Jornal de pediatria
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Jornal de pediatria · Sep 2005
Multicenter Study[The frequency of pharmacological pain relief in university neonatal intensive care units].
To evaluate the use of drugs to relieve procedural pain of newborn infants hospitalized in Neonatal Intensive Care Units (NICU) of university hospitals. ⋯ It is necessary to train health professionals in order to shorten the lag between scientific knowledge regarding newborn pain and clinical practice.
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Jornal de pediatria · Jul 2005
Comparative Study[Accuracy, utility and complications of continuous glucose monitoring system (CGMS) in pediatric patients with type 1 diabetes].
To evaluate the accuracy, utility and complications of continuous glucose monitoring system in children and adolescents with type 1 diabetes. ⋯ The continuous glucose monitoring system showed to be a very safe, well-tolerated and highly accurate method, with a low complication rate. It is a good method to identify glucose excursion and postprandial hyperglycemia, and to improve metabolic changes in therapeutic strategies, with a significant impact on the A1c levels of pediatric diabetic patients. The efficacy of the continuous glucose monitoring system in detecting hypoglycemia is still unclear in the medical literature.
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Jornal de pediatria · Jul 2005
[Blood lactate concentration as prognostic marker in critically ill children].
To assess the use of lactate as a marker of tissue hypoperfusion and as a prognostic index in critically ill patients. ⋯ Most patients with lactate levels > or = 18 mg/dl showed clinical signs of hypoperfusion on admission. The normalization or reduction of lactate levels at and after 24 hours of admission was significantly related with higher chances of survival.
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Jornal de pediatria · May 2005
Comparative Study[Comparison of two prognostic scores (PRISM and PIM) at a pediatric intensive care unit].
To compare the performance of the PRISM (Pediatric Risk of Mortality) and the PIM (Pediatric Index of Mortality) scores at a general pediatric intensive care unit, investigating the relation between observed mortality and survival and predicted mortality and survival. ⋯ Analyzing the tests we can observe that, although the PIM test was less well calibrated overall, both PRISM and PIM offer a good capacity for discriminating between survivors and moribund patients. They are tools with comparable performance at the prognostic evaluation of the pediatric patients admitted to our unit.