ABSTRACT
En los últimos tiempos el exceso de azúcares en la dieta está en el punto de mira de la comunidad científica. Aunque cada vez existe mayor evidencia del efecto negativo de las bebidas azucaradas sobre la salud, aún sigue siendo un motivo de controversia. Por otro lado, los beneficios del consumo de frutas y verduras en cuanto a prevención de varias enfermedades crónicas son conocidos y aceptados de forma generalizada. Los zumos de frutas pueden aportar algunos de estos beneficios, pero hay dudas sobre su idoneidad debido a su alto contenido en azúcares. ¿Cuál es su papel en la alimentación infantil? ¿Debemos considerarlos como una bebida azucarada más? (AU)
In recent times, the excess of sugars in the diet is in the spotlight of the scientific community. Although there is greater evidence of the negative effect of sugary drinks on health, it is still a matter of controversy. remains a controversial issue. On the other hand, the benefits of fruit and vegetable consumption in terms of prevention of several chronic diseases are widely known and accepted. Fruit juices may provide some of these benefits, but there are doubts about their suitability due to their high sugar content. What is its role in infant feeding? Should we consider them as another sugary drink? (AU)
Subject(s)
Humans , Child , Fruit and Vegetable Juices/standards , Fruit and Vegetable Juices , Infant Nutrition/standards , Sugars , Terminology as Topic , Sucrose/adverse effects , Overweight/complications , Obesity/complications , Fructose/administration & dosage , Fructose/analysis , Dental Caries/complications , Diarrhea/complicationsABSTRACT
No disponible
Subject(s)
Humans , Child , Carbohydrates/analysis , Obesity/complications , Obesity/prevention & control , Cardiovascular Diseases/complications , Primary Health Care , Infant Nutrition/standards , Cardiovascular Diseases/prevention & control , Child Nutrition , Dental Caries/complications , Dental Caries/prevention & control , Overweight/complications , Overweight/prevention & controlABSTRACT
Introducción: la junta directiva de la Asociación Madrileña de Pediatría de Atención Primaria (AMPap) decidió realizar una encuesta a los socios colaboradores en la docencia de residentes de Pediatría cuatro años y medio después de que fuera publicada la resolución conjunta de los Ministerios de Sanidad y Consumo y de Educación y Ciencia, por la que se establecían los requisitos generales para la acreditación de centros de salud vinculados a unidades docentes acreditadas para la formación de especialistas en Pediatría y sus áreas específicas. Material y métodos: en junio de 2011 enviamos a la lista de correo de nuestra sociedad una encuesta diseñada con la herramienta Google Docs® y dirigida a los socios que fueran asiduos colaboradores en la docencia de residentes de Pediatría. Contestaron a 12 preguntas relacionadas con la ubicación de su centro de trabajo, hospital de referencia, número de residentes que reciben, tiempo de rotación y distribución. Resultados: hemos obtenido 47 respuestas y hemos comprobado que menos de la mitad de los residentes de Pediatría hacen la rotación obligatoria en Atención Primaria (AP). Conclusiones: hemos comprobado cómo, a pesar de que más de la mitad de los pediatras madrileños desarrollan su labor en la AP y de que la Comisión Nacional de la Especialidad ha dado importancia a este hecho planteando una rotación obligatoria de tres meses, solo dos de cada cinco residentes de Pediatría en nuestra comunidad la cumplen. Planteamos la necesidad de que algún pediatra colaborador en la docencia o los coordinadores de pediatras de las Direcciones Asistenciales formen parte de las Comisiones de Docencia de los hospitales o de las nuevas Unidades Multiprofesionales y que la labor docente de los pediatras colaboradores sea valorada curricular y profesionalmente(AU)
Introduction: the board of directors of the Madrid Primary Care Paediatrics Association (AMPap) decided to conduct a survey to partner teachers of pediatric residents four and a half years after the joint resolution of the Ministries of Health and Consumer Affairs and Education and Science was published. In this resolution, the general requirements for accreditation of health centers linked to accredited training units for specialists in pediatrics were stablished. Material and methods: in June 2011 a survey designed with Google docs was sent to the mailing list of our society, and directed to partners who were regulars in the teaching of pediatric residents. They answered 12 questions related to their workplace location, reference hospital, number of residents received, distribution, and turnover time. Results: we obtained 47 answers and found that less than half of the pediatric residents do the mandatory rotation in primary care. Conclusions: we have seen that, despite the fact that more than half of Madrids pediatricians develop their work in primary care and that the Specialty National Commission gives importance to this fact, hence considering a mandatory rotation of three months, only two out of five pediatric residents in our community met this requirement. We arise the need that a pediatrician teaching collaborator or the Pediatricians Coordinators in care Management take part in the new Multiprofessional Units and that the pediatric teaching collaboration be valued in the curriculum and the profession(AU)
Subject(s)
Humans , Male , Female , Adult , Pediatric Assistants/education , Pediatrics/education , Pediatrics/organization & administration , Education, Medical, Continuing/methods , Education, Medical, Continuing/trends , Internship and Residency , Internship and Residency/organization & administration , Education, Medical, Continuing/organization & administration , Education, Medical, Continuing/standards , Primary Health Care/methods , Primary Health Care , Socioeconomic Survey , Social Support , Psychosocial ImpactABSTRACT
La Pediatría en Atención Primaria en Madrid ha pasado una época complicada. La situación de escasez y aislamiento de los pediatras en los equipos de Atención Primaria nos hace vulnerables para los gestores. La creación en los hospitales de los nuevos contratos mixtos de Facultativo Especialista de Área de Pediatría para cubrir las guardias y las plazas vacantes en los centros de salud ha supuesto una amenaza para la permanencia de los pediatras en el primer nivel asistencial. La contratación de pediatras en Atención Primaria ha permanecido bloqueada por la Administración Sanitaria madrileña durante diez meses para favorecer el desarrollo de estos nuevos contratos. Con la ayuda de sociedades profesionales pediátricas y de ciudadanos, la junta directiva de la Asociación Madrileña de Pediatría de Atención Primaria (AMPap) ha recopilado más de 24 000 firmas para el Manifiesto en defensa del pediatra de cabecera, y tras el debate en la Asamblea de Madrid hemos conseguido desbloquear la contratación de pediatras para los centros de salud (AU)
Primary Care Pediatrics in Madrid has had a complicated time lately. The current situation of isolation and scarcity of pediatricians in primary care teams makes us all vulnerable to managers. The creation of the new mixed contracts to cover the current necessities of guards in hospitals as well as vacancies in primary care centers have supposed a threat to the presence of pediatricians at the first level of child care. The hiring of pediatricians in primary care has been blocked by the Madrids political administration for 10 months to encourage the growth of these new contracts. The board of the Primary Care Pediatrics Association of Madrid (AMPap) with the help of other pediatrics professional societies and citizens, has collected over 24 000 signatures for the Manifesto in defense of the general pediatrician and after the parliamentary debate in the Assembly of Madrid we have achieved to unblock the hiring of pediatricians for the health centers (AU)
Subject(s)
Humans , Child Health Services/organization & administration , Models, Organizational , Pediatrics/organization & administration , Quality of Health Care/organization & administration , Primary Health Care/organization & administration , Delivery of Health Care , Primary Health Care , Needs AssessmentABSTRACT
No disponible
Subject(s)
Humans , Male , Child , Achondroplasia/complications , Intellectual Disability/complications , Intellectual Disability/diagnosis , Osteochondrodysplasias/complications , Osteochondrodysplasias/genetics , Body Height/genetics , Weight by Height/genetics , Mutation , Osteochondrodysplasias/diagnosis , Osteochondrodysplasias/pathologyABSTRACT
El Edema agudo hemorrágico del lactante (EHA) es una vasculitis leucocotoclástica, aguda y benigna que cursa con manifestaciones clínicas limitadas habitualmente a la piel. Aunque propia de niños con edades comprendidas entre los 4 y los 24 meses, se ha descrito también en el periodo neonatal. Se considera que puede asociarse a infecciones, vacunaciones o ingesta de fármacos. Plantea interesantes problemas nosológicos (relación con el Síndrome de Schönlein-Henoch, SSH) y de diagnóstico diferencial (AU)
Subject(s)
Female , Infant , Male , Humans , Edema/complications , Edema/diagnosis , Edema/etiology , Edema/therapy , Hemorrhage/complications , Hemorrhage/diagnosis , Hemorrhage/etiology , Hemorrhage/therapy , IgA Vasculitis/complications , IgA Vasculitis/diagnosis , IgA Vasculitis/etiology , IgA Vasculitis/therapy , Medical History Taking/methods , Exanthema/complications , Exanthema/diagnosis , Exanthema/etiology , Exanthema/therapy , Skin Manifestations , Biopsy/methods , Fluorescent Antibody Technique/methods , Steroids/administration & dosage , Steroids/therapeutic use , Recurrence , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Anti-Bacterial Agents/adverse effects , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Vaccination/adverse effects , Vaccination , Vaccination/methods , Vaccination , Erythema Multiforme/complications , Erythema Multiforme/diagnosis , Erythema Multiforme/etiology , Erythema Multiforme/therapy , Battered Child Syndrome/complications , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/therapy , Sepsis/complications , Sepsis/diagnosis , Sepsis/etiology , Sepsis/therapy , Mucocutaneous Lymph Node Syndrome/complications , Mucocutaneous Lymph Node Syndrome/diagnosis , Mucocutaneous Lymph Node Syndrome/etiology , Urticaria/complications , Urticaria/diagnosis , Urticaria/therapyABSTRACT
La celulitis orbitaria comprende dos patologías bien diferenciadas desde un punto de vista anatomoclínico: la forma preseptal y la postseptal. Constituye una enfermedad infecciosa relativamente frecuente en la edad pediátrica que, normalmente, es secundaria a sinusitis. Presentamos una revisión de esta patología haciendo especial hincapié en el cambio etiológico acontecido en la última década tras la vacunación sistemática contra Haemophilus influenzae tipo B. (AU)
Subject(s)
Female , Child, Preschool , Male , Humans , Cellulite/diagnosis , Haemophilus influenzae/immunology , Paranasal Sinuses/pathology , Bites and Stings/complications , Bites and Stings/diagnosis , Bites and Stings/etiology , Streptococcus/isolation & purification , Streptococcus/pathogenicity , Thrombophlebitis/complications , Thrombophlebitis/diagnosis , Thrombophlebitis/therapy , Cavernous Sinus/pathology , Exophthalmos/complications , Exophthalmos/diagnosis , Exophthalmos/therapy , Fever/complications , Fever/diagnosis , Fever/therapy , Pain/complications , Pain/diagnosis , Pain/therapy , Tomography, X-Ray Computed/methods , Sinusitis/diagnosis , Sinusitis/therapy , Sinusitis/complications , Sinusitis , Clindamycin/therapeutic use , Nasal Septum/pathology , Nasal Septum , Magnetic Resonance Spectroscopy/methods , Anti-Bacterial Agents/therapeutic use , Microbial Sensitivity Tests , Staphylococcus aureus/isolation & purification , Staphylococcus aureus/pathogenicity , Conjunctivitis/complications , Conjunctivitis/diagnosis , Conjunctivitis/therapy , Pneumococcal Infections/complications , Pneumococcal Infections/diagnosis , Pneumococcal Infections/therapy , Moraxella catarrhalis/isolation & purification , Moraxella catarrhalis/pathogenicity , Cellulite/epidemiology , Cellulite/pathology , Cellulite/classification , 24959 , Central Nervous System/pathology , Meningitis/complications , Meningitis/diagnosis , Meningitis/therapy , Prognosis , Diagnosis, Differential , Sepsis/complications , Sepsis/diagnosis , Sepsis/mortality , Sepsis/therapyABSTRACT
Several experimental and clinical studies have shown that citrates are useful in dissolving calcifications and proteic plug in pancreatic ducts both of alcoholic etiology and in patients with chronic pancreatitis. Until now, using citrates to dissolve stones in clinical studies was performed orally with satisfactory medium-term results, including control of abdominal pain and eradication of shadows on X-rays. Laboratory studies have shown that these concretions dissolve quickly when such compounds are applied directly. This paper reports 2 women aged 27 and 40 with histories of chronic abdominal pain, and who, by abdominal X-ray and endoscopic retrograde cholangiopancreatography (ERCP), were shown to have multiple calcifications in the main and accessory pancreatic ducts. In both patients, endoscopic sphincterotomy of the bile and pancreatic segments of the sphincter of Oddi and introduction of a nasopancreatic catheter and intraductal infusion of citrates were performed. Radiological controls showed fragmentation and disappearance of calcifications. Clinically, there was complete absence of abdominal pain in the first week following the procedure. This is the first human study of intraductal administration of citrates to dissolve pancreatic lithiasis with highly favorable results.
