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Inaccurate diagnosis of diabetes type in youth: prevalence, characteristics, and implications.
Inaccurate diagnosis of diabetes type in youth: prevalence, characteristics, and implications.
Fuente:Scientific Reports
Extracto:
Further
research is warranted to improve accurate diagnosis of pediatric diabetes type.
Claves:Diabetes, Misdiagnosis, Pediatric diabetes, Type 1 diabetes, Type 2 diabetes
Cita:Sci Rep 2024 Apr 17; 14 (1) : 8876.
Autor/es:Tosur, Mustafa (a) Huang, Xiaofan (b)
institución:(a) The Division of Diabetes and Endocrinology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 77030, USA. mustafa.tosur@bcm.edu. (b) Children's Nutrition Research Center, Baylor College of Medicine, USDA/ARS, Houston, TX, 77030, USA. mustafa.tosur@bcm.edu.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Heterogeneity and high prevalence of bone manifestations, and bone mineral density in congenital generalized lipodystrophy subtypes 1 and 2.
Heterogeneity and high prevalence of bone manifestations, and bone mineral density in congenital generalized lipodystrophy subtypes 1 and 2.
Fuente:Frontiers in Endocrinology
Extracto:
Bone
manifestations are prevalent, heterogeneous, and silent in CGL1 and CGL2.
Osteolytic lesions are the most common, followed by osteosclerosis and
pseudo-osteopoikilosis. Bone mass is high in most cases. There was no pain
complaint related to bone lesions. Thus, systematic assessment of bone
manifestations in CGL is essential. Studies are needed to better understand its
pathogenesis and clinical consequences.
Claves:Berardinelli-Seip syndrome, bone, bone cyst, bone mineral density, lipodystrophy
Autor/es:Freire, Erika Bastos Lima (a) Brasil d'Alva, Catarina (b)
institución:(a) Brazilian Group for the Study of Inherited and Acquired Lipodystrophies (BRAZLIPO), Fortaleza, Brazil. (b) Clinical Research Unit, Walter Cantídio University Hospital, Federal University of Ceará/EBSERH, Fortaleza, CE, Brazil.
Conflicto:RMMJ has received grant support and has served as an advisor and/or a consultant to Amryt Pharma, PTC Therapeutics and NovoNordisk. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry.
Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry.
Fuente:Italian Journal of Pediatrics
Extracto:
Maintaining an evidence-based approach is essential to safeguard the
well-being of transgender and gender diverse adolescents.
institución:(a) Pediatric Department, Buzzi Children's Hospital, Milano, Italy. (b) Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
Conflicto:Giovanni Corsello is Editor in Chief of the Italian Journal of Pediatrics and Giorgio Perilongo is Associate Editor of the Italian Journal of Pediatrics. Other authors declare that they have no competing interests
The impact of obesity-associated glycine deficiency on the elimination of endogenous and exogenous metabolites via the glycine conjugation pathway.
The impact of obesity-associated glycine deficiency on the elimination of endogenous and exogenous metabolites via the glycine conjugation pathway.
Fuente:Frontiers in Endocrinology
Tipo de trabajo:Estudio clínico
Extracto:
Obesity-associated
glycine deficiency impairs the human body's ability to eliminate endogenous and
exogenous metabolites/compounds via the glycine conjugation pathway. This
impairment is ameliorated when glycine supply is restored after bariatric
surgery. These findings imply that dietary glycine supplementation could treat
obesity-associated metabolic complications due to the accumulation of
intramitochondrial toxic metabolites. CLINICAL TRIAL REGISTRATION:
https://clinicaltrials.gov/study/NCT04660513, identifier NCT04660513.
Claves:acylglycine, bariatric surgery, class III obesity, glycine conjugation, glycine deficiency
institución:(a) Department of Endocrinology, Singapore General Hospital, Singapore, Singapore. (b) Children's Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, and Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.
Conflicto:The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Racial Discrimination and Metabolic Syndrome in Young Black Adults.
Racial Discrimination and Metabolic Syndrome in Young Black Adults.
Fuente:Jama Network Open
Tipo de trabajo:Estudio de cohortes
Extracto:
AND RELEVANCE: This study suggests
that racial discrimination in late adolescence is associated with MetS among
Black young adults through biobehavioral pathways. Thus, health interventions for
MetS in Black adults will need to contend with sleep behaviors and inflammatory
intermediaries as well as address and reduce exposure to racial discrimination to
narrow disparities and promote health equity.
Cita:JAMA Netw Open 2024 Apr 1; 7 (4) : e245288.
Autor/es:Heard-Garris, Nia (a) Yu, Tianyi (b)
institución:(a) Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois. (b) Division of Advanced General Pediatrics and Primary Care, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Clinical features of plastic bronchitis in children after congenital heart surgery.
Clinical features of plastic bronchitis in children after congenital heart surgery.
Fuente:Italian Journal of Pediatrics
Tipo de trabajo:Estudio de cohortes
Extracto:
Children with airway
abnormalities or right ventricular dysfunction after CHS should be alerted to the
development of PB. Pharmacological treatment such as anti-infection,
corticosteroids, or improvement of right ventricular function is the basis of PB
treatment, while fiberoptic bronchoscopy is an essential tool for the diagnosis
and treatment of PB. ECMO assistance is a vital salvage treatment for recurrent
critically ill PB patients.
institución:(a) Department of Cardiac Intensive Care Unit, Shanghai Children' s Medical Center, Shanghai Jiaotong University School of Medicine, 1678 Dongfang Road, 200127, Shanghai, PR China. (b) Department of Cardiac Intensive Care Unit, Shanghai Children' s Medical Center, Shanghai Jiaotong University School of Medicine, 1678 Dongfang Road, 200127, Shanghai, PR China.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Potential application of mesenchymal stromal cells as a new therapeutic approach in acute respiratory distress syndrome and pulmonary fibrosis.
Potential application of mesenchymal stromal cells as a new therapeutic approach in acute respiratory distress syndrome and pulmonary fibrosis.
Fuente:Respiratory Research
Extracto:
Although further investigations and shared protocols
are still needed, the safety of MSC therapy has been recurrently shown, and its
potential in treating ARDS and preventing PF might represent a new therapeutic
strategy.
institución:(a) SC Anestesia e Rianimazione 2, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, Pavia, PV, 27100, Italy. giulia.gazzaniga@libero.it. (b) Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. giulia.gazzaniga@libero.it.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Tri-ponderal mass index and left ventricular hypertrophy in a cohort of caucasian children and adolescents with obesity.
Tri-ponderal mass index and left ventricular hypertrophy in a cohort of caucasian children and adolescents with obesity.
Fuente:Italian Journal of Pediatrics
Extracto:
Left ventricular remodeling is
associated with the cardio-metabolic risk markers WC and WHR, but not with the
adiposity index TMI among children with obesity.
Claves:Cardiovascular risk, Left ventricular hypertrophy, Left ventricular mass index, Pediatric obesity, Tri-ponderal mass index
Cita:Ital J Pediatr 2024 Apr 19; 50 (1) : 75.
Autor/es:Vizzuso, Sara (a) Torto, Alberico Del (b)
institución:(a) Department of Pediatrics, Buzzi Children's Hospital, University of Milan, Milan, Italy. sara.vizzuso@asst-fbf-sacco.it. (b) Centro Cardiologico Monzino IRCCS, Milan, Italy.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Kidney and urogenital abnormalities in Down syndrome
Kidney and urogenital abnormalities in Down syndrome
Fuente:Italian Journal of Pediatrics
Tipo de trabajo:Metanálisis
Extracto:
This meta-analysis indicates that
abnormalities of the kidney and urogenital tract, lower urinary tract
dysfunctions, and a reduced kidney size present with an increased frequency in
individuals with Down syndrome.
Claves:Down syndrome, Dysfunction of the urinary bladder, Kidney size, Meta-analysis, Urogenital abnormalities
Cita:Ital J Pediatr 2024 Apr 20; 50 (1) : 79.
Autor/es:Rossetti, Caterina Maria (a) Simonetti, Giacomo D (b)
institución:(a) Pediatric Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland. (b) Faculty of Biomedical Sciences, Università della Svizzera Italiana, via Buffi 13, Lugano, Switzerland.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Association between maternal cardiometabolic markers and fetal growth in non-complicated pregnancies: a secondary analysis of the PRINCESA cohort.
Association between maternal cardiometabolic markers and fetal growth in non-complicated pregnancies: a secondary analysis of the PRINCESA cohort.
Fuente:Scientific Reports
Extracto:
These
findings support the potential modulation of children's phenotype by maternal
cardiometabolic conditions in pregnancies without medical complications.
Autor/es:Omaña-Guzmán, Isabel (a) Ortiz-Hernández, Luis (b)
institución:(a) Doctorado en Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, Mexico City, Mexico. (b) Unidad de Vinculación Científica de la Facultad de Medicina, Instituto Nacional de Medicina Genómica, Universidad Nacional Autónoma de México, Periférico Sur 4809, Arenal Tepepan, 14610, Mexico City, CDMX, Mexico.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Off-label prescribing of immune checkpoint inhibitor therapy at a single pediatric cancer center.
Off-label prescribing of immune checkpoint inhibitor therapy at a single pediatric cancer center.
Fuente:Cancer Medicine
Tipo de trabajo:Estudio de cohortes
Extracto:
At our
institution, ICI was most commonly prescribed in the relapsed/refractory setting
to patients with metastatic disease. The treatment was generally well-tolerated
in the pediatric population. The overall response rate was low, and the majority
of patients eventually experienced disease progression. A few patients, however,
had durable treatment responses. Further studies are needed to identify which
pediatric patients are most likely to benefit from ICI.
Claves:experimental therapeutics, immune checkpoint, off‐label, pediatric cancer
Cita:Cancer Med 2024 Apr; 13 (8) : e7154.
Autor/es:Gikandi, Ajami (a) Chi, Susan N (b)
institución:(a) Harvard Medical School, Boston, Massachusetts, USA. (b) Harvard Medical School, Boston, Massachusetts, USA.
Conflicto:Steven G. DuBois has received consulting fees from Amgen, Bayer, and Jazz and travel expenses from Loxo Oncology, Roche, and Salarius. David S. Shulman has received consulting fees from Boehringer Ingelheim and serves on the scientific advisory board of Merlin Biotech. Allison F. O'Neill has received consulting fees from Fennec Pharmaceuticals and Skyline Therapeutics.
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery TJTES
Selección SIIC: 25 Abril, 2024
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery TJTES
Evaluation of pediatric trauma score and pediatric age-adjusted shock index in pediatric patients admitted to the hospital after an earthquake.
Evaluation of pediatric trauma score and pediatric age-adjusted shock index in pediatric patients admitted to the hospital after an earthquake.
Fuente:Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery Tjtes
Extracto:
PTS and SIPA are important practical
scoring systems that can be used to predict the severity of trauma,
hospitalization, crush syndrome, and the clinical course in pediatric patients
admitted to the hospital due to earthquake trauma.
Autor/es:Misirlioglu, Merve (a) Alakaya, Mehmet (b)
institución:(a) Department of Pediatric Intensive Care, Mersin University Faculty of Medicine, Mersin-Türkiye. (b) Department of Pediatric Intensive Care, Mersin University Faculty of Medicine, Mersin-Türkiye.
Durability of Original Monovalent mRNA Vaccine Effectiveness Against COVID-19 Omicron-Associated Hospitalization in Children and Adolescents - United States, 2021-2023.
Durability of Original Monovalent mRNA Vaccine Effectiveness Against COVID-19 Omicron-Associated Hospitalization in Children and Adolescents - United States, 2021-2023.
Fuente:Mmwr. Morbidity and Mortality Weekly Report
Extracto:
Because of the low frequency of children who
received updated COVID-19 vaccines and waning effectiveness of original
monovalent doses, these data support CDC recommendations that all children and
adolescents receive updated COVID-19 vaccines to protect against severe COVID-19.
Autor/es:Zambrano, Laura D (a) Newhams, Margaret M (b)
institución:Zambrano, Laura D (a) Newhams, Margaret M (b)
Conflicto:All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Danielle M. Zerr reports institutional support from Merck and consulting fees from AlloVir. Melissa S. Stockwell reports institutional support from the National Institutes of Health (NIH). Mary Allen Staat reports institutional support from NIH, Pfizer, Cepheid, and Merck and...
receipt of royalties from UpToDate for chapters on adoption and immunization. Jennifer E. Schuster reports institutional support from NIH, the Food and Drug Administration, and the State of Missouri, receipt of an honorarium from the Missouri chapter of the American Academy of Pediatrics (AAP) and participation on the advisory board of the Association of American Medical Colleges and the Association for Professionals in Infection Control and Epidemiology. Adrienne G. Randolph reports institutional support from NIH, royalties for UpToDate for work as a section editor, consulting fees from Inotrem, Inc. and ThermoFisher, Inc., receipt of honoraria from St. Jude Children’s Research Center and Volition, Inc., travel support from the International Sepsis Forum, participation on a data safety monitoring board for NIH and the Randomized Embedded Multifactorial Adaptive Platform for Community-acquired Pneumonia, serving as chair (2023–2024) of the International Sepsis Forum, and receipt of equipment from Illumina, Inc. (for institutional use). Pia S. Pannaraj reports institutional support from the National Institute on Allergy and Infectious Diseases, the National Institute of Child Health and Human Development, and AstraZeneca, receipt of honoraria from IDweek and Infectious Diseases in Children Symposium, payment for expert testimony from BBV Law Firm and Helsell Fetterman Law Firm, waiver of registration fee for IDweek meeting, uncompensated participation on three data safety monitoring boards 1) Phase II, Double-Blind, Multicenter, Randomized, Placebo-Controlled Trial to Assess the Safety, Reactogenicity and Immunogenicity of One or Two Doses of Multimeric-001 (M-001) Followed by One or Two Doses of an Influenza A/H7N9 Vaccine, 2) Therapeutic Fecal Transplant on the Gut Microbiome in Children with Ulcerative Colitis, and 3) Safety of Fecal Transplant in maintenance of pediatric Crohn's disease), and uncompensated services as president of the California Immunization Coalition and the AAP Committee on Infectious Diseases. Kanokporn Mongkolrattanothai reports institutional support from Gilead. Samina S. Bhumbra reports travel support from CDC to present a plenary lecture at the Conference on Emerging Infectious Diseases. Kathleen Chiotos reports institutional support from the Agency for Healthcare Research and Quality and travel support from IDWeek (2022), Society for Healthcare Epidemiology of America (2022), and Pediatric Academic Societies (2022). Bria M. Coates reports institutional support from the National Heart, Lung, and Blood Institute and the American Lung Association, payment for expert testimony from Triplett Woolf Garretson, and participation on a Sobi Data Safety Monitoring Board. Thomas J. Connors reports grant support from NIH. Melissa L. Cullimore reports institutional support from NIH. Heidi R. Flori reports receipt of consulting fees from Lucira Health for advisory role for rapid diagnostic devices for COVID-19. Shira J. Gertz reports ownership of Pfizer stock. Ivan Gonzalez reports receipt of honoraria from the Florida Chapter of AAP for educational infection control initiatives and travel support from the Florida Chapter of AAP for regional conference attendance. Judith A. Guzman-Cottrill reports receipt of a consulting contract from the Oregon Health Authority. Natasha B. Halasa reports receipt of investigator-initiated grants from Sanofi, Quidel, and Merck. Charlotte V. Hobbs reports receipt of consulting fees from Dynamed.com and royalties as a content reviewer for UpToDate.com. Janet R. Hume reports institutional support from NIH and uncompensated participation on a data safety monitoring board for a study at the University of Minnesota (Magnesium sulfate as adjuvant analgesia and its effect on opiate use by postoperative transplant patients in the pediatric intensive care unit). Satoshi Kamidani reports institutional support from NIH, Pfizer, Moderna, Meissa, and Bavarian Nordic and receipt of honoraria from AAP. Michele Kong reports institutional support from NIH and uncompensated service on the Board of Directors for Jefferson County Department of Health, Callahan Eye Hospital, University of Alabama at Birmingham, and KultureCity. Regina M. Simeone reports payments received by her spouse from a previously managed Pfizer investment, which was sold in April 2023. No other potential conflicts of interest were disclosed.
Journal of orthopaedics and traumatology official journal of the Italian Society of Orthopaedics and Traumatology
Selección SIIC: 25 Abril, 2024
Journal of orthopaedics and traumatology official journal of the Italian Society of Orthopaedics and Traumatology
Functional and oncological outcomes of patients with proximal humerus osteosarcoma managed by limb salvage.
Functional and oncological outcomes of patients with proximal humerus osteosarcoma managed by limb salvage.
Fuente:Journal of Orthopaedics and Traumatology Official Journal of The Italian Society of Orthopaedics and Traumatology
Extracto:
Treatment of osteosarcoma of
the proximal humerus by limb salvage and chemotherapy yields a good functional
outcome. The method of reconstruction does not impact the resultant function. The
5-year survivorship of these patients is 65%. Younger patients have a better
oncological outcome and an inferior functional outcome. LEVEL OF EVIDENCE: Level
IV therapeutic study.
Autor/es:Sadek, Wael Mohamed Safwat (a) Elshamly, Ibrahim Khairy Fayed (b)
institución:(a) Department of Orthopedics and Traumatology, Cairo University, Cairo, Egypt. Waelmsafwat89@gmail.com. (b) Department of Orthopedics and Traumatology, Cairo University, Cairo, Egypt. Ibrahim.elshamly2008@gmail.com.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
IRE1 signaling increases PERK expression during chronic ER stress.
IRE1 signaling increases PERK expression during chronic ER stress.
Fuente:Cell Death & Disease
Extracto:
Our findings suggest cross talk between UPR branches aids adaptiveness
thereby helping to support the plasticity of UPR signaling responses.
Cita:Cell Death Dis 2024 Apr 18; 15 (4) : 276.
Autor/es:Ong, Gideon (a) Ragetli, Rosemund (b)
institución:(a) Department of Human Anatomy and Cell Science, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. (b) Department of Human Anatomy and Cell Science, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Neurobehavioral outcomes of neonatal asymptomatic congenital cytomegalovirus infection at 12-months.
Neurobehavioral outcomes of neonatal asymptomatic congenital cytomegalovirus infection at 12-months.
Fuente:Journal of Neurodevelopmental Disorders
Extracto:
These results indicate that at 12 months of age,
infants with asymptomatic cCMV are not statistically different from controls in a
number of neurobehavioral domains. Although follow-up is ongoing, these
observations provide reassurance about neurobehavioral outcomes for infants with
asymptomatic cCMV and inform the ongoing discussion around universal screening.
Additional follow-up will be necessary to understand the longer-term outcomes of
these children.
institución:(a) Institute of Child Development, University of Minnesota, Minneapolis, MN, USA. stoye003@umn.edu. (b) Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA. stoye003@umn.edu.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Prevalence of overweight and obesity among adolescents living with HIV after dolutegravir - based antiretroviral therapy start in Kampala, Uganda.
Prevalence of overweight and obesity among adolescents living with HIV after dolutegravir - based antiretroviral therapy start in Kampala, Uganda.
Fuente:Aids Research and Therapy
Extracto:
Our study
found a prevalence of 7.3% of overweight and obesity in ALHIV after initiating
DTG. We did not find any factor significantly associated with excessive weight
gain in ALHIV on DTG. Nonetheless, we recommend ongoing routine monitoring of
anthropometry and metabolic markers in ALHIV as DTG use increases globally, to
determine the exact magnitude of excessive weight gain and to identify those at
risk of becoming overweight or obese while taking the medication.
Claves:Adolescents, Dolutegravir, HIV, Uganda, Weight gain
Cita:AIDS Res Ther 2024 Apr 18; 21 (1) : 23.
Autor/es:Nakatudde, Irene (a) Katana, Elizabeth (b)
institución:(a) Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda. b.irenaka@gmail.com. (b) College of Health Sciences, Makerere University, Kampala, Uganda.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Bioinformatics-based discovery of biomarkers and immunoinflammatory targets in children with cerebral palsy: An observational study.
Bioinformatics-based discovery of biomarkers and immunoinflammatory targets in children with cerebral palsy: An observational study.
Fuente:Medicine
Tipo de trabajo:Orientaciones y guía
Extracto:
Jak-STAT signaling pathway,
mTOR signaling pathway, and related hub genes regulate immune cells and
inflammatory factors and play an important role in the development and
progression of CP.
institución:(a) Department of Rehabilitation, The Affiliated Hospital of Southwest Medical University, Southwest Medical University, Luzhou, China. (b) Department of Rehabilitation Science, Hong Kong Polytechnic University, Hong Kong, China.
Conflicto:The authors have no funding and conflicts of interest to disclose.
Bone health and physical activity in adolescents with juvenile idiopathic arthritis: a cross-sectional case-control study.
Bone health and physical activity in adolescents with juvenile idiopathic arthritis: a cross-sectional case-control study.
Fuente:Pediatric Rheumatology Online Journal
Extracto:
Adolescents with JIA had lower total body aBMD and BMC compared with sex- and
age-matched controls without JIA. Group differences in bone outcomes were not
associated with the lower MVPA participation of adolescents with JIA. Despite
this, physical activity should still be encouraged as it promotes physical
well-being.
institución:(a) Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, 2500 University Dr NW, T2N 1N4, Calgary, AB, Canada. (b) McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Canada.
Conflicto:The authors report no competing interests.
institución:(a) Guangxi Key Laboratory of Birth Defects Research and Prevention, Guangxi Key Laboratory of Reproductive Health and Birth Defects Prevention, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, No. 59, Xiangzhu Road, Nanning, China. (b) Department of Genetic and Metabolic Central Laboratory, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación