HANY SIMON JUNIOR
Índice h a partir de 2011
2
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina
4 resultados
Resultados de Busca
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bookPart Síncope no paciente pediátrico(2022) SIMON JUNIOR, Hany; SUKYS, Graziela de Almeida- Fast, cheap and feasible: Implementation of pediatric telemedicine in a public hospital during the Covid-19 pandemic(2022) SEVERINI, Rafael da Silva Giannasi; OLIVEIRA, Pedro Carpini de; COUTO, Thomaz Bittencourt; SIMON JUNIOR, Hany; ANDRADE, Anarella Penha Meirelles de; NANBU, Danilo Yamamoto; FARHAT, Sylvia C. L.; SCHVARTSMAN, ClaudioObjective: In Brazil, telemedicine was allowed as an exception during the coronavirus disease (COVID-19) pandemic. Despite its recognized value and availability, telemedicine is not universally used, suggesting that some barriers prevent its adoption and acceptance within the community. This study aims to describe the implementation of a low-cost telemedicine service in a pediatric hospital in Brazil. Method: Retrospective descriptive study reporting the first three months (April to June 2020) of the experience of implementing a low-cost telemedicine emergency care program in a public tertiary hospital. The service was available to patients up to 18 years of age enrolled in this hospital. A tool for assessing the severity of the patient was developed, the aim of standardizing the procedure, while maintaining quality and safety. Guardian's satisfaction was assessed with a questionnaire sent after teleconsultations. Results: 255 teleconsultations were carried out with 140 different patients. Of the total consultations, 182 were from 99 patients that had performed the Real-Time Polymerase Chain Reaction (RT-PCR) test for the new coronavirus (SARS-Cov-2) or had direct contact with a person known to be positive for COVID-19. Only 26 (14%) were referred to an in-person consultation. No deaths, adverse events or delayed diagnosis were recorded. 86% of the patients who answered the satisfaction questionnaire were satisfied and 92% would use telemedicine again. Conclusion: This study presents an innovative implementation of a telemedicine program in a public and exclusively pediatric tertiary service, serving as a reference for future implementation in other public services in Brazil and developing countries. (C) 2022 Sociedade Brasileira de Pediatria.
bookPart Obstrução infecciosa das vias aéreas superiores(2022) SIMON JUNIOR, Hany; SUKYS, Graziela de Almeida- Clinical management of fever in children in Brazil: practical recommendations from an expert panel(2022) SIMON JUNIOR, Hany; PEDREIRA, Marcello Creado; BARBOSA, Silvia Maria de Macedo; FERNANDES, Tadeu Fernando; ESCOBAR, Ana Maria de UlhoaThe objective of this study was to answer several questions related to the assessment and treatment of fever, as well as other controversies that exist during its management in pediatric patients. First, an advisory board with medical experts was conducted to discuss the clinical journey of these patients, considering the main challenges and possible solutions. After this discussion, a non-systematic literature review was performed, between November 2019 and January 2020, to collect the most relevant evidence available in the scientific databases MEDLINE, Lilacs, and SciELO. A narrative review was carried out based on scientific evidence and on extensive experience of experts in clinical practice. The experts developed a set of recommendations and clarifications about the assessment of the severity of fever in pediatrics, the need for treatment and the choice of the most appropriate antipyretic. The most common controversies in the management of fever in pediatric patients were also addressed, such as alternating antipyretics, persistent fever, and dose equivalence. In primary management of pediatric patients, fever should be seen as a relevant symptom that requires treatment with antipyretics in potentially more complex or severe cases, when it causes discomfort to children or is associated with infectious diseases.