Boletín médico del Hospital Infantil de México最新文献

{"title":"Effects of 6 months of permanence in an early intervention program on the developmental level of children 18-42 months of age in poverty: cohort study.","authors":"Miguel Á Villasis-Keever, Jesús H Trujillo-Flores, Angélica Ocaña-Zavaleta, Perla Ma Ortega-Lomelín, Christian A Delaflor-Wagner, Alejandro I Soto-Briseño, Laura A Hernández-Trejo, José A García-Aranda, Daniel Aceves-Villagrán, Hortensia Reyes-Morales, Antonio Rizzoli-Córdoba","doi":"10.24875/BMHIM.24000167","DOIUrl":"10.24875/BMHIM.24000167","url":null,"abstract":"<p><strong>Background: </strong>The Child Care Facilities Program (PEI, for its Spanish acronym) in Mexico targets parents of children aged 1-3 years living in poverty, providing education and care strategies 5 days a week. This study aimed to evaluate the impact of a 6-month stay in childcare centers on the developmental levels of children under 4 years old.</p><p><strong>Methods: </strong>A longitudinal, before-and-after study was conducted. Children aged 12-42 months enrolled in the PEI were included in the study. All participants remained in the program for 6 months from the first measurement. The overall and area-specific developmental levels were assessed using the Early Childhood Development Assessment (EDI, for its Spanish acronym) test. The percentages of developmental levels (normal, delayed, and at risk of delay) were compared between the baseline and 6-month assessments using the McNemar test.</p><p><strong>Results: </strong>The study included 1835 children, of whom 52% were male. The age distribution was as follows: 28.1% were 12-24 months old, 48.4% were 25-36 months old, and 23.5% were 37-42 months old. At baseline, 80.5% (n = 1,476) of the children were classified as having normal overall development, 16% had developmental delay, and 3.5% were at risk for delay. After 6 months, the percentage of children with normal development increased to 90.1%, while those with developmental delay and those at risk for delay decreased to 8.7% and 1.2%, respectively. Similar improvements were observed across various developmental areas, except in the knowledge area.</p><p><strong>Conclusions: </strong>A 6-month stay in childcare centers is beneficial for improving the developmental levels of children under 4 years old, both overall and in motor, language, social, and cognitive areas.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"86-93"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The future of children is always today.","authors":"Helia Molina-Milman","doi":"10.24875/BMHIM.24000172","DOIUrl":"https://doi.org/10.24875/BMHIM.24000172","url":null,"abstract":"","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"3-4"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Waiting time for pediatric patients to be admitted for elective surgery at a National Pediatric Health Institute in Mexico City.","authors":"Edmundo Vázquez-Cornejo, Elizabeth Cruz-Cruz, Heriberto Gómez-Gaytán, Daniela de la Rosa-Zamboni, Miriam G Herrera-Segura, Araceli Saldívar-Flores, Olga Morales-Ríos, Juan Garduño-Espinosa","doi":"10.24875/BMHIM.24000046","DOIUrl":"10.24875/BMHIM.24000046","url":null,"abstract":"<p><strong>Background: </strong>Waiting times for elective surgery can be a physically and psychologically distressing experience for patients, affecting their satisfaction and perceptions of service quality. This study aimed to estimate the waiting time for pediatric patients admitted for elective surgery, identify events causing delays, and compare variations in the admission process.</p><p><strong>Method: </strong>Three cohorts of pediatric patients scheduled for elective surgery were prospectively followed: (A) weekday general surgery admissions, (B) weekday admissions to other surgical specialties, and (C) weekend surgical admissions. The admission process was mapped, timescales of each stage were recorded, and delay incidents were identified through direct non-participant observation after obtaining informed consent or assent.</p><p><strong>Results: </strong>The mean waiting time was 6.9 h (95% confidence interval [CI]: 6.6-7.2 h) for all scheduled surgical admissions. Patients in cohort B experienced the longest waiting time at 8.1 h (95% CI: 7.7-8.5 h, p < 0.0001). Primary causes of delay included lengthy transfers to the admission area, bed management issues, and limited staff availability during shift changes. Avoidable delays resulted in a mean additional waiting time of 1.4 h.</p><p><strong>Conclusions: </strong>The findings suggest that hospital waiting times could be reduced through organizational interventions targeting the main causes of delay and simplifying administrative processes.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 1","pages":"35-43"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental and behavioral pediatrics service: comprehensive early childhood care in Mexico.","authors":"Lizbeth G Salado-Meléndez, Antonio Rizzoli-Córdoba, Leopoldo Alfonso Cruz-Ortiz","doi":"10.24875/BMHIM.24000165","DOIUrl":"10.24875/BMHIM.24000165","url":null,"abstract":"<p><p>Developmental pediatrics (DP) in Mexico has taken a crucial step forward in the creation of the Developmental and Behavioral Pediatrics Service (SPDC, for its acronym in Spanish) at Hospital Infantil de México Federico Gómez (HIMFG). The SPDC is a leading area in early detection and intervention in neurodevelopmental problems and contributes to children's well-being. Among its achievements are the development and implementation of the Child Development Evaluation Test, which has been validated for children under 6 years old, and of a free virtual training program for medical personnel that is supported by an interactive platform. Furthermore, the SPDC is the only center in Mexico to offer a postgraduate degree in DP. With a fair and evidence-based approach, the SPDC contributes to the strengthening of public policy, research, and comprehensive care to ensure children's development.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"113-119"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydrocele of the canal of Nuck: a case report of an unusual disease.","authors":"Bruna Suda-Rodrigues, Ma Beatriz Ferraz-Cabral da Ponte, Márcio L Duarte, Élcio R Duarte","doi":"10.24875/BMHIM.24000078","DOIUrl":"10.24875/BMHIM.24000078","url":null,"abstract":"<p><strong>Background: </strong>Hydrocele of the canal of Nuck is a rare pathology with a prevalence of approximately 1% in females aged 0-16 years. Its prevalence in adults remains unknown. The condition develops due to persistent patency or failed obliteration of the canal of Nuck. Several factors may contribute to its development, including lymphatic disorders, trauma, infection, inflammation, or idiopathic causes. Clinically, it presents as edema in the groin or genital region without additional symptoms. Ultrasonography is the preferred diagnostic modality for hydrocele of the canal of Nuck.</p><p><strong>Case report: </strong>We present the case of a 20-month-old female patient who presented with pain and a \"lump\" in the right inguinal region for 3 days. The patient was diagnosed with type 1 hydrocele of the canal of Nuck through ultrasonography, which was subsequently confirmed during surgery. The patient was discharged on the same day as the procedure and remains asymptomatic.</p><p><strong>Conclusions: </strong>Although rare, hydrocele of the canal of Nuck should be considered in the differential diagnosis of groin or genital region edema presenting without additional symptoms. Its diagnosis can be challenging due to several common differential diagnoses, including indirect inguinal hernia, tumors, cysts, abscesses, and lymphadenopathies, which occur more frequently. Therefore, ultrasonography plays a crucial role in evaluating these differential diagnoses and confirming the hydrocele of the canal of Nuck.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 1","pages":"63-66"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Play prescription: intervention delivered at primary health care facilities to promote child development through activities at home.","authors":"Antonio Rizzoli-Córdoba, Martha C Campos-Maldonado, Víctor H Vélez-Andrade, Christian A Delaflor-Wagner, Laura A Hernández-Trejo, Daniel Aceves-Villagrán, Miguel Á Villasis-Keever","doi":"10.24875/BMHIM.24000164","DOIUrl":"10.24875/BMHIM.24000164","url":null,"abstract":"<p><strong>Background: </strong>Play is a fundamental component of children's social, emotional, cognitive, and physical development. This study focused on assesses a play-based intervention method to promote overall child development based on parental involvement, delivered at primary care facilities.</p><p><strong>Methods: </strong>Quasi-experimental study was conducted with children 24-59 months old, regularly attending the monthly stimulation sessions in primary care facilities in the state of Puebla, Mexico, from November 2015 to April 2016. Play interventions were administered over six sessions each month 1-h length individually for the dyad, included free play time, and each session one activity at home that include the five areas of development and with some materials provided but encouraged to use more available at home. The Child Development Evaluation (EDI) test was administered at baseline, 3 and 6 months after the intervention. A comprehensive data set encompassing demographic variables was collected and analyzed. McNemar test was used to assess developmental changes over time.</p><p><strong>Results: </strong>The sample consisted of 276 children, 60.5% were male, median age 40 months (interquartile range: 34-46). All participants attend the six sessions and conducted activities daily at home. Overall, the percentage of children with abnormal result with EDI test was 77.2% at baseline and 17.4% final measurement at 6 months (p < 0.001), with mild-delay decreased from 39.9% to 6.9% and high-risk of delay from 37.3% to 10.5%.</p><p><strong>Conclusion: </strong>The play intervention resulted in a clinically and statistically significant improvement in the developmental outcomes of the children, both with normal/abnormal result at baseline.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"94-100"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of preterm infants in pediatric rehabilitation at a referral hospital in Peru.","authors":"Roger De la Cerna-Luna, Walter Chacon-Obregon, Paola Del Carpio-Samaniego, Ana Igei-Chiney, Alvaro Taype-Rondan","doi":"10.24875/BMHIM.24000113","DOIUrl":"10.24875/BMHIM.24000113","url":null,"abstract":"<p><strong>Background: </strong>Prematurity is associated with a higher risk of disability. However, no studies on this population in rehabilitation settings in Peru have been found. This study aims to describe the characteristics of preterm infants at the Pediatric Rehabilitation Service of Hospital Nacional Edgardo Rebagliati Martins (SRP-HNERM).</p><p><strong>Method: </strong>A cross-sectional descriptive study was conducted. Medical records of preterm infants at SRP-HNERM from September 2023 to February 2024 were reviewed. The Hammersmith Infant Neurological Examination (HINE), General Movements Assessment (GMA), and other outcome measures were used for evaluation.</p><p><strong>Results: </strong>A total of 158 preterm infants were evaluated. During hospitalization, 51.3% were evaluated by a physiatrist, 47.5% received physical therapy, and 51.3% had feeding and swallowing disorders (FSD). After discharge, all patients were evaluated by a physiatrist at SRP-HNERM. Among infants with ≥ 44 weeks of corrected gestational age (CGA), 48.1% showed some degree of developmental delay, with global delay present in 34%. Of those with ≥ 48 weeks of CGA, 54.9% had an optimal HINE score. Normal GMA was observed in 51.2% of infants with ≤ 5 months of CGA. A higher frequency of global developmental delay was found in infants who had FSD during hospitalization and a lower frequency in those who had neonatal jaundice.</p><p><strong>Conclusions: </strong>Slightly more than half of the preterm infants were evaluated by a physiatrist, had FSD during hospitalization, had an optimal HINE score at ≥ 48 weeks of CGA, and had a normal GMA at ≤ 5 months of CGA. The presence of FSD during hospitalization should alert clinicians to a higher risk of global developmental delay in this population.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 1","pages":"44-53"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early developmental screening tools constructed in Latin American countries: umbrella review.","authors":"Luisa Schonhaut, Antonia Valdés, Ilan Oppenheimer, Antonio Rizzoli-Córdoba, Rolando Rivera","doi":"10.24875/BMHIM.24000161","DOIUrl":"10.24875/BMHIM.24000161","url":null,"abstract":"<p><strong>Background: </strong>Multiple early childhood development (ECD) screening instruments have been developed in Latin America.</p><p><strong>Objective: </strong>The objective of this study was to describe ECD screening tests for children under 4 years of age constructed in Latin American countries in the context of healthcare, currently in use.</p><p><strong>Methods: </strong>A systematic review of literature published until April 2024 was conducted to identify screening tests constructed in Latin America. The search for each test was expanded, and individual records were completed. Authors of the instruments and/or their validations were identified and contacted to corroborate the information. An ECD screening test was defined as one that assesses at least three different domains. Only tests used in the healthcare system were included in the study. Those without publications and/or accessible information were excluded from the study.</p><p><strong>Results: </strong>Twenty-one tests constructed in nine countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Cuba, Mexico, Peru, and Uruguay) were included, many used in different countries of the region. Seven were constructed and/or validated in the past 5 years. They predominantly consist of direct assessment or questions to primary caregivers. Four were validated for online use, and one for virtual use. In the validation, most combined different psychometric analyses, with heterogeneity in methodology and reference patterns. Median summary sensitivity was 0.67 (95% confidence interval [CI] 0.34-1.0), and specificity was 0.71 (95% CI 0.42-1.0).</p><p><strong>Conclusions: </strong>The ECD screening tests developed in Latin America show thorough validation and ongoing updates, though they exhibit some variability. Direct assessment using paper predominates. The consistency of the instruments, when used in different countries and populations, stands out.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"5-24"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Homenaje al Dr. Luis Velásquez Jones].","authors":"Mara Medeiros","doi":"10.24875/BMHIM.M24000040","DOIUrl":"https://doi.org/10.24875/BMHIM.M24000040","url":null,"abstract":"","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 1","pages":"3-4"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of administering the child development evaluation test through telemedicine to children aged 18-72 months.","authors":"Ilma R Torres-Escobar, Miguel Á Villasis-Keever, Martha M Zapata-Tarrés, Laura A Hernández-Trejo, Christian A Delaflor-Wagner, Antonio Rizzoli-Córdoba","doi":"10.24875/BMHIM.24000163","DOIUrl":"10.24875/BMHIM.24000163","url":null,"abstract":"<p><strong>Background: </strong>Early childhood development is a complex process that requires reliable tools for the timely detection of alterations that may affect a child's progress. The Child Development Evaluation test (EDI, in its Spanish acronym) is a screening test developed and validated in Mexico to be administered in person by a professional. The objective is to evaluate the validity of administering the EDI test through telemedicine in terms of its diagnostic concordance with the face-to-face modality.</p><p><strong>Methods: </strong>This analytical, prospective, and cross-sectional study included patients aged 18-72 months and was conducted at a tertiary care hospital in Mexico City. The test was administered through telemedicine and subsequently in person. In addition, sensitivity and specificity data were reported with confidence interval of 95% (95% CI). The face-to-face evaluator was blinded to the telemedicine results.</p><p><strong>Results: </strong>Fifty children with a median age of 47 months participated in the study. A sensitivity of 100% (95% CI, 91-100) and specificity of 100% (95% CI, 70-100) overall were obtained. Language was the higher area with a sensitivity of 100 (95% CI: 91-100) and specificity of 90 (59-98); the results for the other areas are shown. The lowest sensitivity was neurological examination (67; CI 95%: 30-90) but has the highest specificity (98; CI 95%: 88-99).</p><p><strong>Conclusion: </strong>The EDI test implemented through telemedicine shows high correlation with the face-to-face modality, maintaining high sensitivity and specificity. These results make it an appropriate method for screening children of this age, although further larger studies are needed to corroborate it.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"52-58"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}