Anales de pediatria最新文献_第8页

Reluctance of parents to immunize their children with nirsevimab 父母不愿给他们的孩子接种nirsevimab。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503743

Roi Piñeiro Pérez , Sonsoles Galán Arévalo , Milagros Risso , Inmaculada Hidalgo Montes , Alejandro López-Escobar

引用次数: 0

Description of air quality and environmental characteristics in primary school classrooms in the Community of Madrid 马德里社区小学教室空气质量和环境特征描述。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503792

Begoña Pérez-Moneo , María Aparicio Rodrigo , Mª Dolores Redondas Marrero , Kevin Sabariego Moreno , María del Mar Barbero Barrera

{"title":"Description of air quality and environmental characteristics in primary school classrooms in the Community of Madrid","authors":"Begoña Pérez-Moneo , María Aparicio Rodrigo , Mª Dolores Redondas Marrero , Kevin Sabariego Moreno , María del Mar Barbero Barrera","doi":"10.1016/j.anpede.2025.503792","DOIUrl":"10.1016/j.anpede.2025.503792","url":null,"abstract":"<div><h3>Introduction</h3><div>Air quality in schools is a concern at the European level, and few data have been published on the subject in the Community of Madrid.</div></div><div><h3>Material and methods</h3><div>We conducted a longitudinal descriptive study on the presence and distribution of pollutants in four schools in Madrid selected on account of their location, exposure to traffic and proximity to green areas. We measured pollutants and assessed environmental characteristics in primary school classrooms. We measured pollutants with sensors over five data collection campaigns, each lasting two weeks. The obtained data were analyzed with the R software. We calculated the median, range and percentage of exceedance of recommended thresholds and assessed environmental conditions.</div></div><div><h3>Results</h3><div>We found levels of 2.5 µm particulate matter (PM) above the recommended threshold in 40%–70% of the measurements. Volatile organic compounds (VOCs) exceeded the recommended threshold in April in 41.52% of the measurements. The level of CO<sub>2</sub> exceeded the recommended threshold in three of the campaigns. There was broad variation in ultrafine particles. Temperature, CO<sub>2</sub>, VOCs, PM 1, PM 0.3 and PM 2.5 levels were higher in occupied classrooms. Humidity was positively correlated to PM 0.3, PM 1 and PM 2.5 levels and negatively correlated to ultrafine particle levels.</div></div><div><h3>Conclusions</h3><div>This is the first study to assess indoor pollutants and their concentration in schools in the Madrid region. We found levels of CO<sub>2</sub>, PM 2.5 and VOCs exceeding the currently recommended thresholds.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503792"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607609","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}

引用次数: 0

Are the ESPGHAN criteria valid with the chemioluminiscence method? Analysis of potential diagnostic errors ESPGHAN标准对化学发光法有效吗？分析潜在的诊断错误。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503742

Rocío Garcés Cubel , Ruth García Romero , Ignacio Ros Arnal , Yolanda González Irazabal , Guillermo Hernández de Abajo

{"title":"Are the ESPGHAN criteria valid with the chemioluminiscence method? Analysis of potential diagnostic errors","authors":"Rocío Garcés Cubel , Ruth García Romero , Ignacio Ros Arnal , Yolanda González Irazabal , Guillermo Hernández de Abajo","doi":"10.1016/j.anpede.2025.503742","DOIUrl":"10.1016/j.anpede.2025.503742","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine how many patients may have received a mistaken diagnosis of coeliac disease using the ESPGHAN 2012 and 2020 criteria without performance of biopsy when using chemiluminescence, and to evaluate possible causes of interference affecting anti-tissue transglutaminase antibody results obtained with this technique.</div></div><div><h3>Methods</h3><div>Retrospective and descriptive study of biopsies of patients with elevated tissue transglutaminase antibodies (tTGA) measured by chemiluminescence in a tertiary care hospital.</div></div><div><h3>Results</h3><div>The sample included 135 patients with a mean age of 7.7 years. The diagnosis of coeliac disease was confirmed in 67 (49.6%) and ruled out in the remaining 68 (50.4%).</div><div>Subsequently, among those with a non-diagnostic biopsy, we found that 13 (19.1%) would have met the ESPGHAN 2012 criteria and 17 (25%) the ESPGHAN 2020 criteria. The tTG antibody levels were greater than 10 times the upper limit of normal (ULN) in 27.9%. In patients who tested positive for endomysial antibodies (EMA), the cut-off point for tTGA measured by chemiluminescence that achieved the best combined sensitivity and specificity (Youden index) was 849U/mL (42.5×ULN). On the other hand, if EMA levels were not taken into account, the cut-off point was 301U/mL (15×ULN).</div><div>In addition, 16 patients (23.5%) received a diagnosis of chronic gastritis secondary to <em>Helicobacter pylori</em> (HP) infection, of who 50% fulfilled the ESPGHAN 2012 and 2020 criteria for diagnosis without biopsy.</div></div><div><h3>Conclusions</h3><div>Transglutaminase antibody levels measured by chemiluminescence offer a high sensitivity, but there can be artifacts due to situations such as infection by HP. Therefore, the ESPGHAN guidelines must be revised for application in this particular case.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503742"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569225","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}

引用次数: 0

Most common flood-associated infectious diseases in children 最常见的与洪水有关的儿童传染病。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503777

Begoña Carazo Gallego , Elena Montesinos Sanchis , Leticia Martínez Campos , Eva María López Medina , Iñaki Alegría Coll , Milagros García López Hortelano , Cristina Calvo Rey

{"title":"Most common flood-associated infectious diseases in children","authors":"Begoña Carazo Gallego , Elena Montesinos Sanchis , Leticia Martínez Campos , Eva María López Medina , Iñaki Alegría Coll , Milagros García López Hortelano , Cristina Calvo Rey","doi":"10.1016/j.anpede.2025.503777","DOIUrl":"10.1016/j.anpede.2025.503777","url":null,"abstract":"<div><div>Floods constitute one of the most widely described natural phenomena worldwide, and their frequency is increasing due to the consequences of climate change. Floods pose risks to the affected populations, including an increase in communicable diseases mainly due to population displacement and overcrowding, deficiencies in hygiene and dietary measures and difficulties accessing health care. The most frequently reported infectious diseases in the context of these disasters are gastrointestinal and respiratory diseases and diseases resulting from wound infection. Epidemic outbreaks of infections such as leptospirosis or vector-borne diseases, which are usually less prevalent but whose increased incidence is closely related to this type of disasters, have also been described.</div><div>These events evince the need to develop epidemiological surveillance protocols and for scientific societies to establish consensus-based guidelines for the diagnosis and therapeutic management of the most prevalent communicable diseases.</div><div>This consensus document was developed by the Sociedad Española de Infectología Pediátrica (SEIP) in collaboration with the Asociación Española de Pediatría (AEP) and the Sociedad Valenciana de Pediatría (SVP) to establish recommendations for the therapeutic management of the main infectious diseases that may affect children impacted by floods, which could also be applicable to other natural disasters.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503777"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618032","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}

引用次数: 0

Risk assessment and management of pulmonary embolism: A report of two cases 肺栓塞的风险评估与处理：附2例报告。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503749

Vicente Posadas Blázquez , Lucía González Álvarez , Beatriz Guzmán Morais , Jose Luis López-Prats Lucea , Patricia Roselló Millet

引用次数: 0

Gastrointestinal inflammation in glycosylation defect Ib 糖基化缺陷Ib的胃肠道炎症。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503736

Amaia Salinas Uhalte , Ruth García Romero , Ignacio Ros Arnal , Sandra Vicente Arregui

引用次数: 0

Theoretical framework of adverse childhood experiences 不良童年经历的理论框架。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503768

Sebastián Tornero Patricio

引用次数: 0

Stimulating drinks: Neither energy drinks nor for teens 刺激性饮料：既不是能量饮料，也不是青少年饮料。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503795

Rosaura Leis , Comité de Nutrición y Lactancia Materna de la Asociación Española de Pediatría (AEP)

引用次数: 0

Survey on the practice of skin-to-skin contact in Spanish neonatal units during the first days of life. Influence of the presence of umbilical catheters 西班牙新生儿单位在生命最初几天皮肤接触的实践调查。脐带导管存在的影响。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503774

Alicia Montaner-Ramón, Laura Merayo Fernández, Inmaculada Cosmo García, Elena Carrillo Messa, Fátima Camba Longueira

{"title":"Survey on the practice of skin-to-skin contact in Spanish neonatal units during the first days of life. Influence of the presence of umbilical catheters","authors":"Alicia Montaner-Ramón, Laura Merayo Fernández, Inmaculada Cosmo García, Elena Carrillo Messa, Fátima Camba Longueira","doi":"10.1016/j.anpede.2025.503774","DOIUrl":"10.1016/j.anpede.2025.503774","url":null,"abstract":"<div><h3>Introduction</h3><div>Skin-to-skin contact (SSC) offers multiple benefits in preterm newborns (PTNBs), but its implementation can be delayed due to the presence of some devices such as umbilical venous catheters (UVCs). Our objective was to evaluate the practice of SSC in PTNBs in Spanish neonatal units and how the type of catheter affects its initiation.</div></div><div><h3>Methods</h3><div>We distributed a survey through the Sociedad Española de Neonatología to Spanish neonatal units, analyzing the timing of SSC initiation and the influence on this practice of the types of devices being used.</div></div><div><h3>Results</h3><div>We obtained a total of 74 responses from centers across all 17 autonomous communities in Spain, of which 67.6% admitted PTNBs of any gestational age or birth weight. In 39.2% of the units, SSC was initiated within the first 24 hours of life (26% in the case of units that admitted PTNBs born before 28 weeks and/or weighing less than 1000 grams).</div><div>In 86.5% of the centers, UVC insertion in PTNBs was a routine procedure, and 59.5% reported that the type of inserted catheter affected the timing of SSC initiation. Skin-to-skin contact in infants carrying an UVC was performed in 37.8% of the units, but it was either not performed or rarely performed in the rest.</div></div><div><h3>Conclusion</h3><div>There is significant variability in the timing of SSC initiation in PTNBs in Spain, and the use of UVCs has been identified as a potential barrier to early implementation. The existence of clinical guidelines or protocols could help improve PTNB care and standardize practices across different units.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503774"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618038","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}

引用次数: 0

Severe neurodevelopmental and growth delay in immigrant child 移民儿童严重的神经发育和生长迟缓。

Anales de pediatria Pub Date : 2025-03-01 DOI: 10.1016/j.anpede.2025.503701

Emilio García-García , Olga Alonso Luengo , Manuel Sobrino-Toro

引用次数: 0