Anales de pediatria最新文献

{"title":"Recomendaciones del manejo perinatal y seguimiento del prematuro moderado y tardío","authors":"Sílvia Martínez-Nadal ,&nbsp;Gemma Ginovart Galiana ,&nbsp;Félix Morales Luengo ,&nbsp;María Jesús Rodríguez Revuelta ,&nbsp;Mercedes García Reymundo ,&nbsp;Sara Ansó Oliván ,&nbsp;José Antonio Hurtado Suazo","doi":"10.1016/j.anpedi.2024.503714","DOIUrl":"10.1016/j.anpedi.2024.503714","url":null,"abstract":"<div><div>Problems related to prematurity are the main cause of morbidity in newborns and infants. Between 80% and 85% of preterm babies are born between 32⁰ and 36⁶ weeks of gestation. In Spain, there is no guide for the perinatal management and long-term follow-up of moderately and late preterm (MLPT) infants.</div><div>For this reason, the SEN32-36 group of the Spanish Society of Neonatology has developed a guideline with recommendations for both perinatal management (prenatal care, initial care in the delivery room and ward, neonatal respiratory pathology, breastfeeding and feeding difficulties, hyperbilirubinaemia and hospital discharge) and long-term follow-up (neurodevelopment, nutrition and followup, prevention of respiratory disease after discharge and immunizations), grading them according to the Agency for Health Care Research and Quality scales of research quality and levels of evidence. The main goal was improving and standardizing the care of MLPT infants.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503714"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndrome de Budd-Chiari secundario a hernia diafragmática","authors":"Antonio Palacios Prados,&nbsp;Laura Almendro García,&nbsp;Alexander Siles Hinojosa,&nbsp;Sara Hernández del Arco","doi":"10.1016/j.anpedi.2024.503702","DOIUrl":"10.1016/j.anpedi.2024.503702","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503702"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Somatizaciones en la infancia y en la adolescencia: una guía para comprenderlas mejor","authors":"Azucena Díez-Suárez ,&nbsp;Cecilia Hernández-González","doi":"10.1016/j.anpedi.2024.503711","DOIUrl":"10.1016/j.anpedi.2024.503711","url":null,"abstract":"<div><div>Somatic symptoms affect approximately 25% of children and adolescents, with a significant impact in 10%, and somatization disorders affect 1% to 3% of the population. In addition to somatic symptom disorder, illness anxiety disorder (or hypochondria), conversion disorder and factitious disorder may be common reasons for seeking care. Somatization is associated with anxiety and depressive symptoms throughout the lifespan. There are widespread myths regarding somatization, and it is essential that all professionals who treat children are familiar with them. The basis of the treatment of somatization is the development of an individualized rehabilitation program with the main goal of gradually returning to normal function. A paediatrician, psychiatrist or psychologist can direct the treatment, but the approach must always be interdisciplinary, including nursing staff, physical and occupational therapists, teachers or school counsellors. There is limited evidence on the treatment of somatic symptoms, but cognitive behavioural therapy and antidepressants have been found to be effective in cases of greater severity or with psychiatric comorbidity. Analgesics should be used rationally, favouring non-pharmacological pain management measures.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503711"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De la publicación a la acción para la detección, seguimiento e intervención en parálisis cerebral en España: quién, cómo y ahora. Respuesta de los autores","authors":"Miriam Martínez-Biarge ,&nbsp;Montesclaros Hortigüela ,&nbsp;David Conejo ,&nbsp;Juan Arnaez","doi":"10.1016/j.anpedi.2024.503734","DOIUrl":"10.1016/j.anpedi.2024.503734","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503734"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repensando el valor en la ciencIA: más allá del estigma de la inteligencia artificial en comunicación académica","authors":"Carlos González Morcillo","doi":"10.1016/j.anpedi.2024.503696","DOIUrl":"10.1016/j.anpedi.2024.503696","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503696"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mielosquisis dorsal limitada cervical de diagnóstico neonatal","authors":"Esther Aguilera Rodríguez ,&nbsp;María Luisa Egea Giménez ,&nbsp;Esperanza Arcas Navarrete ,&nbsp;Javier Diez-Delgado Rubio","doi":"10.1016/j.anpedi.2024.503700","DOIUrl":"10.1016/j.anpedi.2024.503700","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503700"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factores determinantes de un control de esfínter anal tardío y de mayores tiempos de entrenamiento: un estudio multicéntrico transversal","authors":"Miguel Ángel Carro Rodríguez ,&nbsp;Josefa Barrio Torres ,&nbsp;Sara Beatriz García Chaguaceda ,&nbsp;Beatriz Martínez Escribano","doi":"10.1016/j.anpedi.2024.503709","DOIUrl":"10.1016/j.anpedi.2024.503709","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503709"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuromonitorización y seguimiento en pacientes con cardiopatía congénita en España","authors":"Alexandra Belfi ,&nbsp;Laia Vega ,&nbsp;Marta Aguar ,&nbsp;María Carmen Bravo ,&nbsp;Débora Cañizo ,&nbsp;Laura Díaz Rueda ,&nbsp;Marta Camprubí-Camprubí","doi":"10.1016/j.anpedi.2024.503739","DOIUrl":"10.1016/j.anpedi.2024.503739","url":null,"abstract":"<div><h3>Introduction</h3><div>There is evidence of the high incidence of neurological abnormalities in patients with congenital heart disease (CHD). Despite this, perioperative neuromonitoring strategies and long-term followup protocols are not standardized in Spain.</div></div><div><h3>Objective</h3><div>The aim of our study was to describe current clinical practice in neuromonitoring, neuroimaging and neurodevelopmental followup in patients with CHD in Spanish hospitals that perform paediatric cardiac surgery (PCS).</div></div><div><h3>Material and method</h3><div>We conducted a survey by adapting a questionnaire originally developed by the European Association Brain and Congenital Heart Disease Consortium to collect data on aspects such as the implementation of perioperative neuromonitoring and the type of neuroimaging techniques and neurological followup performed. The questionnaire was distributed to the 19 Spanish hospitals that perform PCS.</div></div><div><h3>Results</h3><div>We received responses from 17 centres. Eighty-eight percent performed some type of preoperative neuroimaging and 81% postoperative monitoring. The most widely used technique was transfontanellar sonography. Fifty-six percent of the centres used some form of intraoperative neuromonitoring, most frequently near-infrared spectroscopy. Nineteen percent had an established protocol for the followup of these patients and 13% were in the process of developing it.</div></div><div><h3>Conclusions</h3><div>There is considerable heterogeneity in neuromonitoring, neuroimaging and neurologic followup practices in the management of patients with CHD in hospitals that perform PCS in Spain. These findings highlight the need to pursue a consensus in order to standardise neuromonitoring and neurologic followup strategies in children with CHD in Spain.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503739"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto de la educación en higiene del sueño en la gestión del sueño y la nutrición en niños de 10 a 18 años","authors":"Çiğdem Müge Haylı ,&nbsp;Seockhoon Chung ,&nbsp;Dilek Demir Kösem","doi":"10.1016/j.anpedi.2024.503745","DOIUrl":"10.1016/j.anpedi.2024.503745","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep quality has positive effects on children's sleep and eating habits. In turn, improvement in sleep quality is associated with sleep hygiene training. The aim of our study was to determine the impact of sleep hygiene education on sleep and nutrition management in children aged 10 to 18<!--> <!-->years. In addition, we explored the association between sleep problems and eating behaviours in participants before and after the training programme.</div></div><div><h3>Methods</h3><div>We conducted a quasi-experimental study between August 25 and December 27, 2023, in children aged 10 to 18<!--> <!-->years who participated in the study on a voluntary basis with the consent of their parents. We collected data from a total of 80 children aged 10 to 18<!--> <!-->years. The study investigated the relationship between sleep problems and eating behaviours. We randomly allocated participants to one of two groups, the training group or the waitlist group. We assessed the association between changes in sleep problems and changes in eating behaviours in the training group. The data were collected using a sociodemographic data form, the Children's Sleep Habits Questionnaire, and the Three-Factor Eating Questionnaire.</div></div><div><h3>Results</h3><div>In the study sample, the proportions of male and female participants (training group) were 60.0% and 40.0%, respectively. There was a statistically significant difference between the pretest and post-test scores in the Children's Sleep Habits Questionnaire and the Three-Factor Eating Questionnaire (<em>P</em> <!-->&lt;<!--> <!-->.01) and significant differences in the changes in sleep and eating habit scores between groups between the pre- and post-sleep hygiene training timepoints (<em>P</em> <!-->&lt;<!--> <!-->.01). Thus, we concluded that sleep hygiene training is associated with and has an impact on sleep and nutrition.</div></div><div><h3>Conclusion</h3><div>We observed that in children aged 10 to 18<!--> <!-->years, sleep problems were associated with their eating behaviours. Sleep hygiene education had a significant and favourable impact on sleep and nutrition outcomes. Thus, sleep hygiene training has an important effect on children's sleep and diet.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503745"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hiperplasia suprarrenal congénita clásica por deficiencia de 11 beta-hidroxilasa: características clínicas, bioquímicas, moleculares y evolución a largo plazo","authors":"Elida Mercado Santis ,&nbsp;Ariadna Campos ,&nbsp;Paula Fernández ,&nbsp;Josep Oriola ,&nbsp;Diego Yeste ,&nbsp;Víctor Pérez ,&nbsp;María Clemente","doi":"10.1016/j.anpedi.2024.503747","DOIUrl":"10.1016/j.anpedi.2024.503747","url":null,"abstract":"<div><h3>Introduction</h3><div>11β-hydroxylase (11β-OH) deficiency is the second most frequent cause of classic congenital adrenal hyperplasia (CAH) (5%-8% of cases). Clinically, it is characterized by virilization and arterial hypertension. The objective of this study was to describe the clinical, biochemical and genetic characteristics classic 11β-OH deficiency in patients managed in our hospital and its outcomes.</div></div><div><h3>Patients and methods</h3><div>Retrospective longitudinal, observational and descriptive study. Inclusion criteria: Patients with clinical features of virilization, high levels of 11-deoxycortisol and study of <em>CYP11B1</em> gene with detection of pathogenic and likely pathogenic variants.</div></div><div><h3>Results</h3><div>we identified 6 patients (1 male, 5 female) from 4 families. In the 4 index cases, the median age at diagnosis was 2.3 years. The 46,XX patients exhibited a variable degree of virilization at diagnosis, with a predominance of Prader stage V, and one case of male sex assignment at birth. All patients had elevated serum concentrations of 17-hydroxyprogesterone and testosterone. Fifty percent of the patients had developed arterial hypertension during the followup, with onset at a median age of 9.3 years. Three 46,XX patients reached a median final height of 154<!--> <!-->cm. Six different variants of the <em>CYP11B1</em> gene were identified, 5 of which were novel variants (c.595G<!--> <!-->&gt;A, c.710T<!--> <!-->&gt;C, c.1156delG, c.395<!--> <!-->+<!--> <!-->2dupT, c.1159dupA).</div></div><div><h3>Conclusions</h3><div>There is considerable heterogeneity in the clinical presentation of patients with CAH due to 11β-OH deficiency. Early diagnosis and treatment are important to prevent complications and improve long-term outcomes. We report 6 different variants of the <em>CYP11B1</em> gene, including 5 novel variants.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503747"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}