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Vaccinating pregnant women can prevent respiratory syncytial virus bronchiolitis in infants 孕妇接种疫苗可预防婴儿患呼吸道合胞病毒支气管炎
Pub Date : 2024-03-20 DOI: 10.60147/cccb7ec7
Carlos Ochoa, Enrique Rodríguez-Salinas
Authors´ conclusions: prefusion F protein vaccine against respiratory syncytial virus administered to pregnant women in the last trimester of pregnancy prevents this virus severe respiratory infections in their infants, without important adverse effects. Reviewers´ commentary: The vaccine appears effective and safe, although its efficacy estimates are imprecise. It constitutes an alternative preventive option to the administration of nirsevimab in the newborn, with comparable impact expectations.
作者的结论:孕妇在妊娠最后三个月接种预防呼吸道合胞病毒的 F 蛋白预融合疫苗,可预防婴儿感染该病毒的严重呼吸道感染,且不会产生重要的不良反应。评论者的评论:该疫苗似乎有效且安全,尽管其疗效估计并不精确。它是在新生儿中使用尼舍单抗的替代性预防方案,预期效果相当。
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引用次数: 0
El pediatra de Atención Primaria y la anafilaxia 儿科初级保健医生与过敏性休克
Pub Date : 2024-03-20 DOI: 10.60147/75144d9c
María Teresa Ferrer Guerra, L. Martínez, Juan Carlos Juliá, Isabel Reig, Gvr Grupo de Vías Respiratorias (GVR)
Anaphylaxis is a severe, rapid and potentially fatal allergic reaction. The diagnosis of anaphylaxis is clinical and must be early. It appears in the first 2 hours after exposure to the allergen, in the first 30 minutes in food allergy and earlier with intravenous drugs or hymenoptera stings. Cutaneous symptoms are generally the first to appear and are present in most cases, more than 80%. They may be mild or transitory, or absent in 18% of cases. If the cardio-circulatory system is affected, an anaphylactic shock occurs. The most frequent cause in pediatrics is nutrition. There are several cofactors whose presence increases the likelihood of anaphylaxis; the most important are: exercise, medication, fever and stress. The treatment of choice is intramuscular adrenaline. Parents and children should be able to identify the signs and/or symptoms of anaphylaxis in order to implement the treatment prescribed in the written action plan.
过敏性休克是一种严重、迅速且可能致命的过敏反应。过敏性休克的临床诊断必须尽早。过敏性休克会在接触过敏原后 2 小时内出现,食物过敏会在 30 分钟内出现,静脉注射药物或膜翅目昆虫蛰伤会更早。皮肤症状通常最先出现,在大多数病例中都会出现,超过 80%。皮肤症状可能比较轻微或短暂,也有 18% 的病例没有皮肤症状。如果心脏循环系统受到影响,就会出现过敏性休克。儿科最常见的病因是营养。有几种辅助因素会增加过敏性休克发生的可能性,其中最重要的是:运动、药物、发烧和压力。首选治疗方法是肌肉注射肾上腺素。家长和儿童应能够识别过敏性休克的体征和/或症状,以便实施书面行动计划中规定的治疗。
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引用次数: 0
Painting and learning how to live healthy 绘画和学习如何健康生活
Pub Date : 2024-03-20 DOI: 10.60147/ae852ba7
Irene Estrada, María Vázquez, Carmen Villanueva, José Galbe, Pilar Sierra, Andrea de Llobet
The objective of this study arises in the health center from the need to improve the emotional environment, going from a sad, dull and inexpressive waiting room to a welcoming, friendly and educational one. We understand that the waiting room must be part of the global care of the children and their family. We looked for a physical improvement of the the pediatric area in the health center. Painting the walls of the health center may not humanize the space but it makes it friendlier, trying to create a place where art not only brings beauty but is also a health education strategy. During the wait, there won´t be only an attractive and pleasant environment, but also healthy lifestyle habits in a creative way through drawings that will develop stories with teachings about food, hygiene, friendship, etc. Children, teachers, the Zaragoza city council, health center professionals and especially the architect of the work, Leticia García Longás, have been involved in the different phases of the project.
本研究的目的是为了改善保健中心的情感环境,将悲伤、沉闷和缺乏表现力的候诊室变为温馨、友好和具有教育意义的候诊室。我们知道,候诊室必须成为儿童及其家人全面护理的一部分。我们希望改善保健中心儿科区的环境。对保健中心的墙壁进行粉刷可能不会使空间人性化,但却能使其更加友好,我们试图创造一个艺术不仅带来美感,而且也是一种健康教育策略的地方。在等待的过程中,不仅会有一个有吸引力的、令人愉悦的环境,而且还能以一种创造性的方式通过绘画培养健康的生活习惯,这些绘画将发展出关于食物、卫生、友谊等方面的教育故事。儿童、教师、萨拉戈萨市议会、保健中心的专业人员,特别是该项目的建筑师莱蒂西亚-加西亚-隆加斯(Leticia García Longás),都参与了该项目的各个阶段。
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引用次数: 0
An explosive intake 爆炸性摄入
Pub Date : 2024-03-20 DOI: 10.60147/87beda25
Alba Gasset, Iván Carabaño
The ingestion of firecrackers poses a potential risk to the patient's life if they contain the toxic component called yellow phosphorus (YFP). Fortunately, this material is not currently used in our country for the manufacture of pyrotechnic products, but this is not the case in other regions of the world such as Asia or Latin America. The ingestion of FA can cause the death of the patient in up to 20-50% of them by toxic accumulation in the organism, producing mainly hepatic failure and consequently multiorgan failure. Firecrackers in Spain contain non-toxic materials for the organism, so their ingestion may cause nausea and abdominal discomfort, but not a lethal risk for the patient.
如果鞭炮中含有一种叫做黄磷(YFP)的有毒成分,摄入这种鞭炮会给患者的生命带来潜在风险。幸运的是,我国目前没有使用这种材料制造烟火产品,但在亚洲或拉丁美洲等世界其他地区却并非如此。摄入 FA 后,20%-50% 的患者会因机体内的毒性蓄积而死亡,主要造成肝功能衰竭,进而导致多器官功能衰竭。西班牙的鞭炮中含有对机体无毒的物质,因此摄入后可能会引起恶心和腹部不适,但不会对患者造成致命危险。
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引用次数: 0
Failure to Thrive in Primary Care pediatrics: recommendations for its approach and follow-up 初级保健儿科中的 "茁壮成长失败":关于其方法和后续行动的建议
Pub Date : 2024-03-20 DOI: 10.60147/3ee7811d
M.ª Cristina de Hoyos, José Pelayo León, Nuria Puente, Alberto Barasoain, Carolina Bezanilla, Gonzalo Botija, M.ª Mercedes Bueno, Manuela Martínez, Aránzazu Recio
Failure to thrive is poor physical growth, both in weight and height, in children under three years of age. This underdiagnosed entity can affect children’s physical, intellectual, emotional and social development. Paediatric Primary Care is crucial in early diagnosis and prevention of their morbidity. This document represents a useful tool for the teamwork between paediatricians and paediatric nursing. Its objective is to carry out an early, individualized and efficient approach in these children.
发育迟缓是指三岁以下儿童的体重和身高发育不良。这种未得到充分诊断的疾病会影响儿童的身体、智力、情感和社会发展。儿科初级保健对于早期诊断和预防其发病至关重要。本文件是儿科医生和儿科护理人员团队合作的有用工具。其目的是对这些儿童采取早期、个性化和有效的方法。
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引用次数: 0
Neonatal breast abscess: a case report 新生儿乳腺脓肿:病例报告
Pub Date : 2024-03-12 DOI: 10.60147/e775a20f
Victoria Domínguez, M.ª del Mar Estepa, Estela Membrillo, Cristóbal Coronel
We present a 27-day-old girl with no significant medical history who attended pediatric consultation presenting with edema and hematoma in her right breast. The patient was admitted the next day following examination in ER due to the worsening of a starting breast abscess and was treated with intravenous antibiotic therapy. Due to the worsening of the condition and despite the intravenous antibiotic therapy, a surgical treatment was performed consisting in draining the abscess and washing the cavity. Finally, the problem was solved without any consequences.
我们要介绍的是一名 27 天大的女孩,无明显病史,因右侧乳房水肿和血肿到儿科就诊。在急诊室检查后的第二天,患者因乳房脓肿开始恶化而入院,并接受了静脉抗生素治疗。由于病情恶化,尽管静脉注射了抗生素,还是进行了手术治疗,包括脓肿引流和腔隙清洗。最后,问题得到了解决,没有造成任何后果。
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引用次数: 0
Facial palsy, the importance of taking a good medical history 面瘫,了解病史的重要性
Pub Date : 2024-03-06 DOI: 10.60147/a9dab015
Alicia Gaitero, Carmen Martínez, Paula Cabrera, M. Illán, Arantxa Berzosa, José Tomás Ramos
Facial palsy poses a wide differential diagnosis in pediatrics, especially when it is accompanied by symptoms that make it doubtful whether Bell's palsy is present. It is essential to perform a correct anamnesis to rule out diagnoses that require early detection and treatment to improve the prognosis. Lyme disease (EL) is one of the possible causes of facial palsy, having been seldom described in children in Spain. We present the case of an 11-years-old male with diagnosis of facial palsy associated with B. burgdorferi infection with favorable evolution after treatment with doxycycline.
面瘫在儿科中的鉴别诊断范围很广,尤其是当面瘫伴有一些症状,让人怀疑是否存在贝尔氏麻痹时。必须进行正确的病史分析,以排除需要早期发现和治疗以改善预后的诊断。莱姆病(EL)是导致面瘫的可能原因之一,但在西班牙的儿童中很少见。我们介绍了一例 11 岁男性患者的病例,他被诊断为与 B. burgdorferi 感染有关的面瘫,在接受强力霉素治疗后病情得到了良好的发展。
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引用次数: 0
Hablemos de la melatonina, aunque sea para mal 让我们来谈谈褪黑素吧,尽管它的效果并不好。
Pub Date : 2024-02-21 DOI: 10.60147/2cb1e384
Ramón Ugarte
02 05 2024 10.60147/999c6838 https://pap.es/articulo/14043/hablemos-de-la-melatonina-aunque-sea-para-mal Motivational interviewing as a strategy to improve the oral health of children and caregivers. Umbrella review Entrevista motivacional como estrategia de mejoramiento de la salud bucal de niños y cuidadores. Revisión en sombrilla Ana M.ª Horta Luisa Fernanda Gutiérrez Cecilia M.ª Martínez Daniel Demetrio Faustino M.ª del Carmen Villanueva M.ª de los Ángeles Ramírez Ricardo Cartés Objective: to demonstrate, the effectiveness of motivational interviewing in improving oral health indicators in children aged 0 to 12 years and their caregivers. Material and method: an umbrella review design. Search in electronic databases (PubMed, MEDLINE, SCOPUS, EBSCO) and Google Scholar since 2010 to 2020, with the following keywords: ('Motivational interviewing' OR 'motivational interview' OR 'motivational interviewing style' OR 'motivational intervention' OR 'motivational counseling' OR 'brief motivational counseling' OR 'maternal counseling' OR 'behavioral intervention') AND (“caries” OR 'dental caries' OR 'tooth decay' OR 'dental decay' OR 'carious lesions' OR 'DMFT index' OR “ICDAS”) AND ('gingival diseases' OR “gingivitis” OR “CPITN” OR 'gingival bleeding' OR 'dental calculus') AND (“children” OR “families” OR “caregivers”), original articles on the effectiveness of motivational interviewing in oral health (EMSB) in children between 0 and 12 years of age and caregivers, type systematic review of the literature and metaanalysis. Results: 69 articles were found (2 systematic reviews and 4 metaanalysis). The indicators found: change in early childhood caries, oral hygiene, gingival conditions and frequency of visits to
02 05 2024 10.60147/999c6838 https://pap.es/articulo/14043/hablemos-de-la-melatonina-aunque-sea-para-mal 激励性访谈作为改善儿童和护理人员口腔健康的一种策略。激励性访谈作为改善儿童和护理人员口腔健康的策略。Revisión en sombrilla Ana M.ª Horta Luisa Fernanda Gutiérrez Cecilia M.ª Martínez Daniel Demetrio Faustino M.ª del Carmen Villanueva M.ª de los Ángeles Ramírez Ricardo Cartés 目的:展示动机访谈在改善 0 至 12 岁儿童及其照顾者口腔健康指标方面的有效性。材料与方法:总括性综述设计。自 2010 年至 2020 年,在电子数据库(PubMed、MEDLINE、SCOPUS、EBSCO)和谷歌学术(Google Scholar)中使用以下关键词进行搜索:(激励访谈 "或 "激励访谈 "或 "激励访谈方式 "或 "激励干预 "或 "激励咨询 "或 "简短激励咨询 "或 "孕产妇咨询 "或 "行为干预")和("龋齿 "或龋齿 "或 "蛀牙 "或 "龋损 "或 "DMFT 指数 "或 "ICDAS")和("牙龈疾病 "或 "牙龈炎 "或 "CPITN "或 "牙龈出血 "或 "牙结石")和("儿童 "或 "家庭 "或 "护理人员")、关于口腔健康动机访谈法(EMSB)对 0 至 12 岁儿童及护理人员的有效性的原创文章,对文献进行系统回顾和荟萃分析。结果:共找到 69 篇文章(2 篇系统综述和 4 篇荟萃分析)。发现的指标:儿童早期龋齿的变化、口腔卫生、牙龈状况和看牙医的频率,有的结果令人满意,有的则相互矛盾。结论:与传统教育相比,动机访谈法的有效性证据显示,口腔健康指标发生了积极变化,如改善牙齿卫生和幼儿期龋齿等。
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引用次数: 0
Prolonged painful erection 长时间勃起疼痛
Pub Date : 2024-02-21 DOI: 10.60147/0c14d9e1
María Abad, Carlos Marcilla, María Ramírez, Ana López, Osane Romero, Andrea Espada
Priapism is a prolonged and painful penile erection, which occurs without prior sexual stimulation. There are two main types, high-flow priapism and low-flow priapism. Although on most occasions the underlying cause will be unknown, it may be the first manifestation of serious disease. In the pediatric patient with prolonged erection we must differentiate between recurrent penile erection and the different types of priapism since each entity requires a specific management and implies a different prognosis.
阴茎勃起功能障碍是指在没有性刺激的情况下,阴茎长时间勃起并伴有疼痛。主要分为两种类型:高流量性勃起功能障碍和低流量性勃起功能障碍。虽然在大多数情况下,其根本原因不明,但它可能是严重疾病的最初表现。对于阴茎勃起时间较长的儿科患者,我们必须区分阴茎反复勃起和不同类型的尿崩症,因为每种类型的尿崩症都需要特殊的治疗方法,并意味着不同的预后。
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引用次数: 0
A vueltas con la melatonina 褪黑激素和褪黑激素
Pub Date : 2024-02-21 DOI: 10.60147/0fd48905
I. Cruz
02 27 2024 10.60147/64088ac4 https://pap.es/articulo/14050/a-vueltas-con-la-melatonina Arnold Chiari malformation Malformación de Arnold Chiari M.ª Tatiana Fernández Jorge Lévano M.ª Mercedes Santos Jesús M.ª Pascual Anny Vanessa Martínez Arnold Chiari malformation is a rare disease that consists of an anatomical alteration of the base of the skull, in which herniation of the cerebellum and brainstem occurs through the foramen magnum to the cervical canal. Many affected children never develop symptoms. If it does cause symptoms, they usually don’t appear until late childhood or adolescence. We present the clinical case of a 2-year-old patient with Arnold Chiari malformation type I.
02 27 2024 10.60147/64088ac4 https://pap.es/articulo/14050/a-vueltas-con-la-melatonina 阿诺德-奇亚里氏畸形 阿诺德-奇亚里氏畸形 M.ª Tatiana Fernández Jorge Lévano M.ª Mercedes Santos Jesús M.ª Pascual Anny Vanessa Martínez 阿诺德-奇亚里氏畸形是一种罕见疾病,是颅底解剖结构的改变,小脑和脑干通过枕骨大孔向颈管疝出。许多患儿从未出现症状。如果确实会引起症状,通常也要到童年晚期或青春期才会出现。我们为您介绍一名两岁的阿诺德脊柱畸形 I 型患者的临床病例。
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引用次数: 0
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Revista Pediatría Atención Primaria
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