Abstract:
:OBJECTIVES: To assess the implementation and the impact of the Breastfeeding Counselling Course WHO/UNICEF on knowledge and skills of health workers. METHODOLOGY: The implementation of the course was assessed by participant observation; the impact on participants was assessed with an experimental controlled study where 20 health workers were randomly allocated as course participants (Exposed Group-EG) and 40 as non participants (Control Group -CG). Impact on knowledge was verified with pre and post evaluations, with multiple choice questions; clinical and counselling skills were assessed through pre and post tests, observing participants in clinical consults with mother and baby pairs in rooming-in before and after the course. Kruskal-Wallis test of variance of means was used in analysis. RESULTS: In the post test of knowledge, the mean of the EG was 8.35 and that of the CG was 5.54 (p=0,0000). In clinical and counselling skills, the means of the EG were higher when compared with the CG in all items observed (p < 0,05). Some difficulties were found in breastfeeding history and in breastfeeding observation. Counselling skills were the most incorporated aspects. CONCLUSION: The course may be implemented as proposed; participants acquired counselling skills, but clinical management should be reinforced; participants shoud have continued support to put what they learned in practice.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Rea MF,Venancio SIdoi
10.2223/jped.267keywords:
subject
Has Abstractpub_date
1999-03-01 00:00:00pages
112-8issue
2eissn
0021-7557issn
1678-4782journal_volume
75pub_type
杂志文章abstract:OBJECTIVE:To study epidemiological and clinical aspects of American visceral leishmaniasis in hospitalized children in Ceará, Brazil. METHODS:A retrospective and observational study was carried out with children suffering from American visceral leishmaniasis admitted to Hospital Infantil Albert Sabin in Fortaleza. Med...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::OBJECTIVE: Describe the hemodynamic response with rebound of pulmonary hypertension after withdrawal of inhaled nitric oxide (NO) in a pediatric patient with acute respiratory distress syndrome (ARDS). METHODS: Case report of a child with ARDS and pulmonary hypertension evaluated through ecocardiografic with dopller, ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.59
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To review well-known aspects of exogenous surfactant therapy, and to discuss controversial points regarding the current state of research. SOURCES:Review of the literature, using Medline and Cochrane Database Library, in association with the authors' experience in relation to exogenous surfactant replacement...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.900
更新日期:2002-11-01 00:00:00
abstract::Phototherapy is a common procedure in the neonatal period. However there is great controversy in the literature about when and at which serum bilirubin levels phototherapy and exchange transfusion should be indicated. The aim of this paper is to review the literature and to suggest guidelines to help pediatricians in ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.776
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:To present the characteristics of pediatric patients with chronic and irreversible diseases submitted to palliative extubation. METHOD:This is a descriptive analysis of a series of patients admitted to a public pediatric hospital, with chronic and irreversible diseases, permanently dependent on ventilatory s...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2019.07.005
更新日期:2020-01-01 00:00:00
abstract::OBJECTIVE: The association between cryptosporidiosis and persistent diarrhea has been studied in many countries. The aim of this study was to verify the incidence of this parasite in children with persistent diarrhea. Children infected or not with protozoan cryptosporidium were compared in relation to laboratory and c...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.425
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To evaluate risk factors and lethality of late onset laboratory-confirmed bloodstream infection (LCBI) in a Brazilian neonatal unit for progressive care (NUPC). METHODS:This was a case-control study, performed from 2008 to 2012. Cases were defined as all newborns with late onset LCBI, excluding patients with...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.03.002
更新日期:2013-03-01 00:00:00
abstract::Spermatic cord torsion is an urologic emergency that requires urgent evaluation and possibly emergency surgical management. In a neonate it occurs during testicular descent and is usually due to an extravaginal torsion, where the testis and sperinatic cord twist. We present a case of intravaginal testicular torsion in...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To assess the occurrence of an aggregate risk to cardiometabolic and musculoskeletal health of Brazilian adolescents in the period 2008/09 and 2013/14 and to identify whether there are differences in risk between the genders and in these periods. METHODS:This was a trend epidemiological study with a quantita...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.04.006
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To compare the effect of soy polysaccharide on fecal weight and humidity in growing rats in relation to cellulose and a Soy formula without dietary fiber. METHODS:Twelve, 21-day-old, Wistar male rats, were distributed into three groups and fed AIN-93G ration with varying amounts of dietary fiber: Polysacchar...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To describe the main undesirable side effects of glucocorticoid therapy, mechanisms of action and the necessary measures to minimize side effects. SOURCES:Author's experience, supplemented with papers published in MEDLINE. SUMMARY OF THE FINDINGS:The principles for minimizing undesirable side effects of glu...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1713
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To analyze the trend in mortality due to diarrhea among children under 5 in the town of Osasco (SP), Brazil, between 1980 and 2000. METHODS:This is a descriptive observational study with two different designs, the first using individuals as the unit of study, and the other ecological, using groups of individ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1856
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of zinc on the appetite for salt foods in children aged 8 months to 5 years. METHOD:Double-blind, placebo-controlled study. Two groups of 20 children refusing to eat salt foods were followed during 6 months. The children in the first group received zinc chelate 1 mg/kg daily for 3 mont...
journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章
doi:10.2223/1134
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the effect of different ergonomic desk designs and pencil grip patterns on handwriting performance in children with hemiplegic cerebral palsy and healthy children. METHODS:Twenty-six children with left hemiplegic cerebral palsy and 32 typically developing children wer...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1914
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the incidence of diarrheal disease (DD) and acute respiratory infection (ARI) in children undergoing supplementation of zinc and other micronutrients through the use of sprinkles, as well as their acceptance by these patients. METHOD:This was a randomized double-blinded clinical trial of 143 heal...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jped.2012.11.004
更新日期:2013-05-01 00:00:00
abstract:PURPOSE:To determine the prevalence of innocent murmur among adolescents, and to evaluate the clinical features in comparison with echocardiogram (two-dimensional, M-mode, Doppler, and color-Doppler) in the assessment of heart murmurs. METHODS:The study was carried out from March to December, 1992, and involved high s...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.636
更新日期:1996-09-01 00:00:00
abstract::OBJECTIVES: Air pollution has been a significant worldwide problem with repercussions in the respiratory tract, along the years. The main objectives of this review are to present results from studies on the harmful effects of allergens as well as of pollutants over the respiratory tract.METHOD: Published studies were ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.481
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to evaluate the agreement between the most used skinfold thickness equations with multi-frequency bioimpedance analysis in the prediction of body fat levels in children. METHOD:A cross-sectional study of healthy Brazilian community-dwelling individuals. The anthropometric ass...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2019.12.006
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:To evaluate sleep architecture in children and adolescents with both cystic fibrosis (CF) and a clinical suspicion of sleep-disordered breathing (SDB), and to identify the respiratory polysomnographic profile of these patients. METHODS:Parents or guardians of children with CF filled out a questionnaire desi...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2055
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:This article reviews the clinical and epidemiological aspects of anxiety disorders in youngsters, as well as current medical and psychological treatment strategies. The role of the neurobiological models possibly involved in the etiology of these disorders is also discussed. SOURCES OF DATA:MEDLINE search of...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/1166
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the age at menarche of girls, with or without weight excess, attending private and public schools in a city in Southeastern Brazil. METHODS:This was a cross-sectional study comparing the age at menarche of 750 girls from private schools with 921 students from public schools, aged between 7 and 18...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.05.008
更新日期:2015-01-01 00:00:00
abstract::OBJECTIVE: To review current information about congenital and perinatal infections, mainly related to their epidemiology in Brazil, mother-to-infant transmission, diagnosis, treatment and prevention. Particular aspects related to the agents T. pallidum, hepatitis B virus, human immunodeficiency virus, cytomegalovirus ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.368
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To compare two groups of school age girls from different social strata were compared in terms of their perception and knowledge about breastfeeding. METHODS:A structured questionnaire was applied to all 346 4th to 8th grade girls attending two schools, a private one, whose students belonged to the upper clas...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate what effect the ingestion of sardines, rich in omega-3 series polyunsaturated fatty acids, has on the composition of breastmilk. METHODS:This was a prospective study of 31 nursing mothers under observation at the Hospital Guilherme Alvaro. Each was given 2 kg of ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1439
更新日期:2006-01-01 00:00:00
abstract::OBJECTIVE: This paper examines the main causes of mortality among adolescents ages 10 to 19 in the city of Rio de Janeiro with a focus on mortality prevention. METHODS: Mortality data from 1981 to 1995 were taken from the Mortality Information System of the Brazilian Ministry of Health. Age and sex specific mortality ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.325
更新日期:1999-09-01 00:00:00
abstract::OBJECTIVE: Aiming a better understanding of the distribution of enteropathogens in Brazil, we have investigated the prevalence of enteropathogens in acute infantile diarrhea in children of low economic level from São José do Rio Preto, SP.METHODS: A prospective study with 196 children under age five, all with diarrhea...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.444
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this review is to offer updating on recent changes in the schedule of active immunization routine in adolescence. METHODS:This review covers specialized medical literature between 1985 and 1996, and follows the recommendations of American Academy of Pediatrics and Advisory Committee on Immuniz...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.505
更新日期:1997-01-01 00:00:00
abstract::OBJECTIVE: Describe the morbidity associated with a rare disease due to an embryological defect. METHODS: Retrospective revision of medical and necropsy reports. Bibliographic research using MEDLINE, LILACS and Index Medicus databases. RESULTS: 1 year-old male patient, admitted with generalized tonic-clonic seizures, ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.320
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of heptavalent pneumococcal conjugate vaccine in invasive pneumococcal diseases in the United States, and to analyze the potential impact of this vaccine in Brazil. SOURCES OF DATA:MEDLINE, LILACS, Cochrane Database Reviews, as well as the websites of the Centers for Disease Control a...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1475
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2-5 years to promote parental competence and skills for children's healthy lifestyles. SOURCE:Articles published in English and Spanish, available at PubMed, Psycinfo, CINAHL, Web of Science, Eric, a...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2017.07.019
更新日期:2018-01-01 00:00:00