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1.
Arch. argent. pediatr ; 119(1): e80-e83, feb. 2021. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1147283

ABSTRACT

La intoxicación por mordedura de serpiente es un problema de salud pública global. En la población pediátrica, la intoxicación por mordedura de serpiente presenta características diferentes que en los pacientes adultos. La Bungarus multicinctus es una especie de elápido sumamente venenoso. Las presentaciones clínicas documentadas después de la intoxicación por mordedura de Bungarus multicinctus son reacciones locales mínimas, insuficiencia respiratoria, dolor generalizado e hiponatremia potencialmente mortal. Presentamos el caso de una intoxicación por mordedura de Bungarus multicinctus en una niña con manifestaciones clínicas atípicas, incluidas necrosis tisular grave y trombocitopenia con coagulopatía.


Snakebite envenoming is a global public health problem. The pediatric population poisoned by snakebite envenoming has different features than adult patients. Bungarus multicinctus is a highly venomous species of the elapid snake. The documented clinical presentations following Bungarus multicinctus envenoming are minimal local reactions, respiratory failure, general pain, and life-threatening hyponatremia. We present an uncommon case of Bungarus multicinctus envenomation in a girl with unusual clinical findings, including severe tissue necrosis and thrombocytopenia with coagulopathy.


Subject(s)
Humans , Female , Child , Snake Bites , Necrosis , Poisoning , Thrombocytopenia , Blood Coagulation Disorders , China , Bungarus
2.
Arch. argent. pediatr ; 118(2): 102-108, abr. 2020. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1099859

ABSTRACT

Objetivos. El objetivo de este estudio fue evaluar el riesgo clínico de la apendicitis con apendicolito y su importancia al elegir las estrategias terapéuticas.Métodos. Se analizó retrospectivamente a niños con diagnóstico de apendicitis aguda entre junio de 2011 y enero de 2017. Se dividió en un grupo con apendicolito(GA) y un grupo sin apendicolito (GSA) según la presencia o no de apendicolito durante la cirugía abierta. Se revisaron y compararon la presentación clínica, de laboratorios, los resultados de la tomografía computada y los cambios patológicos.Resultados. De 163 pacientes, se incluyó a 23 (media de edad: 6,1 años) en el GA y a 140 (media de edad: 8,1 años) en el GSA. Los pacientes en el GA tuvieron una hospitalización más extensa, mayor temperatura corporal, mayor frecuencia de diarrea, signo de Blumberg, aumento del porcentaje de neutrófilos, proteína C-reactiva y mayor riesgo de perforación. La puntuación en las escalas de Alvarado (8,3 ± 1,2 frente a 7,0 ± 1,3; P < 0,05) y de respuesta inflamatoria a apendicitis (10,7 ± 1,6 frente a 7,7 ± 1,9; P < 0,05) fue mayor en el GA que en el GSA; la presencia de fiebre y apendicolito se asoció con una mayor tasa de apendicitis perforada.Conclusiones. La apendicitis pediátrica con apendicolito representa un mayor riesgo clínico y tiende a causar apendicitis complicada


Objectives. This study aims to assess the clinical risk of pediatric appendicitis with appendicolith and its guiding significance in therapeutic strategies' selection.Methods. Children diagnosed with acute appendicitis from June 2011-January 2017 were analyzed retrospectively. Patient cohort was divided to appendicolith group (AG) and non- appendicolith group (NAG) based on whether the appendicolith presents or not in the open surgery. Clinical presentations, laboratory parameters, computed tomography findings, and pathological changes were reviewed and compared between two groups. Results. Among 163 patients, 23 (meanage,6.1yearsold)weredefinedin AG and 140; mean age, 8.1 years old) in NAG. The patients in AG demonstrated prolonged length of stay (12.4 ± 5.6d vs. 8.7 ± 5.0d, P <0.05), higher body temperature (38.2 ± 0.8 °C vs. 37.3 ± 0.8 °C, P <0.05), higher frequency of diarrhea (17 % vs. 3%, P <0.05), rebound tenderness (100 % vs. 87 %, P <0.05), increased neutrophil percentage (81.4 ± 8.0 % vs. 65.3 ± 22.8 %, P <0.05), C-reactive protein (33.13 ± 10.3 mg/L vs. 23.7 ± 13.7 mg/L, P <0.05), and great risk of perforation (78 % vs. 29 %, P <0.05). Alvarado score (8.3 ± 1.2 vs. 7.0 ± 1.3, P <0.05) and AIR score (10.7 ± 1.6 vs. 7.7 ± 1.9, P <0.05) of AG, were higher than NAG he presence of fever and appendicolith was associated with a high rate of perforated appendicitis.Conclusions. Pediatric appendicitis with appendicolith has greater clinical risk and tends to causing complicated appendicitis


Subject(s)
Humans , Male , Female , Child , Appendectomy , Appendicitis/diagnostic imaging , Fecal Impaction/complications , Appendicitis/surgery , Comparative Study , Tomography, X-Ray Computed/methods , Retrospective Studies , Inflammation
3.
Chinese Journal of School Health ; (12): 709-712, 2020.
Article in Chinese | WPRIM | ID: wpr-821931

ABSTRACT

Objective@#The study is to explore daily violence exposure and its association with campus bullying, to provide theoretical basis for positive development of middle school students.@*Methods@#Questionnaire survey was conducted by using Violence Exposure Scale, Normative Beliefs about Aggression Scale, Middle School Students’ Self-control Scale, and Middle School Students’ Campus Bullying Scale. During Aug. to Oct. 2019, 1 372 middle school students were selected by the convenient sampling method as subjects of study from 2 junior high schools and 3senior high schools in Xinxiang.@*Results@#The total score in daily violence exposure was (34.22±12.09). The scores of violence exposure, traditional bullying and cyberbullying in female were lower than in male(t=-2.60--6.32, P<0.05). The scores of violence exposure, traditional bullying and cyberbullying in junior high school students were higher than senior high school students(t=4.59-7.50, P<0.05). The relationship between violence exposure and normative beliefs about aggression, traditional bullying, cyberbullying were positive (r=0.20, 0.44, 0.51, P<0.01). The relationship between violence exposure and self-control was negative (r=-0.29, P<0.01) . The relationship between normative beliefs about aggression and traditional bullying, cyberbullying were positive (r=0.28, 0.22, P<0.01). The relationship between normative beliefs about aggression and self-control was negative (r=-0.38, P<0.01). Violence exposure indirectly affects traditional bullying/cyberbullying through normative beliefs about aggression. The effect of normative beliefs about aggression on the traditional bullying/cyberbullying of middle school students is reduced with the increase of self-control.@*Conclusion@#Normative beliefs about aggression plays an intermediary role in violence exposure and traditional bully/cyberbullying, and self-control regulates the relationship between them.

4.
Arch. argent. pediatr ; 117(4): 416-419, ago. 2019. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1054948

ABSTRACT

El tratamiento de los lactantes con quistes pulmonares congénitos conlleva una resección quirúrgica. Las variaciones en la ubicación y el tamaño del quiste de aire en el pulmón afectado implican la selección de diferentes estrategias quirúrgicas. La presencia de quistes pulmonares congénitos gigantes que imitan un neumotórax a tensión no permitiría tomar una decisión precisa y realizar un tratamiento oportuno durante una emergencia respiratoria. Los escasos informes sobre este tipo de experiencia hacen referencia a quistes a tensión durante la niñez. En este artículo, presentamos el caso de un niño con un quiste pulmonar congénito gigante que imita neumotórax a tensión según las manifestaciones clínicas y las evaluaciones del diagnóstico por imágenes. La descompresión instantánea del neumotórax a tensión no logró aliviar la dificultad respiratoria del niño. En los niños que presentan evidencia clínica de neumotórax a tensión, se debe excluir la posibilidad de un quiste pulmonar congénito gigante.


Treats of symptomatic infants with congenital cystic lung lesions (CCLLs) need surgical resection. Variable location and size of the air cyst of involved lung mean that different surgical strategies must be selected. The presence of huge CCLLs mimicking tension pneumothorax would hamper accurate judgment and timely treatment in dealing with respiratory emergencies. Rare experience reports are coping with childhood tension cystic lung lesion. We present a case of childhood huge CCLLs which was similar to tension pneumothorax based on clinical manifestations and imaging evaluations. Implementation of instant decompression measure against tension pneumothorax failed to alleviate respiratory distress of child. We should exclude the possibility of huge lung cystic lesion in children when clinical evidence inclines to the diagnosis of tension pneumothorax.


Subject(s)
Humans , Male , Infant , Pneumothorax/diagnostic imaging , Cysts/congenital , Lung Diseases , Pneumothorax/complications , Congenital Abnormalities , Cysts/surgery
5.
Chinese Journal of School Health ; (12): 1517-1520, 2019.
Article in Chinese | WPRIM | ID: wpr-816581

ABSTRACT

Objective@#To explore possible mediating effects of stressful life events and Internet game intention in the relationship between role attachment and Internet game addiction,and to provide a theoretical reference for preventing Internet game addiction among middle school students.@*Methods@#During Sept. to Dec. 2018, 1 869 middle school students were selected from 8 middle schools form Liaoning and Henan Province for this investigation through stratified random cluster sampling. Internet Gaming Role Attachment Scale, Adolescent Internet Game Addiction Scale, Adolescent Stressful Life Events Checklist and Adolescent Internet Game Intention Scale was administered.@*Results@#The prevalence of Internet game addiction was 5.00% in middle school students with boys(6.07%)signficantly higher than girls(3.57%)(χ2=5.29,P<0.01). Positive associations were found between Internet game addition with role attachment, stressful life events, Internet game intention (r=0.34-0.58, P<0.01). The results of Bootstrap test showed that stressful life events and Internet game intention had a chain intermediary effect between role attachment and Internet game addiction, and the chain intermediary effect accounted for 6.31% of the total effect.@*Conclusion@#Role attachment may affect the occurrence of Internet game addiction through stressful life events and Internet game intention. Helping middle school students to properly cope with stressful life events and Internet game intention may be beneficial for Internet game addiction prevention and intervention.

6.
Chinese Journal of School Health ; (12): 1824-1827, 2019.
Article in Chinese | WPRIM | ID: wpr-815624

ABSTRACT

Objective@#To explore mediating effect of shame on parent-child attachment and bullying among high school students, and to provide the basis for school bullying prevention among high school students.@*Methods@#From September to November 2018, a total of 1 149 students’ bullying behavior from 4 high schools in Shenyang and Xinxiang, were investigated with the Inventory of Parents and Peer Attachment, Middle School Students’ Bullying Scale and Middle School Students’ Shame Scale.@*Results@#About 31.07% of the subjects involved in school bullying. The report rates of bullying among boys, high school students of second grade, only child, students from rural area were higher (P<0.01). Mother-child attachment was negatively correlated with traditional and cyber bullying(r=-0.14, -0.21, -0.20, P<0.01). Father-child attachment was negatively correlated with traditional and cyber bullying(r=-0.19, -0.21, -0.19, P<0.01). Shame was positively correlated with traditional bullying and cyber bullying (r=0.20, 0.19, P<0.01). Shame mediates mother-child attachment, traditional and cyber bullying, accounting for 11.78% and 15.70% of the total effects. Shame mediates father-child attachment, traditional and cyber bullying, accounting for 15.17% and 17.43% of the total effect.@*Conclusion@#Mother-child and father-child attachment have direct effect on school bullying, and indirect effect on school bullying through shame.

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