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Lactation, mastitis, and probiotics. 哺乳，乳腺炎和益生菌。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub Date: 2025-01-23 DOI: 10.5546/aap.2024-10490.eng
Gustavo Fernández, Ana L Santagada, Carmen Vecchiarelli, Gabriel Vinderola
{"title":"Lactation, mastitis, and probiotics.","authors":"Gustavo Fernández, Ana L Santagada, Carmen Vecchiarelli, Gabriel Vinderola","doi":"10.5546/aap.2024-10490.eng","DOIUrl":"10.5546/aap.2024-10490.eng","url":null,"abstract":"<p><p>Exclusive breastfeeding during the first six months of life, and prolonged with complementary feeding until 2 years of age or more, is the best nutritional approach in the first stage of life. Mastitis is a pathology that can jeopardize the continuity of breastfeeding. Different methods have been proposed for the prevention and treatment of mastitis, including probiotics. This narrative review aims to describe the problem of mastitis during lactation and the role of probiotics in its prevention. Mastitis should not be confused with the physiological phenomenon known as milk coming in. In persistent pain, timely medical consultation is key to avoiding complications. The administration of specific probiotics in the perinatal period has shown efficacy in reducing the incidence of mastitis.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410490"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998992","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
Genetic cholestasis: Clinical and laboratory features. 遗传性胆汁淤积症：临床和实验室特征。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub Date: 2025-05-08 DOI: 10.5546/aap.2024-10579.eng
Mirta Ciocca, Fernando Álvarez
{"title":"Genetic cholestasis: Clinical and laboratory features.","authors":"Mirta Ciocca, Fernando Álvarez","doi":"10.5546/aap.2024-10579.eng","DOIUrl":"10.5546/aap.2024-10579.eng","url":null,"abstract":"<p><p>In recent years, access to high-performance genetic techniques has allowed new diagnoses to become evident, allowing us to say today that genetic causes represent more than one-third of the etiologies of cholestasis in newborns and infants. When faced with a pediatric patient with cholestasis, with similar clinical and biochemical findings, an early genetic diagnosis will facilitate specific treatment, delay or exclude invasive diagnostic procedures (for example, liver biopsy), and offer genetic counseling to the family. We recently published a classification of genetic cholestasis, considering how the molecular defect affects biliary secretion. In this opportunity, we briefly summarize each of them to facilitate their identification by the pediatrician, who is the first professional to detect them and promptly refer them to a high-complexity center.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410579"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958964","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
Caregivers' knowledge of cognitive and language development in early childhood. 幼儿期照顾者的认知和语言发展知识。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub Date: 2025-06-19 DOI: 10.5546/aap.2025-10640.eng
Marcela Urtasun, Carolina Bermúdez, Lucía Risoli, Nidia R Domínguez, María C Davenport
{"title":"Caregivers' knowledge of cognitive and language development in early childhood.","authors":"Marcela Urtasun, Carolina Bermúdez, Lucía Risoli, Nidia R Domínguez, María C Davenport","doi":"10.5546/aap.2025-10640.eng","DOIUrl":"10.5546/aap.2025-10640.eng","url":null,"abstract":"<p><p>Introduction. Child development is a complex process influenced by genetic and environmental factors. An enriching linguistic environment is fundamental for cognitive development and language learning in the first years of life. Objective. To describe caregivers' knowledge of cognitive and language development of children under 5 years of age. Population and methods. Cross-sectional, analytical study. Caregivers of children under the age of 5 years who attended the offices of a pediatric hospital during January-March. A self-administered survey, the Survey of Parent/Provider Expectations and Knowledge (SPEAK), probes caregivers' knowledge of cognitive and language development. Demographic characteristics were explored. A univariate descriptiveanalysis was performed for each variable, and a bivariate analysis was conducted using demographic data as predictor variables and the total survey score as the outcome variable. Results. The median global score obtained in the SPEAK survey was 31 (interquartile range 26-34), out of a maximum possible 54 points. The analysis revealed a significant association between the caregiver's educational level and their knowledge of child development (r = 0.211; p = 0.012). Conclusion. The population studied presented an intermediate level of knowledge about language and cognitive development in early childhood. An association was found between a higher level of education and greater knowledge of development.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510640"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315844","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
Interaction of medical students with children before taking the Pediatrics course. 医学生在上儿科学课程前与儿童的互动。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub Date: 2025-07-03 DOI: 10.5546/aap.2025-10682.eng
Paula Domínguez, Alfredo Eymann, Fernando Torres, Alberto Rodríguez Pérez, Fernando Ferrero
{"title":"Interaction of medical students with children before taking the Pediatrics course.","authors":"Paula Domínguez, Alfredo Eymann, Fernando Torres, Alberto Rodríguez Pérez, Fernando Ferrero","doi":"10.5546/aap.2025-10682.eng","DOIUrl":"10.5546/aap.2025-10682.eng","url":null,"abstract":"<p><p>Introduction. In Pediatrics, communication involves children and their families. Students with the highest interaction with children can approach this subject with greater confidence. Objective. To assess the interaction with children of medical students in their daily lives and its correlation with confidence at the start of the Pediatrics course. Methods. A self-administered survey study of pediatric students of the School of Medicine of the Universidad de Buenos Aires inquired about the frequency of interaction with children under 12 years of age and confidence in this interaction. Results. A total of 286/450 responses were obtained. Only 27 students lived with children, and 14 were parents. Most had little interaction (1-2 times a year or less) with children (64% infants, 64.3% preschoolers, 54.6% schoolchildren). A positive correlation was found between interaction level and confidence (p < 0.01). Conclusion. Medical students have limited interaction with minors in their daily lives, which affects their confidence in taking a Pediatrics course.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510682"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537920","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 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub Date: 2025-05-15 DOI: 10.5546/aap.2025-10703.eng
Omar Tabacco
{"title":"Relationship of the Sociedad Argentina de Pediatría with the pharmaceutical industry and the producers of breastmilk substitutes.","authors":"Omar Tabacco","doi":"10.5546/aap.2025-10703.eng","DOIUrl":"10.5546/aap.2025-10703.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510703"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966493","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 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-10-01 Epub 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":"10.5546/aap.2024-10618.eng","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410618"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","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
Pressure control versus volume control invasive mechanical ventilation in pediatrics: A narrative review. 压力控制与容积控制在儿科有创机械通气中的应用：综述。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-09-25 DOI: 10.5546/aap.2025-10730.eng
Pedro Taffarel, Jorge Palmeiro
{"title":"Pressure control versus volume control invasive mechanical ventilation in pediatrics: A narrative review.","authors":"Pedro Taffarel, Jorge Palmeiro","doi":"10.5546/aap.2025-10730.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10730.eng","url":null,"abstract":"<p><p>Invasive mechanical ventilation (IMV) is widely used in pediatric intensive care units. Acute lower respiratory infection is its primary indication; it is characterized by increased inspiratory and expiratory resistance, as well as decreased lung compliance. It can progress to acute respiratory distress syndrome, which poses a challenge in optimizing IMV. Although different ventilatory modes are not presumed to generate significant clinical differences, there is a marked preference for the pressure control mode in pediatrics. In predominantly obstructive conditions, volume control mode ensures ventilation regardless of the degree of inspiratory resistance, allowing for extended expiratory time and preventing hyperinflation. In restrictive conditions, pressure control enables ventilation to be adjusted to protective parameters, albeit with the potential risk of inducing damage due to higher flow rates. The physiological basis of the different ventilation modes and their clinical application are reviewed.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510730"},"PeriodicalIF":0.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124084","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
Health Certificates for Children and Adolescents as a Requirement for Physical Activity in Argentina: Position Statement of the Sociedad Argentina de Pediatría 2025. 阿根廷儿童和青少年的健康证明是体育活动的必要条件：2025年阿根廷社会的立场声明Pediatría。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-09-25 DOI: 10.5546/aap.2025-10821
Juliana Pochetti, Daniel Ponczosznik, Celeste López, Vanina Stier, Romina Valerio, María Guinot, María A Yamasiro, Gustavo Farruggia
{"title":"Health Certificates for Children and Adolescents as a Requirement for Physical Activity in Argentina: Position Statement of the Sociedad Argentina de Pediatría 2025.","authors":"Juliana Pochetti, Daniel Ponczosznik, Celeste López, Vanina Stier, Romina Valerio, María Guinot, María A Yamasiro, Gustavo Farruggia","doi":"10.5546/aap.2025-10821","DOIUrl":"https://doi.org/10.5546/aap.2025-10821","url":null,"abstract":"<p><p>In light of the risk posed by sedentary lifestyles, the importance of school physical education as a health tool and the hierarchy of teachers and graduates who teach this subject is emphasized. The rights of children and adolescents to access health care, medical attention, recreation, and sports must be respected. A health certificate should be required as part of the annual documentation that students must submit, but this should not be a limitation to participate in physical education classes. Only children and adolescents who present a medical certificate indicating otherwise may be excluded from participation in these classes, either temporarily or permanently. Given the low incidence of serious events at these ages during physical exercise, the risk posed by a sedentary lifestyle is much greater.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510821"},"PeriodicalIF":0.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124152","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
Recurrent acute suppurative thyroiditis in pediatrics: a case report. 小儿复发性急性化脓性甲状腺炎1例。
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-09-25 DOI: 10.5546/aap.2025-10737.eng
Manuel Linares, Melina Maurenzi, Paula Nieto, María V Esper, Guadalupe Pueyrredón
{"title":"Recurrent acute suppurative thyroiditis in pediatrics: a case report.","authors":"Manuel Linares, Melina Maurenzi, Paula Nieto, María V Esper, Guadalupe Pueyrredón","doi":"10.5546/aap.2025-10737.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10737.eng","url":null,"abstract":"<p><p>Acute suppurative thyroiditis (AST) is a rare endocrinological emergency in pediatrics that may require immediate infectious disease and surgical intervention. It is generally associated with bacterial infections and, in some cases, congenital malformations of the branchial arch. We present the case of a 7-year-old girl with recurrent AST, in both episodes with cervical abscess formation, requiring intravenous antibiotics and surgical drainage. From the outset, a piriform sinus fistula was suspected, which was confirmed by direct laryngoscopy in the operating room during the hospitalization for the second episode. Chemical sclerosis of the fistulous tract was performed, with favorable evolution and no recurrence at follow-up. Although rare, this case highlights the importance of considering AST in the differential diagnosis of cervical masses in the pediatric population. It also encourages investigation of underlying causes such as congenital anomalies, which allows for early diagnosis and definitive treatment.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510737"},"PeriodicalIF":0.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124159","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
Open fetal surgery for spina bifida in a tertiary hospital in Argentina: short- and medium-term outcomes. 阿根廷一家三级医院脊柱裂开放性胎儿手术：短期和中期结果
IF 0.5 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-09-25 DOI: 10.5546/aap.2025-10702.eng
Juliana Moren, Daniel Russo, Fernando Palma, Marcelo González-Bernal, Ernesto Beruti, Rodolfo Fregonese, Gabriel Musante, Hernán Allegrotti, Florencia Contino Storz, Ángeles Cibert, María F Jousse, Mora Achával, Josefina Maquieira, Adolfo Etchegaray
{"title":"Open fetal surgery for spina bifida in a tertiary hospital in Argentina: short- and medium-term outcomes.","authors":"Juliana Moren, Daniel Russo, Fernando Palma, Marcelo González-Bernal, Ernesto Beruti, Rodolfo Fregonese, Gabriel Musante, Hernán Allegrotti, Florencia Contino Storz, Ángeles Cibert, María F Jousse, Mora Achával, Josefina Maquieira, Adolfo Etchegaray","doi":"10.5546/aap.2025-10702.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10702.eng","url":null,"abstract":"<p><p>Introduction. Spina bifida, particularly its most common form, myelomeningocele (MMC), is a severe congenital malformation associated with high neonatal morbidity and long-term disability. Since 2015, our center has been performing intrauterine repair of MMC using a modified open surgical technique. Objective. To describe the obstetric and perinatal outcomes, the need for treatment of hydrocephalus, and the ability to walk in children who underwent open fetal surgery for repair of spinal dysraphism, and to compare these data with those published in the Management of Myelomeningocele Study (MOMS). Population and methods. Retrospective observational study of 102 consecutive cases operated on between 2015 and 2023. Maternal, neonatal, and neurological variables were analyzed in the mediumterm follow-up. Results. The mean gestational age at the time of surgery was 26.1 weeks. Maternal and neonatal complication rates were similar to or lower than those reported in the MOMS study. The need for ventriculoperitoneal shunting at 12 months was 23.8%. At 30 months, 84.8% of patients were walking with or without orthopedic devices. Conclusion. Open fetal repair of MMC at our center, performed by a multidisciplinary team using a modified surgical technique, presented a favorable maternal-fetal safety profile. The perinatal and neurological outcomes obtained are comparable to those of international reference centers, with a low rate of ventriculoperitoneal shunting and a high percentage of children able to walk at 30 months of age. These findings support the continuation and optimization of this intervention in experienced centers.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510702"},"PeriodicalIF":0.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124076","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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