Anales de pediatria最新文献_第6页

Neuromonitoring and follow-up in patients with congenital heart disease in Spain 西班牙先天性心脏病患者的神经监测和随访

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503739

Alexandra Belfi , Laia Vega , Marta Aguar , María Carmen Bravo , Débora Cañizo , Laura Díaz Rueda , Marta Camprubí-Camprubí

{"title":"Neuromonitoring and follow-up in patients with congenital heart disease in Spain","authors":"Alexandra Belfi , Laia Vega , Marta Aguar , María Carmen Bravo , Débora Cañizo , Laura Díaz Rueda , Marta Camprubí-Camprubí","doi":"10.1016/j.anpede.2025.503739","DOIUrl":"10.1016/j.anpede.2025.503739","url":null,"abstract":"<div><h3>Introduction</h3><div>There is evidence of the high incidence of neurological abnormalities in patients with congenital heart disease (CHD). Despite this, perioperative neuromonitoring strategies and long-term follow-up protocols are not standardized in Spain.</div></div><div><h3>Objective</h3><div>The aim of our study was to describe current clinical practice in neuromonitoring, neuroimaging and neurodevelopmental follow-up in patients with CHD in Spanish hospitals that perform paediatric cardiac surgery (PCS).</div></div><div><h3>Material and method</h3><div>We conducted a survey by adapting a questionnaire originally developed by the European Association Brain and Congenital Heart Disease Consortium to collect data on aspects such as the implementation of perioperative neuromonitoring and the type of neuroimaging techniques and neurological follow-up performed. The questionnaire was distributed to the 19 Spanish hospitals that perform PCS.</div></div><div><h3>Results</h3><div>We received responses from 17 centres. Eighty-eight percent performed some type of preoperative neuroimaging and 81% postoperative monitoring. The most widely used technique was transfontanellar sonography. Fifty-six percent of the centres used some form of intraoperative neuromonitoring, most frequently near-infrared spectroscopy. Nineteen percent had an established protocol for the follow-up of these patients and 13% were in the process of developing it.</div></div><div><h3>Conclusions</h3><div>There is considerable heterogeneity in neuromonitoring, neuroimaging and neurologic follow-up practices in the management of patients with CHD in hospitals that perform PCS in Spain. These findings highlight the need to pursue a consensus in order to standardise neuromonitoring and neurologic follow-up strategies in children with CHD in Spain.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503739"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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From publication to action for early detection, surveillance and intervention in cerebral palsy in Spain—Who, how and now 从出版物到西班牙脑瘫早期发现、监测和干预的行动——世卫组织、如何以及现在。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503715

Álvaro Hidalgo-Robles , Javier Merino-Andrés , María del Mar Batista-Guerra , Cristina Herráiz-Perea

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Kidney manifestations of COL4A1 mutations: a report of three cases COL4A1突变的肾脏表现：3例系列。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2024.503740

Ana Roche-Gomez, Lidia Niño Díaz, Cristina Julia Blázquez Gómez, Mar Espino Hernández

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Key differential diagnosis in midline injuries 中线损伤的关键鉴别诊断。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503703

Isabel Gordo Baztán , María Erroz Ferrer , Miren Oscoz Lizarbe , Nerea Gorria Redondo

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Rethinking value in science: Moving beyond the stigma of artificial intelligence in academic communication 重新思考科学中的价值：在学术交流中超越人工智能的耻辱。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503696

Carlos González Morcillo

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From publication to action for early detection, surveillance and intervention in cerebral palsy in Spain - who, how and now. Authors reply 从出版物到西班牙脑瘫早期发现、监测和干预的行动——谁、如何和现在。作者回复。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503734

Miriam Martínez-Biarge , Montesclaros Hortigüela , David Conejo , Juan Arnaez

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Fatal gastric perforation caused by Chlostridium ventriculi. A rare presentation of abdominal pain 由心室绿藻引起的致死性胃穿孔。罕见的腹痛。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2024.503741

Felipe Stacey , Pablo Moreno Santabarbara , Andrea Feu Llauradó , Javier Rodríguez-Fanjul

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Budd-Chiari syndrome secondary to diaphragmatic hernia 膈疝继发的Budd-Chiari综合征。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503702

Antonio Palacios Prados, Laura Almendro García, Alexander Siles Hinojosa, Sara Hernández del Arco

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Factors associated with later toilet training and longer training times: A multicenter cross-sectional study 与较晚的如厕训练和较长的训练时间有关的因素：一项多中心横断面研究。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503709

Miguel Ángel Carro Rodríguez , Josefa Barrio Torres , Sara Beatriz García Chaguaceda , Beatriz Martínez Escribano

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Somatization in childhood and adolescence: a guide to facilitate its understanding 儿童和青少年的躯体化：促进理解的指南。

Anales de pediatria Pub Date : 2025-02-01 DOI: 10.1016/j.anpede.2025.503711

Azucena Díez-Suárez , Cecilia Hernández-González

{"title":"Somatization in childhood and adolescence: a guide to facilitate its understanding","authors":"Azucena Díez-Suárez , Cecilia Hernández-González","doi":"10.1016/j.anpede.2025.503711","DOIUrl":"10.1016/j.anpede.2025.503711","url":null,"abstract":"<div><div>Somatic symptoms affect approximately 25% of children and adolescents, with a significant impact in 10%, and somatization disorders affect 1%–3% of the population. In addition to somatic symptom disorder, illness anxiety disorder (or hypochondria), conversion disorder and factitious disorder may be common reasons for seeking care. Somatization is associated with anxiety and depressive symptoms throughout the lifespan. There are widespread myths regarding somatization, and it is essential that all professionals who treat children are familiar with them. The basis of the treatment of somatization is the development of an individualized rehabilitation program with the main goal of gradually returning to normal function. A paediatrician, psychiatrist or psychologist can direct the treatment, but the approach must always be interdisciplinary, including nursing staff, physical and occupational therapists, teachers or school counsellors. There is limited evidence on the treatment of somatic symptoms, but cognitive behavioural therapy and antidepressants have been found to be effective in cases of greater severity or with psychiatric comorbidity. Analgesics should be used rationally, favouring non-pharmacological pain management measures.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503711"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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