ResumoA hospitalização pediátrica pode representar um acontecimento marcante para a criança e sua família, dado o desenraizamento de seus contextos e rotinas, e a imersão num ambiente estranho e ameaçador. Buscando minimizar o impacto dessa experiência, várias abordagens lúdicas têm surgido em pediatria, nomeadamente a intervenção de palhaços. Assumindo que, mesmo hospitalizada, existe, na criança, uma essência que deseja brincar, a intervenção do palhaço tem como propósito o seu resgate. Neste artigo, apresentam-se as expetativas de profissionais pediátricos (n=34) a respeito das (des)vantagens da presença dos palhaços junto dessas crianças/adolescentes, antes mesmo da sua intervenção. Os dados revelaram uma ampla abertura à presença desses artistas, apontando-os como potenciais amenizadores do impacto emocional da internação e dos tratamentos, e seu contributo para a humanização dos cuidados e desmistificação dos profissionais de saúde. Como desvantagens, referiram o medo do palhaço ou a percepção, entre adolescentes, da sua presença como uma infantilidade. Palavras-chave: Pediatria; Palhaços de hospital; Ludicidade. Hospital clowns as a strategy for the mitigation of childhood hospitalization experience AbstractPediatric hospitalization may represent a significant event in the life of children and their families due to the uprooting of their contexts and routines, and the immersion in a strange and threatening environment. Seeking to minimize the impact of this experience, various ludic approaches emerged in pediatrics, namely the hospital clowns. Assuming that, even in the hospital, the child carries an essence that wants to play, the clowns' mission is to rescue it. This manuscript presents the staff 's expectations regarding the (dis)advantages of clowning in their unit (n=34), a month before starting intervention. Results reveal an expressive opening regarding the clowns' presence, pointing them as potential buffers of the emotional impact of hospitalization and treatments on children, and contributing to the humanization of care and demystification of health staff. Regarding setbacks, participants mentioned the children's fear of clowns and the perception -by adolescents -of their presence as childish. Keywords: Pediatrics; Hospital clowns; Play. Payasos del hospital como estrategia de mitigación de la experiencia de hospitalización infantil ResumenLa hospitalización pediátrica puede representar un evento clave para los niños y sus familias, dado el desarraigo de sus contextos y rutinas, y la inmersión en un ambiente extraño y amenazante. Intentando minimizar el impacto de esta experiencia, diversos enfoques lúdicos han surgido en pediatría, incluyendo los payasos. Estas suponen que, aún hospitalizado, existe una esencia en el niño que quiere jugar. La misión del payaso es rescatarla. En este artículo se presentan las expectativas de 34 profesionales pediátricos en relación con las (des)ventajas de la presencia de payasos, un mes antes de iniciar su intervención. Los datos revelaron su amplia apertura a ...
stiffness and pulse wave velocity / Aorta and carotid arteries 137 (0.94 to 1.01) p = 0.096; Obesity OR = 0.47 (0.29 to 1.77) p = 0.003 and Diabetes OR = 2.41 (1.15 -5.05) p = 0.020. Conclusions: According to the results obtained, genetic polymorphisms variables were not in the multivariate analysis equation to determine the increase of the PWV, which can be explained either by being included in the selected variables such as hypertension, or on the other hand, they may not have enough strength to remain in the equation. So, according to this study, PWV has much more to do with behaviors and traditional risk factors than the genetic heritage.P883 Endothelial dysfunction, pulse wave velocity and augmentation index are correlated in subjects with systemic arterial hypertension?
In Antiquity, the regions encompassed by the Mediterranean Sea were extremely fertile allowing rapid prosperity. This wealth combined with the easy communication between banks contributed to a rich and successful transmission of knowledge, especially during the 1st millennium BC, which turned the Great Sea the core of Ancient History. Later, the Mediterranean civilization was acknowledged as the fundamental political, cultural, artistic and religious substratum for the construction of the so-called Western world. Yet, it was in Egypt and Mesopotamia, during the 4th and 3rd millennia BC that many of these foundations were first set. The Ancient Mediterranean world was not just influenced by its African and Asian neighbours but was in fact defined by a profound communion, at all levels, between these different regions. In the twenty-first century, however, many European countries still insist in portraying themselves as direct heirs of the combined Greco-Roman and Judeo-Christian traditions, disregarding their African and Asian roots. As a result of this flawed self-perception, a gap between Europe, Africa and Asia came to be, bearing deep consequences to the present. With this contribution, we aim to reclaim the importance of these other legacies to the construction of the cradle of the civilization.
Stereoselective Cycloaddition of 1-glucosyl-1,3butadienes with tert-Butyl-2H-azirine-3carboxylate, Glyoxylates and Imines
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