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1.
Pediatr Clin North Am ; 67(4): 613-621, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32650857

RESUMO

This article focuses on the role of text messaging and messaging applications, discusses technical and legal issues, and reviews current examples of the application of text messaging in the clinical adult and pediatric practice. Reviews of current examples of text messaging in adult and pediatric practice show uptake has been increasing substantially in recent years. In pediatric care text messaging has been used for behavior intervention and outcomes tracking. Although applications are promising, the potential of nonsynchronic messaging in the formal delivery of care is still in the neonatal phase compared with its grown-up existence in day-to-day modern life.


Assuntos
Aplicativos Móveis , Telemedicina/métodos , Envio de Mensagens de Texto , Adulto , Telefone Celular , Criança , Comportamentos Relacionados com a Saúde , Humanos , Telemedicina/legislação & jurisprudência
2.
Pediatr Clin North Am ; 67(4): 707-724, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32650868

RESUMO

This article explores the impact of digital technologies, including telehealth, teleconsultations, wireless devices, and chatbots, in pediatrics. Automated digital health with the Internet of things will allow better collection of real-world data for generation of real-world evidence to improve child health. Artificial intelligence with predictive analytics in turn will drive evidence-based decision-support systems and deliver personalized care to children. This technology creates building blocks for a learning child health and health care ecosystem.


Assuntos
Saúde da Criança , Pediatria/tendências , Telemedicina/tendências , Inteligência Artificial , Big Data , Prioridades em Saúde , Humanos , Internet
3.
Singapore Med J ; 52(8): 560-72, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21879213

RESUMO

We present the revised guidelines for newborn and paediatric resuscitation for Singapore. The 2010 International Liaison Committee on Resuscitation consensus on science as well as the main recommendations from the European Resuscitation Council and American Heart Association were debated and discussed. The final recommendations for the Singapore National Resuscitation Council were derived after carefully reviewing the current available evidence in the literature and balancing the local clinical climate of practice. In addition, much effort was spent on aligning the paediatric and neonatal recommendations with the adult (especially Basic Cardiac Life Support) recommendations.


Assuntos
Reanimação Cardiopulmonar/métodos , Reanimação Cardiopulmonar/normas , Parada Cardíaca/terapia , Neonatologia/métodos , Pediatria/métodos , Guias de Prática Clínica como Assunto , American Heart Association , Criança , Pré-Escolar , Desfibriladores , Humanos , Lactente , Recém-Nascido , Relações Interprofissionais , Cuidados para Prolongar a Vida/métodos , Cuidados para Prolongar a Vida/normas , Singapura , Estados Unidos
4.
Pediatr Pulmonol ; 46(5): 421-7, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21194171

RESUMO

OBJECTIVE: To compare the effectiveness of the administration of inhaled beta-agonists delivered via a metered-dose inhaler (MDI) with spacers--as part of an evidence-based asthma pathway developed to manage acute asthma exacerbations in children at the emergency room level and in inpatient management--against administration via nebulization. DESIGN: Case with historical control. SETTING: KK Women's and Children's Hospital (Singapore). PARTICIPANTS: A total of 19,951 children (infants to older children) aged 18 years and younger who attended the emergency room for asthma exacerbations. MAIN OUTCOME MEASURES: Average length of stay, proportion admitted to high dependency or intensive care, proportion readmitted for unresolved symptoms within 72 hr, cost per patient and overall. RESULTS: There was no increase in the mean proportion of emergency room attendances admitted to inpatient care with use of an MDI (mean difference 0.97%, 95% CI: -1.6-3.5%, P = 0.447), nor of children admitted to intensive care (0.21 vs. 0.20 pre- and post-pathway, P = 0.827) or to high dependency units (2.21 vs. 1.37 pre- and post-pathway, P = 0.200) but a significant reduction in the within 72 hr re-attendance rate (mean difference 1.4%, 95% CI: 0.78-2.0%, P < 0.001) with use of an MDI. The average length and cost per patient for an inpatient stay for acute asthma exacerbations was reduced with use of an MDI. CONCLUSIONS: The use of an MDI with spacer as part of an evidence-based asthma pathway was effective in the management of acute asthma exacerbations in the emergency room setting and for inpatient management.


Assuntos
Agonistas Adrenérgicos beta/administração & dosagem , Asma/tratamento farmacológico , Inaladores Dosimetrados , Administração por Inalação , Adolescente , Agonistas Adrenérgicos beta/uso terapêutico , Criança , Pré-Escolar , Gerenciamento Clínico , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Hospitalização , Humanos , Lactente , Recém-Nascido , Tempo de Internação , Singapura , Centros de Atenção Terciária/estatística & dados numéricos , Resultado do Tratamento
5.
Pediatrics ; 120(3): e742-4, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17766514

RESUMO

An acute anaphylactic reaction after a conventional antipyretic dose of ibuprofen was diagnosed in a child with allergic rhinitis, recurrent idiopathic urticaria, and nonimmunologic cross-reactive hypersensitivity to nonsteroidal antiinflammatory drugs and acetaminophen. The patient reported several previous, mild (isolated cutaneous) hypersensitivity reactions after exposure to acetaminophen or ibuprofen. There was no evidence of an underlying inflammatory disease except as described above. Patients with chronic or recurrent idiopathic urticaria and those with atopic disease represent groups at increased risk of nonsteroidal antiinflammatory drug hypersensitivity. Mild hypersensitivity reactions to acetaminophen and/or ibuprofen may precede subsequent, more-severe adverse reactions. Risks and benefits of continued use of nonsteroidal antiinflammatory drugs in these children should be carefully considered.


Assuntos
Anafilaxia/induzido quimicamente , Anti-Inflamatórios não Esteroides/efeitos adversos , Ibuprofeno/efeitos adversos , Urticária/complicações , Acetaminofen/efeitos adversos , Analgésicos não Narcóticos/efeitos adversos , Anti-Inflamatórios não Esteroides/administração & dosagem , Criança , Hipersensibilidade a Drogas/etiologia , Humanos , Ibuprofeno/administração & dosagem , Masculino , Recidiva , Rinite Alérgica Sazonal/complicações
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