Anales de pediatria最新文献_第5页

Le haré una vacuna que no podrá rechazar 我将给他一个疫苗，他不会拒绝

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503858

Roi Piñeiro Pérez

引用次数: 0

Seudoaneurisma de arteria ilíaca interna tras cateterismo cardiaco intervencionista. ¿Es factible el manejo conservador? 介入心脏导管作用后的内隐静脉动脉瘤。保守管理可行吗？

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503838

Luis Fernandez Gonzalez , Roberto Blanco Mata , Josune Arriola Meabe , Javier Ayala Curiel

引用次数: 0

Validación del Hypoglycemia Fear Survey for Parents al español para la detección del miedo a la hipoglucemia en padres de niños con diabetes mellitus tipo 1 1型糖尿病患儿父母对低血糖恐惧调查的西班牙语验证

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503934

Johan Gregorio Reyes Quesada , Cristina Rodríguez de Miguel , Óscar Rey Luque , Teresa Hernández Expósito , Juana Rosa Espino Sánchez , Natalia Rodríguez Novo , María Mercedes Novo Muñoz

{"title":"Validación del Hypoglycemia Fear Survey for Parents al español para la detección del miedo a la hipoglucemia en padres de niños con diabetes mellitus tipo 1","authors":"Johan Gregorio Reyes Quesada , Cristina Rodríguez de Miguel , Óscar Rey Luque , Teresa Hernández Expósito , Juana Rosa Espino Sánchez , Natalia Rodríguez Novo , María Mercedes Novo Muñoz","doi":"10.1016/j.anpedi.2025.503934","DOIUrl":"10.1016/j.anpedi.2025.503934","url":null,"abstract":"<div><h3>Introduction</h3><div>Fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM) has been described as a barrier that affects the achievement of therapeutic goals and adherence to treatment.</div></div><div><h3>Objective</h3><div>validating the Hypoglycemia Fear Survey for Parents (HFS-P) in Spanish and assessing the relationship between scores and various clinical variables.</div></div><div><h3>Methods</h3><div>We conducted a psychometric analysis of the instrument, evaluating its feasibility, internal consistency, validity and reliability in the intended setting and population.</div></div><div><h3>Results</h3><div>The sample included a total of 149 participants (71.8% mothers). The mean age of the children was 9.9 years (SD, 3.2), with a mean duration of T1DM duration of 3.9 years (SD, 3.5) and a mean glycated hemoglobin (HbA1c) of 7.9% (SD, 1.9). Of all participants, 87.9% reported the use of new technologies for glucose monitoring. The adapted questionnaire consists of 20 items grouped into three dimensions. The Cronbach α for the total scale was 0.92. The HFS-P was significantly correlated to a general worry scale (ρ=0.47; <em>P</em><.001). The test-retest reliability analysis showed a strong positive correlation (ρ=0.84; <em>P</em><.001). Variables such as family history of T1DM, caregiver educational level, HbA1c level and use of a glucose monitoring system were significantly associated with HFS-P scores.</div></div><div><h3>Conclusion</h3><div>The Spanish version of the HFS-P is a valid and reliable tool that may assist health care professionals in identifying parental FoH and guide the development of interventions aimed at improving disease management in children.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503934"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cómo elaborar y evaluar documentos de consenso: métodos y listas de comprobación 编写和评价协商一致文件：方法和清单

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503890

María Aparicio Rodrigo , Paz González Rodríguez , Nieves Balado Insunza , Garazi Fraile Astorga , Pilar Aizpurua Galdeano , Carlos Ochoa Sangrador , Comité de Trabajo de Pediatría Basada en la Evidencia

{"title":"Cómo elaborar y evaluar documentos de consenso: métodos y listas de comprobación","authors":"María Aparicio Rodrigo , Paz González Rodríguez , Nieves Balado Insunza , Garazi Fraile Astorga , Pilar Aizpurua Galdeano , Carlos Ochoa Sangrador , Comité de Trabajo de Pediatría Basada en la Evidencia","doi":"10.1016/j.anpedi.2025.503890","DOIUrl":"10.1016/j.anpedi.2025.503890","url":null,"abstract":"<div><div>Evidence-based medicine seeks the rigorous application of the best available scientific evidence to clinical decision-making. However, when the evidence is insufficient or inconsistent, consensus documents can guide clinical practice and reduce variability of care. These documents, developed by experts, require a structured approach to ensure their validity and applicability. A consensus document is a report produced by experts following a formalized process to answer a specific clinical question. The methodology used must be rigorous to minimize biases, such as dominance of certain experts or the panel not being representative. The most widely used formal consensus methods are the Delphi technique, the nominal group technique, the RAND/UCLA method, consensus conferences and other, less structured methods such as consensus meetings and focus groups. To ensure the quality of a consensus document, the use of standards such as the ACCORD guideline is essential. This guideline provides drafting criteria, ensuring the inclusion of detailed information regarding the materials, resources (both human and financial) and procedures used during the consensus process. The critical reading of these documents should take into account factors such as the representativeness of the panel, the clarity of the consensus criteria and potential conflicts of interest. In this sense, critical appraisal tools, such as those proposed by the Joanna Briggs Institute, facilitate the identification of biases and the evaluation of the validity of recommendations.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 1","pages":"Article 503890"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aplasia cutis congénita de presentación insólita 先天性异常性皮肤发育不全

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503807

Laura Jiménez Blanco, Ana María Gil Fenoy, Esther Aguilera Rodríguez, Francisco Javier Díez-Delgado Rubio

引用次数: 0

Pediculosis: ¡atención, no sólo en la cabeza! 儿科：注意，不仅仅是头部！

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503810

Aniza Giacaman, Francisca Mestre-Bauzá

引用次数: 0

Tofacitinib en alopecia areata y síndrome nefrótico 托法替尼治疗斑秃和肾病综合征

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503834

Irene Comino-Hidalgo , Ana Belén Martínez-López , Minia Campos-Domínguez , Olalla Álvarez-Blanco

引用次数: 0

La salud de los niños y la Ley Trans 儿童健康与跨性别法

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503901

Ángel Hernández Merino

引用次数: 0

Valoración del dolor en pacientes menores con disfunción cognitiva: adaptación y validación de la escala r-FLACC 认知功能障碍少年患者的疼痛评估：r-FLACC量表的适应和验证

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503898

Débora Sierra-Núñez , Alejandro Bosch-Alcaraz , María Auxiliadora Flores Ordóñez , M. Mercedes Nebra Muñoz , Anna García Merino , Erika González Lucena , Esperanza Zuriguel-Pérez

{"title":"Valoración del dolor en pacientes menores con disfunción cognitiva: adaptación y validación de la escala r-FLACC","authors":"Débora Sierra-Núñez , Alejandro Bosch-Alcaraz , María Auxiliadora Flores Ordóñez , M. Mercedes Nebra Muñoz , Anna García Merino , Erika González Lucena , Esperanza Zuriguel-Pérez","doi":"10.1016/j.anpedi.2025.503898","DOIUrl":"10.1016/j.anpedi.2025.503898","url":null,"abstract":"<div><h3>Introduction</h3><div>Minors with cognitive dysfunction are at increased risk for pain and inadequate pain management. Pain assessment in children with cognitive and verbal dysfunction should be performed using specific behavioral scales. The main objective of this study was the translation and adaptation to Spanish of the revised Face, Legs, Activity, Cry and Consolability (r-FLACC) scale, one of the best-rated scales for assessing pain in children with cognitive dysfunction, followed by its validation.</div></div><div><h3>Patients and methods</h3><div>We carried out a prospective, observational and psychometric study in three phases: translation and adaptation, content validity analysis using mixed methods, and analysis of the psychometric properties of the Spanish version of the r-FLACC scale.</div></div><div><h3>Results</h3><div>We obtained an overall content validity index of 0.99, supported by qualitative data obtained in a focus group of patients’ relatives. The internal consistency of the Spanish version was demonstrated by a Cronbach α of 0.876 and a McDonald omega of 0.880; and the interobserver agreement by a concordance correlation coefficient of 0.933. The r-FLACC scale exhibited the capacity to detect changes in pain severity after pharmacological intervention, with <em>P</em>  <!-->0.001 in the Wilcoxon test.</div></div><div><h3>Conclusions</h3><div>The Spanish version of the r-FLACC scale proved to be a valid and reliable instrument for assessing pain intensity in children with cognitive dysfunction, thus providing professionals a tool that had not been available in our area and contributing to improving the scientific evidence available on the subject.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 1","pages":"Article 503898"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

¿Por qué los pediatras debemos ser también científicos? 为什么儿科医生也必须是科学家？

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-07-01 DOI: 10.1016/j.anpedi.2025.503882

Alejandro Avila-Alvarez

引用次数: 0