{"title":"Sexual consent in adolescence. Influence of the consumption of «new pornography» on decision-making","authors":"Ester Barrios Miras , Montserrat Esquerda Areste","doi":"10.1016/j.anpede.2025.503791","DOIUrl":"10.1016/j.anpede.2025.503791","url":null,"abstract":"<div><div>Adolescence is a transitional stage of development, with imprecise age limits, during which the individual progressively develops the maturity required for decision-making. Sexual consent is part of the right to sexual freedom, a fundamental right that must be promoted and taught from childhood. At present, there is considerable social alarm in relation to the risks associated with the increased consumption of pornography from an early age. Pornography provides a distorted image of sexual relations that does not feature the elements of consent or respect to the other, commonly offering visual content that normalizes violence, humiliation and the objectification of human beings. The lack of comprehensive sex education with an affective component, combined with the emergence of “new pornography” as a school of sexuality, means that adolescents may come to accept and/or normalize nonconsensual sexual relations that can violate the dignity of the individual. The aim of the study was to perform a critical review of the literature available in the main databases published from 2015 to present in order to characterize the consumption of pornography by adolescents and its associated risks. Lastly, it addresses individual and social factors involved in sexual consent, as well as aspects related to the autonomy required for the individual to be able to consent.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503791"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860638","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}
Pedro J. Alcalá Minagorre , María José Salmerón Fernández , Araceli Domingo Garau , Pilar Díaz Pernas , Cristina M. Nebot Marzal , Rosa M. Pino Ramírez , Aurora Madrid Rodríguez , en representación del Comité de Calidad Asistencial y Seguridad del Paciente. Asociación Española de Pediatría
{"title":"Strategies for improving diagnostic safety and clinical reasoning","authors":"Pedro J. Alcalá Minagorre , María José Salmerón Fernández , Araceli Domingo Garau , Pilar Díaz Pernas , Cristina M. Nebot Marzal , Rosa M. Pino Ramírez , Aurora Madrid Rodríguez , en representación del Comité de Calidad Asistencial y Seguridad del Paciente. Asociación Española de Pediatría","doi":"10.1016/j.anpede.2025.503827","DOIUrl":"10.1016/j.anpede.2025.503827","url":null,"abstract":"<div><div>Diagnostic safety failures cause up to 15% of adverse health care-related events, many of which have serious consequences. The nature of diagnostic errors is complex and involves individual factors, such as cognitive and availability biases, as well as factors related to organizations and work dynamics. Through this document, the Health Care Quality and Patient Safety Committee of the Asociación Española de Pediatría (Spanish Association of Pediatrics) offers an updated review of the bases of diagnostic error and its characteristics in different health care settings, and proposes strategies for improving diagnostic safety and clinical reasoning, including educational and care delivery aspects and the application of novel technological resources, such as those based on artificial intelligence.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503827"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860639","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}
Violeta Martí Enrique, Joaquín López Cruz, José María Olmos García, Fátima Pareja Marín
{"title":"Difficulty in raising the arm: Parsonage-Turner syndrome","authors":"Violeta Martí Enrique, Joaquín López Cruz, José María Olmos García, Fátima Pareja Marín","doi":"10.1016/j.anpede.2025.503699","DOIUrl":"10.1016/j.anpede.2025.503699","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503699"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859411","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}
Iñigo de Noriega , Fátima Parra Plantagenet-Whyte , José Antonio Salinas , Gisela Michel , Eddy Carolina Pedraza
{"title":"Palliative care for pediatric cancer patients in Spain: analysis of described resources and barriers","authors":"Iñigo de Noriega , Fátima Parra Plantagenet-Whyte , José Antonio Salinas , Gisela Michel , Eddy Carolina Pedraza","doi":"10.1016/j.anpede.2025.503767","DOIUrl":"10.1016/j.anpede.2025.503767","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503767"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788981","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}
{"title":"The debate on euthanasia in minors","authors":"Carles Martin-Fumadó , Magda Campins , Esperanza L. Gómez-Durán , Josep Arimany-Manso","doi":"10.1016/j.anpede.2025.503778","DOIUrl":"10.1016/j.anpede.2025.503778","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503778"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860633","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}
{"title":"New pathogenic variant c.3855+4A>G in the NIPBL gene associated with Cornelia de Lange syndrome type 1 (OMIM#122470)","authors":"Sandra Maeso-Méndez , Saioa Jiménez Echevarría , Zuriñe García Casales , Ignacio Díez López","doi":"10.1016/j.anpede.2025.503771","DOIUrl":"10.1016/j.anpede.2025.503771","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503771"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860162","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}
Daniel Palanca Arias , Irene Gil Hernández , Álvaro Boria Alegre , Juan Pablo García Íñiguez
{"title":"Transcranial Doppler in traumatic carotid dissection","authors":"Daniel Palanca Arias , Irene Gil Hernández , Álvaro Boria Alegre , Juan Pablo García Íñiguez","doi":"10.1016/j.anpede.2025.503770","DOIUrl":"10.1016/j.anpede.2025.503770","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503770"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813032","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}
Ruth García-Romero , Ramón Cancho Candela , José Luis Peña Segura , Víctor Manuel Navas-López , Juan José Díaz Martín
{"title":"Nutritional aspects in patients with cerebral palsy: A multicenter observational study in Spain","authors":"Ruth García-Romero , Ramón Cancho Candela , José Luis Peña Segura , Víctor Manuel Navas-López , Juan José Díaz Martín","doi":"10.1016/j.anpede.2025.503803","DOIUrl":"10.1016/j.anpede.2025.503803","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebral palsy (CP) encompasses a group of motor disorders that can result in swallowing difficulties, affecting food intake and contributing to poor nutritional status. The goal of the study was to describe the clinical and nutritional characteristics of Spanish children with CP.</div></div><div><h3>Methods</h3><div>Multicenter observational study conducted in children aged 4–14 years with a diagnosis of CP. For every patient, we collected data on sociodemographic and clinical characteristics as well as anthropometric measurements, schooling modality, nutrition received at school, nutritional support and gastrointestinal comorbidities.</div></div><div><h3>Results</h3><div>The sample included a total of 112 patients with a mean age of 9.2 years old. The majority (70.5%) had been classified as Gross Motor Function Classification System (GMFCS) level IV or V. Compared to children classified as GMFCS level I, II or III, the group of children with GMFCS level IV/V had significantly lower mean <em>z</em> scores in body weight, height, weight-to-height ratio, body mass index and upper arm circumference and a significant lower mean arm area. A higher proportion of patients with GMFCS level IV/V attended special education schools compared to patients classified as level I to III (68.4% vs. 12.1%; <em>P</em> < .0001). A higher proportion of children classified as level IV/V compared to children classified as levels I to III presented dysphagia (62.0% vs. 15.2%; <em>P</em> < .0001), constipation (51.9% vs. 27.3%, <em>P</em> = .0218) and gastroesophageal reflux (31.6% vs. 3.0%; <em>P</em> = .0005).</div></div><div><h3>Conclusions</h3><div>Our study shows that Spanish children with CP, especially those with severe motor impairment, are at risk of malnutrition, present gastrointestinal comorbidities and require nutritional support.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503803"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538230","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}