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Assistente Eventual, Serviço de Imunoalergologia, Hospital de Dona Estefânia / <span class="elsevierStyleItalic">Guest Consultant, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies); Future Consultant, Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia</span>" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Técnica de Cardiopneumologia, Departamento Universitário de Fisiopatologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa (Centro de Estudos de Patologia Respiratória) / <span class="elsevierStyleItalic">Cardiopulmonology Technician, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies)</span>" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Director de Serviço, Serviço de Imunoalergologia, Hospital de Dona Estefânia / <span class="elsevierStyleItalic">Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia</span>" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Especialista em Imunoalergologia, Instituto Clínico de Alergologia / <span class="elsevierStyleItalic">Allergy and Clinical Immunology Specialist, Allergy and Clinical Immunology Institute</span>" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Director de Serviço, Serviço de Pneumologia, Hospital de São Teotónio / <span class="elsevierStyleItalic">Director, Pulmonology Unit, Hospital de São Teotónio</span>" "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Engenheira do Ambiente, Departamento de Ambiente e Ordenamento, Universidade de Aveiro / <span class="elsevierStyleItalic">Environmental Engineer, Department of Environmental and Land Planning, Universidade de Aveiro</span>" "etiqueta" => "<span class="elsevierStyleSup">6</span>" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Professor Catedrático, Departamento de Ambiente e Ordenamento, Universidade de Aveiro / <span class="elsevierStyleItalic">Cathedratic Professor, Department of Environmental and Land Planning, Universidade de Aveiro</span>" "etiqueta" => "<span class="elsevierStyleSup">7</span>" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Professor Auxiliar, Departamento Universitário de Fisiopatologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa (Centro de Estudos de Patologia Respiratória); Especialista em Imunoalergologia, Serviço de Imunoalergologia, Hospital de Dona Estefânia / <span class="elsevierStyleItalic">Assistant Professor, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies); Allergy and Clinical Immunology Specialist, Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia</span>" "etiqueta" => "<span class="elsevierStyleSup">8</span>" "identificador" => "aff0040" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Medição do óxido nítrico no ar exalado: Utilização na avaliação de crianças com história de sibilância" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-11-05" "fechaAceptado" => "2008-01-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159468" "palabras" => array:4 [ 0 => "Wheezing" 1 => "asthma" 2 => "nitric oxide" 3 => "FE<span class="elsevierStyleInf">NO</span>" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159469" "palabras" => array:4 [ 0 => "Sibilância" 1 => "asma" 2 => "óxido nítrico" 3 => "FE<span class="elsevierStyleInf">NO</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The body of published work on the role of exhaled nitric oxide (FE<span class="elsevierStyleInf">NO</span>) in the study of bronchial inflammation allows it to be classed as a simple, non-invasive measurement that is very useful in evaluating asthmatic patients.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">During a prospective study into the effects of air pollution on the health of the population of Viseu (Saud’AR Project), children with a clinical history of wheezing were identified through using the International Study of Asthma and Allergy in Childhood (ISAAC) questionnaire. Children later filled in a new standardised questionnaire and underwent skin-prick-tests, spirometry and FE<span class="elsevierStyleInf">NO</span> measurement. Their mean age was 7.8<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.1 years. Comparing those who wheezed in the 6 months before evaluation (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>27) with those who didn’t, statistical differences for ΔFEV1 (8% median versus 4.5%, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.0399) and for FE<span class="elsevierStyleInf">NO</span> (23 ppb median versus 12 ppb, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.0195, respectively) were observed. Concerning children who needed a bronchodilator in the six previous months (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>19) and those who didn’t, there was also a statistically significant difference in FE<span class="elsevierStyleInf">NO</span>: 27 ppb median versus 11 ppb median, respectively; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.0001. When comparing children who needed an unscheduled medical appointment in the six months previous to the evaluation (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>9) and those who didn’t, there was also significant differences for FE<span class="elsevierStyleInf">NO</span>: 28 ppb median versus 13 ppb median, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.0029. In conclusion, the existence of symptoms seems to be better related to FE<span class="elsevierStyleInf">NO</span> than spirometry.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Encontram-se publicados múltiplos trabalhos sobre o papel das determinações do óxido nítrico no ar exalado (FE<span class="elsevierStyleInf">NO</span>) no âmbito do estudo da inflamação brônquica que nos permitem afirmar que se trata duma medição simples, não invasiva e de grande utilidade na avaliação do doente asmático.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">No decurso de um estudo prospectivo sobre o impacto da poluição do ar sobre a saúde da população na cidade de Viseu (Projecto Saud’AR), foram identificadas crianças com história clínica de sibilância, mediante a aplicação de questionários do <span class="elsevierStyleItalic">International Study of Asthma and Allergy in Childhood</span> (ISAAC). As crianças foram submetidas posteriormente a um questionário padronizado, testes cutâneos <span class="elsevierStyleItalic">prick</span> para aeroalergénios, espirometria com prova de broncodilatação e medição de FE<span class="elsevierStyleInf">NO</span>. A idade média era de 7,8<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1,1 anos. Comparando os doentes com queixas de sibilância e/ou dispneia nos 6 meses anteriores à avaliação (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>27) com os que não apresentaram estes sintomas, observaram -se diferenças estatisticamente significativas para o ΔFEV1 (mediana: 4,5% <span class="elsevierStyleItalic">vs</span> 8%, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,0399) e para o FENO (mediana: 12 ppb <span class="elsevierStyleItalic">vs</span> 23 ppb, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,0195, respectivamente). Se olharmos para as crianças que recorreram a broncodilatador nos seis meses anteriores à avaliação (n=19) e as compararmos com as que não necessitaram, encontramos diferenças para o FE<span class="elsevierStyleInf">NO</span>: mediana de 27 ppb versus mediana de 11 ppb, respectivamente; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,0001. Ao compararmos as crianças que recorreram a uma consulta de urgência nos seis meses anteriores à avaliação (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>9) e as compararmos com as que não recorreram, encontramos também diferenças estatisticamente significativas para o FE<span class="elsevierStyleInf">NO</span>: mediana de 28 ppb <span class="elsevierStyleItalic">versus</span> mediana de 13 ppb, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.0029.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Constatou-se assim que a existência de sintomas se associou melhor com o FE<span class="elsevierStyleInf">NO</span> de que com a espirometria.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆." "nota" => "<p class="elsevierStyleNotepara">Este estudo foi realizado no âmbito do projecto Saud’AR (A Saúde e o Ar que Respiramos), uma parceria entre o Departamento de Ambiente e Ordenamento da Universidade de Aveiro e a Faculdade de Ciências Médicas da Universidade Nova de Lisboa, e foi financiado pela Fundação Calouste Gulbenkian. Os doentes foram avaliados no Serviço de Pneumologia do Hospital de São Teotónio (Director: Dr. Simões Torres) / <span class="elsevierStyleItalic">This study was part of the Saud’AR (Health is the Air that we Breathe) Project and was undertaken jointly with the Department of Environmental and Land Planning of the Universidade de Aveiro and the Faculty of Medical Sciences, Universidade Nova de Lisboa. It was funded by the Calouste Gulbenkian Foundation. 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