Objectives
To provide an insight of the incidence of congenital developmental dysplasia of the hip in newborns from Yucatan born between 2015 and 2019 and analyze its association with maternal sociodemographic characteristics and neonatal, pregnancy and delivery related aspects.
Methods
Retrospective, population‐based study from Birth Registries database in Yucatan, Mexico between 2015 and 2019. Presence of hip dysplasia was described and analyzed considering three aspects (I) Maternal information (II) Pregnancy and birth (III) Neonatal examination. We obtained incidence rates from each year and the complete studied period. Association between hip dysplasia and maternal, neonatal and pregnancy/delivery variables was analyzed using logistic regression, unadjusted odds ratio and an adjusted model.
Results
Hip dysplasia occurred in 13 per 10 000 live births. Significant associations were found between hip dysplasia and maternal place of residence in a city <50 000 inhabitants, without a local clinic. Propensity to give birth to a neonate with hip dysplasia increased with maternal age and ethnicity, in female newborns and when total number of pregnancy consultations summed <5. Newborns with hip dysplasia were heavier and less susceptible to be delivered vaginally. Congenital developmental hip dysplasia was comparatively more frequent among offspring of Mayan women and suboptimal access to medical care during pregnancy. Female neonates were affected the most, those first‐borns. Neonates with hip dysplasia were heavier and more susceptible to be born by cesarean section.
Conclusion
Maternal, neonatal, and perinatal factors are associated with DDH in Yucatecan infants born during 2015–2019. Factors that describe living conditions seems to have a more important effect on the presence of this condition.
This study is aimed at identifying the relationship between oral motor treatment and the improvement of abilities for feeding and swallowing in boys and girls with CP residing in the state of Yucatán. The sample consisted of 30 patients with a diagnosis of CP and the presence of ADT, with gross motor function levels from II to V, between 3 and 14 years old, of which 50% received oral motor treatment. The predominant diagnosis was spastic CP and tetraplegia. An interview was carried out with the tutor, the application of the gross motor skills scale, and an assessment of feeding skills. The feeding and swallowing skills that improved significantly with the oral motor treatment were mandibular mobility, tongue activity, abnormal reflexes, control of breathing, and general oral motor skills (
p
≤
0.05
). Within the sample that did not receive oral motor treatment, 46% presented low or very low weight and 40% referred recurrent respiratory diseases. In the end, it was concluded that feeding skills improve significantly with oral motor treatment, regardless of the severity of gross motor involvement. Likewise, oral motor treatment was associated with a lower presence of respiratory diseases and nutritional compromise.
Resultados. El dolor se asoció con la calidad de vida, la religiosidad y las interacciones sociales. Con respecto a la rigidez y la capacidad funcional, los participantes expresaron la valoración de la enfermedad como un deterioro inevitable y una respuesta de afrontamiento bastante pasiva. Conclusiones. La evidencia basada en la narrativa sobre cómo los pacientes con OA perciben y manejan su enfermedad subrayan la salud como un concepto donde las dimensiones físicas y psicológicas están en una interacción continua; por lo tanto, se requiere una mayor sensibilidad de la comunidad médica y un tratamiento interdisciplinario integral.
Introducción. La limitación funcional auditiva ocupa un puesto importante por la gravedad de sus consecuencias, quien la padece se ve envuelto en un laberinto de barreras a la comunicación, sin embargo, con una adecuada rehabilitación que promueva el desarrollo del lenguaje oral pueden disminuirse las restricciones para su participación social.
Objetivo. Mediante un estudio piloto, evaluar el efecto de la implementación de la educación audioverbal en la percepción auditiva en infantes con limitación funcional auditiva
Material y métodos. Se estudiaron 2 sujetos varones (8 y 9 años de edad), seleccionados no probabilísticamente, ambos con diagnóstico confirmado de limitación funcional auditiva y que contaban con auxiliares auditivos. Para la valoración de la percepción auditiva se utilizó la prueba de Gotzens y Marro, cuyas dimensiones exploran en un bloque los ruidos y sonidos y en otro bloque el lenguaje.
Resultados. Ambos sujetos lograron superar las dificultades presentadas en los indicadores correspondientes al bloque de ruidos y sonidos, así como en el bloque de lenguaje, exceptuando el indicador figura-fondo auditivo, en sus dos modalidades, enmascaramiento y estímulos simultáneos, el cual continuó limitado a pesar del entrenamiento.
Conclusiones. La implementación de la educación audioverbal produce mejoría de la percepción auditiva.
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