Publication: El niño adoptado internacionalmente. Aspectos epidemiológicos, enfermedades relacionadas y evolución clínica
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2017-09-21
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Universidad Complutense de Madrid
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Abstract
La adopción internacional se ha convertido en los últimos años en un fenómeno cada vez más frecuente, con un incremento significativo desde los primeros años del siglo XXI, en parte por la mayor facilidad de tramitación respecto a la adopción nacional y por el sentimiento altruista de ayuda a estos menores desfavorecidos. Los niños adoptados presentan unos antecedentes y características socioculturales que los hacen diferentes en muchos aspectos de los niños inmigrantes. A los problemas nutricionales, infecciosos y otros derivados de la escasa infraestructura sanitaria de sus países de origen se añaden problemas derivados de la institucionalización. Esto la convierte en una población con unos requerimientos, estudio y seguimiento especiales. OBJETIVOS 1.- Describir y analizar la patología infecciosa y tropical importada de una población de niños adoptados internacionales (AI), atendida en un hospital público de referencia de la Comunidad Autónoma de Madrid, y su asociación con características demográficas y clínicas a su llegada. 2.- Describir las características epidemiológicas de los niños AI a su llegada atendiendo a su procedencia y situación médica previa. 3.- Estudiar las características clínicas iniciales, hallazgos en la exploración física, incidiendo especialmente en los parámetros antropométricos y aspectos nutricionales, y pruebas complementarias, y su asociación con características demográficas...
Intercountry adoption has become in recent years an increasingly frequent fact, with a significant increase since the beginning of 21st century, partly due to the easiness in process compared to national adoption, and the unselfish feeling of helping these disadvantaged children. International adopted children (IAC) have a background and social features different in many aspects from immigrants. In addition to nutritional issues, infectious diseases and other derived from limited health structures, there are other concerns related to institutionalization and prior to it. They make it a population with especial requirements, approach, management and follow-up. AIMS 1.- To describe and analyze imported tropical and infectious diseases in a population of Intercountry Adopted Children (IAC) evaluated in a public referral hospital in Comunidad de Madrid, and its association with their demographic and clinical features, upon arrival to our country. 2.- To describe epidemiological features in IAC upon arrival, according to their origin and medical background. 3.- To describe clinical features, findings on physical examination with especial emphasis in anthropometric values and nutritional aspects, and additional testing performed, and its association with demographic features. 4.- To analyze the outcome of those patients followed-up...
Intercountry adoption has become in recent years an increasingly frequent fact, with a significant increase since the beginning of 21st century, partly due to the easiness in process compared to national adoption, and the unselfish feeling of helping these disadvantaged children. International adopted children (IAC) have a background and social features different in many aspects from immigrants. In addition to nutritional issues, infectious diseases and other derived from limited health structures, there are other concerns related to institutionalization and prior to it. They make it a population with especial requirements, approach, management and follow-up. AIMS 1.- To describe and analyze imported tropical and infectious diseases in a population of Intercountry Adopted Children (IAC) evaluated in a public referral hospital in Comunidad de Madrid, and its association with their demographic and clinical features, upon arrival to our country. 2.- To describe epidemiological features in IAC upon arrival, according to their origin and medical background. 3.- To describe clinical features, findings on physical examination with especial emphasis in anthropometric values and nutritional aspects, and additional testing performed, and its association with demographic features. 4.- To analyze the outcome of those patients followed-up...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Pediatría, leída el 03/02/2016