RESUMO
Introducción: En poblaciones infantiles, el tiempo de consumo de pantallas recreativas se ha estudiado ampliamente, pero se dispone de menos información en niños con trastornos del neurodesarrollo. Nuestro principal objetivo era estudiar las características de uso de las pantallas recreativas (televisión y videojuegos) en niños con trastornos del neurodesarrollo. Sujetos y métodos: Realizamos un estudio de casos y controles, comparando niños con y sin trastornos del neurodesarrollo menores de 6 años. A través de un cuestionario rellenado por los progenitores, se analizó el tiempo de exposición diaria a pantallas recreativas, las características sociodemográficas y ambientales, los hábitos socioculturales y las actitudes relacionadas con las pantallas recreativas. Resultados: Se analizó a 61 individuos con trastorno del neurodesarrollo y a 153 controles. Los casos pasaron más tiempo mirando la televisión (124,4 ± 83,4 frente a 71,5 ± 47,4 minutos/día; p < 0,001), mientras que el tiempo de videojuegos fue similar en ambos grupos (37,6 ± 39, 6 frente a 31,7 ± 32,6 minutos/día; p = 0,138). Los niños con trastorno del neurodesarrollo empezaron a una edad más temprana a ver televisión. No hubo diferencias relevantes entre los dos grupos en características sociodemográficas, socioculturales, ambientales y de actitud relacionadas con las pantallas recreativas. Conclusiones: Los niños con trastorno del neurodesarrollo empiezan a ver la televisión a una edad más temprana y consumen más tiempo que sus coetáneos sanos. Nuestros hallazgos indican que los niños con trastornos del neurodesarrollo son más vulnerables al abuso de la televisión, por lo que consideramos relevante ofrecer una guía anticipada a sus progenitores.(AU)
Introduction: Digital screen time has been largely studied in children populations, but few have focused on children with neurodevelopmental disorders. Our main objective was to study the characteristics of use of recreational screens (television (TV) and video games), in children with neurodevelopmental disorders. Subjects and methods: We conducted a case-control study in which children with neurodevelopmental disorders under the age of 6 were compared with controls of the same age range. We analysed TV and video game exposure through a designed questionnaire for parents that included daily time exposure, sociodemographic characteristics, home media environment, sociocultural habits, attitudes and beliefs about TV. Results: Sixty-one individuals with developmental and 153 controls were enrolled. Children with developmental problems spend more time watching TV than controls (124,4 ± 83,4 vs 71,5 ± 47,4 min / day p <0,001), while video game time was similar in both groups (37,6 ± 39, 6 vs 31,7 ± 32,6 min / day p = 0,138). Children with neurodevelopmental disorders began earlier to watch TV than controls. There were no relevant differences between groups in demographics, Sociocultural, environmental and attitudinal and belief variables. Conclusions: Children with neurodevelopmental disorders start watching TV at an earlier age and consume more screen time than healthy children. Our findings indicate that Children with neurodevelopmental disorders are more vulnerable to screen abuse, and stress the importance to offer anticipatory guidance to their parents.(AU)
Assuntos
Humanos , Masculino , Feminino , Criança , Transtornos do Neurodesenvolvimento , Tempo de Tela , Televisão , Jogos de Vídeo , Desenvolvimento Infantil , NeurologiaRESUMO
INTRODUCTION: Digital screen time has been largely studied in children populations, but few have focused on children with neurodevelopmental disorders. Our main objective was to study the characteristics of use of recreational screens (television (TV) and video games), in children with neurodevelopmental disorders. SUBJECTS AND METHODS: We conducted a case-control study in which children with neurodevelopmental disorders under the age of 6 were compared with controls of the same age range. We analysed TV and video game exposure through a designed questionnaire for parents that included daily time exposure, sociodemographic characteristics, home media environment, sociocultural habits, attitudes and beliefs about TV. RESULTS: Sixty-one individuals with developmental and 153 controls were enrolled. Children with developmental problems spend more time watching TV than controls (124,4 ± 83,4 vs 71,5 ± 47,4 min / day p <0,001), while video game time was similar in both groups (37,6 ± 39, 6 vs 31,7 ± 32,6 min / day p = 0,138). Children with neurodevelopmental disorders began earlier to watch TV than controls. There were no relevant differences between groups in demographics, Sociocultural, environmental and attitudinal and belief variables. CONCLUSIONS: Children with neurodevelopmental disorders start watching TV at an earlier age and consume more screen time than healthy children. Our findings indicate that Children with neurodevelopmental disorders are more vulnerable to screen abuse, and stress the importance to offer anticipatory guidance to their parents.
TITLE: Estudio comparativo del tiempo de pantallas recreativas en los trastornos del neurodesarrollo.Introducción. En poblaciones infantiles, el tiempo de consumo de pantallas recreativas se ha estudiado ampliamente, pero se dispone de menos información en niños con trastornos del neurodesarrollo. Nuestro principal objetivo era estudiar las características de uso de las pantallas recreativas (televisión y videojuegos) en niños con trastornos del neurodesarrollo. Sujetos y métodos. Realizamos un estudio de casos y controles, comparando niños con y sin trastornos del neurodesarrollo menores de 6 años. A través de un cuestionario rellenado por los progenitores, se analizó el tiempo de exposición diaria a pantallas recreativas, las características sociodemográficas y ambientales, los hábitos socioculturales y las actitudes relacionadas con las pantallas recreativas. Resultados. Se analizó a 61 individuos con trastorno del neurodesarrollo y a 153 controles. Los casos pasaron más tiempo mirando la televisión (124,4 ± 83,4 frente a 71,5 ± 47,4 minutos/día; p menor de 0,001), mientras que el tiempo de videojuegos fue similar en ambos grupos (37,6 ± 39, 6 frente a 31,7 ± 32,6 minutos/día; p = 0,138). Los niños con trastorno del neurodesarrollo empezaron a una edad más temprana a ver televisión. No hubo diferencias relevantes entre los dos grupos en características sociodemográficas, socioculturales, ambientales y de actitud relacionadas con las pantallas recreativas. Conclusiones. Los niños con trastorno del neurodesarrollo empiezan a ver la televisión a una edad más temprana y consumen más tiempo que sus coetáneos sanos. Nuestros hallazgos indican que los niños con trastornos del neurodesarrollo son más vulnerables al abuso de la televisión, por lo que consideramos relevante ofrecer una guía anticipada a sus progenitores.
Assuntos
Transtornos do Neurodesenvolvimento , Jogos de Vídeo , Estudos de Casos e Controles , Criança , Humanos , Tempo de Tela , TelevisãoRESUMO
El síndrome de apneas-hipopneas del sueño (SAHS) es un trastorno que se caracteriza porepisodios recurrentes de limitación del flujo aéreo en la vía aérea superior que condicionandesaturaciones de oxígeno, microdespertares y desestructuración del sueño, conrepercusiones en la calidad de vida y en el riesgo cardiovascular. Esta enfermedad estácobrando especial interés por ser causa demostrada de hipertensión arterial independientementede la concurrencia de otros factores de riesgo. El SAHS produce, además,alteraciones en el patrón circadiano de la presión arterial, y los pacientes tienen tendenciaa un patrón non-dipper, más desfavorable. En la presente revisión, se abordan losmecanismos fisiopatológicos implicados en la relación SAHS-hipertensión arterial sistémica.También se abordan otros procesos paralelos por los cuales el SAHS produce lesiónvascular, como el aumento del estrés oxidativo, sus repercusiones desfavorables en elperfil lipídico y la adhesión plaquetaria. Todo ello contribuye a la aparición de lesionesateromatosas en los pacientes con SAHS y sus repercusiones en eventos. Asimismo, seabordan las evidencias que aportan los estudios clínicos que han relacionado el SAHScon un mayor riesgo de hipertrofia venticular izquierda, insuficiencia cardíaca sistólica ydiastólica, cardiopatía isquémica, arritmias y enfermedad cerebrovascular, así como unaumento de la morbimortalidad cardiovascular.El tratamiento recomendado es la aplicación de presión positiva continua en la vía aérea(CPAP). La CPAP se ha demostrado eficaz en reducir la presión arterial de los pacienteshipertensos con SAHS, un efecto que, aunque aparentemente moderado, es tanto másevidente cuanto más severo es el síndrome o mayor es el grado de hipertensión arterial.Paralelamente, estudios observacionales demuestran que la CPAP disminuye la morbimortalidadcardiovascular asociada al síndrome(AU)
Obstructive sleep apnea/hypopnea (OSAH) syndrome is a condition characterized byrecurrent episodes of restricted airflow through the upper airway that causes oxygendesaturation, microarousals and destructed sleep with negative repercussions for qualityof life and cardiovascular risk. This condition has been attracting special interest as it hasbeen shown to be a cause of arterial hypertension as well as its concurrence with otherrisk factors. OSAH also produces other modifications in the circadian rhythm of arterialpressure, resulting in a tendency for patients to exhibit a less favorable nondipperpattern. In the present review, we examine the pathophysiological mechanisms involvedin the relationship between OSAH and systemic arterial hypertension. We also considerother parallel processes through which OSAH may produce vascular lesions, including anincrease in oxidative stress, and its negative impact on both the lipid profile and plaqueadhesion. All of this contributes to the appearance of atheromatosis lesions in patientswith OSAH and their repercussions in terms of related events. Furthermore, the articleexamines evidence provided by clinical trials that associates OSAH with a higher risk ofleft ventricular hypertrophy, systolic and diastolic cardiac failure, ischemic heart disease,cardiac arrhythmias, cerebrovascular disease, and a greater incidence of cardiovascularmorbidity-mortality.The usual treatment recommended for this syndrome is continuous positive airwaypressure (CPAP). CPAP has been shown to be effective in reducing arterial pressure inhypertensive patients with OSAH. Although this effect is apparently moderate, its resultsare clearly as the cases become more severe or when the level of arterial hypertensionis greater. CPAP has also been shown in observational studies to be effective in reducingcardiovascular morbidity-mortality associated with the syndrome(AU)
Assuntos
Humanos , Hipertensão/complicações , Síndromes da Apneia do Sono/complicações , Doenças Cardiovasculares/epidemiologia , Fatores de Risco , Pressão Positiva Contínua nas Vias Aéreas , Qualidade de VidaAssuntos
Pneumonia Bacteriana/etiologia , Tifo Endêmico Transmitido por Pulgas/complicações , Adulto , Antibacterianos/uso terapêutico , Biópsia , Líquido da Lavagem Broncoalveolar , Doxiciclina/uso terapêutico , Humanos , Masculino , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/diagnóstico por imagem , Pneumonia Bacteriana/tratamento farmacológico , Pneumonia Bacteriana/cirurgia , Toracotomia , Tomografia Computadorizada por Raios X , Tifo Endêmico Transmitido por Pulgas/tratamento farmacológicoRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Derrame Pleural/induzido quimicamente , Derrame Pleural/complicações , Derrame Pleural/diagnóstico , Diclofenaco/efeitos adversos , Radiografia Torácica , Derrame Pleural/patologia , Derrame Pleural/terapia , Prolapso da Valva Mitral/complicações , Hipertensão/complicaçõesRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Tifo Endêmico Transmitido por Pulgas/complicações , Tifo Endêmico Transmitido por Pulgas/diagnóstico , Rickettsia typhi/isolamento & purificação , Rickettsia typhi/patogenicidade , Pneumonia/complicações , Pneumonia/diagnóstico , Broncoscopia/métodos , Broncoscopia/tendências , Tomografia Computadorizada de Emissão/métodos , Pneumonia/etiologia , Pneumonia/patologia , Dor no Peito/etiologia , Escarro/citologia , Hepatomegalia/complicações , Micobactérias não Tuberculosas/patogenicidadeRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Angioedema/induzido quimicamente , Captopril/efeitos adversos , Angioedema/diagnóstico , Hipertensão/tratamento farmacológico , Hipertensão/complicaçõesRESUMO
El síndrome de sinovitis simétrica seronegativa remitente del anciano con edema y fóvea (remitting seronegative symmetrical synovitis with pitting edema) (RS3PE), se caracteriza por la aparición de una poliartritis simétrica bilateral seronegativa asociada a edema con fóvea en el dorso de las manos, y factor reumatoide negativo. Su asociación a tuberculosis no se había descrito previamente. Se presenta el caso de un paciente de 89 años que consultó por anorexia de mes y medio de evolución acompañada de edema en manos y pies, con factor reumatoide negativo. Presentaba un infiltrado pulmonar, cuyo estudio microbiológico reveló la infección por Mycobacterium tuberculosis
The remitting seronegative symmetrical synovitis with pitting edema of the elderly patient with edema and fovea (RS3PE), characterizes for the appearance of one polyarthritis symmetrical with fovea in the back of the hands, and negative reumatoideal factor. The association to tuberculosis had not been described before. One presents the case of a 89-yearold patient who consulted for anorexia of month and a half of evolution accompanied of edema in hands and feet, with negative reumatoideal factor. He was presenting a pulmonary infiltrated, which microbiological study revealed the infection for Mycobacterium tuberculosis
Assuntos
Masculino , Idoso , Humanos , Sinovite/complicações , Tuberculose/complicações , Sinovite/diagnóstico , Tuberculose/diagnóstico , Fóvea Central , Artrite/etiologia , Mãos/patologia , Edema/tratamento farmacológico , Edema/etiologia , Sinovite/tratamento farmacológico , Corticosteroides/uso terapêuticoAssuntos
Adenocarcinoma/secundário , Neoplasias Cutâneas/secundário , Neoplasias Gástricas/diagnóstico , Adenocarcinoma/diagnóstico , Idoso , Anorexia/etiologia , Ascite/etiologia , Evolução Fatal , Hemorragia Gastrointestinal/etiologia , Humanos , Masculino , Reto , Neoplasias Gástricas/patologia , Redução de PesoRESUMO
No disponible
Assuntos
Masculino , Idoso , Humanos , Neoplasias Gástricas/patologia , Neoplasias Cutâneas/secundário , Adenocarcinoma/patologiaRESUMO
No disponible
Assuntos
Humanos , Síndrome Metabólica/fisiopatologia , Lipoproteínas/metabolismo , Hiperlipidemias/fisiopatologia , Apolipoproteínas B , Resistência à Insulina , Triglicerídeos , LDL-Colesterol , VLDL-ColesterolRESUMO
The remitting seronegative symmetrical synovitis with pitting edema of the elderly patient with edema and fovea (RS3PE), characterizes for the appearance of one polyarthritis symmetrical with fovea in the back of the hands, and negative reumatoideal factor. The association to tuberculosis had not been described before. One presents the case of a 89-year-old patient who consulted for anorexia of month and a half of evolution accompanied of edema in hands and feet, with negative reumatoideal factor. He was presenting a pulmonary infiltrated, which microbiological study revealed the infection for Mycobacterium tuberculosis.
Assuntos
Edema/etiologia , Sinovite/etiologia , Tuberculose Pulmonar/complicações , Idoso de 80 Anos ou mais , Humanos , MasculinoRESUMO
We present a very unusual clinical case of giant cell arteritis with uterus involvement, in a women of 66 years old, that began clinical features of pain and functional limitation of shoulders and hip 3 mouth before been operated of uterus prolapse with hysterectomy. Biopsy of uterus found affected arterial vesels with wall sclerosis and granulomatous inflamation with giant cells, without necrosis, involving media and perivascular portions suggesting giant cell arteritis. In a previous reports review, we only found ten similar clinical cases. In that cases, clinical features were no suggestif of the disease. Although the well known tendency of arteritis to involve some specific vascular areas, the case we present is an example of the systemic course of the disease and his difficulty to diagnose.
Assuntos
Arterite de Células Gigantes/complicações , Doenças Uterinas/etiologia , Idoso , Biópsia , Sedimentação Sanguínea , Feminino , Arterite de Células Gigantes/tratamento farmacológico , Arterite de Células Gigantes/patologia , Glucocorticoides/uso terapêutico , Humanos , Histerectomia , Prednisona/uso terapêutico , Resultado do Tratamento , Doenças Uterinas/patologia , Doenças Uterinas/cirurgia , Útero/irrigação sanguínea , Útero/patologia , Útero/cirurgiaRESUMO
Pericarditis is an unusual manifestation of gigantic cell arteritis. The following essay describes the case of a female patient who had been diagnosed, three years earlier, with several types of rheumatic myalgia, and because of this, she had had periodical tests in which no complications at all had been observed. At the age of 69, this female patient consulted the doctor for mild fever, dry cough, anorexia and diffuse abdominal pain. The echocardiography showed pericardium discharge and complementary explorations ruled out infectious or neoplasia processes. A corticoid treatment was started and the symptomatology improved in a few days, the pericardium discharge being solved in 3 months.
Assuntos
Arterite de Células Gigantes/complicações , Pericardite/etiologia , Idoso , Feminino , Arterite de Células Gigantes/tratamento farmacológico , Humanos , Pericardite/tratamento farmacológicoRESUMO
La pericarditis es una manifestación inusual de la arteritis de células gigantes. En este trabajo se describe el caso de una paciente diagnosticada 3 años antes de polimialgia reumática por la que había seguido controles periódicos en los que no que no se había observado ninguna complicación. A la edad de 69 años consultó por febrícula, tos seca, anorexia y dolor abdominal difuso y la ecocardiografía mostró un derrame pericárdico. Las exploraciones complementarias descartaron procesos infecciosos o neoplásicos. Se inició tratamiento corticoideo mejorando la sintomatología en pocos días, resolviéndose el derrame pericárdico en 3 meses
Pericarditis is an unusual manifestation of gigantic cell arteritis. The following essay describes the case of a female patient who had been diagnosed, three years earlier, with several types of rheumatic myalgia, and because of this, she had had periodical tests in which no complications at all had been observed. At the age of 69, this female patient consulted the doctor for mild fever, dry cough, anorexia and diffuse abdominal pain. The echocardiography showed pericardium discharge and complementary explorations ruled out infectious or neoplasia processes. A corticoid treatment was started and the symptomatology improved in a few days, the pericardium discharge being solved in 3 months
Assuntos
Feminino , Idoso , Humanos , Pericardite/fisiopatologia , Arterite de Células Gigantes/fisiopatologia , Polimialgia Reumática/fisiopatologia , Fator Reumatoide/análise , Corticosteroides/uso terapêuticoRESUMO
Presentamos un caso muy poco frecuente de arteritis de células gigantes con afectación uterina, en una mujer de 66 años de edad, que inició clínica de dolor y limitación funcional en cintura escapular y pelviana 3 meses antes de ser operada de histerectomía por prolapso uterino. En la biopsia de cuerpo uterino se detecta vasos arteriales con esclerosis de pared e inflamación granulomatosa con células gigantes, sin necrosis, afectando capas media y perivascular, compatible con arteritis de células gigantes. En la revisión de la literatura tan solo hemos encontrado la publicación de una decena de casos similares. En ellos la clínica tampoco hacía sospechar la presencia de la enfermedad. A pesar del tropismo bien conocido de la arteritis de células gigantes por ciertos territorios vasculares, el caso que presentamos muestra el carácter sistémico de la enfermedad y la dificultad diagnóstica
We present a very unusual clinical case of giant cell arteritis with uterus involvement, in a women of 66 years old, that began clinical features of pain and functional limitation of shoulders and hip 3 mouth before been operated of uterus prolapse with hysterectomy. Biopsy of uterus found affected arterial vesels with wall sclerosis and granulomatous inflamation with giant cells, without necrosis, involving media and perivascular portions suggesting giant cell arteritis. In a previous reports review, we only found ten similar clinical cases. In that cases, clinical features were no suggestif of the disease. Althougt the well known tendency of arteritis to involve some specific vascular areas, the case we present is an example of the systemic course of the disease and his dificulty to diagnose
Assuntos
Feminino , Idoso , Humanos , Arterite de Células Gigantes/complicações , Doenças Uterinas/etiologia , Biópsia , Sedimentação Sanguínea , Glucocorticoides/uso terapêutico , Histerectomia , Arterite de Células Gigantes/tratamento farmacológico , Arterite de Células Gigantes/patologia , Resultado do Tratamento , Doenças Uterinas/patologia , Doenças Uterinas/cirurgia , Útero/irrigação sanguínea , Útero/patologia , Útero/cirurgiaAssuntos
Vesícula/etiologia , Teste Tuberculínico/efeitos adversos , Adulto , Vesícula/patologia , Feminino , HumanosRESUMO
No disponible