Boletín médico del Hospital Infantil de México最新文献_第5页

Pediatric vulvar melanoma. Case report. 儿童外阴黑色素瘤。病例报告。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.23000142

Jennifer A Obregón-García, Ángel C Corzo-Centeno, Carolina E Sánchez-López

{"title":"Pediatric vulvar melanoma. Case report.","authors":"Jennifer A Obregón-García, Ángel C Corzo-Centeno, Carolina E Sánchez-López","doi":"10.24875/BMHIM.23000142","DOIUrl":"https://doi.org/10.24875/BMHIM.23000142","url":null,"abstract":"Background: Melanomas represent a small percentage of skin malignancies, but they represent the majority of deaths from skin cancer. The etiology of vulvar melanomas may differ from other melanomas, where the most important risk factor is exposure to ultraviolet light. Compared to adults, pediatric melanomas have an atypical clinical presentation, posing as low-suspicion lesions, thus leading to a diagnostic delay and increased mortality in this patient population.Clinical case: A 10-year-old female with a painful hyperpigmented lesion localized in the left vulvar region, with no other associated symptoms. Dermatology assessment described a palpable neoformation of 5 × 6 mm, black color, with irregular borders. Dermoscopy shown asymmetrical pattern, peripheral globules, irregular projections, and blue-white veil. Subsequently, an excisional biopsy of the lesion was performed, with a histopathological report of melanoma HMB45 positive, p-53 positive and focal Ki-67, negative margins. Further studies revealed no evidence of metastatic activity; therefore, it was decided to continue medical surveillance by the pediatric oncology service.Conclusions: Vulvar melanoma is a malignant entity with a low incidence rate. There are no case reports published in Mexico that describe its location in the pediatric population. Given the high mortality, early diagnosis and treatment would improve life expectancy in our patients.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 3","pages":"191-194"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706279","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

Serial bronchoalveolar lavage as barium aspiration treatment. Case report. 连续支气管肺泡灌洗钡抽吸治疗。病例报告。

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Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.23000180

Erik Castillo-de la Peña, Brenda Aguilar-Viveros, Alejandra Silva-Hernández, Cristóbal Puentes-Cruz

引用次数: 0

Eating disorders and associated factors in patients with type 1 diabetes. 1型糖尿病患者的饮食失调及其相关因素

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000076

Gilberto Meléndez-Flores, Martha A Delgadillo-Ruano, Rosa Ortega-Cortés, Gregorio Peña-Rodríguez

{"title":"Eating disorders and associated factors in patients with type 1 diabetes.","authors":"Gilberto Meléndez-Flores, Martha A Delgadillo-Ruano, Rosa Ortega-Cortés, Gregorio Peña-Rodríguez","doi":"10.24875/BMHIM.24000076","DOIUrl":"10.24875/BMHIM.24000076","url":null,"abstract":"Background: Eating disorders are a group of diseases with psychiatric background associated with physical manifestations related to weight and body image. We can classify patients with diabetes, into those who suffer from eating disorders or disordered eating behaviors, both being associated with the typical symptoms of eating behavior disorders. The objective was to analyze the frequency and factors associated with nutrition disorders in adolescents with type 1 diabetes.Method: Observational, cross-sectional, prospective and descriptive study of 100 adolescents with type 1 diabetes to whom the DEPS-R survey was applied to determine the frequency of nutrition disorders.Results: A positive DEPS-R survey score was presented for appearance of eating disorders in patients with type 1 diabetes in 33% of patients cases. There was a positive association using the χ2 test between body mass index and a positive screening (p = 0.006) and with uncontrolled glycated hemoglobin (p < 0.05), without being related to the patients sex (p = 0.20).Conclusions: The DEPS-R survey is applicable to the Mexican population to screen for risk of altered eating behaviors at pediatric age. Patients with poor glycemic control, overweight and obesity have higher prevalence of eating disorders.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 3","pages":"139-144"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706242","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

Schizencephaly in neonates and clinical importance. Cases report. 新生儿裂脑畸形及其临床意义。病例报告。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000064

Jorge L Alvarado-Socarras, Andrés F Jiménez, Óscar Peñuela-Vásquez, Salua T Feris-Teherán

{"title":"Schizencephaly in neonates and clinical importance. Cases report.","authors":"Jorge L Alvarado-Socarras, Andrés F Jiménez, Óscar Peñuela-Vásquez, Salua T Feris-Teherán","doi":"10.24875/BMHIM.24000064","DOIUrl":"10.24875/BMHIM.24000064","url":null,"abstract":"Background: Schizencephaly is a congenital alteration of the architecture of the cerebral cortex, and its diagnosis in the neonatal period will be determined by prenatal diagnosis or severity of the cases.Clinical cases: We present three neonatal cases with variable clinical expression and electroencephalographic findings during clinical course. Case 1: term neonate, born by cesarean section due to pre-eclampsia and presenting early respiratory distress. On clinical examination, macrocranial was clear, so a cranial tomography (CT) scan was performed showing bilateral open-lip schizencephaly. He early presented recurrent seizure, associated with hypotonia, and swallowing disorder with little improvement despite interventions, and palliative management was decided. Case 2: 36-week-old neonate with a prenatal diagnosis of schizencephaly and delivery by cesarean section due to altered fetal monitoring. Low birth weight and requiring positive pressure ventilation. On day 2, CT scan confirmed the prenatal diagnosis and the video electroencephalogram was normal. Progression of enteral feeding was achieved, without neurological deterioration, and the patient was discharged with recommendations for follow-up. An outpatient magnetic resonance imaging confirms the diagnosis. Case 3: preterm twin of 34 weeks, with prenatal diagnosis of ventriculomegaly. At birth without achieving early saturation goals and on clinical examination with large macrocrania and CT scan showing an image suggestive of open-lipped schizencephaly, associated with hydrocephalus, dysgenesis/agenesis of the corpus callosum. Seizure of difficult control, and required ventriculoperitoneal shunt.Conclusions: Neonatal clinical course is variable but seizures are relevant. Other assessments may be needed early, including genetic concepts.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 3","pages":"180-190"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706281","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

Waiting time for pediatric patients to be admitted for elective surgery at a National Pediatric Health Institute in Mexico City. 在墨西哥城的国家儿科健康研究所，儿科患者接受选择性手术的等待时间。

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Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000046

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

{"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":"Background: 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.Method: 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.Results: 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.Conclusions: The findings suggest that hospital waiting times could be reduced through organizational interventions targeting the main causes of delay and simplifying administrative processes.","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}

引用次数: 0

Characteristics of preterm infants in pediatric rehabilitation at a referral hospital in Peru. 秘鲁一家转诊医院早产儿儿科康复的特点

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000113

Roger De la Cerna-Luna, Walter Chacon-Obregon, Paola Del Carpio-Samaniego, Ana Igei-Chiney, Alvaro Taype-Rondan

{"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":"Background: 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).Method: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

The future of children is always today. 孩子的未来永远是今天。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000172

Helia Molina-Milman

引用次数: 0

Play prescription: intervention delivered at primary health care facilities to promote child development through activities at home. 游戏处方：在初级卫生保健设施提供干预措施，通过家庭活动促进儿童发展。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000164

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

{"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":"Background: 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.Methods: 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.Results: 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%.Conclusion: 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.","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}

引用次数: 0

Developmental and behavioral pediatrics service: comprehensive early childhood care in Mexico. 发育和行为儿科服务：墨西哥综合幼儿保育。

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Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000165

Lizbeth G Salado-Meléndez, Antonio Rizzoli-Córdoba, Leopoldo Alfonso Cruz-Ortiz

引用次数: 0

Hydrocele of the canal of Nuck: a case report of an unusual disease. 努克肛管鞘膜积液1例。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2025-01-01 DOI: 10.24875/BMHIM.24000078

Bruna Suda-Rodrigues, Ma Beatriz Ferraz-Cabral da Ponte, Márcio L Duarte, Élcio R Duarte

{"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":"Background: 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.Case report: 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.Conclusions: 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.","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}

引用次数: 0