Pub Date : 2019-01-29DOI: 10.24875/bmhime.m18000036
Jéssica H. Guadarrama-Orozco, G. Cantú-Quintanilla, D. Avila-Montiel, Myriam M. Altamirano‐Bustamante, I. Peláez-Ballestas, Cristina Caballero-Velarde, L. Juárez-Villegas, Nahúm de la Vega-Morell, J. Kelly-García, Adalberto de Hoyos-Bermea, E. Dorantes-Acosta, J. Gamboa-Marrufo, O. Muñoz-Hernández, J. Garduño-Espinosa
Background:Laws refer that minors do not have the capability to give informed consent for their own medical attention. However, there are special conditions in which they are allowed to decide about their health. The greater the judgement and experience limitations in minors, the less weight is given to the values and objectives they express. Also, the more adverse consequences might be, the higher the level of authority that is demanded to decide on behalf of the minor, thus granting the State the capability to guarantee the well-being of the minor. Case report:12-year-old female patient with a diagnosis of acute lymphoblastic leukemia, with precarious social and family background; evolution of the disease obstructed by the disregard of the treatment due to her unsanitary and extreme poverty conditions. Both of her parents died soon after the start of the treatment and she was kept under the care of her half-sister of legal age. The work and the ethical dilemma of the pediatrician and the staff of Hospital Infantil de Mexico Federico Gomez are exposed within the building of support -networks with the objective of prioritizing the minor's well-being, without allowing family break-up or disintegration, thus succeeding in her recovery. Conclusions:The case was submitted to the Hospital Bioethics Committee. Inter-institutional support networks were built in order to improve dynamics of the family, thus solving the needs of the minor. Despite the misfortune of the situation, the disease was successfully overcome.
{"title":"The horizon of medical attention in pediatrics: What to do in the case of children who are in abandonment, conflict, harm, or danger situations in combination with a severe disease?","authors":"Jéssica H. Guadarrama-Orozco, G. Cantú-Quintanilla, D. Avila-Montiel, Myriam M. Altamirano‐Bustamante, I. Peláez-Ballestas, Cristina Caballero-Velarde, L. Juárez-Villegas, Nahúm de la Vega-Morell, J. Kelly-García, Adalberto de Hoyos-Bermea, E. Dorantes-Acosta, J. Gamboa-Marrufo, O. Muñoz-Hernández, J. Garduño-Espinosa","doi":"10.24875/bmhime.m18000036","DOIUrl":"https://doi.org/10.24875/bmhime.m18000036","url":null,"abstract":"Background:Laws refer that minors do not have the capability to give informed consent for their own medical attention. However, there are special conditions in which they are allowed to decide about their health. The greater the judgement and experience limitations in minors, the less weight is given to the values and objectives they express. Also, the more adverse consequences might be, the higher the level of authority that is demanded to decide on behalf of the minor, thus granting the State the capability to guarantee the well-being of the minor. Case report:12-year-old female patient with a diagnosis of acute lymphoblastic leukemia, with precarious social and family background; evolution of the disease obstructed by the disregard of the treatment due to her unsanitary and extreme poverty conditions. Both of her parents died soon after the start of the treatment and she was kept under the care of her half-sister of legal age. The work and the ethical dilemma of the pediatrician and the staff of Hospital Infantil de Mexico Federico Gomez are exposed within the building of support -networks with the objective of prioritizing the minor's well-being, without allowing family break-up or disintegration, thus succeeding in her recovery. Conclusions:The case was submitted to the Hospital Bioethics Committee. Inter-institutional support networks were built in order to improve dynamics of the family, thus solving the needs of the minor. Despite the misfortune of the situation, the disease was successfully overcome.","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83269713","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}
Pub Date : 2019-01-29DOI: 10.24875/bmhime.m18000027
Jorge Alberto Cantú-Reyes, Erik Antonio Mier-Escurra, Joel Cázares-Rangel, J. R. D. Ita, Jan A Lammel-Lindemann, Luis Francisco Rendón-García, Boris José Chacón-López
Background: Lymphatic vascular malformations (LVM) or formerly called lymphangiomas are congenital malformations present in about 1 out of 6,000 to 16,000 births. The most relevant classification system for lymphangioma management is based on the size of the cysts. Spontaneous resolution is uncommon; thus, expectant management is not recommended. The classic treatment is excisional surgery, but it can affect adjacent structures or have relapses, so, sclerosing substances like OK432 are being studied. The majority of the studies are in a small sample of patients and are from Japan; the largest studies in Mexico are focused on specific lesions (macrocystic) or a determined anatomical region. To date, there are no studies of the population of the north of Mexico. Methods: The experience with OK-432 was described through a retrospective, descriptive study in patients with LVM, from 2011 to 2016, in a reference hospital of northern Mexico. Results: A total of 26 patients with LVM were treated with OK-432. The majority of the lesions were macrocystic (69%), microcystic (19%) and mixed (12%). From the total number of patients, 11 fully healed, and 72% of the study population had > 50% reduction in lesion size with only two applications. There were no recurrences. Complications were reported in two patients who had skin hyperpigmentation. conclusions: OK-432 probed to be an effective treatment for LVM in a reference hospital in the north of Mexico.
{"title":"Experience with OK-432 in lymphatic vascular malformations in a hospital from northern Mexico","authors":"Jorge Alberto Cantú-Reyes, Erik Antonio Mier-Escurra, Joel Cázares-Rangel, J. R. D. Ita, Jan A Lammel-Lindemann, Luis Francisco Rendón-García, Boris José Chacón-López","doi":"10.24875/bmhime.m18000027","DOIUrl":"https://doi.org/10.24875/bmhime.m18000027","url":null,"abstract":"Background: Lymphatic vascular malformations (LVM) or formerly called lymphangiomas are congenital malformations present in about 1 out of 6,000 to 16,000 births. The most relevant classification system for lymphangioma management is based on the size of the cysts. Spontaneous resolution is uncommon; thus, expectant management is not recommended. The classic treatment is excisional surgery, but it can affect adjacent structures or have relapses, so, sclerosing substances like OK432 are being studied. The majority of the studies are in a small sample of patients and are from Japan; the largest studies in Mexico are focused on specific lesions (macrocystic) or a determined anatomical region. To date, there are no studies of the population of the north of Mexico. Methods: The experience with OK-432 was described through a retrospective, descriptive study in patients with LVM, from 2011 to 2016, in a reference hospital of northern Mexico. Results: A total of 26 patients with LVM were treated with OK-432. The majority of the lesions were macrocystic (69%), microcystic (19%) and mixed (12%). From the total number of patients, 11 fully healed, and 72% of the study population had > 50% reduction in lesion size with only two applications. There were no recurrences. Complications were reported in two patients who had skin hyperpigmentation. conclusions: OK-432 probed to be an effective treatment for LVM in a reference hospital in the north of Mexico.","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83519026","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}
Pub Date : 2019-01-29DOI: 10.24875/bmhime.m17000014
G. Szulman, H. Freilij, I. Behrends, Á. Gentile, J. Mallol
Background: The episodes of bronchial obstruction at early age constitute a frequent problem in Pediatrics. This study aimed to evaluate the prevalence of recurrent wheezing in infants in Buenos Aires City and to identify its associated factors. Methods: a Cross-sectional study performed from 2011 to 2012 in the Children Hospital Ricardo Gutiérrez, Buenos Aires City, as part of the International Study of Wheezing in Infants. A validated questionnaire was applied to parents of infants aged between 12 and 15 months. The wheezing prevalence, mainly in recurrent patients (three or more episodes) was evaluated, and its likely associated factors. Data were statistically analyzed employing χ2 test, Fisher’s test, binary, and logistics multiple regression analysis, with a significance level of 0.05. Results: Over 1063 infants, 58.9% (confidence interval (CI) 95% 55.9-61.9) had at least one episode of wheezing and 26.3% (CI95% 23.8-29.9) had three or more episodes (recurrent wheezing). Risk factors associated to wheezing were male sex (p = 0.001), six or more episodes of cold during the first year of life (p < 0.0001), age at first cold <4 months (p < 0.0001); pneumonia (p < 0.0001) and tobacco smoking during pregnancy (p = 0.01). For recurrent wheezing, risk factors we considered as six or more episodes of cold during the first year of life (p < 0.0001), early (< 4 month old) onset wheezing (p < 0.0001) and nocturnal wheezing (p < 0.0001). Conclusions: The prevalence of recurrent wheezing among infants in Buenos Aires City was high (26.3%). Some identified associated factors
{"title":"Recurrent wheezing: prevalence and associated factors in infants from Buenos Aires City, Argentina","authors":"G. Szulman, H. Freilij, I. Behrends, Á. Gentile, J. Mallol","doi":"10.24875/bmhime.m17000014","DOIUrl":"https://doi.org/10.24875/bmhime.m17000014","url":null,"abstract":"Background: The episodes of bronchial obstruction at early age constitute a frequent problem in Pediatrics. This study aimed to evaluate the prevalence of recurrent wheezing in infants in Buenos Aires City and to identify its associated factors. Methods: a Cross-sectional study performed from 2011 to 2012 in the Children Hospital Ricardo Gutiérrez, Buenos Aires City, as part of the International Study of Wheezing in Infants. A validated questionnaire was applied to parents of infants aged between 12 and 15 months. The wheezing prevalence, mainly in recurrent patients (three or more episodes) was evaluated, and its likely associated factors. Data were statistically analyzed employing χ2 test, Fisher’s test, binary, and logistics multiple regression analysis, with a significance level of 0.05. Results: Over 1063 infants, 58.9% (confidence interval (CI) 95% 55.9-61.9) had at least one episode of wheezing and 26.3% (CI95% 23.8-29.9) had three or more episodes (recurrent wheezing). Risk factors associated to wheezing were male sex (p = 0.001), six or more episodes of cold during the first year of life (p < 0.0001), age at first cold <4 months (p < 0.0001); pneumonia (p < 0.0001) and tobacco smoking during pregnancy (p = 0.01). For recurrent wheezing, risk factors we considered as six or more episodes of cold during the first year of life (p < 0.0001), early (< 4 month old) onset wheezing (p < 0.0001) and nocturnal wheezing (p < 0.0001). Conclusions: The prevalence of recurrent wheezing among infants in Buenos Aires City was high (26.3%). Some identified associated factors","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83938945","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}
Pub Date : 2019-01-29DOI: 10.24875/BMHIME.M18000030
Olga Taboada-Aranza, Karen Rodríguez-Nieto
Background The first permanent molar is susceptible to acquire tooth decay since its eruption, due to its anatomy and because it has been exposed before other teeth. Method An observational, prolective, transversal and comparative study in 194 students, with an average age of 9.9 ± 1.8 years. The evaluation of the dentobacterial plate (DBP) was analyzed using the O'Leary index and the tooth decay experience with the DMFS (sum of decayed, missing, extracted and filling dental surfaces) and DMFT (sum of decayed, missing, extracted and filling per tooth) indexes. Results The prevalence of DBP in the first permanent molar was of 99.4% and tooth decay of 57.2%. The value of DMFT was 1.4 ± 1.4. The tooth decay experience was higher in children from 7.10 years old with a value of 2.2 ± 2.3, who are 7.9 times more likely to develop lesions than younger children (odds ratio: 8.9; 95% confidence interval: 4.1-19.5; p < 0.0001). We found an association between age and the values of the tooth decay experience indexes; even though these were weak in the case of DMF (r = 0.439), the model allowed to explain 19% of the association, and 22% for DMFT (r = 0.464). Conclusions Tooth decay develops rapidly in the first permanent molars; however, it does not receive the necessary care because it is usually unknown that it is a permanent tooth.
{"title":"Prevalence of plaque and dental decay in the first permanent molar in a school population of south Mexico City","authors":"Olga Taboada-Aranza, Karen Rodríguez-Nieto","doi":"10.24875/BMHIME.M18000030","DOIUrl":"https://doi.org/10.24875/BMHIME.M18000030","url":null,"abstract":"Background The first permanent molar is susceptible to acquire tooth decay since its eruption, due to its anatomy and because it has been exposed before other teeth. Method An observational, prolective, transversal and comparative study in 194 students, with an average age of 9.9 ± 1.8 years. The evaluation of the dentobacterial plate (DBP) was analyzed using the O'Leary index and the tooth decay experience with the DMFS (sum of decayed, missing, extracted and filling dental surfaces) and DMFT (sum of decayed, missing, extracted and filling per tooth) indexes. Results The prevalence of DBP in the first permanent molar was of 99.4% and tooth decay of 57.2%. The value of DMFT was 1.4 ± 1.4. The tooth decay experience was higher in children from 7.10 years old with a value of 2.2 ± 2.3, who are 7.9 times more likely to develop lesions than younger children (odds ratio: 8.9; 95% confidence interval: 4.1-19.5; p < 0.0001). We found an association between age and the values of the tooth decay experience indexes; even though these were weak in the case of DMF (r = 0.439), the model allowed to explain 19% of the association, and 22% for DMFT (r = 0.464). Conclusions Tooth decay develops rapidly in the first permanent molars; however, it does not receive the necessary care because it is usually unknown that it is a permanent tooth.","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81841562","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}
Pub Date : 2019-01-29DOI: 10.24875/BMHIME.M18000042
J. C. Lona-Reyes, Ana L. Valdez-Núñez, A. Cordero-Zamora, A. Rea-Rosas, E. Ascencio-Esparza, L. G. Orozco-Alatorre
Background: The etiologies of meningoencephalitis, meningitis, or encephalitis may be infectious or non-infectious. For the microbiological diagnosis, it is necessary to perform cultures and molecular tests. The objective of this study was to describe the infectious causes of meningoencephalitis and their clinical presentation. Methods: A cross-sectional study was performed at the Hospital Civil de Guadalajara Dr. Juan I. Menchaca. Patients older than 28 days of life with meningitis, encephalitis, or meningoencephalitis syndrome were included in the study. Infectious etiology was identified through cultures, Gram stains, and molecular tests of cerebrospinal fluid (CSF). The characteristics of patients with and without an etiological diagnosis were compared. Results: Fifty patients with meningoencephalitis (n = 25), meningitis (n = 19), or encephalitis (n = 6) were included in the study. The mean age was 1 year and 62% were male. An infectious etiological diagnosis was performed in 42%; 65.2% (n = 15) were viruses and 34.8% (n = 8) bacteria. In patients with etiological diagnosis, a higher number of leukocytes were found in CSF (92 leu/mm3 vs. 12 leu/mm3, p = 0.001); the history of gastroenteritis was more frequent (odds ratio [OR]: 3.5; 95% confidence interval (CI): 1.007-12.1; p = 0.04), and on examination, neck stiffness was more common (OR: 3.8; 95% CI: 1-15.2; p = 0.04). conclusions: 42% of the patients with meningitis, encephalitis, or meningoencephalitis had an infectious etiological diagnosis; the most frequent cause was Enterovirus.
{"title":"Meningoencephalitis: infectious etiology in pediatric patients at a reference hospital","authors":"J. C. Lona-Reyes, Ana L. Valdez-Núñez, A. Cordero-Zamora, A. Rea-Rosas, E. Ascencio-Esparza, L. G. Orozco-Alatorre","doi":"10.24875/BMHIME.M18000042","DOIUrl":"https://doi.org/10.24875/BMHIME.M18000042","url":null,"abstract":"Background: The etiologies of meningoencephalitis, meningitis, or encephalitis may be infectious or non-infectious. For the microbiological diagnosis, it is necessary to perform cultures and molecular tests. The objective of this study was to describe the infectious causes of meningoencephalitis and their clinical presentation. Methods: A cross-sectional study was performed at the Hospital Civil de Guadalajara Dr. Juan I. Menchaca. Patients older than 28 days of life with meningitis, encephalitis, or meningoencephalitis syndrome were included in the study. Infectious etiology was identified through cultures, Gram stains, and molecular tests of cerebrospinal fluid (CSF). The characteristics of patients with and without an etiological diagnosis were compared. Results: Fifty patients with meningoencephalitis (n = 25), meningitis (n = 19), or encephalitis (n = 6) were included in the study. The mean age was 1 year and 62% were male. An infectious etiological diagnosis was performed in 42%; 65.2% (n = 15) were viruses and 34.8% (n = 8) bacteria. In patients with etiological diagnosis, a higher number of leukocytes were found in CSF (92 leu/mm3 vs. 12 leu/mm3, p = 0.001); the history of gastroenteritis was more frequent (odds ratio [OR]: 3.5; 95% confidence interval (CI): 1.007-12.1; p = 0.04), and on examination, neck stiffness was more common (OR: 3.8; 95% CI: 1-15.2; p = 0.04). conclusions: 42% of the patients with meningitis, encephalitis, or meningoencephalitis had an infectious etiological diagnosis; the most frequent cause was Enterovirus.","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90570444","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}
Pub Date : 2019-01-29DOI: 10.24875/bmhime.m17000006
L. Martín-Casado, Christian Barquín
{"title":"Does a Physical Education lesson affect foot morphology in school-aged children?","authors":"L. Martín-Casado, Christian Barquín","doi":"10.24875/bmhime.m17000006","DOIUrl":"https://doi.org/10.24875/bmhime.m17000006","url":null,"abstract":"","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80824417","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}
Pub Date : 2019-01-29DOI: 10.24875/BMHIME.M18000040
Karla P. Estrada-Ramírez, A. Miranda-Lora, Ricardo C. Sandoval-Quiroa, D. Avila-Montiel, María J. Mier-Prado, J. Garduño-Espinosa
Background: Women’s participation in medicine has increased in the last decades, with greater representativeness in the authorship of scientific articles in many countries and different specialties. The objective of this research was to analyze the gender gap in the authorship of articles through the history of the medical journal Boletín Médico del Hospital Infantil de México. Methods: In a bibliometric analysis, we reviewed original articles published during the years 1953, 1963, 1973, 1983, 1993, 2003, and 2013. The gender of the author, the type of authorship (first author or corresponding author), and the design of the study (descriptive vs. analytic) were identified. We evaluated the difference between gender proportion and trends over time. Results: We included 272 articles. We observed a gender gap reduction between 1953 and 2013. The participation of women as the first author increased from 2% to 63% (p < 0.001) and as the corresponding author from 27% to 59% (p < 0.001). If we include only analytic studies, the increase was 25-50% as the first author (p = 0.03), with a similar tendency as the corresponding author, but without a statistical significance on time (p = 0.19). We observed the most notable change in the 1983-1993 period. conclusions: In the last decades, there has been a significant increase in women’s authorship in the medical journal Boletín Médico del Hospital Infantil de México, even reaching a greater proportion versus the male gender. This increase reflects the present role of women in
背景:在过去几十年中，妇女参与医学的情况有所增加，在许多国家和不同专业的科学文章作者中具有更大的代表性。本研究的目的是通过医学杂志Boletín《儿童医院》的历史分析文章作者的性别差距。方法:通过文献计量分析，我们回顾了1953年、1963年、1973年、1983年、1993年、2003年和2013年发表的原始文章。确定了作者的性别、作者类型(第一作者或通讯作者)和研究设计(描述性vs.分析性)。我们评估了性别比例和趋势之间的差异。结果:我们纳入了272篇文章。我们观察到，1953年至2013年间，性别差距有所缩小。女性作为第一作者的参与从2%增加到63% (p < 0.001)，作为通讯作者的参与从27%增加到59% (p < 0.001)。如果我们只包括分析性研究，第一作者的增加是25-50% (p = 0.03)，与通讯作者的趋势相似，但在时间上没有统计学意义(p = 0.19)。我们在1983-1993年期间观察到最显著的变化。结论:在过去的几十年里，医学杂志Boletín《msamadico del Hospital Infantil de msamadico》的女性作者显著增加，甚至比男性的比例更大。这一增长反映了妇女目前在
{"title":"Gender gap in the authorship of published articles in the Boletín Médico del Hospital Infantil de México","authors":"Karla P. Estrada-Ramírez, A. Miranda-Lora, Ricardo C. Sandoval-Quiroa, D. Avila-Montiel, María J. Mier-Prado, J. Garduño-Espinosa","doi":"10.24875/BMHIME.M18000040","DOIUrl":"https://doi.org/10.24875/BMHIME.M18000040","url":null,"abstract":"Background: Women’s participation in medicine has increased in the last decades, with greater representativeness in the authorship of scientific articles in many countries and different specialties. The objective of this research was to analyze the gender gap in the authorship of articles through the history of the medical journal Boletín Médico del Hospital Infantil de México. Methods: In a bibliometric analysis, we reviewed original articles published during the years 1953, 1963, 1973, 1983, 1993, 2003, and 2013. The gender of the author, the type of authorship (first author or corresponding author), and the design of the study (descriptive vs. analytic) were identified. We evaluated the difference between gender proportion and trends over time. Results: We included 272 articles. We observed a gender gap reduction between 1953 and 2013. The participation of women as the first author increased from 2% to 63% (p < 0.001) and as the corresponding author from 27% to 59% (p < 0.001). If we include only analytic studies, the increase was 25-50% as the first author (p = 0.03), with a similar tendency as the corresponding author, but without a statistical significance on time (p = 0.19). We observed the most notable change in the 1983-1993 period. conclusions: In the last decades, there has been a significant increase in women’s authorship in the medical journal Boletín Médico del Hospital Infantil de México, even reaching a greater proportion versus the male gender. This increase reflects the present role of women in","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82499340","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}
Pub Date : 2019-01-29DOI: 10.24875/BMHIME.M17000004
Ligia Marcela Portillo-Canizalez, G. Blanco-Rodríguez, Gustavo Teyssier-Morales, J. Penchyna-Grub, S. T. Mendieta, J. Zurita-Cruz
Background: Multiple bowel preparations have been used in children undergoing colonoscopy, with variable limitations due to acceptance, tolerance, and proper cleaning. The objective of this study was to compare the tolerability, safety, and efficacy of colonoscopy preparation with one-day of PEG 3350 (polyethylene glycol) (4 g/kg/day) + bisacodyl compared with two days of preparation with PEG 3350 (2 g/kg/day) + bisacodyl in pediatric patients. Methods: A clinical, randomized, single-blind trial was performed. Patients aged 2 to 18 years scheduled for colonoscopy were included. Patients were randomized into two groups: one day of preparation with PEG 3350 4 g/kg/day + bisacodyl and two days of preparation with PEG 3350 2 g/kg/day + bisacodyl. Through a questionnaire, a physical examination, and an endoscopic evaluation (Boston scale), the tolerance, safety and efficacy of both preparations evaluated were determined. Student’s t-test was performed for quantitative variables and χ2 for qualitative variables. Results: There were no significant differences in compliance rates, adverse effects, and extent of colonoscopic evaluation. Conclusions: Tolerance and safety between the intestinal preparation for 1-day colonoscopy with PEG 3350 (4 g/kg/day) + bisacodyl and the 2-day preparation with PEG 3350 (2 g/kg/day) + bisacodyl were similar. The quality of cleanliness was good in both groups, being partially more effective in the 1-day group with PEG
{"title":"Tolerance, safety, and efficacy of PEG3350 + bisacodyl bowel preparation: comparison between two treatments of different duration in pediatric patients","authors":"Ligia Marcela Portillo-Canizalez, G. Blanco-Rodríguez, Gustavo Teyssier-Morales, J. Penchyna-Grub, S. T. Mendieta, J. Zurita-Cruz","doi":"10.24875/BMHIME.M17000004","DOIUrl":"https://doi.org/10.24875/BMHIME.M17000004","url":null,"abstract":"Background: Multiple bowel preparations have been used in children undergoing colonoscopy, with variable limitations due to acceptance, tolerance, and proper cleaning. The objective of this study was to compare the tolerability, safety, and efficacy of colonoscopy preparation with one-day of PEG 3350 (polyethylene glycol) (4 g/kg/day) + bisacodyl compared with two days of preparation with PEG 3350 (2 g/kg/day) + bisacodyl in pediatric patients. Methods: A clinical, randomized, single-blind trial was performed. Patients aged 2 to 18 years scheduled for colonoscopy were included. Patients were randomized into two groups: one day of preparation with PEG 3350 4 g/kg/day + bisacodyl and two days of preparation with PEG 3350 2 g/kg/day + bisacodyl. Through a questionnaire, a physical examination, and an endoscopic evaluation (Boston scale), the tolerance, safety and efficacy of both preparations evaluated were determined. Student’s t-test was performed for quantitative variables and χ2 for qualitative variables. Results: There were no significant differences in compliance rates, adverse effects, and extent of colonoscopic evaluation. Conclusions: Tolerance and safety between the intestinal preparation for 1-day colonoscopy with PEG 3350 (4 g/kg/day) + bisacodyl and the 2-day preparation with PEG 3350 (2 g/kg/day) + bisacodyl were similar. The quality of cleanliness was good in both groups, being partially more effective in the 1-day group with PEG","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88639401","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}
Pub Date : 2019-01-29DOI: 10.24875/bmhime.m17000016
M. Pérezpeña-Díazconti, S. Moreno-Espinosa, Bertha Lilia Romero-Baizabal, D. A. Guerrero-Reséndiz
{"title":"Community-acquired pneumonia with infrequent presentation","authors":"M. Pérezpeña-Díazconti, S. Moreno-Espinosa, Bertha Lilia Romero-Baizabal, D. A. Guerrero-Reséndiz","doi":"10.24875/bmhime.m17000016","DOIUrl":"https://doi.org/10.24875/bmhime.m17000016","url":null,"abstract":"","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81811222","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}
Pub Date : 2019-01-29DOI: 10.24875/bmhime.m17000005
Laura Solís-Flores, Rosalinda Acuña-Rojas, Leobardo López-Medina, G. Meléndez-Mier
Background: Allergic rhinitis (AR) is considered to be a public health problem. Therefore, it is essential to test health education strategies such as nursing counseling (NC) aimed at population groups such as children with allergic rhinitis and their tutors. This study aimed to measure the health benefits of children with this disease for a year. Methods: It is a longitudinal, randomized, comparative study with a sample of 100 pediatric patients of both sexes, aged 6 to 12 years, with a diagnosis of allergic rhinitis, with counseling (study group) and without counseling (control group). In both groups, an informed consent letter signed by both tutors was applied, in addition to knowledge and assessment forms, the second included a scale of symptomatology and a Morisky-Green scale (adherence to treatment). Children in the study group received an intervention based on personalized education, teaching material, support from a multidisciplinary group if necessary (physician, dermatologist, and psychologist). The control group received usual care. In both groups, telephone follow-up was used, which allowed identification of the number of relapses in one year. Results: The Wilcoxon rank-sum test (Mann-Whitney) was used to compare the results, so the presence of relapses in the control group was statistically significant compared to the study group. Conclusions: It was found that the pediatric population that receives NC has improved control of symptomatology and decrease of relapses per year.
{"title":"Nursing counseling decreases symptomatology and relapses in pediatric patients with allergic rhinitis","authors":"Laura Solís-Flores, Rosalinda Acuña-Rojas, Leobardo López-Medina, G. Meléndez-Mier","doi":"10.24875/bmhime.m17000005","DOIUrl":"https://doi.org/10.24875/bmhime.m17000005","url":null,"abstract":"Background: Allergic rhinitis (AR) is considered to be a public health problem. Therefore, it is essential to test health education strategies such as nursing counseling (NC) aimed at population groups such as children with allergic rhinitis and their tutors. This study aimed to measure the health benefits of children with this disease for a year. Methods: It is a longitudinal, randomized, comparative study with a sample of 100 pediatric patients of both sexes, aged 6 to 12 years, with a diagnosis of allergic rhinitis, with counseling (study group) and without counseling (control group). In both groups, an informed consent letter signed by both tutors was applied, in addition to knowledge and assessment forms, the second included a scale of symptomatology and a Morisky-Green scale (adherence to treatment). Children in the study group received an intervention based on personalized education, teaching material, support from a multidisciplinary group if necessary (physician, dermatologist, and psychologist). The control group received usual care. In both groups, telephone follow-up was used, which allowed identification of the number of relapses in one year. Results: The Wilcoxon rank-sum test (Mann-Whitney) was used to compare the results, so the presence of relapses in the control group was statistically significant compared to the study group. Conclusions: It was found that the pediatric population that receives NC has improved control of symptomatology and decrease of relapses per year.","PeriodicalId":100195,"journal":{"name":"Boletín Médico Del Hospital Infantil de México (English Edition)","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75013221","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}
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