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    Effects of hospitalization on children’s sleep pattern irrespective of sleep problems history
    (2021)
    Farías-Fernández, Maite
    ;
    Iglesias-Leboreiro, José
    ;
    Bernárdez-Zapata, Isabel
    ;
    Gordillo-Rodríguez, Lucina
    Background: Sleep is a neurophysiologic process necessary for brain development. However, sleep patterns change with aging. This study aimed to compare the sleep pattern in pediatric patients with and with no previous sleep problems (PSP) during the first 48 hours of hospitalization and analyze the factors influencing sleep disruption. Methods: We conducted a prospective cohort study. Under informed consent, two groups of patients < 17 years admitted to a hospital for acute illnesses were followed. The history of PSP was determined with the Brief sleep questionnaire. For 48 hours, the sleep pattern was observed in terms of total hours of daily sleep, daytime naps, night awakenings, and time to fall asleep. We recorded actions of attention associated with sleep time. ©Boletín Médico del Hospital Infantil de México
    Scopus© Citations 3  38  1
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    Gastroenteritis aguda por norovirus en pacientes con atención hospitalaria: estudio transversal
    (2019)
    Cervantes-Izaguirre, Ana P.
    ;
    Martina-Luna, Mónica
    ;
    Iglesias-Leboreiro, José
    ;
    Bernárdez-Zapata, Isabel
    ;
    Martínez-Hernández, Araceli
    Background: Because of the availability of molecular techniques in clinical care, acute gastroenteritis (AGE) due to norovirus has returned to importance as a causative agent of hospitalization. The aim of this study was to describe the clinical features and evolution of patients less than 16 years hospitalized for AGE associated with norovirus. Methods: Retrospective study. Clinical information of the patients attended from November 1, 2016 to February 28, 2018 by AGE with detection of norovirus (genotype I and II) in faeces by means of polymerase chain reaction with reverse transcriptase was collected. © Boletín Médico del Hospital Infantil de México
    Scopus© Citations 2  40  2
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    Características de los pacientes pediátricos que ingresan a terapia intensiva por intoxicaciones graves
    (2022)
    Gordillo-Rodríguez, Lucina
    ;
    Escobedo-Berumen, Lucía
    ;
    Garay-Carmona, Diego
    ;
    Blanco-Montero, Andrés
    ;
    Vizcarra-Alvarado, Paloma
    Introduction: there are few studies on pediatric patients with severe intoxications requiring management in intensive care units (ICUs). Objective: to describe the clinical characteristics of patients treated in the ICU for intentional or accidental intoxications. Material and methods: observational, descriptive, and retrospective study of 26 patients, younger than 17 years of age, admitted to the ICU for severe intoxication in a private hospital. ©Revista Mexicana de Pediatría
      12  1
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    Hematological disorders in preterm newborns born to mothers with pregnancy-induced hypertension
    (2022)
    Arce-López, Karina L.
    ;
    Iglesias-Leboreiro, José
    ;
    Bernárdez-Zapata, Isabel
    ;
    Miranda Madrazo, Maria R.
    Background: Pregnancy-induced hypertension (PIH) has been related to impaired fetal growth, possibly by affecting hematopoiesis. This study aimed to analyze the most frequent hematological alterations in preterm infants born to mothers with PIH. Methods: We conducted a cross-sectional study in newborns born to mothers with PIH. We reviewed 130 hemograms of preterm infants: 45 from mothers with PIH, 71 with preeclampsia, and 14 with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). Normality, cytosis conditions, or cytopenia values were adjusted for gestational ages. Differences between groups were analyzed with classical and Bayesian statistics (BF01 = null/alternative hypothesis ratio). ©Boletín Médico del Hospital Infantil de México
    Scopus© Citations 1  10  2
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    Prevalencia de parasitosis en niños que acuden a guarderías en la Ciudad de México
    (2022)
    Medina-García, Daniela
    ;
    Gutiérrez, Sebastián
    ;
    Bernárdez-Zapata, Isabel
    Introduction: intestinal parasitic infections are a public health problem. Objective: to estimate the prevalence of intestinal parasitosis in children from two months to six years of age attending daycare centers in Mexico City. Material and methods: cross-sectional and retrospective study, carried out between November 2019 and February 2020 in a population of 801 children, attending four daycare centers. Coproparasitoscopic studies requested annually were analyzed. © Revista Mexicana de Pediatría
    Scopus© Citations 2  27  2
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    Influencia de la pandemia por COVID-19 en la atención a urgencias en un hospital privado
    (2022)
    Kennedy-Martin, Ana Paula
    ;
    Iglesias-Leboreiro, José
    ;
    Bernárdez-Zapata, Isabel
    Introduction: in order to limit the contagion of COVID-19, home confinement and the application of sanitary measures were necessary, which had an effect in the emergency services. Objective: to analyze the impact of the COVID-19 pandemic in the frequency of patient care in a pediatric emergency department. Material and methods: retrospective study in a private hospital in Mexico, in which two periods were analyzed: pre-pandemic (2019-2020) and during the first year of the COVID-19 pandemic (2020-2021). In these two periods, the frequency of emergency medical consultations provided to children and adolescents was compared. The information is broken down by month and by type of illness: infectious, non-infectious, and due to accidents. © Revista Mexicana de Pediatría
      30  2
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    Mortalidad hospitalaria en una unidad de cuidados intensivos neonatales de un hospital privado
    (2021)
    Hernando-Becerra, Georgina
    ;
    Luna-Sánchez, Irma Gabriela de
    ;
    Acuña-Carrillo, Paulina
    ;
    Bernárdez-Zapata, Isabel
    ;
    Iglesias-Leboreiro, José
    Objective: To describe the frequency and causes of in-hospital death in neonates admitted to a Neonatal Intensive Care Unit (NICU), according to the weeks of gestational age (WGA), over a period of two years. Material and methods: This is a descriptive study, which was performed with the review of clinical records of newborns admitted to the NICU. Days of hospital stay, discharge condition and causes of death were recorded. The analysis was performed with mortality rates per 100 admissions, according to the WGA. © Revista Mexicana de Pediatría
      34  1
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    Hipotermia terapéutica en recién nacidos con encefalopatía hipóxico-isquémica
    (2020)
    Martínez-Hernández, Araceli
    ;
    Barrón-San Pedro, Rodrigo
    ;
    Garza-Morales, Saúl Jesús
    ;
    De la Cruz-Real, Abril Ariadna
    ;
    Hidalgo-Vázquez, Mónica Magdalena
    Hypoxic-ischemic encephalopathy (HIE) is a syndrome of neurological dysfunction secondary to lack of oxygenation of the brain around birth. Therapeutic hyÂpothermia has reduced neonatal mortality and neurological disability. Objectives: To describe the clinical course of neonates with HIE treated with therapeutic hypothermia for 72 hours. Material and methods: In a five-year period, twelve neonates > 34 weeks gestational age, with moderate and severe HIE were treated with therapeutic hypothermia; eight with total body hypothermia and four with selective cranial cooling. Variables recorded were: In-hospital mortality, as well as neurological conditions at hospital discharge, both clinical and those obtained from magnetic resonance imaging (MRI) and neurophysiological studies. Results: The twelve neonates started therapeutic hypothermia before six hours of life, maintaining it for 72 hours. Two patients died after hypothermia. Eight patients were discharged without evidence of neurological impairment. MRI was normal in five patients; three had cerebral edema and two patients had cerebral infarcts. Auditory, visual and somatosensory potentials were normal in five patients; while the rest had alterations in the auditory pathway. Conclusions: Therapeutic hypothermia by total body hypothermia or head cooling in infants with moderate and severe EHI appear to be effective in limiting neurological damage. © 2020 Sociedad Mexicana de Pediatria. All rights reserved.
    Scopus© Citations 4  39  1