Archivos argentinos de pediatria最新文献_第10页

Childhood obesity and sugar-sweetened beverages in Río Negro: Burden of disease and expected impact of Law no. 27642 on the Promotion of Healthy Eating. 里奥内格罗的儿童肥胖症和含糖饮料：疾病负担和关于促进健康饮食的第 27642 号法律的预期影响。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-02 Epub Date: 2024-07-04 DOI: 10.5546/aap.2023-10109.eng

Germán Guaresti, Marcos Clausen, Natalia Espínola, Andrea Graciano, Leila Guarnieri, Lucas Perelli, Andrea Alcaraz

{"title":"Childhood obesity and sugar-sweetened beverages in Río Negro: Burden of disease and expected impact of Law no. 27642 on the Promotion of Healthy Eating.","authors":"Germán Guaresti, Marcos Clausen, Natalia Espínola, Andrea Graciano, Leila Guarnieri, Lucas Perelli, Andrea Alcaraz","doi":"10.5546/aap.2023-10109.eng","DOIUrl":"10.5546/aap.2023-10109.eng","url":null,"abstract":"Introduction. The highest levels of childhood overweight and obesity in Latin America correspond to Argentina; this condition increases the risk of obesity, type 2 diabetes, cardiovascular and cerebrovascular diseases, and other conditions in adulthood. More than 25% of childhood and adolescent obesity are attributable to the consumption of sugar-sweetened beverages (SSBs). Our objective was to assess the disease and financial burden of SSB consumption among children and adolescents in Río Negro, the morbidity and mortality in adulthood, and the impact of reducing sugar consumption via the implementation of Law no. 27642 on the Promotion of Healthy Eating. Population and methods. We used a mathematical simulation model with a comparative risk assessment approach in the Río Negro population aged 0 to 17 years. The burden of obesity attributable to SSB consumption in the short and long term and direct medical costs were assessed. Results. The average consumption of SSBs was 348 mL/day; the prevalence of overweight and obesity was 16.6% and 11.6%, respectively. There were over 6600 cases of overweight in children and adolescents; while in adulthood, there were over 17 500 cases of overweight, 34 deaths attributable to SSBs, 3200 cases of diabetes, and over 4230 other health events. Direct medical costs were estimated at ARS 250 000 000 attributable to SSB consumption. Conclusion. The implementation of a comprehensive policy as established by Law no. 27642 on the Promotion of Healthy Eating in Río Negro would decrease 24% of overweight cases, morbidity, mortality, and associated medical costs.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310109"},"PeriodicalIF":0.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of positive indicators in official statistics of child health. 在官方儿童健康统计中使用积极指标。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-05-30 DOI: 10.5546/aap.2024-10394.eng

Horacio Lejarraga, Diana Kelmansky

引用次数: 0

Characterization of a cohort of patients with hypercalcemia in a tertiary pediatric hospital. 一家三级儿科医院高钙血症患者群体的特征。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI: 10.5546/aap.2024-10388.eng

Ana Feller, Mariana Aziz, Silvia Gil, Marta Ciaccio, Elisa Vaiani, Gisela Viterbo

{"title":"Characterization of a cohort of patients with hypercalcemia in a tertiary pediatric hospital.","authors":"Ana Feller, Mariana Aziz, Silvia Gil, Marta Ciaccio, Elisa Vaiani, Gisela Viterbo","doi":"10.5546/aap.2024-10388.eng","DOIUrl":"10.5546/aap.2024-10388.eng","url":null,"abstract":"Introduction. Hypercalcemia is infrequent in pediatrics, of diverse etiology, and with multiorgan morbidity. Objective. Describe the etiology, biochemistry, clinical, and treatment in pediatric patients with hypercalcemia. Population and methods. Retrospective and descriptive study of a cohort of patients with hypercalcemia between 2008 and 2022. They were classified into three groups (G): hypercalcemia of iatrogenic cause (G1), parathyroid hormone (PTH) independent (G2), or PTH-dependent (G3). Results. One hundred forty-seven patients were included; 57% were male, with a median age of 3.7 years, median calcemia of 11.8 mg/dl, and mean phosphatemia of 4.9 mg/dl. Symptoms were present in 29% of patients, and 28.6% required additional treatments to those of the first line. In G1, 76 patients (51.7%) were included; in G2, 58 (39.4%), and in G3, 13 (8.8%). Median calcemia was lower in G1 vs. G2 and G3 (11.6 mg/dl, 12.6 mg/dl, and 12.3 mg/dl), and mean phosphatemia was lower in G3 vs. G1 and G2 (3.7 mg/dl, 5.3 mg/dl, and 4.9 mg/dl). Most of the patients with hypercalcemia were asymptomatic and did not require additional treatments. The percentage of symptomatic patients and the percentage requiring additional treatment were lower in G1 than in the other two groups. Conclusions. Iatrogenesis was the most frequent cause, presenting lower calcemia, while PTH-dependent causes presented the lowest phosphatemia. PTH-independent causes represented a diagnostic and therapeutic challenge due to lacking a characteristic biochemical profile.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410388"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological characteristics of pediatric patients with COVID-19 in General Cabrera, Córdoba, Argentina, across 3 periods of the pandemic. 阿根廷科尔多瓦卡夫雷拉将军城的 COVID-19 儿科患者在大流行病三个时期的流行病学特征。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-07-04 DOI: 10.5546/aap.2024-10319.eng

Maria J Rosso, Graciela F Scruzzi

引用次数: 0

Three-step clinical simulation model: An initiative to guide its implementation. 三步临床模拟模型：指导其实施的倡议。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-06-13 DOI: 10.5546/aap.2024-10343.eng

Dolores Latugaye, Carolina M Astoul Bonorino, Florencia Sánchez, Carola M Capelli

引用次数: 0

Post-infectious pityriasis rubra pilaris in pediatric patients. 儿童患者感染后的红斑狼疮。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI: 10.5546/aap.2024-10339.eng

Javier Arellano, Catalina Melehuechun

引用次数: 0

Subjective body-related experiences, and perception of the interventions and empathy of the healthcare team in adolescents with overweight. 超重青少年与身体有关的主观体验，以及对医疗团队的干预和同情的感知。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI: 10.5546/aap.2024-10360.eng

Ailin Retamar, Jimena Tello

{"title":"Subjective body-related experiences, and perception of the interventions and empathy of the healthcare team in adolescents with overweight.","authors":"Ailin Retamar, Jimena Tello","doi":"10.5546/aap.2024-10360.eng","DOIUrl":"10.5546/aap.2024-10360.eng","url":null,"abstract":"Introduction. Overweight adolescents are confronted daily with stereotypes that condition their body image, self-esteem, and mood. Objectives. To describe, in adolescents with overweight, the subjective experiences related to the body in daily life and their perceptions regarding the interventions and empathy of the health team. Population and methods. Descriptive study with qualitative approach. Semi-structured interviews were conducted with adolescents aged 11 to 18 years with selfreported mass index (BMI) ≥ 26 and referring to medical or nutritional follow-up for overweight, attended at the Adolescence Service of a hospital in the Autonomous City of Buenos Aires, between October 1, 2021, and May 31, 2022. Results. Twenty adolescents were evaluated, with a median age of 13.5 years, most of them from female sex (16/20). All reported body dissatisfaction from an early age (median age: 10 years old). They mention difficulty dressing due to the lack of different sizes; they even limit sports practice. They suffered weight- related body humiliation at school, in the family, or public (15/20). They perceived weight control in a dual way: weight loss was the primary stimulus for treatment, but its centrality in the consultations generated discomfort. The leading causes of therapeutic abandonment were the impossibility of temporarily sustaining the recommendations and the lack of weight loss. The treating team was willing to listen to the patients but needed to understand their daily experiences, physical, material, esthetic, social conditioning, beliefs, and perceptions. Conclusion. The adolescents included in this study perceived specific interventions of the healthcare team as beneficial, with empathic deficiencies.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410360"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between prolonged vancomycin infusion and trough concentrations in children. Retrospective study. 儿童长期输注万古霉素与谷浓度之间的关系。回顾性研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-06-06 DOI: 10.5546/aap.2023-10236.eng

Jiru Li, Yueniu Zhu, Xiaodong Zhu, Xiangmei Kong

{"title":"Association between prolonged vancomycin infusion and trough concentrations in children. Retrospective study.","authors":"Jiru Li, Yueniu Zhu, Xiaodong Zhu, Xiangmei Kong","doi":"10.5546/aap.2023-10236.eng","DOIUrl":"10.5546/aap.2023-10236.eng","url":null,"abstract":"Introduction: This study investigated the serum concentration of vancomycin during prolonged infusion in children. Population and methods: This retrospective cohort study included pediatric patients who received vancomycin from June 2017 to June 2020 at a tertiary referral hospital. The patients were divided into two groups according to infusion strategy, the SII (standard intermittent infusion) group and the PI (prolonged infusion) group. Demographic details, infusion period, serum creatinine, duration of vancomycin therapy, trough concentration of vancomycin, and pediatric intensive care unit stay were reviewed. Differences of the concentrations were measured. Results: Sixty-eight patients were included: 31 in the SII group and 37 in the PI group. The trough concentration of vancomycin was significantly higher in the PI group than in SII group (11.2 mg/L [5.9-13.7] vs. 7 mg/L [3.5- 9.3]; p = 0.02). The target attainment rate was higher in the PI group than in the SII group (59.4% and 19.3%, respectively; p = 0.001). There were no significant differences between the SII and PI groups regarding the peak concentrations of vancomycin, final creatinine and peak creatinine. There were no differences between the SII and PI groups regarding the failure events, PICU stay and duration of vancomycin therapy. The multivariable analysis showed that PI was significantly associated with higher trough serum concentrations of vancomycin (OR = 2.27; p = 0.005). Conclusion: Compared to the SII strategy, the PI strategy may be an optimized option to children with severe infection, as it can achieve higher trough concentrations and target concentration attainment.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310236"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Argentine and World Health Organization head circumference standards: A comparison study. 阿根廷和世界卫生组织的头围标准：比较研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.5546/aap.2023-10270.eng

Mariana Del Pino, Sofía Chiaramonte, Alicia B Orden

{"title":"Argentine and World Health Organization head circumference standards: A comparison study.","authors":"Mariana Del Pino, Sofía Chiaramonte, Alicia B Orden","doi":"10.5546/aap.2023-10270.eng","DOIUrl":"10.5546/aap.2023-10270.eng","url":null,"abstract":"Introduction. Several studies have shown population differences in head circumference (HC) that question the universal validity of the World Health Organization (WHO) standard to assess head growth. Objectives. To compare the Argentine reference charts for HC from 0 to 5 years of age with the WHO standards. Population and methods. The 3rd and 97th percentiles for HC based on the Argentine reference charts were compared with the corresponding WHO standard and the percentage of children classified as having microcephaly (HC < 3rd percentile of the WHO) and macrocephaly (HC > 97th percentile of the WHO) at specific ages between 0 and 5 years were estimated. Results. The comparison of the Argentine reference charts with the WHO standards shows that, in both males and females, at the 3rd percentile, the Argentine reference charts are below the WHO standards from 1 to 6 months of age, similar from 9 to 18 months of age, and then above until 60 months old. In relation to the 97th percentile, the Argentine reference charts are above the WHO standards from birth to 60 months in both boys and girls. Conclusions. The head size of Argentine children is different from that established by the WHO standards. The adoption of the WHO standards for our population increases the percentage of macrocephaly diagnosis at all ages.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310270"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-cultural adaptation and validation of Work Productivity and Activity Impairment questionnaires for caregivers of patients with pediatric inflammatory bowel disease in Spain. A multicenter study. 针对西班牙小儿炎症性肠病患者护理人员的工作效率和活动障碍问卷的跨文化适应性和验证。一项多中心研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.5546/aap.2024-10329.eng

Marta Velasco Rodríguez-Belvís, Laura Palomino, Gemma Pujol-Muncunill, Rafael Martin-Masot, Josefa Barrio Torres, Víctor M Navas-López, Javier Martín de Carpi

{"title":"Cross-cultural adaptation and validation of Work Productivity and Activity Impairment questionnaires for caregivers of patients with pediatric inflammatory bowel disease in Spain. A multicenter study.","authors":"Marta Velasco Rodríguez-Belvís, Laura Palomino, Gemma Pujol-Muncunill, Rafael Martin-Masot, Josefa Barrio Torres, Víctor M Navas-López, Javier Martín de Carpi","doi":"10.5546/aap.2024-10329.eng","DOIUrl":"10.5546/aap.2024-10329.eng","url":null,"abstract":"Introduction. The WPAI-UC/CD-Caregiver questionnaires assess the impact of ulcerative colitis (UC) or Crohn's disease (CD) on parents'/caregivers' work life and daily activities. Our objective was to adapt and validate these questionnaires in the Spanish population. Methods. A translation and back-translation were done. The document was assessed by an expert committee and a pilot group of families of patients with pediatric inflammatory bowel disease (p-IBD). For validation, the parents/caregivers of patients with p-IBD (10-18 years old) were recruited. The expert committee and the pilot group conducted a subjective assessment of the format and time necessary to complete the questionnaires. Cronbach's alpha coefficient was estimated and a factor analysis with varimax rotation was done. Kaiser- Meyer-Olkin (KMO) coefficients and Bartlett's sphericity test were estimated to test the adequacy of the factor analysis. Results. A total of 370 patients (median age: 14.1 years) and 263 parents/caregivers of patients with UC or unclassified IBD and 261 parents/caregivers of patients with CD were included. The KMO coefficients (0.6947 and 0.7179) and Bartlett's sphericity test (p < 0.001) confirmed the adequacy of the factor analysis. The 6 items targeted the same domain. The factor model accounted for 99.99% and 94.68% of variance, and Cronbach's alpha coefficients (0.6581 and 0.6968) showed an adequate consistency. The format and the median time of 2 minutes to complete the questionnaires were considered optimal. Conclusions. The versions of the WPAI-Caregiver questionnaires validated in the Spanish population may be used in families whose children have IBD.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410329"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0