Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503909
Lefa S. Eddy Ives , Abigail Huertas Patón , María Azul Forti Buratti , Julio Álvarez Pitti , María Angustias Salmerón-Ruiz , Pedro Javier Rodríguez Hernández , Matias Real-López
The widespread use of digital media, especially in childhood and adolescence, raises significant concern about its impact on health, as it can affect physical, mental, and psychosocial health and development.
Technology could be beneficial for specific areas, but current use and design carry significant risks. Several studies have linked the use of electronic devices with an increase in symptoms of anxiety and depression and self-injury, particularly in people with pre-existing risk factors. Problematic internet use, including interaction with social networks and exposure to cyberbullying, can aggravate existing psychiatric disorders.
Therefore, health care professionals must adopt a preventive stance, promoting active supervision and setting of screen time limits. Regulating the use of digital devices should be a priority in the context of child care to protect children's and adolescents’ physical, emotional, and mental well-being in the short, medium, and long term.
{"title":"Impacto de las pantallas y las redes sociales en la salud mental","authors":"Lefa S. Eddy Ives , Abigail Huertas Patón , María Azul Forti Buratti , Julio Álvarez Pitti , María Angustias Salmerón-Ruiz , Pedro Javier Rodríguez Hernández , Matias Real-López","doi":"10.1016/j.anpedi.2025.503909","DOIUrl":"10.1016/j.anpedi.2025.503909","url":null,"abstract":"<div><div>The widespread use of digital media, especially in childhood and adolescence, raises significant concern about its impact on health, as it can affect physical, mental, and psychosocial health and development.</div><div>Technology could be beneficial for specific areas, but current use and design carry significant risks. Several studies have linked the use of electronic devices with an increase in symptoms of anxiety and depression and self-injury, particularly in people with pre-existing risk factors. Problematic internet use, including interaction with social networks and exposure to cyberbullying, can aggravate existing psychiatric disorders.</div><div>Therefore, health care professionals must adopt a preventive stance, promoting active supervision and setting of screen time limits. Regulating the use of digital devices should be a priority in the context of child care to protect children's and adolescents’ physical, emotional, and mental well-being in the short, medium, and long term.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503909"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503932
Julio César Moreno-Alfonso , Hilmican Ulman , Ophelia Aubert , Hanna Garnier , Marta Gazzaneo
{"title":"Exploración de los índices celulares como biomarcadores diagnósticos en niños con sospecha de enfermedad de Crohn","authors":"Julio César Moreno-Alfonso , Hilmican Ulman , Ophelia Aubert , Hanna Garnier , Marta Gazzaneo","doi":"10.1016/j.anpedi.2025.503932","DOIUrl":"10.1016/j.anpedi.2025.503932","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503932"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503937
Patricia Gómez , Abel Nogueira-López , David Liñares , María Angustias Salmerón-Ruiz , Antonio Rial-Boubeta
Introduction
Access to smartphones raises concerns on multiple levels, particularly because it serves as a gateway to situations of online vulnerability and facilitates the development of risky behaviors, such as problematic internet use (PIU). Therefore, the aim of this study was to analyze whether earlier access of children to a smartphone of their own promotes a differential pattern of internet use, with higher percentages of PIU and online risk behaviors.
Material and methods
We conducted a cross-sectional study in 31 secondary schools in Galicia (Spain). A self-administered online ad hoc questionnaire was used, including questions about the age of acquisition of the first personal smartphone, usage habits, online risk behaviors, and the Problematic Internet Use Scale in Adolescents. The final sample consisted of 3351 adolescents (mean age, 15.48 years [SD, 1.22]; 49.3% female).
Results
The average age at which children first got a smartphone of their own was 11.7 years. We compared the behavior of two groups: (1) those who first obtained a smartphone of their own at age 11 or earlier vs (2) those who obtained it at age 13 or later. The results showed a more frequent and intensive internet usage pattern among those who accessed smartphones earlier, with significantly higher percentages of risky behaviors, such as passive sexting, contact with strangers or online gambling, as well as nearly double the prevalence of PIU.
Conclusions
These findings have important implications from an evidence-based prevention perspective, underscoring the pressing need to delay and rationalize the age of access to a personal smartphone during childhood and adolescence.
{"title":"Edad de acceso al móvil: implicaciones en el uso problemático de internet y conductas de riesgo online","authors":"Patricia Gómez , Abel Nogueira-López , David Liñares , María Angustias Salmerón-Ruiz , Antonio Rial-Boubeta","doi":"10.1016/j.anpedi.2025.503937","DOIUrl":"10.1016/j.anpedi.2025.503937","url":null,"abstract":"<div><h3>Introduction</h3><div>Access to smartphones raises concerns on multiple levels, particularly because it serves as a gateway to situations of online vulnerability and facilitates the development of risky behaviors, such as problematic internet use (PIU). Therefore, the aim of this study was to analyze whether earlier access of children to a smartphone of their own promotes a differential pattern of internet use, with higher percentages of PIU and online risk behaviors.</div></div><div><h3>Material and methods</h3><div>We conducted a cross-sectional study in 31 secondary schools in Galicia (Spain). A self-administered online ad hoc questionnaire was used, including questions about the age of acquisition of the first personal smartphone, usage habits, online risk behaviors, and the Problematic Internet Use Scale in Adolescents. The final sample consisted of 3351 adolescents (mean age, 15.48 years [SD, 1.22]; 49.3% female).</div></div><div><h3>Results</h3><div>The average age at which children first got a smartphone of their own was 11.7 years. We compared the behavior of two groups: (1) those who first obtained a smartphone of their own at age 11 or earlier vs (2) those who obtained it at age 13 or later. The results showed a more frequent and intensive internet usage pattern among those who accessed smartphones earlier, with significantly higher percentages of risky behaviors, such as passive sexting, contact with strangers or online gambling, as well as nearly double the prevalence of PIU.</div></div><div><h3>Conclusions</h3><div>These findings have important implications from an evidence-based prevention perspective, underscoring the pressing need to delay and rationalize the age of access to a personal smartphone during childhood and adolescence.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503937"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503906
Irene Martínez Castaño, Carlos de la Sen Maldonado, Valentina Díaz Díaz, Alejandro Encinas Goenechea, Jerónimo Gonzálvez Piñera
{"title":"Factores influyentes en el fracaso del tratamiento no quirúrgico del pectus carinatum","authors":"Irene Martínez Castaño, Carlos de la Sen Maldonado, Valentina Díaz Díaz, Alejandro Encinas Goenechea, Jerónimo Gonzálvez Piñera","doi":"10.1016/j.anpedi.2025.503906","DOIUrl":"10.1016/j.anpedi.2025.503906","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503906"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503859
Jésica Rodríguez Álvarez , Carmen González Méndez , José Antonio Fidalgo González
{"title":"No era una torticolis, sino una escoliosis","authors":"Jésica Rodríguez Álvarez , Carmen González Méndez , José Antonio Fidalgo González","doi":"10.1016/j.anpedi.2025.503859","DOIUrl":"10.1016/j.anpedi.2025.503859","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503859"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503928
Raquel Gómez Sánchez , Elena del Valle Sánchez , Patricia Sanz Aznar , Ruth García Romero
{"title":"Infección gástrica por Helicobacter heilmannii","authors":"Raquel Gómez Sánchez , Elena del Valle Sánchez , Patricia Sanz Aznar , Ruth García Romero","doi":"10.1016/j.anpedi.2025.503928","DOIUrl":"10.1016/j.anpedi.2025.503928","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503928"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503958
Pilar Ortiz Pérez , Inés Valero Arredondo , Encarnación Torcuato Rubio , Marta Herrador López , Andrés Rosa López , Pascual García-Herrera Taillefer , Víctor Manuel Navas-López
Introduction
We conducted a prospective quasi-experimental study with the aim of assessing the perceived quality of life (QoL) and burden of caregivers of pediatric patients with dysphagia undergoing a specific assessment and treatment program.
Material and methods
The study included pediatric patients aged less than 14 years with a diagnosis of dysphagia managed in a specialized unit. Patients underwent clinical assessments, including an oral motor assessment and diagnostic tests such as videofluoroscopy. Individualized rehabilitative treatment was initiated, including dietary modifications and rehabilitation approaches. Quality of life was evaluated by means of validated tools, including the Pediatric Quality of Life Inventory-Family Impact Module (PedsQL-FIM) and an adapted version of the Swallowing Quality of Life Questionnaire (SwalQOL).
Results
A total of 117 patients were recruited initially, and the final analysis included 99 patients. We observed significant improvements in dysphagia severity, oral diet expansion and safety outcomes after treatment. Caregivers of patients with greater neurological impairment, particularly those with GMFCS IV-V and using feeding tubes, were more likely to have higher post-intervention PedsQL-FIM scores.
Conclusions
Our findings underscore the significant impact of dysphagia on caregiver QoL and the effectiveness of individualized rehabilitation programs in improving patient outcomes and mitigating caregiver burden. Future research should focus on refining assessment tools and enhancing comprehensive care approaches to further support caregivers and patients in managing dysphagia.
{"title":"Impacto de un programa especializado de rehabilitación en disfagia pediátrica sobre la calidad de vida de los cuidadores y sus estrategias de afrontamiento","authors":"Pilar Ortiz Pérez , Inés Valero Arredondo , Encarnación Torcuato Rubio , Marta Herrador López , Andrés Rosa López , Pascual García-Herrera Taillefer , Víctor Manuel Navas-López","doi":"10.1016/j.anpedi.2025.503958","DOIUrl":"10.1016/j.anpedi.2025.503958","url":null,"abstract":"<div><h3>Introduction</h3><div>We conducted a prospective quasi-experimental study with the aim of assessing the perceived quality of life (QoL) and burden of caregivers of pediatric patients with dysphagia undergoing a specific assessment and treatment program.</div></div><div><h3>Material and methods</h3><div>The study included pediatric patients aged less than 14 years with a diagnosis of dysphagia managed in a specialized unit. Patients underwent clinical assessments, including an oral motor assessment and diagnostic tests such as videofluoroscopy. Individualized rehabilitative treatment was initiated, including dietary modifications and rehabilitation approaches. Quality of life was evaluated by means of validated tools, including the Pediatric Quality of Life Inventory-Family Impact Module (PedsQL-FIM) and an adapted version of the Swallowing Quality of Life Questionnaire (SwalQOL).</div></div><div><h3>Results</h3><div>A total of 117 patients were recruited initially, and the final analysis included 99 patients. We observed significant improvements in dysphagia severity, oral diet expansion and safety outcomes after treatment. Caregivers of patients with greater neurological impairment, particularly those with GMFCS IV-V and using feeding tubes, were more likely to have higher post-intervention PedsQL-FIM scores.</div></div><div><h3>Conclusions</h3><div>Our findings underscore the significant impact of dysphagia on caregiver QoL and the effectiveness of individualized rehabilitation programs in improving patient outcomes and mitigating caregiver burden. Future research should focus on refining assessment tools and enhancing comprehensive care approaches to further support caregivers and patients in managing dysphagia.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503958"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503930
Rafael Martín-Masot , Carlos Ochoa Sangrador , Jaime Javier Cuervo Valdés , Carolina Blanco Rodríguez , Paz González Rodríguez , Javier González de Dios , en representación del Comité de Trabajo de Pediatría Basada en la Evidencia
Evidence-based medicine provides a structured and practical approach for addressing the challenges of modern medicine, which is characterized by an overload of information and the need for well-founded clinical decision-making. This method consists of 5 steps: formulating clear structured clinical questions, conducting efficient literature searches, critically appraising the evidence, evaluating its applicability and, finally, integrating the resulting knowledge into clinical practice. The first step involves creating structured questions that address specific clinical needs, often using the widely known PICO framework developed by the Centre for Evidence-Based Medicine in Oxford. Subsequently, to avoid information overload, it is essential to manage the abundance of data by prioritizing high-quality sources and adopting strategies that can yield quick and reliable answers. The core of evidence-based medicine lies in critical appraisal, whereby the validity, importance, and applicability of studies are assessed. This process helps avoid the mistake of accepting conclusions without questioning them. The final steps emphasize integrating evidence with clinical expertise and patient preferences, highlighting that, without proper implementation, evidence-based medicine can remain a theoretical framework without practical impact. In demanding clinical settings, evidence-based medicine aims to balance care quality, efficiency, and resource management, supporting professionals in making optimal, evidence-based decisions to improve health care.
{"title":"Medicina basada en la evidencia: 5 pasos para navegar en la incertidumbre","authors":"Rafael Martín-Masot , Carlos Ochoa Sangrador , Jaime Javier Cuervo Valdés , Carolina Blanco Rodríguez , Paz González Rodríguez , Javier González de Dios , en representación del Comité de Trabajo de Pediatría Basada en la Evidencia","doi":"10.1016/j.anpedi.2025.503930","DOIUrl":"10.1016/j.anpedi.2025.503930","url":null,"abstract":"<div><div>Evidence-based medicine provides a structured and practical approach for addressing the challenges of modern medicine, which is characterized by an overload of information and the need for well-founded clinical decision-making. This method consists of 5 steps: formulating clear structured clinical questions, conducting efficient literature searches, critically appraising the evidence, evaluating its applicability and, finally, integrating the resulting knowledge into clinical practice. The first step involves creating structured questions that address specific clinical needs, often using the widely known PICO framework developed by the Centre for Evidence-Based Medicine in Oxford. Subsequently, to avoid information overload, it is essential to manage the abundance of data by prioritizing high-quality sources and adopting strategies that can yield quick and reliable answers. The core of evidence-based medicine lies in critical appraisal, whereby the validity, importance, and applicability of studies are assessed. This process helps avoid the mistake of accepting conclusions without questioning them. The final steps emphasize integrating evidence with clinical expertise and patient preferences, highlighting that, without proper implementation, evidence-based medicine can remain a theoretical framework without practical impact. In demanding clinical settings, evidence-based medicine aims to balance care quality, efficiency, and resource management, supporting professionals in making optimal, evidence-based decisions to improve health care.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503930"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503905
Ignacio Ros Arnal , Ana Moráis López , José Manuel Moreno Villares , en representación del Grupo de Trabajo de Nutrición de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica
{"title":"Situación actual de la reconstitución de fórmulas infantiles en centros sanitarios","authors":"Ignacio Ros Arnal , Ana Moráis López , José Manuel Moreno Villares , en representación del Grupo de Trabajo de Nutrición de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica","doi":"10.1016/j.anpedi.2025.503905","DOIUrl":"10.1016/j.anpedi.2025.503905","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503905"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.anpedi.2025.503858
Roi Piñeiro Pérez
{"title":"Le haré una vacuna que no podrá rechazar","authors":"Roi Piñeiro Pérez","doi":"10.1016/j.anpedi.2025.503858","DOIUrl":"10.1016/j.anpedi.2025.503858","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503858"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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