ABSTRACT
La enumatosis intestinal en el recién nacido es un signo que típicamente se asocia a la presencia de enterocolitis necrotizante. Presentamos el caso de una recién nacida que debutó con sangre en las deposiciones, aerobilia y neumatosis intestinal en colon izquierdo, sin distensión de asas, diagnosticándose de colitis alérgica en base a la clínica, laboratorio, imágenes y respuesta a tratamiento. La supresión de la proteína de la leche de vaca en la dieta de la madre y el complemento con un sustituto libre de esta proteína, llevó a la resolución del cuadro (AU)
Pneumatosis intestinalis is newly born infants constitutes a clinical manifestation greatly associated with the presence of necrotizing enterocolitis. We provide a newborn´s case presenting with bloody stools, portal venous gas and left colon pneumatosis intestinalis, being diagnosed of allergic colitis based on clinical records, lab-tests, imaging and treatment responses. The suppression of cow´s milk protein in the maternal diet and the replacement of milk by a substitute free form that protein led to the complete resolution (AU)
Subject(s)
Humans , Female , Infant, Newborn , Pneumatosis Cystoides Intestinalis/complications , Enterocolitis, Necrotizing/diagnosis , Milk Hypersensitivity/complications , Melena/etiology , Milk Proteins/adverse effects , Food Hypersensitivity/diagnosisABSTRACT
OBJECTIVES: To determine the incidence and prevalence of type 1 diabetes in children younger than 15 yr in the Autonomous Community of Castilla-Leon (Spain). RESEARCH DESIGN AND METHODS: All type 1 diabetic cases with onset at <15 yr of age were recorded during 2003-2004. Identified case subjects were ascertained from several sources and the capture-recapture method was used to estimate the completeness of ascertainment. For prevalence, all patients younger than 15 yr with type 1 diabetes at the beginning and at the end of the study were identified. RESULTS: Over the study period, 130 children aged 0-14 yr were diagnosed with type 1 diabetes. The average observed incidence of type 1 diabetes in this population was 22.22/100 000/yr (95% CI 14.57-29.81). Age-standardized incidence was 22.01/100 000/yr (95% CI 18.18-25.83). The highest incidence was observed in the 5-9 yr age-group (32.45/100 000/yr, 95% CI 24.31-40.59). The prevalence at the beginning and at the end of the study was 1.01/1000 and 1.18/1000, respectively. CONCLUSION: Castilla-Leon appears to have one of the highest incidences of childhood type 1 diabetes in Spain, with recent incidence approaching those of some northern European countries.
Subject(s)
Diabetes Mellitus, Type 1/epidemiology , Adolescent , Age Distribution , Child , Child, Preschool , Female , Humans , Incidence , Male , Prevalence , Spain/epidemiologyABSTRACT
INTRODUCTION: The incidence of type 1 diabetes shows wide geographical variability and heterogeneity. The aim of this study was to determine the incidence and prevalence of type 1 diabetes in children and adolescents ages less than 15 years in the different provinces of Castilla-León. MATERIAL AND METHODS: To determine incidence, all new cases of type 1 diabetes with onset under 15 years of age in 2003-2004 were obtained. Incidence was expressed as the crude value with the corresponding confidence interval and as standardized incidence. The capture-recapture method was used to calculate the completeness of ascertainment. To determine prevalence, all cases of type 1 diabetes in persons ages less than 15 years at 31 December 2004 were obtained. RESULTS: Incidence showed wide variability among the different provinces of Castilla-León. The highest values were found in Segovia (38.77/100,000/year), Valladolid (32.07/100,000/ year) and Avila (23.21/100,000/year) and the lowest in Zamora (8.14/100,000/year). Incidences were highest in the 5-9 years age group in all provinces except Burgos. Prevalence was highest in Segovia (1.54/1,000), Valladolid (1.41/1,000), Avila (1.38/1,000) and Zamora (1.32/1,000) and lowest in Burgos (0.91/1,000). CONCLUSIONS: Castilla-León seems to have one of the highest incidences of type 1 diabetes in Spain; several of its provinces have values similar to those in Northern Europe.
Subject(s)
Diabetes Mellitus, Type 1/epidemiology , Adolescent , Child , Child, Preschool , Humans , Incidence , Prevalence , Spain/epidemiologyABSTRACT
Introducción La incidencia de diabetes tipo 1 presenta gran heterogeneidad y variabilidad geográfica. El objetivo de este estudio es determinar la incidencia y prevalencia de la diabetes tipo 1 en niños menores de 15 años en las distintas provincias de Castilla y León. Material y métodos Para el estudio de la incidencia se recogieron los nuevos diagnósticos de diabetes tipo 1 en menores de 15 años en 2003-2004. La incidencia se expresó como valor crudo con su intervalo de confianza y como incidencia estandarizada. Se utilizó el método captura-recaptura para calcular la exhaustividad. Para el cálculo de la prevalencia se recogieron todos los diabéticos tipo 1 menores de 15 años existentes en Castilla y León a fecha 31 de diciembre de 2004. Resultados Las cifras de incidencia son muy heterogéneas en las diferentes provincias de Castilla y León: las más altas se observaron en Segovia (38,77/100.000/año), Valladolid (32,07/100.000/año) y Ávila (23,21/100.000/año) y las menores en Zamora (8,14/100.000/año). El grupo de edad con mayor incidencia fue el de 5-9 años en todas las provincias excepto en Burgos. La mayor prevalencia se observa en Segovia (1,54/1.000), Valladolid (1,41/1.000), Ávila (1,38/1.000) y Zamora (1,32/1.000) y la menor en Burgos (0,91/1.000). Conclusiones Castilla y León parece tener una de las mayores incidencias de diabetes tipo 1 en España, con cifras en varias de sus provincias similares a las de algunos países nórdicos
Introduction The incidence of type 1 diabetes shows wide geographical variability and heterogeneity. The aim of this study was to determine the incidence and prevalence of type 1 diabetes in children and adolescents ages less than 15 years in the different provinces of Castilla-León. Material and methods To determine incidence, all new cases of type 1 diabetes with onset under 15 years of age in 2003-2004 were obtained. Incidence was expressed as the crude value with the corresponding confidence interval and as standardized incidence. The capture-recapture method was used to calculate the completeness of ascertainment. To determine prevalence, all cases of type 1 diabetes in persons ages less than 15 years at 31 December 2004 were obtained. Results Incidence showed wide variability among the different provinces of Castilla-León. The highest values were found in Segovia (38.77/100,000/year), Valladolid (32.07/100,000/ year) and Ávila (23.21/100,000/year) and the lowest in Zamora (8.14/100,000/year). Incidences were highest in the 5-9 years age group in all provinces except Burgos. Prevalence was highest in Segovia (1.54/1,000), Valladolid (1.41/1,000), Ávila (1.38/1,000) and Zamora (1.32/1,000) and lowest in Burgos (0.91/1,000). Conclusions Castilla-León seems to have one of the highest incidences of type 1 diabetes in Spain; several of its provinces have values similar to those in Northern Europe
Subject(s)
Child , Child, Preschool , Adolescent , Humans , Diabetes Mellitus , Incidence , Prevalence , Spain/epidemiologyABSTRACT
No disponible
Subject(s)
Humans , Emergency Medical Services/standards , Heart Arrest/therapy , Resuscitation Orders , Emergency Medical Services/methods , Heart Arrest/diagnosis , Heart Arrest/complicationsABSTRACT
Objetivo: Conocer las principales características del embarazo en la adolescencia y valorarlo como posible factor de riesgo para el bajo peso al nacer. Materiales y métodos: Estudio de casos y controles de 6 meses de duración. Los casos se seleccionaron a partir de nulíparas, de edades comprendidas entre los 14 y los 19 años, que iban ingresando en el servicio de obstetricia por trabajo de parto. Los controles, nulíparas de 20 años o más, que ingresaron en el mismo centro y en el mismo período, se escogieron de forma aleatoria del libro de admisiones. Se procedió a la codificación y al posterior procesamiento de los datos con el programa SPSS v. 11.0. Se llevaron a cabo un análisis descriptivo de los datos, y un cálculo de la odds ratio como medida de asociación, con un intervalo de confianza del 95 por ciento y un test de la 2 como contraste de hipótesis, asumiendo como diferencias estadísticamente significativas las que tenían un valor de p < 0,05. Asimismo, se realizó análisis multivariante mediante un modelo de regresión logística múltiple. Resultados: Doscientos cuarenta y dos casos y 484 controles. Los factores de riesgo asociados al bajo peso al nacer identificados en el análisis fueron: edad de la madre < 19 años (odds ratio = 2,12; intervalo de confianza del 95 por ciento, 1,30-3,44) y control prenatal < 5 consultas (odds ratio = 5,15 intervalo de confianza del 95 por ciento, 2,81-9,41). De forma general, las madres adolescentes están fuera del sistema educativo, en su mayoría dedicadas a las labores del hogar, y en ellas existe una mayor prevalencia de bajo peso y de prematuridad. Conclusiones: Existe asociación entre la edad de la madre y el bajo peso del neonato, que se incrementa entre quienes asisten de forma irregular al control prenatal (AU)
Subject(s)
Adolescent , Adult , Female , Humans , Pregnancy in Adolescence/physiology , Risk Factors , Infant, Low Birth Weight/physiology , Infant, Very Low Birth Weight/physiology , Pregnancy, High-Risk/physiology , Pregnancy Complications/diagnosis , Epidemiology, Descriptive , Socioeconomic Factors , Signs and Symptoms , Control Groups , Hypertension/complications , Hypertension/diagnosisABSTRACT
Mitochondrial DNA (mtDNA) types using restriction patterns with HaeIII were investigated in 21 clinical isolates of Sporothrix schenckii in Costa Rica. Nineteen isolates were found to be a new mtDNA type (Type 14), while the remaining two were Type 3 and Type 6. Based on the phylogeny of 14 mtDNA types constructed by estimating sequence divergences of mtDNA, S. schenckii were clustered into two main groups: Group A and Group B, with Type 14 and Type 3 included in Group A, and Type 6 in Group B. The results suggest that isolates of Group A may exist mainly in Central America including Costa Rica.
