Cláudia Maria Simões Martinez

Our PDT experience in the treatment of non-melanoma skin cancer over the last 7 years

Background  Topical photodynamic therapy (PDT) with 5‐aminolevulinic acid (ALA) was first described by Kennedy et al. in 1990; currently, accumulated evidence shows that topical PDT is effective in the treatment of actinic keratoses, Bowens disease and superficial basal cell carcinoma, being potentially advantageous where size, anatomical location or number of lesions limit the efficacy and/or the acceptability of conventional therapies. It involves the use of photosensitizing drugs and the administration of an appropriate light source to activate the sensitizing agent, which leads to the production of activated oxygen species for tissue destruction. The topically administered prodrug 5‐ALA is converted within cells into the active photosensitizer protoporphyrin IX, via haem cycle, with preferential accumulation in tumour cells.

Programa de intervenção para pais de crianças com dificuldades de aprendizagem: um estudo preliminar

La entrada en la escuela primaria es un momento importante en el proceso de escolarizacion. La literatura apunta que orientar la familia en cuesto proceso, partir de recursos de su ambiente puede ser fundamental en la prevencion de dificultades escolares. En ese contexto, el presente estudio aplico y evaluo una propuesta de intervencion en la modalidad de un Programa Psicopedagogico de orientacion a los padres (PPOP), dirigida a los padres y las familias responsables de los ninos con dificultades de aprendizaje, inclusos en la primera serie de escuelas primarias regulares en la escuela publica, con el fin de investigar las condiciones de ejecucion de PPOP. Participaran de la investigacion ocho estudiantes y sus padres. Las analisis demuestran que el programa puede ser aplicado en una escala mas amplia y mostro satisfactoria cuanto a la forma y el contenido, partir del relato de los participantes.

Bibliometric analysis of theses and dissertations on prematurity in the Capes database

OBJECTIVES To perform a bibliometric analysis of theses and dissertations on prematurity in the Capes database from 1987 to 2009. METHODS This is a descriptive study that used the bibliometric approach for the production of indicators of scientific production. Operationally, the methodology was developed in four steps: 1) construction of the theoretical framework; 2) data collection sourced from the abstracts of theses and dissertations available in the Capes Thesis Database which presented the issue of prematurity in the period 1987 to 2009; 3) organization, processing and construction of bibliometric indicators; 4) analysis and interpretation of results. RESULTS Increase in the scientific literature on prematurity during the period 1987 to 2009; production is represented mostly by dissertations; the institution that received prominence was the Universidade de São Paulo. The studies are directed toward the low birth weight and very low birth weight preterm newborn, encompassing the social, biological and multifactorial causes of prematurity. CONCLUSIONS There is a qualified, diverse and substantial scientific literature on prematurity developed in various graduate programs of higher education institutions in Brazil.

Motor development and sensory processing: A comparative study between preterm and term infants

Infants born preterm and/or with low birth weight may present a clinical condition of organic instability and usually face a long period of hospitalization in the Neonatal Intensive Care Units, being exposed to biopsychosocial risk factors to their development due to decreased spontaneous movement and excessive sensory stimuli. This study assumes that there are relationships between the integration of sensory information of preterm infants, motor development and their subsequent effects. OBJECTIVE To evaluate the sensory processing and motor development in preterm infants aged 4-6 months and compare performance data with their peers born at term. METHOD This was a cross-sectional and comparative study consisting of a group of preterm infants (n=15) and a group of term infants (n=15), assessed using the Test of Sensory Functions in Infants (TSFI) and the Alberta Infant Motor Scale (AIMS). RESULTS The results showed no significant association between motor performance on the AIMS scale (total score) and sensory processing in the TSFI (total score). However, all infants who scored abnormal in the total TSFI score, subdomain 1, and subdomain 5 presented motor performance at or below the 5th percentile on the AIMS scale. CONCLUSION Since all infants who presented definite alteration in tolerating tactile deep pressure and poor postural control are at risk of delayed gross motor development, there may be peculiarities not detected by the tests used that seem to establish some relationship between sensory processing and motor development.

Análise bibliométrica de teses e dissertações sobre prematuridade no Banco de Teses da Capes

OBJETIVOS: Realizar analise bibliometrica das teses e dissertacoes sobre prematuridade no Banco de Teses da Capes no periodo de 1987 a 2009. METODOS: Estudo de natureza descritiva que utilizou a abordagem bibliometrica para a producao de indicadores. Operacionalmente, a pesquisa foi realizada em quatro etapas: 1) construcao do referencial teorico; 2) coleta de dados utilizando como fonte os resumos das teses e dissertacoes disponibilizadas no Banco de Teses da Capes que apresentaram a tematica da prematuridade no periodo de 1987 a 2009; 3) organizacao, tratamento e construcao dos indicadores bibliometricos; 4) analise e interpretacao dos resultados encontrados. RESULTADOS: Aumento da producao cientifica sobre prematuridade no periodo de 1987 a 2009; a producao encontra-se representada, em sua maioria, por dissertacoes de mestrado; a instituicao que obteve maior destaque foi a Universidade de Sao Paulo, e a regiao do pais que sobressaiu foi a Sudeste. Os estudos estao voltados para os recem-nascidos pre-termo de baixo peso e de muito baixo peso, englobando os fatores sociais, biologicos e multifatoriais causadores da prematuridade. CONCLUSOES: Existe uma qualificada, diversificada e expressiva producao cientifica sobre prematuridade, desenvolvida nos diversos programas de pos-graduacao das instituicoes de ensino superior do Brasil.

Produção científica sobre avaliação da visão em crianças: um estudo bibliométrico na base de dados LILACS

This study aimed to perform bibliometric analysis of scientific literature on evaluation of vision available in the database Lilacs. The research methodology has observed the following steps: review of literature on the evaluation of vision and bibliometrics, collection of data in the database Lilacs, organization, processing and bibliometric analysis of data collected using the software MS Excel. Using the search terms “visual assessment”, “assessment of vision”, “functional assessment of vision”, “visually impaired”, “low vision” and “disorders of vision”, being selected 27 articles. As a results were produced the following indicators: the predominant languages of scientific productions were Portuguese and Spanish, the original article written in co-authorship is the predominant type of publication, the themes discussed were: low vision, visual acuity, amblyopia and glaucoma. It was also noted that not all authors have specifically or on assessments of vision, and proposed the cognitive assessment and quality of life of visually impaired. It is advisable to conduct further research to demonstrate the importance of early assessment of vision in children, to ensure that the intervention, when necessary, take place as soon as possible and prevent the delay caused by visual impairment. It should also ensure that these visual findings are complementary with assessments that characterize situations in which individuals who already have some type of disability can use their vision more effectively

A narrative game as an educational entertainment resource to teach words to children with learning deficits: a feasibility study

We describe the use of an entertainment computer narrative game to teach words to a child in a special education process. In order to observe the potential of this kind of game, we chosen a child who has difficult to learn some words using a basic computer tool at writing learning special education environment. The results showed that narrative games and its entertainment resources can be a good way to allow child reads and writes words considering different sentences and contexts, as well as, resources of the game can be a useful strategy to engage child on the storytelling.

Promoção da saúde e educação infantil: caminhos para o desenvolvimento

The aim of this study is to promote a reflection about the aspects related to the improvement of life quality of children and their families. Items and themes related to care and education are pointed out, using the social-historical point of view, as well as aspects of vulnerability and poverty situations. The theory is based on the indicators presented by UNESCO, the Brazilian Health Agency and it was originally published by OECD (Organization for Economic Co-operation and Development). The concept and effective practices of children education in Brazil are presented, highlighting development and health-promotion actions in childhood, also empowerment and intersectionality, with the perspective of constructing ways to minimize the great amount of stressors that the families from less favored classes are exposed to. The necessity of investments for the continuous training of the educators is reaffirmed, considering that satisfactory results are obtained when the intervention involves family, community and public services.

A produção científica da classificação internacional de funcionalidade, incapacidade e saúde para crianças e jovens – CIF-CJ

The ICF-CY constitutes a tool with biopsychosocial approach to human functioning and disability specific to the period of childhood allowing a common language among professionals who deal with children with disabilities. The aim of this study was to describe the configuration scientific studies using the ICF-CY in national and international databases. Methodology: exploratory and descriptive with bibliometric approach. The searches were conducted in the databases Bireme, Science Direct and Scopus; was made detailed reading of the selected studies, forming a protocol with key data from each study; with the assistance of VantagePoint Software ®, the analyzes of the data produced indicators: year of publication, authorship, training of authors, journals, study design, leading themes. Results: increase of publication on this subject in recent years, most studies are collective authorship; authors are from the area of education and health, the journal that stands out is the Disability and Rehabilitation; most descriptive studies with a focus on mapping scales motor performance and child health programs and education or pathologies. Conclusion: studies show the importance of using the ICF-CY in clinical practice, but there are no studies on its feasibility. Lack of instruments based on the ICF-CY parameters to assess child development.

ESTUDO COMPARATIVO DO DESEMPENHO VISO MOTOR E MOTOR GLOBAL DE GÊMEOS PRÉ-TERMO NA IDADE ESCOLAR

Gemelaridade pode representar probabilidade de atraso no desenvolvimento devido a tendencia ao retardo nocrescimento intrauterino com consequente nascimento pre-termo. Este estudo tem como objetivo descrever odesempenho motor e viso motor de gemeos, com historico de nascimento prematuro, no inicio da escolarizacao.Quatro pares de gemeos foram comparados com criancas nascidas pre-termo nao gemeas e criancas denascimento a termo em relacao as performances nos testes Denver II, Visual Motor Integration e DevelopmentalCoordination Disorder Questionaire-Brasil 2. Na analise descritiva um par de gemeos apresentou classificacaoinferior ao esperado para a idade no teste Denver II; nos instrumentos DCDQ-Brasil 2 e VMI foi constatadadiferenca em todos os pares de gemeos. Analise estatistica demonstrou que prematuros gemelares apresentamdesempenho semelhante aos prematuros de gestacao unica. Criancas prematuras, gemeos ou nao, apresentaramum desempenho inferior em aspectos motores e viso motores quando comparadas com sujeitos a termo.Reforca-se importância do acompanhamento de criancas pre-termo ate os anos iniciais da escolarizacao. Descritores : Gemeos; Nascimento prematuro; Destreza motora; Desenvolvimento infantil.