Acta Pediátrica Española

ISSN 2014-2986

Información adicional

  • Num_publicacion 77(3-4)
  • Resumen_ingles
    An early diagnosis and treatment in the pediatric inflammatory bowel disease is essential. Pediatric patients have special age-related features that make them different to de adults. Delayed beginning treatment implies a lower response and evolution towards a higher severity. A delayed treatment implies lower response and a worse illness outcome.
    Coordination between primary health care and tertiary care centers is mandatory to benefit the patients and to get better outcomes. This approach in the pediatric patients is not described in scientific papers.
  • Palabras_clave_ingles Inflammatory bowel disease Protocol Primary care
  • Todos_autores M. López Campos, I. Ros Arnal, T. Cenarro Guerrero, R. García Romero
  • autores listados M. López Campos, I. Ros Arnal, T. Cenarro Guerrero, R. García Romero
  • Correspondecia
    M. López Campos. Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario Miguel Servet. Avda. Isabel La Católica, 1-3. Pl. baja, consulta 6. 50009 Zaragoza.
    Correo electrónico: monicalopezmd@hotmail.com
  • Titulo_ingles Protocol of action in primary care in the pediatric inflammatory bowel disease
  • Centros_trabajo Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario Miguel Servet. Zaragoza
  • Publicado en Acta Pediatr Esp. 2019; 77(3-4): 56-61
  • copyright ©2019 Ediciones Mayo, S.A.
  • Fecha recepcion 28/05/18
  • Fecha aceptacion 7/09/18
  • Tipo de Artículo Clínico (Microdatos) Review
Publicado en Revisión

Información adicional

  • Num_publicacion 75(9-10)
  • Resumen_ingles
    Objectives: In January 2013 a protocol for the management of abdominal pain at pediatric emergency was implanted, with the following objectives: reducing abdominal radiographs not indicated, reduce treatment with enemas not indicated and more pre-scription of analgesia. It has been reviewed the impact of the protocol on changing clinical practice and whether these variations are maintained.
    Material and methods: Retrospective, descriptive and analytical observational study with 684 patients attending emergency department for abdominal pain apparently no organic cause, divided into four periods: December 2012 (P1), February 2013 (P2), November 2013 (P3) and May 2015 (P4). We collected data about diagnostic tests performed and treatments used in these pa-tients.
    Results: Abdominal radiography: P1= 14.7%, P2= 6.9%, P3= 1.8%, P4= 0% (p <0.01); constipated patients: P1= 23.4%, P2= 13.5%, P3= 0%, P4= 0% (p= 0.001). Abdominal ultrasound: P1= 11%, P2= 12.5%, P3= 9.4%, P4= 10.1% (p >0.05). Patients treated with rectal enema: P1= 21.5%, P2= 8.3%, P3= 17.1%, P4= 11.7% (p= 0.005); constipated patients: P1= 51.1%, P2= 21.6%, P3= 31.3%, P4= 32.5% (p= 0.036). Patients treated with polyethylenglycol: P1= 4.3%, P2= 6.3%, P3= 9.8%, P4= 4.7% (p >0.05); consti-pated patients: P1= 12.8%, P2= 21.6%, P3= 40.6%, P4= 20.5% (p= 0.034). Patients treated with analgesia: P1= 42.9%, P2= 53.5%, P3= 53.7%, P4= 62.7% (p= 0.02). Reconsultations the emergency department: P1= 10.4%, P2= 2.1%, P3= 1.8%, P4= 13% (p <0.01).
    Conclusions: The protocol has reduced significantly the performance of abdominal radiographs and use of rectal enemas. It has increased the prescription of analgesia in patients with abdominal pain. Protocol has managed to standardize the medical inter-vention, reducing the risk of iatrogenic and increasing comfort for patients and their families.
     
  • Palabras_clave_ingles Abdominal pain Functional gastrointestinal disorders Abdominal radiographies Pediatric emergency hospital services Protocol
  • Todos_autores J.M. Martínez de Zabarte Fernández1, I. Ros Arnal1, M.L. Sancho Rodríguez2, A. Montaner Ramón2, V. Gómez Barrena3, R. García Romero1, C. Martínez Faci2, L. Morlán Herrador2, M. López Campos2, C. Campos Calleja3
  • autores listados J.M. Martínez de Zabarte Fernández, I. Ros Arnal, M.L. Sancho Rodríguez, A. Montaner Ramón, V. Gómez Barrena, R. García Romero, C. Martínez Faci, L. Morlán Herrador, M. López Campos, C. Campos Calleja
  • Correspondecia
    J.M. Martínez de Zabarte Fernández. P.º Isabel la Católica, 1-3. 50009 Zaragoza.
    Correo electrónico: chemi87@hotmail.com
  • Titulo_ingles Impact of establishment of a clinical protocol for abdominal pain in pediatric emergencies
  • Centros_trabajo 1Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica. 2Servicio de Pediatría. 3Unidad de Urgencias de Pediatría. Hospital Universitario «Miguel Servet». Zaragoza
  • Publicado en Acta Pediatr Esp. 2017; 75(9-10): 96-101
  • copyright ©2017 Ediciones Mayo, S.A.
  • Fecha recepcion 12/10/16
  • Fecha aceptacion 12/12/16
  • Tipo de Artículo Clínico (Microdatos) Observational Study
Publicado en Originales

Información adicional

  • Num_publicacion 74(1)
  • Resumen_ingles
    Research is a systematic process which can be conducted through four phases: conceptual, empirical, interpretative and communicative. A research protocol is the document that allows going from the conception of a research problem to the research in itself. It starts in the conceptual stage and its finalization coincides with the beginning of the empirical stage. Its purpose is to communicate in detail, reliability and clarity every aspect related to the suggested study in order to evaluate it subsequently by the proper research body.
    This paper describes the structure, sections and elaboration of a research protocol and it is pretended to be used as a guide for the Pediatrics professionals interested in planning and conducting a scientific research.
     
  • Palabras_clave_ingles Research Protocol Guide Design
  • Todos_autores R. Lucas Domínguez1, A. Vidal-Infer1, J. González de Dios2, R. Aleixandre-Benavent3
  • autores listados R. Lucas Domínguez, A. Vidal-Infer, J. González de Dios, R. Aleixandre-Benavent
  • Correspondecia
    R. Aleixandre Benavent. Pl. Cisneros, 4. 46003 Valencia.
    Correo electrónico: rafael.aleixandre@uv.es
  • Titulo_ingles Scientific communication (XXX). How to elaborate a research protocol on health sciences
  • Centros_trabajo 1Departamento de Historia de la Ciencia y Documentación. Facultad de Medicina y Odontología. Universitat de València. 2Servicio de Pediatría. Hospital General Universitario de Alicante. Departamento de Pediatría. Universidad «Miguel Hernández». Alicante. 3Instituto de Gestión de la Innovación y del Conocimiento-Ingenio (CSIC-Universitat Politècnica de València). UISYS-Universitat de València
  • Publicado en Acta Pediatr Esp. 2016; 74(1): 35-40
  • copyright ©2016 Ediciones Mayo, S.A.
  • Tipo de Artículo Clínico (Microdatos) Case Reports

Información adicional

  • Num_publicacion 72(2)
  • Resumen_ingles

    Introduction: Traumatic brain injury (TBI) is an important pathology in pediatrics due to its frequency and the associated care burden to managing the derivate consequences.
    Target: To determinate the epidemiological characteristics of TBI patients treated in the Pediatric Emergency Service of the new "río Hortega" Hospital of Valladolid, after the recent establishment of a new TBI management protocol.
    Material and methods: We carried out a longitudinal observational descriptive study which included 127 patients, over a period of six months, who had been diagnosed with TBI, taking the data from a predefined questionnaire.
    Results: The average age of the patients was 3.13 years, mostly male (55.9%). The most common cause was the accidental fall. The clinical appearance is more frequent in children older than two years. Most of the cases were classified as mild (94.5%). Only four hospital admissions were prescribed. No deaths were recorded. The CT was performed in 8.9% of the cases.
    Conclusion: The results obtained in this study are similar to the one found in the bibliography. Although we get a lower mortality and morbidity rate and a minor indication of diagnostic tests. Initial neurological exploration and the calculation of the Glasgow Score are still the main tools to set the priority in its therapeutic management and prognosis.

  • Palabras_clave_ingles Traumatic brain injury Emergency Child Protocol Epidemiology
  • Todos_autores C. Gutiérrez Abad, S. Puente Montes, R. Velasco Zúñiga, J.L. Fernández Arribas, N. Campo Fernández, A. Sánchez García
  • autores listados C. Gutiérrez Abad, S. Puente Montes, R. Velasco Zúñiga, J.L. Fernández Arribas, N. Campo Fernández, A. Sánchez García
  • Correspondecia
    C. Gutiérrez Abad. San Isidro, 13 bajo. 09193 Cardeñajimeno (Burgos).
    Correo electrónico: cgapalencia@yahoo.es
  • Titulo_ingles Traumatic brain injury in our emergency service
  • Centros_trabajo Servicio de Urgencias Pediátricas. Nuevo Hospital Universitario «Río Hortega». Valladolid
  • Publicado en Acta Pediatr Esp. 2014; 72(2): e40-e45
  • copyright ©2014 Ediciones Mayo, S.A.
  • Fecha recepcion 29/02/12
  • Fecha aceptacion 18/09/12
Publicado en Originales

Información adicional

  • Num_publicacion 69(6)
  • Resumen_ingles

    During lactation, the physiological mammary microbiotas characterized by the presence of a relatively heterogeneous population, dominated by certain Gram-positive bacteria, at a moderated concentration (< 1,000 CFU/mL milk). However, there are circumstances that may lead to a disbiotic process of the mammary gland microbiota, leading to mastitis. This is a widely underrated condition, partly due to the absence of uniform protocols for the collection of this biological fluid, the lack of tradition in microbiological analysis of human milk, and the doubts that sometimes arise when the results interpretation is being done. In this article, we present a basic protocol for the collection of human milk samples for their microbiological analysis and simple guidelines in order to facilitate the interpretation of the results.

  • Palabras_clave_ingles Mastitis human milk microbiological analysis protocol culture
  • Todos_autores R. Arroyo, P. Mediano, V. Martín, E. Jiménez, S. Delgado, L. Fernández, M. Marín, J.M. Rodríguez
  • autores listados R. Arroyo, P. Mediano, V. Martín, E. Jiménez, S. Delgado, L. Fernández, M. Marín, J.M. Rodríguez
  • Correspondecia
    J.M. Rodríguez. Departamento de Nutrición, Bromatología y Tecnología de los Alimentos. Universidad Complutense de Madrid,Ciudad Universitaria. 28040 Madrid.
    Correo electrónico: jmrodrig@vet.ucm.es
  • Titulo_ingles Etiological diagnosis of infectious mastitis: proposal of a protocol for the culture of human milk samples
  • Centros_trabajo Departamento de Nutrición, Bromatología y Tecnología de los Alimentos. Universidad Complutense de Madrid
  • Publicado en Acta Pediatr Esp. 2011; 69(6): 276-281
  • copyright ©2011 Ediciones Mayo, S.A.
  • Fecha recepcion 15/04/11
  • Fecha aceptacion 16/04/11
Publicado en Originales
 Descarga los suplementos de la revista

La información de esta página web está dirigida exclusivamente al profesional sanitario apto para prescribir o dispensar medicamentos, por lo que se requiere una formación especializada para su correcta interpretación.