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An approach to the upper airway evaluation in pediatric persistent obstructive sleep apnea. 儿童持续性阻塞性睡眠呼吸暂停的上呼吸道评估方法。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-11-02 DOI: 10.5546/aap.2023-10117.eng
María V Demarchi, Federico Herranz, Cinthia Pérez, Carlos S López, Carla Pereyra
{"title":"An approach to the upper airway evaluation in pediatric persistent obstructive sleep apnea.","authors":"María V Demarchi, Federico Herranz, Cinthia Pérez, Carlos S López, Carla Pereyra","doi":"10.5546/aap.2023-10117.eng","DOIUrl":"10.5546/aap.2023-10117.eng","url":null,"abstract":"<p><p>In pediatrics, obstructive sleep apnea syndrome (OSAS) is a disorder associated with multiple consequences at the cognitive and behavioral level. The main associated risk factor is the presence of tonsillar hypertrophy and adenoids. An adenotonsillectomy is the first-line treatment. The incidence of persistent OSAS varies from 15% to 75%, depending on comorbidities. This is a challenge in terms of management; it requires a comprehensive approach for an adequate diagnosis and treatment. The objective of this bibliographic review is to propose a diagnostic and therapeutic approach for persistent OSAS.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410365","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
Resistance to integrase inhibitors in children with vertically-transmitted human immunodeficiency virus: First cases in Uruguay. 垂直传播人类免疫缺陷病毒感染儿童对整合酶抑制剂的抗药性：乌拉圭的首例病例。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-06-01 DOI: 10.5546/aap.2023-02992.eng
Ana V González Castro, Verónica Sande, Lorena V Pardo Casaretto, Stella I Gutiérrez Rodríguez
{"title":"Resistance to integrase inhibitors in children with vertically-transmitted human immunodeficiency virus: First cases in Uruguay.","authors":"Ana V González Castro, Verónica Sande, Lorena V Pardo Casaretto, Stella I Gutiérrez Rodríguez","doi":"10.5546/aap.2023-02992.eng","DOIUrl":"10.5546/aap.2023-02992.eng","url":null,"abstract":"<p><p>Antiretroviral (ARV) drug resistance is a public health issue. Resistance has also been observed in the case of integrase strand transfer inhibitors (INSTIs) used in pediatrics. The objective of this article is to describe 3 cases of INSTI resistance. These are the cases of 3 children with vertically-transmitted human immunodeficiency virus (HIV). They were started on ARVs as infants and preschoolers, with poor treatment adherence, and had different management plans due to associated comorbidities and virological failure due to resistance. In the 3 cases, resistance developed rapidly as a result of virological failure and INSTI involvement. Treatment adherence should be monitored so that any increase in viremia can be detected early. Virological failure in a patient treated with raltegravir forces to a rapid change in ARV therapy because its continued use may favor new mutations and resistance to second-generation INSTIs.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859888","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
Assessment of children's physical fitness and school health in the province of San Luis, Argentina. 阿根廷圣路易斯省儿童体质和学校健康评估。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-08-17 DOI: 10.5546/aap.2022-02975.eng
Damián E Aimar, Alicia Bañuelos, Juliana Menéndez, Yamir de Las Mercedes García López, Karim A Neme, María B Magallanes, Gastón C García
{"title":"Assessment of children's physical fitness and school health in the province of San Luis, Argentina.","authors":"Damián E Aimar, Alicia Bañuelos, Juliana Menéndez, Yamir de Las Mercedes García López, Karim A Neme, María B Magallanes, Gastón C García","doi":"10.5546/aap.2022-02975.eng","DOIUrl":"10.5546/aap.2022-02975.eng","url":null,"abstract":"<p><p>Introduction. The assessment of physical fitness (PF), is useful strategy to know the current status of schoolchildren. Our primary objective was to measure the current health status and PF levels of schoolchildren in San Luis and to develop PF reference tables. Population and methods. Schoolchildren aged 9 to 12 years (boys and girls) were assessed based on 2 health indicators: body mass index and blood pressure. PF was measured using the ALPHA-Fitness test battery. Blood pressure, body mass, height, foot and hand length, standing long jump, 30 m sprint, 4 × 10 m agility test, and 20 m shuttle run test were assessed. The body mass index (BMI) and biological maturation were estimated. Results. A total of 15 548 schoolchildren were assessed. Average systolic blood pressure was 101 ± 10 mmHg and diastolic blood pressure, 66 ± 7 mmHg; BMI: 20.2 ± 4.3 kg/m 2 . Average PF was, in the cardiorespiratory component, VO2 max.: 39.87 ± 3.2 mL/kg/min and speed reached during the 20 m shuttle run test: 8.9 ± 0.6 km/h; in the musculoskeletal component, standing long jump: 120.6 ± 23.9 cm, 30 m sprint: 6.56 ± 0.85 s, 4 × 10 m agility test: 15.17 ± 1.82 s. The performance was better in the boys group (p < 0.001). Conclusion. Blood pressure was normal. Fifty percent of the sample was overweight or obese as per their BMI. Both boys and girls showed low PF levels. PF reference tables for schoolchildren from San Luis were developed for the first time.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9982059","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
Evaluación de la usabilidad de la teleconsulta durante la pandemia por COVID-19 en un hospital pediátrico 评估一家儿科医院在 COVID-19 大流行期间远程会诊的可用性
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 DOI: 10.5546/aap.2023-10163
Comunicación Breve, Romina Ledesma, P. Domínguez, Emiliano Gigliotti, M. E. Ibarra
{"title":"Evaluación de la usabilidad de la teleconsulta durante la pandemia por COVID-19 en un hospital pediátrico","authors":"Comunicación Breve, Romina Ledesma, P. Domínguez, Emiliano Gigliotti, M. E. Ibarra","doi":"10.5546/aap.2023-10163","DOIUrl":"https://doi.org/10.5546/aap.2023-10163","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139686342","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
Prevalence of osteopenia of prematurity before and after implementing an early strategy with the use of calcium and phosphate. 使用钙和磷酸盐的早期策略实施前后早产儿骨质疏松的患病率。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-08-17 DOI: 10.5546/aap.2023-03001.eng
Maria P Carrascal Gutiérrez, María C Janis, Pablo H Brener Dik, María F Galletti, Gonzalo L Mariani
{"title":"Prevalence of osteopenia of prematurity before and after implementing an early strategy with the use of calcium and phosphate.","authors":"Maria P Carrascal Gutiérrez, María C Janis, Pablo H Brener Dik, María F Galletti, Gonzalo L Mariani","doi":"10.5546/aap.2023-03001.eng","DOIUrl":"10.5546/aap.2023-03001.eng","url":null,"abstract":"<p><p>Introduction. With the use of aggressive parenteral nutrition in very low birth weight infants, alterations in calcium and phosphate metabolism were detected. In 2016, a prevention strategy was implemented through calcium phosphate monitoring and early supplementation. Our objective was to study whether this strategy reduces the prevalence of osteopenia and to identify associated risk factors. Population and methods. Quasi-experiment comparing the prevalence of osteopenia between two groups: one after implementing the calcium phosphate monitoring and supplementation strategy (01/01/2017-12/31/2019) and another prior to such intervention (01/01/2013-12/31/2015). Results. A total of 226 patients were included: 133 in the pre-intervention period and 93 in the post-intervention period. The overall prevalence of osteopenia was 26.1% (95% CI: 20.5-32.3) and it was reduced from 29.3% (95% CI: 21.7-37.8) in the pre-intervention period to 21.5% (95% CI: 13.6-31.2) in the post-intervention period, with no statistical significance (p = 0.19). In the multivariate analysis, the NEOCOSUR score for risk of death at birth, use of postnatal corticosteroids, and the intervention period were independently associated with osteopenia. Being born after the intervention reduced the probability of alkaline phosphatase > 500 IU/L by 71%, regardless of the other variables included in the model. Conclusion. Calcium phosphate monitoring and early supplementation is a protective factor against the development of osteopenia in very low birth weight infants.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988474","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
Pylephlebitis in pediatrics: A diagnostic challenge. 儿科静脉炎：诊断难题。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-06-01 DOI: 10.5546/aap.2022-02934.eng
Dolores Artese, Juana I Romero, Natalia P Álvarez, Guillermo N Ledo, Mariano N Lorenzo, Melina Perdiz, María V Cohen
{"title":"Pylephlebitis in pediatrics: A diagnostic challenge.","authors":"Dolores Artese, Juana I Romero, Natalia P Álvarez, Guillermo N Ledo, Mariano N Lorenzo, Melina Perdiz, María V Cohen","doi":"10.5546/aap.2022-02934.eng","DOIUrl":"10.5546/aap.2022-02934.eng","url":null,"abstract":"<p><p>Pylephlebitis is defined as suppurative thrombosis of the portal vein as a complication of abdominal infections. In pediatrics, the most frequent etiology is appendicitis, generally of late diagnosis, presenting as sepsis, with a high mortality rate. Imaging methods are necessary for diagnosis; the most common are the Doppler ultrasound and computed tomography angiography. Treatment is based on surgery, antibiotic therapy, and anticoagulation. The indication for the latter is controversial, but it may improve prognosis and decrease morbidity and mortality. Here we describe a clinical case of pylephlebitis secondary to Escherichia coli sepsis, which started as acute appendicitis in a pediatric patient who progressed to cavernomatous transformation of the portal vein. It is important to know the management of this disease because, once the initial symptoms are overcome, it will require close follow-up due to a potential progression to liver failure.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859438","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
Do the WHO head circumference standards underestimate microcephaly? 世界卫生组织的头围标准是否低估了小头畸形？
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-08-10 DOI: 10.5546/aap.2023-10127.eng
Mariana Del Pino
{"title":"Do the WHO head circumference standards underestimate microcephaly?","authors":"Mariana Del Pino","doi":"10.5546/aap.2023-10127.eng","DOIUrl":"10.5546/aap.2023-10127.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308818","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
The metaverse in the world of health: The present future. Challenges and opportunities. 健康世界中的元世界：当前的未来。挑战与机遇。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-05-18 DOI: 10.5546/aap.2022-02942.eng
Joia Nuñez, Laura Krynski, Paula Otero
{"title":"The metaverse in the world of health: The present future. Challenges and opportunities.","authors":"Joia Nuñez, Laura Krynski, Paula Otero","doi":"10.5546/aap.2022-02942.eng","DOIUrl":"10.5546/aap.2022-02942.eng","url":null,"abstract":"<p><p>The World Health Organization has defined \"digital health\" as the use of information and communication technologies to improve health. In recent years, there has been a strong acceleration in the adoption of these digital tools, which has had a major impact on traditional healthcare models. We are currently witnessing the emergence of a large immersive virtual environment called the \"metaverse.\" Its emergence creates new and challenging opportunities in health care. This article explores some metaverse-related concepts, provides specific examples of its use in pediatrics, describes experiences in the hospital setting, and finally delves into the resulting challenges and opportunities.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9799411","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
Prenatal and postnatal exposure to tobacco smoke, nicotine, alcohol, marijuana, opioids, and illegal drugs. 产前和产后接触烟草烟雾、尼古丁、酒精、大麻、阿片类药物和非法药物。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-08-03 DOI: 10.5546/aap.2023-10121.eng
Damián L Taire
{"title":"Prenatal and postnatal exposure to tobacco smoke, nicotine, alcohol, marijuana, opioids, and illegal drugs.","authors":"Damián L Taire","doi":"10.5546/aap.2023-10121.eng","DOIUrl":"10.5546/aap.2023-10121.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871383","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
Assessment of the usability of teleconsultations during the COVID-19 pandemic at a children's hospital. COVID-19大流行期间儿童医院远程会诊的可用性评估
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-02-01 Epub Date: 2023-12-07 DOI: 10.5546/aap.2023-10163.eng
Agustina Del R Sbruzzi, Romina Ledesma, Pablo Domínguez, Emiliano Gigliotti, Mariano E Ibarra
{"title":"Assessment of the usability of teleconsultations during the COVID-19 pandemic at a children's hospital.","authors":"Agustina Del R Sbruzzi, Romina Ledesma, Pablo Domínguez, Emiliano Gigliotti, Mariano E Ibarra","doi":"10.5546/aap.2023-10163.eng","DOIUrl":"10.5546/aap.2023-10163.eng","url":null,"abstract":"<p><p>Introduction. Usability in a telemedicine system directly affects the efficiency and effectiveness of remote health care. Objective. To assess the usability of teleconsultations during the COVID-19 pandemic. Population and method. This was a cross-sectional study. The caregivers of children aged 1 month to 12 years were included. Usability was assessed with the Telehealth Usability Questionnaire, adapted to Spanish. Socioeconomic data were also assessed. Results. The response rate was 70.2% (n = 221). Most responders were women whose average age was 33 years, had completed secondary education and had public health insurance. Of them, 87.8% selected telephone health care and 88.2% had their first teleconsultation. The overall satisfaction was high, with lower scores for ease of use and learning how to use video calls. Conclusion. Regardless of modality, the usability of teleconsultations by caregivers of children aged 1 month to 12 years was adequate.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138450733","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
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