ABSTRACT
La pileflebitis es definida como la trombosis supurativa de la vena porta como complicación de infecciones abdominales. En pediatría, la etiología más frecuente es la apendicitis, generalmente de diagnóstico tardío, que se presenta como sepsis, con una elevada mortalidad. Para el diagnóstico son necesarios métodos de diagnóstico por imágenes; los más utilizados son la ecografía Doppler y la angiotomografía. El tratamiento se basa en la intervención quirúrgica, la antibioticoterapia y la anticoagulación. Esta última tiene indicación controvertida, pero podría mejorar el pronóstico y disminuir la morbimortalidad. Se presenta un caso clínico de pileflebitis secundaria a sepsis por Escherichia coli con punto de partida en una apendicitis aguda, en un paciente pediátrico que evoluciona a la transformación cavernomatosa de la vena porta. Es de importancia conocer el manejo de esta entidad, ya que, una vez superado el cuadro inicial, requerirá un minucioso seguimiento por la posibilidad de evolucionar a la insuficiencia hepática.
Pylephlebitis is defined as suppurative thrombosis of the portal vein as a complication of abdominal infections. In pediatrics, the most frequent etiology is appendicitis, generally of late diagnosis, presenting as sepsis, with a high mortality rate. Imaging methods are necessary for diagnosis; the most common are the Doppler ultrasound and computed tomography angiography. Treatment is based on surgery, antibiotic therapy, and anticoagulation. The indication for the latter is controversial, but it may improve prognosis and decrease morbidity and mortality. Here we describe a clinical case of pylephlebitis secondary to Escherichia coli sepsis, which started as acute appendicitis in a pediatric patient who progressed to cavernomatous transformation of the portal vein. It is important to know the management of this disease because, once the initial symptoms are overcome, it will require close follow-up due to a potential progression to liver failure.
Subject(s)
Humans , Child , Appendicitis/diagnosis , Thrombophlebitis/diagnosis , Thrombophlebitis/etiology , Thrombophlebitis/drug therapy , Sepsis/etiology , Liver Diseases , Portal Vein , Anti-Bacterial Agents/therapeutic useABSTRACT
Pylephlebitis is defined as suppurative thrombosis of the portal vein as a complication of abdominal infections. In pediatrics, the most frequent etiology is appendicitis, generally of late diagnosis, presenting as sepsis, with a high mortality rate. Imaging methods are necessary for diagnosis; the most common are the Doppler ultrasound and computed tomography angiography. Treatment is based on surgery, antibiotic therapy, and anticoagulation. The indication for the latter is controversial, but it may improve prognosis and decrease morbidity and mortality. Here we describe a clinical case of pylephlebitis secondary to Escherichia coli sepsis, which started as acute appendicitis in a pediatric patient who progressed to cavernomatous transformation of the portal vein. It is important to know the management of this disease because, once the initial symptoms are overcome, it will require close follow-up due to a potential progression to liver failure.
La pileflebitis es definida como la trombosis supurativa de la vena porta como complicación de infecciones abdominales. En pediatría, la etiología más frecuente es la apendicitis, generalmente de diagnóstico tardío, que se presenta como sepsis, con una elevada mortalidad. Para el diagnóstico son necesarios métodos de diagnóstico por imágenes; los más utilizados son la ecografía Doppler y la angiotomografía. El tratamiento se basa en la intervención quirúrgica, la antibioticoterapia y la anticoagulación. Esta última tiene indicación controvertida, pero podría mejorar el pronóstico y disminuir la morbimortalidad. Se presenta un caso clínico de pileflebitis secundaria a sepsis por Escherichia coli con punto de partida en una apendicitis aguda, en un paciente pediátrico que evoluciona a la transformación cavernomatosa de la vena porta. Es de importancia conocer el manejo de esta entidad, ya que, una vez superado el cuadro inicial, requerirá un minucioso seguimiento por la posibilidad de evolucionar a la insuficiencia hepática.
Subject(s)
Appendicitis , Liver Diseases , Sepsis , Thrombophlebitis , Humans , Child , Thrombophlebitis/diagnosis , Thrombophlebitis/drug therapy , Thrombophlebitis/etiology , Appendicitis/diagnosis , Anti-Bacterial Agents/therapeutic use , Sepsis/etiology , Portal VeinABSTRACT
La osteomielitis (OM) se define como la inflamación ósea de origen infeccioso. La forma aguda es frecuente en la edad pediátrica. El absceso de Brodie es un tipo de osteomielitis subaguda, históricamente con baja incidencia, pero que actualmente se presenta un aumento de la misma. De poca repercusión clínica, con pruebas de laboratorio inespecíficas y estudios radiológicos de difícil interpretación, es crucial la sospecha diagnóstica. Se asemeja a procesos neoplásicos, benignos o malignos. Recae en la experiencia del profesional realizar el diagnóstico adecuado. El tratamiento consiste en antibioticoterapia, tanto parenteral como por vía oral, y eventualmente drenaje quirúrgico. Presentamos una paciente sana que consultó por una tumoración en topografía de clavícula izquierda de 3 meses de evolución. Se realizó diagnóstico de absceso de Brodie, inició tratamiento y se obtuvo una buena respuesta. Resulta imprescindible tener un alto índice de sospecha de esta entidad para no someter al paciente a estudios, pruebas invasivas o tratamientos erróneos, y evitar secuelas a futuro.
Osteomyelitis is defined as an inflammation of the bone caused by infection. Acute osteomyelitis is common in pediatrics. A Brodie abscess is a type of subacute osteomyelitis, with a historically low incidence; however, its incidence is currently increasing. Given its little clinical impact, with non-specific laboratory tests and radiological studies of difficult interpretation, diagnostic suspicion is crucial. It resembles neoplasms, either benign or malignant. An adequate diagnosis falls on the health care provider's experience. Treatment consists of antibiotics, both parenteral and oral, with potential surgical drainage. Here we describe the case of a healthy female patient with a tumor found in the topography of the left clavicle 3 months before. She was diagnosed with Brodie abscess; treatment was started with a good response. A high index of suspicion of Brodie abscess is critical to avoid invasive tests and studies or inadequate treatments, and to prevent future sequelae.
Subject(s)
Humans , Female , Child , Osteomyelitis/drug therapy , Osteomyelitis/therapy , Abscess/drug therapy , Clavicle , Disease Progression , Anti-Bacterial Agents/therapeutic useABSTRACT
Osteomyelitis is defined as an inflammation of the bone caused by infection. Acute osteomyelitis is common in pediatrics. A Brodie abscess is a type of subacute osteomyelitis, with a historically low incidence; however, its incidence is currently increasing. Given its little clinical impact, with non-specific laboratory tests and radiological studies of difficult interpretation, diagnostic suspicion is crucial. It resembles neoplasms, either benign or malignant. An adequate diagnosis falls on the health care provider's experience. Treatment consists of antibiotics, both parenteral and oral, with potential surgical drainage. Here we describe the case of a healthy female patient with a tumor found in the topography of the left clavicle 3 months before. She was diagnosed with Brodie abscess; treatment was started with a good response. A high index of suspicion of Brodie abscess is critical to avoid invasive tests and studies or inadequate treatments, and to prevent future sequelae.
La osteomielitis (OM) se define como la inflamación ósea de origen infeccioso. La forma aguda es frecuente en la edad pediátrica. El absceso de Brodie es un tipo de osteomielitis subaguda, históricamente con baja incidencia, pero que actualmente se presenta un aumento de la misma. De poca repercusión clínica, con pruebas de laboratorio inespecíficas y estudios radiológicos de difícil interpretación, es crucial la sospecha diagnóstica. Se asemeja a procesos neoplásicos, benignos o malignos. Recae en la experiencia del profesional realizar el diagnóstico adecuado. El tratamiento consiste en antibioticoterapia, tanto parenteral como por vía oral, y eventualmente drenaje quirúrgico. Presentamos una paciente sana que consultó por una tumoración en topografía de clavícula izquierda de 3 meses de evolución. Se realizó diagnóstico de absceso de Brodie, inició tratamiento y se obtuvo una buena respuesta. Resulta imprescindible tener un alto índice de sospecha de esta entidad para no someter al paciente a estudios, pruebas invasivas o tratamientos erróneos, y evitar secuelas a futuro.
Subject(s)
Abscess , Osteomyelitis , Humans , Child , Female , Abscess/drug therapy , Clavicle , Osteomyelitis/therapy , Osteomyelitis/drug therapy , Anti-Bacterial Agents/therapeutic use , Disease ProgressionABSTRACT
INTRODUCTION: Bacteremia is a frequent complication in children with cancer, which is associated with greater severity, prolonged hospitalization and mortality. Prolonged hospitalization conditions greater morbidity and risk of acquisition of intranosocomial infections. AIM: To describe risk factors for prolonged hospital length of stay in children with leukemia and bacteremia. METHODS: Cohort study. Episodes of bacteremia in patients with leukemia at Garrahan Hospital from 1/1/2015 to 31/12/2016 were reviewed. We compared data from patients with a LOS of 14 days or more with those admitted for less than 14 days. Bivariate and logistic regression analysis was performed. We used Stata 13 statistical package. RESULTS: n = 121. Median age 59 months.81 patients (67%) had a diagnosis of acute lymphoblastic leukemia, followed by acute myeloid leukemia in 40 (33%). 96 patients (79%) had a central venous catheter (CVC), 94 patients (78%) were neutropenic. Blood cultures were positive for Enterobacteriaceae in 55 cases (45%), coagulase-negative staphylococci in 28 cases (23%), Group viridans Streptococcus in 19 (16%), Pseudomonas aeruginosa in 8 (7%). (9%). By the multivariate analysis, three factors remained significantly associated with length of stay of more than 14 days: CVC associated bacteremia (OR 21,73; CI95% 1.2-43.2; p 0.04), severe neutropenia (OR 1.75; CI95% 1.82-1.28; p 0.03) and coinfection (OR 27.4; CI95% 2.8-260.8; p 0.004). CONCLUSION: CVC associated bacteremia, severe neutropenia and viral coinfection were associated with hospital LOS of more than 14 days.
Subject(s)
Bacteremia/etiology , Leukemia, Myeloid, Acute/complications , Neutropenia/etiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications , Bacteremia/microbiology , Child , Child, Preschool , Cohort Studies , Female , Humans , Length of Stay , Leukemia, Myeloid, Acute/microbiology , Male , Neutropenia/microbiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/microbiology , Retrospective Studies , Risk FactorsABSTRACT
OBJECTIVES: Although electronic patient portals are offered by most health care organizations, poor usability and poor fit to patient needs may pose barriers to adoption. We collaborated with an academic hospital to conduct iterative user evaluation of a newly deployed portal designed to deliver inpatient data upon hospital discharge. METHODS: Three evaluators applied heuristic usability evaluation and conducted 23 individual user testing sessions with patients with chronic disease or managing the care of family members with chronic disease. Evaluation and development/improvement were conducted iteratively. User testing and analysis of qualitative data were both conducted from the perspective of a task-technology fit framework, to assess the degree of fit between the portal and patient work. RESULTS: Ability to complete health information management tasks, perceived usability, and positive comments from users improved over the course of the iterative development. However, patients still encountered significant difficulties accomplishing certain tasks such as setting up proxy accounts. The problems were most severe when patients did not start with a clear understanding of tasks that they could accomplish. In exploring the portal, novice users frequently described anecdotes from their own medical history or constructed fictional narratives about a hypothetical patient. CONCLUSION: Chronic illness imposes a significant workload on patients, and applying a task-technology framework for evaluation of a patient portal helped improve the portal's fit to patient needs. However, it also revealed that patients often lack a clear understanding of tasks that would help them accomplish personal health information management. Portal developers may need to educate patients about types of patient work involving medical centers, in a way that developers of clinical information systems do not need to do. An approach to doing this might be to provide narratives about hypothetical patients.
Subject(s)
Electronic Health Records , Medical Informatics , Models, Theoretical , Patient Portals , Adolescent , Adult , Aged , Demography , Female , Humans , Male , Middle Aged , Task Performance and Analysis , Young AdultABSTRACT
Resumen Introducción: La bacteriemia constituye una complicacion frecuente en los niños con cáncer, que se asocia a mayor gravedad, internación prolongada y mortalidad. La internación prolongada condiciona mayor morbilidad y riesgo de adquisición de infecciones intranosocomiales. Objetivo: Analizar factores de riesgo de internación prolongada en niños con leucemia y bacteriemia. Pacientes y Métodos: Cohorte retrospectiva. Se incluyeron niños con leucemia internados en el Hospital Garrahan entre 1/1/2015 y 31/12/2016 con bacteriemia. Se compararon características de pacientes con internaciones menores o mayores a 14 días. Se realizó un análisis bivariado y modelo de regresión logística. Se utilizó Stata 13. Resultados: n = 121. Mediana de edad 59 meses. Tenían leucemia linfoblastica 81 pacientes (67%) y leucemia mieloblástica 40 (33%). Tenían catéter venoso central (CVC) 96 de los niños (79%), neutropenia 94 (78%), neutropenia menor a 100 neutrófilos 79 (65%). La identificación en hemocultivos fue: 55 casos (45%) enterobacterias, 28 (23%) Staphylococcus coagulasa negativa, Streptococcus spp grupo viridans 19 (16%), Pseudomonas aeruginosa 8 (7%). Huo co-infección viral en 14 pacientes (12%).Tuvieron menos de 14 días de internación 71 pacientes (59%) y mayor período 50 (41%). En el análisis multivariado la bacteriemia asociada a CVC (OR 21,73; IC95% 1,2-43,20; p 0,04), neutropenia profunda al ingreso (OR 1,75; IC95% 1,82-1,28; p 0,03) y co-infección viral (OR 27,42; IC95% 2,88-260,83; p 0,004) fueron factores de riesgo de internación > 14 días. Conclusiones: La bacteriemia asociada a CVC, la neutropenia profunda al ingreso y la co-infección se asociaron con una internación igual o mayor a 14 días.
ABSTRACT Introduction: Bacteremia is a frequent complication in children with cancer, which is associated with greater severity, prolonged hospitalization and mortality. Prolonged hospitalization conditions greater morbidity and risk of acquisition of intranosocomial infections. Aim: To describe risk factors for prolonged hospital length of stay in children with leukemia and bacteremia. Methods: Cohort study. Episodes of bacteremia in patients with leukemia at Garrahan Hospital from 1/1/2015 to 31/12/2016 were reviewed. We compared data from patients with a LOS of 14 days or more with those admitted for less than 14 days. Bivariate and logistic regression analysis was performed. We used Stata 13 statistical package. Results: n = 121. Median age 59 months.81 patients (67%) had a diagnosis of acute lymphoblastic leukemia, followed by acute myeloid leukemia in 40 (33%). 96 patients (79%) had a central venous catheter (CVC), 94 patients (78%) were neutropenic. Blood cultures were positive for Enterobacteriaceae in 55 cases (45%), coagulase-negative staphylococci in 28 cases (23%), Group viridans Streptococcus in 19 (16%), Pseudomonas aeruginosa in 8 (7%). (9%). By the multivariate analysis, three factors remained significantly associated with length of stay of more than 14 days: CVC associated bacteremia (OR 21,73; CI95% 1.2-43.2; p 0.04), severe neutropenia (OR 1.75; CI95% 1.82-1.28; p 0.03) and coinfection (OR 27.4; CI95% 2.8-260.8; p 0.004). Conclusion: CVC associated bacteremia, severe neutropenia and viral coinfection were associated with hospital LOS of more than 14 days.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Leukemia, Myeloid, Acute/complications , Bacteremia/etiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications , Neutropenia/etiology , Leukemia, Myeloid, Acute/microbiology , Retrospective Studies , Risk Factors , Cohort Studies , Bacteremia/microbiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/microbiology , Length of Stay , Neutropenia/microbiologyABSTRACT
La sobrevida de los niños con enfermedades oncológicas ha aumentado de manera considerable en las últimas décadas y este logro se alcanzó, entre otros factores, gracias a la detección temprana de la patología, los avances en los métodos diagnósticos, la administración de terapéuticas específicas adaptadas al riesgo y la adecuada implementación de medidas de soporte. Sin embargo, el cuidado de estos pacientes sigue representando un difícil desafío y requiere la conformación de equipos en los que el pediatra cumple un rol fundamental en la atención conjunta con el oncólogo y en la coordinación de la intervención de los demás especialistas. Este nuevo volumen aborda esta interesante temática y entre sus características destacadas se encuentran: El estudio de importantes temas, como la prevención del cáncer en pediatría en el mundo y en la Argentina, y la necesidad de construir programas de integración, educación e investigación en el cáncer pediátrico; el niño con una masa abdominal, con sus estrategias diagnósticas y las eventuales urgencias metabólicas, infectológicas y nutricionales durante el período de inducción, y cómo anticiparlas y prevenirlas; las situaciones clínicas de riesgo, como la compresión medular, el síndrome de vena cava superior y las complicaciones asociadas con la utilización de irinotecán; los aspectos ginecológicos en las niñas con cáncer, como las conductas frente al riesgo de sangrado menstrual durante el período de inducción, la actividad sexual y el embarazo durante el tratamiento, y la preservación de la fertilidad; y la leucemia linfoblástica aguda en etapa de reinducción, período especialmente significativo por la elevada morbilidad y las dificultades en el soporte clínico que requieren estos pacientes. La inclusión en todos los capítulos de casos clínicos ejemplificadores con su evolución y desenlace, textos destacados con los conceptos más importantes y puntos clave para recordar. Una obra sólida y práctica, que transmite la experiencia de los profesionales de una institución del prestigio internacional del Hospital de Pediatría Prof. Dr. Juan P. Garrahan, dedicada a todos los pediatras dondequiera que trabajen al servicio de los niños.
Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Abdominal Neoplasms , Argentina , Burkitt Lymphoma , Cytostatic Agents , Febrile Neutropenia , Hepatoblastoma , Invasive Fungal Infections , Lymphoma, Non-Hodgkin , Neoplasms/diagnosis , Neoplasms/drug therapy , Neoplasms/epidemiology , Neuroblastoma , Precursor Cell Lymphoblastic Leukemia-Lymphoma , Spinal Cord Compression , Tumor Lysis Syndrome , Wilms Tumor , Enteral Nutrition , Extravasation of Diagnostic and Therapeutic Materials , Fertility Preservation , Parenteral Nutrition , Treatment Refusal , Uterine HemorrhageSubject(s)
Humans , Male , Child, Preschool , Leukemia, Myeloid, Acute/diagnosis , Sarcoma, Myeloid/diagnosis , Hematuria , Urine/cytologyABSTRACT
BACKGROUND: In Mexico, the congenital hypothyroidism (CH) is a public health problem that has a national incidence ranging from 1:1951 to 1:2458 live births. It is the main endocrine cause of mental retardation. The objective was to evaluate the intelligence coefficient (IQ) of patients with CH using the Wechsler Scale (WS) and to correlate the degree of involvement with its etiology. METHODS: We included patients with CH diagnosed by neonatal screening and treated by who attended the test of Wechsler. Data were obtained from the clinical records. Statistical descriptive were used. RESULTS: We included 15 male (21.7%) and 54 females (78.3%) patients. According to the dysgenesis aetiology was secondary in 51 patients (89.9%) and different from dysgenesis in 18 (26.1%). The age at diagnosis was 12.4 days. The initial replacement dose was 10-5 mg/kg/day. The average age at time of psychometric assessment was 6.4 years. The severity of hypothyroidism was 29 mild, 26 moderate and 14 severe. The mean IQ was 99.47. There was no relationship between IQ and the severity of hypothyroidism (p=0.31), age of initiation of treatment (p=0.271) and etiology (p=0.127). CONCLUSIONS: No relationship was found between the etiology nor the severity of CH with IQ.
Subject(s)
Congenital Hypothyroidism/etiology , Intelligence Tests , Female , Humans , Infant , Infant, Newborn , Male , Prospective Studies , Severity of Illness IndexABSTRACT
Childhood obesity has increased to epidemic levels and is considered a public health problem due to its association with a number of metabolic abnormalities, which are being detected at earlier stages of life. The objective was to evaluate the association between the presence of subclinical metabolic abnormalities (SMA) and obesity in a sample of pre-pubertal Mexican schoolchildren. Children of both sexes and 6 to 13 years old were questioned for signs of puberty, underwent anthropometric measurement and had their Body Mass Index (BMI) calculated. Two groups were formed: those with obesity (case group) and those with normal weight paired by age and chosen randomly (control group). Fasting insulin, glucose and cholesterol were measured. 92 children were included, 46 in each group, mean age 9.9 and 9.5 years old, respectively (p = 0.97). A higher frequency of hyperinsulinism was found in the case group: Fasting insulin > 15 mU/ml, 75% vs. 21% (case group vs. control group, respectively); fasting glucose to insulin ratio < 6, 72% vs. 24%; HOMA IR > 2.7, 83% vs. 14%; and decrease in QUICKI (< 0.3), 80% vs. 19% (p = 0.000). Hypercholesterolemia was 25% vs. 15% (p = 0.22), impaired fasting glucose 28% vs. 8% (p = 0.01), and family history of diabetes mellitus (DM) 35% vs. 9% (OR = 5.6; 95% CI = 1.5-22.2; p = 0.002). In this sample of Mexican schoolchildren, obesity was associated to a higher frequency of SMA, such as hyperinsulinism and impaired fasting glucose, and to a family history of DM.
Subject(s)
Hyperinsulinism/blood , Metabolic Syndrome/blood , Obesity/blood , Puberty/blood , Adolescent , Blood Glucose/analysis , Blood Glucose/metabolism , Body Mass Index , Child , Cholesterol/blood , Cross-Sectional Studies , Fasting , Female , Humans , Hyperinsulinism/complications , Insulin/blood , Male , Metabolic Syndrome/complications , Mexico , Obesity/complicationsABSTRACT
En Cuba se han realizado dos encuestas antropométricas de niños y adolescentes basadas en muestras nacionales y un tercer estudio en la provincia de Ciudad de La Habana que han permitido conocer las características físicas de esa población y evaluar periódicamente su situación nutricional. En este trabajo se presentan los resultados obtenidos al comparar los pesos y las tallas de los niños de 0 a 5 años residentes en dicha provincia, que integraron las muestras analizadas en los referidos estudios, con los valores internacionales de referencia propuestos por la OMS. Estos resultados indican que, a pesar de las dificultades económicas que enfrenta el país, la prevalencia de desnutrición en estos niños es muy baja. En 1993, la prevalencia de talla baja para la edad fue 3,1%, la de peso bajo para la talla, 0,4%, y la de peso bajo para la edad, 1,5%. El sobrepeso fue la forma de malnutrición más frecuente y su prevalencia ascendió a 5,2%. Entre 1972 y 1993 la prevalencia de desnutrición crónica se redujo 32,6%, la de desnutrición aguda, 69,2%, la de desnutrición global, 44,4%, y la de sobrepeso, 48,5%.
Two anthropometric surveys of children and adolescents have been carried out in Cuba with national samples. A third study done in the province of Ciudad de la Habana provided information on the physical characteristics of the population in that area and a baseline for the periodic evaluation of its nutritional status. This article compares the weight and height results obtained in these surveys for children 0 to 5 years old who lived in this province with the international reference standards proposed by WHO. The results show that, despite the economic difficulties the country has faced, the prevalence of malnutrition is low. In 1993, the prevalence of low heightfor-age was 3.1%; that of low weight-for-height, 0.4%; and that of low weight-for-age, 1.5%. Overweight was the most common type of malnutrition, with a prevalence of 5.2%. Between 1972 and 1993, the prevalence of chronic malnutrition fell 32.6%, acute malnutrition was reduced by 69.2%; malnutrition of all types decreased by 44.4%; and overweight fell 48.5%.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Anthropometry , Deficiency Diseases , School Feeding , Protein-Energy Malnutrition/epidemiology , Nutrition Surveys , Cuba , Food ServicesSubject(s)
School Feeding , Protein-Energy Malnutrition , Food Services , Deficiency Diseases , Anthropometry , Nutrition Surveys , CubaABSTRACT
Se presentan los valores de circunferencia cefálica, obtenidos del estudio de una muestra representativa de la población del país entre 0,1 y 19,9 años de edad, integrada por 29 759 individuos de uno y otro sexos. Se dan a conocer las correcciones de los valores de circunferencia cefálica del estudio nacional de 1972 y se comparan los resultados con los de 1982
Subject(s)
Cephalometry , Growth , Child Development , CubaABSTRACT
Se presentan los valores de circunferencia cefálica, obtenidos del estudio de una muestra representativa de la población del país entre 0,1 y 19,9 años de edad, integrada por 29 759 individuos de uno y otro sexos. Se dan a conocer las correcciones de los valores de circunferencia cefálica del estudio nacional de 1972 y se comparan los resultados con los de 1982
Subject(s)
Cephalometry , Child Development , Growth , CubaABSTRACT
Se presentan los valores de peso y talla para la edad, obtenidos del estudio de una muestra representativa de la población del país entre 0,1 y 19,9 años de edad, integrada por 29 759 individuos de uno y otro sexos. Se dan a conocer las correcciones de los valores de talla del estudio nacional de 1972 y se comparan los resultados en ambas dimensiones corporales entre 1972 y 1982. Se efectúan comparaciones entre los valores nacionales y estudios realizados en otros países, así como las metas fijadas por la OMS para el año 2000
Subject(s)
Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Humans , Male , Female , Weight by Age , Body Height , Growth , Child Development , Anthropometry , CubaABSTRACT
Se presentan los valores de peso y talla para la edad, obtenidos del estudio de una muestra representativa de la población del país entre 0,1 y 19,9 años de edad, integrada por 29 759 individuos de uno y otro sexos. Se dan a conocer las correcciones de los valores de talla del estudio nacional de 1972 y se comparan los resultados en ambas dimensiones corporales entre 1972 y 1982. Se efectúan comparaciones entre los valores nacionales y estudios realizados en otros países, así como las metas fijadas por la OMS para el año 2000
