Can We Conquer Coqueluche?

Coqueluche -- ainda um desafio

Globally, whooping cough (pertussis) is still an important cause of death in infancy and continues to be a public health concern even in countries with high vaccination coverage. In 2008, over 80% of all infants worldwide received three doses of pertussis vaccines.1 Despite this, 15 million pertussis cases occurred worldwide, 95% of them in developing countries, and about 200,000 children died ...

Can We Add Auricular Composite Graft to Our Rhinoplasty Armamentarium?

BACKGROUND The ala of the nose, with its particular texture and characteristics, poses both aesthetically and functionally intriguing challenges and is rather problematic regarding choices for reconstructive methods. Both flaps and grafts have been used to restore natural structure of nasal ala. The present study summarizes a ten-year experience of reconstructive surgery using small composite...

How can we enhance the value of laboratory tests?

Today, the pressures on the healthcare systems for the controlling of the costs are extreme and all sectors try to demonstrate the value of their services by justifying the activities and expenditures so the value can be describe in terms like quality, efficiency, effectiveness, patient satisfaction, cost effectiveness .The value of the lab testing is generally directed to their costs and the c...

Yes, We Can! (Should We?).

We Can, but Should We?

We can, but should we? After recently reflecting upon our profession as pediatric critical care physicians , I concluded that this one complex question gets asked many times throughout the day – or at least it should. A recent report discussed an emerging paradigm in pediatric critical care medicine (1). With more and more chronic patients filling our pediatric intensive care unit (PICU), perha...