Anales de pediatria最新文献

{"title":"Factors associated with later toilet training and longer training times: A multicenter cross-sectional study","authors":"Miguel Ángel Carro Rodríguez , Josefa Barrio Torres , Sara Beatriz García Chaguaceda , Beatriz Martínez Escribano","doi":"10.1016/j.anpede.2025.503709","DOIUrl":"10.1016/j.anpede.2025.503709","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503709"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426006","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":"Somatization in childhood and adolescence: a guide to facilitate its understanding","authors":"Azucena Díez-Suárez ,&nbsp;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}

{"title":"Recommendations for the perinatal management and follow-up of moderate and late preterm infants","authors":"Sílvia Martínez-Nadal ,&nbsp;Gemma Ginovart Galiana ,&nbsp;Félix Morales Luengo ,&nbsp;María Jesús Rodríguez Revuelta ,&nbsp;Mercedes García Reymundo ,&nbsp;Sara Ansó Oliván ,&nbsp;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 32⁰ and 36⁶ 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}

{"title":"Neonatal diagnosis of cervical limited dorsal myeloschisis","authors":"Esther Aguilera Rodríguez ,&nbsp;María Luisa Egea Giménez ,&nbsp;Esperanza Arcas Navarrete ,&nbsp;Javier Diez-Delgado Rubio","doi":"10.1016/j.anpede.2025.503700","DOIUrl":"10.1016/j.anpede.2025.503700","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 2","pages":"Article 503700"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076659","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":"Current situation of central nervous system tumour survivors in a spanish hospital","authors":"Ivonne Marcela Rincón-Mantilla ,&nbsp;Blanca Herrero ,&nbsp;Elena Herranz Valero ,&nbsp;Fernando Robles-Bermejo ,&nbsp;Alba Herrera-Olivares ,&nbsp;Felisa Vázquez-Gómez ,&nbsp;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}

{"title":"Immunisation schedule of the Pediatric Spanish Association: 2025 recommendations","authors":"Francisco José Álvarez García ,&nbsp;Antonio Iofrío de Arce ,&nbsp;Javier Álvarez Aldeán ,&nbsp;Elisa Garrote Llanos ,&nbsp;Lucía López Granados ,&nbsp;María Luisa Navarro Gómez ,&nbsp;Valentín Pineda Solas ,&nbsp;Irene Rivero Calle ,&nbsp;Jesús Ruiz-Contreras ,&nbsp;Ignacio Salamanca de la Cueva ,&nbsp;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}

{"title":"Knuckle pads in adolescents: the role of microtrauma","authors":"Ana Feio,&nbsp;João Faria Dias,&nbsp;Susana Lopes,&nbsp;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}

{"title":"Cross-sectional study of the perceived wellbeing of children in palliative care","authors":"Daniel Toro-Pérez ,&nbsp;Ester Camprodon-Rosanas ,&nbsp;Catalina Bolancé ,&nbsp;Montserrat Guillen ,&nbsp;Sergi Navarro Vilarrubí ,&nbsp;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> &lt; .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}

{"title":"Thoracic mass as a manifestation of bifid rib","authors":"René Gómez-Lainsa ,&nbsp;Carlos Leganés Villanueva ,&nbsp;Nuria Brun Lozano ,&nbsp;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}

{"title":"A rare genetic cause of translucent teeth","authors":"Sara Nogueira Machado ,&nbsp;Cecília Gomes Pereira ,&nbsp;Cátia Moreira ,&nbsp;Rita Rodrigues","doi":"10.1016/j.anpede.2024.503707","DOIUrl":"10.1016/j.anpede.2024.503707","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 1","pages":"Article 503707"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916543","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}