Jornal de pediatria
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Jornal de pediatria · May 2004
Editorial CommentTechnology: mechanical ventilation strategy versus tactics.
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Jornal de pediatria · May 2004
[The impact of mechanical ventilation strategies that minimize atelectrauma in an experimental model of acute lung injury].
To evaluate whether ventilation strategies that target alveolar stabilization and prevention of atelectrauma would be associated with more favorable physiologic outcomes in a combined model of acute lung injury. ⋯ Strategies that minimize atelectrauma (partial liquid ventilation and high-frequency oscillatory ventilation) are associated with adequate oxygenation and attenuated lung injury. Surfactant improves oxygenation in comparison to conventional ventilation alone but resulted in increased injury, presumably because the inadequately low PEEP was insufficient to stabilize the alveoli during expiration.
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Jornal de pediatria · May 2004
[The impact of malnutrition on idiopathic dilated cardiomyopathy in children].
To analyze the prognostic value of malnutrition in children with idiopathic dilated cardiomyopathy. ⋯ The evaluation of nutritional status is easy to perform, it does not imply additional costs and should become routine for children with chronic heart failure.
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Jornal de pediatria · May 2004
Comparative Study[Diagnosis of reflux esophagitis in infants: histology of the distal esophagus must complement upper gastrointestinal endoscopy].
The aim of this study was to validate the endoscopic findings against histologic features of the distal esophageal mucosa for the diagnosis of reflux esophagitis in infants. ⋯ We concluded that whilst endoscopy had a specificity of 71%, it did not attain an acceptable range of sensitivity (45%) to justify performing an endoscopy without biopsy, as many true cases of esophagitis would not be detected; and that the presence of grade I (non-erosive) esophagitis at endoscopy did not increase the value of the test in predicting histologic abnormality.
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Jornal de pediatria · May 2004
[Exclusive breastfeeding at the point of discharge of high-risk newborns at a Neonatal Intensive Care Unit and the factors associated with this practice].
To study the rate of exclusive breastfeeding at the moment of hospital discharge of newborns admitted to a neonatal Intensive Care Unit and to analyze potential risk factors. ⋯ This research shows the potential efficiency of adopting Baby Friendly policies to increase the chance of successful breastfeeding at the point of discharge for high-risk newborns.