Anales de pediatria最新文献

{"title":"Desplazamiento activo en adolescentes del norte de Mozambique: influencia del contexto","authors":"Domingos Carlos Mirione,&nbsp;María Rúa-Alonso,&nbsp;Anelise Reis Gaya,&nbsp;Nuria Garatachea","doi":"10.1016/j.anpedi.2026.504351","DOIUrl":"10.1016/j.anpedi.2026.504351","url":null,"abstract":"<div><h3>Introduction</h3><div>Active commuting to school is one of the most effective and cost-efficient strategies for increasing physical activity levels and advancing toward the recommendations for physical activity in adolescents of the World Health Organization.</div></div><div><h3>Methods</h3><div>This study analyzed the prevalence of active commuting to school among adolescents in northern Mozambique in relation to sex, age, and area of residence (province and type of setting) through the administration of the Active Transport and Physical Activity Assessment Tool for African School Children questionnaire to 919 adolescents aged 13 to 17 from the provinces of Nampula, Cabo Delgado, and Niassa.</div></div><div><h3>Results</h3><div>Overall, 88.6% of adolescents actively commuted to school (either on foot or by bicycle), with no significant differences by sex or age. However, there were variations based on place of residence, with a prevalence of 98% in rural areas compared to 77.7% in urban areas; Niassa had the highest rates of active commuting compared to the other provinces.</div></div><div><h3>Discussion</h3><div>Active commuting is the most common mode of travel to school among adolescents in northern Mozambique, although this appears to be driven more by a lack of alternatives than by a deliberate health-conscious choice. Therefore, it is imperative that authorities design intersectoral public policies to promote safe environments and improve travel conditions for adolescents in northern Mozambique.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504351"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078352","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":"Botulismo infantil simulador de síndrome de Miller Fisher","authors":"Sabina Bona Gazol,&nbsp;Ainhoa Jiménez Olmos,&nbsp;Laura Valour,&nbsp;Daniel Palanca Arias","doi":"10.1016/j.anpedi.2026.504278","DOIUrl":"10.1016/j.anpedi.2026.504278","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504278"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078356","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":"Cerebelitis por dengue en adolescente: hallazgos en resonancia","authors":"José Otávio Leal Macedo,&nbsp;Eduardo Takashi Takehara,&nbsp;Márcio Luís Duarte","doi":"10.1016/j.anpedi.2026.504293","DOIUrl":"10.1016/j.anpedi.2026.504293","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504293"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078357","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":"Retención urinaria como síntoma de encefalomielitis aguda diseminada","authors":"Laura Pujol Teixidor,&nbsp;Laura Escalante Coscojuela,&nbsp;Vanessa Laveglia,&nbsp;Pere Sala Castellví","doi":"10.1016/j.anpedi.2026.504314","DOIUrl":"10.1016/j.anpedi.2026.504314","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504314"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078359","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":"La zona gris de la vacunación antigripal: los niños con condiciones de riesgo siguen sin datos propios","authors":"Itziar Iturralde Orive,&nbsp;Javier Álvarez Aldean,&nbsp;Ana María Grande-Tejada,&nbsp;Fernando Moraga Llop","doi":"10.1016/j.anpedi.2026.504339","DOIUrl":"10.1016/j.anpedi.2026.504339","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504339"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078343","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":"Paquidermoperiostosis más allá de la artritis idiopática juvenil","authors":"Adriano Pereira,&nbsp;Sara Silva Rodrigues,&nbsp;Alexandra M. Lopes Santos,&nbsp;Sónia Carvalho","doi":"10.1016/j.anpedi.2026.504312","DOIUrl":"10.1016/j.anpedi.2026.504312","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 4","pages":"Article 504312"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078358","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":"Nueva era terapéutica en la obesidad infantojuvenil: oportunidades y retos de futuro","authors":"Paula Molina-Giraldo,&nbsp;Larisa Suárez-Ortega,&nbsp;Marta Ramon-Krauel","doi":"10.1016/j.anpedi.2026.504194","DOIUrl":"10.1016/j.anpedi.2026.504194","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 3","pages":"Article 504194"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148917234","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":"¿Qué piensan quienes vacunan? Percepción de la gripe entre profesionales de pediatría y enfermería pediátrica","authors":"Ángel Valls Arévalo,&nbsp;Javier Álvarez Aldeán,&nbsp;Franciso José Álvarez García,&nbsp;Elisa Garrote Llanos,&nbsp;Antonio Iofrío de Arce,&nbsp;Lucía López Granados,&nbsp;María Luisa Navarro Gómez,&nbsp;Valentín Pineda Solas,&nbsp;Irene Rivero Calle,&nbsp;Jesús Ruiz-Contreras,&nbsp;Ignacio Salamanca de la Cueva,&nbsp;Pepe Serrano Marchuet,&nbsp;en representación del Comité Asesor de Vacunas de la Asociación Española de Pediatría (CAV-AEP)","doi":"10.1016/j.anpedi.2026.504338","DOIUrl":"10.1016/j.anpedi.2026.504338","url":null,"abstract":"<div><h3>Introduction</h3><div>Childhood influenza represents a significant healthcare burden, in terms of both primary care and hospital emergency department visits, as well as in hospitalizations. The objective of this study was to analyze the perceptions of pediatricians and nurses working in pediatric settings regarding childhood influenza and influenza vaccination, as well as the perceived barriers, in order to identify new strategies to improve vaccination coverage.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional, observational, and descriptive study through a nationwide survey of pediatricians and pediatric nurses. We collected data on variables related to perceived severity, clinical burden, complications, vaccination, training, family reluctance to vaccinate, and preferred communication channels.</div></div><div><h3>Results</h3><div>A total of 2268 professionals responded: 1877 pediatricians and 391 nurses. Eighty-five percent of pediatricians believed influenza had a significant impact on their clinical practice, and 91% identified it as potentially serious in childhood. The most frequently perceived complications were otitis media, bronchitis/bronchiolitis, and pneumonia. Ninety-five percent of pediatricians supported vaccination against influenza for children aged 6 to 59<!--> <!-->months of age (childhood vaccination), with chronic illnesses, or living with at-risk individuals, and 97% perceived its extension up to age 17 positively. However, 33% expressed uncertainty about vaccine effectiveness. Sixty-seven percent of pediatricians reported frequent reluctance among families, and 82% of nurses considered that families do not perceive influenza as a serious illness.</div></div><div><h3>Conclusions</h3><div>There is broad professional consensus regarding the clinical relevance of childhood influenza and the positive value of vaccination. The main barrier identified is the low risk perception among families, along with a need for training on vaccine effectiveness and communication with families. Strategies based on educational materials with visual contents, brief information, and a focus on the actual risk could improve both of these aspects.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 3","pages":"Article 504338"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148924171","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":"Sesgos de selección de la evidencia, a propósito de «Efectos de los medios digitales en la salud física y el desarrollo»","authors":"Xavier Bosch-Capblanch","doi":"10.1016/j.anpedi.2026.504197","DOIUrl":"10.1016/j.anpedi.2026.504197","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 3","pages":"Article 504197"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148924172","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":"Resumen ejecutivo del Proceso Asistencial Integrado para la detección y el abordaje de la diabetes tipo 1 en estadios preclínicos: consenso SED-SEEN-SEEP","authors":"Ana Lucía Gómez Gila,&nbsp;Fernando Gómez-Peralta,&nbsp;Susana Pica Montesinos,&nbsp;Virginia Bellido,&nbsp;Roque Cardona-Hernandez,&nbsp;María Asunción Martínez-Brocca","doi":"10.1016/j.anpedi.2026.504341","DOIUrl":"10.1016/j.anpedi.2026.504341","url":null,"abstract":"<div><div>Type 1 diabetes (T1D) can be identified in preclinical stages through the detection of islet autoantibodies and staged before clinical onset. This evolving paradigm highlights the need for structured care models allowing coordinated identification, staging, and follow-up of individuals with positive islet autoimmunity. This document describes an Integrated Care Pathway (ICP) developed from the available scientific evidence and the national SED-SEEN-SEEP consensus on screening and monitoring of preclinical T1D. The model is organised into three core sub-processes (target population identification, autoantibody detection and confirmation, and clinical follow-up with staging) and one transversal support sub-process based on information systems and performance indicators. This ICP provides a structured, evaluable, and scalable framework for the homogeneous implementation of screening and follow-up of preclinical T1D.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"105 3","pages":"Article 504341"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148916621","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}