Mental Health and Quality of Life Among Spanish-born and Immigrant Children in Years 2006 and 2012.

BACKGROUND: One of every five children and adolescents in the European Union suffers from behavioural, and emotional disturbances. OBJECTIVES: To compare factors associated with the quality of life and mental health of immigrant and Spanish children aged 4-14years both during the years 2006 and 2012 and to evaluate changes over this time period. DESIGN AND METHODS: An epidemiologic age and sex matched case-control study (1:2) was conducted. The study group were 677 immigrant children and 1354 matched Spanish children (controls). This study was conducted using data obtained from the Spanish National Health Surveys done in 2006 and 2012. We used the Strengths and Difficulties Questionnaire to obtain the score for variables derived from mental health and the Kidscreen-10 questionnaire to score the Health-Related Quality of Life. RESULTS: Spanish girls scored higher in conduct problems (2.04±0.1) and better in problems with peers (1.21±0.08) regarding immigrant girls (1.82±0.12-1.92±0.13 respectively). Concerning total scores, immigrant children obtained significantly lower scores in quality of life (81.29±0.76) and in problems with peers (2.04±0.09) than their matched Spanish children (84.4±0.45 and 1.26±0.06) in 2006. Immigrant children had lower total scores in prosocial behaviour (8.62±0.11) compared to the matched Spanish children (8.92±0.06) in 2012. The total average scores of immigrant children in terms of quality of life, emotional symptoms, behavioural problems, hyperactivity and problems with peers were significantly better in 2012 (86.58; 1.84; 1.46; 3.77 and 1.48 respectively) than in 2006 (81.29; 2.15; 1.90; 4.58 and2.04). CONCLUSIONS: Immigrant children had a poorer quality of life and mental health than matched Spanish children in 2006.

Unintentional injuries and associated factors among children and adolescents. An analysis of the Spanish National Health Survey.

OBJECTIVES: To describe the prevalence of unintentional injuries in children and adolescents aged 6-18 years and to identify factors associated with a greater risk of suffering accidents. METHODS: A cross-sectional study conducted with data collected from three consecutive Spanish National Health Surveys. Data were analyzed using multivariate logistic models. RESULTS: The reported prevalence of unintentional injuries in children and adolescents decreased from 12.8% in 2003 to 8.7% in 2011. Most of these injuries occurred at the "workplace or place of study" and "on the street". Boys suffered unintentional injuries 1.64 more times than girls (OR = 1.64; 95% CI 1.48-1.82). Children aged 11-14 years (OR = 1.22; 95% CI 1.09-1.37) and adolescents aged 15-18 years (OR = 1.24; 95% CI 1.07-1.42) had a higher probability of reporting an unintentional injury when compared to children aged 6-10 years. Multivariate analysis showed that the adjusted odds of injuries decreased in 2006 (OR = 0.87; 95% CI 0.77-0.97) and in 2011 (OR = 0.66; 95% CI 0.57-0.76). CONCLUSIONS: The odds of overall UI are being gradually reduced over the years. Prevention policies are effective and it is necessary to continue promoting and motivating prevention actions aimed at the family, the school, and the community.

Health factors related to physical activity among children and adolescents: results from Spanish National Health Surveys 2006 and 2011/12.

PURPOSE: To describe the prevalence of physical activity during leisure time among children ages 6-14 in 2006 and 2011/12. DESIGN AND METHODS: A cross-sectional study used individualized data for children 6-14 years of age from the Spanish National Health Surveys in 2006 (n = 5,108 children) and 2011/12 (n = 3,265 children). RESULTS: Leisure time decreased between 2006 and 2011/12(p < .05). Variables associated with increased physical activity were: normal weight (odds ratio [OR] = 1.87; 95% confidence interval [CI]: 1.37-2.57), children perceived to be in good health by their parents (OR = 2.03;95% CI: 1.43-2.87), and less than 2 hr of screen time per day(OR = 2.00; 95% CI: 1.61-2.47). PRACTICE IMPLICATIONS: Primary care-based nurses are essential to improving adherence to physical activity.

Factores que afectan a la recurrencia postoperatoria de la enfermedad de Crohn. Nuevas controversias a través de la experiencia de un centro / No disponible

Introducción Muchos pacientes con enfermedad de Crohn presentan recurrencias frecuentes mientras otros mantienen periodos prolongados de remisión después de la cirugía. Determinar los factores de riesgo de recidiva puede ser útil para identificar pacientes de alto riesgo y poder adoptar estrategias adecuadas durante el acto quirúrgico y en la elección del tratamiento médico postoperatorio. Material y métodos Estudio retrospectivo de 78 pacientes con enfermedad de Crohn ileocólica sometidos a una primera cirugía resectiva durante el periodo de enero de 2000 a diciembre de 2005; posteriormente se han estudiado los factores de riesgo de recurrencia endoscópica, radiológica y quirúrgica hasta mayo de 2009. Resultados 41 pacientes (52,6%) tuvieron recurrencia; siendo en 17 pacientes (21,8%) endoscópica, en 12 (15,4%) radiológica y en 12 (15,4%) quirúrgica. El tiempo medio de la primera recurrencia es de 70,24 meses. El no realizar anastomosis durante la cirugía resectiva parece tener más relación con la existencia de recidiva (77,7% vs 48,2%). Aunque solo la existencia de complicaciones postoperatorias (p=0,018) tiene relación significativa con la existencia de recurrencia (68,4% vs 47,4%) así como la necesidad de transfusión en el periodo postoperatorio inmediato (67,8% vs 42,8%). Conclusiones La transfusión de hemoderivados es un factor de riesgo para la recurrencia postoperatoria de la enfermedad de Crohn. Pero solo las complicaciones postoperatorias se muestran como factor de riesgo independiente en el análisis multivariable. Una técnica quirúrgica adecuada y segura es un factor perioperatorio muy importante en el que podemos influir para disminuir esta recidiva (AU)

Introduction: Many patients with Crohn’s disease have frequent recurrences, while others have long periods of remission after surgery. Determination of the risk factors of recurrence would be useful in identifying these high risk patients and to adopt suitable strategies during the surgical act and in the choice of post-surgical medical treatment. Material and methods: A retrospective study was conducted on 78 patients with ileocolic Crohn’s disease subjected to a first surgical resection, during the period from January 2000 to December 2005. The risk factors for endoscopic, radiological and surgical were subsequently analysed up to May 2009.Results: A total of 41 patients (52.6%) had recurrences, being endoscopic in 17 (21.8%) of patients, radiological in 12 (15.4%) and surgical in 12 (15.4%). The mean time to first recurrence was 70.24 months. Recurrence was associated more to not performing anastomosis(77.7% vs. 48.2%) during surgical resection. Although only the existence of postoperative complications (P = .018) was significantly associated with (68.4% vs. 47.4%), as well as with the need for transfusion in the immediate post-operative period (67.8% vs. 42.8%). Conclusions: Transfusion of blood products is a risk factor for postoperative recurrence of Crohn’s disease. But only postoperative complications are shown as an independent risk factor in the multivariate analysis. An adequate and safe surgical technique is a very important perioperative factor over which we have the influence to decrease these recurrences (AU)

[Liver metastases from colonic adenocarcinoma simulating cholangiocarcinoma]. / Metástasis hepática de cáncer de recto simulando un colangiocarcinoma.

Macroscopic intrabiliary growth of liver metastases from colonic adenocarcinoma mimicking cholangiocarcinoma, a pattern of intrahepatic spread easily confused with primary neoplasia of the biliary tract, is extremely infrequent. Resection of liver metastases has a better prognosis than that of primary neoplasia of the biliary tract. We report a case of metastasis from adenocarcinoma of the colon that presented as a Klatskin tumor. The definitive diagnosis was established by immunostaining.

Metástasis hepática de cáncer de recto simulando un colangiocarcinoma / Liver metastases from colonic adenocarcinoma simulating cholangiocarcinoma

El crecimiento macroscópico intrabiliar de metástasis hepáticas de adenocarcinoma de colon simulando a un colangiocarcinoma, un patrón de diseminación intrahepática fácilmente confundida con una neoplasia primaria del tracto biliar, es extremadamente infrecuente y su resección conlleva un mejor pronóstico que la de éste. Presentamos el caso de metástasis de cáncer de colon que se inició como un tumor de Klatskin, cuyo diagnóstico definitivo se estableció por inmunohistoquímica

Macroscopic intrabiliary growth of liver metastases from colonic adenocarcinoma mimicking cholangiocarcinoma, a pattern of intrahepatic spread easily confused with primary neoplasia of the biliary tract, is extremely infrequent. Resection of liver metastases has a better prognosis than that of primary neoplasia of the biliary tract. We report a case of metastasis from adenocarcinoma of the colon that presented as a Klatskin tumor. The definitive diagnosis was established by immunostaining