Jornal de pediatria
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Jornal de pediatria · Nov 2003
[Interobserver agreement in the radiological diagnosis of lower respiratory tract infections in children].
To evaluate the inter-observer agreement of radiological diagnosis of lower respiratory tract infections in children. ⋯ Inter-observer variability is an intrinsic characteristic of the interpretation of chest X-rays, and the diagnosis of lower respiratory tract infections in children remains a challenge. Most of our results were similar to those previously reported.
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Jornal de pediatria · Nov 2003
Comparative Study[Comparison between an upper airway obstruction score and airway endoscopy to detect airway injury associated with endotracheal intubation in children].
To compare an upper airway obstruction score vs. airway endoscopy to detect moderate or severe airway injury associated with endotracheal intubation in children. ⋯ The score reliably ruled out moderate or severe airway injury in patients with minor upper airway distress. On the other hand, scores > or = 4 presented a low specificity. Clinical evaluation can be useful to rule out patients with minor airway injuries.
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Jornal de pediatria · Sep 2003
[Clinical and transcutaneous oxygen saturation characteristics in hospitalized infants with acute viral bronchiolitis].
To describe the clinical characteristics of infants with acute viral bronchiolitis (AVB) and to assess the influence of oxygen desaturation time (DT) as a prognostic test to estimate the evolution of such patients. ⋯ DT was not useful as an aid to assess AVB patients on oxygen therapy in this study. It is possible that this tool could have been more useful in patients with more clinical variability.
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Jornal de pediatria · Sep 2003
Randomized Controlled Trial Comparative Study Clinical Trial[Metered-dose inhalers with home-made spacers versus nebulizers to treat moderate wheezing attacks in children].
To compare the effectiveness of salbutamol administration by metered-dose inhaler with a home-made spacer versus jet nebulizer in children with moderate wheezing attacks. ⋯ The home-made spacer with a metered-dose inhaler is a cost-effective alternative to a jet nebulizer in the delivery of salbutamol to children with moderate wheezing attacks.
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Jornal de pediatria · Sep 2003
[Prescription of drugs not appropriate for children in a Pediatric Intensive Care Unit].
To assess the extent of use of drugs not appropriate for children in prescriptions issued in a tertiary pediatric intensive care unit (PICU), according to FDA standards. ⋯ The high prevalence of prescription of drugs not appropriate for children confirms, in the Brazilian context, the inadequate and inadvertent use of drugs either not approved or off-label for PICU use. This demonstrates the need to encourage further studies on the quality, efficacy and safety of drugs for pediatric use.