<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912024000100014</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2024.e6142</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Playful strategy to improve the quality of spirometry and analysis of reference values in a group of schoolchildren from Asunción]]></article-title>
<article-title xml:lang="en"><![CDATA[Estrategia lúdica para mejorar la calidad de las espirometría y análisis de los valores de referencia en un grupo de escolares de Asunción]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aquino]]></surname>
<given-names><![CDATA[Myriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lemir]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bejarano]]></surname>
<given-names><![CDATA[Domingo Pérez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto Nacional de Enfermedades Respiratorias y del Ambiente (INERAM) ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Laboratorio de Función Pulmonar Centro Médico La Costa Lynch ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital General de Luque Servicio de Neumología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>6</volume>
<fpage>14</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912024000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912024000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912024000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción.  Los niños requieren especial dedicación para lograr espirometrías de calidad. Objetivo. Este trabajo evalúa la frecuencia de maniobras aceptables en escolares, la utilidad de gestos de incentivo para optimizar la obtención de pruebas de alta calidad y realiza un análisis de ajuste a varias ecuaciones de referencia. Materiales y Métodos. Se realizaron maniobras espiratorias forzadas en un grupo de escolares de Asunción- Paraguay, escogiendo variables recomendadas para la interpretación en un espirómetro portátil, para evaluar la frecuencia de pruebas de calidad. Aquellos que no consiguieron estudios aceptables, fueron sometidos a un entrenamiento con silbato en rollo (juguete) para evaluar el desempeño ulterior. Los resultados de alta calidad fueron pareados a valores esperados determinados por diversas ecuaciones buscando evaluar el grado de adecuación. Resultados. De 113 escolares, el 58,4% pudo conseguir maniobras de grado A o B. Después del estímulo con el silbato en rollo, la frecuencia de estudios aceptables ascendió a 79,6%. Los parámetros de referencia con mejor ajuste fueron aquellos determinados por la Global Lung Initiative (GLI). Conclusión. Los incentivos lúdicos son una alternativa para optimizar la obtención de pruebas de espirometría en escolares, que con el uso de parámetros de GLI adecuarían el manejo clínico de ciertas enfermedades respiratorias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction.  Children require special dedication to achieve high quality spirometry. Objective. This work evaluates the frequency of acceptable maneuvers in schoolchildren, the usefulness of incentive gestures to optimize the obtaining of high-quality tests, and performs an analysis of adjustments to several reference equations. Material and Methods. Forced expiratory maneuvers were performed in a group of schoolchildren from Asunción, Paraguay, choosing variables recommended for interpretation in a portable spirometer, to evaluate the frequency of high quality tests. Those who did not achieve acceptable studies were subjected to training with a roll whistle (toy) to evaluate their subsequent performance. The high-quality results were matched to expected values determined by various equations to evaluate adequacy. Results. Of 113 schoolchildren, 58,4% were able to achieve grade A or B maneuvers. After the stimulus with the roll whistle, the frequency of acceptable studies rose to 79,6%. The reference parameters with the best fit were those determined by the Global Lung Initiative (GLI). Conclusion. Playful incentives are an alternative to obtaining acceptable spirometry tests in schoolchildren, which, with the use of GLI parameters, would adjust the clinical management of certain respiratory diseases.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[respiratory function tests]]></kwd>
<kwd lng="en"><![CDATA[spirometry]]></kwd>
<kwd lng="en"><![CDATA[forced expiratory volume]]></kwd>
<kwd lng="en"><![CDATA[vital capacity]]></kwd>
<kwd lng="en"><![CDATA[child]]></kwd>
<kwd lng="es"><![CDATA[pruebas de función respiratoria]]></kwd>
<kwd lng="es"><![CDATA[espirometría]]></kwd>
<kwd lng="es"><![CDATA[capacidad vital]]></kwd>
<kwd lng="es"><![CDATA[volumen espiratorio forzado]]></kwd>
<kwd lng="es"><![CDATA[niño]]></kwd>
</kwd-group>
</article-meta>
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