Jornal de pediatria
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Jornal de pediatria · Nov 2008
Accuracy of white blood cell count, C-reactive protein, interleukin-6 and tumor necrosis factor alpha for diagnosing late neonatal sepsis.
To evaluate the diagnostic value for late neonatal sepsis of white blood cell count (WBC) and assays for C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-alpha), in isolation and in conjunction. ⋯ Both CRP and WBC were useful for the diagnosis of late neonatal sepsis and comparable with IL-6 and TNF-alpha. Accuracy increased when CRP and WBC were combined and when sequential CRP assay results were used.
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Jornal de pediatria · Jul 2008
Case ReportsSedation of hypercyanotic spells in a neonate with tetralogy of Fallot using dexmedetomidine.
Sedation is an important step in the management of patients with hypercyanotic spells associated with tetralogy of Fallot (TOF) to ameliorate and prevent recurrence of cyanosis. This case report illustrates the effectiveness of dexmedetomidine-induced sedation in the management of hypercyanotic spells in a neonate with TOF. ⋯ Dexmedetomidine may be useful for the management of hypercyanotic spells in pediatric patients with TOF.
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Jornal de pediatria · Jul 2008
Cross-cultural adaptation and translation of two pain assessment tools in children and adolescents.
To translate, back-translate and cross-culturally adapt the content of the FLACC (Face, Legs, Activity, Cry, Consolability) and Faces Pain Scale-Revised (FPS-R) scales for the evaluation of pain in Brazilian young students and adolescents. ⋯ Both scales were found to be easily comprehensible for the evaluation of pain in Brazilian children and adolescents with cancer.
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Jornal de pediatria · May 2008
Periventricular leukomalacia in very low birth weight preterm neonates with high risk for neonatal sepsis.
To investigate the association between periventricular leukomalacia (PVL) and neonatal sepsis in very low birth weight infants (VLBWI). ⋯ Chorioamnionitis has been defined as a risk factor for PVL. We have demonstrated that neonatal sepsis is also an important risk factor. We believe that the systemic inflammatory response is the principal factor involved in the etiopathogenesis of PVL among VLBWI.