Anales de pediatria最新文献_第3页

Age of smartphone access: implications for problematic internet use and online risk behaviors 智能手机接入时代：对有问题的互联网使用和在线风险行为的影响。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503937

Patricia Gómez , Abel Nogueira-López , David Liñares , María Angustias Salmerón-Ruiz , Antonio Rial-Boubeta

{"title":"Age of smartphone access: implications for problematic internet use and online risk behaviors","authors":"Patricia Gómez , Abel Nogueira-López , David Liñares , María Angustias Salmerón-Ruiz , Antonio Rial-Boubeta","doi":"10.1016/j.anpede.2025.503937","DOIUrl":"10.1016/j.anpede.2025.503937","url":null,"abstract":"<div><h3>Introduction</h3><div>Access to smartphones raises concerns on multiple levels, particularly because it serves as a gateway to situations of online vulnerability and facilitates the development of risky behaviors, such as problematic internet use (PIU). Therefore, the aim of this study was to analyze whether earlier access of children to a smartphone of their own promotes a differential pattern of internet use, with higher percentages of PIU and online risk behaviors.</div></div><div><h3>Material and methods</h3><div>We conducted a cross-sectional study in 31 secondary schools in Galicia (Spain). A self-administered online ad hoc questionnaire was used, including questions about the age of acquisition of the first personal smartphone, usage habits, online risk behaviors, and the Problematic Internet Use Scale in Adolescents. The final sample consisted of 3351 adolescents (mean age, 15.48 years [SD, 1.22]; 49.3% female).</div></div><div><h3>Results</h3><div>The average age at which children first got a smartphone of their own was 11.7 years. We compared the behavior of two groups: (1) those who first obtained a smartphone of their own at age 11 or earlier vs (2) those who obtained it at age 13 or later. The results showed a more frequent and intensive internet usage pattern among those who accessed smartphones earlier, with significantly higher percentages of risky behaviors, such as passive sexting, contact with strangers or online gambling, as well as nearly double the prevalence of PIU.</div></div><div><h3>Conclusions</h3><div>These findings have important implications from an evidence-based prevention perspective, underscoring the pressing need to delay and rationalize the age of access to a personal smartphone during childhood and adolescence.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503937"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801213","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}

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I’m gonna make him a vaccine he can’t refuse 我要给他做一种他无法拒绝的疫苗。

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

Roi Piñeiro Pérez

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Internal iluac artery pseudoaneurism after cardiac interventional procedure. Is conservative management feasible? 心脏介入手术后的内腔动脉假性动脉瘤。保守管理可行吗？

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

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

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It wasn’t a torticollis but it was a scoliosis 不是斜颈，而是脊柱侧凸。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503859

Jésica Rodríguez Álvarez , Carmen González Méndez , José Antonio Fidalgo González

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Respiratory infections by metapneumovirus and impact of the COVID-19 pandemic 偏肺病毒引起的呼吸道感染及COVID-19大流行的影响

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503908

Marina Ortega Macías , Silvia Pérez Porra , Paula Parro Olmo , Claudia Sumpsi Sánchez , Alfredo Cano

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Eating disorders: Involvement of pediatricians in their prevention, early detection, evaluation and multidisciplinary management 饮食失调：儿科医生参与其预防、早期发现、评估和多学科管理。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503907

Raquel Jiménez García , Covadonga Canga-Espina , Andrea Múñoz Domenjó , Gemma Ochando Perales , Azucena Díez-Suárez

{"title":"Eating disorders: Involvement of pediatricians in their prevention, early detection, evaluation and multidisciplinary management","authors":"Raquel Jiménez García , Covadonga Canga-Espina , Andrea Múñoz Domenjó , Gemma Ochando Perales , Azucena Díez-Suárez","doi":"10.1016/j.anpede.2025.503907","DOIUrl":"10.1016/j.anpede.2025.503907","url":null,"abstract":"<div><div>Eating disorders are severe mental health disorders characterized by changes in eating-related behavior, thoughts and emotions. They typically manifest at young ages, chiefly in adolescence or preadolescence. Due to their complexity, the management of eating disorders requires a multidisciplinary approach led by mental health professionals. However, the high demand for services may delay access to specialized care, which makes it necessary for pediatricians to adopt a proactive role.</div><div>Pediatricians play a key role in the prevention of eating disorders by promoting a healthy relationship with food and body image as well as in their detection and initial management, enabling the implementation of early interventions to stabilize the patient while coordinating specialized care. The pediatrician is also a key figure throughout the followup in monitoring the physical and mental health of affected patients, guaranteeing the delivery of comprehensive care in collaboration with the multidisciplinary team.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503907"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818624","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}

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Reemergence of whooping cough in Ecuador in 2025: A challenge for pediatric health 2025年厄瓜多尔百日咳再次出现：对儿科健康的挑战。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503961

Doménica Denisse Villacís Ponce, Joshua Israel Culcay Delgado

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Gastric Helicobacter heilmannii infection 海曼螺杆菌感染。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503928

Raquel Gómez Sánchez , Elena del Valle Sánchez , Patricia Sanz Aznar , Ruth García Romero

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Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus 西班牙语“家长低血糖恐惧调查”对1型糖尿病儿童家长低血糖恐惧的检测效果验证

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.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":"Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus","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.anpede.2025.503934","DOIUrl":"10.1016/j.anpede.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. Objective: 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":93868,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503934"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859979","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}

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Remarkable factors in failure of non-operative treatment of pectus carinatum 胸突非手术治疗失败的重要因素。

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpede.2025.503906

Irene Martínez Castaño, Carlos de la Sen Maldonado, Valentina Díaz Díaz, Alejandro Encinas Goenechea, Jerónimo Gonzálvez Piñera

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