RESUMO
OBJECTIVE: To describe the experience of implementing social robotics as an adjuvant during the hospitalization process in pediatric oncology patients. METHODS: Before and after cohort study, applying an intervention with the Lego Mindstorms EV3 kit in patients between 8 and 17 years old that are hospitalized with a cancer diagnosis. We excluded patients from the intensive care unit or when their treating physician recommended so. The intervention consisted of a three-phase workshop: an open architecture story, building a car robot using the Lego Mindstorm EV3 kit, and cooperative playing activities such as races and passing obstacles. RESULTS: Thirteen patients received the intervention with robotic lego. The median age was 15 years (IQR = 3), and 84.6% of the population (n = 11) were male. We found significant improvement in the language (topic management p = .011 and communicative intention p = .034). Other characteristics improved, but not significantly (self-care activities index, catching). No adverse events occurred during the intervention. CONCLUSIONS: The results of this pilot study suggest that implementing social robotics during hospitalization in children with cancer is a therapeutic adjuvant and safe intervention that promotes better communication, self-care, and a physical activity improvement. For future studies, the impact of this intervention could be measured in hospitalized pediatric cancer patients.
RESUMO
Objetivo: Evaluar la función fonatoria de pacientes con reconstrucción inmediata del Nervio Laríngeo Recurrente durante cirugía de tiroides. Materiales y Métodos: Se incluyeron 10 pacientes con sección unilateral del Nervio Laríngeo Recurrente con reconstrucción inmediata durante cirugía de tiroides, por anastomosis directa. Se analizaron los registros video-estroboscópicos, índice de Discapacidad Vocal y análisis acústico de la voz post-operatorios. Diseño:Resultados: Seguimiento de 24,2 ±17.3 meses. Análisis acústico de la voz, con prolongación del Jitter (1.39 ± 0.99 DE) y un tiempo máximo fonatorio disminuido de 10.9 ± 3.07 segundos. Cierre glótico completo en el 90% de los casos. El valor promedio del Índice de Discapacidad Vocal fue leve (22.7 ± 11.8 DE). Conclusión: Los resultados anatómicos y funcionales demuestran que esta técnica quirúrgica preserva la función fonatoria y la soportan como manejo primario de este tipo de lesiones correlacionándose con resultados ya descritos en la literatura.
Objective: Assess the phonatory function of patients with immediate reconstruction of the recurrent laryngeal nerve during thyroid surgery. Materials and Methods: 10 patients with unilateral recurrent laryngeal nerve section, with immediate reconstruction performed during thyroid surgery by direct anastomosis. Postoperative stroboscopy records, Voice Handicap Index and acoustic voice analysis were recollected. Design: Results: Follow-up 24,2 ±17.3 months. Acoustic voice analysis, with prolonged Jitter (1.39 ± 0.99 DE) and maximum phonation time decreased of 10.9 ± 3.07 seconds. Complete glottal closure in 90% of cases. The average value of Voice Handicap Index was mild (22.7 ± 11.8 DE). Conclusion: Anatomical and functional results demonstrates immediate reinnervation preserves the phonatory function, and supports it, as a primary management of this type of injury, in correlation with results already described in the literature.