Molecular diagnosis of bacteremia in a pediatric intensive care unit: a step forward.

Aim: T2Bacteria® Panel detects six ESKAPE pathogens in around 3.5 h directly in whole blood. Our aim was to compare T2Bacteria with simultaneous blood culture in critically ill children with suspected bloodstream infection. Materials & methods: Retrospective study of critically ill children admitted to our tertiary-care center (2018-2020). Results: A total of 60 patients were recruited, including 63 episodes and 75 T2Bacteria/blood cultures were performed. Overall agreement between T2Bacteria and blood culture was 78.7% with a discordance of 21.3% (16/75 samples). Conclusion: T2Bacteria Panel may be useful in critically ill children providing an accurate and fast diagnosis of bacteremia directly from blood sample and detecting pathogens not recovered in blood cultures.

Candidemia Diagnosis With T2 Nuclear Magnetic Resonance in a PICU: A New Approach.

OBJECTIVES: Early diagnosis of invasive Candida infections is a challenge for pediatricians, intensivists, and microbiologists. To fill this gap, a new nanodiagnostic method has been developed using manual application of T2 nuclear magnetic resonance to detect Candida species. The aim of this study was to evaluate, prospectively, the usefulness as a tool diagnosis of the T2Candida panel in pediatric patients admitted at the PICU compared with blood culture. DESIGN: This is a prospective, observational, and unicentric study to compare T2Candida results with simultaneous blood cultures for candidemia diagnose. SETTING: This study was carried out in a 1,300-bed tertiary care hospital with a 16-bed medical-surgical PICU. PATIENTS: Sixty-three patients from 0 to 17 years old were enrolled in this study, including those undergoing solid organ transplantation (kidney, liver, pulmonary, multivisceral, intestinal, and heart) and hematopoietic stem cell transplantation. MEASUREMENTS AND MAIN RESULTS: Seven patients were positive by the T2Candida test. Only two of them had the simultaneous positive blood culture. T2Candida yielded more positive results than blood cultures. CONCLUSIONS: T2Candida might be useful for the diagnosis of candidemia in PICUs. The prevalence of candidemia might be underestimated in this pediatric population. The use of this diagnostic tool in these units may help clinicians to start adequate and timely antifungal treatments.

Dietary patterns in Mexico and obesity in children

his cross-sectional study aims to investigate food habits, socio-economic status and blood lipids profile in schoolchildren (10-11 years of age) living in a low-income area of Mexico (the city of Montemorelos), characterizing lipid concentrations among children obese and evaluating the impact of socio-economic factors and dietary habits on blood lipids profile of these children. Complete data were available for 156 children (78 boys and 78 girls), food habits and socio economic status were assessed using a questionnaire developed from the one previously used from the enKid study conducted on Spanish children. Food reported in the questionnaire was classified in four food groups (animal source food/legumes, grains/tubers, fruits/vegetables, fats/sweets), beverages were classified separately. Blood samples were analyzed to determine concentrations of: total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, glucose. Children were found to eat fats and sweets more frequently than other food groups. The 59 children, found to be obese and overweight, presented significant higher blood lipid levels (except to glucose levels) than normal weight kids. Using random forests, we found out that food and beverage consumption plays a key role in influencing blood lipids profile in children overweight and obese. Given these observations, it's crucial to develop health care policies promoting healthy eating habits among schoolchildren taking into account the specific characteristics of this geographical area in Mexico(AU)

Este estudio transversal tiene como objetivo investigar los hábitos alimentarios, el nivel socioeconómico y el perfil de lípidos sanguíneos en niños en edad escolar que viven en una zona de bajos recursos en México, caracterizando las concentraciones de lípidos en niños obesos/sobrepeso y evaluar el impacto de los factores socioeconómicos y hábitos dietéticos en el perfil de lípidos de estos niños. Mediante un cuestionario utilizado previamente en el estudio enKid realizado con niños españoles lo realizaron en forma completa 156 niños (78 niños y 78 niñas), se evaluó los hábitos alimentarios y el estado socioeconómico. Los alimentos reportados en el cuestionario se clasifica en cuatro grupos de alimentos (alimentos fuente animal / legumbres, granos / tubérculos, frutas / verduras, grasas / dulces), las bebidas fueron clasificadas por separado. Se analizaron muestras de sangre para determinar las concentraciones de: colesterol total, LDL-colesterol, HDL-colesterol, triglicéridos, glucosa. Los 59 niños, obesos/sobrepeso, presentaron niveles de lípidos en sangre significativamente más altos que los niños de peso normal. Usando Selvas Aleatorias nos enteramos de que los alimentos y el consumo de bebidas juegan un rol clave para influir en el perfil de lípidos en la sangre en niños obesos/sobrepeso. Teniendo en cuenta estas observaciones, es crucial desarrollar políticas de salud que promueven hábitos alimenticios saludables entre los escolares, teniendo en cuenta las características específicas de esta área geográfica en México(AU)

Impacto de la Guía Diagnóstica Móvil. Sobre el aprendizaje del lenguaje enfermero normalizado / Impact of the mobile diagnostic guide over the learning of the normalized nursing language

Objetivos. Este trabajo está guiado por dos objetivos: 1) presentar una Guía Diagnóstica Móvil de acceso público y basada en las interrelaciones en taxonomías de lenguaje enfermero normalizado. Esta herramienta se ha liberado para proporcionar apoyo a profeionales de enfermería en el aprendizaje del mismo y en la elaboración de planes de cuidado; 2) evaluar la usabilidad de la aplicación y el impacto de su uso en las variables de motivación intrínseca y aprendizaje. Metodología. Estudio analítico pre y postest en el que se ha utilizado una muestra de 30 enfermeros del ámbito de los cuidados intensivos, siendo la duración del experimento de 7 días por usuario. Resultados. El experimento concluye resultados positivos en la usabilidad de la aplicación y en la motivación intrínseca de los participantes. En cuanto a los conocimientos adquiridos sobre el lenguaje enfermero, se evidenció un incremento en sus conocimientos del pretest al postest. Conclusiones. El uso de tecnología ubicua en un entorno profesional contribuye positivamente a la adquisición de conocimientos y a la motivación en el aprendizaje posgradual del lenguaje normalizado. Los resultados de este experimento sugieren la necesidad en profesionales de enfermería de tener acceso ubicuo a información relevante. El potencial de estas herramientas para la calidad de la práctica asistencial es mucho mayor cuando se realiza desde dispositivos móviles personales (AU)

Objectives. This research has been guided by two main objectives: ) presenting an open mobile diagnosing tool designed based on the interrelationships existing within the normalized nursing language to provide learning support to nursing professionals in the elaboration of attention plans; 2) presenting the results from an experiment evaluating the impact of mobile learning support in the variables of intrinsic motivation and knowledge. Method. A pre- and postevaluation experiment was performed on 30 nursing professionals for 7 days. Results. As an outcome of using the mobile diagnosing tool in a professional context, the reports conclude positive means in the usability and the intrinsic motivation from the participants. Moreover, the knowledge of the normalized nursing language increased from the pre to the post evaluation. Conclusions. The results from this experiment rekindle the need of learning support from nursing professionals in situ and in time. Mobile devices have the potential to provide ubiquitous access to content in context. These request are even more powerful when they are accomplished from personal devices (AU)

Evaluation of the effectiveness of minimum intervention measures on young offenders.

The goal of this study was to analyze the recidivism rate in minor offenders to whom a minimum intervention measure was applied after their first felony or misdemeanor, and to determine the variables associated with recidivism. The sample was made up of 154 minors from the province of Santa Cruz of Tenerife (Canary Islands, Spain). The information was collected from the database of the Minors' Court. The recidivism rate depends on the measure imposed, ranging between 14 and 40.6%. The degree of agreement between the Technical Team's proposal and the court decision was 70%. With regard to the variables associated with recidivism, a model was obtained through logistic regression that correctly classified 83.7% of the cases, and was made up of the variables perception of parenting problems, intervention of social services, and social isolation.

Evaluation of the effectiveness of minimum intervention measures on young offenders

The goal of this study was to analyze the recidivism rate in minor offenders to whom a minimum intervention measure was applied after their first felony or misdemeanor, and to determine the variables associated with recidivism. The sample was made up of 154 minors from the province of Santa Cruz of Tenerife (Canary Islands, Spain). The information was collected from the database of the Minors’ Court. The recidivism rate depends on the measure imposed, ranging between 14 and 40.6%. The degree of agreement between the Technical Team’s proposal and the court decision was 70%. With regard to the variables associated with recidivism, a model was obtained through logistic regression that correctly classified 83.7% of the cases, and was made up of the variables perception of parenting problems, intervention of social services, and social isolation (AU)

El objetivo de este estudio era analizar la tasa de reincidencia en menores infractores a los que se les aplicaba una medida de intervención mínima en su primer delito o falta, y conocer las variables asociadas a la reincidencia. La muestra estuvo compuesta por 154 menores de la provincia de Santa Cruz de Tenerife. La información se extrajo de la base de datos del Juzgado de Menores. La tasa de reincidencia depende de la medida impuesta, variando entre un 14 y un 40.6%. El grado de acuerdo entre la propuesta del Equipo Técnico y la resolución judicial fue del 70%. En cuanto a las variables asociadas a la reincidencia, mediante regresión logística se obtuvo un modelo que clasifica correctamente al 83,7% de los casos, y que está formado por las variables percepción de problemas en la crianza por parte de los padres, intervención de los servicios sociales y aislamiento social (AU)