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Seroprevalence of Bordetella pertussis in pediatric healthcare workers at the Hospital Infantil de México Federico Gómez 梅姆萨西科·费德里科医院儿童保健工作者百日咳杆菌血清流行率Gómez
Pub Date : 2020-01-24 DOI: 10.24875/bmhime.m19000061
Esperanza Navarrete, Almudena Laris-González, Arturo D. Castro-Díaz, G. Rosales-Pedraza, S. Moreno-Espinosa, D. Rosa-Zamboni
Background Bordetella pertussis is the causative agent of pertussis, a disease that is preventable by vaccination but has a high mortality, particularly in children 2 weeks of duration. Conclusions Health personnel are at risk of suffering from the disease and be potential transmitters to infants, who may die from this cause. This study suggests that the current vaccination policies in health personnel should be modified to determine the compulsory nature of the vaccination, especially in those individuals in charge of the care of the pediatric population.
背景百日咳博德泰拉是百日咳的病原体,百日咳是一种可以通过疫苗预防的疾病,但死亡率很高,特别是在持续2周的儿童中。结论:卫生人员有感染该病的风险,并可能成为婴儿的潜在传播者,婴儿可能因此死亡。本研究建议,应修改目前卫生人员的疫苗接种政策,以确定疫苗接种的强制性,特别是那些负责儿科人口护理的个人。
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引用次数: 0
Childhood rosacea 童年酒渣鼻
Pub Date : 2020-01-24 DOI: 10.24875/bmhime.m19000054
Lidia E. Bernal, Ana Paulina Zarco, Pablo Campos, R. Arenas
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引用次数: 0
The impact of body mass index on blood pressure measured with a mercury sphygmomanometer in children and adolescents with type 1 diabetes mellitus 体重指数对1型糖尿病儿童和青少年汞柱血压计测血压的影响
Pub Date : 2020-01-24 DOI: 10.24875/bmhime.m19000064
Liuba M. Aguirre-Salas, J. Pérez‐Molina, S. Fonseca‐Reyes, Jorge A. Becerra-Villa, Mayra del C. Silva-Camarena
Liuba M. Aguirre-Salas1, J. Jesús Pérez-Molina2,3*, Salvador Fonseca-Reyes4, Jorge A. Becerra-Villa2 and Mayra del C. Silva-Camarena1 1Servicio de Endocrinología, División de Pediatría, Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca; 2División de Pediatría, Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca; 3Departamento de Clínicas de la Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara; 4Instituto de Investigación Cardiovascular, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. Guadalajara, Jalisco, Mexico Boletín Médico del Hospital Infantil de México
Liuba M. Aguirre-Salas1, J. jesus perez - molina2,3 *, Salvador Fonseca-Reyes4, Jorge A. becera - villa2和Mayra del C. Silva-Camarena1 1瓜达拉哈拉新平民医院儿科内分泌科Juan I. Menchaca医生;瓜达拉哈拉新平民医院儿科第二科Juan I. Menchaca医生;3瓜达拉哈拉大学健康科学中心人类生殖、儿童生长和发育诊所系;4瓜达拉哈拉大学健康科学大学中心心血管研究所。瓜达拉哈拉,哈利斯科,墨西哥墨西哥儿童医院医学公报
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引用次数: 0
Asthma: correct use of inhalation drug-delivery devices 哮喘:正确使用吸入性给药装置
Pub Date : 2019-11-11 DOI: 10.24875/bmhime.m19000050
J. R. Fernández-Soto, E. M. Navarrete-Rodríguez, B. Del-Río-Navarro, O. Saucedo-Ramírez, J. M. Del-Río-Chivardi, N. A. Meneses-Sánchez, L. Gochicoa-Rangel, J. Sienra-Monge
José R. Fernández-Soto1, Elsy M. Navarrete-Rodríguez1*, Blanca E. Del-Río-Navarro1, Omar J. Saucedo-Ramírez1, Jaime M. Del-Río-Chivardi1, Néstor A. Meneses-Sánchez1, Laura Gochicoa-Rangel2 and Juan J. Sienra-Monge3 1Servicio de Alergia e Inmunología, Hospital Infantil de México Federico Gómez; 2Departamento de Fisiología Respiratoria, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; 3Jefatura de Pediatría Ambulatoria, Hospital Infantil de México Federico Gómez. Mexico City, Mexico Boletín Médico del Hospital Infantil de México
jose R. fernandez - soto1, Elsy M. navarrete - rodriguez1 *, Blanca e . del - rio - navarro1, Omar J. saucedo - ramirez 1, Jaime M. del - rio - chivardi1, nestor A. meneses - sanchez 1, Laura Gochicoa-Rangel2和Juan J. Sienra-Monge3过敏和免疫服务,墨西哥儿童医院Federico gomez;2国家呼吸疾病研究所呼吸生理学系Ismael cosio Villegas;墨西哥费德里科·戈麦斯儿童医院儿科门诊主任。墨西哥城,墨西哥儿童医院医学公报
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引用次数: 0
Validation of an instrument to measure the quality of life in children with oropharyngeal mucositis undergoing cancer treatment 一种测量接受癌症治疗的口咽黏膜炎儿童生活质量的仪器的验证
Pub Date : 2019-11-11 DOI: 10.24875/bmhime.m19000047
R. Gutiérrez-Vargas, Eduardo Velasco-Rojano, M. Villasís-Keever, J. Portilla-Robertson, Araceli Gutiérrez-Rodelo, Sonny Flores-Navarro, L. Juárez-Villegas, M. Zapata-Tarrés
Background Oropharyngeal mucositis (OM) is one of the primary complications arising during oncological treatment, which significantly reduces the patient's quality of life (QoL). The aim of this study was to translate, culturally adapt, and validate the use of a new Spanish version of the Oropharyngeal Mucositis-Specific Quality-of-Life instrument (OMQoL) for pediatric patients. Methods A multicentric, cross-sectional validation study was conducted to translate and adapt OMQoL from English to Spanish for its use by children with OM aged 8-16 years. Reliability was measured using Cronbach's alpha; content and construct validity, in conjunction with exploratory factor analysis. The convergent validity, with the correlations of the scales for OM defined by the WHO, OMAS (Oropharingeal Mucositis Assessment Scale) and the PedsQL-3 cancer module in Spanish. Results One hundred and ninety-three children with mean age of 10.91 ± 2.38 years participated in the study, out of which 101 (52.3%) were females. In this sample, 80 children (41.5%) suffered from acute lymphoblastic leukemia and 111 (57.5%) had grade 2 and 3 OM. The factorial analysis resulted in four dimensions with loads >0.40. Among the 31 items of the OMQoL, six were eliminated. Cronbach alpha of OMQoL-Spanish was 0.954. Spearman´s correlations (r) with the OMS and OMAS scales were significant (with r = -0.720 and r = -0.689; p < 0.01, respectively). Moderate correlation was observed with the PedsQL-3 cancer module (r = 0.426; p < 0.01). Conclusions OMQoL-Spanish demonstrated adequate psychometric properties, resulting in a reliable and valid instrument for measuring QoL in children with MO.
口咽粘膜炎(OM)是肿瘤治疗过程中出现的主要并发症之一,严重影响患者的生活质量。本研究的目的是翻译,文化适应,并验证新的西班牙语版本的口咽粘膜炎特异性生活质量仪器(OMQoL)对儿科患者的使用。方法采用多中心横断面验证研究,对8-16岁OM患儿的OMQoL进行英语翻译和西班牙语翻译。信度采用Cronbach’s alpha测量;内容和结构效度,结合探索性因子分析。WHO定义的OM量表、OMAS(口咽粘膜炎评估量表)和西班牙语PedsQL-3癌症模块的相关性的收敛效度。结果共入组儿童193例,平均年龄(10.91±2.38)岁,其中女性101例,占52.3%。在该样本中,80名儿童(41.5%)患有急性淋巴细胞白血病,111名(57.5%)患有2级和3级OM。因子分析结果显示,四个维度的负荷均>0.40。在OMQoL的31个项目中,有6个项目被取消。OMQoL-Spanish的Cronbach alpha为0.954。Spearman’s与OMS和OMAS量表的相关性(r)显著(r = -0.720和r = -0.689;P < 0.01)。与PedsQL-3癌模块有中度相关性(r = 0.426;P < 0.01)。结论omqol -西班牙语具有良好的心理测量特性,是一种可靠、有效的测量MO患儿生活质量的工具。
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引用次数: 1
Knowledge of nursing staff at a pediatric referral hospital regarding the assessment and management of pain in children 儿科转诊医院护理人员关于儿童疼痛评估和管理的知识
Pub Date : 2019-11-11 DOI: 10.24875/bmhime.m19000048
M. Notejane, M. Bernadá, Victoria Ruiz, Valentina Klisich
Background: Pain is a frequent reason for consultation. Poor vocational training is referred to as a critical component for proper treatment. The objective of this study was to describe the knowledge and practices of the nursing staff of the Pediatric Hospital, Pereira Rossell Hospital Center, regarding the assessment and approach of pain in children. Methods: Descriptive, cross-sectional study, anonymous survey on 1/12/2016. All the nurses present that day were included. Variables: age, gender, years of work, educational level. For the association of variables, Chi square test was used; a value of p < 0.05 was considered significant. Results: The survey was answered by 89.3% of the personnel present; median age 39 years (20-63), women 81%; median of years as pediatric nurse 10 years (1 month-38 years); maximum degree of training: auxiliary (73%). Acceptable level of global knowledge (61%); no significant association was found between knowledge and age, gender, years of work and educational level. Infant pain assessment scales less reported: neonates, children 1 to 3 years and children with cognitive disorder. Other deficits of knowledge detected: interval morphine interdosis, interpreting distraction of the child as absence of pain and considering the perception of the experienced health personnel as the most appropriate tool to measure pain. conclusions: The surveys demonstrated acceptable knowledge about pain assessment and management. However, aspects to improve in the knowledge of scales of evaluation in special populations, lack of familiarity with the use of opioids and conceptions of subjective evaluation of pain were objectified.
背景:疼痛是就诊的常见原因。糟糕的职业培训被认为是适当治疗的关键组成部分。本研究的目的是描述Pereira Rossell医院中心儿科医院的护理人员关于儿童疼痛的评估和方法的知识和实践。方法:描述性、横断面研究、2016年12月1日匿名调查。那天在场的所有护士都包括在内。变量:年龄,性别,工作年限,教育程度。对于变量的相关性,采用卡方检验;p < 0.05为显著性。结果:调查人员的回答率为89.3%;中位年龄39岁(20-63岁),女性81%;担任儿科护士的年龄中位数为10年(1个月,38岁);最大训练程度:辅助(73%)。可接受的全球知识水平(61%);知识与年龄、性别、工作年限和教育水平之间无显著关联。婴儿疼痛评估量表报告较少:新生儿、1至3岁儿童和有认知障碍的儿童。检测到的其他知识缺陷:间歇吗啡剂量,将儿童的注意力分散解释为没有疼痛,并认为经验丰富的卫生人员的感知是测量疼痛的最适当工具。结论:调查显示了可接受的疼痛评估和管理知识。然而,在特殊人群评估量表的知识方面,缺乏对阿片类药物使用的熟悉以及主观评估疼痛的概念方面有待改进。
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引用次数: 2
A mobile application for biliary atresia screening 用于胆道闭锁筛查的移动应用程序
Pub Date : 2019-11-11 DOI: 10.24875/bmhime.m19000049
Miguel Angel González-Cruz, Alejandro Ferreiro-Marín
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引用次数: 0
Stool color card use for early detection of biliary atresia 大便颜色卡用于早期发现胆道闭锁
Pub Date : 2019-01-29 DOI: 10.24875/bmhime.m18000035
Alicia Reyes-Cerecedo, J. Flores-Calderón, M. Villasís-Keever, J. A. Chávez-Barrera, E. Delgado-González
Background: Biliary atresia (BA) is a condition that obstructs biliary flow. If it is not corrected surgically, it can cause cirrhosis and death before 2 years of age. In Mexico, since 2013, the stool color card (SCC) was incorporated into the National Health Card (NHC) for the screening of BA. This study aimed to evaluate the impact of SCC for the detection of BA before and after its incorporation to the NHC. Methods: This is an ambispective, analytical observational study. We included patients with BA treated in two pediatric specialized hospitals. We compared the age of reference, diagnosis, and surgery before and after incorporation of the SCC. Furthermore, a questionnaire was made for the parents to know their perception about the SCC. Results: In 59 children, there was no difference among the time of diagnosis (75 vs. 70 days of life) or at the time of the surgery (84 vs. 90 days of life) between the preand post-implementation of the SCC on the NHC. The questionnaire showed that 10 (30%) of the parents received information about the use of the SCC and only 13 (38%) identified the abnormal stool. Conclusions: This study did not show changes in time for the timely detection of BA using SCC. Therefore, it is necessary to reinforce the program in the three levels of care in our country.
背景:胆道闭锁(BA)是一种阻碍胆道流动的疾病。如果不通过手术矫正,可能在2岁前导致肝硬化和死亡。在墨西哥,自2013年以来,粪便颜色卡(SCC)被纳入国民健康卡(NHC),用于筛查BA。本研究旨在评估SCC在纳入NHC之前和之后对BA检测的影响。方法:这是一项双视角、分析性观察研究。我们纳入了在两家儿科专科医院治疗的BA患者。我们比较了SCC合并前后的参考年龄、诊断和手术。此外,我们还制作了问卷,以了解家长对SCC的看法。结果:在59名儿童中,在NHC上实施SCC前后,诊断时间(75天vs 70天)或手术时间(84天vs 90天)没有差异。问卷调查显示,10名家长(30%)了解SCC的使用情况,只有13名家长(38%)发现了异常大便。结论:本研究未显示SCC及时检测BA的时间变化。因此,有必要在我国三级护理中加强项目建设。
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引用次数: 0
Factors associated with epilepsy in children in Mexico: a case-control study 墨西哥儿童癫痫相关因素:一项病例对照研究
Pub Date : 2019-01-29 DOI: 10.24875/bmhime.m17000003
M. Cruz-Cruz, Jorge Gallardo-Elías, Sergio Paredes-Solís, José Legorreta-Soberanis, Miguel Flores-Moreno, N. Andersson
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引用次数: 1
Social representations of Mexican pregnant teenagers about the puerperal care, lactation, and newborn care 墨西哥怀孕少女对产褥期护理、哺乳期护理和新生儿护理的社会表征
Pub Date : 2019-01-29 DOI: 10.24875/bmhime.m18000034
J. A. Franco-Ramírez, C. Cabrera-Pivaral, G. Zárate-Guerrero, Sergio A Franco-Chávez, M. Á. Covarrubias-Bermúdez, M. A. Zavala-González
Background: Puerperal care and feeding of the newborn are guided by entrenched cultural meanings between women, so it is important to know and identify how they are acquired and perpetuated. Regarding this knowledge, the social representations that Mexican pregnant teenagers have about puerperium, lactation, and newborn care were studied. Methods: An interpretative study was made based on the principles of the theory of social representations. Interviews were conducted to obtain information from 30 Mexican adolescents who attended prenatal care at the gynecological obstetrics area in a second-level hospital during 2015. Classical content analysis strategies were applied to analyze the information; this process consisted of coding and categorizing information. A conceptual map was also developed to describe the social representations found. Results: In this study, 190 codes and three social representations were identified: “breastfeeding is a practice based on myths,” “newborns are fragile,” and “mother and child must be synchronized.” Conclusions: Three social representations that explain the practices of adolescents toward breastfeeding and the care of them and their children were identified. They were acquired through family communication and strengthened by the need for support due to the temporary or permanent absence of the couple, personal crises motivated by bodily changes, fear of new modifications due to breastfeeding and ignorance about how to carry out breastfeeding and care during the puerperium.
背景:产后护理和新生儿喂养受到妇女之间根深蒂固的文化意义的指导,因此了解和确定这些文化意义是如何获得和延续的非常重要。关于这方面的知识,我们研究了墨西哥怀孕少女对产褥期、哺乳期和新生儿护理的社会表征。方法:以社会表征理论为基础,进行解释性研究。对2015年期间在一家二级医院妇产科接受产前护理的30名墨西哥青少年进行了访谈,以获取信息。采用经典内容分析策略对信息进行分析;这个过程包括对信息进行编码和分类。我们还开发了一个概念图来描述所发现的社会表征。结果:本研究共识别出190种编码和3种社会表征:“母乳喂养是一种基于神话的做法”、“新生儿是脆弱的”和“母亲和孩子必须同步”。结论:确定了三种社会表征,解释了青少年对母乳喂养的做法以及他们和他们的孩子的照顾。它们是通过家庭沟通获得的,并因夫妇暂时或永久不在而需要支持、身体变化引起的个人危机、对母乳喂养引起的新变化的恐惧以及对如何进行母乳喂养和产褥期护理的无知而得到加强。
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引用次数: 1
期刊
Boletín Médico Del Hospital Infantil de México (English Edition)
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