the gestational age of infants at birth influenced the sensory oral motor and global motor development - infants with lower gestational ages presented worse performances. These findings suggest a possible association between both aspects of infant development.
Objective
To compare the efficacy of video-assisted self-directed neonatal resuscitation skills course with video-assisted facilitator-led course.
Methods
This multicenter, randomized, blinded, non-inferiority-controlled trial compared two methods of teaching basic neonatal resuscitation skills using mask ventilation. Groups of novice providers watched an instructional video. One group received instructor facilitation (Ins-Video). The other group did not (Self-Video). An Objective Structured Clinical Exam (OSCE) measured skills performance, and a written test gauged knowledge.
Results
One hundred and thirty-four students completed the study. Sixty-three of 68 in the Self-Video Group (92.6%) and 59 of 66 in the Ins-Video Group (89.4%) achieved post-training competency in positive pressure ventilation (primary outcome). OSCE passing rates were low in both groups. Knowledge survey scores were comparable between groups and non-inferior.
Conclusions
Video self-instruction taught novice providers positive pressure ventilation skills and theoretical knowledge, but it was insufficient for mastery of basic neonatal resuscitation in simulation environment.
ObjectiveTo evaluate the contribution of deglutition videofluoroscopy in the clinical
diagnosis of dysphagia in chronic encephalopathy of childhood.Materials and MethodsThe study sample consisted of 93 children diagnosed with chronic encephalopathy,
in the age range between two and five years, selected by convenience among
patients referred to the authors' institution by speech therapists, neurologists
and gastroenterologists in the period from March 2010 to September 2011. The data
collection was made at two different moments, by different investigators who were
blind to each other.ResultsThe method presented low sensitivity for detecting aspiration with puree
consistency (p = 0.04). Specificity and negative predictive value were high for
clinical diagnosis of dysphagia with puree consistency.ConclusionIn the present study, the value for sensitivity in the clinical diagnosis of
dysphagia demonstrates that this diagnostic procedure may not detect any change in
the swallowing process regardless of the food consistency used during the
investigation. Thus, the addition of the videofluoroscopic method can
significantly contribute to the diagnosis of dysphagia.
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