Archivos argentinos de pediatria最新文献_第2页

Impact of meconium-stained amniotic fluid from birth to childhood: Adverse or protective effects? 羊水粪染色从出生到儿童期的影响：不利影响还是保护作用？

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-22 DOI: 10.5546/aap.2025-10742.eng

Norma E Rossato, Néstor E Vain

引用次数: 0

Predictors of spontaneous resolution of prenatally detected primary non-refluxing megaureter: A retrospective cohort study. 产前检测原发性非回流计自发消退的预测因素：一项回顾性队列研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-22 DOI: 10.5546/aap.2024-10583.eng

Laura Alconcher, Lucas Lucarelli, Sabrina Bronfen, Fernanda Villarreal, Marcela Tombesi

{"title":"Predictors of spontaneous resolution of prenatally detected primary non-refluxing megaureter: A retrospective cohort study.","authors":"Laura Alconcher, Lucas Lucarelli, Sabrina Bronfen, Fernanda Villarreal, Marcela Tombesi","doi":"10.5546/aap.2024-10583.eng","DOIUrl":"10.5546/aap.2024-10583.eng","url":null,"abstract":"Introduction. Obstetric ultrasonography increased the detection of primary megaureters (PM); the most common type is non-refluxing, with a tendency to spontaneous resolution. Objectives. To determine predictors and time to spontaneous resolution and incidence of urinary tract infection (UTI) with and without antibiotic prophylaxis (AP). Population and methods. Retrospective cohort. The PM was defined as an anteroposterior diameter (APD) of the retrovesical ureter ≥7 mm, with or without pelvic dilatation (≥10 mm), at the first postnatal ultrasound. Spontaneous resolution was the absence of dilatation or a ureter APD <7 mm and pelvis <10 mm. Results. Seventy patients presented with PM, 15 bilateral. Of the 85 PM, 53 (62%) resolved spontaneously. In these patients, the ureter and pelvic APD at the first postnatal ultrasound were lower than those requiring surgery (p = 0.0001). A ureteral APD ≥10 mm and pelvic APD ≥15 mm increased the risk of surgery 2.63 and 4.57 times, respectively. The median time to spontaneous resolution was 6 and 33 months for ureters with APD < or ≥10 mm (p = 0.009) respectively. The incidence of UTI in the first year was 0.21. There were 7/22 children with AP and 7/44 without AP. Conclusion. Two-thirds of the MPs resolved spontaneously in a median of 6 months, with ureter and pelvic APD at birth being predictors. The incidence of UTI was 0.21; it was more frequent in more dilated ureters.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410583"},"PeriodicalIF":0.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109461","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

Concurrent validity and reliability of the Pediatric Postural Balance Scale in Chilean preschool and school-aged children with typical development. 儿童姿势平衡量表在智利典型发育学龄前和学龄儿童中的并发效度和信度。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-15 DOI: 10.5546/aap.2024-10276.eng

Stephanie Vanneste-Fierro, Mauricio Barramuño, Omar Andrade-Mayorga, Pamela Lavados-Romo

{"title":"Concurrent validity and reliability of the Pediatric Postural Balance Scale in Chilean preschool and school-aged children with typical development.","authors":"Stephanie Vanneste-Fierro, Mauricio Barramuño, Omar Andrade-Mayorga, Pamela Lavados-Romo","doi":"10.5546/aap.2024-10276.eng","DOIUrl":"10.5546/aap.2024-10276.eng","url":null,"abstract":"Introduction. The pediatric postural balance scale (PBS) is a valuable clinical tool for assessing postural balance in preschool and school-aged children with typical or atypical development. Objective. To assess the PBS's concurrent validity and inter-rater reliability in Chilean preschoolers and schoolchildren with typical development. Population and methods. Two hundred and three preschool and school children aged 4 to 11 (7.6 ± 2.1 years, 56.2% males) from public and private schools participated in a cross-sectional validation study. Postural balance was evaluated with PBS and postural oscillography, considering maximum lateral velocity (MLV), maximum anteroposterior velocity (MAPV), mean total velocity (MTV), mean radius (MR), and center of pressure area (COP area). Anthropometric parameters and socioeconomic level were measured. Results. The inter-rater reliability for the PBS with the intraclass correlation coefficient was 0.99 (95%CI: 0.990-0.997). There were weak inverse correlations between PBS total score and oscillography (MLV, MAPV, MTV, MR, and COP area) in the 4- to 6-year age group, standing out the correlations of mean radius (rho: -0.36; p 0.002) and COP area (Rho: -0.37; p 0.001). Conclusion. These results suggest that the PBS provides a very strong inter-rater reliability and a weak inverse correlation between the PBS total score and postural oscillography measures in the 4- to 6-yearold age group. Therefore, using PBS is recommended primarily in preschoolers and school children between 4 and 6 years of age.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410276"},"PeriodicalIF":0.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952738","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

"Are Your Kidneys Ok?" “你的肾脏还好吗？”

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-15 DOI: 10.5546/aap.2025-10707.eng

Sandra Martin

引用次数: 0

[Challenges in the evaluation of patients with inborn errors of immunity following the implementation of the 20-valent pneumococcal conjugate vaccine]. [20价肺炎球菌结合疫苗实施后先天性免疫错误患者评估中的挑战]。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-15 DOI: 10.5546/aap.2024-10632

Diana Cabanillas, María N Tahuil, Carolina Bouso, Astrid Schellnast Faure, Gabriela Belardinelli, Laura Del Pino, Celeste Ballester, Ileana Moreira, Laura Sasia, Elma Nievas, Lucía Tarquini, Luz Martin, Lucía Caputi, Denise Menard, Agostina Llarens, Lucía Peirano, Luciano Urdinez, Ignacio Uriarte, Daniela Di Giovanni, Andrea Gómez Raccio, Victor Skrie, Miguel Galicchio, Julio C Orellana, Lorena Regairaz, Diana Liberatore, Mariana Villa

{"title":"[Challenges in the evaluation of patients with inborn errors of immunity following the implementation of the 20-valent pneumococcal conjugate vaccine].","authors":"Diana Cabanillas, María N Tahuil, Carolina Bouso, Astrid Schellnast Faure, Gabriela Belardinelli, Laura Del Pino, Celeste Ballester, Ileana Moreira, Laura Sasia, Elma Nievas, Lucía Tarquini, Luz Martin, Lucía Caputi, Denise Menard, Agostina Llarens, Lucía Peirano, Luciano Urdinez, Ignacio Uriarte, Daniela Di Giovanni, Andrea Gómez Raccio, Victor Skrie, Miguel Galicchio, Julio C Orellana, Lorena Regairaz, Diana Liberatore, Mariana Villa","doi":"10.5546/aap.2024-10632","DOIUrl":"https://doi.org/10.5546/aap.2024-10632","url":null,"abstract":"The advent of the 20-valent pneumococcal conjugate vaccine (PCV20) in Argentina is a tool to optimize the prevention of invasive pneumococcal disease. Nonetheless, this new vaccine has complicated the diagnosis of selective antibody deficiency (SAD), an inborn error of immunity characterized by an inadequate response to the polysaccharide antigens present in the 23-valent pneumococcal polysaccharide vaccine (PPSV23). The withdrawal of PPSV23 and the introduction of PCV20 hinder the evaluation of polysaccharide responses, given that PCV20 induces a T-dependent immune response. This review examines the current diagnostic criteria for SAD and the limitations of available diagnostic tests in the context of these vaccine changes. Alternative strategies for measuring polysaccharide antibodies are discussed, and the need to maintain PPSV23 availability for a specific patient cohort is emphasized.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410632"},"PeriodicalIF":0.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975478","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

Identification of healthcare visits due to respiratory syncytial virus infection in electronic medical records. 电子医疗记录中因呼吸道合胞病毒感染而就诊的识别。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-15 DOI: 10.5546/aap.2024-10618.eng

Fernando Torres, Paula González Pannia, Manuel Rodríguez Tablado, María L Guerrero Giménez, María F Ossorio, Florencia Lucion, María N Pejito, Fernando Ferrero, Ángela Gentile

{"title":"Identification of healthcare visits due to respiratory syncytial virus infection in electronic medical records.","authors":"Fernando Torres, Paula González Pannia, Manuel Rodríguez Tablado, María L Guerrero Giménez, María F Ossorio, Florencia Lucion, María N Pejito, Fernando Ferrero, Ángela Gentile","doi":"10.5546/aap.2024-10618.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10618.eng","url":null,"abstract":"Introduction. Acute lower respiratory infections (ALRI) due to respiratory syncytial virus (RSV) are a significant cause of disease. Most of them are treated outpatient without etiological investigation, making it difficult to estimate the disease burden. In 2020, an algorithm was developed to identify consultations for ALRI in electronic health records. We evaluated the algorithm's behavior in patients with RSV ALRI. Methods. The cross-sectional study included children under 5 years of age who consulted for ALRI with viral screening. The algorithm was applied to their health records, calculating diagnostic capacity to identify RSV ALRI. Results. We included 133 patients (age 4.9 ± 4.1 years). RSV was identified in 21.8%. The algorithm identified ALRI in 33.8% (95%CI: 26.3-42.2) and showed a limited ability to identify RSV infection (sensitivity: 55.2%, specificity: 72.1%). Conclusion. An algorithm for identifying ALRI consultations in electronic health records does not adequately distinguish those caused by RSV.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410618"},"PeriodicalIF":0.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960825","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

Relationship of the Sociedad Argentina de Pediatría with the pharmaceutical industry and the producers of breastmilk substitutes. 阿根廷社会Pediatría与制药业和母乳代用品生产商的关系。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-15 DOI: 10.5546/aap.2025-10703.eng

Omar Tabacco

引用次数: 0

Starting over. 重新开始。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-08 DOI: 10.5546/aap.2025-10700.eng

Ernesto Alda

引用次数: 0

Comparative analysis of nasal and lung function in nonasthmatic children and adolescents with chronic rhinitis. 非哮喘儿童与青少年慢性鼻炎患者鼻肺功能的比较分析。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-08 DOI: 10.5546/aap.2024-10601.eng

Ricardo J Saranz, Mariana Sacco Ramello, Selene Pury, Natalia A Lozano, Pilar Visconti, Graciela Alegre, Eugenia Cóncari, Laura V Sasia, Alejandro Lozano

{"title":"Comparative analysis of nasal and lung function in nonasthmatic children and adolescents with chronic rhinitis.","authors":"Ricardo J Saranz, Mariana Sacco Ramello, Selene Pury, Natalia A Lozano, Pilar Visconti, Graciela Alegre, Eugenia Cóncari, Laura V Sasia, Alejandro Lozano","doi":"10.5546/aap.2024-10601.eng","DOIUrl":"10.5546/aap.2024-10601.eng","url":null,"abstract":"Introduction. Nasal obstruction (NO) is a cardinal chronic rhinitis (CR) symptom. There is a relationship between the degree of NO and bronchial obstruction in patients with rhinitis and asthma, an event not studied in individuals with rhinitis and without asthma. Objectives. To investigate the correlation between nasal and pulmonary function in children and adolescents with chronic allergic rhinitis (AR) and non-allergic rhinitis (NAR) without asthma and the correspondence between eosinophils in nasal secretion (NSEos) and nasal and pulmonary function in AR. Population and methods. Patients with AR and NAR, without asthma, were included. Nasal function was assessed peak nasal inspiratory flow (PNIF z-score) and pulmonary function by spirometry (z-score). NSEos counts were performed in patients with AR. Pearson's and Spearman's tests were used to evaluate the correlation between variables. A p <0.05 was considered significant. Results. Seventy-seven patients (females n = 37) between 7 and 16 years of age were included. A positive correlation was found between PNIF with FEF25-75% and FEV1 in the total sample of patients (r = 0.304; p = 0.007) (r = 0.293; p = 0.009) and the subgroup with AR (r = 0.351; p = 0.005) (r = 0.294; p = 0.020), respectively. In 40 patients with AR, no correlation was found between NSEos (%) and PNIF (r = -0.120; p = 0.462) nor with FEF25-75% (r = -0.157; p = 0.340) or FEV1 (r = 0.107; p= 0.511). Conclusion. In children and adolescents with CR without asthma, PNIF correlated with FEF 25-75% and FEV1, with greater strength in the AR subgroup. Still, no correlation was obtained between NSEos and nasal and pulmonary function.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410601"},"PeriodicalIF":0.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967215","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

Complexity of healthcare needs of children and adolescents with complex chronic illnesses and primary caregiver burden. 患有复杂慢性疾病的儿童和青少年的医疗保健需求的复杂性和主要照顾者的负担。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-05-08 DOI: 10.5546/aap.2024-10348.eng

María S Camardelli, Liliana Campmany, Erica Hammermuller, Paula Arighi

{"title":"Complexity of healthcare needs of children and adolescents with complex chronic illnesses and primary caregiver burden.","authors":"María S Camardelli, Liliana Campmany, Erica Hammermuller, Paula Arighi","doi":"10.5546/aap.2024-10348.eng","DOIUrl":"10.5546/aap.2024-10348.eng","url":null,"abstract":"Introduction. Assessing the complexity of health needs (CN) and frailty (F) in children and adolescents with complex clinical conditions (CCC) who are attended at a tertiary-level hospital enables their care to be optimized. Recognizing the overload of caregivers enables the improvement of family accompaniment. Objectives. To determine the proportion of patients with CCC in the Clinical Follow-up Clinic (CFC), evaluate their CN and F, and analyze their caregivers' overload, establishing their relationship with CN and F. Population and methods. A prospective observational study in children under 18 years of age with at least one year of follow-up in a third-level pediatric hospital, attended at the CFC between January and March of 2023. They were classified according to CN and F, and the Zarit scale was applied to their caregivers. Results. Of the 220 patients seen, 181 (82%) had CCC. A total of 158 (87%) patients were evaluated, comprising 77.8% with low-complexity CN and 76.6% with high frailty. Of the caregivers, 54.4% presented overload, associated with lack of social support, need for rehabilitation, age over 45, and use of noninvasive monitoring. Conclusions. Most patients present CCC with CN of low-medium complexity and high frailty. More than half of caregivers experience burnout or overload.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410348"},"PeriodicalIF":0.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952829","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