Sílvia Martínez-Nadal , Gemma Ginovart Galiana , Félix Morales Luengo , María Jesús Rodríguez Revuelta , Mercedes García Reymundo , Sara Ansó Oliván , José Antonio Hurtado Suazo
{"title":"Recommendations for the perinatal management and follow-up of moderate and late preterm infants","authors":"Sílvia Martínez-Nadal , Gemma Ginovart Galiana , Félix Morales Luengo , María Jesús Rodríguez Revuelta , Mercedes García Reymundo , Sara Ansó Oliván , José Antonio Hurtado Suazo","doi":"10.1016/j.anpede.2025.503714","DOIUrl":"10.1016/j.anpede.2025.503714","url":null,"abstract":"<div><div>Problems related to prematurity are the main cause of morbidity in newborns and infants. Between 80% and 85% of preterm babies are born between 32<sup>0</sup> and 36<sup>6</sup> weeks of gestation. In Spain, there is no guide for the perinatal management and long-term follow-up of moderately and late preterm (MLPT) infants.</div><div>For this reason, the SEN32-36 group of the Spanish Society of Neonatology has developed a guideline with recommendations for both perinatal management (prenatal care, initial care in the delivery room and ward, neonatal respiratory pathology, breastfeeding and feeding difficulties, hyperbilirubinaemia and hospital discharge) and long-term follow-up (neurodevelopment, nutrition and follow-up, prevention of respiratory disease after discharge and immunizations), grading them according to the Agency for Health Care Research and Quality scales of research quality and levels of evidence. The main goal was improving and standardizing the care of MLPT infants.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503714"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371398","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}
Ana Feio, João Faria Dias, Susana Lopes, Sónia Carvalho
{"title":"Knuckle pads in adolescents: the role of microtrauma","authors":"Ana Feio, João Faria Dias, Susana Lopes, Sónia Carvalho","doi":"10.1016/j.anpede.2024.503721","DOIUrl":"10.1016/j.anpede.2024.503721","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503721"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916052","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}
Ivonne Marcela Rincón-Mantilla , Blanca Herrero , Elena Herranz Valero , Fernando Robles-Bermejo , Alba Herrera-Olivares , Felisa Vázquez-Gómez , Álvaro Lassaletta
{"title":"Current situation of central nervous system tumour survivors in a spanish hospital","authors":"Ivonne Marcela Rincón-Mantilla , Blanca Herrero , Elena Herranz Valero , Fernando Robles-Bermejo , Alba Herrera-Olivares , Felisa Vázquez-Gómez , Álvaro Lassaletta","doi":"10.1016/j.anpede.2024.503719","DOIUrl":"10.1016/j.anpede.2024.503719","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the increasing number of central nervous system (CNS) tumour survivors, long-term (LT) sequelae remain a substantial burden on their health through various life stages. The aim of our study was to evaluate late morbidity, health-related quality of life (HRQoL), self-esteem, functional status, adaptive behaviour, physical activity and social outcomes such as education, employment, relationship status and possession of a driver’s license, in addition to the role of LT effects of radiotherapy (RTx) on these outcomes.</div></div><div><h3>Methods</h3><div>The study included 111 CNS tumour survivors with a minimum of 10 years of follow-up. The assessment of patients included a comprehensive clinical evaluation and psychological questionnaires: SF-36 for HRQoL and Rosenberg self-esteem scale. Functional status was assessed with the Lansky/Karnosky scales and adaptive behaviour with the Vineland-II scale. Patients also completed one questionnaire that assessed physical activity and another that assessed other social variables.</div></div><div><h3>Results</h3><div>The mean current age of CNS tumour survivors was 20 years (range, 12–34). The median time since diagnosis was 13 years (range, 10–26). The median age at diagnosis was 6 years (range, 1–18). The most prevalent LT sequelae were neurologic (55%), followed by neuropsychiatric (53.1%) and endocrine (49.5%) sequelae. Survivors treated with RTx (n = 52) had poorer outcomes in terms of adaptive behaviour, educational attainment and relationship status compared to those who did not receive RTx, but we did not find differences in quality of life or self-esteem scores between these groups.</div></div><div><h3>Conclusion</h3><div>We found a high prevalence of long-term sequelae in CNS tumour survivors, especially in those who received RTx. In these patients, LT sequelae have a significant impact on functional status and social outcomes, but not on quality of life or self-esteem.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503719"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967442","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}
Francisco José Álvarez García , Antonio Iofrío de Arce , Javier Álvarez Aldeán , Elisa Garrote Llanos , Lucía López Granados , María Luisa Navarro Gómez , Valentín Pineda Solas , Irene Rivero Calle , Jesús Ruiz-Contreras , Ignacio Salamanca de la Cueva , Pepe Serrano Marchuet
{"title":"Immunisation schedule of the Pediatric Spanish Association: 2025 recommendations","authors":"Francisco José Álvarez García , Antonio Iofrío de Arce , Javier Álvarez Aldeán , Elisa Garrote Llanos , Lucía López Granados , María Luisa Navarro Gómez , Valentín Pineda Solas , Irene Rivero Calle , Jesús Ruiz-Contreras , Ignacio Salamanca de la Cueva , Pepe Serrano Marchuet","doi":"10.1016/j.anpede.2024.503713","DOIUrl":"10.1016/j.anpede.2024.503713","url":null,"abstract":"<div><div>The AEP 2025 Vaccination and Immunization Schedule recommended for children, adolescents and pregnant women residing in Spain features the following novelties:</div><div>Due to the increase in measles cases and outbreaks in recent years, we recommend advancing the second dose of measles, mumps and rubella (MMR) vaccine to 2 years of age.</div><div>As a consequence of the above, since many autonomous communities (ACs) use the quadrivalent vaccine for the second dose of MMR and varicella vaccines, we recommend, for all ACs, advancing the second dose of varicella vaccine to 2 years of age.</div><div>Due to the very significant increase in cases of pertussis since late 2023 and especially in 2024, we recommend advancing the dose of Tdap given in adolescence to 10–12 years of age.</div><div>To complete protection against meningococcal disease in adolescence, we recommend vaccination against MenB at age 12 years.</div><div>We believe that vaccination against seasonal influenza should be routine up to age 18 years, but given the disappointing coverage in children aged 6–59 months, we currently consider that improving this coverage should be prioritised, extending vaccination to children and adolescents aged 5–18 years once this objective has been achieved.</div><div>Among other aspects, the routine immunization tables for healthy individuals and risk groups, the use of the new extended-valence conjugate vaccines against pneumococcal disease, routine vaccination at 4 months of age with MenACWY and vaccination against SARS-CoV-2 for individuals aged more than 6 months with risk factors remain unchanged with respect to the 2024 schedule.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503713"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025975","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}
Daniel Toro-Pérez , Ester Camprodon-Rosanas , Catalina Bolancé , Montserrat Guillen , Sergi Navarro Vilarrubí , Joaquin T. Limonero
{"title":"Cross-sectional study of the perceived wellbeing of children in palliative care","authors":"Daniel Toro-Pérez , Ester Camprodon-Rosanas , Catalina Bolancé , Montserrat Guillen , Sergi Navarro Vilarrubí , Joaquin T. Limonero","doi":"10.1016/j.anpede.2024.503720","DOIUrl":"10.1016/j.anpede.2024.503720","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the perceived wellbeing (pWB) and the psychological characteristics of young people with life-limiting and life-threatening conditions (LLTCs).</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study in young people aged 8 years or older with collection of data on demographic and disease-related variables from the health records. In the psychological evaluation, we collected data on emotion regulation, cognitive strategies and risk of depression and anxiety, in addition to the assessment of the pWB through a visual analogue scale. We calculated means and standard deviations and assessed differences in means using the <em>t</em> test. We fitted multiple linear regression models for pWB as a function of sociodemographic, disease-related and psychological variables.</div></div><div><h3>Results</h3><div>The sample consisted of 60 children and adolescents with a mean age of 16.0 (SD, 4.2; range, 9–24), 33.3% female, and with a mean pWB score of 7.0 (SD, 1.8). Forty five percent had emotional symptoms; 46.7% problems with peers, 33.3% behavioural problems, 22% risk of depression, 30% risk of anxiety and 18.3% emotion regulation difficulties. The regression model showed that age 14 years or greater (<em>P</em> = .03), exacerbated symptoms (<em>P</em> = .01), the risk of depression (<em>P</em> = .01) and the use of the rumination and catastrophizing cognitive strategies (<em>P</em> < .01) had a negative impact on pWB.</div></div><div><h3>Conclusions</h3><div>Young people with LLTCs have problems with peers, emotional symptoms and anxious-depressive symptoms. Poorer pWB scores were associated with age 14 years or older, symptom exacerbation, emotional symptoms, depression and the use of rumination and catastrophizing cognitive strategies. Psychological care programmes must respond to these characteristics.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503720"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928265","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}
René Gómez-Lainsa , Carlos Leganés Villanueva , Nuria Brun Lozano , María Ángeles López-Vílchez
{"title":"Thoracic mass as a manifestation of bifid rib","authors":"René Gómez-Lainsa , Carlos Leganés Villanueva , Nuria Brun Lozano , María Ángeles López-Vílchez","doi":"10.1016/j.anpede.2024.503698","DOIUrl":"10.1016/j.anpede.2024.503698","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503698"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026000","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}
Leire Bizkarra-Txurruka , Ainara Lejarzegi , David Andina , Borja Gomez , Santiago Mintegi , el Grupo de Estudio de Calidad del manejo del lactante febril de la Red de Investigación de la Sociedad Española de Urgencias de Pediatría (RISEUP-SPERG)
{"title":"Invasive bacterial infections in febrile infants younger than 3 months old after SARS-CoV-2 pandemic","authors":"Leire Bizkarra-Txurruka , Ainara Lejarzegi , David Andina , Borja Gomez , Santiago Mintegi , el Grupo de Estudio de Calidad del manejo del lactante febril de la Red de Investigación de la Sociedad Española de Urgencias de Pediatría (RISEUP-SPERG)","doi":"10.1016/j.anpede.2024.503710","DOIUrl":"10.1016/j.anpede.2024.503710","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503710"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025996","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}
{"title":"Unraveling the exposome: towards a model of planetary health","authors":"Juan Antonio Ortega-García","doi":"10.1016/j.anpede.2024.503695","DOIUrl":"10.1016/j.anpede.2024.503695","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503695"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911367","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}