Boletín médico del Hospital Infantil de México最新文献_第4页

Direct medical costs of polyarthritis in a pediatric hospital in Mexico. 墨西哥一家儿科医院多关节炎的直接医疗费用。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000079

María F Carrillo-Vega, Juan M Mireles-Dorantes, Samara Mendienta-Zerón, Guillermo Salinas-Escudero, Filiberto Toledano Toledano, Victor Granados-García

{"title":"Direct medical costs of polyarthritis in a pediatric hospital in Mexico.","authors":"María F Carrillo-Vega, Juan M Mireles-Dorantes, Samara Mendienta-Zerón, Guillermo Salinas-Escudero, Filiberto Toledano Toledano, Victor Granados-García","doi":"10.24875/BMHIM.24000079","DOIUrl":"https://doi.org/10.24875/BMHIM.24000079","url":null,"abstract":"Background: Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children. The polyarticular course (polyarthritis) represents 63-66% of patients with JIA. The aim was to determine the direct medical costs (DMC) of JIA of the polyarthritis type in pediatric patients of a tertiary hospital in Mexico.Methods: An analysis of the disease costs was developed from the perspective of the Instituto de Seguridad Social del Estado de México y Municipios Maternal and Child Hospital (HMI). The time horizon was 12 years. All patients diagnosed with JIA with polyarticular course treated by the pediatric rheumatology service of the HMI from January to September 2022 and with an active clinical record were included. Different costing techniques were used. The cost components were consultations, medications, hospitalization, and office and laboratory studies. The costs are reported in USD 2021.Results: Twenty-six records of patients with polyarticular arthritis from the HMI were analyzed, with a mean of 4,555.2 USD (standard deviation [SD] = 1,456.7) and a median of 3,828 USD (SD = 1,492) in the first 10 years of treatment. The components of DMC were medications (82.7%), office and laboratory studies (8.4%), hospitalization (8.0%), and consultations (1.8%). Biological disease-modifying drugs (bDMARDs) accounted for 95.3% of the drug component cost.Conclusion: The cost of bDMARDs represented the most critical cost of polyarticular JIA, reflected in the 2nd year of treatment. Including generic bDMARDs and reviewing purchase prices by health institutions in Mexico is necessary.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"356-367"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692477","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}

引用次数: 0

Quality of life and burnout: children and adolescents in cancer treatment. 生活质量和职业倦怠：接受癌症治疗的儿童和青少年。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000063

Alexander Casallas-Vega, David Andrade-Fonseca, Jaime J. Pérez-Niño, Jeisson A. Hincapié-Carvajal, Juan P. Castañeda-González, Samanta Del R. Herrera-Valladares, Sandra M. Hernández-Zambrano

{"title":"Quality of life and burnout: children and adolescents in cancer treatment.","authors":"Alexander Casallas-Vega, David Andrade-Fonseca, Jaime J. Pérez-Niño, Jeisson A. Hincapié-Carvajal, Juan P. Castañeda-González, Samanta Del R. Herrera-Valladares, Sandra M. Hernández-Zambrano","doi":"10.24875/BMHIM.24000063","DOIUrl":"10.24875/BMHIM.24000063","url":null,"abstract":"Background: Pediatric cancer is a complex disease that requires interdisciplinary interventions. This study aims to describe the quality of life and exhaustion levels in children diagnosed with cancer, using validated instruments that reflect the peculiarities of this disease.Method: An observational analytical study was conducted on children and adolescents aged 2 to 18 years with cancer. The PedsQL Cancer Module and FACIT-F instruments were used to assess quality of life and fatigue, respectively, with statistical analysis performed to identify correlations and develop an explanatory model.Results: Notable physical and psychological symptoms such as nausea, fatigue, hyporexia, irritability, and sadness were identified. The PedsQL and FACIT-F indicated a diminished quality of life. There was high concordance between the perceptions of children and their parents, except in the anxiety related to procedures, where children reported higher levels. These symptoms reflect the impact of cancer treatment on children's well-being. The concordance in evaluations suggests that parents have a good understanding of these experiences, highlighting the relevance of psychosocial interventions to improve quality of life through an adequate support network.Conclusions: It is crucial that pediatric cancer treatment addresses not only medical aspects but also the comprehensive support for the emotional and psychosocial well-being of the patients and their families.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"337-345"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692636","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}

引用次数: 0

Epidemiology of acute childhood poisoning in pediatric emergencies in Western Mexico. 墨西哥西部儿科急诊中儿童急性中毒的流行病学。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000183

Mireya Robledo-Aceves, América A Corona-Gutiérrez, Eva E Camarena-Pulido, Alejandro Barrón-Balderas, Carlos Meza-López, Ruth Y Ramos-Gutiérrez, Jesús Gutiérrez-Rojas

{"title":"Epidemiology of acute childhood poisoning in pediatric emergencies in Western Mexico.","authors":"Mireya Robledo-Aceves, América A Corona-Gutiérrez, Eva E Camarena-Pulido, Alejandro Barrón-Balderas, Carlos Meza-López, Ruth Y Ramos-Gutiérrez, Jesús Gutiérrez-Rojas","doi":"10.24875/BMHIM.23000183","DOIUrl":"10.24875/BMHIM.23000183","url":null,"abstract":"Introduction: The increase in the production of substances to enhance the quality of life, the biodiversity of the different ecosystems in Mexico, and the unique characteristics of pediatric patients, contribute to intoxications within this population.Method: Analytical retrospective study of admissions to pediatric emergency care due to poisoning in < 16-year-old (2016 to 2020). Included variables were age, gender, type of toxic substance, exposure characteristics, and the season of the year. Frequencies, percentages, range, average and standard deviation were obteined. In the bivariate análisis, the Chi square test was used. A p-value < 0.05 was considered statistically significant.Results: Over 5 years, there were 459 cases, with a prevalence of 3.16%. No gender predominance was observed. The most common was caused by venomous animals (28.5%), followed by medication ingestion (27.6%). Only 5% of cases were suicide attempts, the rest were accidental (95%). Children up to 5 years old were more commonly by medication ingestion, hydrocarbons, or household products (p = 0.03, p = 0.0001), while the causes in older children were contact with venomous animals and ingestion of stimulants drugs (alcohol, amphetamines, cannabis, cocaine) (p = 0.0001, p = 0.006). Intoxication with quaternary ammonium herbicides was lethal in all cases.Conclusions: Children under the age of 5 are more susceptible to intoxication from common household products. Older kids tend to be more frequently a combination of stimulants drugs.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 5","pages":"287-293"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387922","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}

引用次数: 0

Graft-versus-host disease variety toxic epidermal necrolysis. Case report. 移植物抗宿主病变异性中毒性表皮坏死。病例报告。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000048

Elsa M Zúñiga-Lara, César M Zambrano-Virgen, José F Gaytán-Morales, Fredenet O Mendoza-Camargo, Yazmin A Gómez-Domínguez

引用次数: 0

Clinical and epidemiological characteristics of pilomatricomas in a Mexican pediatric population. 墨西哥儿童中皮瘤的临床和流行病学特征。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000067

Juan A Godínez-Chaparro, Helena Vidaurri-de la Cruz, Karen Oyorzabal-Serrano, Ixchel R Ramírez-Ricarte

{"title":"Clinical and epidemiological characteristics of pilomatricomas in a Mexican pediatric population.","authors":"Juan A Godínez-Chaparro, Helena Vidaurri-de la Cruz, Karen Oyorzabal-Serrano, Ixchel R Ramírez-Ricarte","doi":"10.24875/BMHIM.24000067","DOIUrl":"10.24875/BMHIM.24000067","url":null,"abstract":"Background: Pilomatricoma is a common benign adnexal neoplasm in children. There are few epidemiological studies on this subject, with most relying solely on descriptive statistics.Methods: A cross-sectional study conducted in two tertiary hospitals in Mexico City from January 2017 to December 2023. Clinical and electronic records of patients with histopathological diagnosis of pilomatricoma, both sexes, under 18 years old, with any type of present comorbidity were selected. Records of patients with diagnosis not confirmed by histopathology or incomplete records were not included in the study.Results: Fifty-two cases with pilomatrixoma were included in the study, showing a total of 74 lesions. About 23.1% of the cases had multiple pilomatrixomas. 40.4% of the cases experienced pain; this symptom was associated with lesions > 15 mm in diameter and with multiple pilomatrixomas. Risk factors for lesions > 15 mm included age under 8 years, positive tent sign, tumor evolution longer than a year, and a non-classical clinical variety. The head and neck were the most commonly affected areas. The left upper extremity presented larger pilomatrixomas (median 18.5 mm) and occurred more frequently in adolescent patients (mean age 12.1 years) compared to other body areas.Conclusions: Pilomatrixoma in children shows clinical diversity, with specific findings based on size, number, and anatomical location.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 5","pages":"263-271"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387921","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}

引用次数: 0

Frequency of hand contact with hospital surfaces in hospitalized pediatric patients. 住院儿科患者手接触医院表面的频率。

IF 0.9

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000143

José F Mier-de Leija, Daniela de la Rosa-Zamboni, Juan J L Sienra-Monge, Horacio Márquez-González, Solange G Koretzky

{"title":"Frequency of hand contact with hospital surfaces in hospitalized pediatric patients.","authors":"José F Mier-de Leija, Daniela de la Rosa-Zamboni, Juan J L Sienra-Monge, Horacio Márquez-González, Solange G Koretzky","doi":"10.24875/BMHIM.23000143","DOIUrl":"https://doi.org/10.24875/BMHIM.23000143","url":null,"abstract":"Background: Hand hygiene (HH) is an important strategy for preventing health-care-associated infections (HAIs). Few programs focus on HH for family members and primary caregivers but fewer for patients. This study aimed to estimate the frequency with which hospitalized pediatric patients have hand contact with hospital surfaces.Methods: We conducted a cross-sectional descriptive observational study consisting of three phases: the first was the creation of an observation and data collection tool, the second was the training of the monitors, and the third was the observational study of hand contact and HH opportunities in hospitalized pediatric patients.Results: Over 3600 minutes of observation, 2032 HH opportunities were detected, averaging 33.8/h (SD 4.7) as determined by hand contact with hospital surfaces of hospitalized pediatric patients. In our study, infants and preschool children had the highest frequency of hand contact.Conclusion: The high frequency of hand contact of hospital surfaces by children suggests that hourly hand disinfection of patients and caregivers, objects and surfaces around the patients may be prevention measures that could be incorporated to reduce HAIs in pediatric hospitals.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 1","pages":"44-52"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179378","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}

引用次数: 0

Drugs and natural products for the treatment of COVID-19 during 2020: comment. 2020 年治疗 COVID-19 的药物和天然产品：评论。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000042

Hineptch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Unveiling the mystery of the female heart's rhythm: a look into gender inequalities in electrophysiology. 揭开女性心律的神秘面纱：电生理学中的性别不平等。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000030

Norma A Balderrábano-Saucedo, Ana C Cepeda-Nieto, Luis D Ramírez-Calvillo, Ana C Berni-Betancourt, Silvia S Gómez-Delgadillo, Lorena D Cruz-Villar, Victor de J Suárez-Valencia

引用次数: 0

Exploring atypical manifestations and multisystem involvement of Epstein-Barr virus infection in hospitalized pediatric patients from Mexico: insights from a tertiary hospital (2012-2022). 探索墨西哥住院儿科患者感染爱泼斯坦-巴氏病毒的非典型表现和多系统受累情况：一家三甲医院的见解（2012-2022 年）。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000027

Laura E Salinas-Nuñez, Daniel O Pacheco-Rosas, José H Pérez-Olais, Elizabeth Mendoza-Coronel, Roberto J Robles-Ramírez, Laura C Bonifaz, Ezequiel M Fuentes-Pananá

{"title":"Exploring atypical manifestations and multisystem involvement of Epstein-Barr virus infection in hospitalized pediatric patients from Mexico: insights from a tertiary hospital (2012-2022).","authors":"Laura E Salinas-Nuñez, Daniel O Pacheco-Rosas, José H Pérez-Olais, Elizabeth Mendoza-Coronel, Roberto J Robles-Ramírez, Laura C Bonifaz, Ezequiel M Fuentes-Pananá","doi":"10.24875/BMHIM.24000027","DOIUrl":"10.24875/BMHIM.24000027","url":null,"abstract":"Introduction: Epstein-Barr virus (EBV) infection, with a global prevalence exceeding 95%, typically manifests in children as infectious mononucleosis. However, clinical practice frequently encounters diverse atypical presentations characterized by multisystem involvement, often resulting in an unfavorable clinical course. Our objective is to describe the clinical manifestations and results of EBV infection in a tertiary pediatric hospital in Mexico.Method: An observational, transversal, retrospective, and descriptive study that included a systematic review of medical records (2012-2022) of patients under 18 years of age with detectable EBV particles in peripheral blood.Results: The study included 26 patients with a median age of 5 years and a male predominance of 53.8%. Predominant symptoms were fever (85%) and lymphadenopathy (35%). Sixty-five percent had severe and atypical manifestations, including pneumonia and hepatic, hematologic-oncologic, and autoimmune diseases. Anemia, thrombocytopenia and leukopenia were common, with lymphocytosis in 19% of cases. The median EBV viral load was 2816 copies/mL (range: 555-355,500 copies/mL). Four deaths related to EBV infection were reported. Viral load in these cases also varied widely from 594 to 121,000 copies/mL. Supportive care was administered to 85% of patients, while others received antiviral treatment, steroids, and rituximab.Conclusion: Atypical manifestations were common, especially in children with multisystem involvement. EBV should be considered as a potential contributor to a diverse spectrum of clinical presentations, emphasizing the need for comprehensive evaluation and awareness in clinical diagnosis.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 5","pages":"272-279"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387923","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}

引用次数: 0

Exploring medical ethics: moral reasoning among new pediatric resident physicians in a tertiary hospital. 探索医学伦理：一家三级医院新任儿科住院医师的道德推理。

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Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000035

Indra A Andrade-Cabrera, Juan Garduño-Espinosa, Gina C Chapa-Koloffon, Mónica J Olguín-Quintero, Maria G Jean-Tron

{"title":"Exploring medical ethics: moral reasoning among new pediatric resident physicians in a tertiary hospital.","authors":"Indra A Andrade-Cabrera, Juan Garduño-Espinosa, Gina C Chapa-Koloffon, Mónica J Olguín-Quintero, Maria G Jean-Tron","doi":"10.24875/BMHIM.24000035","DOIUrl":"https://doi.org/10.24875/BMHIM.24000035","url":null,"abstract":"Background: Physicians are frequently faced with ethical dilemmas that require answers based in moral reasoning, which develops and evolves during their lives and their medical education. According to Kohlberg, there are three levels of moral reasoning development: pre-conventional (in which decisions are guided by oneself convenience), conventional (focused on obeying society's rules), and post-conventional (decisions are based in universal ethical principles). The aim of this study was to describe the level of moral reasoning among new pediatric resident physicians in a tertiary hospital.Method: This cross-sectional descriptive study was conducted from 2020 to 2023. The Defining Issues Test was used to assess the level of moral reasoning among 195 new pediatric resident physicians in a tertiary hospital.Results: Most resident physicians considered the fourth stage affirmations to be the most important. The median P-index (PI) was 40, and 49% of participants were on the post-conventional level of moral reasoning. The year with the lowest number of new resident physicians on the post-conventional level was 2021.Conclusion: The moral reasoning level among pediatric resident physicians was higher than the average found in general population. This suggests that the education received during the medical formation may influence the individuals' moral development.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 5","pages":"294-300"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387924","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}

引用次数: 0