Anales de pediatria最新文献

Ultrasound in finger fractures: When numbers also need interpretation. 手指骨折的超声诊断：当数字还需要解释。

Anales de pediatria Pub Date : 2026-05-06 DOI: 10.1016/j.anpede.2026.504173

Pedro Carballo Martin, Pablo Del Villar Guerra, Alberto Medina Villanueva, Vicent Modesto I Alapont

引用次数: 0

Sunlight through residential glazing and prevention of neonatal jaundice. 阳光透过住宅玻璃与预防新生儿黄疸。

Anales de pediatria Pub Date : 2026-05-06 DOI: 10.1016/j.anpede.2026.504206

Jose Miguel Sequí-Canet, Jesús Alba-Fernandez, Romina Del Rey-Tormos, Carlos Miguel Angelats-Romero, Jose Miguel Sequí-Sabater

{"title":"Sunlight through residential glazing and prevention of neonatal jaundice.","authors":"Jose Miguel Sequí-Canet, Jesús Alba-Fernandez, Romina Del Rey-Tormos, Carlos Miguel Angelats-Romero, Jose Miguel Sequí-Sabater","doi":"10.1016/j.anpede.2026.504206","DOIUrl":"https://doi.org/10.1016/j.anpede.2026.504206","url":null,"abstract":"Introduction: Despite current guideline recommendations, the empiric recommendation to place jaundiced infants \"in the sun, by the window\" is commonly issued to parents to prevent or treat jaundice.Material and methods: Spectral irradiance (350-1150 nm) was measured with a spectroradiometer on sunny and cloudy days. Seven residential glazing configurations commonly used in dwellings were then interposed between the sun and the sensor. For each glass type, we obtained measurements without glass and with glass (5 and 30 cm from the sensor) and calculated the relative spectral transmission. We analyzed the irradiance in the blue band (≈ 460-490 nm) and compared it with neonatal phototherapy thresholds (30-65 µW/cm²/nm).Results: Direct solar irradiance reached a maximum of 2.8 W/m²/nm at 582 nm and mean values around 2.3 W/m²/nm in the 460-490 nm band on clear days, which were several times higher than intensive phototherapy thresholds. Even on cloudy days, blue irradiance remained clearly above these thresholds. Visible light transmission through glazing elements was high. Transmission did not exhibit relevant attenuation below 400 nm and increased again in the near-infrared region (>750 nm).Conclusions: Typical residential glazing elements transmit very high levels of solar irradiance, with a broad spectrum that includes UVA and infrared radiation, and blue irradiance several times higher than used in phototherapy, but without spectral selectivity or dose control. Exposing healthy newborns to sunlight through home windows cannot be considered an appropriate or safe intervention to prevent jaundice in developed countries.","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":" ","pages":"504206"},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric and neonatal transport from a secondary hospital: Vulnerabilities, inequities and areas of improvement. 儿科和新生儿从二级医院转运：脆弱性、不公平和有待改进的领域。

Anales de pediatria Pub Date : 2026-05-02 DOI: 10.1016/j.anpede.2026.504195

Patricia Musgo Balana, Claudia Rondón Martínez, Belén Valles Fernández, Pablo Del Villar Guerra

引用次数: 0

Ultrasound in finger fractures:  Reinterpreting to improve. 手指骨折的超声诊断： 重新解读以改善。

Anales de pediatria Pub Date : 2026-04-30 DOI: 10.1016/j.anpede.2026.504192

Maddi Mikelarena Erdozain, Leire Cuadrado Alonso, Alicia Vega-Arango Vega, Inés Teresa Bolsa Ferrer, Frederic Samson

引用次数: 0

Exophthalmos in an infant: atypical presentation of hemangioma. 婴儿眼球突出：血管瘤的不典型表现。

Anales de pediatria Pub Date : 2026-04-29 DOI: 10.1016/j.anpede.2026.504136

María Gratacós de Aguilera, Nathalia Joaqui Lopez, Vanesa Laveglia, Neus París Miró

引用次数: 0

Umbilical cord blood lactate is associated with transient tachypnoea of the newborn in near-term and term neonates. 脐带血乳酸与短期和足月新生儿短暂性呼吸急促有关。

Anales de pediatria Pub Date : 2026-04-29 DOI: 10.1016/j.anpede.2026.504205

Elena Granda, Silvia Martín-Ramos, Elba Redondo, Pilar Andrés, Sonia Caserío

{"title":"Umbilical cord blood lactate is associated with transient tachypnoea of the newborn in near-term and term neonates.","authors":"Elena Granda, Silvia Martín-Ramos, Elba Redondo, Pilar Andrés, Sonia Caserío","doi":"10.1016/j.anpede.2026.504205","DOIUrl":"https://doi.org/10.1016/j.anpede.2026.504205","url":null,"abstract":"Introduction: Transient tachypnea of the newborn (TTN) is the main reason of admission to the neonatal intensive care unit (NICU). The aim of the study was to analyze the association of umbilical cord (UC) lactate with TTN.Patients and methods: Retrospective observational study in a level III NICU including infants born alive at or after 34 weeks. We fitted a multivariate logistic regression model for TTN diagnosis, adjusted for confounders, and assessed its diagnostic performance by means of the area under the curve (AUC) and the sensitivity, specificity, and predictive values at the best cut-off point.Results: A total of 2120 neonates (50.7% male) with a median age of 39.5 weeks (IQR, 38.6-40.5) were included between August 2022 and December 2023, of whom 101 (4.8%) were preterm. In the total sample, 120 infants (5.7%) developed TTN. We found that UC lactate was independently associated with TTN (adjusted OR, 1.365; 95% CI, 1.246-1.495), with an AUC of 0.61 (95% CI, 0.56-0.67). The best cut-off point was 5.9 mmol/L, with a sensitivity of 34.5% (95% CI, 26.0-43.0), a specificity of 84.9% (95% CI, 83.3-86.5), a negative predictive value of 95.6% (95% CI, 94.7-96.5), and a positive predictive value of 12.0% (95% CI, 8.6-15.4).Conclusion: Umbilical cord blood lactate was independently associated with TTN in near-term and term neonates Although its diagnostic performance makes its use in isolation inapropriate for decision-making, it can be considered as an additional biomarker in the global evaluation of newborn infants in the delivery room.","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":" ","pages":"504205"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Persistent cutaneous lesion: A diagnostic challenge. 持续性皮肤病变：诊断上的挑战。

Anales de pediatria Pub Date : 2026-04-28 DOI: 10.1016/j.anpede.2026.504166

Delia Argüelles Balas, David Díaz Pérez, Mónica Carrasco de Los Ríos, Cristina Mata Fernández

引用次数: 0

Novel IGSF1 mutation in two brothers with congenital central hypothyroidism. A form of hypothyroidism that escapes neonatal screening. 两兄弟先天性中枢性甲状腺功能减退症的新IGSF1突变。一种未被新生儿筛查的甲状腺功能减退症。

Anales de pediatria Pub Date : 2026-04-23 DOI: 10.1016/j.anpede.2026.504177

Emilio García-García, Ana Rodríguez-Rodríguez, Hada C Macher, José Luis García de Veas

引用次数: 0

Helicobacter pylori infection and duodenogastric reflux. 幽门螺杆菌感染和十二指肠胃反流。

Anales de pediatria Pub Date : 2026-04-21 DOI: 10.1016/j.anpede.2026.504161

Gonzalo Botija, Aránzazu Recio Linares