282 matches for " Lira Pedro I. C. "
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Efeito terapêutico da música em crian?as em pós-operatório de cirurgia cardíaca
Hatem, Thamine P.;Lira, Pedro I. C.;Mattos, Sandra S.;
Jornal de Pediatria , 2006, DOI: 10.2223/JPED.1473
Abstract: objective: to investigate, both objectively and subjectively, the effect of music on children in a pediatric cardiac intensive care unit following heart surgery, in conjunction with standard care. methods: randomized clinical trial with placebo, assessing 84 children, aged 1 day to 16 years, during the first 24 hours of the postoperative period, given a 30 minute music therapy session with classical music and observed at the start and end of the session, recording heart rate, blood pressure, mean blood pressure, respiratory rate, temperature and oxygen saturation, plus a facial pain score. statistical significance was set at 5%. results: five of the initial 84 patients (5.9%) refused to participate. the most common type of heart disease was acyanotic congenital with left-right shunt (41% of cases: 44.4% of controls). statistically significant differences were observed between the two groups after the intervention in the subjective facial pain scale and the objective parameters heart rate and respiratory rate (p < 0.001, p = 0.04 and p = 0.02, respectively). conclusions: a beneficial effect from music was observed with children during the postoperative period of heart surgery, by means of certain vital signs (heart rate and respiratory rate) and in reduced pain (facial pain scale). nevertheless, there are gaps to be filled in this area and studies in greater depth are needed.
Excesso de peso e fatores associados em crian?as da regi?o nordeste do Brasil
Moreira, Marcella de A.;Cabral, Poliana C.;Ferreira, Haroldo da S.;Lira, Pedro I. C. de;
Jornal de Pediatria , 2012, DOI: 10.2223/JPED.2203
Abstract: objective: to investigate the prevalence of overweight and its association with socioeconomic, biological, and maternal factors in children under 5 years of age in the semiarid region of the state of alagoas. methods: this was a cross-sectional study with a representative sample. we evaluated child variables (excess weight, sex, birth weight, prematurity, duration of breastfeeding, and origin) and mother variables (excess weight, central obesity, income, education, and smoking during pregnancy). excess weight in children was defined based on the weight-for-height > 1 z score; in mothers, overweight and central obesity were identified by mass body index > 30 kg/m2 and waist circumference > 80 cm, respectively. we conducted logistic regression, adopting overweight as an outcome, considering as significant p < 0.05. results: the sample comprised 963 children, with a mean age of 27.7 months (sd ±17.3). the prevalence of overweight children was 28.5%, directly associated with central obesity in the mother (odds ratio = 1.46; 95%ci 1.07-1.98) and duration of non-exclusive breastfeeding for a period of less than 6 months (odds ratio = 1.82, 95%ci 1.31-2.51). conclusions: this study showed a high prevalence of overweight children under 5 years of age associated with central obesity in the mother and non-exclusive breastfeeding for a period less than 6 months. these findings suggest that breastfeeding may protect children against overweight and point to the need for primary and secondary prevention of maternal central obesity.
A restri??o do crescimento fetal influencia a composi??o corporal na idade escolar?
Lima, Marilia C.;Dantas, Henrique F.;Amorim, Rosemary J. M.;Lira, Pedro I. C.;
Jornal de Pediatria , 2011, DOI: 10.1590/S0021-75572011000100006
Abstract: objective: to assess the influence of low birth weight in full-term infants on body composition at school age. method: this is a cross-sectional study nested in a cohort of 375 infants recruited at birth between 1993 and 1994 in the state of pernambuco, brazil. at 8 years of age, the body composition of 213 children from this cohort was assessed by measurement of triceps and subscapular skinfold thickness and mid upper arm circumference. multivariable linear regression analysis was used to identify the influence of low birth weight, socioeconomic condition, maternal nutritional status, and child morbidity on triceps skinfold thickness. results: mean triceps and subscapular skinfold thickness, mid upper arm circumference, and upper arm muscle and fat areas were lower in children born at term with low weight than in those with appropriate birth weight. however, these differences were not statistically significant. multivariable linear regression analysis showed that the relative majority of variance in triceps skinfold thickness (12.3%) was explained by socioeconomic variables, particularly per capita family income (9.1%), followed by anemia and past hospitalization (which, together, explained 5.6% of variance) and maternal body mass index, which contributed toward 2.4% of this variance. low birth weight had no influence on triceps subcutaneous fat deposition in this age group. conclusion: socioeconomic factors and a history of morbidity had a greater influence on body composition than low birth weight in schoolchildren born at term.
Impacto de treinamento baseado na Iniciativa Hospital Amigo da Crian?a sobre práticas relacionadas à amamenta??o no interior do Nordeste
Coutinho, Sonia B.;Lima, Marília de C.;Ashworth, Ann;Lira, Pedro I. C.;
Jornal de Pediatria , 2005, DOI: 10.2223/JPED.1422
Abstract: objective: to evaluate the impact of training based on the baby friendly hospital initiative on breastfeeding practices in maternity wards and during the first 6 months of life. methods: ninety percent of nursing auxiliaries and midwives were trained at two institutions (a and b) in palmares, pernambuco state. three hundred and thirty-four mothers were interviewed within the first 48 hours and 10 days after childbirth to evaluate breastfeeding practices at the maternities and fulfillment of steps 4 through 10 of the baby friendly hospital initiative. a subset of 166 mothers received seven home visits to evaluate breastfeeding practices throughout the first 6 months of life and to compare results with those of a cohort study conducted in the area in 1998. results: the performance of maternity b was significantly better than that of maternity a, from steps 4 to 10 and also in terms of exclusive breastfeeding and offering less water or tea to infants (p < 0.001). the comparison with a previous cohort study demonstrated an improvement in breastfeeding practices at the maternity wards and an increase of exclusive breastfeeding prevalence (from 21.2 to 70%), during the first 48 hours after delivery and throughout the first 6 months. conclusions: the training promoted partial change to some practices related to breastfeeding, having a positive effect on total and exclusive breastfeeding at the maternity wards. however, there was no significant change to these practices over the first 6 months of life, suggesting the need for effective interventions to support exclusive breastfeeding in the health sector and in the community.
Efetividade da suplementa??o semanal com ferro sobre a concentra??o de hemoglobina, estado nutricional e o desenvolvimento de lactentes em creches do Recife, Pernambuco, Brasil
Eickmann, Sophie H.;Brito, Cristiana M. M.;Lira, Pedro I. C.;Lima, Marilia C.;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008001400015
Abstract: this study analyzed the effectiveness of weekly iron supplementation on hemoglobin concentration, nutritional status, and mental and motor development of infants at four public daycare centers in recife, pernambuco state, brazil. this was a before-after intervention study conducted with weekly iron supplementation for six months in a sample of 76 infants in the 4 to 24 month age group, from february to december 2005. mental and motor development was assessed through the bayley scale of infant development ii. after supplementation, a significant increase was observed in hemoglobin concentration in the group of infants with initial hemoglobin level < 9.5g/dl (p = 0.001). there was also a significant increase in the mean weight-for-length z-score, but the opposite was found for length-for-age. no difference was observed in the developmental indices. we conclude that weekly iron supplementation was effective for increasing hemoglobin concentration in infants with lower initial levels, but no impact on infant development was observed.
Fatores de risco para doen?a diarréica no lactente: um estudo caso-controle
Silva, Gisélia Alves Pontes da;Lira, Pedro I. C.;Lima, Marilia de Carvalho;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200028
Abstract: this study aims to identify risk factors associated with episodes of diarrhea among infants under six months from the southern zona da mata region in the state of pernambuco, brazil. this was a case-control study nested in a cohort. a total of 397 infants were studied, with 239 infants classified as cases and 158 as controls (1.5:1). odds ratios (or) and 95% confidence intervals were calculated. logistic regression analysis was conducted to identify predictive factors for the outcome, showing that lack of piped water in the house (or = 3.60; 95% ci 1.49-8.74) and duration of breastfeeding less than six months (or = 2.06; 95% ci 1.26-3.38) were the significant risk factors associated with occurrence of diarrhea, after adjusting for other variables.
Prevalence of anemia in children 6-59 months old in the state of Pernambuco, Brazil
Osório,M?nica M.; Lira,Pedro I. C.; Batista-Filho,Malaquias; Ashworth,Ann;
Revista Panamericana de Salud Pública , 2001, DOI: 10.1590/S1020-49892001000800005
Abstract: objective. to determine the prevalence of anemia in children 6-59 months old in pernambuco, a state in northeastern brazil, so as to help guide health and nutrition policies there. methods. in 1997 a representative sample of 777 young children had their hemoglobin concentration measured. the sampling process was in three stages. first, 18 municipalities were randomly selected to represent the state and its three geographic areas (metropolitan region of recife, urban interior, and rural interior). next, using census lists, 45 census sectors were randomly chosen. finally, 777 children aged 6-59 months old were selected. blood was collected by venipuncture, and hemoglobin was measured with a portable hemoglobinometer. in the analysis, prevalence was weighted to reflect the census age distribution. results. the prevalence of anemia among children 6-59 months old was 40.9% for the state as a whole. prevalence in the metropolitan region of recife was 39.6%, and it was 35.9% in the urban interior. the rural interior had the highest prevalence, 51.4%. prevalence was twice as high in children aged 6-23 months as among those 24-59 months old, 61.8% vs. 31.0% (c2 = 77.9, p < 0.001). the mean hemoglobin concentrations in the younger and older age groups were 10.4 g/dl (standard deviation (sd) = 1.5) and 11.4 g/dl (sd = 1.4), respectively. there was no statistically significant difference between the sexes in terms of prevalence. conclusions. this is the first statewide assessment of anemia prevalence among young children in brazil. given the very high prevalence of anemia among the children studied in pernambuco, especially those in the age group of 6-23 months, public health interventions are needed.
Prevalence of anemia in children 6-59 months old in the state of Pernambuco, Brazil
Osório M?nica M.,Lira Pedro I. C.,Batista-Filho Malaquias,Ashworth Ann
Revista Panamericana de Salud Pública , 2001,
Abstract: Objective. To determine the prevalence of anemia in children 6-59 months old in Pernambuco, a state in northeastern Brazil, so as to help guide health and nutrition policies there. Methods. In 1997 a representative sample of 777 young children had their hemoglobin concentration measured. The sampling process was in three stages. First, 18 municipalities were randomly selected to represent the state and its three geographic areas (metropolitan region of Recife, urban interior, and rural interior). Next, using census lists, 45 census sectors were randomly chosen. Finally, 777 children aged 6-59 months old were selected. Blood was collected by venipuncture, and hemoglobin was measured with a portable hemoglobinometer. In the analysis, prevalence was weighted to reflect the census age distribution. Results. The prevalence of anemia among children 6-59 months old was 40.9% for the state as a whole. Prevalence in the metropolitan region of Recife was 39.6%, and it was 35.9% in the urban interior. The rural interior had the highest prevalence, 51.4%. Prevalence was twice as high in children aged 6-23 months as among those 24-59 months old, 61.8% vs. 31.0% (chi2 = 77.9, P < 0.001). The mean hemoglobin concentrations in the younger and older age groups were 10.4 g/dL (standard deviation (SD) = 1.5) and 11.4 g/dL (SD = 1.4), respectively. There was no statistically significant difference between the sexes in terms of prevalence. Conclusions. This is the first statewide assessment of anemia prevalence among young children in Brazil. Given the very high prevalence of anemia among the children studied in Pernambuco, especially those in the age group of 6-23 months, public health interventions are needed.
Fatores de risco para doen a diarréica no lactente: um estudo caso-controle
Silva Gisélia Alves Pontes da,Lira Pedro I. C.,Lima Marilia de Carvalho
Cadernos de Saúde Pública , 2004,
Abstract: O objetivo deste estudo foi identificar os fatores de risco associados à presen a de episódios diarréicos em lactentes menores de seis meses, residentes na Zona da Mata Meridional do Estado de Pernambuco, Brasil. O desenho do estudo foi do tipo caso-controle, aninhado numa coorte. Foi estudado um total de 397 crian as, sendo 239 casos e 158 controles (1,5:1). Foi calculado o odds ratio(OR), intervalo de confian a (IC) de 95%, e realizada análise de regress o logística para identificar fatores preditores da variável a ser explicada. Na análise multivariada, a ausência de água canalizada (OR = 3,60; IC95% 1,49-8,74) e aleitamento materno por menos de 6 meses (OR = 2,06; IC95% 1,26-3,38) foram os fatores significantemente associados com a ocorrência de diarréia, após o ajuste pelas demais variáveis.
Impacto do tratamento semanal com sulfato ferroso sobre o nível de hemoglobina, morbidade e estado nutricional de lactentes anêmicos
Lima, Ana C. V. M. S.;Lima, Marilia C.;Guerra, Miriam Q. F.;Romani, Sylvia A. M.;Eickmann, Sophie H.;Lira, Pedro I. C.;
Jornal de Pediatria , 2006, DOI: 10.2223/JPED.1568
Abstract: objective: to evaluate the impact of weekly treatment with ferrous sulfate on hemoglobin level, morbidity and nutritional status in a sample of anemic infants from zona da mata meridional in the state of pernambuco, brazil. methods: a controlled, community-based intervention was carried out with 378 infants who were followed-up for 18 months. hemoglobin level was measured at 12 months in a total of 245 children randomly selected. participating infants were divided into three groups: two received 45 mg of elemental iron weekly, from 12 to 18 months of life (69 children with moderate/severe anemia, and 111 with mild anemia); the third group was composed of 65 non-anemic children, who received no intervention. the remaining 133 children constituted the control group, for comparisons on nutritional status and morbidity. results: the prevalence of anemia was 73.5% at 12 months of life. after 6 months of treatment, 42.3% of anemic children reached hemoglobin levels > 11.0 g/dl. the mean increase was 1.6 g/dl, being higher (2.5 g/dl) in the group with lower levels of hemoglobin at baseline. children without anemia at baseline received no treatment, and 40.3% of them became anemic at the end of follow-up, with a mean decrease of 0.5 g/dl in hemoglobin levels. a significantly greater weight gain was observed in the two treated groups, while no significant improvements were seen in linear growth and duration of diarrhea. conclusions: the fact that less than half the children receiving ferrous sulfate recovered from anemia at the end of follow-up, along with the development of anemia in many untreated, previously non-anemic infants, suggests the need for effective control strategies.
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