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  1. Article ; Online: Apnea or cyanosis as COVID-19 initial presentation in newborns.

    Tamayo-Múnera, Carolina / Insignares Vizcaino, Zoila Margarita / Torres Millán, Ana Lucia / Niño-Serna, Laura / Giraldo Alzate, Carolina / Vanegas Diaz, Cesar Augusto / Herrera Salazar, Hernan Dario / Gómez Tovar, Sandra Liliana / Caicedo Baez, Maria Carolina / López-Barón, Eliana

    Journal of infection in developing countries

    2023  Volume 17, Issue 10, Page(s) 1401–1406

    Abstract: Introduction: The clinical manifestation of coronavirus disease 2019 (COVID-19) infection in newborns varies from asymptomatic infection to severe illness. Apnea or cyanosis as the earliest symptoms is rarely mentioned. The aim of this study is to ... ...

    Abstract Introduction: The clinical manifestation of coronavirus disease 2019 (COVID-19) infection in newborns varies from asymptomatic infection to severe illness. Apnea or cyanosis as the earliest symptoms is rarely mentioned. The aim of this study is to describe the characteristics of newborns with COVID-19 infection admitted to the neonatal intensive care unit considering cyanosis or apnea as a form of presentation.
    Methodology: This is a descriptive observational study with retrospectively collected data. All neonates under 30 days old and preterm infants with corrected gestational age of 44 weeks who had confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with a positive antigen or reverse transcriptase polymerase chain reaction (RT-PCR) test and who were attended to between March 2020 and March 2022 were included.
    Results: During the two years of the study, 410 patients were admitted to the neonatal unit. Twenty-six patients (6.3%) presented with confirmed SARS-CoV-2 infection. The main clinical characteristic at admission was apnea in 55% and cyanosis in 45%. Of the 11 patients admitted with this presentation, eight were diagnosed with COVID-19 acute upper respiratory disease, and three met the definition of COVID-19 bronchiolitis. A large proportion of the patients had a mild infection (65%, n = 17), 31% (n = 8) had a severe infection and only one patient had a critical infection, accounting for 4%.
    Conclusions: Apnea and cyanosis can be a manifestation of SARS-CoV-2 infection in newborns, which suggests the need to include it in the diagnostic workup as other viral respiratory infections.
    MeSH term(s) Humans ; Infant, Newborn ; Apnea/diagnosis ; Apnea/etiology ; COVID-19/diagnosis ; Cyanosis/etiology ; Infant, Premature ; Pregnancy Complications, Infectious ; Retrospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2023-10-31
    Publishing country Italy
    Document type Observational Study ; Journal Article
    ZDB-ID 2394024-4
    ISSN 1972-2680 ; 2036-6590
    ISSN (online) 1972-2680
    ISSN 2036-6590
    DOI 10.3855/jidc.17846
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevalence of soil transmitted helminths in school-aged children, Colombia, 2012-2013.

    González Quiroz, David José / Agudelo Lopez, Sonia Del Pilar / Arango, Catalina María / Acosta, Jesús Ernesto Ochoa / Bello Parias, León Darío / Alzate, Leonardo Uribe / Hernández Castro, Carolina / Medina Lozano, Angélica Patricia / Sepúlveda Vergara, Geicy Derly / Giraldo, Adriana Molina / Trujillo-Trujillo, Julián / Pernett Bolaño, Ivet Del Carmen / Cuellar Segura, Claudia Milena / Arbeláez Montoya, María Patricia

    PLoS neglected tropical diseases

    2020  Volume 14, Issue 7, Page(s) e0007613

    Abstract: Background: This study aims to establish the prevalence of soil-transmitted helminth (STH) intestinal infections, nutritional status, and anemia in school children aged 7 to 10 years old in the biogeographic provinces of Colombia in 2012-2013. STH ... ...

    Abstract Background: This study aims to establish the prevalence of soil-transmitted helminth (STH) intestinal infections, nutritional status, and anemia in school children aged 7 to 10 years old in the biogeographic provinces of Colombia in 2012-2013. STH prevalence in the country has not been described within the last 30 years and it is needed in order to establish policies its control in the country.
    Methodology: National Survey of STH in school-aged children with a multistage stratified probability sampling was conducted. The overall prevalence and intensity of STH infection, as well as for each parasite, (A. lumbricoides, T. trichiura and hookworms) were calculated for the country and for each of the nine biogeographic provinces.
    Principal findings: Stool samples were collected from 6045 children in eight out of nine biogeographic provinces. The combined prevalence of STH in the country was 29.6%. T. trichiura was the most prevalent helminth (18.4%), followed by A. lumbricoides (11.3%), and hookworms (6.4%). For A. lumbricoides and hookworms, the highest prevalence values were found in the Amazonía province (58.0% and 35.7%, respectively). Regarding STH intensity, most cases showed moderate intensity (41.3%) for A. lumbricoides, and light intensity, for T. trichiura and hookworms. The national prevalence of anemia in school-aged children was 14.2%, lowest in the Nor-Andina province (3.5%), and highest in the Territorios Insulares oceánicos del Caribe province (45.1%).
    Significance: Colombia has a moderate risk of STH infection in school-aged populations, with considerable variation in the prevalence values among the biogeographic provinces. Like any public health issue, this problem should be handled with a comprehensive approach that involves deworming programs and strategies for STH control according to the specific epidemiological and socioeconomic conditions and sanitation service coverage in each biogeographic province. The program should be further supported by intersectoral action to improve living conditions, particularly the excreta disposal, promoted at municipality levels.
    MeSH term(s) Animals ; Child ; Colombia/epidemiology ; Cross-Sectional Studies ; Feces/parasitology ; Female ; Helminthiasis/epidemiology ; Helminthiasis/parasitology ; Helminthiasis/transmission ; Helminths/classification ; Helminths/genetics ; Helminths/isolation & purification ; Humans ; Male ; Prevalence ; Schools/statistics & numerical data ; Soil/parasitology
    Chemical Substances Soil
    Language English
    Publishing date 2020-07-17
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2727
    ISSN (online) 1935-2735
    ISSN 1935-2727
    DOI 10.1371/journal.pntd.0007613
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Mortality and clinical characteristics of multisystem inflammatory syndrome in children (MIS-C) associated with covid-19 in critically ill patients: an observational multicenter study (MISCO study).

    Acevedo, Lorena / Piñeres-Olave, Byron Enrique / Niño-Serna, Laura Fernanda / Vega, Liliana Mazzillo / Gomez, Ivan Jose Ardila / Chacón, Shayl / Jaramillo-Bustamante, Juan Camilo / Mulett-Hoyos, Hernando / González-Pardo, Otto / Zemanate, Eliana / Izquierdo, Ledys / Mejìa, Jaime Piracoca / González, Jose Luis Junco / Duran, Beatriz Giraldo / Gonzalez, Carolina Bonilla / Preciado, Helen / Marun, Rafael Orozco / Alvarez-Olmos, Martha I / Alzate, Carolina Giraldo /
    Rojas, Jorge / Salazar-Uribe, Juan Carlos / Anaya, Juan-Manuel / Fernández-Sarmiento, Jaime

    BMC pediatrics

    2021  Volume 21, Issue 1, Page(s) 516

    Abstract: Background: The clinical presentation and severity of Multisystem Inflammatory Syndrome in Children associated with COVID-19 (MIS-C) is widespread and presents a very low mortality rate in high-income countries. This research describes the clinical ... ...

    Abstract Background: The clinical presentation and severity of Multisystem Inflammatory Syndrome in Children associated with COVID-19 (MIS-C) is widespread and presents a very low mortality rate in high-income countries. This research describes the clinical characteristics of MIS-C in critically ill children in middle-income countries and the factors associated with the rate of mortality and patients with critical outcomes.
    Methods: An observational cohort study was conducted in 14 pediatric intensive care units (PICUs) in Colombia between April 01, 2020, and January 31, 2021. Patient age ranged between one month and 18 years, and each patient met the requirements set forth by the World Health Organization (WHO) for MIS-C.
    Results: There were seventy-eight children in this study. The median age was seven years (IQR 1-11), 18 % (14/78) were under one year old, and 56 % were male. 35 % of patients (29/78) were obese or overweight. The PICU stay per individual was six days (IQR 4-7), and 100 % had a fever upon arrival to the clinic lasting at least five days (IQR 3.7-6). 70 % (55/78) of patients had diarrhea, and 87 % (68/78) had shock or systolic myocardial dysfunction (78 %). Coronary aneurysms were found in 35 % (27/78) of cases, and pericardial effusion was found in 36 %. When compared to existing data in high-income countries, there was a higher mortality rate observed (9 % vs. 1.8 %; p=0.001). When assessing the group of patients that did not survive, a higher frequency of ferritin levels was found, above 500 ngr/mL (100 % vs. 45 %; p=0.012), as well as more cardiovascular complications (100 % vs. 54 %; p = 0.019) when compared to the group that survived. The main treatments received were immunoglobulin (91 %), vasoactive support (76 %), steroids (70.5 %) and antiplatelets (44 %).
    Conclusions: Multisystem Inflammatory Syndrome in Children due to SARS-CoV-2 in critically ill children living in a middle-income country has some clinical, laboratory, and echocardiographic characteristics similar to those described in high-income countries. The observed inflammatory response and cardiovascular involvement were conditions that, added to the later presentation, may explain the higher mortality seen in these children.
    MeSH term(s) COVID-19/complications ; Child ; Child, Preschool ; Critical Illness ; Humans ; Infant ; Male ; SARS-CoV-2 ; Systemic Inflammatory Response Syndrome
    Language English
    Publishing date 2021-11-18
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-021-02974-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prevalence of soil transmitted helminths in school-aged children, Colombia, 2012-2013.

    David José González Quiroz / Sonia Del Pilar Agudelo Lopez / Catalina María Arango / Jesús Ernesto Ochoa Acosta / León Darío Bello Parias / Leonardo Uribe Alzate / Carolina Hernández Castro / Angélica Patricia Medina Lozano / Geicy Derly Sepúlveda Vergara / Adriana Molina Giraldo / Julián Trujillo-Trujillo / Ivet Del Carmen Pernett Bolaño / Claudia Milena Cuellar Segura / María Patricia Arbeláez Montoya

    PLoS Neglected Tropical Diseases, Vol 14, Iss 7, p e

    2020  Volume 0007613

    Abstract: Background This study aims to establish the prevalence of soil-transmitted helminth (STH) intestinal infections, nutritional status, and anemia in school children aged 7 to 10 years old in the biogeographic provinces of Colombia in 2012-2013. STH ... ...

    Abstract Background This study aims to establish the prevalence of soil-transmitted helminth (STH) intestinal infections, nutritional status, and anemia in school children aged 7 to 10 years old in the biogeographic provinces of Colombia in 2012-2013. STH prevalence in the country has not been described within the last 30 years and it is needed in order to establish policies its control in the country. Methodology National Survey of STH in school-aged children with a multistage stratified probability sampling was conducted. The overall prevalence and intensity of STH infection, as well as for each parasite, (A. lumbricoides, T. trichiura and hookworms) were calculated for the country and for each of the nine biogeographic provinces. Principal findings Stool samples were collected from 6045 children in eight out of nine biogeographic provinces. The combined prevalence of STH in the country was 29.6%. T. trichiura was the most prevalent helminth (18.4%), followed by A. lumbricoides (11.3%), and hookworms (6.4%). For A. lumbricoides and hookworms, the highest prevalence values were found in the Amazonía province (58.0% and 35.7%, respectively). Regarding STH intensity, most cases showed moderate intensity (41.3%) for A. lumbricoides, and light intensity, for T. trichiura and hookworms. The national prevalence of anemia in school-aged children was 14.2%, lowest in the Nor-Andina province (3.5%), and highest in the Territorios Insulares oceánicos del Caribe province (45.1%). Significance Colombia has a moderate risk of STH infection in school-aged populations, with considerable variation in the prevalence values among the biogeographic provinces. Like any public health issue, this problem should be handled with a comprehensive approach that involves deworming programs and strategies for STH control according to the specific epidemiological and socioeconomic conditions and sanitation service coverage in each biogeographic province. The program should be further supported by intersectoral action to improve living conditions, particularly the excreta disposal, promoted at municipality levels.
    Keywords Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
    Subject code 380
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Incidencia de insuficiencia renal aguda en niños hospitalizados por quemaduras en el Hospital Universitario San Vicente de Paúl de Medellín, 2007-2008

    José William Cornejo Ochoa / Juan José Vanegas Ruiz / Sandra Milena Brand / Carolina Giraldo Alzate

    Iatreia, Vol 21, Iss 4-S (2008)

    2008  

    Abstract: INTRODUCCIÓN: las quemaduras en niños se han identificado como causa principal de trauma y su asociación con insuficiencia renal aguda es una de las complicaciones más temidas debido a su alta tasa de mortalidad. OBJETIVO: establecer la incidencia de ... ...

    Abstract INTRODUCCIÓN: las quemaduras en niños se han identificado como causa principal de trauma y su asociación con insuficiencia renal aguda es una de las complicaciones más temidas debido a su alta tasa de mortalidad. OBJETIVO: establecer la incidencia de insuficiencia renal aguda y describir algunos de los factores asociados en niños quemados menores de 18 años atendidos en el Hospital Universitario San Vicente de Paúl de Medellín. MATERIALES Y MÉTODOS: estudio de cohorte prospectivo y descriptivo en pacientes menores de 18 años con quemaduras superiores al 30% de la superficie corporal total que ingresaron al Servicio de quemados del Hospital Universitario San Vicente de Paúl entre abril del 2007 y febrero 2008. RESULTADOS: en total se incluyeron 25 pacientes en el estudio y de acuerdo con los criterios utilizados el 64% desarrollaron insuficiencia renal aguda y presentaron una tasa de mortalidad del 12,5% mientras que en el grupo sin insuficiencia renal aguda no se presentaron muertes. No se encontraron diferencias significativas entre los dos grupos en ninguna de las variables, lo que podría deberse al tamaño de la muestra; sin embargo, la lesión por inhalación se vislumbra como un factor importante de riesgo. CONCLUSIONES: la insuficiencia renal aguda en pacientes quemados es una complicación muy frecuente y se la debe buscar activamente y hacerles un seguimiento estrecho a los pacientes. Hacen falta más estudios en Medellín para determinar los factores de riesgo asociados a esta complicación.
    Keywords Insuficiencia renal aguda ; Quemaduras en niños ; Medicine ; R ; Medicine (General) ; R5-920
    Language Spanish
    Publishing date 2008-11-01T00:00:00Z
    Publisher Universidad de Antioquia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Volumen 18 Número 1

    Teresita Betancur-Vargas / Daniel Alejandro García-Giraldo / Angélica Julieth Vélez-Duque / Angélica María Gómez / Carlos Flórez-Ayala / Jorge E. Patiño / Juan Álvaro Ortíz-Tamayo / Selwin Pérez-Nasser / Mónica Tatiana López Muñoz / Carlos Eduardo De Mattos Bicudo / Ricardo O. Echenique / John Jairo Ramírez-Restrepo / Jaime A. Palacio / Luis Javier Romero-Puentes / Brayan Leandro Torres-Clavijo / Ángela Parrado-Rosselli / Laguandio del Cristo Banda-Sánchez / Yeison Herney Pinzón-Ariza / Luis Eduardo Vanegas-Martínez /
    Hamleth Valois-Cuesta / Carolina Martínez-Ruiz / Humberto Mendoza-Cifuentes / Brightdoom Márquez-Rojas / Evelyn Zoppi de Roa / Luis Troccoli / Edy Montiel / Fredy Molano-Rendón / Irina Morales / Efraín Reinel Henao-Bañol / Fabian G. Gaviria / Julián A. Salazar-Escobar / Catalina Romero-Ortiz / Ada Acevedo / Carlos A. Lasso / César Román-Valencia / Donald C. Taphorn / Carlos. A. García-Alzate / Sebastián Vásquez-P. / Raquel I. Ruiz-C. / Alberto Moncayo-Fernández / Ofelia Mejía-Egas / Héctor E. Ramírez-Chaves / Cristian Román-Palacios / Sara Fernández-Garzón / Alejandro Valencia-Zuleta / Andrés Felipe Jaramillo-Martínez / Ronald Andrés Viáfara-Vega / Andrés R. Acosta-Galvis / Jaime De La Ossa-V. / Merly Ardila-Marulanda / Alejandro De La Ossa-Lacayo / Silvia Galván-Guevara / Franger J. García / Mariana Isabel Delgado-Jaramillo / Marjorie Machado / Wilmar Bolívar-García / Alan Giraldo / Ángela M. González-Colorado / Lina M. Mesa S. / Juan Gabriel Albornoz / Mauricio Torres / Egna Mantilla-Barbosa / Federico Rangel-Serpa

    Biota Colombiana. 2017 Dec., v. 18, no. 1

    2017  

    Abstract: Revista seriada del Instituto Humboldt en asocio con el Invemar, el Instituto de Ciencias Naturales (ICN) y el Missouri Botanical Garden, como una estrategia para ampliar la base del conocimiento de uno de los países con mayor diversidad biológica del ... ...

    Abstract Revista seriada del Instituto Humboldt en asocio con el Invemar, el Instituto de Ciencias Naturales (ICN) y el Missouri Botanical Garden, como una estrategia para ampliar la base del conocimiento de uno de los países con mayor diversidad biológica del mundo. Inicia como una publicación de listados de especies pero en 2005 amplía su espectro temático hacia la sistemática y la biogeografía. En 2010, a propósito del Año Internacional de la Biodiversidad y en pro del conocimiento, la conservación y el uso sostenible de la biodiversidad, se abre a un público más amplio, considerando trabajos inéditos de investigación sobre botánica, zoología, ecología, biología, limnología, pesquerías, conservación, manejo de recursos y uso de la biodiversidad, con buena aceptación por parte de la comunidad científica y académica. En 2013, en asocio con el SiB Colombia y con el apoyo de la GBIF, se institucionaliza la inclusión de Artículos de Datos (Data Papers) en Biota Colombiana.
    Keywords botanical gardens ; organisms ; Colombia ; Missouri
    Language English
    Dates of publication 2017-12
    Size p. 1-390.
    Publishing place Instituto de Investigación de Recursos Biológicos Alexander von Humboldt
    Document type Article
    ZDB-ID 2401299-3
    ISSN 2539-200X
    ISSN 2539-200X
    DOI 10.21068/bc.v18i1.477
    Database NAL-Catalogue (AGRICOLA)

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