Boletín médico del Hospital Infantil de México最新文献

{"title":"Relationship between skin-to-skin contact during the first hour of life and duration of exclusive breastfeeding.","authors":"Alejandra Prian-Gaudiano, Daniela Horta-Carpinteyro, Andrea Sarmiento-Aguilar","doi":"10.24875/BMHIM.23000160","DOIUrl":"https://doi.org/10.24875/BMHIM.23000160","url":null,"abstract":"<p><strong>Background: </strong>Exclusive breastfeeding (BF) has the greatest potential impact on child mortality of any preventive intervention. Skin-to-skin contact (SSC) during the first hour of life is beneficial for initiating BF; however, routine separation of mother and infant is still common. This work aimed to demonstrate that SSC during the first hour of life is associated with a greater frequency and duration of exclusive BF.</p><p><strong>Methods: </strong>This is an observational case-control study. We reviewed the medical records of patients born between 2016 and 2022 classified as cases or controls based on the history of SSC in the first hour of life. Statistical analysis was performed using SPSS version 28.</p><p><strong>Results: </strong>We included 362 medical records, of which 200 (55.2%) had SSC and were considered cases; the 162 (44.8%) who did not have SSC were considered controls. Those who received SSC were more likely to receive exclusive BF at 3 (163 [81.5%] vs. 94 [58%], p < 0.001) and 6 months of age (147 [73.5%] vs. 83 [51.2%], p < 0.001).</p><p><strong>Conclusions: </strong>Patients who received SSC in the first hour of life were more likely to receive exclusive BF at 3 and 6 months of age. Promoting and respecting this practice is essential to increase the possibility of a newborn to be exclusively breastfed for the first 6 months of life.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 1","pages":"10-15"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179379","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":"Dietary patterns of Sonoran breastfeeding women are associated to exclusive or partial breastfeeding regimes.","authors":"Alejandra Arguelles-López, Omar A Trujillo-Rivera, Ana M Calderón-de la Barca","doi":"10.24875/BMHIM.23000084","DOIUrl":"10.24875/BMHIM.23000084","url":null,"abstract":"<p><strong>Background: </strong>During breastfeeding, the maternal diet ensures mothers and infants health. Therefore, it is necessary to update information about the diet of exclusively or partially breastfeeding women in each population. We evaluated the diet of Sonoran breastfeeding women, identified their dietary patterns, and examined their association with the breastfeeding regime.</p><p><strong>Methods: </strong>In this cross-sectional study, 62 women breastfeeding exclusively (n = 43) or partially (n = 19) participated. The diet was assessed using a food frequency questionnaire, and patterns were identified through principal component analysis.</p><p><strong>Results: </strong>Overall, fats and sodium intake were higher, while potassium intake was lower than recommended. Two dietary patterns were identified: \"regional\" (n = 36) and \"prudent\" (n = 26). Women following the \"prudent\" pattern consumed more protein, calcium, and potassium than those following the \"regional\" pattern (p < 0.05). The probability of exclusively breastfeeding women having a \"prudent\" dietary pattern was higher than that of partially breastfeeding women (adjusted odds ratios = 7.29, p = 0.019).</p><p><strong>Conclusions: </strong>Exclusive breastfeeding possibly motivated mothers to follow a more prudent diet than those who partially breastfed. Therefore, it is crucial to promote a healthy diet among breastfeeding mothers.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 1","pages":"3-9"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179320","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":"Types of statistical analysis in prognostic studies.","authors":"Mario E Rendón-Macías, Ana S Castillo-Ivón, Lorena Orozco-Díaz","doi":"10.24875/BMHIM.24000060","DOIUrl":"https://doi.org/10.24875/BMHIM.24000060","url":null,"abstract":"<p><p>Prognostic studies may have a descriptive exploratory objective on an outcome or a comparative objective in the search for factors associated with it. A second objective is explanatory to determine the effect of a particular prognostic factor adjusted for its confounders, with or without the intention of establishing causality. The third objective is the construction of a predictive prognostic scale. For each of these objectives, there are recommended statistical methods for clarification and validity. In this article, the methods and application examples are presented. The proper selection of analytical methods allows for clear and valid communication of the results of a prognostic study.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"319-327"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692618","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":"Overall manifestations and survival of pediatric patients with Langerhans cell histiocytosis. A middle-income country (mic) national multicenter study.","authors":"Liliana Velasco-Hidalgo, Alejandro González-Garay, Roberto Rivera-Luna, Marta Zapata-Tarrés, Cesar Galván-Diaz, Araceli López-Facundo, Farina Arreguín-González, José León-Espitia, Daniel Ortiz-Morales, Luis Juárez-Villegas, Oscar González-Llano, Daniela Covarrubias-Zapata, Alejandro Reséndiz-López, Miguel Palomo-Colli, Luisa Ma Duarte-Arroy, José De J Loeza-Oliva, Isidoro Tejocote-Romero, Laura García-Segura, Pablo González-Montalvo, Silvia Chávez-Gallegos, Eloy Pérez-Rivera, Iris Gallardo-Gallardo, Daniela Olvera-Caraza, Cinthia Cruz-Medina, Lourdes Vega-Vega, Lourdes Romero-Rodríguez, Citlali Simón-González, Diana Reyes-Morales, Rosalba Bellido, Guillermo Gaytán-Fernández, Martha Velázquez-Aviña, Gabriel Peñaloza-González, Kenya S Carmona-Jaimez, Nubia Macías-García","doi":"10.24875/BMHIM.24000061","DOIUrl":"10.24875/BMHIM.24000061","url":null,"abstract":"<p><strong>Background: </strong>Langerhans cell histiocytosis (LCH) is a rare neoplastic disease characterized by clonal proliferation of den-dritic cells. It is Mexico's ninth most frequent malignancy in patients under 18 years of age. The aim of the study was to determine the clinical characteristics, treatment, and survival of Mexican pediatric patients diagnosed with LCH treated from January 2010 to December 2018.</p><p><strong>Methods: </strong>We conducted a retrospective study of LCH using data from 19 accredited hospitals throughout the Mexican Republic. Patients < 18 years who were diagnosed with LCH between January 2010 and December 2018 were included (253 patients) in the study.</p><p><strong>Results: </strong>All patients had a histopathological diagnosis, and extension studies were performed at their treatment centers. The median age at diagnosis was 19 months. The most frequently affected sites included the bone (178 cases; 70%) and the skin (131 cases; 51.7%). Of the patients in Group 1, 48 (42%) had bone marrow involvement, 62 (53%) had splenomegaly, and 39 (34.8%) had liver involvement. Of the patients who underwent chemotherapy treatment, 61.2% exhibited a complete response, and 36 patients (14.2%) relapsed after complete remission. The most frequent sites of relapse were the skin, bone, lymph nodes, and liver. The overall survival rate was 91.3% and was lower for patients in Group 1 (77%) compared with those in Groups 2 (97%) and 3 (100%), p = 0.001.</p><p><strong>Conclusion: </strong>The current report aims to demonstrate the findings of a multicenter study conducted on Mexican children with LCH; consequently, these treatment results for a relatively infrequent disease merit further research.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"328-336"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685964","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":"Cor triatriatum dexter: an uncommon cause of neonatal cyanosis.","authors":"Rodrigo Hernández-Benítez, Horacio L Reyes-Vázquez","doi":"10.24875/BMHIM.24000012","DOIUrl":"10.24875/BMHIM.24000012","url":null,"abstract":"<p><strong>Background: </strong>Cor triatriatum dexter (CTD) is an extremely rare pathology, with an incidence of < 0.4%. Its main characteristic is a partitioning of the right atrium by the persistence of the embryonic valve of the right sinus venosus.</p><p><strong>Clinical case: </strong>In this report, we describe the case of a 7-day-old newborn who presented with persistent cyanosis associated with feeding and crying. The diagnosis of CTD was made after an echocardiogram and confirmed using cardiac magnetic resonance imaging. The patient underwent successful surgery on day 14 with a favorable outcome and without complications.</p><p><strong>Conclusion: </strong>The importance of our case lies in the identification of rare heart disease as a cause of cyanosis and desaturation in a neonatal patient in the first days of life who did not present signs of heart failure and whose condition improved with supplemental oxygen. We also demonstrate that early diagnosis with echocardiography and surgical resolution resulted in clear clinical improvement and avoided future complications.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 4","pages":"250-252"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139286","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":"Liver enzyme levels in adolescents with obesity and insulin resistance: a commentary.","authors":"Katherine Ning-Li","doi":"10.24875/BMHIM.24000116","DOIUrl":"https://doi.org/10.24875/BMHIM.24000116","url":null,"abstract":"","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"372-373"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692576","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":"Scientific evidence in the management of traumatic brain injury in pediatrics: ibero-American academy of pediatric neurology.","authors":"Andrea Espinoza, Jorge Vidaurre, Alcy R Torres","doi":"10.24875/BMHIM.24000053","DOIUrl":"10.24875/BMHIM.24000053","url":null,"abstract":"<p><p>Traumatic brain injury (TBI) is a common problem in Latin America and affects many children. Research has advanced, but international publications do not necessarily reflect our reality. For this reason, the Ibero-American Academy of Pediatric Neurology (AINP) formed a committee to review the available evidence, evaluate it, and decide how it could be applied in our region. Articles were searched in different databases and those corresponding to original works were selected, preferably those that received the best qualifications according to the 2011 version of Oxford Levels of Evidence. The main findings are the need to develop a trauma team available throughout the pediatric level III emergency, early monitoring of intracranial pressure, and multimodal monitoring as methods to improve outcomes. We concluded that much remains to be done and more evidence is needed, but more organization is required to provide specialized resources in the emergency care of these patients.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 6","pages":"311-318"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692658","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":"Consenso mexicano de tirosinemia tipo 1","authors":"Flora E Zárate-Mondragón, Renata I Alcántara-García, Leticia Belmont-Martínez, Alejandra Consuelo-Sánchez, Liliana Fernández-Hernández, Judith Flores-Calderón, Beatriz González-Ortiz, Sara Guillén-López, Elizabeth Hernández-Chávez, Gabriela Hernández-Vez, Lizbeth López-Mejía, Karen R Ignorosa-Arellano, Francisco A Medina-Vega, Magali Reyes-Apodaca, Emiy Yokoyama-Rebollar, Marcela Vela-Amieva","doi":"10.24875/BMHIM.24000025","DOIUrl":"10.24875/BMHIM.24000025","url":null,"abstract":"<p><strong>Introduction: </strong>Tyrosinemia type 1 is a rare disease with autosomal recessive inheritance, featuring various clinical manifestations. These may encompass acute neonatal liver failure, neonatal cholestatic syndrome, chronic hepatitis, cirrhosis, hepatocellular carcinoma, and, alternatively, kidney disorders like renal tubular acidosis, Fanconi syndrome, hypophosphatemic rickets, among other alterations. Diagnosis relies on detecting toxic metabolites in the blood and urine, ideally confirmed through molecular testing.</p><p><strong>Method: </strong>A consensus was reached with experts in the field of inborn errors of metabolism (EIM), including eight pediatric gastroenterologists, two EIM specialists, two geneticists, three pediatric nutritionists specialized in EIM, and a pediatric surgeon specializing in transplants. Six working groups were tasked with formulating statements and justifications, and 32 statements were anonymously voted on using the Likert scale and the Delphi method. The first virtual vote achieved an 80% consensus, with the remaining 20% determined in person.</p><p><strong>Results: </strong>The statements were categorized into epidemiology, clinical presentation, diagnosis, nutritional and medical treatment, and genetic counseling.</p><p><strong>Conclusions: </strong>This consensus serves as a valuable tool for primary care physicians, pediatricians, and pediatric gastroenterologists, aiding in the prompt diagnosis and treatment of this disease. Its impact on the morbidity and mortality of patients with tyrosinemia type 1 is substantial.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 Supl 1","pages":"1-13"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619281","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":"Liver enzyme levels in adolescents with obesity and insulin resistance: a propensity score matching analysis.","authors":"Miguel A Villasis-Keever, Jessie N Zurita-Cruz, Karla D Nava-Sanchez, Aly Sugei Barradas-Vázquez, Ana L López-Beltran, Mireya E Espíritu-Díaz, Martha A Delgadillo-Ruano","doi":"10.24875/BMHIM.23000161","DOIUrl":"https://doi.org/10.24875/BMHIM.23000161","url":null,"abstract":"<p><strong>Background: </strong>Elevated liver enzyme levels have been associated with metabolic syndrome in both obese and non-obese pediatric populations. This study aims to compare the serum liver enzyme levels in obese adolescents with and without insulin resistance (IR).</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted involving obese adolescents aged 10-18. We assessed somatometry, serum insulin levels, lipid profiles, and liver enzymes (aspartate aminotransferase [AST], alanine aminotransferase [ALT], and gamma-glutamyl transferase [GGT]). Statistical differences between groups were evaluated using Student's t-test or the Chi-squared test, with IR (wIR) status matched by propensity scores based on body mass index (BMI) z-scores.</p><p><strong>Results: </strong>The study included 365 adolescents with obesity, 229 wIR, and 136 without (woIR). Before matching, the wIR group had a significantly higher BMI z-score (2.21 vs. 2.14, p = 0.032). After matching for BMI z-scores (n = 122 each group), the wIR group displayed significantly higher levels of AST (32.3 vs. 24.7, p < 0.001) and ALT (42.4 vs. 30.9, p < 0.001), but no significant differences were observed in GGT levels (37.4 vs. 32.5, p = 0.855).</p><p><strong>Conclusion: </strong>Obese adolescent's wIR exhibit higher serum ALT and AST levels, suggesting that altered AST is a potential risk factor for IR.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"81 4","pages":"225-231"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139289","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":"Vulnerability in women primary caregivers of children in palliative care due to intimate partner violence in a pediatric hospital in Mexico","authors":"Cristina I. Cruz-González, Jéssica H. Guadarrama-Orozco, I. Peláez-Ballestas, Enjie F. El Din-Ismail-Paz, M. Castilla-Peon, Martha Romero-Mendoza, Jeshua Romero-Guadarrama","doi":"10.24875/bmhim.23000040","DOIUrl":"https://doi.org/10.24875/bmhim.23000040","url":null,"abstract":"","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"52 17","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946281","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}