Frontotemporal dementia (FTD) is a neurodegenerative disorder mainly affecting the frontal and/or temporal lobes, leading to dementia with prominent behavioural and/or language disturbances. Symptom onset is most often between 45 and 65 years. Continue reading
Author Archives: Guillermo Firman
Diagnostic Criteria for Chronic Rhinosinusitis with Nasal Polyps
Nasal polyps are benign inflammatory masses, arising from the mucosa of the nose and paranasal sinuses. They are considered to be a subgroup of chronic rhinosinusitis, and clinical diagnosis is made on the basis of the presence of sinonasal symptoms for more than 3 months and the visualization of polyps in the nasal cavity. Continue reading
Diagnosis of Inhalation Injury
Inhalation injury can feature supraglottic thermal injury, chemical irritation of the respiratory tract, systemic toxicity due to agents such as carbon monoxide (CO) and cyanide, or a combination of these insults. The resultant inflammatory response may cause higher fluid resuscitation volumes, progressive pulmonary dysfunction, prolonged ventilator days, increased risk of pneumonia, and acute respiratory distress syndrome (ARDS). Continue reading
Criteria to Initiate Evaluation for Growth Hormone Deficiency (GHD)
Tools for the diagnosis of GHD include auxology, radiographic assessment of bone age, measurement of insulin-like growth factor 1 (IGF-I) and IGF binding protein 3 (IGFBP-3), provocative growth hormone (GH) testing, cranial magnetic resonance imaging (MRI), and, in certain cases, genetic testing. Growth velocity and the degree of short stature are primary considerations in the decision to pursue evaluation for GHD. Continue reading
Classification of Burn Injury
A burn is an injury to the skin or other organic tissue primarily caused by heat or due to radiation, radioactivity, electricity, friction or contact with chemicals. Skin injuries due to ultraviolet radiation, radioactivity, electricity or chemicals, as well as respiratory damage resulting from smoke inhalation, are also considered to be burns. Continue reading
Diagnosis and Severity Criteria for Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease in Children
Hepatic sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD) is a life-threatening complication of hematopoietic cell transplantation (HCT) that belongs to a group of diseases increasingly identified as transplant-related, systemic endothelial diseases. In most cases, SOS/VOD resolves within weeks; however, severe SOS/VOD results in multi-organ dysfunction/failure with a mortality rate >80%. Continue reading
GLIM Criteria for the Diagnosis of Malnutrition
This Global Leadership Initiative on Malnutrition (GLIM) initiative targets the priority to adopt global consensus criteria so that malnutrition prevalence, interventions, and outcomes may be compared throughout the world. Continue reading
Alimentación en la Adolescencia
La adolescencia es un período de crecimiento rápido, lo que significa que requiere más energía. Crecemos de acuerdo a nuestro potencial genético, de acuerdo a la disponibilidad de nutrientes necesarios y a la actividad física. Continue reading
Pirámide Nutricional
La pirámide nutricional es un método utilizado para sugerir a la población que consuma diariamente una variedad de alimentos en forma equilibrada, con la cuál ayudan a mantener un peso saludable y disminuye el riesgo de enfermedades. Continue reading
Alimentación en el Niño Sano
La infancia es un período de crecimiento y desarrollo: no solo aumenta el peso y la estatura, además adquiere habilidades motoras, cognitivas y sociales. Por ello necesita una adecuada cantidad de nutrientes en el momento oportuno. La demanda de nutrientes depende del metabolismo basal, el crecimiento y la actividad física (variable en cada niño). Continue reading