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New consumption trends in the use of social networks and video games, problematic consumption, and the phenomenon of online gambling. 使用社交网络和电子游戏的新消费趋势、问题消费以及网络赌博现象。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-04-01 Epub Date: 2024-08-08 DOI: 10.5546/aap.2024-10459.eng
Silvina B Pedrouzo, Laura Krynski, Ariel Melamud
{"title":"New consumption trends in the use of social networks and video games, problematic consumption, and the phenomenon of online gambling.","authors":"Silvina B Pedrouzo, Laura Krynski, Ariel Melamud","doi":"10.5546/aap.2024-10459.eng","DOIUrl":"10.5546/aap.2024-10459.eng","url":null,"abstract":"<p><p>The inappropriate use of electronic devices can affect the psychological and physical health of children and adolescents. Therefore, it is essential to accompany them and promote media literacy to ensure a healthy and responsible use of technology. On occasions that depend on a multifactorial complex, the inappropriate use of networks can trigger problematic consumption and seriously affect the lives of young people. In 2022, the World Health Organization recognized, through ICD-11, the addiction to video games and used the term \"problematic use\" for the Internet and social networks. This article attempts to update professionals on new trends in the consumption of social networks, video games, and online gambling platforms and their consequences on the psychophysical well-being of children and adolescents.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410459"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888344","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
Echocardiographic evaluation of inferior vena cava diameters and collapsibility index in healthy children. 健康儿童下腔静脉直径及溃散指数的超声心动图评价。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.5546/aap.2024-10384.eng
Miguel Corres-Molina, José L Rodríguez-Cuevas, Héctor R Cardoso-Enciso, Gabriel E Mejía-Terrazas, Eunice López-Muñoz
{"title":"Echocardiographic evaluation of inferior vena cava diameters and collapsibility index in healthy children.","authors":"Miguel Corres-Molina, José L Rodríguez-Cuevas, Héctor R Cardoso-Enciso, Gabriel E Mejía-Terrazas, Eunice López-Muñoz","doi":"10.5546/aap.2024-10384.eng","DOIUrl":"10.5546/aap.2024-10384.eng","url":null,"abstract":"<p><p>Introduction. Echocardiographic measurement of inferior vena cava diameters and collapsibility index (IVCCI) can estimate right heart chamber function and intravascular volume status. Few reports of reference values for diameters and IVCCI in the pediatric population exist. This exploratory study aimed to understand the behavior of diameters and IVCCI as a function of body surface area (BSA) in healthy children to establish possible reference values in the future. Population and methods. Ninety-nine Mexican children aged 12 to 204 months were included. Anthropometry and transthoracic M-mode echocardiography were performed to assess the maximum expiratory diameter (MAXDE) and the minimum inspiratory diameter (MINDI). IVCCI was calculated with the formula (MAXDE - MINDI) / MAXDE × 100. Results. A linear regression model was performed to calculate the predicted values (mean ± 2 standard deviations of MAXDE and MINDI expressed per BSA). The predicted value of the IVCCI for each representative BSA value was calculated from the MAXDE and MINDI values predicted by the model. Conclusions. Variations were found in the values of diameters and IVCCI concerning studies performed in other pediatric groups. This indicates the importance of having specific reference values for each population and opens the door to generating more research in healthy children and even those with cardiac disorders.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410384"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998916","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
2023 epidemic dengue fever outbreak: the experience of a pediatric hospital in the City of Buenos Aires. 2023 年登革热疫情：布宜诺斯艾利斯市一家儿科医院的经验。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-10-24 DOI: 10.5546/aap.2024-10417.eng
Carolina Ordoñez, Sofía S Carril, Elisa Espinosa Charris, Antonella Antonelli Sanz, Christian Vergara, Laura Talarico, Alicia S Mistchenko, Eduardo L López
{"title":"2023 epidemic dengue fever outbreak: the experience of a pediatric hospital in the City of Buenos Aires.","authors":"Carolina Ordoñez, Sofía S Carril, Elisa Espinosa Charris, Antonella Antonelli Sanz, Christian Vergara, Laura Talarico, Alicia S Mistchenko, Eduardo L López","doi":"10.5546/aap.2024-10417.eng","DOIUrl":"10.5546/aap.2024-10417.eng","url":null,"abstract":"<p><p>Introduction. Dengue is a viral infection that may be asymptomatic or include severe manifestations. This study aims to describe the characteristics of a pediatric population during the epidemic outbreak in 2023. Population and methods. This cross-sectional study included patients with probable or confirmed dengue fever who were seen from March 13, 2023, to May 19, 2023, in a pediatric hospital in the Autonomous City of Buenos Aires. Results. A total of 112 patients were included. The median age was 12 years; 58% were male. Seventy-six percent of them came from the City of Buenos Aires. Twenty-five percent had cohabitants with symptoms compatible with a suspected case. The most frequent clinical manifestations were fever, headache, retro-ocular pain, myalgia, and arthralgia. The most frequent laboratory alterations were leukopenia (65%) and elevated transaminases (60%). Twenty-one percent (24/112) presented alarm signs and required hospitalization. Leukopenia, plateletopenia, and elevated transaminases were associated with the presence of alarm signs. RT-PCR was detected in fifty-three patients; serotype 2 was the most frequent. Twenty-one patients had positive NS1 tests, 18 patients had positive IgM, and 20 patients with clinical and epidemiological links were assumed to be probable dengue cases. There were no cases of severe dengue. Conclusion. Early clinical suspicion and recognition of laboratory parameters associated with alarm signs are essential for an adequate approach to the disease and early supportive treatment during dengue infection.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410417"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456834","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
Spontaneous breathing trial in the weaning process from mechanical ventilation in pediatrics: outcome and predictive factors. 儿科机械通气断奶过程中的自主呼吸试验：结果和预测因素。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI: 10.5546/aap.2024-10399.eng
Pedro Taffarel, Jorge Palmeiro, Yamila Nociti, Verónica Laulhé, Laura Giménez, Laura Lamberti, Marina Erviti, Juliana Fassola, Lourdes Lisciotto, Soledad López Cottet, Mónica Dos Santos, Paula Doi, Claudia Meregalli, Facundo Jorro Barón
{"title":"Spontaneous breathing trial in the weaning process from mechanical ventilation in pediatrics: outcome and predictive factors.","authors":"Pedro Taffarel, Jorge Palmeiro, Yamila Nociti, Verónica Laulhé, Laura Giménez, Laura Lamberti, Marina Erviti, Juliana Fassola, Lourdes Lisciotto, Soledad López Cottet, Mónica Dos Santos, Paula Doi, Claudia Meregalli, Facundo Jorro Barón","doi":"10.5546/aap.2024-10399.eng","DOIUrl":"10.5546/aap.2024-10399.eng","url":null,"abstract":"<p><p>Introduction. spontaneous breathing trial (SBT) in weaning from pediatric invasive mechanical ventilation (IMV) is an endorsed practice, its positivity is based on clinical parameters; however, its results could be better documented. Objective. To describe the results of the SBT in the IMV weaning process. Population and methods. Retrospective analysis. Patients with ≥48 h in IMV from March 1, 2022 to January 31, 2024. Results. A total of493 SBT were analyzed in 304 patients; 71% (348) were positive, and 87% (302) resulted in successful extubations. The causes of negative SBT were increased work of breathing (70%), respiratory rate (57%), and heart rate (27%). In univariate analysis, respiratory distress as the reason for admission, peak inspiratory pressure before SBT and T-tube use, were predictors of negative SBT. In multivariate analysis, this association persisted for admission for respiratory cause, the higher programmed respiratory rate in IMV, as the T-tube modality. Those with negative SBT stayed more days in IMV (9 [7-12] vs. 7 [4-10]) and in PICU (11 [9-15] vs. 9 [7-12]). Conclusion. Positive SBT predicted successful extubation in a high percentage of cases. Respiratory distress on admission, higher programmed respiratory rate, and a higher proportion of T-tube mode were negative predictors of the test. Negative SBT was associated with more extended stays in IMV and PICU.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410399"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103862","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
The Child and Adolescent Health Observatory: a new challenge. 儿童和青少年健康观察站：新的挑战。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-22 DOI: 10.5546/aap.2024-10505.eng
Angela Gentile
{"title":"The Child and Adolescent Health Observatory: a new challenge.","authors":"Angela Gentile","doi":"10.5546/aap.2024-10505.eng","DOIUrl":"10.5546/aap.2024-10505.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410505"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987336","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
The diagnosis of short lingual frenulum and how to promote breastfeeding. 短舌裂的诊断及如何促进母乳喂养。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-15 DOI: 10.5546/aap.2024-10508.eng
Néstor E Vain, Constanza P Soto Conti
{"title":"The diagnosis of short lingual frenulum and how to promote breastfeeding.","authors":"Néstor E Vain, Constanza P Soto Conti","doi":"10.5546/aap.2024-10508.eng","DOIUrl":"10.5546/aap.2024-10508.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410508"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905809","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
The lingual frenulum, ankyloglossia, and breastfeeding. 舌系带、舌侧畸形和母乳喂养。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-15 DOI: 10.5546/aap.2024-10507.eng
Norma E Rossato
{"title":"The lingual frenulum, ankyloglossia, and breastfeeding.","authors":"Norma E Rossato","doi":"10.5546/aap.2024-10507.eng","DOIUrl":"10.5546/aap.2024-10507.eng","url":null,"abstract":"<p><p>Between 1997 and 2012, the diagnoses of ankyloglossia and the indication for frenotomy increased by ˃800%. About 38% of diagnosed cases are surgically treated. Breastfeeding promotion includes evaluating maternal hereditary and personal history of breastfeeding, breast structure, endocrinological physiology, emotional well-being of the mother, breastfeeding technique, quality and quantity of milk, and the newborn's ability to latch on and suckle. Frenotomy would be indicated when restriction of tongue function causes difficulties that have not resolved after thorough evaluation and counseling to correct other causes. Frenotomy can have complications: feeding and respiratory difficulties, pain, weight loss, vascular or nerve damage, and delayed diagnosis of other underlying pathologies. It does not always solve breastfeeding difficulties. Interdisciplinary teamwork reduces the frequency of unnecessary frenotomies.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410507"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905810","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
Esophageal achalasia: A case report in an adolescent. 食道贲门失弛缓症：一例青少年病例报告。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI: 10.5546/aap.2024-10364.eng
Federico Prado, Emiliano Gigliotti, Paula González Pannia, Leonardo De Lillo
{"title":"Esophageal achalasia: A case report in an adolescent.","authors":"Federico Prado, Emiliano Gigliotti, Paula González Pannia, Leonardo De Lillo","doi":"10.5546/aap.2024-10364.eng","DOIUrl":"10.5546/aap.2024-10364.eng","url":null,"abstract":"<p><p>Esophageal achalasia is an uncommon disease in pediatrics. With an insidious clinical presentation, diagnosis is delayed. Here we describe a case of esophageal achalasia in a 16-year-old girl, with the typical delay in consultation and diagnosis. Although pneumatic balloon dilatation has been described as the best therapeutic option for type II achalasia, it was ineffective in our patient and she required Heller extramucosal myotomy with gastroesophageal fundoplication for reflux.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410364"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103861","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
Liver transplantation for primary liver tumors in pediatrics. A case series. 儿科原发性肝肿瘤的肝移植。病例系列。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-01 DOI: 10.5546/aap.2023-10222.eng
Erika M Selzer Soria, Ariel González Campaña, Alejandro Siaba Serrate, Mariana Varela, Cecilia Lagues, Martín Fauda, Ivone Malla
{"title":"Liver transplantation for primary liver tumors in pediatrics. A case series.","authors":"Erika M Selzer Soria, Ariel González Campaña, Alejandro Siaba Serrate, Mariana Varela, Cecilia Lagues, Martín Fauda, Ivone Malla","doi":"10.5546/aap.2023-10222.eng","DOIUrl":"10.5546/aap.2023-10222.eng","url":null,"abstract":"<p><p>Primary liver tumors are an increasing indication for pediatric liver transplantation. Here we report the cases of 10 patients who underwent liver transplantation for primary liver tumors in our hospital, from 2001 to date. Up to 2011, 1 transplant due to hepatoblastoma was done out of 117 liver transplants (0.8%). Since 2012, there were 9 patients out of 141 (6.4%) (5 due to hepatoblastoma, 2 due to hepatocellular carcinoma, 1 due to hepatic epithelioid hemangioendothelioma, and 1 due to hepatic mesenchymal hamartoma). Follow-up: 13.2 months (median); age at transplantation: living 4.7 years (median); weight: 17.6 kg (median). Eighty percent of patients received grafts from living donors. No tumor recurrence was observed. Survival was 100% in the follow-up period. In our series, patients with primary liver tumors requiring transplantation showed an adequate course, even in the case of hepatocellular carcinoma, Related living donors liver transplantation shortened the time between the indication and the surgery.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310222"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756847","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
Fiber in enteral nutrition: why and what for? 肠内营养中的纤维：为什么？
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-06-13 DOI: 10.5546/aap.2023-10274.eng
Adriana Fernández, María Del Carmen Toca, Gabriel Vinderola, Patricia Sosa
{"title":"Fiber in enteral nutrition: why and what for?","authors":"Adriana Fernández, María Del Carmen Toca, Gabriel Vinderola, Patricia Sosa","doi":"10.5546/aap.2023-10274.eng","DOIUrl":"10.5546/aap.2023-10274.eng","url":null,"abstract":"<p><p>Enteral formulas containing fiber, designed to be administered orally or by gavage, have been used for decades. Although their indication in the pediatric population does not have a global consensus, knowledge about the benefits of using fiber to promote healthier microbiota has grown in recent years. Different fiber types' physicochemical characteristics (solubility, viscosity, fermentability) determine their functions. The impact of fiber use on preventing specific chronic pathologies (cardiovascular disease, cancer, diabetes) has been reported in epidemiological studies. In controlled studies, changes in stool consistency, intestinal transit, and the composition and function of the microbiota have been observed since fiber produces fermentation metabolites such as short-chain fatty acids, which improve metabolic and immunological aspects. Different pediatric pathologies could benefit from the use of fiber.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310274"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295478","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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