2005, Number 3
<< Back Next >>
Acta Pediatr Mex 2005; 26 (3)
Comparison of main causes for private and government pediatric consultation in a rural area
Betancourt SMJ, Rodríguez ICL, Burgos CM
Language: Spanish
References: 28
Page: 117-120
PDF size: 42.04 Kb.
ABSTRACT
Objective. To compare the main causes of private and government pediatric consultation in a rural area of the Gulf of Veracruz, Mexico.
Material and Methods. Registration of daily private and government consultation of the Clinic 21 IMSS between February, 2001 and December, 2003 were reviewed. First visit and subsequent consultation according to diagnosis, date, sex and age were analyzed.
Results. There were 12,844 pediatric consultations; 46.01% for girls and 53.99% for boys; 55.21% for children under four years of age. Respiratory tract infections were the main cause of consultation with 4,832 patients (37.62%), followed by gastrointestinal tract infections with 1,286 patients (10.01%).
Conclusions. The group of four year-old children was the most affected (6,184 cases, 48.15%); respiratory tract and gastrointestinal tract infections were the most common reason for consultation (57.70%). No statistical significant differences were observed comparing the cause of pediatric consultation in private practice and government facilities.
REFERENCES
Jafek B, Dodson B. Nasal Obstruction. En: Bayley BJ, Calhoun KH, Johnson JT, Kohut RI, Pillsbury HCIII, Tardy MEJr. Head and Neck Surgery. Otolaryngology. 2 ed. Philadelphia. Lippincott-Raven 1998;pp371-98
Maves M, Stevens C. Vascular tumor of the head and neck. En: Bayley BJ, Calhoun KH, Johnson JT, Kohut RI, Pillsbury HCIII, Tardy MEJr. Head and Neck Surgery. Otolaryngology. 2 ed. Philadelphia. Lippincott-Raven 1998;pp1817-30
Grybauskas V, Parker J, Friedman M. Juvenile nasopharyngeal angiofibroma. Otolaryngol Clin North Am 1986;19(4):647-56.
Mohair V, Fried M, Vernick D. Computer-assisted three-dimensional reconstruction of head and neck tumors. Laryngoscope 1998;108(11):1592-98.
Biller H. Angiofibroma. A treatment approach. Laryngoscope 1974;84:695-706.
Zhang M, Garvis W, Linder T. Update on the infratemporal fossa approaches to nasopharyngeal angiofibroma. Laryngoscope 1998;108(11):1717-23.
Andrews J, Fish U, Valavanis A. The surgical management of extensive nasopharyngeal angiofibroma with the infratemporal fossa approach. Laryngoscope 1989;99:429-37.
Herman P, Lot G, Chapot R, Salvan D, Tran Ba Huy P. Long-term follow-up of juvenile nasopharyngeal angiofibromas: analysis of recurrences. Laryngoscope 1999;109:140-6.
Chandler JR, Goulding R, Moskowitz L. Nasopharyngeal angiofibromas: Staging and management. Ann Otol Rhinol Laryngol 1984;93:322-9.
Siniluoto T, Luotonen J, Tikkakoski T, Leinonen A. Value of pre-operative embolization in surgery for nasopharyngeal angiofibroma. J Laryngol Otol 1993;107:514-21.
Lloyd G, Howard D, Phelps P. Juvenile angiofibroma: The lessons of 20 years of modern imaging. J Laryngol Otol 1999;113:127-34.
Scholtz A, Appenroth E, Kammen-Jolly K, Scholtz L. Juvenile nasopharyngeal angiofibroma: management and therapy. Laryngoscope 2001;111:681-6.
Fields J, Halverson K, Deniveni V. Juvenile nasopharyngeal angiofibroma: efficacy of radiation therapy. Radiology 1990;176:263-5.
Arroyo M. Angiofibroma nasofaríngeo juvenil. En: Azuara E, García R, Arroyo M, Rinología Ciencia y Arte. México. Salvat Editores 1996;pp157-165.
Craig R. Angiofibroma juvenil nasofaríngeo. En: Levy S. Otorrinolaringología Pediátrica. 4a ed México. Mc Graw-Hill Interamericana Editores 1999;pp365-72.
Zar JH. Biostatistics analysis. Englewood Cliffs, NJ. Prentice-Hall Inc 1974;pp230-3.
Leach C. Introduction to statistics. A nonparametric approach for the social sciences. New York. John Wiley & Sons 1979.
Carrau R, Snyderman C, Kassam A. Endoscopic and endoscopic-assisted surgery for juvenile angiofibroma. Laryngoscope 2001;111:483-7.
Gullane P, Davidson J, O’Dwyer T, Forte V. Juvenile angiofibroma: A review of the literature and a case series report. Laryngoscope 1992;102:928-33.
Mishra S, Shukla K, Bhatia N. Angiofibromas of the postnasal space: A critical appraisal of various therapeutic modalities. J Laryngol Otol 1991;105:547-52.
Gates GA, Rice DH, Koopmann CF, Schuller D. Flutamide-induced regression of angiofibroma. Laryngoscope 1992;102:641-4.
Jorissen M, Eloy H, Rombay CL. Endoscopic sinus surgery for juvenile nasopharyngeal angiofibroma. Acta Otorhinolaryngol Belg. 2000;54:201-19.
Mc Combe A, Lund VJ, Howard DJ. Recurrence in juvenile angiofibroma. Rhinology 1990;28:1-6.
Howard D, Lund V. The midfacial “Degloving” approach to sinonasal disease. J Laryngol Otol 1992;106:1059-62.
Krause G, Jafek B. A modification of the midface “Degloving” technique. Laryngoscope 1999;109:1781-4.
Howard D, Lund V. The role of midfacial “Degloving” in modern rhinological practice. J Laryngol Otol 1999;113:885-7.
Maniglia JA, Philips DA. Midfacial degloving for the management of nasal, sinus, and skull-base neoplasms. Otolaryngol Clin North Am 1995;28(6):1127-48.
Kasper ME, Parsons JT, Mancuso AA. Radiation therapy for juvenile angiofibroma: evaluation by CT and MRI, analysis of tumor regression, and selection of patients. Int J Radiat Oncol Biol Phys 1993;15 25(4):689-94.