Pub Date : 2024-08-01Epub Date: 2023-11-02DOI: 10.5546/aap.2023-10097.eng
César Meller, Soledad Kleppe, Horacio Aiello, Lucas Otaño
In practice, it is very common to associate monochorionic (MC) twin pregnancies with complex or complicated pregnancies, using both terms interchangeably. However, these are not synonyms; dynamism is the protagonist in complex systems, but not in complicated ones. In order to understand a MC pregnancy as a complex system, it is necessary to first look into its main characteristics. The placenta is one of the main sources of problems. Then, the MC pregnancy has to be analyzed from the perspective of complexity, identifying the system characteristics and its complications as emergent properties.
{"title":"Monochorionic twin pregnancy from the perspective of the theory of complexity.","authors":"César Meller, Soledad Kleppe, Horacio Aiello, Lucas Otaño","doi":"10.5546/aap.2023-10097.eng","DOIUrl":"10.5546/aap.2023-10097.eng","url":null,"abstract":"<p><p>In practice, it is very common to associate monochorionic (MC) twin pregnancies with complex or complicated pregnancies, using both terms interchangeably. However, these are not synonyms; dynamism is the protagonist in complex systems, but not in complicated ones. In order to understand a MC pregnancy as a complex system, it is necessary to first look into its main characteristics. The placenta is one of the main sources of problems. Then, the MC pregnancy has to be analyzed from the perspective of complexity, identifying the system characteristics and its complications as emergent properties.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-04-04DOI: 10.5546/aap.2023-10275.eng
María E López, Alfredo Eymann, María S Dawson, Martina Heller, María B Saad, Natalia Granados, Alicia Cibeira, Marcela Paz
Introduction. The COVID-19 pandemic has had a profound impact on the health of young people worldwide, especially on people with eating disorders (EDs) due to the stress, anxiety, and changes experienced in access to health care. Objective. To explore adolescents' perceptions on changes in their social ties and the modalities of health care for patients with EDs. Population and methods. Qualitative study using in-depth interviews with adolescents with EDs seen at a teaching hospital during the COVID-19 pandemic. Results. Fifteen adolescents were interviewed; their mean age was 18 years; 93% were girls. Anorexia nervosa was observed in 86.6%. The most relevant negative aspects perceived were discomfort with family life (80%) and dissatisfaction with social media content regarding body image and dieting (73%). The aspects perceived as positive were peer support (66%) and improvements in eating habits (66%). The main change identified regarding the management before the COVID-19 pandemic was online followup by the mental healthcare team (73%). Conclusion. The adolescent population with EDs during the mandatory social isolation period reported discomfort with family life and dissatisfaction with social media content regarding body image and dieting. Notwithstanding this, adolescents highlighted peer support and improvements in their eating habits as positive aspects.
简介COVID-19 大流行对全世界年轻人的健康产生了深远的影响,尤其是饮食失调症(ED)患者,因为他们承受着压力、焦虑,而且在获得医疗服务方面也发生了变化。研究目的探讨青少年对其社会关系的变化以及饮食失调症患者的医疗保健方式的看法。研究对象和方法。在 COVID-19 大流行期间,对在一家教学医院就诊的患有 ED 的青少年进行深入访谈的定性研究。研究结果。受访的 15 名青少年平均年龄为 18 岁,93% 为女孩。厌食症患者占 86.6%。认为最消极的方面是对家庭生活的不适应(80%)和对社交媒体上有关身体形象和节食内容的不满(73%)。被认为积极的方面是同伴支持(66%)和饮食习惯的改善(66%)。在 COVID-19 大流行之前,在管理方面发现的主要变化是心理保健团队的在线跟踪(73%)。结论在强制性社会隔离期间患有 ED 的青少年对家庭生活感到不满,并对社交媒体上有关身体形象和节食的内容感到不满。尽管如此,青少年仍强调同伴支持和饮食习惯的改善是积极的方面。
{"title":"Adolescents with eating disorders during the COVID-19 pandemic: Changes in social ties and healthcare modalities.","authors":"María E López, Alfredo Eymann, María S Dawson, Martina Heller, María B Saad, Natalia Granados, Alicia Cibeira, Marcela Paz","doi":"10.5546/aap.2023-10275.eng","DOIUrl":"10.5546/aap.2023-10275.eng","url":null,"abstract":"<p><p>Introduction. The COVID-19 pandemic has had a profound impact on the health of young people worldwide, especially on people with eating disorders (EDs) due to the stress, anxiety, and changes experienced in access to health care. Objective. To explore adolescents' perceptions on changes in their social ties and the modalities of health care for patients with EDs. Population and methods. Qualitative study using in-depth interviews with adolescents with EDs seen at a teaching hospital during the COVID-19 pandemic. Results. Fifteen adolescents were interviewed; their mean age was 18 years; 93% were girls. Anorexia nervosa was observed in 86.6%. The most relevant negative aspects perceived were discomfort with family life (80%) and dissatisfaction with social media content regarding body image and dieting (73%). The aspects perceived as positive were peer support (66%) and improvements in eating habits (66%). The main change identified regarding the management before the COVID-19 pandemic was online followup by the mental healthcare team (73%). Conclusion. The adolescent population with EDs during the mandatory social isolation period reported discomfort with family life and dissatisfaction with social media content regarding body image and dieting. Notwithstanding this, adolescents highlighted peer support and improvements in their eating habits as positive aspects.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140288132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-13DOI: 10.5546/aap.2024-10458.eng
Fernando Valenzuela-Aedo, Camila Reyes-Moreno, Teresa Balboa-Castillo
{"title":"Correction to: Effectivenness of assisted standing on bone mineral density in children with cerebral palsy. A systematic review.","authors":"Fernando Valenzuela-Aedo, Camila Reyes-Moreno, Teresa Balboa-Castillo","doi":"10.5546/aap.2024-10458.eng","DOIUrl":"10.5546/aap.2024-10458.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-11-02DOI: 10.5546/aap.2023-10122.eng
Zehra Kardas, Nagihan Erdog Sahin, Meda Kondolot
Introduction: The age at which children are introduced to media devices is becoming increasingly earlier. Studies regarding the media habits of young children have gained importance. The aim of the study was to describe the screen media habits (age of introduction media, time spend with screen, popular choices) of preschool children and to explore their relationship with household characteristics. Population and methods: Cross-sectional descriptive study; the parents of children aged 36-72 months who attended childcare centers in Kayseri, a central Anatolian city in Türkiye, completed a questionnaire on media habits of families and children. Results: There were 858 questionaires included. The proportion of children using screen media more than 2 h/day was 28%; 36% of children were introduced to media devices before the age of two. The most frequently used media tool was television (95%) and the program watched was cartoons for TV (86.7%). Children of highly educated parents had shorter TV, computer and smartphone screen time (p = 0.012, p = 0.007, p <0.01 for mother and p = 0.049, p = 0.032, p = 0.04 for father respectively). Introducing books in the first 6 months was associated with shorter daily screen time (p = 0.011, p = 0.009, p = 0.002 for TV, computer and smartphone ,respectively). Parent's time spent on TV was positively correlated with children's time spent on TV (p <0.05, r = 0.354). Conclusion: Parents' education levels, parents' screen time and introducing book in early age was related to children's media habits. Comprehensive studies are needed to explain this relationship more clearly.
{"title":"Media use and attitudes towards screens in children aged 36-72 months; a cross-sectional, descriptive study.","authors":"Zehra Kardas, Nagihan Erdog Sahin, Meda Kondolot","doi":"10.5546/aap.2023-10122.eng","DOIUrl":"10.5546/aap.2023-10122.eng","url":null,"abstract":"<p><p>Introduction: The age at which children are introduced to media devices is becoming increasingly earlier. Studies regarding the media habits of young children have gained importance. The aim of the study was to describe the screen media habits (age of introduction media, time spend with screen, popular choices) of preschool children and to explore their relationship with household characteristics. Population and methods: Cross-sectional descriptive study; the parents of children aged 36-72 months who attended childcare centers in Kayseri, a central Anatolian city in Türkiye, completed a questionnaire on media habits of families and children. Results: There were 858 questionaires included. The proportion of children using screen media more than 2 h/day was 28%; 36% of children were introduced to media devices before the age of two. The most frequently used media tool was television (95%) and the program watched was cartoons for TV (86.7%). Children of highly educated parents had shorter TV, computer and smartphone screen time (p = 0.012, p = 0.007, p <0.01 for mother and p = 0.049, p = 0.032, p = 0.04 for father respectively). Introducing books in the first 6 months was associated with shorter daily screen time (p = 0.011, p = 0.009, p = 0.002 for TV, computer and smartphone ,respectively). Parent's time spent on TV was positively correlated with children's time spent on TV (p <0.05, r = 0.354). Conclusion: Parents' education levels, parents' screen time and introducing book in early age was related to children's media habits. Comprehensive studies are needed to explain this relationship more clearly.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-12-07DOI: 10.5546/aap.2023-10063.eng
Claudia M Merhar, Diana I Liberatore
Down syndrome, or trisomy 21, has a higher mortality than the general population, mainly due to respiratory tract infections. The objective of this study was to describe immune compromise in a series of cases of patients with Down syndrome referred to the Pediatric Immunology Section due to recurrent infections or pathological laboratory findings between 6/1/2016 and 5/31/2022. Here we describe immune compromise in 24 patients. Twelve patients failed to develop a polysaccharide response and received antibiotic chemoprophylaxis, or gamma globulin replacement therapy. Three patients developed agammaglobulinemia with presence of B cells and gamma globulin replacement therapy was indicated. Nine patients had T-cell lymphopenia and 1 patient, combined immune compromise.
{"title":"Immune compromise in patients with Down syndrome. A case series.","authors":"Claudia M Merhar, Diana I Liberatore","doi":"10.5546/aap.2023-10063.eng","DOIUrl":"10.5546/aap.2023-10063.eng","url":null,"abstract":"<p><p>Down syndrome, or trisomy 21, has a higher mortality than the general population, mainly due to respiratory tract infections. The objective of this study was to describe immune compromise in a series of cases of patients with Down syndrome referred to the Pediatric Immunology Section due to recurrent infections or pathological laboratory findings between 6/1/2016 and 5/31/2022. Here we describe immune compromise in 24 patients. Twelve patients failed to develop a polysaccharide response and received antibiotic chemoprophylaxis, or gamma globulin replacement therapy. Three patients developed agammaglobulinemia with presence of B cells and gamma globulin replacement therapy was indicated. Nine patients had T-cell lymphopenia and 1 patient, combined immune compromise.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138457564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuria Grimberg, F. Torres, M. Ferraro, V. Jiménez, M. A. Linari, Resumen
{"title":"Diabetes tipo 1 en pediatría durante la pandemia por COVID-19: tiempo de evolución de síntomas y formas de presentación en un centro de referencia","authors":"Nuria Grimberg, F. Torres, M. Ferraro, V. Jiménez, M. A. Linari, Resumen","doi":"10.5546/aap.2023-10291","DOIUrl":"https://doi.org/10.5546/aap.2023-10291","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141235385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-11-23DOI: 10.5546/aap.2023-10084.eng
Carlos Cambaceres, Victoria Viggiano, Camila Parellada, Florencia Esteguy, Sebastián García, Claudio Castaños
Interstitial lung diseases are rare in pediatrics. They include dysfunctions in the metabolism of pulmonary surfactant, an amphipathic molecule that reduces surface tension and prevents alveolar collapse. Here we describe the case of a 6-month-old infant controlled for low weight, who presented with acute respiratory distress and cyanosis; his chest X-ray showed interstitial infiltrate, pneumomediastinum, and bilateral pneumothorax. During history-taking, it was noted that his mother had a history of hospitalization at 1 year old with unknown diagnosis, requiring prolonged oxygen therapy; she now shows signs of chronic hypoxia. The patient was hospitalized and required oxygen therapy. Ancillary tests were done to look for the etiology of the condition, with no positive results. A chest computed tomography showed groundglass opacities, thickening of the septal interstitium, and areas of air trapping; based on the results of a lung biopsy and a genetic study, pulmonary surfactant metabolism dysfunction was diagnosed.
{"title":"Pulmonary surfactant metabolism dysfunction: A pediatric clinical case report.","authors":"Carlos Cambaceres, Victoria Viggiano, Camila Parellada, Florencia Esteguy, Sebastián García, Claudio Castaños","doi":"10.5546/aap.2023-10084.eng","DOIUrl":"10.5546/aap.2023-10084.eng","url":null,"abstract":"<p><p>Interstitial lung diseases are rare in pediatrics. They include dysfunctions in the metabolism of pulmonary surfactant, an amphipathic molecule that reduces surface tension and prevents alveolar collapse. Here we describe the case of a 6-month-old infant controlled for low weight, who presented with acute respiratory distress and cyanosis; his chest X-ray showed interstitial infiltrate, pneumomediastinum, and bilateral pneumothorax. During history-taking, it was noted that his mother had a history of hospitalization at 1 year old with unknown diagnosis, requiring prolonged oxygen therapy; she now shows signs of chronic hypoxia. The patient was hospitalized and required oxygen therapy. Ancillary tests were done to look for the etiology of the condition, with no positive results. A chest computed tomography showed groundglass opacities, thickening of the septal interstitium, and areas of air trapping; based on the results of a lung biopsy and a genetic study, pulmonary surfactant metabolism dysfunction was diagnosed.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71477462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-01-25DOI: 10.5546/aap.2023-10217.eng
Pablo J Cafiero, Pablo Justich Zabala
Maternal mental health problems during pregnancy, childbirth, and the postpartum period are a challenge for public health. Not recognizing them hinders a timely diagnosis and treatment and has an impact on the mother and the establishment of the fundamental bond of the mother-child dyad. We must recognize the risk factors (age, socioeconomic status, mental health history, family dysfunction, unfavorable environment), clinical manifestations, and screening tools. There is evidence that the effect of stress, anxiety, and depression during pregnancy negatively affect fetal neurodevelopment and condition child developmental outcomes. Here we describe the negative impact of postpartum depression during the first months of life, which affects mother-child bonding, postnatal development (emotional, behavioral, cognitive, language), and the maintenance of breastfeeding. We also recognize protective factors that mitigate its effects. It is essential to establish preventive strategies and interdisciplinary diagnostic and therapeutic approaches to minimize the risks to the mother and her children.
{"title":"Postpartum depression: Impact on pregnant women and the postnatal physical, emotional, and cognitive development of their children. An ecological perspective.","authors":"Pablo J Cafiero, Pablo Justich Zabala","doi":"10.5546/aap.2023-10217.eng","DOIUrl":"10.5546/aap.2023-10217.eng","url":null,"abstract":"<p><p>Maternal mental health problems during pregnancy, childbirth, and the postpartum period are a challenge for public health. Not recognizing them hinders a timely diagnosis and treatment and has an impact on the mother and the establishment of the fundamental bond of the mother-child dyad. We must recognize the risk factors (age, socioeconomic status, mental health history, family dysfunction, unfavorable environment), clinical manifestations, and screening tools. There is evidence that the effect of stress, anxiety, and depression during pregnancy negatively affect fetal neurodevelopment and condition child developmental outcomes. Here we describe the negative impact of postpartum depression during the first months of life, which affects mother-child bonding, postnatal development (emotional, behavioral, cognitive, language), and the maintenance of breastfeeding. We also recognize protective factors that mitigate its effects. It is essential to establish preventive strategies and interdisciplinary diagnostic and therapeutic approaches to minimize the risks to the mother and her children.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-12-28DOI: 10.5546/aap.2023-10277.eng
Fernando Ferrero
{"title":"Ethical approval for all studies involving human participants, especially in pediatrics.","authors":"Fernando Ferrero","doi":"10.5546/aap.2023-10277.eng","DOIUrl":"10.5546/aap.2023-10277.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-11-09DOI: 10.5546/aap.2023-10178.eng
Nicolás A Breppe, Paula Gaviot, Darío O Rodríguez, Paola Ripa
Langerhans cell histiocytosis is an expression of myeloid dendritic cells, associated with a significant inflammatory component and varied systemic involvement. The most common age at presentation is between 1 and 4 years, and it prevails among male subjects. Here we describe the case of a 5-year-old boy who presented with a granulomatous lesion with perianal fistula and lung and external ear involvement. An interdisciplinary approach helped to make a diagnosis, provide the necessary interventions, and start an adequate treatment.
{"title":"Langerhans cell histiocytosis in a patient with perianal lesion. A case report.","authors":"Nicolás A Breppe, Paula Gaviot, Darío O Rodríguez, Paola Ripa","doi":"10.5546/aap.2023-10178.eng","DOIUrl":"10.5546/aap.2023-10178.eng","url":null,"abstract":"<p><p>Langerhans cell histiocytosis is an expression of myeloid dendritic cells, associated with a significant inflammatory component and varied systemic involvement. The most common age at presentation is between 1 and 4 years, and it prevails among male subjects. Here we describe the case of a 5-year-old boy who presented with a granulomatous lesion with perianal fistula and lung and external ear involvement. An interdisciplinary approach helped to make a diagnosis, provide the necessary interventions, and start an adequate treatment.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71420244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}