[Enuresis: Perception and attitude in population of our country]. / Enuresis: percepción y actitud en la población de nuestro país.

OBJECTIVE: To know the perception and attitude towards enuresis from families and caregivers with the aim of establishing a rational therapeutic plan. MATERIAL AND METHODS: A 25-question survey was performed among parents over 18years old with at least a child between 5 and 13years old, maintaining national representativeness in terms of residence, social class and age of the children. Data collection was performed in April 2021. RESULTS: Data from 501 out of 626 sent surveys was obtained, mostly from middle-class families from Andalusia, Catalonia and the Community of Madrid. From all the participants, 47.9% knew about the existence of enuresis, although only 23.8% knew which was the medical term. Only 16.6% and 9.6% remembered that the pediatrician or the nurse, respectively, had referred to the condition at any time. Among the respondents with some knowledge about enuresis, their main information source were close cases (36.6%), media outlets (31.1%) and the pediatrician (27.8%). Parents would be very (35.3%) or somewhat (43.1%) worried in the event of an enuresis case. However, the level of knowledge was higher, and the level of concern was lower among parents with a child with enuresis in comparison to those without a case in their family. CONCLUSION: Improving parent knowledge about enuresis and changing their perception towards this condition might be of importance to improve their attention and anticipate its resolution.

[IgG subclasses: placental transfer in the full-term neonate and their evolution during the first 3 months of life]. / Subclases de IgG: paso trasplacentario en el recién nacido término y su evolución en los tres primeros meses de vida.

The authors studied the placental transfer of IgG subclasses in 43 newborns (NB) and their mothers. All the observations included low-risk pregnancies and full-term deliveries. The values expressed in arithmetric mean +/- standard deviation (means +/- SD), and referred in mg %, showed the following results: maternal Ig Gtotal 1,183 +/- 237 versus (vs.) NBG 1,179 +/- 187; maternal Ig G1 792 +/- 230 vs. NB 822 +/- 124; maternal Ig G2 138 +/- 77 vs. NB 209 +/- 70; maternal Ig G3 48 +/- 33 vs. NB 95 +/- 30, and maternal Ig G4 10 +/- 8 vs. NB 4.9 +/- 2. The relation between the average levels of maternal and cord serum was 1, 1.5, 1.9 and 0.48 for Ig G1, Ig G2, Ig G3 and Ig G4, respectively. It was also proved a maximum decrease in the levels of the subclasses in the first three months for the Ig G3, a percentage being noticed in the third month, in relation to the NB level, of 18, 29, 1.9 and 19% for Ig G1, Ig G2, Ig G3 and Ig G4, respectively. After primovaccination, a response was produced and it affected the 4 subclasses: Ig G1 845 mg %, Ig G2 229 mg %, Ig G3 38 mg % and Ig G4 7.44 mg %, with an increment in relation to prevaccination values of 5.5, 3.7, 20.7 and 12.4, respectively. The authors concluded by showing reference patterns in the active placental transfer of Ig G subclasses in normal full-term newborns.

[The value of diagnostic endoscopy in the treatment of intestinal polyps in the child]. / Valor de la endoscopia en el diagnóstico y tratamiento de los pólipos del tracto intestinal en el niño.

The polyps of the digestive tract, with the exception of the juvenile ones, are not often found in children. Out of 762 endoscopies paediatric patients carried out, 31 were seen to be affected by digestive polyps, of which 16 were juvenile. The rest belonged to other types, among which 5 adenomas are included. In this paper, clinical aspects are analysed, pointing out also the value of the endoscopy as choice method not only for diagnosis but also for treatment of polyps.