Revista Chilena de Pediatria-Chile最新文献_第3页

[Confidence intervals: Clarifications and interpretations in the field of health]. [置信区间:卫生领域的澄清和解释]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-10-08 DOI: 10.32641/rchped.vi91i6.2972

José Ventura-León, Pablo D Valencia

引用次数: 0

[Dilated cardiomyopathy in children]. [儿童扩张型心肌病]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-10-08 DOI: 10.32641/rchped.vi91i6.2851

Gonzalo Urcelay

{"title":"[Dilated cardiomyopathy in children].","authors":"Gonzalo Urcelay","doi":"10.32641/rchped.vi91i6.2851","DOIUrl":"https://doi.org/10.32641/rchped.vi91i6.2851","url":null,"abstract":"Pediatric cardiomyopathies are infrequent diseases of the cardiac muscle, with an annual inciden ce of 1.1 to 1.2 per 100,000 children. Dilated cardiomyopathy (DCM) is the predominant form, characterized by ventricular dilatation and systolic dysfunction. Etiologies are multiple, with at least 50%-70% of cases being idiopathic. When assessing a child with DCM, secondary potentially reversible causes must be ruled out. The main diagnostic tool is the echocardiogram which allows the identification of cardiac phenotype, to establish the degree of functional compromise, and res ponse to medical therapy. Prognosis is limited but more favorable in infants younger than 1 year at the onset, post myocarditis, or with a lesser degree of ventricular dysfunction. At least 20% of patients may recover ventricular function in the first 2 years after the onset and 40%-50% may die or need heart transplant in the first 5 years. Medical therapy is mainly based on adult experience with limited scientific evidence in children. Heart transplant is the therapy of choice in patients with end-stage disease, with excellent short- and medium-term survival. A significant proportion of patients may require stabilization on the waiting list, including the use of mechanical circulatory support as a bridge to transplantation. The purpose of this revision is to update the available infor mation on etiology, physiopathological mechanisms, prognostic factors, and management of DCM in children.","PeriodicalId":46023,"journal":{"name":"Revista Chilena de Pediatria-Chile","volume":"91 6","pages":"860-866"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38879265","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}

引用次数: 0

[COVID-19, quarantine, exercise intensity and children]. [COVID-19，隔离，运动强度和儿童]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-12-02 DOI: 10.32641/rchped.vi91i6.2991

Viroj Wiwanitkit, Iván Rodríguez-Núñez

引用次数: 0

[Acute kidney injury in COVID-19]. [COVID-19急性肾损伤]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-11-17 DOI: 10.32641/rchped.vi91i6.3338

Felipe Cavagnaro Sm, Christian Scheu Goncalves

引用次数: 17

[Characterization of full term newborns with hypernatremic dehydration]. [高钠血症性脱水足月新生儿的特征]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-10-08 DOI: 10.32641/rchped.vi91i6.1399

Gabriel Del Castillo C, Diana Suares A, María Granja A, Bibiana Oviedo E, Jhuranny Urbano U, Nancy Cabrera B

{"title":"[Characterization of full term newborns with hypernatremic dehydration].","authors":"Gabriel Del Castillo C, Diana Suares A, María Granja A, Bibiana Oviedo E, Jhuranny Urbano U, Nancy Cabrera B","doi":"10.32641/rchped.vi91i6.1399","DOIUrl":"https://doi.org/10.32641/rchped.vi91i6.1399","url":null,"abstract":"Introduction: The hypernatremic neonatal dehydration is a severe condition whose incidence has increased in recent years resulting in complications leading to the hospitalization of the newborn.Objective: Describe the clinical and laboratory characteristics of term-newborns with Hypernatremic Dehy dration diagnosis.Patients and method: Descriptive observational study of hospitalized term- newborns due to hypernatremic dehydration between a period from 2014 to 2016. Term newborns over 37 weeks with clinical signs of dehydration (dry mucous membranes, depressed fontanel, tear less crying, signs of the cutaneous pleat), and/or excessive weight loss greater than 7% and serum sodium greater than 145 mEq/L were included. Sociodemographic and biochemical variables were recorded for analysis.Results: 43 neonates were included. 60.5 percent of their mothers were pri- miparous, 90 percent of neonates received exclusive breastfeeding, mothers reported breastfeeding problems in 76.7 percent. Incoming neonates reported weight loss compared to birth weight at 15.3% on average. 83.3% had public health insurance. 65.1% had dehydration clinical signs at entry and 83.5% transient neurological signs. The average sodium was 155 mEq/L at revenue. The sodium decrease in the first 24 hours of handling was 7.74 mEq/L (0.32mEq/L per hour). The correction of the hypernatremia was 55.8% by oral intake and 4 days hospital stay on average.Conclusions: The feeding's problems came up in a (76%), primiparous mothers in an (88.4%). 90.6 percent of this population administered exclusive breastfeeding, results that can help to alert the health professional to timely identification, warning signs, and early post-discharge control and preventive measures.","PeriodicalId":46023,"journal":{"name":"Revista Chilena de Pediatria-Chile","volume":"91 6","pages":"874-880"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38885977","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}

引用次数: 0

[Leptin sexual dimorphism, insulin resistance, and body composition in normal weight prepubescent]. [体重正常的青春期前的瘦素性二态性、胰岛素抵抗和身体组成]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-10-21 DOI: 10.32641/rchped.vi91i6.1403

Jenny Vitery R, Guillermo Ortega, Blanca C Salazar C

{"title":"[Leptin sexual dimorphism, insulin resistance, and body composition in normal weight prepubescent].","authors":"Jenny Vitery R, Guillermo Ortega, Blanca C Salazar C","doi":"10.32641/rchped.vi91i6.1403","DOIUrl":"https://doi.org/10.32641/rchped.vi91i6.1403","url":null,"abstract":"Introduction: The prepubertal stage is a critical period of body fat development, in which leptin and insulin re sistance has been associated, however, there are few studies in normal-weight prepubescents. Ob jective: To assess the relationship between leptin and body composition and insulin resistance in a group of normal-weight prepubescents.Patients and method: Analytical cross-sectional study with 128 healthy prepubescents of normal weight, aged between 6 and 10 years. Height, weight, body mass index (BMI), body fat percentage (BFP), waist circumference (WC), and hip circumference (HC) were measured. Plasma leptin (ng/mL) and insulin (mU/L) were evaluated by immunoassay and glycemia (mmol/L) by enzymatic method. HOMA-IR was calculated. A comparison study and correlation analysis by sex were performed.Results: Females presented higher values than males of leptin (6.8 ± 5 vs 3.3 ± 3.7; p = 0.000), insulin (7.1 ± 4.5 vs 5.2 ± 2.5; p = 0.016), BFP (22.4 ± 4.3 vs 18.6 ± 3.9; p = 0.000), and HC (67 ± 5.7 vs 65.0 ± 4.5; p = 0.019), and a lower waist/hip ratio (0.84 ± 0.04 vs 0.88 ± 0.04; p = 0.000). Leptin correlations with anthropometric variables were significant in both sexes, with greater association in females. The association of HOMA-IR with leptin was similar in both sexes.Conclusions: in normal-weight prepubescents aged between 6-10 years, there are sex differences in adiposity and leptin levels not associated with differences in BMI or insulin resistance. The greater association of leptin with adiposity in girls could be related to a high rate of adipogenesis induced by this hormone.","PeriodicalId":46023,"journal":{"name":"Revista Chilena de Pediatria-Chile","volume":"91 6","pages":"924-929"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38885978","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}

引用次数: 2

[Bayesian inference as replication and quantification in clinical research]. [贝叶斯推理在临床研究中的复制和量化]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-12-02 DOI: 10.32641/rchped.vi91i6.3370

Cristian Antony Ramos-Vera

引用次数: 0

[The child with persistent stridor]. [持续喘鸣的孩子]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-12-13 DOI: 10.32641/rchped.vi91i6.2115

Andrés Alvo

引用次数: 1

[Brodie's abscess, a pathology difficult to diagnose]. [布罗迪脓肿，一种难以诊断的病理]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 DOI: 10.32641/rchped.vi91i6.1752

Isadora Silva C, María Jesús Figueroa G, Ismael Cañete C, Felipe Hodgson O, Alejandro Gündel P

{"title":"[Brodie's abscess, a pathology difficult to diagnose].","authors":"Isadora Silva C, María Jesús Figueroa G, Ismael Cañete C, Felipe Hodgson O, Alejandro Gündel P","doi":"10.32641/rchped.vi91i6.1752","DOIUrl":"https://doi.org/10.32641/rchped.vi91i6.1752","url":null,"abstract":"Introduction: Acute osteoarticular infections in children are rare pathologies, therefore early diagnosis and prompt treatment are crucial to avoid acute and long-term complications. Brodie's abscess (BA) is an un common type of subacute osteomyelitis, difficult to diagnose, so clinical suspicion is essential. Ob jective: To describe a case of Brodie's abscess and its etiological and clinical features.Clinical case: A 14-year-old patient was seen at our clinic, who reported a one-month pain in the right thigh, with no history of fever or trauma. Physical examination revealed no volume increase, painful right hip range of motion, and increased sensitivity on superficial palpation of the right iliotibial band. X-rays where normal. Because of the pain persistence, an ultrasound was requested which showed a cortical irregularity. Magnetic resonance imaging (MRI) was performed and revealed a right femoral diaphysis, due to a possible bone tumor or an infectious process. Lab tests were normal. Biopsy and cultures were collected, identifying multi-sensitive Staphylococcus aureus. He was managed with debridement and intravenous antibiotics, responding positively.Conclusions: The BA's clinical features and lab tests are unspecific, therefore the non-specialist physician should strongly suspect this pathology as a possible differential diagnosis in patients who persist with pain and present imaging alterations, even when there are no other symptoms or normal inflammatory parameters. A bone biopsy is essential for the differential diagnosis of tumor pathologies.","PeriodicalId":46023,"journal":{"name":"Revista Chilena de Pediatria-Chile","volume":"91 6","pages":"947-952"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38880583","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}

引用次数: 0

[Recommendation for the recognition, management and follow up of cardiovascular compromise in patients with Pediatric Multisystemic Inflammatory Syndrome associated with COVID-19 (PIMS-CT). Position statement of Chilean Scientific Societies]. [关于COVID-19相关儿童多系统炎症综合征(PIMS-CT)患者心血管损害的识别、管理和随访建议]。智利科学协会的立场声明]。

Revista Chilena de Pediatria-Chile Pub Date : 2020-12-01 Epub Date: 2020-10-08 DOI: 10.32641/rchped.vi91i6.3215

Patricia Álvarez Z, Guillermo Larios G, Lida Toro R, Valeria Acevedo A, Francisca Arancibia G, Luis Cárdenas M, Carlos Fernández C

{"title":"[Recommendation for the recognition, management and follow up of cardiovascular compromise in patients with Pediatric Multisystemic Inflammatory Syndrome associated with COVID-19 (PIMS-CT). Position statement of Chilean Scientific Societies].","authors":"Patricia Álvarez Z, Guillermo Larios G, Lida Toro R, Valeria Acevedo A, Francisca Arancibia G, Luis Cárdenas M, Carlos Fernández C","doi":"10.32641/rchped.vi91i6.3215","DOIUrl":"https://doi.org/10.32641/rchped.vi91i6.3215","url":null,"abstract":"Since the onset of the SARS-CoV-2 pandemic, the pediatric population has been less affected by the disease both in frequency and severity. However, since April cases of variable presentation and severity characterized by inflammatory phenomena that affect multiple organs have been reported, a condition called Multisystem Inflammatory Syndrome in Children (MIS-C). The literature has reported frequent cardiac involvement, up to 80%. This is characterized by myocardial injury with a significant increase of biomarkers such as serum troponins I and T, BNP, or NT-ProBNP coupled with varying degrees of ventricular dysfunction, pericarditis, valvulitis, and arrhythmias. Coronary compromise has also been described, which can occur in up to 23% of cases, and ranges from dila tations to aneurysms. Inpatient and outpatient cardiology follow-up has been systematized based on the clinical phenotypes such as myocardial injury (myocarditis, valvulitis, pericarditis), shock (usua lly vasoplegic), Kawasaki disease-type manifestations, and those MIS-C that do not comply with the clinic of the previous three. This last group represents the main challenge in the short-, medium- and long-term follow-up, therefore, it is necessary a multidisciplinary team for managing these patients. Considering the high frequency of cardiac compromise in MIS-C, and the importance of reaching a consensus regarding its management and follow-up, we present these recommendations according to the current state of knowledge regarding this recently described pathology.","PeriodicalId":46023,"journal":{"name":"Revista Chilena de Pediatria-Chile","volume":"91 6","pages":"982-990"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38880126","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}

引用次数: 2