Boletín médico del Hospital Infantil de México最新文献_第6页

Prevalence of secondary arterial hypertension in patients with acute renal failure in a secondary-level pediatric hospital in Northwestern Mexico. 墨西哥西北部一家二级儿科医院急性肾功能衰竭患者继发性动脉高血压的患病率。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000013

Humberto Peña-Guevara, Iyali M Corrales-Cambero, Saúl Cañizales-Muñoz

{"title":"Prevalence of secondary arterial hypertension in patients with acute renal failure in a secondary-level pediatric hospital in Northwestern Mexico.","authors":"Humberto Peña-Guevara, Iyali M Corrales-Cambero, Saúl Cañizales-Muñoz","doi":"10.24875/BMHIM.23000013","DOIUrl":"10.24875/BMHIM.23000013","url":null,"abstract":"Background: The worldwide prevalence of arterial hypertension in pediatric patients is 3.5%, and it has repercussions at renal, cardiovascular, neurological, and lifestyle levels. This study aimed to estimate the prevalence of arterial hypertension, mortality, and follow-up in patients with acute renal failure in the nephrology outpatient clinic at a second-level hospital in Northwestern Mexico.Methods: We conducted a descriptive, retrospective, and observational study. Men and women aged 1-18 years diagnosed with acute kidney injury were analyzed from January 1, 2012, to December 31, 2021. The medical and electronic records of the candidate patients were analyzed, and nutritional data, laboratory analysis, most frequent etiology, and follow-up in the pediatric nephrology clinic were collected. Those with exacerbated chronic kidney disease and previous diagnosis of high blood pressure were excluded.Results: One hundred and seventy-four patients were evaluated, and only 40 were eligible for the study (22.98%), predominantly males with a mean age of 9.9 years. The degree of arterial hypertension was 50% for grade I and 50% for grade II (p = 0.007); the mortality rate was 32%. One hundred percent of hypertension cases were controlled at 6 months after discharge (p = 0.000080).Conclusions: Our results were similar to those reported in other studies. Follow-up and early detection of arterial hypertension in children need to be strengthened.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 3","pages":"151-161"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466163","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

Anemia in children with obesity: is there a higher risk compared to eutrophic children? 肥胖儿童贫血：与富营养儿童相比，肥胖儿童患贫血的风险更高吗？

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000121

Daniel A Jaramillo-Bermeo, Melissa Zavala-Rodríguez, Nadia Gutiérrez-Galicia, Lénica A Chávez-Aguilar, Rubén Peña-Vélez

引用次数: 0

Vascular malformations in pediatric patients: 10-year experience of a vascular anomalies clinic. 儿科血管畸形：血管畸形诊所的十年经验。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000144

Sofía Valdés-Loperena, Adolfo E Lizardo-Rodríguez, Carlos G Hinojosa-Gutiérrez, Max A Bernal-Moreno, Gerardo A Montejo-Ruiz, Manuel Guerrero-Hernández, Jaime Shalkow-Klincovstein, Rodrigo Díaz-Machorro, Daniel Hernández-Arrazola, José M Palacios-Acosta, Oscar Colín-Martínez, Gerardo Fernández-Sobrino, Ana M Borbolla-Pertierra, Carola Durán-Mc Kinster, María Teresa García-Romero

{"title":"Vascular malformations in pediatric patients: 10-year experience of a vascular anomalies clinic.","authors":"Sofía Valdés-Loperena, Adolfo E Lizardo-Rodríguez, Carlos G Hinojosa-Gutiérrez, Max A Bernal-Moreno, Gerardo A Montejo-Ruiz, Manuel Guerrero-Hernández, Jaime Shalkow-Klincovstein, Rodrigo Díaz-Machorro, Daniel Hernández-Arrazola, José M Palacios-Acosta, Oscar Colín-Martínez, Gerardo Fernández-Sobrino, Ana M Borbolla-Pertierra, Carola Durán-Mc Kinster, María Teresa García-Romero","doi":"10.24875/BMHIM.23000144","DOIUrl":"10.24875/BMHIM.23000144","url":null,"abstract":"Background: Vascular malformations (VaMs) are caused by errors in vascular morphogenesis. Diagnosis and treatment can be complex. Few specialized centers care for these patients, and limited literature exists regarding their characteristics and clinical course. The vascular anomalies clinic (VAC) at the Instituto Nacional de Pediatría (National Institute for Pediatrics) is a multidisciplinary team and has been a reference center for patients with VaMs since 2012. We sought to describe the characteristics of patients cared for at the VAC, types of VaMs, treatments used, and clinical course.Methods: This was a descriptive, observational, retrospective, and cross-sectional study conducted from 2012 to 2022.Results: We included 435 patients with VaMs; the median age of presentation was 1 month. The most frequent signs and symptoms were increased volume (97.2%), superficial color change (65.5%), and pain (43.3%). The most common VaMs were lymphatic (36.7%) and venolymphatic (18.3%). Sclerotherapy was the most frequent treatment (73.4%), followed by medical treatment with sirolimus (18.5%); response to both was excellent/good in > 85% of cases.Conclusion: In this retrospective study of children with VaMs, we found that low-flow malformations were the most common, and sclerotherapy and sirolimus were the most frequently used treatments. The therapeutic response was excellent/good in most cases.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 4","pages":"232-244"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139300","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

Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic. COVID-19 大流行期间新生儿重症监护室统计数据的变化。

IF 0.9

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.M2300003

David Rodríguez-Medina, Luis M Avalos-Huizar, Wendy Bolio-Pontigo, Ma Guadalupe Soto-Castañeda, Julio C Cárdenas-Valdez, Claudia K Medina-Ríos

{"title":"Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic.","authors":"David Rodríguez-Medina, Luis M Avalos-Huizar, Wendy Bolio-Pontigo, Ma Guadalupe Soto-Castañeda, Julio C Cárdenas-Valdez, Claudia K Medina-Ríos","doi":"10.24875/BMHIM.M2300003","DOIUrl":"https://doi.org/10.24875/BMHIM.M2300003","url":null,"abstract":"Background: With the identification of COVID-19 disease in China, a pandemic began that affected health-care systems. The Neonatal Intensive Care Unit (NICU) of the Hospital de Ginecobstetricia del Centro Médico Nacional de Occidente experienced an increase in patient flow as part of the COVID-19 strategy of the Instituto Mexicano del Seguro Social (IMSS). This study aimed to analyze the impact of the COVID-19 pandemic on neonatal care and mortality indicators in our unit.Methods: We conducted a retrospective study to compare the number of hospital births, pre-term newborns (PTNB), NICU admissions, and deaths. Changes in frequencies between 2019 and 2021 were analyzed using Poisson distribution. Changes in PTNB births, proportion of admissions, and deaths/NICU discharges were analyzed by z-test for two proportions.Results: Between 2019 and 2021, the number of births increased by more than 2-fold. NICU admissions increased from 770 in 2019 to 1045 in 2021 (p < 0.01). The ratio of deaths/discharge from the service was 16.9% in 2019 and 13.1% in 2021 (p = 0.02).Conclusions: Mortality indicators in the NICU decreased from 2019 to 2021, even with the increase in the number of patients admitted during the COVID-19 pandemic.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 1","pages":"31-35"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179318","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

Risk of alterations in neurodevelopment in infants and preschool children with cancer. 癌症婴儿和学龄前儿童神经发育发生改变的风险。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000011

Liliana Velasco-Hidalgo, Alejandro González-Garay, Antonio Rizzoli-Córdoba, Roberto Rivera-Luna, Alda García-Guzmán, Ana Gabriela Ortiz-Razo, Evereth Alejandra Olmedo-Jiménez, Rocío Cárdenas-Cardós, Kenya Shamira Carmona-Jaimez, Marta Zapata-Tarrés

{"title":"Risk of alterations in neurodevelopment in infants and preschool children with cancer.","authors":"Liliana Velasco-Hidalgo, Alejandro González-Garay, Antonio Rizzoli-Córdoba, Roberto Rivera-Luna, Alda García-Guzmán, Ana Gabriela Ortiz-Razo, Evereth Alejandra Olmedo-Jiménez, Rocío Cárdenas-Cardós, Kenya Shamira Carmona-Jaimez, Marta Zapata-Tarrés","doi":"10.24875/BMHIM.24000011","DOIUrl":"https://doi.org/10.24875/BMHIM.24000011","url":null,"abstract":"Background: Some cancer survivors experience difficulties with concentration, attention, and memory; however, there are no studies on neurodevelopment in patients under 5 years of age who are undergoing cancer treatment. Our aim was to evaluate neurodevelopment in cancer patients under 5 years of age using the Early Development Instrument (EDI) test, considering factors such as nutritional status, type of cancer, and treatment effect.Methods: A cross-sectional study was conducted from February 2018 to March 2019. Patients with cancer diagnoses outside the central nervous system in any phase of cancer treatment were included.Results: A total of 45 patients were included. Regarding fine motor skills, 28% of patients with retinoblastoma and 23% of patients with leukemia or lymphoma had a risk of developmental delay compared to 0% of patients with solid tumors (p = 0.025). The final results showed that 19 (42.2%) patients had normal neurodevelopment (gray), 7 (15.5%) had a delay in neurodevelopment (light gray), and 19 (42.2%) had a risk of developmental delay (black). Regarding developmental delay, 52% of patients in the leukemia and lymphoma group, 71% in the retinoblastoma group, and 23% in the solid tumor group presented developmental delay (p = 0.06).Conclusions: The risk of delay and lag in neurodevelopment is common in cancer patients under 5 years of age undergoing treatment. However, more studies are required to evaluate the effect of treatment on this group of patients as it may be affected by various factors.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 4","pages":"217-224"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139298","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

Prevalence of bacteriuria and bacterial resistance in adolescents from the center of the state of Tlaxcala, Mexico. 墨西哥特拉斯卡拉州中心地区青少年菌尿和细菌耐药性的流行情况。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000062

Daniela Z Méndez-Polonieski, Pablo Méndez-Hernández, Olivier Barbier, Manolo Ortega-Romero, Juan C Rubio-Gutiérrez, Elodia Rojas-Lima, Juana Narvaez-Morales, Margarita Martínez-Gómez, Estela Cuevas-Romero, Rosalba Cerón-Meza, Mara Medeiros

{"title":"Prevalence of bacteriuria and bacterial resistance in adolescents from the center of the state of Tlaxcala, Mexico.","authors":"Daniela Z Méndez-Polonieski, Pablo Méndez-Hernández, Olivier Barbier, Manolo Ortega-Romero, Juan C Rubio-Gutiérrez, Elodia Rojas-Lima, Juana Narvaez-Morales, Margarita Martínez-Gómez, Estela Cuevas-Romero, Rosalba Cerón-Meza, Mara Medeiros","doi":"10.24875/BMHIM.24000062","DOIUrl":"https://doi.org/10.24875/BMHIM.24000062","url":null,"abstract":"Urinary tract infections and bacteriuria are common in the pediatric population, and antibiotic resistance is increasing significantly. Recurrent urinary infections, symptomatic or asymptomatic, are a risk factor for developing chronic kidney disease in adolescents and young adults. This study aimed to assess the prevalence of bacteriuria diagnosed by culture to identify the main causal agents and sensitivity to antibiotics in adolescents from the central region of the state of Tlaxcala. A cross-sectional study was carried out among 905 adolescents from 11 to 18 years old who lived in the central region of the state of Tlaxcala, Mexico. Bacteriuria was evaluated by positive nitrites and leukocyte esterase, and urine culture with antibiogram. Multivariate logistic regression models were executed to evaluate the risk of presenting bacteriuria, with a confidence level of 95%. A total of 31 participants had a positive urine culture, with a bacteriuria prevalence of 3.4%, of which 29 cases were asymptomatic. The most frequent agent was Escherichia coli) in both sexes (28.6% in men and 29.7% in women) and regarding bacterial resistance: E. coli presented greater resistance to ampicillin, trimethoprim/sulfametoxazol and ceftriaxone. The risk factors associated with bacteriuria were female sex, sexual activity, use of contraceptives, and greater consumption of sweetened beverages. Bacteriuria is common in this adolescent population, so its early identification is necessary to treat it, and to prevent its complications.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"346-355"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692595","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

Intravenous fluids in dehydrated children with acute gastroenteritis: evidence is needed. 急性肠胃炎脱水儿童的静脉输液：需要证据。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.24000036

Elizete Aparecida-Lomazi, Marisa da Silva-Laranjeira, Vera M Santoro-Belangero, Vera L Sdepanian

引用次数: 0

COVID-19 associated transverse myelitis: case report. 与 COVID-19 相关的横贯性脊髓炎：病例报告。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000179

Claudia V Tapia-Fonseca, Omar D Cortés-Enríquez, Laura P Raya-Garza, Diana M Gutiérrez-Cuellar

{"title":"COVID-19 associated transverse myelitis: case report.","authors":"Claudia V Tapia-Fonseca, Omar D Cortés-Enríquez, Laura P Raya-Garza, Diana M Gutiérrez-Cuellar","doi":"10.24875/BMHIM.23000179","DOIUrl":"10.24875/BMHIM.23000179","url":null,"abstract":"Background: Transverse myelitis (TM) is a demyelinating inflammatory disease that presents with motor, sensory, and autonomic dysfunction, which may be acute or subacute. COVID-19-associated TM has been described in a scarce number of patients.Clinical case: A 15-year-old previously healthy male patient with respiratory disease before his neurological deterioration presented to the emergency room after developing a complete medullary syndrome located at the cervical-dorsal level, with ascending and symmetric paraparesis that rapidly progressed to paraplegia, with sensory dysfunction from the T3 level, sphincter dysfunction and sudden ventilatory deterioration that required mechanical ventilation. Magnetic resonance imaging was compatible with acute TM. Inflammatory and non-inflammatory etiologies were discarded. In addition, a positive severe acute respiratory syndrome coronavirus 2 test was obtained. Treatment included steroid pulses and plasmapheresis, with an insidious evolution.Conclusion: COVID-19 is an infrequent cause of TM and should be suspected when other etiologies have been ruled out.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 3","pages":"191-194"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466161","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

Progress in medicine and artificial intelligence. 医学和人工智能的进步。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIME.M24000071

Leonardo Viniegra-Velázquez

{"title":"Progress in medicine and artificial intelligence.","authors":"Leonardo Viniegra-Velázquez","doi":"10.24875/BMHIME.M24000071","DOIUrl":"https://doi.org/10.24875/BMHIME.M24000071","url":null,"abstract":"This essay challenges the idea of progress as technological development in relation to medicine by focusing on people rather than things. It analyzes how the prevalence of such an idea of progress leads contemporary societies to a technofetishism that degrades community life and medical practice, contributing to the medicalization of social life. It is argued that the realization of technological potentialities depends on their forms of use, that the main motive of technological development is unlimited profit, and the priority developments are those that enhance social control which maintains the status quo. Intelligence as an intelligence quotient is criticized by proposing it as an attribute of the human being as a whole, manifested in the ways of thinking and acting of human beings in their circumstances, where affectivity and critical thinking are essential for their development; it is emphasized that its antecedent is the harmonic concert of planetary life, which contrasts with the prevailing human disharmony. It is proposed that artificial intelligence is the latest creation of technofetishism, which deposits vital attributes in technology, and that its use will accentuate the degradation of human and planetary life. Another idea of medical progress is proposed, based on forms of organization that is conducive to the development of inquisitive, critical, and collaborative skills that promote permanent improvement, whose distant horizon is dignified progress: the spiritual, intellectual, moral, and convivial sublimation of collectivities in harmony with the planetary ecosystem.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 3","pages":"132-142"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466173","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

Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward. 通过在儿科病房实施无菌非接触技术的质量策略，减少 CLABSI。

IF 0.6

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI: 10.24875/BMHIM.23000134

Ana C Guerrero-Díaz, Daniela De la Rosa-Zamboni, Ma A Martin-Martin, Isabel Rosas-Mateos, Marisol Medina-Pelcastre, Margarita Torres-García, Almudena Laris-González, Martha Avilés-Robles

{"title":"Reducing CLABSI through a quality strategy for the implementation of the aseptic non-touch technique in a pediatric ward.","authors":"Ana C Guerrero-Díaz, Daniela De la Rosa-Zamboni, Ma A Martin-Martin, Isabel Rosas-Mateos, Marisol Medina-Pelcastre, Margarita Torres-García, Almudena Laris-González, Martha Avilés-Robles","doi":"10.24875/BMHIM.23000134","DOIUrl":"https://doi.org/10.24875/BMHIM.23000134","url":null,"abstract":"Background: Central line-associated bloodstream infections (CLABSIs) are among the most epidemiologically relevant health care-associated infections. The aseptic non-touch technique (ANTT) is a standardized practice used to prevent CLABSIs. In a pediatric hospital, the overall CLABSI rate was 1.92/1000 catheter days (CD). However, in one unit, the rate was 5.7/1000 CD.Methods: Nurses were trained in ANTT. For the implementation, plan-do-study-act (PDSA) cycles were completed. Adherence monitoring of the ANTT and epidemiological surveillance were performed.Results: ANTT adherence of 95% was achieved after 6 PDSA cycles. Hand hygiene and general cleaning reached 100% adherence. Port disinfection and material collection had the lowest adherence rates, with 76.2% and 84.7%, respectively. The CLABSI rate decreased from 5.7 to 1.26/1000 CD.Conclusion: The implementation of ANTT helped reduce the CLABSI rate. Training and continuous monitoring are key to maintaining ANTT adherence.","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 3","pages":"182-190"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466174","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