Anales de pediatria最新文献

{"title":"Masa torácica como manifestación de costilla bífida","authors":"René Gómez-Lainsa , Carlos Leganés Villanueva , Nuria Brun Lozano , María Ángeles López-Vílchez","doi":"10.1016/j.anpedi.2024.503698","DOIUrl":"10.1016/j.anpedi.2024.503698","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503698"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131409","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":"Uso de antibióticos en niños hospitalizados por infecciones respiratorias víricas: magnitud y factores asociados","authors":"Inés Ferrer Ortiz , Pilar Andrés Porras , Nuria Cabeza Arce , Isabel Bullón González , Alfredo Cano","doi":"10.1016/j.anpedi.2024.503708","DOIUrl":"10.1016/j.anpedi.2024.503708","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503708"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174270","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":"Calendario de vacunaciones e inmunizaciones de la Asociación Española de Pediatría: recomendaciones 2025","authors":"Francisco José Álvarez García ,&nbsp;Antonio Iofrío de Arce ,&nbsp;Javier Álvarez Aldeán ,&nbsp;Elisa Garrote Llanos ,&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 e Inmunizaciones de la Asociación Española de Pediatría (CAV-AEP)","doi":"10.1016/j.anpedi.2024.503713","DOIUrl":"10.1016/j.anpedi.2024.503713","url":null,"abstract":"<div><div>The AEP 2025 Vaccination and Immunization Schedule recommended for children, adolescents and pregnant women residing in Spain features the following novelties:</div><div>Due to the increase in measles cases and outbreaks in recent years, we recommend advancing the second dose of measles, mumps and rubella (MMR) vaccine to 2 years of age.</div><div>As a consequence of the above, since many autonomous communities (AC) use the quadrivalent vaccine for the second dose of MMR and varicella vaccines, we recommend, for all ACs, advancing the second dose of varicella vaccine to 2 years of age.</div><div>Due to the very significant increase in cases of pertussis since late 2023 and especially in 2024, we recommend advancing the dose of Tdap given in adolescence to 10-12 years of age.</div><div>To complete protection against meningococcal disease in adolescence, we recommend vaccination against MenB at age 12 years.</div><div>We believe that vaccination against seasonal influenza should be routine up to age 18 years, but given the disappointing coverage in children aged 6 to 59 months, we currently consider that improving this coverage should be prioritised, extending vaccination to children and adolescents aged 5-18 years once this objective has been achieved.</div><div>Among other aspects, the routine immunization tables for healthy individuals and risk groups, the use of the new extended-valence conjugate vaccines against pneumococcal disease, routine vaccination at 4 months of age with MenACWY and vaccination against SARS-CoV-2 for individuals aged more than 6 months with risk factors remain unchanged with respect to the 2024 schedule.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503713"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174271","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":"Nudillos acolchados en adolescentes: el papel del microtraumatismo","authors":"Ana Feio,&nbsp;João Faria Dias,&nbsp;Susana Lopes,&nbsp;Sónia Carvalho","doi":"10.1016/j.anpedi.2024.503721","DOIUrl":"10.1016/j.anpedi.2024.503721","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503721"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131410","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":"Asesoramiento genético en la era de la secuenciación masiva","authors":"Diego Espada-Musitu,&nbsp;Africa Manero-Azua,&nbsp;Yerai Vado,&nbsp;Guiomar Perez de Nanclares","doi":"10.1016/j.anpedi.2024.503712","DOIUrl":"10.1016/j.anpedi.2024.503712","url":null,"abstract":"<div><div>Advances in next-generation sequencing (NGS) technologies have made the detection of the molecular causes of paediatric diseases increasingly affordable, accessible and rapid. While exome sequencing and genome sequencing were until recently only available for research, they are now used in health care practice. The clinical application of NGS has raised many challenges in genetic counselling for families in terms of the interpretation of test results and incidental findings, as well as technical limitations in the event of inconclusive results. Given the impact of genetic results in clinical decision-making, specialized knowledge is required of the techniques and methods used in genetic studies, their advantages and limitations, and their potential psychosocial, legal and ethical impact on patients, relatives and health care professionals. The ethical implications of parents giving consent to genetic testing in their offspring and the potential disclosure of genetic diseases for which there are limited therapeutic options are still under debate. In this review, we provide an overview of all these aspects, including the advantages and limitations of current NGS techniques, and discuss the possibilities of upcoming solutions.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503712"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174272","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":"Desenredando el exposoma: hacia un modelo de Salud Planetaria","authors":"Juan Antonio Ortega-García","doi":"10.1016/j.anpedi.2024.503695","DOIUrl":"10.1016/j.anpedi.2024.503695","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503695"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172962","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":"Transición a la alimentación oral competente en prematuros: explorando tiempo y determinantes","authors":"Gabriela Bolea Muguruza ,&nbsp;Cristina de Frutos Martínez ,&nbsp;M. Teresa Tamayo Martínez ,&nbsp;Judith Martín Corral","doi":"10.1016/j.anpedi.2024.503718","DOIUrl":"10.1016/j.anpedi.2024.503718","url":null,"abstract":"<div><h3>Introduction</h3><div>The achievement of oral feeding competence (OFC) is a challenge in preterm infants and can be affected by several factors.</div></div><div><h3>Objective</h3><div>The aim of our study was to determine the time elapsed to development of OFC in very low birth weight (VLBW, weight &lt;<!--> <!-->1500<!--> <!-->g) preterm infants and to identify factors associated with greater difficulty in achieving this skill.</div></div><div><h3>Population and methods</h3><div>Observational, longitudinal and prospective study in VLBW infants over a period of 7 years (2016-2022). We collected data on perinatal variables, feeding practices and complications associated with prematurity. We analyzed the number of days needed to achieve OFC and which variables predicted greater delay in achieving OFC.</div></div><div><h3>Results</h3><div>We included 145 VLBW infants with a median gestational age (GA) of 29 weeks with a weight of 1247<!--> <!-->g. Oral feeding was initiated at 33.6 weeks (SD, 1.2) and full oral feeding was achieved at 35.9 weeks (SD, 1.9). The median time to achievement of OFC was 15 days (8-22.5). The variables associated with longer delay of OFC were severe combined morbidity (24 vs 14 days; <em>P</em> &lt;<!--> <!-->.001) and moderate/severe bronchopulmonary dysplasia (23 vs 14 days; <em>P</em> &lt;<!--> <!-->.001). In infants without severe combined morbidity, we found no differences in the days elapsed to achievement of OFC between those born before or after 28 weeks of GA (<em>P</em> <!-->=<!--> <!-->.131).</div></div><div><h3>Conclusions</h3><div>Our findings highlight the importance of structuring the transition to oral feeding and identifying the most at-risk group, which in our study were infants with severe morbidity associated with prematurity, for the purpose of targeting potential interventions.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503718"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174273","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":"Estudio transversal del bienestar percibido de los niños en cuidados paliativos","authors":"Daniel Toro-Pérez ,&nbsp;Ester Camprodon-Rosanas ,&nbsp;Catalina Bolancé ,&nbsp;Montserrat Guillen ,&nbsp;Sergi Navarro Vilarrubí ,&nbsp;Joaquin T. Limonero","doi":"10.1016/j.anpedi.2024.503720","DOIUrl":"10.1016/j.anpedi.2024.503720","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the perceived well-being (pWB) and the psychological characteristics of young people with life-limiting and life-threatening conditions (LLTCs).</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study in young people aged 8<!--> <!-->years or older with collection of data on demographic and disease-related variables from the health records. In the psychological evaluation, we collected data on emotion regulation, cognitive strategies and risk of depression and anxiety, in addition to the assessment of the pWB through a visual analogue scale. We calculated means and standard deviations and assessed differences in means using the <em>t</em> test. We fitted multiple linear regression models for pWB as a function of sociodemographic, disease-related and psychological variables.</div></div><div><h3>Results</h3><div>The sample consisted of 60 children and adolescents with a mean age of 16.0 (SD, 4.2; range, 9-24), 33.3% female, and with a mean pWB score of 7.0 (SD, 1.8). Forty five percent had emotional symptoms, 46.7% problems with peers, 33.3% behavioural problems, 22% risk of depression, 30% risk of anxiety and 18.3% emotion regulation difficulties. The regression model showed that age 14<!--> <!-->years or greater (<em>P</em> <!-->=<!--> <!-->.03), exacerbated symptoms (<em>P</em> <!-->=<!--> <!-->.01), the risk of depression (<em>P</em> <!-->=<!--> <!-->.01) and the use of the rumination and catastrophizing cognitive strategies (<em>P</em> <!-->&lt;<!--> <!-->.01) had a negative impact on pWB.</div></div><div><h3>Conclusions</h3><div>Young people with LLTCs have problems with peers, emotional symptoms and anxious-depressive symptoms. Poorer pWB scores were associated with age 14<!--> <!-->years or older, symptom exacerbation, emotional symptoms, depression and the use of rumination and catastrophizing cognitive strategies. Psychological care programmes must respond to these characteristics.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503720"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174236","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":"Situación actual de la formación sanitaria especializada en pediatría y áreas específicas: retos y necesidades","authors":"Pedro Gorrotxategi Gorrotxategi,&nbsp;Ángel Carrasco Sanz,&nbsp;Teresa Cenarro Guerrero,&nbsp;Teresa Arana Navarro,&nbsp;en representación del Ejecutivo de la Asociación Española de Pediatría de Atención Primaria","doi":"10.1016/j.anpedi.2024.503716","DOIUrl":"10.1016/j.anpedi.2024.503716","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503716"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131411","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":"Diseño y validación de un cuestionario sobre hábitos, salud y ejercicio en el uso de portabebés","authors":"Yaiza Taboada-Iglesias ,&nbsp;María del Carmen Iglesias-Pérez ,&nbsp;Águeda Gutiérrez-Sánchez","doi":"10.1016/j.anpedi.2024.503717","DOIUrl":"10.1016/j.anpedi.2024.503717","url":null,"abstract":"<div><h3>Introduction</h3><div>Understanding the characteristics and implications of the use of baby carriers can help health care providers understand the habits of their patients and provide guidance to improve quality of life in both children and caregivers. The aim of our study was to design and validate the first self-administered questionnaire to assess babywearing habits and their impact on health and physical activity as a means to monitor musculoskeletal complaints in caregivers.</div></div><div><h3>Material and methods</h3><div>Three hundred fifty individuals who currently used or had used baby carrying systems in the last 10 years completed the questionnaire, which was previously subject to a pilot study in a panel of experts. We used exploratory factor analysis to assess the validity of the internal structure of the questionnaire. The Cronbach α coefficient was used to assess reliability. We used varimax rotation to improve the interpretation of the extracted factors.</div></div><div><h3>Results</h3><div>The factor analysis showed that the questionnaire is appropriate for measuring the dimensions or carriage factors established a priori. It extracted 3 factors each for the constructs of duration and weight of carriage, motivation, exercise habits and effects on infant health and 2 factors for caregiver pain that explained between 55% and 72% of the variance in each construct. The Cronbach α values were greater than 0.5.</div></div><div><h3>Conclusions</h3><div>The results support the validity of the questionnaire and demonstrate that it is useful for its intended purpose.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503717"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172959","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}