Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
-
The present article reviews aspects unique to pediatric palliative care: the attitudes of medical staff toward pediatric death and life-threatening conditions, distinct patterns of pediatric deaths, the causes of suffering in children with life-threatening conditions and their families, and the features that make palliative care a challenge for children, families, medical staff and society. Concepts of pediatric palliative care and various approaches are described. ⋯ Special attention is paid to approaches that start palliative care at diagnosis of a life-threatening conditions, do not require a short-term life prognosis and do not exclude curative or life-prolonging therapies since these approaches can benefit both children who survive life-threatening conditions and those who die, as well as their families. The need for certain changes through education and research is proposed to improve the quality of life of children and families who currently suffer, satisfaction and cohesion among medical staff, and healthcare quality.
-
The aim of this study was to present bibliometric indicators of the impact of Anales de Pediatría in 2001 and to compare this journal with other Spanish pediatrics journals. ⋯ This study confirms the leadership of Anales de Pediatría, since this journal is the most frequently cited Spanish pediatrics journal and has the highest IF and immediacy index. The bibliometric indicators obtained are comparable with those observed in other journals included in Journal Citation Reports.
-
Randomized Controlled Trial Comparative Study Clinical Trial
[Comparative efficacy of oral deflazacort versus oral prednisolone in children with moderate acute asthma].
To assess the efficacy and tolerability of oral deflazacort versus oral prednisolone in acute moderate asthma in children. ⋯ Deflazacort and prednisolone show similar efficacy in improving pulmonary function and in producing clinical improvement in the management of acute moderate asthma in children.
-
Comparative Study
[Chest radiograph in bronchiolitis: is it always necessary?].
The routine use of chest radiograph in infants with bronchiolitis increases health costs and can often unnecessarily expose the patient to radiation. ⋯ Most infants presenting with bronchiolitis had a normal chest radiograph. Temperature >or = 38 degrees and O2 saturation < 94 % were significantly associated with infiltrate/atelectasis. In most infants with bronchiolitis, the absence of fever and hypoxia are good predictors of normal chest radiographs.
-
Comparative Study
[Information and quality of care in a pediatric intensive care unit. Parents' opinion].
To identify parents' opinion of the quality of medical information and the quality of care in a pediatric intensive care unit (PICU). MATERIAL Y METHOD: We designed a structured survey to gather data on the characteristics of information given to parents, parents' dealings with the unit's staff and resources for parents. This survey was carried out by means of personal direct interviews with the parents of 61 children admitted to our PICU from November 2003 to March 2003. ⋯ In our PICU the parents of admitted children were satisfied with the quality of information and the unit's medical staff. Nevertheless, we identified some features that could be improved such as the information provided in the first few hours of admission, visiting time schedules, psychological support and the unit's infrastructure.