Archivos argentinos de pediatria最新文献_第6页

Access to rehabilitation services for children and adolescents with cerebral palsy in Argentina: A multicenter cross-sectional study. 阿根廷脑瘫儿童和青少年获得康复服务：一项多中心横断面研究

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-13 DOI: 10.5546/aap.2026-11027.eng

Jesica C Gómez, L Johana Escobar, Carla Gil, Gabriela G Pereyra Pereyra, M Silvina Camardelli, Cecilia Lucentini, Cintia Ibalbaz, Federico Sánchez, Romina Ponte, Eduardo Cuestas, Mercedes Ruiz Brunner

{"title":"Access to rehabilitation services for children and adolescents with cerebral palsy in Argentina: A multicenter cross-sectional study.","authors":"Jesica C Gómez, L Johana Escobar, Carla Gil, Gabriela G Pereyra Pereyra, M Silvina Camardelli, Cecilia Lucentini, Cintia Ibalbaz, Federico Sánchez, Romina Ponte, Eduardo Cuestas, Mercedes Ruiz Brunner","doi":"10.5546/aap.2026-11027.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11027.eng","url":null,"abstract":"Introduction. Therapeutic intervention for cerebral palsy (CP) involves a set of strategies implemented from the first months of life onward to promote motor, cognitive, and social development. There is limited regional information on how socioeconomic characteristics affect this population's access to health care. Objective. To analyze access to therapeutic rehabilitation interventions and the age at which they begin, in relation to health coverage and the educational level of caregivers in the pediatric population with CP in Argentina. Population and methods. A multicenter, observational, cross-sectional study using data from the Argentine Cerebral Palsy Registry (RAR-PC) was conducted between October 2021 and May 2023. The study included individuals with cerebral palsy aged 1 to 19 years. The age of onset and access to rehabilitation were assessed based on health coverage and the caregivers' educational level. Results. A total of 399 patients were analyzed; 73.4% (n = 293) were between 1 and 10 years old, and 65.9% (n = 244) had severe motor impairment. The median age at diagnosis was 1 year (IQR 1-1.75); 18.7% (n = 72) had insufficient access to rehabilitation. The type of health coverage and the caregiver's low educational level were associated with reduced access (p = 0.001; p = 0.009). Conclusion. Caregivers' health insurance coverage and educational level influence access to rehabilitation. This highlights the need for strategies to promote greater equity.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611027"},"PeriodicalIF":0.5,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705197","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 deep vein thrombosis in an adolescent. 青少年复发性深静脉血栓。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-13 DOI: 10.5546/aap.2025-10971.eng

Ayelén Samarro, María A Segura, Cecilia Robledo

引用次数: 0

Differences in psychomotor development among preschool children according to the type of early childhood education institution in Temuco, Chile. 智利特木科学龄前儿童心理运动发展的差异与幼儿教育机构类型的关系。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-13 DOI: 10.5546/aap.2025-10950.eng

Pamela Lavados-Romo, Omar Andrade-Mayorga, Nelly Luza, Leonardo Toloza-Torres, Ornella Bahamondes, Camila Mella, Valentina Espejo Mandujano, Paulina Vásquez, Giancarlo Lubini Fuica, Francisca Pinto-Morales, Teresa Balboa-Castillo

{"title":"Differences in psychomotor development among preschool children according to the type of early childhood education institution in Temuco, Chile.","authors":"Pamela Lavados-Romo, Omar Andrade-Mayorga, Nelly Luza, Leonardo Toloza-Torres, Ornella Bahamondes, Camila Mella, Valentina Espejo Mandujano, Paulina Vásquez, Giancarlo Lubini Fuica, Francisca Pinto-Morales, Teresa Balboa-Castillo","doi":"10.5546/aap.2025-10950.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10950.eng","url":null,"abstract":"Introduction. Psychomotor development is an essential indicator of child growth that integrates cognitive, motor, linguistic, and socio-emotional dimensions. Objective. To evaluate the association between the type of educational institution and psychomotor development in preschoolers. Population and methods. A cross-sectional analytical study was conducted in 2019 among children aged 2 to 4 years attending public and private preschools. Psychomotor development was assessed using the Test of Child Learning and Development (TADI, by its Spanish acronym), validated in Chile. Multinomial logistic regression was performed, adjusting for socioeconomic status, maternal education, and the child's age, sex, and nutritional status. Results. A total of 151 children were included; 52.7% of the participants were girls, and the mean age was 40 ± 8.1 months. An association was observed between attending public facilities and a classification of risk or delay in global psychomotor development (OR = 7.34; 95%CI: 1.65-32.58; p <0.05) and cognitive development (OR = 10.83; 95%CI: 1.64-71.59; p <0.05), compared with private facilities. Male gender was associated with increased risk of, or delay in, global psychomotor development (OR = 6.53; 95%CI: 1.94-22.08), cognitive development (OR = 4.45; 95%CI: 1.41-13.99), and motor development (OR = 3.07; 95%CI: 1.17-8.08). Conclusion. The type of educational setting and gender were associated with differences in psychomotor development among preschoolers. The findings should be interpreted with consideration of possible sociodemographic and contextual factors that were not fully captured.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510950"},"PeriodicalIF":0.5,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705217","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

Clinical consensus statement on the care of the child with a tracheostomy. 2026 Update. 关于气管切开术患儿护理的临床共识声明。2026年更新。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-13 DOI: 10.5546/aap.2026-11051

Yamila B Nociti, Pablo Aubone, Juan J Varón, Paula Urrestarazu, Silvia Intruvini, Sandra M Barria, Ana R Fernández, Leonardo De Lillo, María Stagnaro, Aníbal A Villa de Villafañe, Valeria Ton, Ivanna Boailchuk, Mary E Nieto, María L Scatolini, Patricio Bellia Munzon, Hugo A Botto

引用次数: 0

How "real" is the real world? 真实的世界有多“真实”？

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-06 DOI: 10.5546/aap.2026-11227.eng

Fernando Ferrero

引用次数: 0

Button battery ingestion requiring upper gastrointestinal endoscopy: A retrospective study at a tertiary care hospital (2014-2024). 纽扣电池摄入需要上消化道内窥镜检查：一项三级医院的回顾性研究（2014-2024）。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-06 DOI: 10.5546/aap.2025-10842.eng

María I Viale, Gabriela Messere, María P Gavaise, Lucas Ruiz, Gonzalo Ortiz, Vanina Greco, Ana P Voitzuk, Vanesa Pereira, Román Bigliardi

{"title":"Button battery ingestion requiring upper gastrointestinal endoscopy: A retrospective study at a tertiary care hospital (2014-2024).","authors":"María I Viale, Gabriela Messere, María P Gavaise, Lucas Ruiz, Gonzalo Ortiz, Vanina Greco, Ana P Voitzuk, Vanesa Pereira, Román Bigliardi","doi":"10.5546/aap.2025-10842.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10842.eng","url":null,"abstract":"Introduction. Ingestion of a button battery constitutes an endoscopic emergency due to the risk of serious injury. Objective. To describe the clinical, endoscopic, and clinical course characteristics of patients who swallowed a button battery and required upper gastrointestinal endoscopy in the pediatric emergency department of a tertiary care center between 2014 and 2024. Population and methods. Observational, descriptive, and retrospective study. The study included patients younger than 15 years of age with a radiological diagnosis of button-cell battery ingestion who underwent upper gastrointestinal endoscopy. Results. A total of 106 patients (63 males) were included. The median age was 24 months (IQR 15-48); 35.8% of the patients were initially evaluated at another institution. In 51% of cases, the time since ingestion was unknown. At the time of consultation, 39/106 patients (36.5%) were asymptomatic. Among those with symptoms (67/106), the most common symptom was hypersalivation, present in 36/106 patients (33.9% of the total). Hypersalivation was significantly associated with severe lesions (OR 8.115; 95%CI 2.913-24.3; p <0.01). Lesions located in the upper esophagus also showed a significant association (OR 2.461; 95%CI 1.077-5.775; p = 0.029). Conclusion. Esophageal impaction was common and was associated with a high percentage of severe injuries. Hypersalivation was significantly associated with greater severity.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510842"},"PeriodicalIF":0.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668162","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

Severe atopic dermatitis and growth failure associated with a STAT5B gene mutation in a 7-month-old infant. 严重特应性皮炎和生长衰竭与STAT5B基因突变相关的7个月婴儿。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-06 DOI: 10.5546/aap.2026-11061.eng

Julieta Zone, María M Buján, Carolina Crespo, Andrea B Cervini

引用次数: 0

Impaired immune response to polysaccharide antigens and warning signs in children with recurrent respiratory infections. 反复呼吸道感染儿童对多糖抗原的免疫反应受损及警告信号

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-08-06 DOI: 10.5546/aap.2025-10978.eng

Selene Pury, Vanina Marini, Natalia A Lozano, Laura V Sasia, Elda A Córdoba, Ricardo J Saranz, Pilar Visconti, Graciela Alegre, Franca Monferini, Alejandro Lozano

{"title":"Impaired immune response to polysaccharide antigens and warning signs in children with recurrent respiratory infections.","authors":"Selene Pury, Vanina Marini, Natalia A Lozano, Laura V Sasia, Elda A Córdoba, Ricardo J Saranz, Pilar Visconti, Graciela Alegre, Franca Monferini, Alejandro Lozano","doi":"10.5546/aap.2025-10978.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10978.eng","url":null,"abstract":"Introduction. Inborn errors of immunity constitute a group of genetic disorders that may present with warning signs. Among their most common presentations are recurrent respiratory infections, which may reflect abnormalities in humoral immunity. In this context, specific antibody deficiency (SAD) is characterized by an inadequate response to polysaccharide antigens, with normal serum immunoglobulin levels and antibody responses to protein antigens. Objective. To identify SAD by testing for antibodies against Streptococcus pneumoniae in pediatric patients with recurrent respiratory infections and to describe the presence of the Jeffrey Modell Foundation warning signs.Population and methods. Observational, analytical, and retrospective study. Pediatric patients with recurrent respiratory infections were included. Baseline levels of anti-S. pneumoniae were measured; when values were ≤113 mg/L, the 23-valent pneumococcal polysaccharide vaccine was administered, and the post-vaccination response was evaluated. SAD was defined as the absence of an adequate serological response (post-vaccination titer ≤113 mg/L). Warning signs were analyzed descriptively in patients with SAD.Results. A total of 146 patients were included; 50.68% had anti-pneumococcal IgG levels ≤113 mg/L; of these, 18% remained low after vaccination, and SAD was diagnosed (prevalence: 8.9%). Among patients with SAD, a proportion exhibited three or more warning signs. Conclusion. SAD was a common finding in children with recurrent respiratory infections. The presence of warning signs could help identify patients who require immunological evaluation.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510978"},"PeriodicalIF":0.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668190","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

John William Ballantyne: A pioneer who forged the future of maternal, fetal and child health. 约翰·威廉·巴兰坦：开创母亲、胎儿和儿童健康未来的先驱。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-07-31 Epub Date: 2026-03-05 DOI: 10.5546/aap.2025-10963.eng

Stefan Kutzsche, Sivalingam Nalliah

引用次数: 0

Yogurt in infant nutrition: Answers to frequent questions. 婴儿营养中的酸奶：常见问题解答。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-07-31 Epub Date: 2026-04-02 DOI: 10.5546/aap.2025-10840.eng

Alberto Arribas, Sandra Blasi, Christian Boggio Marzet, Sergio Britos, María S Cabreriso, Mabel Carosella, Florencia Flax Marco, Ingrid Gerold, Andrea González, Lucio González, Mónica Katz, Romina Lambert, Mariana Raspini, Noelia Rodrigues Cambao, Omar Tabacco, Ana Tamagnone, María E Torresani, Gabriel Vinderola

{"title":"Yogurt in infant nutrition: Answers to frequent questions.","authors":"Alberto Arribas, Sandra Blasi, Christian Boggio Marzet, Sergio Britos, María S Cabreriso, Mabel Carosella, Florencia Flax Marco, Ingrid Gerold, Andrea González, Lucio González, Mónica Katz, Romina Lambert, Mariana Raspini, Noelia Rodrigues Cambao, Omar Tabacco, Ana Tamagnone, María E Torresani, Gabriel Vinderola","doi":"10.5546/aap.2025-10840.eng","DOIUrl":"10.5546/aap.2025-10840.eng","url":null,"abstract":"Unlike pasteurized or sterile foods, fermented foods provide live microorganisms that are beneficial to health. Various dietary guidelines recommend certain fermented foods to promote a varied diet. Not all fermented foods are suitable for children, due to their palatability or alcohol content. Yogurt is made from pasteurized milk under controlled hygienic conditions and is available in versions without excess critical nutrients, so it is recommended from the start of complementary feeding. Along with fresh cheeses, it provides microorganisms that are useful for the intestinal microbiota and the immune system, as well as calcium and vitamin D, nutrients that are currently deficient in the child population. Despite its benefits, there are frequent doubts about its recommendation. This study answers frequent questions about yogurt from a multidisciplinary perspective, bringing together professionals from pediatrics, nutrition, gastroenterology, psychiatry, and microbiology.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510840"},"PeriodicalIF":0.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580360","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