Abstract:
:Given that childhood obesity is an epidemic, the frequency of critically-ill patients who are overweight or obese seen at intensive care units has increased rapidly. Adipose tissue is an endocrine organ that secretes a number of protein hormones, including leptin, which stands out because it regulates adipose tissue mass. The presence of arterial hypertension, metabolic syndrome, diabetes mellitus, respiratory disease and chronic kidney disease may become apparent and complicate the course of obese pediatric patients in the Intensive Care Unit. Obesity management is complex and should involve patients, their families and the medical community. It should be coordinated with comprehensive government health policies and implemented in conjunction with a change in cultural context. :Actualmente, la obesidad infantil constituye una epidemia. La frecuencia de pacientes críticos con sobrepeso u obesidad ha aumentado rápidamente en las unidades de cuidados intensivos. El tejido adiposo es un órgano endocrino que secreta varias hormonas proteicas, entre las que se destaca la leptina, la cual es reguladora de su masa. La presencia de hipertensión arterial, síndrome metabólico, diabetes mellitus, enfermedades respiratorias y enfermedad renal crónica se puede manifestar en el paciente pediátrico obeso durante su estadía en la Unidad de Cuidados Intensivos y complicar su evolución. El tratamiento de la obesidad es complejo y debe involucrar al paciente, a su familia y a la comunidad médica. Debe realizarse en coordinación con políticas sanitarias gubernamentales integrales y en conjunto con un cambio de marco cultural.
journal_name
Arch Argent Pediatrjournal_title
Archivos argentinos de pediatriaauthors
Donoso Fuentes A,Córdova L P,Hevia J P,Arriagada S Ddoi
10.5546/aap.2016.eng.258subject
Has Abstractpub_date
2016-06-01 00:00:00pages
258-166issue
3eissn
0325-0075issn
1668-3501journal_volume
114pub_type
杂志文章,评审abstract::Carotenemia is generally benign and usually caused by excessive intake of beta-carotene rich food. This clinical presentation can occur in any age group but frequently occurs in children. We report a rare case of carotenemia with an isolated involvement of the nose and presented in order to remind carotenemia in the d...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2019.eng.e502
更新日期:2019-10-01 00:00:00
abstract::Castleman's disease (CD) is a rare entity, characterized by lymph node follicles hyperplasia. It rarely occurs in children. We present a case of a 9 year old girl with CD in the parotid region. This disease, although it's low incidence in pediatric population, may mimic a malignant neoplasm and should be a differentia...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752013000400016
更新日期:2013-07-01 00:00:00
abstract:Introduction:Currently, there is no complete registry of pediatric residences in Argentina. Objectives:To identify all pediatric residences in Argentina. To establish a situation diagnosis and a unified registry. Methods:Descriptive, observational crosssectional study. A preliminary list of residences was established...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.358
更新日期:2020-10-01 00:00:00
abstract::Fibrocartilaginous mesenchymoma (FCM) is a rare tumor that primarily affects the long bones. Few cases have been reported since its description. A case of a 4-year-old boy with FCM located in the humerus is presented. Radiological examination showed an expansive lytic lesion located in the metaphyseal proximal humerus...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2014.e222
更新日期:2014-10-01 00:00:00
abstract::Bell's palsy is the most common cause of acquired unilateral facial nerve palsy in childhood. Although the diagnosis depends on the exclusion of less common causes such as infectious, traumatic, malignancy associated and hypertension associated etiologies, pediatricians tend to diagnose idiopatic Bell's palsy whenever...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.e133
更新日期:2013-12-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.eng.310
更新日期:2018-10-01 00:00:00
abstract::The characteristic phenotype of CHARGE syndrome includes: coloboma, congenital heart defect, choanal atresia, retarded growth and development, genital abnormalities, ear anomalies with or without hearing loss, which give the name (an acronym) to this condition. The molecular cause in 60% of the cases are mutations in ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000100016
更新日期:2010-02-01 00:00:00
abstract::There are few studies on the use of illicit drugs during pregnancy with a variable prevalence depending on the year, maternal age, region and diagnostic methods. Mothers' and newborn infants' urine samples were tested for illegal drugs in cases where the mother reported consumption, lack of antenatal care and neonatal...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.232
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:Valvular dysfunction secondary to obstruction of proximal catheter is relatively frequent at emergency room. However non-infectius obstruction of distal catheter is exceptional. CASE REPORT:A 6-year-old boy with dysfunction shunt due to migration of the abdominal catheter into the right scrotum. The patie...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.e14
更新日期:2013-01-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752011000200012
更新日期:2011-04-01 00:00:00
abstract:INTRODUCTION:The use of mobile devices has become ubiquitous in the family, across all social strata, and from an early age. OBJECTIVES:To assess the use of mobile and fixed screens among young children, the time spent doing traditional childhood activities, and the relationship to the maternal level of education. MA...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.eng.e186
更新日期:2018-04-01 00:00:00
abstract::In a 1 month-old healthy newborn, a submaxilar solid tumor was palpated. Gestation and delivery were normal and he was asymptomatic. At 9 months of age, surgery was decided and uneventfully performed. The diagnosis was ectopic thymic tissue, an infrequent cause of cervical tumor. Remnants of the thymus can remain anyw...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.1590/S0325-00752009000200012
更新日期:2009-04-01 00:00:00
abstract::The environmental influence on human development can be studied by assessing similarities and discrepancies in developmental traits between biological and adopted siblings and twins, reared together and reared apart. Approximately 50% of total variance of general cognitive ability in a given population can be explaine...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000600009
更新日期:2010-12-01 00:00:00
abstract::Posterior reversible encephalopathy is a rare disease in children. Clinical manifestations include headache, seizures, visual disturbances and altered consciousness associated with typical magnetic resonance images of the nervous system. The syndrome usually manifests in patients with eclampsia, solid organ transplant...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2015.e271
更新日期:2015-10-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,多中心研究
doi:10.5546/aap.2014.405
更新日期:2014-10-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.249
更新日期:2017-06-01 00:00:00
abstract:INTRODUCTION:The chief resident plays a strategic role in terms of leadership and cohesion among residents. OBJECTIVE:To characterize the activities developed by chief residents and identify their achievements and difficulties. METHODS:A survey about demographic outcome measures, activities performed, most and least ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.217
更新日期:2020-06-01 00:00:00
abstract:INTRODUCTION:In Argentina information does not exist about how many newborns (NB) who need to be hospitalized in a third level neonatal intensive care unit (NICU) actually accede, not even about the evolution of those who cannot accede. OBJECTIVE:To analize the characteristics of NB that required to be hospitalized in...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000400006
更新日期:2010-08-01 00:00:00
abstract:INTRODUCTION:Lactose intolerance is a common disease in pediatrics, and its wrong diagnosis will lead to morbidity. The primary objective of this study was to assess the usefulness of an increased waist circumference during the hydrogen breath test as a predictor of lactose intolerance. The secondary objective was to a...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.148
更新日期:2017-04-01 00:00:00
abstract:INTRODUCTION:Cystic fibrosis is a genetic autosomal recessive disease that affects approximately 1:6000 live births in our country. Chronic infection with Pseudomonas aeruginosa (PA) is associated with higher morbidity and-mortality, and deterioration of lung function. Treatment of initial infection is important to pre...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000200009
更新日期:2010-04-01 00:00:00
abstract::Kidney disease is a global public health problem; affects more than 750million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. Emerging evidence suggests that developing countries have a similar or even greater kidney disease burden than devel...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2019.eng.e243
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:In 2003 iron and folic acid fortification of wheat flour became mandatory in Argentina. Folate nutritional status was assessed in a national probabilistic sample of women 10-49 years old and pregnant women. Changes in the prevalence of neural tube defects (NTDs) were evaluated before and after fortificatio...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752008000600004
更新日期:2008-12-01 00:00:00
abstract::Neonatal jaundice may be due to different causes, ranging from physiological conditions to severe diseases. In term neonates with persistent jaundice beyond 14 days of life, it should be determined whether hyperbilirubinemia is unconjugated or conjugated, in order to study the etiology and start early treatment. In th...
journal_title:Archivos argentinos de pediatria
pub_type: 共识发展会议,杂志文章
doi:10.5546/aap.2020.S12
更新日期:2020-02-01 00:00:00
abstract::Streptococcus pyogenes infections are common in the pediatric population in the form of tonsillopharyngitis or cutaneous disease. Less frequently, it presents with invasive forms such as pyomyositis or necrotizing fasciitis. Mortality in children is of 7 %. We present an 11-year-old patient with a subscapular venolymp...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2019.e679
更新日期:2019-12-01 00:00:00
abstract::The 22q11.2 microdeletion is the most common deletion syndrome, with a prevalence of 1/4000-1/6000 among newborn infants and a wide phenotypic variability. The diagnosis of the 22q11.2 microdeletion is made through cytogenetics or fuorescence in situ hybridization (FISH). The objectives of this article were to describ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.423
更新日期:2013-10-01 00:00:00
abstract::Combined glomerulopathy is infrequent in pediatric patients. Its presence should be suspected in those patients with glomerulophaties with atypical course. The influence on the long-term renal impairment remains uncertain. Here we report two children with histological findings of combined glomerulopathy. :La combinac...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.e688
更新日期:2018-10-01 00:00:00
abstract::Contemporary medicine is characterized by an increasing subspecialization and the acquisition of a greater knowledge about the interaction among the different body structures (biosemiotics), both in health and disease. This article proposes a new conceptualization of the body based on considering it as a biological sp...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.e449
更新日期:2020-10-01 00:00:00
abstract::Meconium periorchitis is uncommon. In the unborn child the peritoneum vaginal canal is open and, secondary to intestinal perforation due to any cause (intestinal atresia, volvulus, and others), meconium peritonitis occurs. The intestinal content reaches the scrotal vaginal cavity. Meconium peritonitis can heal spontan...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2015.e330
更新日期:2015-12-01 00:00:00
abstract::Phelan McDermid Syndrome is caused by the loss of genetic material in a chromosome from pair 22, at the band q13.3. We describe five patients with deletion 22q13.3 in order to establish a genotype-phenotype association, and report the first case described in conjoined twins. We analyzed the perinatal history, psychomo...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2012.e50
更新日期:2012-05-01 00:00:00
abstract::An adequate drug dosage at treatment initiation is particularly relevant for critically ill patients. An inadequate dosage may result in therapeutic failure, potentially severe adverse events, and unnecessary health expenditures. At present, due to the higher incidence of childhood obesity, primary care physicians are...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2019.eng.e121
更新日期:2019-04-01 00:00:00