An exploratory factor analysis was performed to establish the factor structure of neuropsychological functioning in mild intellectual disability in children. It was a quantitative, descriptive and cross-sectional study. Eighty children with a diagnosis of mild intellectual disability were included. An extensive battery of neuropsychological tests was applied. An Exploratory Factor Analysis was performed to identify the main factors. The results showed that mild intellectual disability in children has a structure in which the neuropsychological functions associated with executive functioning explain 56% of the variance and have a factor priority over 13%, which explains the variables associated with two traditional tests for assess intelligence. Each factor is analyzed and discussed from clinical and experimental neuropsychology. The study findings have theoretical and clinical implications for differential diagnosis.
Niños
Estructura Factorial del Funcionamiento Neuropsicológico en la Discapacidad Intelectual Leve en Niños. Factorial Structure Of Neuropsychological Functioning In Mild Intellectual Disability In Children.
Meningoencefalitis Eeosinofílica por Angiostrongylus Cantonensis. A un cuarto de siglo de una enfermedad emergente en las Américas.
Introduction: 25 years ago an emergent disease: eosinophilic meningoencephalitis due to Angiostrongylus cantonensis larvae. was first reported in Cuba and in the western hemisphere.
Objectives: To collect in a summary form the accumulated experience and the findings of the study of this parasitosis during the period.
Results: It has been collected the first evidences, the parasitological and malacological findings, the experimental and molecular studies on immunology and neuroimmunology, the clinical-pathological findings in children and adults with the particularities of this diseases in our environment with special accent in the never-before scientific findings reported.
Conclusions: It has been documented the testimony, the main findings among the malacological studies, the role of IgE and the mechanism involved in the central nervous system, the intrathecal synthesis patterns of immunoglobulins and the clinical elements in children and adults.
Leer artículo completo
Síndrome Febril sin Causa Aparente en Lactantes Menores de 3 Meses: Utilidad de la Punción Lumbar
Febrile syndrome without apparent focus in children under 3 months old is a common problem in clinical practice. Here, we evaluate the role of lumbar puncture in this group of patients to assess the frequency of viral meningitis. We analyzed 253 medical records of patients hospitalized in the Seclusion Service of Roberto del Río Hospital from January 2001 to January 2003. The age ranged from 2 to 87 days; 55.7% of patients were younger that 28 days, and 86.6% were younger than 2 months. Most common manifestations were fever and poor appetite. Laboratory tests showed abnormal WBC in 28% of patients. CRP and ESR were impaired in 1.6% and 10.7% respectively. Blood cultures were positive in 3.2%, and urinalysis were abnormal in 30 patients. We performed lumbar puncture in 223 of 253 patients (88%). It yielded abnormal CSF findings in only 14 children. Viral meningitis was diagnosed in 10 patients and bacterial meningitis 4 patients.Pyelonephritis or occult bacteremia were confirmed in 11.8% and 4.7% respectively. Treatment was started in 125 patients, but only 62 completed it. We conclude that lumbar puncture is a diagnostic tool in febrile infants to rule out diseases having high morbidity and mortality rates, that must be receive prompt treatment. In febrile infants under 3 months of age with no apparent focus, bacterial disease must be suspected
