Antes de mais, desejo-vos um Santo Natal e um Próspero Ano Novo. Para que este último se concretize é fundamental terem um calendário à altura. A Health4Moz tem um muito bonito, que podem comprar aqui. Foi uma iniciativa inspiradora da ex-modelo cubana Yamilet Méndez, que, depois de vencer a difícil luta contra a doença da sua filha, decidiu agradecer e retribuir toda a sua felicidade. Agora: as recomendações de leitura.
1. Trago-vos duas sugestões de artigos relacionados com catéteres venosos centrais. O primeiro para assustar e dissuadir pedidos de CVCs de ânimo leve 🙂 A Case Series of Life-Threatening Complications of Central Venous Catheter Insertion. Central venous catheters are commonly used in emergency department and the intensive care units for the treatment of critically ill patients. Reports on the rate of mechanical complications of catheter insertion are around 1%. O segundo foca-se numa solução mais simpática para o doente e que poderia estar mais disseminada pelos serviços que não têm apoio de Cirurgia Pediátrica: Peripherally inserted central venous access.
2. Este artigo deu-me uma perspectiva científica sobre algo que eu já notava com os meus próprios filhos. O livro infantil em papel tem um valor inestimável. É um brinquedo: folheamos para a frente e para trás, lemos centenas de vezes, tentamos adivinhar o que vem a seguir, redescobrimos anos depois numa prateleira, relemos com a mesma ternura de quando se sentavam no nosso colo. Tudo isto, um tablet ou um e-book nunca conseguirá nos dar. Differences in Parent-Toddler Interactions With Electronic Versus Print Books. Parents and toddlers verbalized less with electronic books, and collaboration was lower. Future studies should examine specific aspects of tablet-book design that support parent-child interaction. Pediatricians may wish to continue promoting shared reading of print books, particularly for toddlers and younger children.
3. O último editorial do Journal of Pediatrics and Child Health revê a história e a ciência por trás dos médicos-palhaços: Clowns and clown doctors. While it seems intuitive that making children laugh might have health benefits, there is only a limited amount of supportive evidence. A systematic review of studies of clown doctors in children’s hospitals found 13 randomised and 11 non-randomised studies, but many of the study designs were weak or open to bias. Children whose procedures were performed with clowns present, with or without the child’s parents, reported less anxiety and had improved psychological adjustment. Three studies of children with chronic conditions found clowns reduced stress, fatigue, pain and distress. Infection control concerns during COVID-19 have caused clowns to use Zoom to chat to hospitalised children. Furthermore, a randomised Turkish study showed kindergarten children educated by clowns were better at washing their hands than those educated by teachers.
4. Por fim, recomendo-vos o podcast do jornal The Guardian: Science Weekly, em particular este episódio. Is TikTok giving people Tourette’s Syndrome? Clinicians around the world have noticed an increase in young adults, often women, developing ‘tic-like behaviours’ – sudden movements or vocalisations similar to what’s seen in Tourette Syndrome. Except these tics come on much later in life, and escalate more rapidly. Some have blamed the recent rise on social media – but the reality is much more complicated.
Abraço,
João
Por João Moreira Pinto, MD PhD, Cirurgião Pediátrico
Linked in | Facebook | e-Mail: moreirapinto@gmail.com
Cirurgia Pediátrica, Centro Hospitalar Universitário do Porto | Hospital da Luz Arrábida/Guimarães | Hospital-Escola Fernando Pessoa