Adenopatía supraclavicular secundaria a vacuna del papilomavirus / Supraclavicular lymph node secondary to papillomavirus vaccine

Las adenopatías cervicales son hallazgos frecuentes en la clínica pediátrica y se asocian de forma prioritaria a procesos infecciosos benignos y controlables. La presentación supraclavicular, o cervical baja, obliga a establecer un diagnóstico diferencial en el que se incluyen los procesos malignos. La asociación con la vacuna del papiloma es menos conocida, pero debe ser tenida en cuenta. Ante una adenopatía supraclavicular en un preadolescente, se hace necesario conocer el antecedente de vacunación frente al virus del papiloma humano (VPH) en los días previos a su aparición, si bien en el diagnóstico diferencial hay que descartar siempre una causa neoplásica (AU)

Cervical lymphadenopathies are frequent findings in pediatric clinics and are primarily associated with benign and controllable infectious processes. The supraclavicular, or lower cervical, presentation requires establishing a differential diagnosis that includes malignant processes. The association with the papilloma vaccine is less known, but must be taken into account. Before a supraclavicular adenopathy in a preadolescent, it is necessary to know the history of vaccination against human papillomavirus (HPV) in the days prior to its appearance, although in the differential diagnosis a neoplastic cause must always be ruled out (AU)

[Workplace accidents in health-related personnel in the province of León]. / Accidentes de trabajo en personal relacionado con la sanidad en la provincia de León.

BACKGROUND: To get an initial knowledge about the morbidity by workplace accidents in health related personal (hospital and primary attention) in Leon province. METHODS: Retrospective study relative to workplace accidents with time off work result, in health related personal, in Leon province, for 1990. RESULTS: We have observed a rate of workplace accidents in health related personal (31, 4/1000) smaller than general workers in Leon province (63, 3/1000), Castilla y Leon community (44, 7/1000) and Spain (59, 8/1000). The rate in female population (37, 4/1000) was higher than the rate in men (21,7/1000). By jobs, the attendant an maintenance personal, had more accidents (rate of 118/1000). The most frequent mechanism was "fall" (38.2%). The most frequent lesion was "swerve" (38.2%). About the part of the body, the most injured were superior members (30.9%) and inferior members (30%), 93.7% of workplace accidents were qualified as slight accidents. CONCLUSIONS: The health related personal have a lower rate of accidents than general workers. The risk of workplace accident is directly related with job and place of work. The slight pathological result is most frequent.

[Epidemiological study of nocturnal enuresis: analysis of associated factors]. / Estudio epidemiológico sobre enuresis nocturna en escolares: análisis de factores asociados.

OBJECTIVE: The purpose of this study was to analyze the different pathogenic factors in a large population of children. PATIENTS AND METHODS: A transverse epidemiological study was performed. Schoolchildren in the province of Leon between 6 and 10 years of age were studied during the 1991-1992 academic year. A randomly chosen sample of 2,165 children was used. The study was carried out by means of an anonymous survey given to the children's parents by the school. RESULTS: In addition to family antecedents of enuresis, the main associated factors were the mother's cultural status, with enuresis more frequent if the status was low, and the child's birth order. CONCLUSIONS: This study shows that certain family conditions favor the development of nocturnal enuresis.

[An epidemiological analysis of the sequence of bladder control and nocturnal enuresis prevalence in the children of the province of León]. / Análisis epidemiológico de la secuencia de control vesical y prevalencia de enuresis nocturna en niños de la provincia de León.

The objective of this study was to better understand the development of nocturnal bladder control in our population of children and to analyze the different factors that influence this process. A transversal epidemiological study in a randomly chosen sample of schoolchildren, between the ages of 6 and 10 years, in the province of Leon was performed. The study was carried out by means of an anonymous survey given to the children's parents through the school center. The survey was comprised of personal, environmental and sphincter control development questions. We define nocturnal enuresis as at least one wet night per month in children older than 6 years of age. Of the surveys distributed, 65.1% were answered. The prevalence of primary, secondary and total nocturnal enuresis was 10.18%, 2.91% and 13.09%, respectively, for children 6 years of age and 6.59%, 0.9% and 7.49%, respectively in 10 year old children. Among the children without nocturnal enuresis, in the event of family antecedents of nocturnal enuresis, in absence of toilet training, or when sphincter education was started later than 15 months of age, slower maturation of sphincter control was observed. We conclude, that the nocturnal enuresis prevalence is similar to that reported in other related countries and that bladder control maturation among children without bed-wetting tendencies is related to the educational attitude of the parents and family antecedents of nocturnal enuresis.