Search results for " Pediatric"
showing 10 items of 909 documents
Prevalence and characteristics of antidepressant drug prescriptions in older Italian patients.
2012
ABSTRACTBackground: During last few decades, the proportion of elderly persons prescribed with antidepressants for the treatment of depression and anxiety has increased. The aim of this study was to evaluate prevalence of antidepressant prescription and related factors in elderly in-patients, as well as the consistency between prescription of antidepressants and specific diagnoses requiring these medications.Methods: Thirty-four internal medicine and four geriatric wards in Italy participated in the Registro Politerapie SIMI–REPOSI study during 2008. In all, 1,155 in-patients, 65 years or older, were enrolled. Prevalence of the use of antidepressants was calculated at both admission and dis…
Association between clusters of diseases and polypharmacy in hospitalized elderly patients: results from the REPOSI study.
2011
BACKGROUND: Although the association between multimorbidity and polypharmacy has been clearly documented, no study has analyzed whether or not specific combinations of diseases influence the prescription of polypharmacy in older persons. We assessed which clusters of diseases are associated with polypharmacy in acute-care elderly in-patients. METHODS: This cross-sectional study was held in 38 Italian internal medicine and geriatric wards participating in the Registro Politerapie SIMI (REPOSI) study during 2008. The study sample included 1155 in-patients aged 65 years or older. Clusters of diseases, defined as two or more co-occurring specific chronic diseases, were identified using the odds…
Performance of PSI, CURB-65, and SCAP scores in predicting the outcome of patients with community-acquired and healthcare-associated pneumonia
2011
The objective was to compare three score systems, pneumonia severity index (PSI), the Confusion-Urea-Respiratory Rate-Blood pressure-65 (CURB-65), and severe community-acquired pneumonia (SCAP), for prediction of the outcomes in a cohort of patients with community-acquired (CAP) and healthcare-associated pneumonia (HCAP). Large multi-center, prospective, observational study was conducted in 55 hospitals. HCAP patients were included in the high classes of CURB-65, PSI and SCAP scores have a mortality rate higher than that of CAP patients. HCAP patients included in the low class of the three severity rules have a significantly higher incidence of adverse events, including development of septi…
Factores de riesgo asociados a eventos adversos en recién nacidos portadores de catéteres centrales de inserción periférica
2019
Resumen Introduccion Los cateteres centrales de insercion periferica se han convertido en una prioridad en los neonatos que necesitan terapia intravenosa de larga duracion, pero su uso no esta exento de riesgos. Objetivo Describir la aparicion de eventos adversos en neonatos portadores de cateteres venosos centrales de insercion periferica y determinar factores de riesgo asociados a ellos. Metodos Se llevo a cabo un estudio descriptivo transversal en el que se incluyeron la totalidad de neonatos portadores de cateteres venosos centrales de insercion periferica desde el 1 de octubre de 2014 hasta el 30 de septiembre de 2015. Se registraron los eventos adversos y variables sociodemograficas y…
Cuidados enfermeros a neonatos con encefalopatía hipóxico-isquémica en hipotermia terapéutica. Revisión bibliográfica
2021
Resumen Introduccion La encefalopatia hipoxico-isquemica es una de las principales causas de dano neurologico en el neonato. Actualmente, la hipotermia terapeutica es el tratamiento de eleccion para reducir la mortalidad y la discapacidad en los ninos que presentan esta patologia. Objetivo Identificar los cuidados enfermeros en recien nacidos con encefalopatia hipoxico-isquemica moderada a severa tratados con hipotermia terapeutica activa. Materiales y metodos Se realizo una revision de la literatura cientifica en diferentes bases de datos (PubMed, Lilacs, IBECS, Cinhal, OvidSP, Cuiden, Embase y Cochrane Plus) durante los ultimos 5 anos. La valoracion documental se realizo por pares y la ca…
Zum Stand der Forschung zum Tableteinsatz in Schule und Unterricht aus nationaler und internationaler Sicht
2016
In den sechs Jahren seit Erscheinen des iPads von Apple haben sich viele Schulen weltweit mit Tablets ausgestattet und gestalten damit Unterricht. Die dazu erfolgten wissenschaftlichen Begleitstudien national und international zeigen fast durchweg positive Ergebnisse auf, die u. a. auf gesteigerte Motivation und Aufmerksamkeit, auf verandernden Unterricht sowie auf selbststandigeres Lernen der Schulerinnen und Schuler hinweisen. Methodisch orientieren sich die meisten Studien an Befragungen, nur wenige an Unterrichtsbeobachten. Insgesamt kann von einem Erfolg der Tablets in Schule und Unterricht gesprochen werden, der sich zwar nicht immer in besseren Leistungen, aber haufig in einer verand…
2-3-Year-Old Children and the Use of Smart Devices
2020
In order to find out how 2–3-year-old children use smart devices and what the impact on children's development is, a systematic analysis of literature has been performed. Articles published in the EBSCOhost database during the period 2009–2019 have been selected for the analysis. They deal with studies focusing on 2–3-year-old children and the use of smart devices. The studies describe how 2–3-year-old children use touchscreen devices, as well as summarizing the benefits and risks of using touchscreen devices in the early years. It is concluded that the studies conducted are rather similar regarding form and content. Children use touchscreen devices for similar purposes and with similar tim…
Análisis de los factores ligados al diagnóstico del trastorno por déficit de atención e hiperactividad en la infancia
2017
Resumen: Introducción: El trastorno por déficit de atención e hiperactividad (TDAH) es un trastorno neuropsiquiátrico de origen multifactorial. El objetivo de este estudio es determinar el porcentaje de pacientes que presentan TDAH del global de los enviados a la consulta por este motivo, y explorar los factores epidemiológicos y clínicos asociados al diagnóstico. Pacientes y métodos: Estudio retrospectivo analítico de una muestra de pacientes derivados a la consulta de neuropediatría por sospecha de TDAH, a la que se le aplican los criterios diagnósticos del DSM-IV. Se realiza un análisis de regresión logística para explorar los factores asociados al diagnóstico. Resultados: De los 280 pac…
Models of Corporeality and Controversies Around Puberty
2020
This chapter investigates the plurality of models proposed by medicine to observe the body between childhood and adolescence during the twentieth century. Models vary if the approach is anatomo-clinical, bio-psycho-social, photographical, or endocrinological. However, all these approaches aimed not only to better understand the pubertal process but also to define what is the “true puberty” and what constitutes a deviation from its “normal” course, while legitimating medical intervention. The analysis of the American controversy on the precocious onset of puberty, at the end of the 1990s, reveals not only the types of changing bodies, but also the types of children and adolescents that are d…
Red europea para la investigación de la presión arterial en niños y adolescentes (COST Action CA19115)
2021
Resumen La hipertension arterial es un factor de riesgo cardiovascular y renal modificable. Aunque la mayoria de los resultados adversos ocurren en la edad adulta, la hipertension arterial puede estar presente en etapas tempranas de la vida. Mientras pocos cuestionan la importancia de implementar medidas para identificar y manejar esta afeccion en personas adultas, se ha prestado relativamente poca atencion al problema de la hipertension arterial en ninos y adolescentes. Conocer los origenes de la hipertension arterial es un tema que cada vez esta mas presente en los foros de debate. En este sentido, es absoluta la necesidad de una accion paneuropea con el fin de profundizar en los conocimi…