Archivos argentinos de pediatria最新文献

Perceived barriers to respiratory syncytial virus vaccination and vaccination coverage among pregnant women: A cross-sectional study. 孕妇呼吸道合胞病毒疫苗接种和疫苗接种覆盖率的感知障碍：一项横断面研究。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-22 DOI: 10.5546/aap.2026-11029.eng

Stella M Souto, María A Rodríguez, Fernando A Torres, Paula A Domínguez, Gabriel H Amaya

{"title":"Perceived barriers to respiratory syncytial virus vaccination and vaccination coverage among pregnant women: A cross-sectional study.","authors":"Stella M Souto, María A Rodríguez, Fernando A Torres, Paula A Domínguez, Gabriel H Amaya","doi":"10.5546/aap.2026-11029.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11029.eng","url":null,"abstract":"Introduction. Argentina introduced maternal vaccination against respiratory syncytial virus (RSV) in 2024 to prevent severe respiratory infections in infants. To ensure satisfactory vaccination rates, it is important to identify barriers to its implementation. Objective. To identify barriers to RSV vaccination among pregnant women. We estimated RSV vaccination coverage and the potential association between coverage and barriers. Population and methods. A cross-sectional study based on a survey of mothers who were eligible to receive the RSV vaccine. We developed and validated a tool to identify structural, informational, emotional, and social barriers. We used logistic regression for univariate and multivariate analyses. Results. We surveyed 216 mothers. RSV vaccine coverage was 43.7%. In the univariate analysis, fewer than 5 prenatal visits and not receiving clear information were associated with lower vaccination rates. In the multivariate analysis, knowledge of the RSV vaccine was the only factor independently associated with vaccination coverage (adjusted OR: 3.4; 95% CI: 1.9-6.2; p <0.001). Conclusion. RSV vaccination coverage among pregnant women was lower than that for other vaccines recommended during pregnancy. We identified limited vaccine availability and limited knowledge about the vaccine as factors associated with non-vaccination. Strengthening information and recommendations during prenatal care could help improve vaccination coverage. This study provides a validated tool for assessing barriers to vaccination among pregnant women.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611029"},"PeriodicalIF":0.5,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223316","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

Neck circumference percentiles and anthropometric and adiposity indicators in Mexican schoolchildren. 墨西哥学龄儿童的颈围百分位数、人体测量和肥胖指标。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-15 DOI: 10.5546/aap.2026-11163.eng

Edith Valbuena-Gregorio, Laura F Barrera-Hernández, Marco A López-Mata, Raquel García Flores, Adriana A Márquez-Ibarra

{"title":"Neck circumference percentiles and anthropometric and adiposity indicators in Mexican schoolchildren.","authors":"Edith Valbuena-Gregorio, Laura F Barrera-Hernández, Marco A López-Mata, Raquel García Flores, Adriana A Márquez-Ibarra","doi":"10.5546/aap.2026-11163.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11163.eng","url":null,"abstract":"Introduction. Neck circumference is a useful anthropometric measure for identifying adiposity in children; however, few percentiles are available for school-aged children in northwestern Mexico. Objectives. To estimate smoothed percentiles of neck circumference by age and sex, and to evaluate their association with anthropometric and adiposity indicators in schoolchildren aged 7 to 12 years in northwestern Mexico. Population and methods. We conducted a cross-sectional study among 319 schoolchildren aged 7 to 12 years from four elementary schools in Ciudad Obregón, Sonora. Weight, height, neck circumference, waist circumference, triceps skinfold thickness, and body fat percentage (measured by electrical bioimpedance) were measured. We estimated smoothed percentiles using the LMS method. Results. We included 174 girls and 145 boys. Smoothed percentiles (P10, P25, P50, P75, and P90) were estimated by age and sex. Neck circumference was positively correlated with age-adjusted body mass index (BMI), waist circumference, body fat percentage, and triceps skinfold thickness. Conclusion. Neck circumference showed a positive association with anthropometric and adiposity indicators, suggesting that it could serve as a complementary anthropometric measure for assessing adiposity in this population.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611163"},"PeriodicalIF":0.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164059","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

Inflammatory myofibroblastic tumor of the greater omentum in a 7-year-old girl. 7岁女童大网膜炎性肌纤维母细胞瘤。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-15 DOI: 10.5546/aap.2026-11148.eng

Juan P Pérez Rossini, Eugenia Perié, Cyntia Soriano, Santiago Caparrós, Nicolás López, Claudio Yamahachi, Luis A D'Alú

{"title":"Inflammatory myofibroblastic tumor of the greater omentum in a 7-year-old girl.","authors":"Juan P Pérez Rossini, Eugenia Perié, Cyntia Soriano, Santiago Caparrós, Nicolás López, Claudio Yamahachi, Luis A D'Alú","doi":"10.5546/aap.2026-11148.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11148.eng","url":null,"abstract":"Inflammatory myofibroblastic tumor is a rare neoplasm. Its preferred location is intrathoracic; there are few reports of intra-abdominal involvement, where it may affect the mesentery and retroperitoneum. A 7-year-old girl was brought in for evaluation due to fever, nonspecific lower abdominal pain, fatigue, and progressive weight loss. Laboratory tests revealed anemia, thrombocytosis, and elevated CRP. An abdominal ultrasound showed a hypoechoic mass with well-defined borders and heterogeneous content, measuring approximately 67 × 52 × 79 mm. Complete excision was performed via laparotomy. Its low incidence, varied location, nonspecific histology, and clinical heterogeneity make diagnosis extremely difficult. Only histopathology allows for a definitive diagnosis, and the cornerstone of treatment remains complete removal of the tumor. This rare condition should be included in the pediatric differential diagnosis because of its nonspecific clinical presentation, intra-abdominal mass, and high recurrence rate after incomplete resection.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611148"},"PeriodicalIF":0.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164876","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

Heavy uterine bleeding as an unusual presentation of posterior nutcracker syndrome in an adolescent. 大量子宫出血作为一个不寻常的表现后胡桃钳综合征的青少年。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-15 DOI: 10.5546/aap.2026-11151.eng

Camila Dardanelli, Nicolás I Rosiere, Javier Ruiz, Otilia E Blain, Felicitas López Imizcoz, Claudia Cermeño, Juan M Torrillas, Luis Quiroga, Ignacio Formia, Santiago Weller

引用次数: 0

Prospective-dynamic approach: A conceptual proposal for adolescent health care. 前瞻性动态方法：青少年保健的概念性建议。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-08 DOI: 10.5546/aap.2026-11217.eng

Mauricio Scarpello

引用次数: 0

Hepatic involvement in children with diabetes: Pathophysiology, clinical manifestations, and current management. 糖尿病儿童肝脏受累：病理生理、临床表现和当前管理。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-08 DOI: 10.5546/aap.2026-11117.eng

Carol Lezama Elecharr, Fernando Álvarez

引用次数: 0

Breastfeeding for pain relief during vaccination in infants up to six months of age: Implementation experience at a public maternity hospital. 6个月以下婴儿接种疫苗期间以母乳喂养缓解疼痛：一家公立妇产医院的实施经验。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-08 DOI: 10.5546/aap.2026-11132.eng

Solana Rapaport, María Elina Serra, Mariana González, Roxana Conti

{"title":"Breastfeeding for pain relief during vaccination in infants up to six months of age: Implementation experience at a public maternity hospital.","authors":"Solana Rapaport, María Elina Serra, Mariana González, Roxana Conti","doi":"10.5546/aap.2026-11132.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11132.eng","url":null,"abstract":"Introduction. Vaccination is an effective public health intervention, although it can be painful. Breastfeeding during vaccination reduces infants' pain perception, but vaccination services do not systematically incorporate this practice. Objective. To describe the development, application, and results of a protocol for the implementation of nonpharmacological analgesia through breastfeeding during vaccination of infants up to six months of age in a public hospital. Population and methods. We conducted an implementation study with a before-and-after evaluation based on the model developed by Grol and Wensing, carried out in both inpatient and vaccination settings. It included a diagnostic phase with surveys of mothers and interviews with vaccinators; planning and designation of a point person; awareness-raising activities; and active implementation with follow-up. Evaluations were conducted at one month and six months using surveys and interviews. Implementation indicators were analyzed. Results. The project ran from April 2024 to November 2025. The diagnostic phase included 199 surveys, and 71 were included in each subsequent evaluation. The proportion of infants who were breastfed during vaccination was 15% at baseline, 78% at one month, and 68% at six months. Mothers and healthcare workers accepted the strategy well, and it became an institutional practice. Conclusion. Using breastfeeding as a pain-relief strategy during vaccination proved to be a simple, feasible, and widely accepted intervention for both families and the healthcare team.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611132"},"PeriodicalIF":0.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103736","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

Amiloride for the treatment of cisplatin-induced hypomagnesemia. 阿米洛利治疗顺铂所致低镁血症。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-01 DOI: 10.5546/aap.2026-11207.eng

Miguel Liern, Natalia Soliz Ortega, Xavier Miranda, Aida Vedia Heredia, Roseima Jimenez, Leonel Romero

引用次数: 0

The effectiveness of a parent-based digital detox intervention to reduce cyber addiction in adolescents aged 12-17: A controlled quasi-experimental study. 基于父母的数字排毒干预对减少12-17岁青少年网络成瘾的有效性：一项对照准实验研究。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-01 DOI: 10.5546/aap.2026-11187.eng

Turgut Akyol, Arzu Sarıalioğlu

{"title":"The effectiveness of a parent-based digital detox intervention to reduce cyber addiction in adolescents aged 12-17: A controlled quasi-experimental study.","authors":"Turgut Akyol, Arzu Sarıalioğlu","doi":"10.5546/aap.2026-11187.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11187.eng","url":null,"abstract":"Introduction. Cyber addiction is the excessive and uncontrolled use of the Internet, computer games, social media, and digital devices in ways that negatively affect children's daily lives. With the rapid proliferation of digital technologies, cyber addiction has become a significant public health issue among adolescents and has contributed to psychological, social, and academic problems among them. This study investigated the effectiveness of a parent-based digital detox education program in reducing cyber addiction among adolescents aged 12-17 years by improving parental awareness and guidance on the subject. Population and methods. Between June and December 2025, parents of adolescents aged 12-17 years living in a province in eastern Türkiye participated in this quasi-experimental study. The intervention group attended a four-week online parent education program, whereas the control group received no intervention. Data were collected before and after the intervention using the Introduction Form and the Family Child Internet Addiction Scale. Results. A total of 81 parents were included; in the intervention group (n = 40), post-test scores for social isolation, dysfunction, withdrawal, loss of control, and total internet addiction decreased significantly compared with pre-test scores (p <0.05). No significant pre- or post-test differences were observed in the control group. Baseline comparisons indicated that the groups were comparable before intervention. Conclusions. A parent-based digital detox education program was associated with reduced cyber addiction in adolescents aged 12-17 years. However, because no significant post-test differences were found between the intervention and control groups, the findings should be interpreted with caution. Larger randomized controlled trials are required to confirm the effectiveness of this intervention.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611187"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073442","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

Performance of an artificial intelligence model for classifying stool consistency in infants. 婴儿粪便一致性分类的人工智能模型的性能。

IF 0.5 4区医学

Archivos argentinos de pediatria Pub Date : 2026-10-01 DOI: 10.5546/aap.2026-11012.eng

Sebastián Palma Mercado, Michelle M Higuera Carrillo, Johana C Hincapie Butto, Natali González Rozo, Carlos Timossi Bald, Martha L Báez Camacho, Nicolás I Ramos Rodríguez

{"title":"Performance of an artificial intelligence model for classifying stool consistency in infants.","authors":"Sebastián Palma Mercado, Michelle M Higuera Carrillo, Johana C Hincapie Butto, Natali González Rozo, Carlos Timossi Bald, Martha L Báez Camacho, Nicolás I Ramos Rodríguez","doi":"10.5546/aap.2026-11012.eng","DOIUrl":"https://doi.org/10.5546/aap.2026-11012.eng","url":null,"abstract":"Introduction. Classifying stool consistency in infants is essential in pediatric gastroenterology. The Brussels Infant and Toddler Stool Scale (BITSS) is the visual standard, but it exhibits interobserver variability. Artificial intelligence (AI) offers an objective alternative to reduce subjectivity. Objective. To evaluate the agreement between an AI model and the classification performed by pediatric gastroenterologists using BITSS. Population and methods. An observational, cross-sectional, retrospective study based on a photo database of stool samples from infants under 12 months of age in diapers. We selected 1100 images that met quality criteria; a majority of three gastroenterologists agreed on 896, which we used as the reference set. The images were organized into seven BITSS categories and a grouped version. We trained 20 AI models using an 85/15 split for training and validation. We evaluated performance using exactness, sensitivity, specificity, precision, and F1 score. Inter-specialist agreement was assessed using Fleiss's Kappa, and AI-reference agreement was assessed using weighted Kappa. Results. The specialists showed 24.7% complete agreement and 75.3% partial agreement, with a Fleiss Kappa of 0.24. The best model for seven categories achieved an overall accuracy of 0.56, with Kappa values of 0.59 (linear) and 0.75 (quadratic). In the grouped version, accuracy reached 0.76, with coefficients of 0.69 and 0.78, respectively. Conclusion. The AI showed moderate to substantial agreement with the reference classification, particularly in the grouped categories. The findings support the approach's feasibility and warrant external validation studies.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202611012"},"PeriodicalIF":0.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073376","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