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Biomedical subjects

J A Ramírez Mayans

Publications and source records attributed to J A Ramírez Mayans.

14 recordsLinked to original sources
PubMed2003

[Dietary changes in Mexico].

Although the Mexican population has traditionally been malnourished, the prevalence of obesity in children and adults has increased by almost 50 % in the last 10 years. Recent studies show substantial changes in the nutritional status of Mexicans, especially in the pediatric population. Among the factors associated with the development of obesity are overeating, sedentariness, and genetics. The apparent economic development in Mexico, as well as the influence of dietary patterns from other countries, have contributed to modifying lifestyle. Despite measures taken by the health system, iron- and zinc-deficiency anemia continue to be prevalent. The present review aims to describe the changes that have taken place in Mexico in the last few decades leading to a generation of short and obese children, as well as to determine the associated factors in order to promote healthier eating patterns among the Mexican population.

Body Composition↗
PubMed1994

[Congenital hepatic fibrosis. Study of 26 cases].

We studied 26 children with congenital hepatic fibrosis during the period 1971-1993. About half of the children were about the 6 years old. Only two had brothers with same disease. The chief clinical manifestation was hematemesis associated or not with liver enlargement, predominantly of left lobe. Only one case showed fever and cholangitis. Liver function tests were usually normal. Twenty-two children had portal hypertension. Liver biopsy was of definitive for diagnosis. Seven children died.

Child↗
PubMed1990

[Intestinal malacoplakia in childhood. Report of 5 cases].

We studied 5 children with intestinal malakoplakia who were seen during a period of 10 years. Four were male and one female. The main clinical manifestations were: chronic bloody and mucous diarrhea, abdominal pain and polypoid masses detected by rectal maneuver. Either the radiological study as well as endoscopy showed the presence of stenosis and polypoid masses (pseudopolyps). Two patients underwent laparotomy and a tumoral infiltration at the level of rectal-sigmoid and cecal appendix was found. Histological diagnosis proves to be definitive in these case. Drug treatment has been with bethanechol, trimethoprim-sulfamethoxazole in three patients. We conclude that intestinal malakoplakia is more common that ulcerative colitis in our children population attending at this institute. Therefore, the presence of intestinal malakoplakia must be ruled out in every child having chronic bloody and mucous diarrhea, presenting as well pseudopolyps.

Adolescent↗
PubMedDate not supplied

[Intestinal arteriovenous malformations in children].

Four children with arteriovenous malformation were studied during a two year period (1989-1991). The main localization of these arteriovenous malformations were: sigmoid rectum, ascending colon, terminal ileum and apoendix. The diagnosis was made with colonoscopy and arteriography. The surgical resection was the procedure of choice.

Arteriovenous Malformations↗
PubMedDate not supplied

[Esophageal stenosis in children with recessive epidermolysis bullosa dystrophica. Presentation of 6 cases].

Esophageal strictures may complice Dystrophic Recessive + Epidermolysis Bullosa (DREB). We report six consecutive cases of DREB with this type of lesion as the main gastrointestinal manifestation. In three children the stenosis was unique and located in the upper third one in the middle third, and the last two children showed a double stenosis (Upper and middle third) of the esophagus.

Adolescent↗
PubMedDate not supplied

[Feeding of low-birth-weight infants].

A child with low birth-weight is defined. Physiological and biochemical bases for the nutrition of these babies are given. Breast-feeding is recommended describing advantages and disadvantages compared with other milk formulas. Some artificial milk formulas in the national market are analyzed and modified milk or protein-modified milk are recommended as substitutes for mother's milk.

Animals↗
PubMedDate not supplied

[Hypoglycemia in the newborn infant subsequent to hyperplasia of beta cells of the pancreas].

A case of hypoglycemia of difficult control and resistant to treatment due to hypersinsulinism as a result of hypertrophy of beta celis of the pancreas in the newborn perior is analyzed. Based on this case, hypoglycemia of the newborn is discussed, analyzed etiology, pathogenesis, symptomatology, diagnosis and treatment. Emphasis is place on the lack of clear symptoms and signs at this age, on the differential diagnosis, on the entities with which it can be associated or confused, and on the need to make an early diagnosis in order to prevent brain damage.

Autopsy↗
PubMedDate not supplied

[Shwachman's syndrome].

BACKGROUND: Shwachman syndrome has been recognized as the second most frequent cause of pancreatic insufficiency in children and its is related to hematological and bony abnormalities. AIMS: To know the main clinical symptoms, analytical data, radiological and sonographic findings in the Shwachman syndrome. MATERIALS AND METHODS: We present a 1 year 4 months old girl with Shwachman syndrome. We reviewed the clinical history taking into consideration height/weight relationship according to percentiles and physical examination. Analytical data: blood counts, fetal hemoglobin, vitamin B12 and folate levels, bone marrow examination, stool cultures and examination for ova and parasites, transaminase levels, sweat electrolytes, serologic tests for viral hepatitis. Radiological studies: bone series and bone age, abdominal sonography and computed tomography. Liver and intestinal biopsies. RESULTS: In this patient we confirmed the presence of exocrine pancreatic insufficiency, dysfunction of the bone marrow and bony abnormalities typical in Shwachman syndrome.

Bone and Bones↗
PubMedDate not supplied

[Meckel's diverticulum. Study of 61 cases].

BACKGROUND: Meckel's diverticulum is a well known disease in children. The main clinical presentations are rectal bleeding and intestinal occlusion. OBJECTIVE: To investigate the frequency, main clinical symptoms, signs, complications, localization, histology and diagnosis in a population of mexican children. METHOD: We studied 61 children who were seen at the Instituto Nacional de Pediatria, Mexico City, during a period of 10 years. The age, sex, symptoms, complications, hematocrit, 99mTc-Pertechnetate scanning, histology, and localization of Meckel's diverticulum were analyzed in all of them. RESULTS: 15 children were female and 46 male (1:3). In infants the main clinical finding was rectal bleeding. Intestinal occlusion was the most common clinical expression in older children. Gastric mucosa was a common finding in the diverticulum of children with rectal bleeding in contrast to ileal mucosa in children with intestinal occlusion. 99mTc-pertechnetate scanning with previous administration of H2 blocking agent was the best diagnostic procedure. CONCLUSIONS: Meckel's diverticulum must be considered an emergency in children. Meckel's diverticulum, has to be ruled cut as in infants with significant bleeding, as well as in children with intestinal occlusion. The best method for diagnosis is 99mTc-pertechnetate scanning.

Adolescent↗