1,192 results match your criteria: "Hospital de Niños Juan P. Garrahan[Affiliation]"

Purpose: The multisystem clinical manifestations and complications of achondroplasia, the most common form of disproportionate short stature, can cause functional impairment and psychosocial burden. The Lifetime Impact Study for Achondroplasia (LISA), aimed to assess health-related quality of life and medical resource utilization among Latin America patients with achondroplasia.

Methods: Data were collected from individuals aged 3 years and above in Argentina, Brazil, and Colombia between 2018 and 2021.

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Objective: Despite growing recognition of the efficacy of ketogenic diet therapies (KDT) in reducing seizure frequency and improving the quality of life for individuals with epilepsy, several factors hinder their widespread adoption across Latin America. Specific challenges in the region have been discussed but not formally studied. Currently, no data exist on the availability and operation of KDT teams in the region.

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There exists a need to research new diagnostic and therapeutic approaches that consider hemolytic disease of fetus and newborn (HDFN)'s physiopathology and focus not only on the pregnant person's immune system but also on the fetal immune system. This implies, in the final sense, to view the fetus as our patient. In spite of having found a safe and efficient method of prevention of HDFN more than 50 years ago, HDFN continues to be a relevant cause of perinatal morbidity and mortality, due to lack of access to immunoprophylaxis.

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Article Synopsis
  • Ebstein's anomaly is a congenital heart condition involving tricuspid valve defects and associated complications, analyzed through data from 45 surgeries between 1990 and 2018, with a median age of 11.3 years for patients.
  • Surgical methods included valve repair (38%), cone reconstruction (42%), and replacement (19%), with additional surgeries needed for some patients, mainly for severe tricuspid insufficiency.
  • At a median follow-up of 6.5 years, the overall mortality rate was 11.5%, with favorable outcomes for cone reconstruction showing low mortality, less reoperation needed, and better medium-term durability compared to other techniques.
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Differential immunophenotype and proviral composition in young adults with perinatally acquired HIV: Are special cure strategies needed?

AIDS

November 2024

CONICET-Universidad de Buenos Aires, Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (INBIRS), Paraguay 2155 Piso 11 C1121ABG, Buenos Aires, Argentina.

Article Synopsis
  • The study aimed to analyze the immune characteristics and viral makeup of young adults in Argentina who acquired HIV at birth (p-YA), comparing them to young adults with HIV acquired through other means.
  • Researchers conducted a detailed examination of immune cell types and their functions using techniques like flow cytometry and ELISA, involving 18 p-YA and various control groups.
  • Key findings revealed that p-YA had a unique immune profile with more naïve CD4 T-cells and lower signs of exhaustion, suggesting they face different challenges in managing the HIV virus compared to those who acquired it later in life.
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Osteoarticular tuberculosis (TB) is an uncommon form of extrapulmonary TB that has the potential to damage joints and bones, generating long-term impairment. Mainly, the initial diagnosis of osteoarticular TB relies on clinical findings and imaging. When required, imaging can aim for less invasive tissue or fluid sampling for pathology, microbiology, and molecular biology analysis.

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A paediatric stroke is a rare entity that can occur at any age. It may be arterial or venous, ischemic or haemorrhagic, and may occur in the neonatal or paediatric stage of life, as well as in adolescence. Prompt diagnosis means that adequate treatment can be administered and prevents recurrence, minimising the percentage of sequelae.

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Article Synopsis
  • - The study reviews the incidence and prevalence of Respiratory Syncytial Virus (RSV) in Latin America and the Caribbean, highlighting that RSV is a significant cause of lower respiratory tract infections and hospitalizations in the region, especially among young children and high-risk older adults.
  • - A systematic review method was used, analyzing 156 studies conducted from January 2012 to January 2023, primarily from Brazil, Colombia, and Argentina, with most studies being cross-sectional and low-risk for bias.
  • - Findings indicated a high prevalence of RSV in patients under 1 year old (58%), with notable ICU admission rates (42%) and mortality rates varying by age, suggesting a need for better methodological standards in clinical guidelines regarding RSV treatment
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Introduction. Arboviruses, such as dengue and chikungunya, have caused multiple epidemics in the Americas. They are transmitted through mosquito bites; Aedes aegypti is their main vector.

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The Response Assessment in Pediatric Neuro-Oncology (RAPNO) Working Group is an international, collaborative network of experts dedicated to pediatric central nervous system (CNS) tumors that was created in 2011. Since then, six RAPNO articles with imaging guidelines for response assessment in diverse pediatric tumor subgroups have been published, namely: 1) medulloblastomas and leptomeningeal seeding tumors (2018), 2) pediatric high-grade gliomas (2020), 3) pediatric low-grade gliomas (2020), 4) diffuse intrinsic pontine gliomas (2020), 5) pediatric intracranial ependymomas (2022) and 6) pediatric craniopharyngiomas (2023). The purpose of this article is to review all current available RAPNO criteria using a systematized and comparative approach centered on the role of neuroradiologists and supported by neuroimaging examples.

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Purpose: There is no standardized and universally accepted surgical treatment for thoracic and lumbar hyperkyphosis in children. A surgical treatment algorithm was developed to aid in the choice of the appropriate corrective technique.

Methods: A retrospective analysis was conducted of patients younger than 18 years who underwent primary correction surgery and posterior fusion for thoracic and lumbar hyperkyphosis.

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Neurofibromatosis type 1 (NF1) is the most common neurocutaneous disease. It is characterized by café-au-lait spots, melanocytic hamartomas of the iris, pseudo-freckles, neurofibromas, and tumor predisposition. The presence of neurofibromas in the thyroid gland is extremely rare.

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  • - Systemic lupus erythematosus (SLE) is a serious autoimmune disease that can affect multiple systems in the body, and while cardiovascular issues are common, aneurysms and aortic dissection are rare but deadly complications.
  • - A case study details a 16-year-old girl with SLE who experienced severe chest pain, leading to imaging that revealed a dilated aortic arch and a descending aortic aneurysm, despite no initial signs of cardiovascular disease.
  • - Unfortunately, after starting antihypertensive treatment and a Valsalva maneuver, the patient suffered an aneurysmal rupture and died within 12 hours, emphasizing the need to consider these serious complications when a patient with SLE presents with
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  • Vitamin A deficiency can lead to serious eye problems and is often linked to selective eating habits in children with autism spectrum disorder (ASD).
  • A study involving 13 children showed that many had significant neurological issues and obesity-related conditions due to low Vitamin A levels, with 61.5% of them also diagnosed with ASD.
  • Early identification of nutrient deficiencies through examining food intake is crucial for neuro-diverse children, as timely Vitamin A treatment can prevent long-term damage, including severe vision loss.
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Article Synopsis
  • Short bowel syndrome is a rare condition with limited existing data, prompting a registry study in Latin America focused on chronic intestinal failure, analyzing various patient and clinical factors from specialized centers.
  • From May 2020 to July 2023, the study included 167 patients (115 adults and 52 children) across 20 centers, revealing key demographics, complications, and outcomes, with significant differences between adults and children in terms of etiology and follow-up results.
  • The findings aim to enhance understanding of intestinal failure in Latin America, serving as both a data repository and an educational resource for healthcare teams, while striving for international recognition of regional health challenges.
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It is estimated that about 1 in 100 live births has a congenital heart disease (CHD). Cognitive deficit, academic difficulties, and behavioral abnormalities, in combination, represent the most common morbidity affecting quality of life in survivors with CHD. Developmental dysfunction results from a complex interaction between patient-specific factors such as genetic susceptibility, cardiac diagnosis, fetal development, and environmental factors such as preoperative events, supportive techniques during surgical repair, postoperative events, socioeconomic status.

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  • Malformations of cortical development (MCDs) are structural brain abnormalities that occur during fetal development and can lead to various neurological conditions like epilepsy, developmental delays, and cognitive impairments.
  • There are several types of MCDs, such as microcephaly, hemimegalencephaly, and lissencephaly, each with different presentations and causes, which makes diagnosis challenging.
  • Advances in molecular biology and genetic testing have improved understanding of the genetic factors behind MCDs, aiding in prognosis, predicting treatment outcomes, and evaluating recurrence risks for affected individuals.
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Since the first presentation at the IV Iberoamerican Academy of Neuropediatrics Congress in 1995, our group has studied self-limited infantile epilepsy (SeLIE), both familial and non-familial, corroborating that they belong to the same entity due to their clinical and electroencephalographic characteristics and excellent prognosis. Associations were found with paroxysmal dyskinesias and migraine, as well as with hemiplegic migraine, episodic ataxia and intellectual disability in atypical cases. Mutations in PRRT2 are the main cause of SeLIE, however, other genes, such as SCN2A, KCNQ2-3 and SCN8A, have been recognized.

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Article Synopsis
  • IgA nephropathy and IgA vasculitis with nephritis are kidney conditions that can occur in kids, but they're pretty rare.
  • Unlike adults, children often show more severe symptoms quickly, like blood in their urine, and their kidneys look more inflamed when doctors check.
  • There's not a lot of good information on how to treat these conditions because they're different in kids, and experts from around the world are trying to figure out better ways to help affected children.
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