Browsing by Author "Harris, Paul R."

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    Análisis comparativo y perfil de publicaciones en la Revista Chilena de Pediatría 2001-2006
    (2007) Harris, Paul R.; Liebbe G., J.L.; Sotomayor A., J.; Ugarte P., F.; Cano Sch., F.
    Background: The Revista Chilena de Pediatría (Rev Chil Pediatr), official journal of Sociedad Chilena de Pediatría is index in SciELO, but not in the National Library of Medicine (NLM) of USA. Objectives: a) Determine the profile of published and visited articles of Rev Chil Ped, in order to compare them with the Jornal de Pediatria from Brazil (J Ped Br) and the Journal of Pediatrics (J Ped) from USA. b) Evaluate the visibility of Rev Chil Pediatr compared to Revista Medica de Chile (Rev Med Chil). Method: On line issues from the above mentioned journal were evaluated through SciELO database and PubMed database from 2001 - 2006. A random and representative subset of published articles was obtained from each one of the 3 journals during the referred period. The most visited articles from Rev Chil Pediatr were analyzed and classified as originals (clinical and basic research) and non originals (editorial, clinical case, reviews and others). The articles were classified according to thematic content in 25 medical specialties. In addition, the number of annual visits to Rev Chil Pediatr and Rev Med Chil were analyzed, including the most frequent citations given and received in that period of time. Results: Out of 512 articles in Rev Chil Pediatr, 220 were analyzed; 35% were originals and 65% non originals, with a significant lower percentage of original articles compared to J Ped Br and J Ped (p < 0.05). The thematic areas with more articles were respiratory disease, infectious diseases and nutrition with 9.1, 7.7 and 7.7%, respectively. Rev Chil Pediatr published twice as many nutrition articles and five times more public health articles compared to J Ped (p < 0.05). The most visited articles on line were of nutrition, infectious diseases, respiratory diseases and neonatology. Among the 10 most visited articles from Rev Chil Pediatr, 7 were review articles. Since 2005, an explosive growth is detected in the number of visits to articles from Rev Chil Pediatr in SciELO. When the number of visits was adjusted to the number of physicians belonging to the corresponding society, there was a higher number of visits to Rev Chil Pediatr from 2005 compared to Rev Med Chile. Conclusion: The thematic content of Rev Chil Pediatr is similar to regional journals, but different to international ones. There is an appropriate correlation between published and visited articles. SciELO has been an important tool that contributes to the diffusion of research published in Rev Chil Pediatr. © 2007 Sociedad Chilena de Pediatría.
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    Esofagitis eosinofílica en niños: Características clínicas y endoscópicas
    (2009) González, Carmen Gloria; Torres, Javiera; Molina, Ricardo; Harris, Paul R.
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    Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
    (2006) Gana, Juan Cristobal; Glenz, Constanza; Marchant, Pamela; Vaca, Carina; García, Ximena; Larraín, Francisco; Harris, Paul R.
    Background: Colonoscopy is a well established diagnostic and therapeutic procedure in pediatrics. Aim: To evaluate colon preparation alternatives for colonoscopy or sigmoidoscopy, type of sedation, clinical indications and findings. Patients and methods: Prospective study of 123 children referred for colonoscopy. Demographic data, type of colon preparation, sedation, type of endoscope and endoscopic results were obtained. The following day, a phone interview was carried out inquiring about duration, quality and adverse effects of the sedation and procedure. Results: Seventy one boys (58%) and 52 girls (42%) with a mean age of 6.7±4.4 years, were recruited. The main indication was lower gastrointestinal bleeding (71%). The different colon preparations produced elimination of clear liquid stools in 50%, non transparent liquid in 23%, semi liquid in 22% and solid in 6% of the patients. Most common side effects were abdominal distension (20%) and nausea (16.8%). The most commonly used drugs were midazolam (76%) and demerol (43%). The average duration of the procedure was 18.3 minutes (range: 4-50). The most common findings were rectal polyps (18.7%) and hemorrhagic colitis (14.6%). In 77% of cases, the sedation was considered very good or good. Colon visualization was described as very good (51%) or good (36%). Seventy three percent of children had complete amnesia. The most common adverse effect was vomiting (7.5%). Conclusion: Lower endoscopies are feasible procedures to carry out in children, in an ambulatory basis, with intravenous sedation and minimum adverse effects.
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    Serological diagnosis of Helicobacter pylori infection in children
    (2005) Harris, Paul R.; Serrano H., C.; González F., C.G.
    Helicobacter pylori (H. pylori) colonizes 50% of the world's population. The infection is acquired during infancy; an age group of non-invasive diagnostic methods need to be urgently validated. Our aim was to review the literature and evaluate the usefulness of serological diagnosis with special emphasis on the paediatric population. The relevance of these methods has been focused in epidemiological studies. In adult populations, the determination of antibodies against H. pylori exhibits a sensitivity and specificity of over 90%, being comparable to other invasive endoscopy based methods. In the paediatric population, the performance of serological testing has been less successful, with lower sensitivity and specificity. This underlies the need to establish more precise cut off values, based on local populations, where studies using antibodies as diagnostic markers of H. pylori are planned.
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    Severe acute pancreatitis secondary to hypertriglyceridemia as the onset of Type 1 Diabetes Mellitus in the pediatric age
    (2024) Munoz, Camila; De Toro, Valeria; Gana, Juan Cristobal; Harris, Paul R.; Loureiro, Carolina; Alberti, Gigliola
    Hypertriglyceridemia (HTG)-induced acute pancreatitis (AP) secondary to insulin deficiency following the onset of type 1 diabetes mellitus (T1DM) is a rare but serious complication in children. Objective: To describe the diagnosis and treatment of severe HTG and to emphasize the need for timely diagnosis of T1DM. Clinical Case: A 15-year-old female adolescent with a history of overweight presented with a two-weeks history of fever, anorexia, and diffuse abdominal pain. Laboratory tests revealed triglycerides of 17,580 mg/dL, lipase of 723 U/L, and blood glucose of 200 mg/dL. An abdominal CT scan showed an enlarged and edematous pancreas. She was hospitalized with a diagnosis of AP and severe HTG, which progressed to acute necro-hemorrhagic pancreatitis. Treatment included continuous intravenous insulin infusion until triglyceride levels decreased. Upon discontinuation of insulin, fasting hyperglycemia (206 mg/dL) and metabolic acidosis recurred, therefore DM was suspected. Upon targeted questioning, a history of polydipsia, polyuria, and weight loss during the last 3 months stood out. Glycated hemoglobin was markedly elevated (14.7%). Insulin therapy was optimized, achieving stabilization of laboratory parameters after 15 days of treatment and complete anatomical resolution of pancreatic involvement at one year of follow-up. Conclusions: The presence of severe HTG in pediatrics compels us to consider its secondary causes, such as the onset of T1DM. It is crucial to improve the ability to diagnose T1DM early, as it may present with infrequent and high-risk presentations for the patient.