{"title":"El papel del cateterismo cardíaco en la trisomía 21 y en la hipertensión pulmonar","authors":"O.W. Williams","doi":"10.1016/S1138-2074(14)70045-4","DOIUrl":"10.1016/S1138-2074(14)70045-4","url":null,"abstract":"<div><p>Children with Trisomy 21 are at increased risk for pulmonary hypertension. The reasons for this are multi-factorial but include an abnormal pulmonary vascular bed with increased propensity for congenital heart disease and upper airway obstruction. And although the association of pulmonary hypertension with Trisomy 21 is well established, this case report highlights the complexity of pulmonary hypertension in this vulnerable population, the limitations of echocardiography and critical contribution of cardiac catheterization in informing clinical management.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"18 1","pages":"Pages 9-12"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(14)70045-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80888645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Los orígenes de la Fundació Catalana Síndrome de Down","authors":"M. Trueta","doi":"10.1016/S1138-2074(14)70043-0","DOIUrl":"10.1016/S1138-2074(14)70043-0","url":null,"abstract":"","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"18 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(14)70043-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106244833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Matrimonio y reproducción en una mujer con síndrome de Down","authors":"L.M. Azevedo Moreira, L. Damasceno Espirito Santo","doi":"10.1016/S1138-2074(13)70041-1","DOIUrl":"10.1016/S1138-2074(13)70041-1","url":null,"abstract":"<div><p>Sex life of people with Down syndrome (DS) or other conditions associated with intellectual disability is still a taboo, with few reports in the literature. Advances in knowledge of causal and nosological aspects, including its social achievements, have led to the strengthening of the inclusive movement aimed at those people. This paper presents an unusual case of successful marriage and reproduction of a woman with DS. The propositus studied in special schools and communicates well verbally. She presented menarche at age of 13, showing autonomy in caring for her body. Eight years ago she met her current husband at the special school she attended. Two years after the wedding, the proband became pregnant of a male child without the syndrome. She is able to take care of her child needs, sharing this responsibility with her own mother, who was primarily responsible for her education directed towards autonomy. The proband's karyotype revealed trisomy 21 with chromosomal mosaicism. New social achievements are occurring, among them the establishment of lasting emotional relationships. The reproductive chances and risks of recurrence of DS should be considered in genetic counseling. The breeding and rearing of any children born from these marriages become new responsibilities shared by these special parents and their families.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 3","pages":"Pages 39-42"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70041-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86086764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L.M. Azevedo Moreira, L. Damasceno Espirito Santo, A. Fernandes Lacerda Carvalho
{"title":"Síndrome de Down hereditario poco común debido a la translocación robertsoniana 15/21: asesoramiento genético y reproductivoa","authors":"L.M. Azevedo Moreira, L. Damasceno Espirito Santo, A. Fernandes Lacerda Carvalho","doi":"10.1016/S1138-2074(13)70040-X","DOIUrl":"10.1016/S1138-2074(13)70040-X","url":null,"abstract":"<div><p>The carriers of a rearrangement involving with chromosome 21 have a potential risk of genetically unbalanced conceptions, which may result in liveborn children with Down syndrome. Reproductive risks for couples carriers of a balanced Robertsonian translocation depends on the rearranged chromosomes and the sex of the carrier. This article aims to analyze the segregation and reproductive trend of a rare 15/21 translocation in five generations of a family. It was considered the current advances in reproductive technology as a possibility to prevent fetal aneuploidia. Given the genetic risk, the preimplantation diagnosis appears also as an alternative to avoid the option of an unwanted later abortion and to obtain a healthy progeny.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 3","pages":"Pages 36-38"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70040-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83218768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"El Dr. Pueschel y la Fundación","authors":"Montserrat Trueta","doi":"10.1016/S1138-2074(13)70038-1","DOIUrl":"10.1016/S1138-2074(13)70038-1","url":null,"abstract":"","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 3","pages":"Page 35"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70038-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"100679457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trayectoria y retos del Servicio de Ocio: Los primeros 25 años","authors":"C. Herreros , M.J. Miquel","doi":"10.1016/S1138-2074(13)70042-3","DOIUrl":"10.1016/S1138-2074(13)70042-3","url":null,"abstract":"<div><p>Whenever there are new challenges it is important to stop to consider their priorities. This year the Leisure Service of the Catalan Down's Syndrome Foundation celebrates its first 25 years. Thus, a short review of the history of the Service will be presented and what this leisure concept means. It will also comment on how the individuals and those around them feel when the former want to start enjoying their free time, and what the professional propose to do as a response. The challenges and new concepts of the Service will be presented at the end of this article.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 3","pages":"Pages 43-45"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70042-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87573813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nos ha dejado un gran amigo","authors":"Dr. Agustí Serés","doi":"10.1016/S1138-2074(13)70039-3","DOIUrl":"10.1016/S1138-2074(13)70039-3","url":null,"abstract":"","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 3","pages":"Page 35"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70039-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85528501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hipotiroidismo y síndrome de Down","authors":"C. Claret , J.M. Corretger , A. Goday","doi":"10.1016/S1138-2074(13)70035-6","DOIUrl":"10.1016/S1138-2074(13)70035-6","url":null,"abstract":"<div><h3>Introduction</h3><p>Subclinical hypothyroidism is common in the first years of life of children with Down's syndrome (DS). The aim of this study was to analyse the natural evolution of this disease and to identify the factors that predict its spontaneous remission.</p></div><div><h3>Material and methods</h3><p>A retrospective, observational study conducted on patients with DS and hypothyroidism diagnosed before 5 years of age, who were seen in a DS reference medical centre.</p></div><div><h3>Results</h3><p>A total of 53 patients, 28 boys and 25 girls, with a mean age 2.4<!--> <!-->±<!--> <!-->1.1 years, were identified with subclinical hypothyroidism. The hypothyroidism resolve spontaneously in 39 cases (73.6%), in a mean time of 13.2<!--> <!-->±<!--> <!-->11.1 months, this resolution rate being significantly higher in the patients without goitre: 94.9% (95% confidence interval [CI]: 81.2-99.3%) vs 28.6% (95% CI: 4.4-37.7%), <em>p</em> <em><</em> <!-->.05, and with negative antithyroid antibodies: 89.7% (95% CI: 74.6-96.2%), vs 42.9% (95% CI: 20.7–56%), <em>p</em> <em><</em> <!-->.05). Fifteen patients (28.3%) were treated with levothyroxine.</p></div><div><h3>Conclusions</h3><p>The subclinical hypothyroidism that appears in early infancy in DS is usually transient. The absence of goitre and antibodies is associated with a higher spontaneous resolution rate.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 2","pages":"Pages 18-24"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70035-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88674436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Una cuestión de derechos humanos","authors":"K. Trias Trueta","doi":"10.1016/S1138-2074(13)70034-4","DOIUrl":"10.1016/S1138-2074(13)70034-4","url":null,"abstract":"","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 2","pages":"Page 17"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70034-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74608218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Habilidades e interacciones sociales de los niños con síndrome de Down en la educación ordinaria","authors":"R. Valdívia Lucisano , L.I. Pfeifer , M.P. Panuncio-Pinto , J.L. Ferreira Santos , P.P. Gomes Anhão","doi":"10.1016/S1138-2074(13)70037-X","DOIUrl":"10.1016/S1138-2074(13)70037-X","url":null,"abstract":"<div><p>This study identifies the process of social interaction of children with Down's syndrome (DS) in the regular educational system of a city in the interior of São Paulo, Brazil. Six children aged from three to six years old participated in the study. Each child was videotaped in four situations of social interaction in two distinct environments (indoors and outdoors), which enabled the analysis of interpersonal and self-expression skills through the observation of 15 types of behaviors. The results reveal that the behavior type <em>“Interacts with another child”</em>, within the category “interpersonal skills”, was the most frequent both indoors and outdoors with an average of 27.5 and 28.3, respectively. With regard to “selfexpression skills”, only the behavior <em>“Smiles”</em> had a considerable number of occurrences indoors with an average of 8.16, while the behaviors <em>“Smiles” and “Imitates other children”</em> presented significant occurrence outdoors with averages of 5.16 and 3, respectively. The conclusion is that including children with DS in the regular educational system promotes new forms of learning and interaction for them through daily contact with children with typical development, enabling them to acquire social interaction skills.</p></div>","PeriodicalId":101116,"journal":{"name":"Revista Médica Internacional sobre el Síndrome de Down","volume":"17 2","pages":"Pages 29-34"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-2074(13)70037-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83909242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}