Pediatric Research and Reviews

  • ANALYSIS OF THE INCIDENCE OF HAEMOGLOBIN S IN NEWBORNS IN PERNAMBUCO, BRAZIL

    Objective: To analyse the frequency of haemoglobin variants detected in the neonatal screening program in the state of Pernambuco from January / 2015 to July / 2016. Methodology: Descriptive study based on data provided by the health secretary of the state of Pernambuco referring to newborns submitted to the Guthrie’s test between 01/01/2015 to 07/31/2016. Results: During the period included in the study, 162,236 children participated in the neonatal screening program to evaluate haemoglobinopathies through the health department. From these, 5,997 (3.69%) presented some haemoglobin variant, being 5.019 (3.09%) carrying HbS in hetero or homozygous. Conclusions: It was possible to observe a high incidence of children diagnosed as having haemoglobin variants, especially HbS, showing the importance of performing this test so that all children can be assisted from the beginning of their lives.

  • To assess depressive symptoms in children

    Depression is a disorder that interferes in lives of human beings in a broad and comprehensive manner in several respects. Objectives: To assess the presence of depressive symptoms in children and make a comparison between two different groups. The research is a pilot study, who is results of a Masters dissertation who is in development. It counted on two types of samples totaling 36 children. Was realized analyzes mean comparison between samples using the Student t test for independent samples. After accomplish the analyzes between the groups previously discriminated against in the survey, it was found that there was no statistically significant difference in the total score for the instrument of depressive symptoms between the clinical and the school group. However, when the analysis was redone and the groups were outlined by a median, it was found that there was statistically significant difference in the total score for the instrument of depressive symptoms between the upper and lower group. At the end of the study it was concluded that their main objective was successfully achieved. Nevertheless, this is still an early study, which needs to be given continuity and enhanced in order to obtain even more scathing informations.

  • THE IMPORTANCE AND BENEFITS OF CHILD VACCINATION AND THE FACTORS THAT TAKE VACCINE DELAY: A REPORT OF EXPERIENCE

    Introduction: Vaccination is the most effective means of combating and preventing immunoprevolutionary diseases. This is only possible through vaccination, actions that represent one of the most important public health interventions in the control of pathologies generated by immunizable agents. which strengthens the effectiveness of vaccines. Objective: To report the experiences of nursing students in a supervised activity of the discipline Child Health on the importance and benefits of childhood vaccination and the factors that lead to vaccine delay. Methodology: Descriptive study of the type of experience report, carried out in a Basic Health Unit in the city of Maceió from March to June 2018. Outcome: During the period of the Child Health discipline, it was possible to observe the importance of childhood and the benefits that the vaccine brings, because the child who has the vaccination card in the daytime hardly gets sick by immunoprevolution. Having all the benefits of vaccination can still have a child who is not up to date with the passbook due to some factors such as: lack of information from parents about the importance of updated vaccination, logistical problems, among others. Thus, leaving children vulnerable to disease that can be prevented through the practice of vaccination. Conclusion: In the face of everything it is perceived that vaccination is a form of public health intervention in the fight against disease that can be avoided through the vaccine and also a way to reduce the costs of hospitalizations in hospitals.

  • PALLIATIVE CARE IN NEONATOLOGY: A PARADIGM CHANGE

    Introduction. Palliative care in neonatology involves a vision centered on the baby and his family. Assistance is not only focused on healing, but also on management of discomfort, support for family members, and parental involvement in decision making. Objective. Provide interdisciplinary care centered on the neonate and his / her family, supporting the physical, psychosocial and spiritual symptoms, helping in the decision process after the diagnosis of severe fetal disease. Methods. The interdisciplinary group “Caring for Life” was created in June 2017, which meets fortnightly for discussion of cases, scientific study and pipeline planning. Results. In the period from June 2017 to October 2018, 27 interdisciplinary team meetings were held, and 29 patients were attended, 5 of them being followed from the gestation period. There was sharing of information, providing explanations about procedures and welcoming feelings. In addition, unnecessary invasive procedures, skin-to-skin contact between the parents and the baby, avoidance of visiting hours, religious ceremonies, and farewell rituals in cases of death were avoided. Conclusion. The integral support to the family of a baby with diagnosis of serious illness can contribute to the understanding and elaboration of the situation, making possible the strengthening of the confrontation of this family. The practice in a palliative care team has provided professionals with the widening and sensitization of the gaze regarding the process of care, illness and death, qualifying care.

  • SPIRITUALITY AND COMPREHENSIVE CARE: A CHALLENGE IN HEALTH

    Introduction. Spirituality transcends pain and human suffering, giving illness and death a meaning. Spiritual dimension integrates and unites physical, psychological and social aspects of the human being. Objective. Report of experience of group meetings conducted by a multi-professional team, which aim to offer spiritual and emotional support to moms, companions and family members of infants at newborn intensive care unit and kangaroo intermediate care unit. Methods. Conversation groups took place at the corridors of Kangaroo intermediate care unit using dynamics, musicality, reading/reflexion of biblical texts and praying. Results. From january to september of 2018 35 group talks were held addressing topics like: Peace, love, care, unity, friendship, trust, joy, gratitude, fear, faith, patience and persistence. The meetings were conducted by psychologists, physiotherapists, speech therapists, occupational therapist, nutritionist, nurses and nursing technicians. Participated in average five professionals and seventeen moms and/or companion by meeting. Conclusion. Spiritual aspects embrace human universal needings guiding the subject’s choice. Spirituality is a well-being factor, comfort and hope which needs to be included in the humanization process of health care. In spite of being a challenge, it is understood as indispensable to approach, value, respect and to embrace the belief of families attended in order to integrate spirituality into the care process, since it can be configured as a coping strategy in moments of commotion, as is the case of an illness/hospitalization/death.

  • POSSIBLE ETIOLOGICAL FACTORS REPORTED BY PARENTS OF CHILDREN WITH PHONOLOGICAL DISORDER

    Introduction: Most four-year-old children present a well-developed phonological system, thus producing speech sounds properly. However, this does not always occur and some children end up developing speech disorders that remain beyond this age, which is known as phonological disorder. This is partially characterized by the speaker’s difficulty in mentally representing the phonological rule and, consequently, inefficient production of sounds. It is worth noting that this change has no well-defined cause, therefore, its etiology is still quite unknown. Objective: To investigate the possible etiological factors of phonological disorders in children, according to what was reported by their parents. Methodology: This study was carried out on eight children who are in therapy for phonological disorder at the Centro Universitário de João Pessoa in October 2018. The data collection took place upon an interview with the parents, which was guided towards the probable cause of the phonological disorder. Regarding ethical considerations, this study is part of a larger project approved under the number 2.117.018. Results: Based on the quantitative analysis of the responses of the parents who participated in the study, 3 reported that they believed that the cause was linked to the genetic factor, 2 reported that the cause may be linked to overprotection, 2 linked to the emotional factors and 1 to lack of motivation. Conclusion: It is suggested that there might be more in-depth studies aimed at investigating and defining the etiological factors of phonological disorders.

  • PROFESSIONAL SENSITIZATION IN A NEONATAL INTENSIVE THERAPY UNIT AS A HUMANIZATION STRATEGY IN THE CARE

    Introduction: Humanization in the Neonatal Intensive Care Unit depends on the encounter involving the caregiver and the care. Moments of awareness and reflection on the work process are fundamental in order to review the assistance. Objective: To promote the sensitization and reflection of the professionals regarding the humanized care of the newborn through simulated life activity. Method: The activity happens individually in four moments (stress management, appropriate / humanized management, kangaroo positioning and qualified listening), conducted by nursing, occupational therapists and psychology residents. At this moment all the professionals involved directly and indirectly in the care of the newborn of the Neonatal Intensive Care Unit of a Maternity School take part. The action was developed weekly in the internal space of the sector itself during the period of July and August of 2018. Results: 72 professionals were involved in the sensitization activity, bringing feelings and emotions after the simulated experiences. As for the first moment of the intervention (stress management), the participants report anguish, fear and impotence. On the following moments, which relate to the appropriate / humanized handling and kangaroo positioning, their reports revolve around the reception, protection and care. In addition, after the intervention, a significant number of professionals refer to reflect on their daily practice. Conclusion: The simulated experience generated a change in attitudes in the practice of the NICU professionals regarding the care of the newborn in order to generate more comfort and well-being and thus provide a better growth, development and recovery of the baby, with reduced effects and sequelae caused by hospitalization. With this, it is indispensable to invest in the work process so that humanized action becomes more and more accomplished with quality, uniqueness and completeness, and above all with respect to life. However, even with the efforts made to humanize care in…

  • AMENIZING FEAR: INTERVENTION PROPOSAL FOR PRE-SURGICAL PREPARATION IN CHILDREN THROUGH SKINNER’S MODELING

    Introduction: The child’s hospitalization can be perceived as a threatening experience, favoring the emergence of a situation of suffering during hospitalization, as well as the moment before a surgical procedure that often involves a state of fear. Objective: To propose psychological intervention for pre-surgical children of a hospital of high complexity in the city of Recife-PE. Methodology: Use of modeling as a form of pre-surgical preparation of children, aged between 6 and 12 years, based on the theoretical basis of Behavioral Approach Theory. The intervention will happen by modifying the behavior by means of successive approximations, similar responses with the target response, divided into five stages. Play materials will be used, such as patient doll, kit dodói, surgical instruments, infirmary kit, surgical room design, among others. Results: It is known that there is usually a deficiency related to the qualification of the health team regarding the emotional assistance of the preoperative patient, which can lead to doubts, fears, anxiety and fantasies about the surgical procedure. Therefore, pre-surgical preparation is a tool that can be used in pediatric wards because it is understood that it is necessary to provide the child with resources that facilitate his perception of the reality of the surgery and its purpose. Conclusion: To mitigate the fear of the child in a pre-surgical preparation is necessary and is possible through several expressive resources, besides the modeling. It is suggested that this care in pre-surgical preparation be routine in the hospital, strengthening and contributing to improve the discomforts of pediatric patients.

  • EVALUATION OF ANTIFUNGAL POTENTIAL OF OIL OF THE SPECIES Caryocar coriaceum FRONT OF CANDIDA SPECIES ISOLATED IN THE ORAL CAVITY OF ONCOLOGICAL PEDIATRIC PATIENTS IN ANTINEOPLASTIC TREATMENT

    Introduction: The fungi of the genus Candida belong to the individual’s normal microbiota, that is, they coexist in a harmonious way with the organism, but in some cases this equilibrium is broken, triggering the candidiasis. Oral candidiasis is a type of candidiasis characterized by the appearance of whitish plaques that may be isolated or in a group causing pain and discomfort to the individual and due to the emergence and growth of conventional drug resistant strains, new possibilities of treatment have been sought. Objectives: To evaluate the antifungal potential of the oil of the species Caryocar coriaceum, in front of four species of Candida, Candida albicans; Candida glabrata; Candida krusei and Candida tropicalis isolated from pediatric patients undergoing antineoplastic treatment. Methodology: To perform the antifungal test, the strains were divided into four distinct groups, positive control, negative control, sterility control and test group, and then the minimum inhibitory concentration Results: The oil of the species Caryocar coriaceum failed to inhibit the growth of the strains tested. Conclusion: Although the oil of the species Caryocar coriaceum has not demonstrated antifungal activity, more tests should be performed, but under new extraction conditions, for a full proof if there is any component that has activity against Candida.

  • STORYTELLING AS A RESOURCE FOR HUMANIZATION AND COPING WITH PAIN

    Background: Child hospitalization is potentially a traumatic situation for the child, causing a break in his daily routine, habits of hygiene, sleep and food. In Pediatrics, you can not wear your clothes, you do not feed as you want and at the time you are accustomed, you experience impersonal treatment of the team and invasive treatment that can make adherence difficult. Conditions such as these can lead to the appearance of psychological reactions such as anxiety, fear and anguish, social repercussions such as difficulties of interaction and isolation. Humanizing the hospital environment in pediatric care may be an interesting solution to help cope with the adverse effects of hospitalization. Storytelling is a playful resource that favors coping with hospitalization and minimizing pain. Objective: To report the experience of using the history contact as a resource for humanization in the hospital context and coping with pain. Methodology: report of experience. Results and discussion: Storytelling can be fun and enjoyable for the child and his / her family, making him travel in the stories told in a few minutes, and draw attention away from discomfort, pain and suffering. It facilitated a social interaction that facilitates the mutual growth and exchanges of emotions, humanizing the hospital environment. It affects the children, their families and even the health team. In addition, it allowed to re-signify the patient’s own history from the fantasy present in the plot that is told. For storytelling, one can use the book as support or not to interact and actively insert the child into what is being narrated. Conclusion: The experience of storytelling by relaxing the child, taking the focus off the pain, allowed a playful experience and reflection on reality, reinventing what is happening in the hospital and itself, as well as the rescue of the right of the…