acta pediátrica portuguesa - Sociedade Portuguesa de Pediatria

Acta Pediatr Port 2010:41(5):S108
PD169 - Educação Sexual na Criança e Adolescente Portadores de Defi -
ciência Física
Alice Varanda Pereira 1 ; Gonçalo Jorge 1 ; Adriana Moutinho Estêvâo 2 ; Carolina
Gonçalves 3
1- Centro Hospitalar de Lisboa Central; 2- Centro Hospitalar Psiquiátrico de
Lisboa; 3- Centro Hospitalar de Lisboa Norte
O presente trabalho apresenta uma revisão do desenvolvimento sexual em
crianças e adolescentes portadores de deficiência física, baseada na estrutura
e funcionamentos corporais, actividades individuais e perspectivas sociais.
São apresentadas questões relacionadas com a actividade sexual, relacionamentos,
desenvolvimento pubertário e sexual, cuidados ginecológicos, contracepção
e planeamento familiar, disfunções sexuais, barreiras sociais e
abuso sexual, como base para o desenvolvimento de estratégias de educação
sexual adequadas, sobretudo para os profissionais de saúde. No compito
geral, os adolescentes portadores de deficiência física participam em relações
sexuais sem se encontrarem munidos dos conhecimentos e competências adequados
para se manterem saudáveis, seguros e satisfeitos. Embora o seu
desenvolvimento sexual possa estar sujeito a barreiras quer por limitações
físicas como psicológicas ou sociais, intencionais ou não intencionais, existem
oportunidades formais e não formais dos jovens com deficiências cons -
truírem e desenvolverem expressividade e preenchimento sexuais. Os profissionais
de saúde devem reconhecer a necessidade de implementar estratégias
que promovam a independência física, emocional, social e psicossexual da
criança, adolescente e jovem adulto portador de deficiências físicas.
Palavras-chave: Criança, adolescente, portador de deficiência física, educa -
ção sexual
PD170 - Circuncisão Ritual - Passado Presente e Futuro
Gonçalo Jorge 1 ; Alice Varanda Pereira 1 ; Adriana Moutinho Estêvão 2 ; Carolina
Gonçalves 3
1- Centro Hospitalar de Lisboa Central; 2- Centro Hospitalar Psiquiátrico de
Lisboa ; 3- Centro Hospitalar de Lisboa Norte
A circuncisão ritual é um procedimento cirúrgico milenar que continua a ser
praticado na actualidade por motivos religiosos, culturais ou médicos. O
objectivo deste trabalho é abordar a história e o significado deste ritual em
diferentes contextos, desde a Antiguidade até aos dias de hoje, especulando
também sobre papel da circuncisão no futuro, nomeadamente na prevenção
da epidemia VIH/SIDA.
Palavras-chave: Circuncisão Ritual; Ritos de Passagem; VIH/SIDA.
PD171 - The Implementation of Formula of Survival in Southtyrol: coo -
peration between Medical Emergency Association and Paediatricians
Comploi, Marco 1 ; Mahlknecht, Reinhardt 1 ; Rammlmair, Georg 1 ; Wermter,
Burkhard 2
1- Weisses Kreuz/Croce Bianca; 2- MHH Medical School Hannover, Pae dia -
tric Cardiology and Intensive Medicine, Germany
Introduction: We will report that the formula of survival: “Survival =
Transfer from Medical Science to Education to LOCAL Implementation” can
be realized by a strong territorial approach dealed by a central education center
inside a global strategy for a well defined territory. Material & Methods:
Southtyrol: Since the 1990ies the Medical Emergency Association White
Crosse decided to increase the Educational Activity in the area of Southtyrol:
493.910 inhabitants - 7.399,97km2 - 66,6 inhab./km2 - 3 languages (German,
Italian & Ladin). The range of Life Support courses: from first aid cour -
ses for population until highly advanced simulation for emergency personal.
On demand in all three official languages. Main actions: 1) A professional
logistic structure with education office and logistic has been created and
enhanced 2) Educational experiences of the countries with the same langua -
ges (German/Italian) has been used 3) National and International Standard
courses (AHA American Heart Association, ERC European Resuscitation
Council, SIMEUP Italian Society for Paediatric Emergency Medicine)
influen ced the internal training programme with scientific input. 4) Courses
of SIMEUP/ERC has been implementated in the trainingprogramme for the
own staff and for healthcare providers in the area of the public southtyrolean
Health Trust 5) Special attention for training in the paediatric field
(PBLS/PALS Paediatric Basic/Advanced Life Support) in cooperation with
paediatric scientic societies as SIMEUP Italian Soc. Paed. Emergency
Medicine.. Results: we reached the following numbers of course participants
in year 2008: industries 6294, schools 1987, public Administration1093,
White Cross Emergency Staff 10130, Members of White Cross Association
367, Individuals 202, Health trust 834, Total participants/Year2008: 20907
Conclusions: we conclude that a good professionalized training center with
logistics to cover the own territory for all target groups from lay people to
health care providers is an important step to approach the aim of formula of
survival. We demonstrated that important numbers can be reached. We underline
the importance of cooperation with national and international scientific
societies to keep a high quality level of education in emergency medicine
including Pediatrics.
Palavras-chave: Implementation, resuscitation, emergency association.
PD172 - Paediatric resuscitation courses are much more important than
a game: Please let Football emotions for Benfica, Barça, Borussia Mg,
Aha, Erc etc. Outside!
Wermter, Burkhard Johannes 1 ; Anselmi, Luciano 2
1- SIMEUP Ital. Society Paediatric Emergency in Southtyrol; 2- EOC
Ospedale Bellinzona, Anestesia Pediatrica
Introduction: the world of Paed. Resuscitation is well defined by worldwide
consensus document of ILCOR International Liason Committee of Resus -
citation. Isn’t it? Continental guidelines derived from ILCOR for continental
use seem to be usefull. But what is happen, if there are courses from 2 continents
in 1 area with different guidelines and course concepts? Aims: Harmo -
ni zation and Exchange of bi-/trilingual instructors and cooperation in tea -
ching paediatric resuscitation between 2 culturally, linguistically and geogra -
phi cally similar areas, but divided by guidelines: Switzerland–AHA
American Heart Association since 1996/ Southtyrol-ERC European Resusci -
ta tion Council since 2003: German, Raetoromanic, Italian. Only Switzerland:
French Methods: screening of existing courses in both areas in 2003:
Switzerland: PALS Paed. Adv. Life Support-AHA / no PBLSPaed. Basic Life
Support, Southtyrol: EPLS European Paed. Life Support-ERC-course, Italian
PBLS/ PALS-courses of SIMEUP Ital. Soc. Of Paed. Emergency Medicine
since 1998. Formal possibilities to integrate? SRC Swiss Resuscitation
Council introduced a fexible system for recognition of PBLS-courses: national
requisits & audit of different PBLS-courses for SRC-quality-label. In
this framework Ital. PBLS-courses of PBLS Trainingcenter Southtyrol c/o
White Cross has been introduced in Switzerland. Southtyrolean PBLS-cour -
ses inside the Italian teaching network obtained SRC-quality-label. Results:
Thanks to SRC-System to label PBLS-courses, Ital. PBLS-course despite of
less flexible Italian system (as AHA/ERC, too) has been introduced in the
spirit of European integration. The same Italian course is running in the swiss
Canton Ticino/Tessin in Italian since 2003 following AHA-guidelines and in
Southtyrol since 1998 in German/Italian following ERC-guidelines. Joint
Ital.-Swiss PBLS-instructor course has been realized the first time in 2007
following ERC- and AHA-guidelines in German/Italian. Exchange of EPLS-
ERC- and PALS-AHA-instructors was promoted inside formal recognition
provided by ERC/AHA since 2003. This PBLS/PALS/EPLS-System has been
promoted by Southtyrolean/Swiss instructors in cooperation with 15 countries
since 2003/2004 in Germany/Austria. Conclusion: Interregional coope -
ration inside cultural/linguistic spaces wished by EU is possible despite diffe -
rent guidelines. Good Paed. Resuscitation is possible using all available systems
integrating quality thanks to joint instructor teams.
Palavras-chave: Paediatric Resuscitation ERC AHA.
PD173 - “Infusion Management in Paediatric Patients”: a New Course in
Touch with Paediatric Life Support courses
Jack, Thomas 1 ; Wermter, Burkhard 1 ; Luigs, Petra 1 ; Boehne, Martin 1 ; Geisler,
Ina 1 ; Hemprich, Victoria 1 ; Hassfeld, Christiane 1 ; Schraeder, Kristina 1 ;
Toensfeuerborn, Hannah 1 ; Brandt, Ute 1 ; Sasse, Michael 1
1- MHH Medical School Hannover - Paediatric Cardiology & Intensive Care
Introduction: infusion management become more and more complex in
PICU. New strategies and approaches are needed. A well designed infusion
management is able to reduce complications and costs. Patient Safety will be
increased. Objectives: To create a didactical tool, to teach modern infusion
management inside and outside our PICU. Methods: in the framework of a
study with inline-filtration 807 patients of our PICU during last 5 years, the
infusion management has been revised and adapted avoiding incompatibilities
using a compter based programme (compatibility in the catheter KIK,
www.kik-service.de). Didactical settings and items of existing course as
EPLS European Paediatric life Support has been integrated: vascular access
station with administration of fluids and drugs via intraosseous access or via
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