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El asentimiento informado en pediatría: Competencias de niñas, niños y adolescentes. Revisión exploratoria
(Instituto Nacional de Pediatría, 2026)
Mora-Magaña, Ignacio
;
Casas-Martínez, María-de-la-Luz
;
Jiménez-Gutiérrez, Carlos
;
Dobernig-Gago, Mariana
El niño es un ser humano en desarrollo, NO un adulto pequeño. Así como no tiene la estatura final que alcanzará con los años, tampoco tiene la capacidad y autonomía que logrará en la edad adulta, pero ya es una persona con la dignidad, derechos y principios de los seres humanos. El Consentimiento Informado se originó en el ambiente jurídico por una demanda en tema de salud desde 1914, en tanto que el Asentimiento se empieza a considerar hasta 1977. El Consentimiento de un adulto requiere su cabal comprensión. El Asentimiento informado también, por lo que requerimos que el niño tenga competencias para ello. Se revisa el tema de desarrollo psicológico y moral con los enfoques de Piaget, Kohlberg, Erickson y Gilligan. Se analiza la aproximación de las competencias de Appelbaum y Grisso, así como los resultados de estudios que identifican cuando el niño tiene la competencia para asentir. Como conclusión se ilustran las ventajas y los retos del Asentimiento en investigación y atención clínica. En investigación en niños, siempre debe participar un pediatra e idealmente un/a psicólogo/a. El asentimiento informado en pediatría debe entenderse como un proceso continuo de toma de decisiones, centrado en una relación tripartita: Padre o Madre – Medico – Infante. © Los autores © Acta Pediátrica de México.
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Tiempo al diagnóstico y de inicio de tratamiento oncológico en pacientes pediátricos con tumores sólidos
(Graphimedic, 2025)
Rendón-Macías, Mario Enrique
;
Yasmani Pozo-Almanza
Introducción: el diagnóstico oncológico suele ser difícil y la prontitud del tratamiento influye en su pronóstico. Objetivo: comparar los tiempos requeridos para la confirmación diagnóstica e inicio del tratamiento oncológico en pacientes pediátricos con tumores sólidos, según el grado de sospecha al envío y sus condiciones clínicas. Material y métodos: se estudiaron 175 pacientes con diagnóstico de un tumor sólido, atendidos en un centro de tercer nivel de atención. Se incluyeron pacientes con sospecha, con diagnóstico histopatológico, o bien, pacientes que llegaron por un diagnóstico no oncológico. Se estimaron los tiempos para la referencia, para la confirmación diagnóstica (Lag-t-Dx) y para el inicio del tratamiento oncológico (Lag-t-Tx). Resultados: sesenta por ciento tuvieron tumores del sistema nervioso central, linfomas o tumores óseos; el 55.4% llegó en estadios III-IV. Del total, el 78.9% tenía sospecha de cáncer, 13.7% con diagnóstico histopatológico y 7.4% otro diagnóstico. Dieciocho se encontraban críticamente enfermos (10.3%). La mediana de días de referencia fue de dos (0-42 días), el Lag-t-Dx de cinco (0-45) y el Lag-t-Tx de ocho (2-49); los tiempos fueron más prolongados en pacientes con un diagnóstico de ingreso no oncológicos (Lag-t-Dx 13 días, Lag-t-Tx 15 días, p = 0.004 y p = 0.049). Lag-t-Dx no difirió con respecto al estadio, pero el Lag-t-Tx fue mayor en pacientes graves. Conclusiones: en general, se comprobó que los tiempos para establecer diagnóstico y tratamiento son similares a otros países, pero depende del nivel de sospecha y de las condiciones clínicas del paciente. ©Los autores ©Revista Mexicana de Pediatría.
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La infancia en la Biblia y sus consecuencias pedagógicas
(Universidad Panamericana, Escuela de Pedagogía, 2020-07-02)
Angulo Ordorika, Ianire
;
Universidad Panamericana. Campus Ciudad de México. Escuela de Pedagogía
Whether we like it or not, our occidental culture is born and raised in the footsteps of the Judeo-Christian religion. The Bible and its way of interpreting reality have influenced our society inevitably. Despite this, the Biblical world has hardly been attended to in the history of pedagogy. Knowing how the Holy Scriptures consider children and how the Bible is sit-uated in relation to them will allow us to understand better some historical developments of the learning process of children. While it appears that Biblical mentality located adult-hood around twenty years of age, it is possible to distinguish between two previous stages: infancy, and the stage immediately preceding adulthood. The Hebrew terms used for the first vital stage lack a precise definition, which could indicate a wisdom issue rather than a chronological one. This article aims to acquire an overview of how the Bible considers the issue of childhood and to study the references of Jesus to children, in order to extract some useful pedagogical implications.
10 78
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Características de los pacientes pediátricos que ingresan a terapia intensiva por intoxicaciones graves
(2022)
Gordillo-Rodríguez, Lucina
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Escobedo-Berumen, Lucía
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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
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Mindfulness affects stress, ghrelin, and BMI of obese children: a clinical trial
(2020)
López-Alarcón, Mardia
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Zurita-Cruz, Jessie N.
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Torres-Rodríguez, Alonso
;
Bedia-Mejía, Karla
;
Pérez-Güemez , Manuel
Childhood obesity is associated with stress. However, most treatment strategies include only dietary and physical activity approaches. Mindfulness may assist in weight reduction, but its effectiveness is unclear. We assessed the effect of mindfulness on stress, appetite regulators, and weight of children with obesity and anxiety. A clinical study was conducted in a pediatric hospital. Eligible children were 10–14 years old, BMI ≥95th percentile, Spence anxiety score ≥55, and who were not taking any medication or supplementation. Participants were assigned to receive an 8-week conventional nutritional intervention (CNI) or an 8-week mindfulness-based intervention plus CNI (MND-CNI). Anthropometry, body composition, leptin, insulin, ghrelin, cortisol, and Spence scores were measured at baseline and at the end of the intervention. Anthropometry was analyzed again 8 weeks after concluding interventions. Log-transformed and delta values were calculated for analysis. Thirty-three MND-CNI and 12 CNI children finished interventions; 17 MND-CNI children accomplished 16 weeks. At the end of the intervention, significant reductions in anxiety score (−6.21 ± 1.10), BMI (−0.45 ± 1.2 kg/m2), body fat (−1.28 ± 0.25%), ghrelin (−0.71 ± 0.37 pg/mL), and serum cortisol (−1.42 ± 0.94 µg/dL) were observed in MND-CNI children. Changes in anxiety score, ghrelin, and cortisol were different between groups (P < 0.05). Children who completed 16 weeks decreased BMI after intervention (−0.944 ± 0.20 kg/m2, P < 0.001) and remained lower 8 weeks later (−0.706 ± 0.19 kg/m2, P = 0.001). We concluded that mindfulness is a promising tool as an adjunctive therapy for childhood obesity. However, our findings need confirmation in a larger sample population. © 2020 The authors.Endocrine Connections, BioScientifica Ltd.
Scopus© Citations 14 12 1
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Non-Hodgkin Lymphoma Epidemiology in Children From 2 Socioeconomic Regions in Mexico: 20-Year Registry (1996-2015)
(2019)
Riojas-Garza, Alberto
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Pachuca-Vazquez, Adriana
;
Martínez-Ezquerro, José Darío
;
Fajardo-Gutiérrez, Arturo
Purpose: We analyzed the epidemiological characteristics of different types of non-Hodgkin Lymphoma (NHL), excluding Burkitt Lymphoma, in 2 Mexican regions with different socioeconomic status. Materials and Methods: In this surveillance study, we analyzed the incidence rates (cases per million children/year) of different types of NHL according to the ICCC3, registered in 1996-2015, from 2 different socioeconomic regions in Mexico: central and southern, with higher and lower status, respectively. Results: The principal NHL subgroups were precursor (IIb1), mature B cell (IIb2), mature T/NK cell, and no other specification (NOS; 42.3%, 15.8%, 14.1%, and 27.8%, respectively). In both regions, the overall incidence rates were similar (central=5.3, 95% confidence interval [CI], 4.6-6.1 vs. southern=6.3, 95% CI, 4.6-8.4); also, there were no differences by types (precursor cell LNH, 2.3 vs. 2.5; mature B cell, 0.9 vs. 0.8; mature T/NK cells, 0.8 vs. 0.8; and NOS, 1.4 vs. 2.3). In both regions, a decreasing trend was found (central= -0.17%, 95% CI, -0.03 to -0.3, P=0.04; southern= -0.32%, 95% CI, -0.07 to -0.57, P=0.02), with major reduction of NHL NOS from 1996 to 2000. In both regions, men predominated (2.1:1). Conclusions: Socioeconomic status did not influence the incidence rates of NHL. In this study, we found a reduction of NHL NOS, possibly due to better typing. © 2019 Lippincott Williams and Wilkins. All rights reserved.
Scopus© Citations 3 12 2

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