Archivos argentinos de pediatria最新文献_第7页

A Fog-Delayed Flight and the Story of Sir Michael Anthony Epstein (1921-2024) and Yvonne Margaret Barr (1932-2016). 大雾延误的航班和迈克尔·安东尼·爱泼斯坦爵士（1921-2024）和伊冯娜·玛格丽特·巴尔（1932-2016）的故事。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-19 DOI: 10.5546/aap.2025-10694.eng

Alejandro Donoso Fuentes, Daniela Arriagada Santis

引用次数: 0

Diagnosis of central nervous system tuberculosis in pediatric patients. 小儿中枢神经系统结核的诊断。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10592.eng

María I Urteneche, Norma E González, Eugenia Ginestet, Edith Macha Marín, Rosana Pereda, Pablo M Pablo M Cassanelli

{"title":"Diagnosis of central nervous system tuberculosis in pediatric patients.","authors":"María I Urteneche, Norma E González, Eugenia Ginestet, Edith Macha Marín, Rosana Pereda, Pablo M Pablo M Cassanelli","doi":"10.5546/aap.2024-10592.eng","DOIUrl":"10.5546/aap.2024-10592.eng","url":null,"abstract":"Introduction. Central nervous system tuberculosis (CNS TB) represents a severe form of Mycobacterium tuberculosis (Mtb) infection. Late diagnosis is associated with increased mortality and neurological sequelae. Objective. To characterize CNS TB diagnosed in a pediatric hospital and describe the diagnostic elements, estimating their sensitivity. Materials and methods. An observational, retrospective study included CNS TB cases diagnosed between January 2013 and February 2022. Medical and laboratory records were reviewed, and epidemiological, clinical, imaging, cerebrospinal fluid cytochemical, and bacteriological data for mycobacteria were recorded. Results. Twenty-six cases of CNS TB were diagnosed, and 22 had pulmonary involvement. Ninety-six percent had neurological symptoms, with sensitivities of 46% for focal symptoms, 92% for meningeal symptoms, and 73% for the presence of fever. Hydrocephalus was more frequently observed in children under 5 years of age. In the study of cerebrospinal fluid, the clear aspect (92%) and proteins upon 1 g/L (50%) showed higher sensitivity, with higher levels in children under 5 years of age. As for microbiological results, smear microscopy was negative in all cases, while molecular biology and culture showed 61% and 75% sensitivity, respectively. The detection time was significantly shorter for molecular biology than for culture (p < 0.01). Conclusions. The presence of neurological symptoms, compatible cerebrospinal fluid, epidemiological link, and pulmonary involvement showed high sensitivity. Molecular biology allowed for earlier microbiological confirmation.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410592"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810394","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

Expectations of medical students and pediatric residents in their professional development. 医学生和儿科住院医师对其专业发展的期望。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10606.eng

Francisco Tonini, Marcela Urtasun

引用次数: 0

Participation and education: the Declaration of Helsinki in today's context. 参与与教育：当今背景下的《赫尔辛基宣言》。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10585.eng

María E Serra

引用次数: 0

Recurrent acute pancreatitis in pediatrics: characteristics and risk factors. 儿科复发性急性胰腺炎：特点和危险因素。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10437.eng

Jader M Perdomo Muñoz, Silvia Morise, María B Pallitto, Oscar Patiño, Gonzalo Ortiz, Georgia Silvestri, Gabriela Messere, Román Bigliardi

引用次数: 0

Endocrine disruptors as risk factors for idiopathic premature thelarche in girls: A case-control study. 内分泌干扰物作为女孩特发性早熟的危险因素：一项病例对照研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10501.eng

Florencia I Palmieri, Mirta G Gryngarten, Andrea J Arcari, Verónica Umido, Analía V Freire

{"title":"Endocrine disruptors as risk factors for idiopathic premature thelarche in girls: A case-control study.","authors":"Florencia I Palmieri, Mirta G Gryngarten, Andrea J Arcari, Verónica Umido, Analía V Freire","doi":"10.5546/aap.2024-10501.eng","DOIUrl":"10.5546/aap.2024-10501.eng","url":null,"abstract":"Introduction. Idiopathic premature thelarche (IPT) is defined as breast growth in girls before age 8 without activation of the gonadotrophic axis. Among the probable etiologies, endocrine disruptors (ED) with estrogenic action have been suggested. Objective. To evaluate whether there is an association between exposure and degree of exposure to the main EDs with estrogenic action in our environment and the development of IPT. Population and methods. Structured survey of caregivers of girls aged 3 to 8 years diagnosed with IPT and controls. The exposure evaluated included different EDs: bisphenol A (BPA), phytoestrogens, phthalates, and parabens, considering the degree of exposure according to weekly frequency. Results. Caregivers of 50 cases (7.2±1.3 years) and 48 controls (6.7±1.5 years) were interviewed. An association was found between IPT and exposure to phytoestrogens in food (OR: 14.6; 95%CI 1.8-118; p<0.01), the use of BPA containers exposed to temperature changes (OR 2.6; 95%CI 1.1-6.5; p<0.05), contact with phthalates (OR 2.9; 95%CI 1.2-7.5; p<0.05) and parabens (OR 2.7; 95%CI 1.2-6,1; p<0.05). In all the detailed EDs, we also found an association of IPT according to their degree of exposure. Conclusions. Exposure and degree of exposure to different sources of phytoestrogens, BPA, parabens, and phthalates were associated with the development of IPT.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410501"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762966","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

Middle ear ventilation tubes and water precautions: A survey of otolaryngologists and pediatricians on their recommendations. 中耳通气管和水的预防措施：耳鼻喉科医生和儿科医生对其建议的调查。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10521.eng

Federico Herranz, Gabriela Pérez Raffo

{"title":"Middle ear ventilation tubes and water precautions: A survey of otolaryngologists and pediatricians on their recommendations.","authors":"Federico Herranz, Gabriela Pérez Raffo","doi":"10.5546/aap.2024-10521.eng","DOIUrl":"10.5546/aap.2024-10521.eng","url":null,"abstract":"Introduction. Middle-ear ventilation tubes are commonly placed in pediatric patients because of the high frequency of otitis media. Although avoidance of water activity has been recommended to prevent otorrhea, studies indicate that exposure to water does not increase these episodes. However, a survey in the northwestern United States showed low adherence to these guidelines. This study evaluates the current recommendations of otolaryngologists and pediatricians on water exposure in patients with ventilation tubes. Population and methods. We surveyed 235 health professionals from Argentina, Brazil, Chile, and other countries, including general otolaryngologists, pediatric otolaryngologists, otologists, residents, and pediatricians. The questionnaire addressed tubing preferences, swimming recommendations, and depth limits. Results. A total of 87.62% of respondents preferred diabolos as ventilation tubes. Regarding swimming, 54% recommended protection, such as earplugs or caps, while 28.5% prohibited aquatic activity. Permissiveness varied according to age and specialty; residents and pediatricians were the most permissive. One-third allowed only shallow swimming, and 20% imposed no limits. Conclusion. Young professionals and pediatricians were the most permissive concerning water exposure. Within the subspecialties, pediatric otolaryngologists and pediatricians were the respondents who indicated the least restrictions on their patients.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410521"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999038","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

Bronchial asthma in preschool children. 学龄前儿童支气管哮喘。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10587.eng

Maximiliano Salim

引用次数: 0

Current situation of pediatric emergency departments in Argentine public hospitals. 阿根廷公立医院儿科急诊科现状。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10506.eng

Liliana Cáceres, Anabella Boto, Sandra Cagnasia, Manuel Clavijo, Carlos Luaces, Otto Maliarchuk, Bárbara Mousten, César Santos, Julieta Vilar, Pedro Rino

{"title":"Current situation of pediatric emergency departments in Argentine public hospitals.","authors":"Liliana Cáceres, Anabella Boto, Sandra Cagnasia, Manuel Clavijo, Carlos Luaces, Otto Maliarchuk, Bárbara Mousten, César Santos, Julieta Vilar, Pedro Rino","doi":"10.5546/aap.2024-10506.eng","DOIUrl":"10.5546/aap.2024-10506.eng","url":null,"abstract":"Introduction. The quality improvement cycle in health care requires surveys and measurements. This study, based on data from a Latin American collaborative research project, aimed to describe the situation of pediatric emergency departments (PEDs) in Argentina and identify opportunities for improvement. Methods. Retrospective descriptive study. Data from 2019 were collected in PEDs of public hospitals with pediatric intensive care units (PICU). Continuous variables are presented as median and range, categorical variables as percentages, and productivity/resource ratios as ratios. Bivariate analysis was performed. Results. Out of 66 services, 62 (94%) participated. There was a deficit of isolation and specific pediatric care sectors; 21 (33.9%) PEDs had >70% of the equipment evaluated for the treatment of critical patients. Triage was performed in 34 (54.8%) PEDs. The median number of annual visits/observation beds was 7333 (IQR: 4,998-13,377); the median number of daily visits/consulting rooms was 37.6 (IQR 20.6-60.3). The number of beds increased by 75% at the seasonal peak. The median daily visits were 43/physician and 40.2/nurse. In 32 (51.6%) PEDs, there was 1 physician and 1 referring nurse per shift. Data were electronically recorded in 51 (82.2%) PEDs. Five critical care protocols were used in 44 (71%) PEDs, and 18 (29%) had a quality improvement plan. Five (8%) PEDs followed defined schedules for academic activities. Conclusion. This survey allowed us to know the situation of SEPs in Argentina's public hospitals and to identify opportunities for improvement.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410506"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381423","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

New Argentine head circumference references for people with achondroplasia from 0 to 21 years of age. 0 - 21岁软骨发育不全患者的新阿根廷头围参考。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2025-06-01 DOI: 10.5546/aap.2024-10565.eng

Mariana Del Pino, Virginia Fano

{"title":"New Argentine head circumference references for people with achondroplasia from 0 to 21 years of age.","authors":"Mariana Del Pino, Virginia Fano","doi":"10.5546/aap.2024-10565.eng","DOIUrl":"10.5546/aap.2024-10565.eng","url":null,"abstract":"Introduction. Macrocephaly is a phenotypic feature of achondroplasia (ACH), the most common form of disproportionate short stature. In 2011, we published head circumference (HC) references for this population, but due to the scarcity of data about older ages, the centiles were estimated only up to 6 years of age. Objective. To estimated centiles of the HC between birth and 21 years of age for ACH. Population and methods. Data from children with ACH assisted between 1992 an 2024 at a thirdlevel hospital in Argentina were used for its estimation. The growth curves were adjusted using the LMS method. To evaluate the magnitude of the differences between the Argentine references of ACH and those of the general population, the 3, 50, and 97 centiles at different ages were plotted comparatively. Results. The HC of ACH was more significant at all ages than the general population's references. During the first year of life, males and females reach 84% and 86% of adult size, respectively, completing growth after 20 years of age. Conclusions. Due to the difference in cephalic size between the general population and ACH, it is essential to have specific references for this population. This will allow us to detect growth trajectories not attributed to ACH and to suspect deviations that require a rapid interdisciplinary approach.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410565"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810401","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