Miguel Felipe Sánchez-Sauco

Miguel Felipe Sánchez-Sauco
Hospital Universitario Virgen de la Arrixaca · Departamento de Pediatría y Áreas Específicas

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33
Publications
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115
Citations

Publications

Publications (33)
Article
Full-text available
El período periconcepcional, embrionario/fetal y lactancia/crianza constituyen una de las ventanas de vulnerabilidad a exposiciones medioambientales más importante de la vida de un individuo. Enfermeras y matronas por su forma de entender el binomio salud/enfermedad ocupan un lugar estratégico para el desarrollo de tareas relacionadas con la salud...
Article
Maternal alcohol consumption during pregnancy is responsible for negative health outcomes. The literature shows that socio-economic and lifestyle factors are both related with alcohol consumption during pregnancy; nevertheless, the role of other factors is unclear. The objective of this study is to assess the role that partners' alcohol consumption...
Article
Aims: In current clinical practice, prenatal alcohol exposure is usually assessed by interviewing the pregnant woman by applying questionnaires. An alternative method for detecting alcohol use is to measure the biomarker carbohydrate-deficient transferrin (CDT). However, few studies measure CDT during pregnancy. This study examines the utility of...
Article
Objective: To contribute in closing the current gap in literature that holistically examines sociocultural influences on perinatal drug dependency. This article draws from social network theory and structural violence to qualitatively consider the contextual components of addiction and substance use during pregnancy, which purposefully moves away...
Poster
Introduction It is estimated that 70% of childhood cancer survivors (CCS) will present a late effect derived from the treatments used during the acute phase of cancer throughout their life, some of them potentially serious as cardiac dysfunctions or subsequent neoplasms. Smoking may increase the frequency and severity of these late effects. AIM: T...
Poster
Introduction Health beings long before birth. Exposure to tobacco smoke (active or passive) is one of the leading causes of pregnancy complications and a risk factor for developing multiple pediatric diseases. The objective of this work is to explain how the consultation for smoking cessation of the Pediatric Environmental Health Unit works. This...
Poster
Introduction Survival rates of childhood cancer have increased in recent decades to reach 80% in high-income countries. At the same time, the appearance of late effects derived from the treatments has been increasing, estimating that up to 70% of childhood cancer survivors (CCS) will experience some late effect throughout their life. Exposure to en...
Poster
Introduction Environmental consulting Nursing (Reproductive) is a clinical consultation detection, intervention and prevention of exposures to environmental hazards at critical periods of pregnancy (gametogenesis and pregnancy) with special attention to tobacco. The working tool is the “hoja verde” Objective: The objective of this work is to iden...
Poster
Introduction Carbohydrate-deficient transferrin (CDT) is a known biomarker for chronic alcoholism detection. The clinical use of CDT is varied: alcohol detoxification programs monitoring abstinence of the alcohol-dependent patients, assessing of pre-natal exposure and evaluating alcohol misuse in subjects applying for the re-granting of driving lic...
Conference Paper
Full-text available
Objeto del trabajo: Desarrollar la historia clínica medioambiental pediátrica (HCMAP) para detectar factores ambientales en niñas con trastornos relacionados con el adelanto de la pubertad (TdAP) y pilotarla en una muestra de pacientes. Material y métodos: Estudio observacional transversal. Muestra de 30 niñas reclutadas por captación en un hospita...
Poster
Full-text available
Background: A decrease of the age of menarche and thelarche has been observed during the last decades. The cause of most of the cases of precocious puberty in girls remains unknown. Some environmental factors such as obesity and adoption have been related to early puberty. Our objective is to explore environmental factors within a sample of girls w...
Conference Paper
Background: The Environmental Reproductive Nursing consultation involves a clinical consultation focused on detection, intervention and prevention of exposures to environmental hazards during the critical periods of fetus development (spermatogenesis and pregnancy) that pays special attention to legal and illegal drugs. Methods: The consultation is...
Poster
Full-text available
Background: Prenatal exposure to alcohol causes a variety of clinical manifestations known as fetal alcohol spectrum disorder (FASD), with neurodevelopmental effects, among others. Alcoholism is common among mothers of children adopted from Spanish institutions, especially from Eastern Europe. Methods: A 17-year old boy, born in Ukraine and adopted...
Poster
Full-text available
Introduction: This integrated study examines the prevention and detection/follow-up of children at risk of neurobehavioral disorders associated with prenatal and/or postnatal exposure to alcohol and illegal drugs. We utilized the Elijo Mas Sano (Choose Healthier) registry of children at environmental risk from drugs and alcohol. Methods: For this d...
Conference Paper
Full-text available
Background: Born without OH is a comprehensive program of prevention, reduction of harm and management of neurobehavioral disorders associated with prenatal exposure to alcohol and other drugs through the pediatric environmental health from the beginning of pregnancy until the end of adolescence. Our objective is to prevent and reduce damage from e...
Poster
Full-text available
1. Introducción: Según la última Encuesta sobre Alcohol y Drogas en España, cerca del 15% de las mujeres en edad fértil reconoce consumo en atracones (“binge drinking”) en los últimos 30 días. Aunque muchas de las embarazadas cesan o disminuyen el consumo al enterarse del embarazo, los hábitos de consumo hacen probable exposiciones a alcohol durant...
Conference Paper
Full-text available
INTRODUCCIÓN Y OBJETIVOS Nacer sin OH es un programa integral de prevención, disminución de daño y manejo de los trastornos neurocomportamentales asociados con la exposición prenatal a alcohol y otras drogas desde el inicio del embarazo hasta el final de la adolescencia. Entre sus objetivos específicos pretende crear un Registro Regional de niños a...
Conference Paper
Full-text available
INTRODUCCIÓN Y OBJETIVOS Investigaciones recientes indican una prevalencia de consumo de alcohol, tabaco y otras drogas al inicio del embarazo, muy altas en mujeres embarazadas en nuestro país. En mujeres en edad fértil de nuestro medio, un 79,1% ha consumido alcohol en el último año, un 43,8% tabaco, un 17% cánnabis y un 3,6% cocaína. El proyecto...
Poster
Full-text available
INTRODUCCIÓN Y OBJETIVOS El humo ambiental de tabaco se asocia con enfermedades y muerte prematura en la infancia. Con resultados variables se ha asociado con mayor riesgo de diversos tumores pediátricos, entre ellos, las leucemias agudas. Existen ciertas características clínicas y biológicas que tienen importancia pronóstica en las leucemias aguda...
Conference Paper
Full-text available
Introducción: La enfermedad de Wilson (EW) o degeneración hepatolenticular es un enfermedad congénita, transmitida por herencia autosómica recesiva, caracterizada por la acumulación de cobre en el organismo. Apenas existen reportes en la literatura médica que aborden la lactancia en madres con EW. Presentamos un caso en el que se cuestionó la idone...
Conference Paper
Full-text available
Introducción: “Bosques para la Salud” (BpS) es un proyecto de salud medioambiental que pretende que cada recién nacido (RN) nazca y crezca vinculado a un árbol. Incorporar un bosque a las maternidades y a la cartera de servicios, puede ayudar a mejorar la calidad de vida de niños/as afectados de enfermedades crónicas o por la exposición prenatal a...
Article
Full-text available
This study evaluates the impact over time of a telephone-based intervention in tobacco cessation and prevention targeting patients with cystic fibrosis (CF) in the Mediterranean region of Murcia, Spain. We conducted an experimental prospective study with a cohort of CF patients using an integrative smoking cessation programme, between 2008 and 2013...
Article
Full-text available
Background: Gastroschisis, a birth defect characterized by herniated fetal abdominal wall, occurs more commonly in infants born to teenage and young mothers. Ischemia of the vascular vitelline vessels is the likely mechanism of pathogenesis. Given that chronic stress and violence against women are risk factors for cardiovascular disease we explore...
Article
In gastroschisis, premature birth may avoid the development of intestinal peel and favour the primary closure. We present the preliminary results obtained after following a multidisciplinary approach to gastroschisis. After prenatal ultrasound diagnosis, preterm caesarean delivery at 34-35 weeks of gestation is programmed. Prospective design of a s...
Article
The aim of this study was to study the association of adherence to the Mediterranean diet in early pregnancy maternal and the offspring's risk of gastroschisis. Case-control study. We describe 11 cases of gastroschisis in the region of Murcia from 2007 to 2012 and 34 concurrent controls. At the time of diagnosis each of the cases completed a valida...
Article
Full-text available
We aimed to assess the effects of exposure to tobacco smoke, alcohol and illegal drugs during early pregnancy on the head circumference (HC) at birth of otherwise healthy neonates. A follow-up study from the first trimester of pregnancy to birth was carried out in 419 neonates. An environmental reproductive health form was used to record data of su...
Article
There have been several studies assessing the epidemiology and effects of tobacco smoke in the cystic fibrosis (CF) population, but few address the efforts of smoking cessation interventions. Our objective is to present one tobacco prevention and cessation programme targeting patients with CF in the Mediterranean region of Murcia (Spain). All regis...
Article
Full-text available
Since 1992, the Centers for Disease Control and Prevention recommends that women of childbearing age consume 400 µg of folic acid per day to reduce the risk of neural tube defects (NTD). It has been speculated that both NTD and nervous system tumors (NST) may share common mechanisms of altered development. It examines the association between folic...
Article
Full-text available
Bladder exstrophy is a rare urogenital abnormality. Other urogenital malformations have been associated with exposure to hormonal pesticide disruptors during critical developmental periods. This is the first report in the literature to associate household exposure to pesticides with bladder exstrophy. We describe the pediatric environmental history...
Article
Full-text available
Methylmercury (MeHg) is a bioaccumulable toxin in the trophic chain and a powerful neurotoxin during fetal and child development. Consumption of contaminated fish and shellfish is a principal environmental source of MeHg exposure. This study was designed to assess the Hg and estimated MeHg intake in vulnerable groups of the Murcia region, a Mediter...
Article
Nursing occupies a strategic and privileged position to address many of the issues concerning children's environmental health. Nurses are the health professionals that work most closely with patients and their families and are in an excellent position to identify children at risk and advise their parents about the best practice to reduce or prevent...
Article
Nursing occupies a strategic and privileged position to address many of the issues concerning children's environmental health. Nurses are the health professionals that work most closely with patients and their families and are in an excellent position to identify children at risk and advise their parents about the best practice to reduce or prevent...

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Projects

Projects (2)
Project
To improve the environmental health and the survivorship care of child cancer survivors (CCSs), through structured knowledge exchange, capacity building and a global multidisciplinary collaborative approach.