3,832 results match your criteria Boletin medico del Hospital Infantil de Mexico[Journal]


Factores asociados con la picadura de alacrán en escolares: estudio transversal en dos comunidades rurales de Guerrero, México.

Bol Med Hosp Infant Mex 2019 ;76(2):79-86

Departamento de Medicina Familiar, Universidad de McGill, Montreal, Canadá.

Introduction: Scorpion stings represent a public health problem in Latin America and North America. The aim of this study was to identify species of medical importance, as well as to estimate the frequency of scorpion sting and the associated risk and protective factors in schoolchildren.

Methods: Cross-sectional study in two rural communities in the Mexican state of Guerrero, in two phases: an entomological study that estimated the scorpion density and overcrowding index; a survey to document housing characteristics, poultry ownership, and history of scorpion sting in schoolchildren. Read More

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http://dx.doi.org/10.24875/BMHIM.18000104DOI Listing
January 2019
1 Read

Fiebre manchada de las montañas rocosas en un hospital pediátrico en el noreste de México.

Bol Med Hosp Infant Mex 2019 ;76(2):104-105

Departamento de Enseñanza e Investigación, Hospital Infantil del Estado de Sonora, Hermosillo, Sonora, México.

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http://dx.doi.org/10.24875/BMHIM.19000178DOI Listing
January 2019

Características otorrinolaringológicas en niños con trisomía 21: un estudio de 171 pacientes en el Hospital Infantil de México Federico Gómez.

Bol Med Hosp Infant Mex 2019 ;76(2):87-94

Servicio de Otorrinolaringología Pediátrica, Hospital Infantil de México Federico Gómez, Ciudad de México, México.

Introduction: Children with trisomy 21 face a wide range of conditions in the head and neck region, for which it is important that physicians are aware and have a strong understanding of the ear, nose, and throat (ENT) disorders, and their management as well.

Methods: Retrospective case series of pediatric patients with trisomy 21. The spectrum of otolaryngological manifestations, their management, and outcomes of each case were analysed. Read More

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http://dx.doi.org/10.24875/BMHIM.19000124DOI Listing
January 2019
1 Read

La crítica y la educación médica: hacia un conocimiento liberador. Parte II.

Bol Med Hosp Infant Mex 2019 ;76(2):55-65

Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez, Ciudad de México, México.

The critique of medicine begins at unveiling and specifying its network of predominant logics, ideas and practices: logics of disjunction and reductionism; the health-disease binomial; the natural history of the disease; the medicalization of social life; the dehumanizing technologization of medical practice and reductionist suppressive medicine. It goes on to argue about its role as agents of domination of limitless profit interests and as an expression of the power of the health industry, justifying itself with the proposal of alternatives tending to overcome that network: transdisciplinarity and the concept of organism as hierarchical totality and interacting with its environment, with respect to disjunction and reductionism; the cultural history of the disease in relation to the health-disease binomial and the dehumanizing technologization; good living, the search for spiritual, intellectual, moral and coexistence growth as meaning of human life, as an alternative to the medicalization and antidote of degrading traits and stimulating medicine of the endogenous healing forces of the organism whose foundation of possibility and credibility is the placebo effect as an alternative to suppressive therapy for non-communicable chronic conditions, based on the pharmacological effect with unfailing side effects. It concludes that without an education based on critique, liberating knowledge would hardly accompany and guide the various social groups in the search for an inclusive, pluralistic, egalitarian, fair, solidary and caring of the planetary ecosystem world. Read More

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http://dx.doi.org/10.24875/BMHIM.18000081DOI Listing
January 2019

Determinación y cuantificación de subpoblaciones de linfocitos T y células natural killer en sangre periférica de individuos sanos por citometría de flujo.

Bol Med Hosp Infant Mex 2019 ;76(2):66-78

Universidad Anáhuac México Norte.

Background: The knowledge of the participation of different subpopulations of T lymphocytes in various pathologies helps to make therapeutic decisions, having as reference the presence of the different subpopulations of the T lymphocytes associated with the disease.

Methods: A profile standardization of surface molecules for the characterization of subpopulations of T cells was conducted: naïve, activated and memory, as well as natural killer (CD3- CD56+) cells in peripheral blood of clinically healthy individuals.

Results: Naïve (CD3+, CD4+ or CD8+, CD45RA+, CD62L+, CCR7+), activated (CD3+, CD4+ or CD8+, CD45RA+ or CD45RO+, CD69+ and/or CRTAM+), effectors (CD3+, CD4+ o CD8+, CD45RA+, CD62L-, CCR7-), central memory (CD3+, CD4+ o CD8+, CD45RO+, CD62L+, CCR7+), memory effectors (CD3+, CD4+ or CD8+, CD62RO+, CD62L-, CCR7-) subpopulations were analyzed by flow cytometry. Read More

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http://dx.doi.org/10.24875/BMHIM.18000083DOI Listing
January 2019

Cromosoma 13 en anillo.

Bol Med Hosp Infant Mex 2019 ;76(2):100-103

Departamento de Microbiología y Parasitología, Cátedra de Inmunología, Facultad de Farmacia y Bioanálisis, Universidad de Los Andes. Mérida, Venezuela.

Background: Ring chromosome 13 is an infrequent cytogenetic disorder clinically characterized by growth and psychomotor development retardation, cognitive deficit, microcephaly, facial dysmorphism, genital alterations and thumb hypoplasia.

Case Report: A 8-month-old patient was evaluated for presenting short stature, psychomotor development delay, microcephaly, facial dysmorphism, penoscrotal hypospadias and thumb hypoplasia. Lissencephaly, neuroconductive hearing loss on the right side and small ostium secundum interatrial communication were evident. Read More

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http://dx.doi.org/10.24875/BMHIM.18000108DOI Listing
January 2019

Rosácea infantil.

Bol Med Hosp Infant Mex 2019 ;76(2):95-99

División de Dermatología y Micología, Hospital General Dr. Manuel Gea González, Ciudad de México. México.

Background: Rosacea is a chronic inflammatory skin condition that usually occurs in adults and rarely has been reported in children, although both subtypes share the same clinical characteristics.

Case Report: A 10-year-old female presented dermostosis on the face, affecting cheeks and nose, characterized by erythema, papules, pustules, scars of two years of evolution, as well as bilateral conjunctivitis, blepharitis and corneal opacity. She referred recurrent exacerbations and partial remission of cutaneous lesions and ocular symptoms related to sun exposure. Read More

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http://dx.doi.org/10.24875/BMHIM.18000032DOI Listing
January 2019
1 Read

Uso de una aplicación médica en el teléfono celular para la detección de atresia de vías biliares.

Bol Med Hosp Infant Mex 2019 ;76(1):54

Departamento de Gastroenterología. Centro Médico ABC Campus Santa Fe, Ciudad de México, México.

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http://dx.doi.org/10.24875/BMHIM.18000117DOI Listing
January 2019

Knowledge of nursing staff at a pediatric referral hospital regarding the assessment and management of pain in children.

Bol Med Hosp Infant Mex 2019 ;76(1):27-34

Departamento de Pediatría y Especialidades Universidad de la República, Hospital Pediátrico, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.

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. Read More

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http://www.bmhim.com/files/bmhi_2019_1_27-34.pdf
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http://dx.doi.org/10.24875/BMHIM.18000076DOI Listing
January 2019
7 Reads

Children from a rural region in The Chiapas Highlands, Mexico, show an increased risk of stunting and intestinal parasitoses when compared with urban children.

Bol Med Hosp Infant Mex 2019 ;76(1):18-26

Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta GA, USA.

Background: The state of Chiapas has held the first place of extreme poverty in Mexico. The majority of Chiapas' municipalities are inhabited by marginalized, indigenous populations, who usually present diarrhea of unknown etiology. We evaluated the nutritional status, intestinal parasites, and common bacterial pathogens, including DEC (diarrheagenic Escherichia coli) strains, in 178 children under five years of age with a high (rural) and a moderate (urban) degree of marginalization. Read More

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http://dx.doi.org/10.24875/BMHIM.18000069DOI Listing
January 2019
2 Reads

Asma: uso adecuado de dispositivos para inhalación.

Bol Med Hosp Infant Mex 2019 ;76(1):5-17

Jefatura de Pediatría Ambulatoria, Hospital Infantil de México Federico Gómez. Ciudad de México, México.

Inhaled therapy is considered the cornerstone of asthma treatment. However, despite being the ideal form of drug delivery, it is recognized that only 70% of patients have an adequate attachment to their treatment and only 39-67% of physicians can explain the optimal inhaler technique. Inhaled therapy has very specific characteristics. Read More

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http://www.bmhim.com/files/bmhi_2019_1_05-17.pdf
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http://dx.doi.org/10.24875/BMHIM.18000127DOI Listing
January 2019
11 Reads

Agradecimiento a los revisores.

Authors:

Bol Med Hosp Infant Mex 2019 ;76(1):33-4

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January 2019

A recurrent de novo mutation in ATP1A3 gene in a Mexican patient with alternating hemiplegia of childhood detected by massively parallel sequencing.

Bol Med Hosp Infant Mex 2019 ;76(1):49-53

School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom.

Background: Pediatric movement disorders represent a diagnostic challenge for pediatricians and pediatric neurologists due to their high clinical heterogeneity and shared common features. Therefore, specific diagnoses require different approaches including metabolic work-up and specific tests for frequent genetic conditions. Alternating hemiplegia of childhood (AHC) is an ultra-rare pediatric movement disorder, characterized by paroxysmal alternating hemiplegia, dystonia, and seizure-like episodes that can be misleading during the evaluation of a child with a movement disorder. Read More

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http://www.bmhim.com/files/bmhi_2019_1_49-53.pdf
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http://dx.doi.org/10.24875/BMHIM.18000099DOI Listing
January 2019
17 Reads

Clinical and genetic findings of two cases with Apert syndrome.

Bol Med Hosp Infant Mex 2019 ;76(1):44-48

Department of Medical Biology and Genetics, Akdeniz University Medical School, Antalya, Turkey.

Background: Craniosynostosis is described as the premature fusion of cranial sutures that belongs to a group of alterations which produce an abnormal phenotype.

Case Report: Two unrelated female patients with clinical findings of Apert syndrome-characterized by acrocephaly, prominent frontal region, flat occiput, ocular proptosis, hypertelorism, down-slanted palpebral fissures, midfacial hypoplasia, high-arched or cleft palate, short neck, cardiac anomalies and symmetrical syndactyly of the hands and feet-are present. In both patients, a heterozygous missense mutation (c. Read More

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http://www.bmhim.com/files/bmhi_2019_1_44-48.pdf
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http://dx.doi.org/10.24875/BMHIM.18000053DOI Listing
January 2019
12 Reads

Validation of an instrument to measure the quality of life in children with oropharyngeal mucositis undergoing cancer treatment.

Bol Med Hosp Infant Mex 2019 ;76(1):35-43

Departamento de Oncología Médica, Instituto Nacional de Pediatría, Secretaría de Salud, Cuidad de México. México.

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. Read More

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http://www.bmhim.com/files/bmhi_2019_1_35-43.pdf
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http://dx.doi.org/10.24875/BMHIM.18000146DOI Listing
January 2019
10 Reads

[Niños con mordeduras de animales hospitalizados en un centro de referencia de Uruguay].

Bol Med Hosp Infant Mex 2018 ;75(6):358-365

>Departamento de Pediatría, Facultad de Medicina, Universidad de la República, Hospital Pediátrico, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.

Background: Animal bites are a health problem that can produce lesions of varying severity, with the risk of aesthetic and functional sequelae and infectious complications. The objective of the study was to describe the clinical, epidemiological, treatment and complications of lesions caused by animal bites in children hospitalized in a reference center in Uruguay.

Method: Descriptive, retrospective study. Read More

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http://dx.doi.org/10.24875/BMHIM.18000031DOI Listing
January 2018

Early discharge of pediatric patients with cancer, fever, and neutropenia with low-risk of systemic infection.

Bol Med Hosp Infant Mex 2018 ;75(6):352-357

Unidad de Investigación en Análisis y Síntesis de la Evidencia, Centro Médico Nacional Siglo XXI, IMSS, Coordinación de Investigación, Instituto Mexicano del Seguro Social, Mexico City.

Background: Ambulatory therapy in low-risk patients with cancer, fever, and neutropenia seems to be a secure and effective alternative. This study aimed to compare the effectiveness and safety of the antimicrobial treatment in early discharge vs. in-hospital treatment in children with cancer and febrile neutropenia (FN) with low risk of invasive bacterial infection (IBI). Read More

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http://www.bmhim.com/files/bmhi_2018_6_352-357.pdf
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http://dx.doi.org/10.24875/BMHIM.18000015DOI Listing
January 2018
2 Reads

[Autopercepción del peso a través de figuras corporales en niños en edad escolar de Piedras Negras, Coahuila, México].

Bol Med Hosp Infant Mex 2018 ;75(6):366-372

El Colegio de la Frontera Norte, Tijuana, Baja California.

Background: The prevalence of overweight and obesity has increased worldwide. In this context, the lack of awareness of excess weight among overweight and obese children is a public health concern that needs to be explored in the Northern border of Mexico.

Methods: Body mass index (BMI) was calculated from children from third to sixth grades of basic education. Read More

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http://www.bmhim.com/files/bmhi_2018_6_366-372.pdf
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http://dx.doi.org/10.24875/BMHIM.18000041DOI Listing
January 2018
2 Reads

[Aneurisma de arteria testicular: reporte de un caso y revisión de la literatura].

Bol Med Hosp Infant Mex 2018 ;75(6):373-376

Departamento de Enseñanza e Investigación, Hospital General Regional Número Uno, Instituto Mexicano del Seguro Social. Ciudad Obregón, Sonora, México.

Background: Aneurysm of the testicular artery is a rare entity; the term is described as the dilation of any blood vessel in the body.

Case Report: An 18-year-old patient with a left testicular artery aneurysm, with no family or personal history of medical importance, presented for consultation due to a volume increase of long evolution in the inguinal region, accompanied by sporadic pain with no other symptoms. The testicular artery aneurysm was not detectable preoperatively by ultrasound, which only reported data compatible with left inguinal hernia and varicocele. Read More

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http://dx.doi.org/10.24875/BMHIM.18000017DOI Listing
January 2018
2 Reads

[Tiempo de respuesta terapéutica al propranolol sistémico en el manejo de hemangiomas subglóticos pediátricos: serie de casos y revisión de la literatura].

Bol Med Hosp Infant Mex 2018 ;75(6):377-382

Departamento de Otorrinolaringología Pediátrica. Hospital Infantil de México Federico Gómez, Ciudad de México, México.

Background: Airway hemangiomas are congenital neoplasms of low incidence. Its clinical presentation consists of obstruction of the upper airway with progressive dyspnea and stridor and the life of the patient at risk. Infantile hemangiomas have an incidence at birth of 2%, increasing to 9% at 12 months of life. Read More

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http://www.bmhim.com/files/bmhi_2018_6_377-382.pdf
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http://dx.doi.org/10.24875/BMHIM.18000043DOI Listing
January 2018
9 Reads

[Sobrevida global de pacientes con leucemia aguda en el Hospital de Especialidades Pediátricas de Chiapas, México].

Bol Med Hosp Infant Mex 2018 ;75(6):338-351

Laboratorio de Análisis Clínicos. Hospital de Especialidades Pediátricas, Tuxtla Gutiérrez, Chiapas, México.

Background: At the 10th anniversary of the Hospital de Especialidades Pediátricas in Chiapas, Mexico, it was important to assess the 5-year acute leukemia overall survival under the Seguro Popular program (Popular Insurance).

Methods: A descriptive and survival study of 210 acute leukemia patients diagnosed and treated during 2008-2012 was performed. Kaplan-Meier survival curves were developed for all patients, each leukemia type (B, T and myeloid) and for B type related to risk group, age, sex, leukocytes, cell markers, DNA index, karyotype, and translocations. Read More

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http://www.bmhim.com/files/bmhi_2018_6_338-351.pdf
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http://dx.doi.org/10.24875/BMHIM.18000013DOI Listing
January 2018
8 Reads

[La crítica y la educación médica: hacia un conocimiento liberador. Parte I].

Bol Med Hosp Infant Mex 2018 ;75(6):327-337

>Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez, Ciudad de México, México.

This essay defines the current moment as a civilizatory collapse, consequence of the dominance of limitless profit interests, which has been possible due to the insensitivity and permissiveness of most of the population in the face of extreme social and ecosystemic degradations. In the background of such "anesthesia" there is the predominant education and its key role in the reproduction of prevalent social ideas and practices and in the perpetuation of degrading traits: individualism, exclusionary specialization, passivity, competitiveness, consumerism and vulnerability to media manipulation. With this intellective and interpretive framework, the concept of deep and creative critique was updated in order to deepen the critique of medical education, allowing for the differentiation and contrast of two radically different types of education. Read More

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http://www.bmhim.com/files/bmhi_2018_6_327-337.pdf
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http://dx.doi.org/10.24875/BMHIM.18000080DOI Listing
January 2018
2 Reads

[Colestasis por deficiencia de 3b-Δ5-C27-hidroxiesteroide deshidrogenasa en un paciente con alteración en la síntesis de ácidos biliares].

Bol Med Hosp Infant Mex 2018 ;75(5):313-318

Servicio de Medicina Interna Pediátrica, Centro Médico Nacional 20 de Noviembre, ISSSTE. Ciudad de México, México.

Introducción: Los errores innatos en la síntesis de ácidos biliares son un grupo de defectos genéticos que representan del 1 al 2% de las enfermedades colestásicas crónicas en lactantes, niños y adolescentes. La deficiencia de 3b-Δ5-C27-hidroxiesteroide oxidoreductasa (3b-HSDH) es el defecto más comúnmente reportado. El cuadro clínico característico consiste en hepatitis neonatal, hepatomegalia, esplenomegalia, malabsorción, desnutrición y enfermedad hepática de aparición tardía. Read More

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http://dx.doi.org/10.24875/BMHIM.18000008DOI Listing
January 2018
1 Read

[Fiebre manchada de montañas rocosas: experiencia en 5 años de vigilancia activa en un hospital pediátrico de segundo nivel en el noreste de México].

Bol Med Hosp Infant Mex 2018 ;75(5):303-308

Unidad de Investigación Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez, Ciudad de México. México.

Introducción: La fiebre manchada de las montañas rocosas (FMMR) es causada por Rickettsia rickettsii. En Coahuila, la región de la Comarca Lagunera se considera una zona endémica. No se han reportado casos en la zona sur del estado, específicamente en la ciudad de Saltillo. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000034DOI Listing
January 2018

[Histiocitosis de células de Langerhans con compromiso vertebral].

Bol Med Hosp Infant Mex 2018 ;75(5):309-312

Hospital San Rafael de Tunja, Boyacá. Colombia.

Introducción: La histiocitosis de células de Langerhans (HCL) es un trastorno histiocítico raro y su incidencia exacta se mantiene desconocida; se ha diagnosticado en todos los grupos de edad, pero es más común en los primeros 3 años de vida. Se caracteriza por lesiones únicas o múltiples de tipo osteolítico causadas por proliferación clonal de células histológicamente similares a las células de Langerhans; su presentación clínica es heterogénea.

Caso Clínico: Presentamos el caso de una paciente de sexo femenino de 7 años, con dificultad para la marcha y debilidad progresiva en los miembros inferiores de 5 días de evolución. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000024DOI Listing
January 2018
6 Reads

[Hallazgos clínicos y epidemiológicos en la neurofibromatosis tipo 1 y el complejo esclerosis tuberosa en una serie de pacientes pediátricos].

Bol Med Hosp Infant Mex 2018 ;75(5):287-294

Unidad de Genética Médica, Departamento de Puericultura y Pediatría, Facultad de Medicina, Universidad de Los Andes. Mérida, Venezuela.

Introducción: La neurofibromatosis tipo 1 (NF1) es una entidad genética con una incidencia de 1 entre 2,500 a 3,500 nacimientos. Por su parte, el complejo esclerosis tuberosa (CET) presenta una incidencia de 1 entre 6,000 a 10,000 nacimientos. Ambas entidades neurocutáneas cursan con un patrón de herencia autosómico dominante, expresividad variable y la morbimortalidad se encuentra asociada a complicaciones multisistémicas. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000035DOI Listing
January 2018
3 Reads

Thyroid function in pediatric population with different nutritional status.

Bol Med Hosp Infant Mex 2018 ;75(5):279-286

Laboratorio de Obesidad y Enfermedades Metabólicas, Grupo de Investigación en Alimentos y Salud de la Facultad de Ciencias Químicas, Universidad La Salle, Ciudad de México, México.

Background: Thyroid dysfunction has been associated with the development of obesity. There are few studies describing their status in Mexican schoolchildren, in whom obesity and subclinical hypothyroidism (SCH) prevail.

Methods: Levels of stimulating thyroid hormone (TSH) and thyroid hormones (TH) were correlated with anthropometric variables as indicators of nutritional status in schoolchildren residents of Mexico City. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000036DOI Listing
January 2018
1 Read

[Experiencia en el tratamiento de la hemorragia uterina anormal en adolescentes con enfermedad renal crónica].

Bol Med Hosp Infant Mex 2018 ;75(5):295-302

Unidad de Investigación en Epidemiología Clínica, Unidad Médica de Alta Especialidad (UMAE) Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. Ciudad de México, México.

Introducción: La enfermedad renal crónica (ERC) se asocia con alteraciones menstruales, y el manejo del sangrado uterino suele ser complejo por las condiciones de este grupo de pacientes. El objetivo de este trabajo fue describir la respuesta clínica al tratamiento hormonal de las alteraciones menstruales de adolescentes con ERC.

Métodos: Se presentan los datos de una serie de casos de pacientes adolescentes con ERC que cursaron con alteraciones menstruales y que recibieron tratamiento desde el año 2008 al 2012. Read More

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http://dx.doi.org/10.24875/BMHIM.18000006DOI Listing
January 2018
1 Read

[Medicina supresora y medicina estimulante: una mirada penetrante de la práctica médica].

Bol Med Hosp Infant Mex 2018 ;75(5):267-278

Unidad de Investigación en Medicina Basada en Evidencias, Unidad de Hemato-Oncología e Investigación, Hospital Infantil de México Federico Gómez, Ciudad de México, México.

La teoría de la medicina supresora (MS) y la medicina estimulante (ME) destaca dos formas radicalmente distintas de entender la enfermedad y de enfrentarla. Para la MS es un objeto extraño o ajeno al organismo que hay que disminuir o destruir (suprimir); para la ME es un trastorno de la armonía interna que requiere fortalecer o avivar el organismo para restablecerla (estimular). En la medicina moderna, el poder de la industria de la salud favorece el predominio de la MS, por su alta rentabilidad, y la marginación de las medicinas alternativas (MA), poco rentables que, al igual que la vacunación o las terapias sustitutivas y regenerativas, son formas de ME. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000033DOI Listing
January 2018
5 Reads

[Utilidad del índice de choque para predecir la mortalidad en pacientes pediátricos con sepsis grave o choque séptico].

Bol Med Hosp Infant Mex 2018 ;75(4):224-230

Unidad de Investigación en Nutrición. Unidad Médica de Alta Especialidad, Hospital de Pediatría Dr. Silvestre Frenk Freund, Centro Médico Nacional Siglo XXI, Ciudad de México, México.

Introducción: La sepsis en pediatría es la principal causa de muerte hospitalaria. Se han intentado crear herramientas que faciliten su identificación, como el índice de choque (IC), definido como el cociente entre frecuencia cardíaca y tensión arterial sistólica. El objetivo de este trabajo fue identificar el mejor momento del IC para predecir la mortalidad en pacientes pediátricos con sepsis grave y choque séptico. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000027DOI Listing
January 2018
3 Reads

[Meningoencefalitis: etiología infecciosa en pacientes pediátricos de un hospital de referencia].

Bol Med Hosp Infant Mex 2018 ;75(4):231-236

Hospital Civil de Guadalajara Dr. Juan I Menchaca, Guadalajara, Jalisco, México.

Introducción: Las causas de meningoencefalitis, meningitis o encefalitis pueden ser infecciosas o no infecciosas. Para el diagnóstico microbiológico se requieren cultivos y pruebas moleculares. El objetivo del estudio fue describir las causas infecciosas de meningoencefalitis y su presentación clínica. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000029DOI Listing
January 2018
2 Reads

[Fiebre y terapia antipirética en el paciente con sepsis en la unidad de cuidados intensivos: actualización].

Bol Med Hosp Infant Mex 2018 ;75(4):203-215

Unidad de Paciente Crítico Pediátrico, Hospital Clínico Metropolitano La Florida, Santiago, Chile.

La fiebre es un signo frecuente en el niño críticamente enfermo durante su estadía en la unidad de cuidados intensivos, y debe ser entendida como una respuesta biológica evolutiva, de carácter adaptativo normal del huésped al estrés fisiológico. Es el resultado de una compleja respuesta a estímulos pirogénicos, resultando en la generación de citocinas y prostaglandinas. Los mecanismos moleculares implicados en el inicio de la fiebre aún no están totalmente precisados, originando dificultades en el conocimiento de los procesos fisiopatológicos exactos involucrados y, por ende, necesarios para elaborar una adecuada y específica estrategia terapéutica. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000020DOI Listing
January 2018

[Brecha de género en la autoría de artículos publicados en el Boletín Médico del Hospital Infantil de México].

Bol Med Hosp Infant Mex 2018 ;75(4):216-223

Dirección de Investigación, Ciudad de México, México.

Introducción: La participación de las mujeres en medicina ha incrementado en las últimas décadas, incluyendo mayor representatividad en la autoría de artículos científicos en diversos países y distintas especialidades. El objetivo del estudio fue analizar las diferencias de género en la autoría de artículos a través de la historia del Boletín Médico del Hospital Infantil de México.

Métodos: Se realizó un análisis bibliométrico de los artículos originales publicados en los años 1953, 1963, 1973, 1983, 1993, 2003 y 2013. Read More

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http://www.bmhim.com/files/bmhim_2018_75_216-223.pdf
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http://dx.doi.org/10.24875/BMHIM.M18000030DOI Listing
January 2018
4 Reads

[El reduccionismo en medicina].

Bol Med Hosp Infant Mex 2018 ;75(4):260-262

Hospital La Vega, Murcia, España.

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http://dx.doi.org/10.24875/BMHIM.M18000031DOI Listing
January 2018

Autosomal recessive osteopetrosis type I: description of pathogenic variant of TCIRG1 gene.

Bol Med Hosp Infant Mex 2018 ;75(4):255-259

Hospital de Especialidades 14, Instituto Mexicano del Seguro Social, Veracruz, Veracruz, Mexico.

Background: Autosomal malignant osteopetrosis is a rare condition arising from dysfunction of bone-resorbing osteoclasts, in which diagnosis requires a high suspicion index. Treatment of choice is allogeneic stem cell transplantation. Best outcomes occur if the procedure is carried out before damage to cranial nerves ensues; nonetheless, patients improve their clinical condition. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000028DOI Listing
January 2018
1 Read

[Antecedentes maternos prenatales y riesgo de complicaciones neonatales en productos de término de bajo peso para edad gestacional].

Bol Med Hosp Infant Mex 2018 ;75(4):237-243

Hospital Español de México. Ciudad de México, México.

Introducción: El bajo peso neonatal (< 2.5 kg o < percentil 10) se atribuye a causas constitucionales (pequeño para la edad gestacional [PEG]) o a la restricción en el crecimiento intrauterino (RCIU), con riesgos posnatales diferentes. En ausencia de una valoración fetal-placentaria prenatal adecuada, resulta difícil establecerlo. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000032DOI Listing
January 2018
1 Read

[Ensayos clínicos publicados en el Boletín Médico del Hospital Infantil de México: un análisis crítico].

Bol Med Hosp Infant Mex 2018 ;75(4):244-254

División de Pediatría, Hospital Juárez de México, Ciudad de México. México.

Introducción: El ensayo clínico es la manera más rigurosa de conducir los experimentos en seres humanos. Desde su introducción en investigación biomédica se han implementado cambios en el modo de establecer las bases para el diagnóstico, pronóstico y la terapéutica en la práctica clínica. Se han realizado estudios para identificar los ensayos clínicos publicados en diferentes áreas médicas, pero hasta el momento ninguno había identificado los ensayos clínicos publicados en el Boletín Médico del Hospital Infantil de México (BMHIM). Read More

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http://dx.doi.org/10.24875/BMHIM.M18000026DOI Listing
January 2018
1 Read

Histomorphometric reference data of transiliac bone biopsy in children from 8 to 17 years old.

Bol Med Hosp Infant Mex 2018 ;75(3):135-144

Unidad de Investigación y Diagnóstico en Nefrología y Metabolismo Mineral Óseo, Ciudad de México, México.

Background: Histomorphometric analysis of bone samples is a key tool for studying bone metabolism; however, only a few pediatric reference data exist. The aim of the present study is to report more reference data and to investigate if histomorphometric differences exist between age and gender.

Methods: We obtained 19 transiliac bone samples previously marked with tetracycline, from children between 8 and 17 years (13 were male), with normal blood test results and urine biochemical bone markers. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000021DOI Listing
January 2018

[Risk factors related to cardiovascular complications in patients diagnosed with Kawasaki disease in northwestern Mexico].

Bol Med Hosp Infant Mex 2018 ;75(3):145-152

Departamento de Pediatría. Hospital General Regional 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México.

Background: Kawasaki disease (KD) is an acute systemic vasculitis of small and medium vessels, which occurs primarily in children; it manifests itself as a febrile syndrome coupled with vasculitis data and can cause coronary artery abnormalities in 25% of untreated patients. The objective of this study was to describe the clinical behavior and to identify risk factors for cardiovascular complications in pediatric patients with KD, in a second level hospital in Northwestern Mexico.

Methods: Under a case series design, we studied pediatric patients with diagnosis of KD. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000019DOI Listing
January 2018
8 Reads

[Medical arbitration and claims for malpractice related to health service users under 15 years of age during 2011-2015].

Bol Med Hosp Infant Mex 2018 ;75(3):183-193

Dirección General de Difusión e Investigación de la Comisión Nacional de Arbitraje Médico, Ciudad de México, México.

Background: Claims by health services users are a negative indicator of the care quality. To know the situations that originate them, and their consequences are key issues to consider in order to design strategies to improve the quality of health services. This study analyses the cases submitted to the National Medical Arbitration Commission with a final arbitration decision during the period 2011-2015, related to health service users younger than 15 years old. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000017DOI Listing
January 2018
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[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?]

Bol Med Hosp Infant Mex 2018 ;75(3):166-177

Hospital Infantil de México Federico Gómez. Ciudad de México, México.

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. Read More

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http://www.bmhim.com/files/bmhim_2018_75_3_166-177.pdf
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http://dx.doi.org/10.24875/BMHIM.M18000022DOI Listing
January 2018
8 Reads

[Focal dermal hypoplasia (Goltz syndrome)].

Bol Med Hosp Infant Mex 2018 ;75(3):178-182

Servicio de Dermatología Pediátrica. Hospital General de San Juan del Río, Querétaro, México.

Background: Focal dermal hypoplasia or Goltz syndrome is a rare X-linked dominant inherited genodermatosis, affecting both the ectodermal and mesodermal tissue. Clinical manifestations include skin abnormalities, defects in eyes, teeth, nails, mouth, soft tissues and skeleton. The diagnosis is based on clinical findings and is suspected in individuals with ectodermal abnormalities and characteristic malformations in the extremities. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000025DOI Listing
January 2018
1 Read

[Colorimetric card use for early detection visual biliary atresia].

Bol Med Hosp Infant Mex 2018 ;75(3):160-165

Área de control de niño sano y tamiz neonatal, Instituto Mexicano del Seguro Social. Ciudad de México, México.

Background: Bile duct atresia (BVA) is a condition that causes obstruction to biliary flow, not corrected surgically, causes cirrhosis and death before 2 years of age. In Mexico from 2013 the visual colorimetric card (VVC) was incorporated for the timely detection of BVA to the National Health Card (NHC). The aim of this study was to evaluate the impact of VCT for the detection of BVA before and after the use of NHC incorporation. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000023DOI Listing
January 2018
1 Read

[Social representations of Mexican pregnant teenagers about the puerperal care, lactation, and newborn care].

Bol Med Hosp Infant Mex 2018 ;75(3):153-159

Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México.

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 principles of the theory of social representations. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000014DOI Listing
January 2018

Prevalence of plaque and dental decay in the first permanent molar in a school population of south Mexico City.

Bol Med Hosp Infant Mex 2018 ;75(2):113-118

Práctica privada. Ciudad de México, México.

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. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000016DOI Listing
January 2018
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Microbial biofilms and their impact on medical areas: physiopathology, diagnosis and treatment.

Bol Med Hosp Infant Mex 2018 ;75(2):79-88

Servicio de Genética, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Ciudad de México, México.

Biofilms are communities of microorganisms that grow aggregated and surrounded by an extracellular matrix, which they produce and favors them to adhere covalently to inert and living surfaces; it also helps them to develop high tolerance to molecules with antimicrobial activity. Moreover, biofilms are associated with chronic and persistent infections, which negatively impact different medical areas since they generate high costs to health care systems and patients every year because they are difficult to treat with conventional antimicrobial drugs. Additionally, they generate high rates of morbidity and mortality. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000012DOI Listing
January 2018

Urinary tract infections, immunity, and vaccination.

Bol Med Hosp Infant Mex 2018 ;75(2):67-78

Laboratorio de Investigación en Bacteriología Intestinal, Hospital Infantil de México Federico Gómez. Ciudad de México, México.

Urinary tract infections (UTI) are considered one of the main causes of morbidity worldwide, and uropathogenic Escherichia coli (UPEC) is the etiological agent associated with these infections. The high morbidity produced by the UTI and the limitation of antibiotic treatments promotes the search for new alternatives against these infections. The knowledge that has been generated regarding the immune response in the urinary tract is important for the development of effective strategies in the UTI prevention, treatment, and control. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000011DOI Listing
January 2018

Maternal employment and Mexican school-age children overweight in 2012: the importance of households features.

Bol Med Hosp Infant Mex 2018 ;75(2):104-112

Centro de Estudios Demográficos, Urbanos y Ambientales (CEDUA), El Colegio de México, Ciudad de México, México.

Background: International evidence regarding the relationship between maternal employment and school-age children overweight and obesity shows divergent results. In Mexico, this relationship has not been confirmed by national data sets analysis. Consequently, the objective of this article was to evaluate the role of the mothers' participation in labor force related to excess body weight in Mexican school-age children (aged 5-11 years). Read More

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http://dx.doi.org/10.24875/BMHIM.M18000015DOI Listing
January 2018
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Pulmonary sequestration associated with congenital pulmonary airway malformation.

Bol Med Hosp Infant Mex 2018 ;75(2):119-126

Servicio de Cirugía de Tórax y Endoscopia. Hospital Infantil de México Federico Gómez, Ciudad de México, México.

Introduction: Congenital pulmonary malformations are a rare cause of neonatal morbidity. Some of them have a common origin, which allows the identification of combined lesions. Its diagnosis can be made prenatally by ultrasound, with the limitation that this study is performed in specialized centers and depends on the expertise of the operator. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000007DOI Listing
January 2018
1 Read

Association between overweight and obesity with school performance in secondary students in Merida, Mexico.

Bol Med Hosp Infant Mex 2018 ;75(2):94-103

Departamento de Ecología Humana, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional. Mérida, Yucatán, México.

Background: Some studies have found a negative relationship between obesity and school performance in scholars. However, this topic has not been studied in depth in Mexico. The aim of this study was to analyze the association between overweight and obesity with school performance in secondary school students from Merida. Read More

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http://dx.doi.org/10.24875/BMHIM.M18000018DOI Listing
January 2018
2 Reads