Archivos argentinos de pediatria最新文献_第5页

Growing teratoma syndrome in pediatrics. 儿科生长畸胎瘤综合征。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-09-10 DOI: 10.5546/aap.2026-11069.eng

Daniela I García Cortés, Irvin Ordoñez-González, Airam A Burboa Hernández, Marco A Murillo-Maldonado, Stanislaw Sadowinski-Pine, María A Escobar Sánchez

引用次数: 0

Social determinants of health and biological embedding: From the social gradient to epigenetics in the DOHaD context. 健康和生物嵌入的社会决定因素：从DOHaD背景下的社会梯度到表观遗传学。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-09-10 DOI: 10.5546/aap.2026-11116.eng

Laura G Strada

引用次数: 0

Bibliometric analysis of publications in Archivos Argentinos de Pediatría (2021-2025). 阿根廷档案Pediatria（2021-2025）出版物的书目计量分析。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-09-10 DOI: 10.5546/aap.2026-11149.eng

Carina Goya, Solana Rapaport, María E Serra

引用次数: 0

Liver involvement in hemolytic anemias. 溶血性贫血的肝脏受累。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-09-10 DOI: 10.5546/aap.2026-11059.eng

Fernando Álvarez, Mirta Ciocca

引用次数: 0

Clinical and hematological predictors of severity in pediatric patients with Centruroides scorpion stings. 儿科蝎子蜇伤患者严重程度的临床和血液学预测因素。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-09-10 DOI: 10.5546/aap.2026-11112.eng

Georgina Pintado Tovar, Mireya Robledo Aceves, Alejandro Barrón Balderas, América A Corona Gutiérrez, Eva E Camarena Pulido

{"title":"Clinical and hematological predictors of severity in pediatric patients with Centruroides scorpion stings.","authors":"Georgina Pintado Tovar, Mireya Robledo Aceves, Alejandro Barrón Balderas, América A Corona Gutiérrez, Eva E Camarena Pulido","doi":"10.5546/aap.2026-11112.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11112.eng","url":null,"abstract":"Introduction. In Mexico, scorpion stings are the leading cause of death from contact with venomous animals among children under 5 years of age. Despite a decline in mortality over the past 20 years, this remains a public health problem. The objective of this study was to describe the correlation between the severity of scorpion sting poisoning and the age, anthropometric profile, and hematological profile of pediatric patients treated in the emergency department. Population and methods. Descriptive, cross-sectional, analytical study. Variables such as age, sex, bite location, signs and symptoms, weight, height, body mass index, white blood cell count, and platelet count were analyzed, along with their correlation with the severity of poisoning using Spearman's correlation. Differences between severity groups were assessed using the Kruskal-Wallis test, and the strength of association of the independent variables was evaluated using ordinal logistic regression, with a significance level of p <0.05. Results. A total of 349 patients stung by scorpions of the genus Centruroides were analyzed over 10 years. A negative correlation was observed between age, weight, and height and the severity of poisoning (p = 0.001); that is, the younger the patient and the lower their weight and height, the greater the severity of poisoning. A positive correlation was also observed between an increase in white blood cell count and severity (p = 0.001). Conclusion. In the multivariate analysis, young age was confirmed as an independent determinant of the severity of poisoning. Leukocytosis is a marker of severe poisoning.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611112"},"PeriodicalIF":0.5,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148904959","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

Recommendations for the initial management of septic shock in children. 儿童感染性休克初期处理建议。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-27 DOI: 10.5546/aap.2025-10926.eng

Guillermo Kohn-Loncarica, Josefina Pérez, Gustavo A González, Roberto Jabornisky, Luis H Llano, Ana L Fustiñana

引用次数: 0

Cystic hydatid disease of the liver and lungs in Peruvian children: Clinical and surgical profile and associated factors in 219 cases (2014-2023). 秘鲁儿童肝脏和肺部囊性包虫病：219例病例的临床和手术概况及相关因素（2014-2023年）

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-27 DOI: 10.5546/aap.2026-11043.eng

Oscar Pantoja-Rivera, Pedro Navarrete-Mejía

{"title":"Cystic hydatid disease of the liver and lungs in Peruvian children: Clinical and surgical profile and associated factors in 219 cases (2014-2023).","authors":"Oscar Pantoja-Rivera, Pedro Navarrete-Mejía","doi":"10.5546/aap.2026-11043.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11043.eng","url":null,"abstract":"Introduction. Cystic echinococcosis is a major zoonotic disease from a public health perspective, with a high prevalence in rural areas of Peru. We analyzed the clinical characteristics and surgical treatment of hepatic and pulmonary cases in children from 2014 to 2023. Population and methods. This was a retrospective, cross-sectional study of 219 children diagnosed through imaging. The study evaluated sociodemographic variables (sex, rural origin, educational level, and parental occupation), clinical variables (symptoms, cyst location), surgical variables, and complications. Descriptive analysis, Pearson's chi-square test, and multivariate logistic regression were performed to assess location, independent predictive factors, and complications. Results. The disease predominantly affected males from rural or marginal urban areas. The most common symptoms were cough, abdominal pain, chest pain, and weight loss. In most cases, surgery was elective, with a short mean hospital stay and zero mortality. Complications were rare, such as biliary fistulas/liver abscesses and pneumothorax, with a higher risk in cases involving multiple cysts. Pulmonary involvement was associated with rural origin and contact with dogs. Contact with dogs, herding, and low socioeconomic status were identified as predictors of cystic echinococcosis; concurrent pulmonary and hepatic cysts and a diagnostic delay of >90 days were identified as predictors of complications. Conclusion. The disease is linked to rural poverty and zoonotic exposures (dogs, grazing), with clinical profiles that vary depending on the location of the cysts and higher morbidity in cases involving both the lungs and liver, with a predominance of pulmonary cysts. Zoonotic and social determinants are more significant than classic demographic factors. Surgical treatment combined with albendazole proved highly effective.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611043"},"PeriodicalIF":0.5,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817208","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 pediatric counseling and after school physical activity in children: A cross-sectional study. 儿童咨询与儿童课后体育活动之间的关系：一项横断面研究。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-27 DOI: 10.5546/aap.2026-11098.eng

Pablo G Dei-Cas, Ignacio J Dei-Cas

{"title":"Association between pediatric counseling and after school physical activity in children: A cross-sectional study.","authors":"Pablo G Dei-Cas, Ignacio J Dei-Cas","doi":"10.5546/aap.2026-11098.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11098.eng","url":null,"abstract":"Introduction. Physical activity during childhood is essential for health; however, current recommendations are often not met. The effectiveness of pediatric advice in clinical practice is uncertain. Objective. To evaluate the association between pediatric advice and after-school physical activity in children, and to analyze the influence of demographic, anthropometric, and family factors. Population and methods. Observational, cross-sectional study. Children aged 7 to 14 years were included. The association between a history of pediatric counseling and the practice of after-school physical activity was evaluated. Pediatric counseling was defined as a history of receiving recommendations from a pediatrician aimed at promoting physical activity and was obtained through parental self-report. Univariate analysis and multivariate logistic regression were performed. The nonlinear relationship with body mass index (BMI) was explored, and a sensitivity analysis was conducted using 1:1 propensity score matching (PSM). Results. A total of 823 children (mean age 10.2 ± 2.3 years) were included; 35.2% engaged in physical activity. No significant association was observed between pediatric advice and physical activity (OR 1.38; 95%CI 0.98-1.94; p = 0.061). Male gender and parental physical activity during childhood were significantly associated with higher levels of physical activity. A nonlinear relationship between BMI and physical activity was observed. In the PSM analysis, the association remained nonsignificant (OR 1.49; 95%CI 0.99-2.22; p = 0.053). Conclusion. Pediatric counseling in routine clinical practice is not independently associated with physical activity in children. Structured, multi-component strategies are needed.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611098"},"PeriodicalIF":0.5,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817206","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

Breast disorders in adolescence: Etiological, clinical, and therapeutic aspects. 青春期乳腺疾病：病因、临床和治疗方面。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-27 DOI: 10.5546/aap.2025-10820.eng

Jessie N Zurita Cruz, Juana Serret Montoya, Ofelia Mendoza Rojas, Isabel Colunga Olvera, Guillermo Fojaco Villanueva, Mónica Zavala Serret

{"title":"Breast disorders in adolescence: Etiological, clinical, and therapeutic aspects.","authors":"Jessie N Zurita Cruz, Juana Serret Montoya, Ofelia Mendoza Rojas, Isabel Colunga Olvera, Guillermo Fojaco Villanueva, Mónica Zavala Serret","doi":"10.5546/aap.2025-10820.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10820.eng","url":null,"abstract":"Introduction. Breast diseases in adolescents are rare and generally benign, although their treatment can be complex. Objective. To describe the etiology, clinical presentation, and therapeutic management of adolescents with breast conditions at a tertiary care hospital. Population and methods. Retrospective case series study. The study included patients aged 10 to 18 years with suspected breast pathology who were treated between 2020 and 2024. Clinical and treatment data, as well as information on comorbidities, were collected. Results. A total of 127 patients were analyzed (median age: 16 years); 80 were female. In females, benign tumors predominated, primarily fibroadenomas, and 29 required surgery. In males, pubertal gynecomastia was the most common finding (n = 33), and secondary cases associated with hypogonadism or medication use were identified; 11 required surgery. Conclusion. Fibroadenomas were most common in girls, and gynecomastia in boys. The identification of secondary causes underscores the need for a comprehensive evaluation and targeted treatment.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510820"},"PeriodicalIF":0.5,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817112","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

Validation of the Canadian Pediatric Triage and Acuity Scale in the Emergency Department of a pediatric hospital in Argentina. 在阿根廷一家儿科医院的急诊科验证加拿大儿科分诊和急性程度量表。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-27 DOI: 10.5546/aap.2026-11032.eng

Ana L Fustiñana, Tomás Giménez, Julia R Echeveste, María P Veiga, Danila A Curto, María G Yannuzzi, Sofía Piantanida, Leandro J Pastori, Gabriela S Hualde, Guillermo Kohn-Loncarica, Pedro B Rino

{"title":"Validation of the Canadian Pediatric Triage and Acuity Scale in the Emergency Department of a pediatric hospital in Argentina.","authors":"Ana L Fustiñana, Tomás Giménez, Julia R Echeveste, María P Veiga, Danila A Curto, María G Yannuzzi, Sofía Piantanida, Leandro J Pastori, Gabriela S Hualde, Guillermo Kohn-Loncarica, Pedro B Rino","doi":"10.5546/aap.2026-11032.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11032.eng","url":null,"abstract":"Introduction. Overcrowding in pediatric emergency departments (PEDs) affects the quality of care. Triage is a strategy for optimizing this situation. Although validated systems exist, few have been validated in Latin America. This study evaluates the validity of the CPTAS (Canadian Pediatric Triage and Acuity Scale), as adapted for use in our center's PED, in predicting hospitalization and resource utilization. Materials and methods. A retrospective validation study of a randomized sample of visits classified by triage at the Emergency Department (from April 2021 to February 2022). The relationship between urgency level, hospital admission, and resource utilization was evaluated. Results. A total of 56 843 consultations were classified; 1500 were randomly selected, and 1159 were analyzed. The overall need for hospitalization was 15.27% and varied by urgency level: 100% for level 1, 61.48% for level 2, 13.67% for level 3, 3.38% for level 4, and 3.85% for level 5 (p <0.01). The odds ratio (OR) for admission was 49.15 (95%CI: 26.51-91.10) for levels 2 and 5, and 5.23 (95%CI: 2.97-9.19) for level 3 (p <0.01); AUC 0.83; five patients were admitted to the Intensive Care Unit, and no deaths were recorded. The use of ≥2 resources was 50% (level 1), 42.96% (level 2), 19.60% (level 3), 10.63% (level 4), and 1.92% (level 5) (p <0.01); and levels 2 and 3 showed a higher OR (p <0.01). Conclusion. The adapted CPTAS scale performed well in assessing urgency at our institution, and its use could be considered at other centers in the region.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611032"},"PeriodicalIF":0.5,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817138","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