ABSTRACT
El desarrollo y crecimiento de cualquier individuo viene inducido por su carga genética ypor los factores ambientales en los que se desenvuelve. La interacción de ambos factores puedeinfluir positiva o negativamente sobre su desarrollo y maduración esquelética.La hipótesis de partida de este trabajo fue determinar si este ambiente donde el menor crecetiene una influencia directa sobre él y su desarrollo. Como objetivo nos marcamos el verificar sitanto los parámetros de salud como los sociodemográficos se correlacionaban con su desarrollo.Se trata de un estudio transversal realizado en el ámbito de Granada, concretamente en elHospital Universitario Virgen de las Nieves de Granada.El tamaño de la muestra ha sido de 100 casos (43 niñas y 57 niños). Para ello se realizarondiferentes análisis: univariante, bivariante y multivariante.Hemos encontrado que algunos hábitos pueden mostrar cierta influencia negativa durantela gestación, como el consumo de tabaco durante el embarazo. Por el contrario, la práctica dedeporte y la ingesta de determinados nutrientes, como el pan, parecen tener cierta significaciónpositiva
The development and growth of any individual is induced by its genetic load and by theenvironmental factors during growth. Interaction of both items can influence positively or negativelyits development and skeletal maturation. The departure hypothesis of this work was to determine if the environment where the childgrows has a direct influence on his development. The aim of this work was to verify if healthand socio-demography parameters were correlated with child development.It is a cross-sectional study made in children from Granada, specifically in the Hospital Virgende las Nieves. The sample size was of 100 cases (43 children and 57 children). We performedan univariate, bivariate and multivariate analysis.We have found that some habits can show certain negative influence during the gestation,like tobacco consumption during pregnancy. On the contrary, the practice of sports and the ingestionof certain nutrients, like bread, seem to have certain positive influence
Subject(s)
Humans , Male , Female , Child , Developmental Disabilities/etiology , Environment , Child Development , Growth , Tobacco Smoke Pollution/adverse effects , Sports , Age Determination by SkeletonABSTRACT
Child growth constitutes a very sensitive indicator for the assessment of their health state. Any deviation from standard parameters could entail the appearance of any congenital or acquired disorder. Identifying with precision children's bone age during their growth period can be very useful in different situations. From a clinical point of view, it is a tool for diagnosis, which can offer the possibility of monitoring treatment effects in the case of standard deviations. This is why we need to study in depth current methods and carry out regular controls that insure their reliability. Currently, the most frequent radiological methods in our country for the determination of children's bone age were designed in the middle of the 20th century on the basis of X-rays performed on children from other countries. Thus, it would be interesting to find out whether social, economic, nutritional and health changes in Spain have influenced child growth and development in a significant way. Hence it would invalidate traditional methods for the determination of bone age. This study came from a main hypothesis: the child's environment significantly influences the concordance of bone age and chronological age. Our aim was to study a possible relationship between nutrition and bone development. Thus, the fastest way of testing this hypothesis was to implement a cross-sectional prevalence study in order to determine the percentage of children showing a chronological age concording with bone age. The study was entirely carried out in the Traumatology Hospital of Granada, which belongs to the University Hospital Virgen de las Nieves. We used the information provided by the Emergency Department about slight traumatisms. The cross-section sample was adapted to our main hypothesis. The overall number of patients was 100, which exceeds the necessary cases to test the reliability of this particular study. On the other hand, in order to determine the concordance of bone age and its different variables, an analitical study was also carried out, which includes: an univariant analysis, a bivariate analysis and a multivariate analysis, with the various tests they usually include. We found out that children showing a delayed bone age eat less bread than those showing an advanced bone age. It would be necessary to determine whether bone age and bone mass have inversely related values before considering it as concordant information. We could only determine that, currently, advanced bone maturation is usually associated with rapid growth. It is possible that children who eat more bread actually show an advanced bone age, a more rapid growth and a reduced bone mass. However, in this study, the outcomes must be considered just as preliminar, due to the size of the cross-section sample. Our research on the influence of nutrition should also include a further longitudinal study.
Subject(s)
Age Determination by Skeleton/methods , Bone Development , Nutritional Status , Social Environment , Adolescent , Bone Diseases, Developmental/diagnosis , Bone Diseases, Developmental/epidemiology , Bread , Breast Feeding , Child , Child, Preschool , Comorbidity , Cross-Sectional Studies , Diet , Female , Growth Disorders/diagnosis , Growth Disorders/epidemiology , Humans , Infant , Infant, Newborn , Male , Malnutrition/complications , Models, Biological , Obesity/epidemiology , Pregnancy , Prenatal Exposure Delayed Effects , Prevalence , ROC Curve , Reference Values , Spain/epidemiology , Tobacco Smoke Pollution/adverse effectsABSTRACT
Se realiza un estudio retrospectivo y longitudinal de 64 pacientes con cifosis juvenil. Se analizan las manifestaciones radiográficas y clínicas en el momento del diagnóstico y su evolución. Se concluye que la cifosis juvenil no está estadísticamente asociada a la presencia de dolor vertebral inicial ni tras el tratamiento ortopédico. Sólo la presencia de dolor inicial presenta asociación estadística con la existencia de dolor final. De igual modo, cada alteración radiográfica inicial muestra asociación estadística consigo misma con respecto a su presencia final. El grado de cifosis y de acuñamiento tras el tratamiento ortopédico guarda una relación directa con sus valores iniciales previos al tratamiento, por lo que es el grado de estas alteraciones las que deben determinar la posibilidad de instaurar tratamiento con corsé. La cifosis, el acuñamiento y la irregularidad vertebral son cambios potencialmente reversibles mientras las hernias de Schmorl y los pinzamientos discales tienden a permanecer. La evolución medida como la magnitud de regresión de las manifestaciones radiográficas y clínicas fue más favorable en aquellos pacientes con peor estado inicial, probablemente debido a que su potencialidad para la recuperación era mayor que en las lesiones leves. Esta evolución no depende de otros factores como la edad inicial de diagnóstico, del tiempo de permanencia del corsé o la diferencia entre la talla inicial y la talla adulta (AU)
Subject(s)
Female , Male , Humans , Kyphosis/therapy , Kyphosis , Orthotic Devices , Retrospective Studies , Longitudinal Studies , Severity of Illness Index , Treatment OutcomeABSTRACT
We report a case of levator claviculae muscle presenting clinically as a hard mass in the clavicular area due to angular deformity of this bone. To our knowledge, this is the first report where the anomalous muscle shows this clinical presentation.
