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Mateos-Dávila A, Prieto-Arriba M, Martínez-Pérez J, González-Ybarra A, Fabrellas Padres N, Guix-Comellas E. Complicaciones de las terapias continuas de reemplazo renal en pacientes graves. Enfermería Intensiva 2022. [DOI: 10.1016/j.enfi.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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López-Medina EM, Sainz T, de Ory SJ, Mellado-Peña MJ, González-Tomé MI, Gil EC, Cucurull TV, Neyra F, Frick MA, Martínez-Pérez J, Andrés AGA, Alonso MB, Laleona CG, Hernández MM, Hernández PC, Amador JTR, Gómez MLN, Santiago-García B. Tuberculosis in a Spanish cohort of children living with HIV: the CHOTIS study (Childhood HIV & TB study). Int J Tuberc Lung Dis 2021; 24:303-309. [PMID: 32228760 DOI: 10.5588/ijtld.19.0237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: Tuberculosis (TB) is the leading opportunistic infection in children with human immunodeficiency virus (HIV), but is uncommon in low prevalence regions. We aim to describe the changing epidemiology and clinical presentation of TB-HIV co-infection in a cohort of HIV-infected children in Spain.METHODS: Children diagnosed with TB between 1995 and 2016 in the paediatric HIV cohort were identified. The incidence and clinical presentation were compared in three periods: 1995-1999 (P1, before initiation of combined antiretroviral therapy, cART), 2000-2009 (P2, increase in immigration), and 2010-2016 (P3, decrease in immigration).RESULTS: We included 29 TB cases among 1183 children aged <18 years (2.4%, 243/100 000 person-years). The proportion was stable in P1 and P2 (1.3%), but decreased in P3 (0.8%). The median age at TB diagnosis was 6.4 years (IQR 4-10.6); most children in P3 were aged >10 years (20% vs. 23.1% vs. 83.3%, P = 0.01). TB was diagnosed at HIV presentation in 11/29 children (37.9%). Foreign-born children accounted for respectively 0%, 8% and 67% of the total number of children in each period (P ≤ 0.0001). One third had extrapulmonary TB; four children died (13.8%).CONCLUSION: In our cohort, the incidence of TB-HIV co-infection decreased with decline in immigration. In regions with adequate cART coverage and low TB transmission, paediatric TB-HIV coinfection is uncommon, but associated with significant morbidity. Strategies for TB surveillance, diagnosis and treatment in this vulnerable population should be reinforced.
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Affiliation(s)
- E M López-Medina
- Department of Pediatric Infectious Diseases, University Hospital La Fe, Valencia
| | - T Sainz
- Department of Pediatric Infectious Diseases, University Hospital La Paz, and La Paz Research Institute (IdiPAZ), Madrid
| | - S Jiménez de Ory
- University Hospital Gregorio Marañón and Gregorio Marañón Research Institute (IiSGM), CoRISpe, Madrid
| | - M J Mellado-Peña
- Department of Pediatric Infectious Diseases, University Hospital La Paz, and La Paz Research Institute (IdiPAZ), Madrid
| | - M I González-Tomé
- Pediatric Infectious Diseases and HIV Unit, University Hospital 12 de Octubre and Research Institute (I+12), Madrid
| | - E Colino Gil
- Pediatric Infectious Diseases Unit, Complejo Hospitalario Insular Materno Infantil Las Palmas, Las Palmas de Gran Canaria
| | - T Vallmanya Cucurull
- Pediatric Infectious Diseases Unit, University Hospital Arnau de Vilanova, Lleida
| | - Falcón Neyra
- Pediatric Infectious Diseases, Immunology and Rheumatology Unit, University Hospital Virgen del Rocío, and Instituto de Biomedicina de Sevilla (IBiS), Sevilla
| | - M A Frick
- Pediatric Infectious Diseases and Immunodeficiencies Unit, Hospital Universitari Vall d'Hebron, Barcelona
| | | | - A G Andrés Andrés
- Pediatrics Department, Complejo Asistencial Universitario de León, León
| | - M Bustillo Alonso
- Pediatric Infectious Diseases Unit; Miguel Servet Pediatric Hospital, Zaragoza
| | - C Guerrero Laleona
- Pediatric Infectious Diseases Unit; Miguel Servet Pediatric Hospital, Zaragoza
| | - M Méndez Hernández
- Pediatric Infectious Diseases Unit, Hospital Germans Trias y Pujol, Universitat Autònoma de Barcelona, Badalona
| | - P Collado Hernández
- Pediatrics Department, Hospital Clínico Lozano Blesa, Universidad Zaragoza, Zaragoza
| | - J T Ramos Amador
- Pediatrics Department, Clínico San Carlos University Hospital and Research Institute (IDISSC), Universidad Complutense de Madrid, Madrid
| | - M L Navarro Gómez
- Department of Pediatric Infectious Diseases, Pediatrics Department, University Hospital Gregorio Marañón and Gregorio Marañón Research Institute (IiSGM), Universidad Complutense de Madrid, Madrid, Spain
| | - B Santiago-García
- Department of Pediatric Infectious Diseases, Pediatrics Department, University Hospital Gregorio Marañón and Gregorio Marañón Research Institute (IiSGM), Universidad Complutense de Madrid, Madrid, Spain
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Pinto-Prades JL, Robles-Zurita JA, Sánchez-Martínez FI, Abellán-Perpiñán JM, Martínez-Pérez J. Improving scope sensitivity in contingent valuation: Joint and separate evaluation of health states. Health Econ 2017; 26:e304-e318. [PMID: 28436139 DOI: 10.1002/hec.3508] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 08/25/2016] [Accepted: 02/15/2017] [Indexed: 06/07/2023]
Abstract
We present data of a contingent valuation survey, testing the effect of evaluation mode on the monetary valuation of preventing road accidents. Half of the interviewees was asked to state their willingness to pay (WTP) to reduce the risk of having only 1 type of injury (separate evaluation, SE), and the other half of the sample was asked to state their WTP for 4 types of injuries evaluated simultaneously (joint evaluation, JE). In the SE group, we observed lack of sensitivity to scope while in the JE group WTP increased with the severity of the injury prevented. However, WTP values in this group were subject to context effects. Our results suggest that the traditional explanation of the disparity between SE and JE, namely, the so-called "evaluability," does not apply here. The paper presents new explanations based on the role of preference imprecision.
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Affiliation(s)
| | - José Antonio Robles-Zurita
- Health Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Martínez-Pérez J, Caldevilla-Bernardo D, Perales-Pardo R, Pérez-Gómez F. Respuesta de los autores a la carta al director en relación con el artículo «Síndrome de Stevens-Johnson. A propósito de un caso de fiebre y erupción cutánea». Semergen 2012. [DOI: 10.1016/j.semerg.2012.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Martínez-Pérez J, Caldevilla-Bernardo D, Perales-Pardo R, Pérez-Gómez. F. Síndrome de Stevens-Johnson: a propósito de un caso de fiebre y erupción cutánea. Semergen 2012; 38:245-7. [DOI: 10.1016/j.semerg.2011.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2011] [Revised: 08/28/2011] [Accepted: 09/01/2011] [Indexed: 11/25/2022]
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Cantarín-Extremera V, Castaño-De La Mota C, Alvarez-Coca J, Rojas MRF, Gutierrez-Solana LG, García Peñas JJ, Martínez-Pérez J, Duat-Rodríguez A, López-Marín L, Losada-Del Pozo R. Procalcitonin, a high acute phase reactant in antiepileptic hypersentivity syndrome in pediatric age. Eur J Paediatr Neurol 2012; 16:200-2. [PMID: 21798772 DOI: 10.1016/j.ejpn.2011.06.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2010] [Revised: 04/25/2011] [Accepted: 06/25/2011] [Indexed: 10/17/2022]
Abstract
Antiepileptic hypersensitivity syndrome (AHS) is a potentially life-threatening syndrome in pediatric cases. It is associated with aromatic anticonvulsivant drugs and others antibiotics with or without associated reactivation of virus. The pathogenesis of the process is not clear. Clinical feature of this syndrome include cutaneous reactions, fever and lymphadenopathies, but different organs can be involved. In laboratory analyses we can find leucocytosis, eosinophilia, and increase in transaminase levels. Significant elevation of procalcitonin (PCT) has been described in two adults patients. This study we report two cases of a 14-year-old male and a 13-year-old female with a AHS and a high level of the PCT. These are the first cases described in pediatric age. Establishing a diagnosis of AHS is important to avoid the use of the involved drug. The treatment is based on the withdrawal of the drugs that are supposed and if there is no improvement or a deterioration of the patient, the use of systemic corticosteroids is often useful.
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Affiliation(s)
- Verónica Cantarín-Extremera
- Department of Pediatric Neurology, Hospital Infantil Universitario Niño Jesús, Avd. Menéndez Pelayo 65, 28009 Madrid, Spain.
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Álvarez-Coca-González J, Moreno-Carralero MI, Martínez-Pérez J, Méndez M, García-Ros M, Morán-Jiménez MJ. The hereditary hyperferritinemia-cataract syndrome: a family study. Eur J Pediatr 2010; 169:1553-5. [PMID: 20617342 DOI: 10.1007/s00431-010-1251-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2010] [Accepted: 06/24/2010] [Indexed: 11/26/2022]
Abstract
Ferritin is an acute-phase reactant that is elevated in the course of infectious, inflammatory, autoimmune, and oncological diseases and the hemophagocytic syndrome. In asymptomatic patients, isolated hyperferritinemia may be due to different causes depending on whether or not it is accompanied by iron overload. Hyperferritinemia values above 300 ng/ml and an excess of body iron levels may be indicative of hemochromatosis. However, if such values develop in the absence of iron overload, they may be secondary to hemochromatosis type 4a (ferroportin disease) or more often to hereditary hyperferritinemia-cataract syndrome (HHCS; Aguilar-Martinez et al., Am J Gastroenterol 100:1185-1194, 2005; Ferrante et al., Eur J Gastroenterol Hepatol 17:1247-1253, 2005). HHCS results from different mutations in the L-ferritin gene (FTL) on chromosome 19 (19q13.1), causing autosomal dominant transmission (Bertola et al., Curr Drug Targets Immune Endocr Metabol Disord 4:93-105, 2004). We present a child with HHCS due to the allelic variant c.-167C>T (C33T) in the iron-responsive element region of the FTL gene. When pediatricians encounter an asymptomatic patient with isolated hyperferritinemia in the absence of iron overload, they should consider the possibility of HHCS, especially if other members of the family have developed cataracts from a young age.
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Alonso-Ojembarrena A, Alvarez-Coca J, Pérez-García MJ, Martínez-Pérez J, Rubio de Villanueva JL. Púrpura de Schönlein-Henoch secundaria a parvovirus B19. An Pediatr (Barc) 2006; 65:641-2. [PMID: 17194345 DOI: 10.1157/13096171] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Alonso-Ojembarrena A, Amigo Bello C, Martínez-Pérez J, Rubio de Villanueva JL. Trombosis del seno sigmoide tras una otitis media. An Pediatr (Barc) 2006; 65:510. [PMID: 17184618 DOI: 10.1157/13094265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Gavela T, Sánchez Bayle M, Gómez Mardones G, Gallego S, Martínez-Pérez J, Moya MT. [Ecographic study of kidney size in children]. Nefrologia 2006; 26:325-9. [PMID: 16892820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
Abstract
OBJECTIVE The objective of this study is the determination of the normal kidney size in children analysing the variables that have a good correlation with it. With these correlations the normal kidney size can be established and a diagnose of possible diseases set. METHODS The data was obtained through ecographies taken in 474 children between 0 and 18 years old that were under control for several reasons differently from the suspicion of a kidney disease. The information related to age, sex, weight, height and corporal surface was also taken. RESULTS We studied 265 girls and 209 boys. No difference was obtained between the size of the girls and boys kidneys. The regression analysis of the left kidney shows correlations of 0.911 for the height, 0.896 for the corporal surface, 0.863 for the weight and 0.857 for the age; while the one of the right kidney shows correlations of 0.921 for the height, 0.902 for the corporal surface, 0.872 for the age and 0.871 for the weight. The determination coefficients were 0.83 for the left kidney and 0.85 for the right one. The multivariant analysis shows that for both kidneys the height and the age are variables statistically significant as well as the corporal surface for the left kidney. CONCLUSIONS The size parameters measured in the kidneys show a statistically significance correlation with certain parameters of the growing. The maximum correlation appears for the height of the patient, which allows establishing regression equations with the kidney size and the height and therefore to detect any deviations from these regression curve.
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Affiliation(s)
- T Gavela
- Servicio de Pediatría, Hospital Niño Jesús, Madrid
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Ramos JT, de José MI, Polo R, Fortuny C, Mellado MJ, Muñoz-Fernández MA, Beceiro J, Bertrán JM, Calvo C, Chamorro L, Ciria L, Guillén S, González-Montero R, González-Tomé MI, Gurbindo MD, Martín-Fontelos P, Martínez-Pérez J, Moreno D, Muñoz-Almagro MC, Mur A, Navarro ML, Otero C, Rojo P, Rubio B, Saavedra J. Recomendaciones CEVIHP/SEIP/AEP/PNS respecto al tratamiento antirretroviral en niños y adolescentes infectados por el VIH. Enferm Infecc Microbiol Clin 2005; 23:279-312. [PMID: 15899180 DOI: 10.1157/13074970] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To update antiretroviral recommendations in antiretroviral therapy (ART) in HIV-infected children and adolescents. METHODS Theses guidelines have been formulated by a panel of members of the Plan Nacional sobre el SIDA (PNS) and the Asociacion Espanola de Pediatria (AEP) by reviewing the current available evidence of efficacy, safety, and pharmacokinetics in pediatric studies. Three levels of evidence have been defined according to the source of data: Level A: randomized and controlled studies; Level B: Cohort and case-control studies; Level C: Descriptive studies and experts' opinion. RESULTS When to start ART should be made on an individual basis, discussed with the family, considering the risk of progression according to age, CD4 and viral load, the ART-related complications and adherence. The ART goal is to reach a maximum and durable viral suppression. This is not always possible, even with clinical and immunologic improvement. The difficulties of permanent adherence and side-effects are resulting in a more conservative trend to initiate ART, and to less toxic and simpler strategies. Currently, combinations of at least three drugs are of first choice both in acute and chronic infection. They must include 2 NA 1 1 NN or 2 NA 1 1 PI. ART is recommended in all symptomatic patients and, with few exceptions, in all infants in the first year of life. Older asymptomatic children should start ART according to CD4 count, especially CD4 percentage, that vary with age. Despite potent salvage therapies, it is common not to reach viral undetectability. Therapeutical options when ART fails are scarce due to cross-resistance. The cause of failure must be identified. Occasionally, there exists clinical and/or immunological progression, and a change of therapy with at least two new drugs still active for the patient, is warranted with the aim of increasing the CD4 count to a lower level of risk. Toxicity and adherence must be regularly monitored. Some aspects about post exposure prophylaxis and coinfection with HCV or HBV are discussed. CONCLUSIONS A higher level of evidence with regard to ART effectiveness and toxicity in pediatrics is currently available, leading to a more conservative and individualized approach. Clinical symptoms and CD4 count are the main determinants to start and change ART.
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Affiliation(s)
- José Tomás Ramos
- Unidad de Inmunodeficiencias, Departamento de Pediatría, Hospital 12 Octubre, 28041 Madrid, Spain.
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Martínez-Pérez J. [Cataloging the diversity of the human body: 19th-century French nosology concerning unlawful behavior (1800-1855)]. Asclepio 1996; 48:87-114. [PMID: 11636469 DOI: 10.3989/asclepio.1996.v48.i2.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
This work aims to contribute to the study of the factors which influenced the process of the classification of the diversity of human behaviour. As a result this study will look at the changes in operation at the beginning of the nineteenth century regarding the classification of one type of deviant behaviour: homicide. The creation by French psychiatrists of the diagnostic category "monomanie homicide instintive" meant that certain types of homicide were no longer considered a crime and began to be regarded as forms of madness. The emergence and gradual disappearance of this morbid species of psychiatric classifications in the first half of the XIXth century illustrates how the assignation of aberrant behaviour to one kind or other of deviance depends on the way in which various factors are related: changes in scientific theories, permutations in the professional objectives of those who make the classifications, and the degree of social consensus which is achieved for the new meaning that the deviatory behaviour acquires on changing its position among the various forms of deviation.
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