Benign transient hyperphosphatasemia of infancy (BTH) is a condition characterized by disproportionately high levels of serum alkaline phosphatase (SAP). We report 4 cases of healthy patients with an elevated SAP. The mean age of the patients was 33 (14-52) months, with three females and one male. All children had a normal physical exam and anthropometric measures. The maximum values of serum alkaline phosphatase recorded in the 4 patients were: 11900, 6500, 9700 and 7600 UI/L respectively, with the rest of the laboratory exams and diagnostic images being normal. The clinical course of all the patients was favourable and no patient presented signs of symptoms of illness. Blood was drawn on 6 occasions in patients 1 and 5 occasions in the rest. Benign transient hyperphosphatasemia of infancy was diagnosed. It is important to know the characteristics of this condition to order the necessary amount of complementary studies.
Internal carotid artery pseudoaneurysm is a rare life-threatening condition that may develop in different clinical situations. We report the case of an extracranial internal carotid artery pseudoaneurysm secondary to a throat infection in a pediatric patient that was initially treated with percutaneous thrombin injection under ultrasound guidance. However, recanalization occurred at 48 h, and definitive treatment was then performed by endovascular stent-graft placement. We briefly review the clinical characteristics of this uncommon clinical condition as well as the treatment options.
RESUMENLa investigación es importante durante la formación universitaria. El objetivo de este trabajo fue describir la enseñanza de un ejercicio de investigación clínica y su percepción por parte de los estudiantes. Estudiantes de Medicina realizaron un trabajo grupal coordinados por un tutor. Se evaluó la importancia que les daban los alumnos al aprendizaje de la investigación y la satisfacción de haber participado en una escala de 1 a 10. Ochenta y un estudiantes desarrollaron 14 ejercicios de investigación. El 44,4% refirió haber recibido formación en metodología de la investigación y el 11,1% había participado de algún estudio de investigación. Se le asignó un puntaje de 8 a la importancia de investigar y 9 a la satisfacción de haber participado de la actividad. Los aspectos del ejercicio de investigación clínica percibidos como positivos fueron que favoreció el trabajo en equipo y que ayudó a comprender cómo se realizaba un estudio de investigación. Palabras clave: investigación, estudiantes de Medicina, pediatría, enseñanza. ABSTRACTResearch is important during university education. The objective was to describe the teaching of an exercise in clinical research and its perception by students. Medical students conducted a research work in groups coordinated by a tutor. We evaluated the importance the students gave to research learning and we assessed the satisfaction of having participated in the activity in a scale from 1 to 10. Eighty-one students developed 14 research exercises, 44.4% reported having received training in research methodology before and 11.1% had participated in some research study. They assigned a score of 8 out of 10 to the importance of research and 9 out of 10 to the satisfaction of having participated in the activity. The aspects of the exercise in clinical research perceived as positive were that it favoured teamwork and helped students to understand how to conduct a research study. INTRODUCCIÓNLa investigación es la actividad orientada a la obtención de nuevos conocimientos y su aplicación para la solución de problemas o preguntas de carácter científico. La investigación clínica consiste en hacerse preguntas sobre la práctica cotidiana, definir p r o b l e m a s y e l e g i r u n m é t o d o científico para responderlas. A partir de la Reforma Educativa humboldtiana del siglo xIx, se asigna a la educación universitaria u n a t a r e a c l a v e p a r a p r o d u c i r ciencia y conocimiento mediante la investigación científica. 3Los estudiantes universitarios se benefician de la investigación a l a d q u i r i r c o n o c i m i e n t o s m á s profundos si están involucrados en ella y también mediante el aprendizaje basado en la investigación. 4 Además, c o m p r e n d e r e l p r o c e s o d e l a investigación favorece la lectura crítica de los estudios de investigación para su práctica futura.5 S e h a n r e a l i z a d o d i v e r s o s estudios en Latinoamérica que evalúan la formación universitaria en investigación y la participación de los estudiantes en proyectos científic...
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