Anales de pediatria最新文献

英文中文

Tricotilomanía de cejas y pestañas: hallazgos dermatoscópicos 眉毛和睫毛毛滴虫病：皮肤镜检查结果

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503931

Aniza Giacaman, Juan Garcías-Ladaria, Luis Javier del Pozo Hernando

引用次数: 0

Fusión hepatopulmonar asociada a hernia diafragmática derecha en un recién nacido 新生儿中与右膈疝相关的肝肺融合

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503943

Verónica Castro Palaguachi, Marjorie Rodríguez-Guerrero, Luis Marcano Sanz, Miurkis Endis Miranda, Lenín Quezada Méndez

引用次数: 0

Atención segura para todos los recién nacidos y todos los niños 为所有新生儿和儿童提供安全护理

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503989

María R. Fernández García , Aurora Madrid Rodríguez

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Relación entre el sueño infantil, el estrés parental y el colecho a los 2 años de edad 儿童睡眠、父母压力与2岁时腹泻的关系

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503970

Luis Bachiller-Carnicero, Lucía Torres Aguilar, María Carmen Torres Hinojal

Introduction

Parental stress may contribute to neurodevelopmental disorders in children, and lack of sleep may be at the root of the issue. The aim of our study was to assess the association between infant sleep and parental stress, as well as the influence of socioeconomic factors or co-sleeping.

Material and methods

We conducted a prospective observational study in children aged 2 years. Parents completed 3 questionnaires: the Parenting Stress Index-4-Short Form (PSI-SF-4), the Brief Infant Sleep Questionnaire and a questionnaire that assessed socioeconomic and sleep-related variables.

Results

The sample included 109 families. The median (interquartile range) duration of nighttime sleep, time spent awake at night and sleep onset latency (in minutes) and number of nocturnal awakenings in the children were 500 (447.5-602.5), 15 (5-60), 1 (0-3) and 10 (8-20), respectively. The mean total score ± SD in the PSI-SF-4 was 61.1 ± 12.3. The correlation between the PSI-SF-4 total score and the minutes of nighttime sleep was: 0.478 (P = .001), and we found a significant increase in the PSI-SF-4 total score when nighttime sleep duration in the child was less than 540 min, mainly on account of the dysfunctional parent-child interaction and difficult child subscales. Parental stress was increased significantly with the practice of co-sleeping and with parental age less than 20 years or more than 40 years. Co-sleeping was associated with shorter nighttime sleepduration, more time awake at night and an increased number of nocturnal awakenings.

Conclusions

Decreased infant sleep duration at night caused an increase in parental stress. Likewise, co-sleeping and early or advanced parenthood are associated with a higher level of stress.

父母的压力可能会导致儿童神经发育障碍，而睡眠不足可能是问题的根源。我们的研究目的是评估婴儿睡眠与父母压力之间的关系，以及社会经济因素或共睡的影响。材料和方法我们在2岁儿童中进行了一项前瞻性观察研究。家长们完成了3份问卷：父母压力指数-4短表（PSI-SF-4）、婴儿睡眠简短问卷和一份评估社会经济和睡眠相关变量的问卷。结果共纳入109个家庭。儿童夜间睡眠时间、夜间清醒时间、睡眠发作潜伏期（分钟）和夜间觉醒次数的中位数（四分位数范围）分别为500（447.5 ~ 602.5）、15（5 ~ 60）、1（0 ~ 3）和10（8 ~ 20）。PSI-SF-4的平均总分±SD为61.1±12.3分。PSI-SF-4总分与夜间睡眠时间的相关性为0.478 (P = 0.001)，当儿童夜间睡眠时间小于540 min时，PSI-SF-4总分显著升高，主要是由于亲子互动功能障碍和困难儿童分量表。与父母同睡、父母年龄小于20岁或大于40岁时，父母压力显著增加。共睡与夜间睡眠时间较短、夜间清醒时间较多和夜间醒来次数增加有关。结论婴儿夜间睡眠时间的减少导致父母压力的增加。同样，与父母同睡、过早或提前为人父母也会带来更大的压力。

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引用次数: 0

Medidas de frecuencia, riesgo e impacto en epidemiología 流行病学中的频率、风险和影响测量

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503877

Carlos Ochoa Sangrador , Eduardo Ortega Páez , Manuel Molina Arias , Fernando Carvajal Encina , Eduardo Cuestas Montañes , Comité de Trabajo de Pediatría Basada en la Evidencia

The results of epidemiological studies should be expressed in terms of measures of health or disease. This article reviews the key frequency, risk and impact measures, which can be estimated using proportions, ratios or rates, depending on the specific context. It discusses which measures are appropriate for a study based on its design. Cross-sectional studies serve to estimate the prevalence; cohort studies allow calculation of the incidence, relative risk and attributable fractions; case-control studies use the odds ratio and clinical trials determine the relative risk, absolute and relative risk reductions and number needed to treat (NNT). The article also outlines criteria for the interpretation of these measures, supported by specific examples.

流行病学研究的结果应以健康或疾病的措施来表示。本文回顾了关键的频率、风险和影响度量，这些度量可以根据具体情况使用比例、比率或比率进行估计。它讨论了基于其设计的哪些措施适合于研究。横断面研究用于估计患病率；队列研究允许计算发病率、相对风险和归因分数；病例对照研究使用优势比和临床试验来确定相对风险、绝对和相对风险降低以及需要治疗的数量（NNT）。文章还概述了解释这些措施的标准，并以具体例子为依据。

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Recomendaciones para el uso de la resonancia magnética cerebral en el periodo neonatal 关于在新生儿期使用脑核磁共振成像的建议

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503935

Miriam Martinez-Biarge , Juan Arnaez , Gemma Arca , Eva Valverde , Roberto Llorens-Salvador , Alfredo García-Alix , en representación del Grupo Cerebro Neonatal Español

Magnetic resonance imaging (MRI) of the brain is a key tool in the diagnosis and prognosis of neurological conditions in newborn infants, especially when used along cranial ultrasound. Although its use has increased over the last decade, significant variations in protocols between centers persist. This document, developed by the Spanish Neonatal Brain Group in collaboration with pediatric neuroradiologists, establishes recommendations based on scientific evidence and clinical experience to standardize its use.

The document describes the logistics of neonatal MRI, including patient preparation, image acquisition, and condition-specific protocols. Clinical indications and optimal timing of MRI are outlined to maximize its diagnostic and prognostic value in different pathologies such as hypoxic-ischemic encephalopathy, metabolic encephalopathy, arterial infarction, venous sinus thrombosis, congenital infections and brain damage associated with hypoglycemia, hyperbilirubinemia or prematurity. Condition-specific patterns of damage and their prognostic correlation are described.

The document offers recommendations for the standardization of radiological reports and the reporting of critical findings to improve communication between radiologists, clinicians and parents.

In conclusion, these recommendations aim to optimize the use of brain MRI in neonatology, which will result in improved diagnostic accuracy and better-informed therapeutic decision-making, with the ultimate goal of improving neurodevelopmental outcomes in this vulnerable population.

脑磁共振成像（MRI）是新生儿神经系统疾病诊断和预后的关键工具，特别是在颅超声检查时。虽然它的使用在过去十年中有所增加，但中心之间的协议仍然存在显著差异。该文件由西班牙新生儿大脑小组与儿科神经放射学家合作制定，基于科学证据和临床经验建立了标准化使用的建议。该文件描述了新生儿MRI的后勤，包括患者准备，图像采集和特定条件的协议。概述了MRI的临床适应症和最佳时机，以最大限度地发挥其在不同病理中的诊断和预后价值，如缺氧缺血性脑病、代谢性脑病、动脉梗死、静脉窦血栓形成、先天性感染和低血糖、高胆红素血症或早产相关的脑损伤。条件特异性模式的损害和他们的预后的相关性描述。该文件为放射报告的标准化和关键发现的报告提供了建议，以改善放射科医生、临床医生和家长之间的沟通。总之，这些建议旨在优化脑MRI在新生儿中的应用，从而提高诊断准确性和更好的治疗决策，最终目标是改善这一弱势群体的神经发育结局。

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引用次数: 0

Neumatosis intestinal secundaria a tratamiento inmunosupresor 采用免疫抑制治疗的继发性肠道肺炎

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503873

Begoña de Miguel Lavisier , Miguel Ángel Molina Gutiérrez , Yasmina Mozo del Castillo , Eduardo Alonso Gamarra

引用次数: 0

Trastornos de la conducta alimentaria: intervención del pediatra en la prevención, detección precoz, evaluación y tratamiento interdisciplinar 饮食行为障碍：儿科医生参与预防、早期发现、评估和跨学科治疗

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503907

Raquel Jiménez García , Covadonga Canga-Espina , Andrea Múñoz Domenjó , Gemma Ochando Perales , Azucena Díez-Suárez

Eating disorders are severe mental health disorders characterized by changes in eating-related behavior, thoughts and emotions. They typically manifest at young ages, chiefly in adolescence or preadolescence. Due to their complexity, the management of eating disorders requires a multidisciplinary approach led by mental health professionals. However, the high demand for services may delay access to specialized care, which makes it necessary for pediatricians to adopt a proactive role.

Pediatricians play a key role in the prevention of eating disorders by promoting a healthy relationship with food and body image as well as in their detection and initial management, enabling the implementation of early interventions to stabilize the patient while coordinating specialized care. The pediatrician is also a key figure throughout the followup in monitoring the physical and mental health of affected patients, guaranteeing the delivery of comprehensive care in collaboration with the multidisciplinary team.

饮食失调是一种严重的心理健康障碍，其特征是与饮食有关的行为、思想和情绪的变化。它们通常在年轻时表现出来，主要是在青春期或青春期前。由于其复杂性，饮食失调的管理需要由心理健康专业人员领导的多学科方法。然而，对服务的高需求可能会延迟获得专业护理，这使得儿科医生有必要采取积极主动的作用。儿科医生通过促进食物与身体形象之间的健康关系，以及在饮食失调的发现和初步管理方面发挥关键作用，能够实施早期干预措施，在协调专业护理的同时稳定患者的状况。在整个随访过程中，儿科医生也是监测受影响患者身心健康的关键人物，确保与多学科团队合作提供全面护理。

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引用次数: 0

Reemergencia de la tosferina en Ecuador en 2025: un desafío para la salud pediátrica 2025年厄瓜多尔再次出现百日咳：对儿童健康的挑战

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503961

Doménica Denisse Villacís Ponce, Joshua Israel Culcay Delgado

引用次数: 0

Infecciones respiratorias por metapneumovirus e impacto de la pandemia COVID-19 甲状旁腺病毒呼吸道感染和2019年新冠病毒大流行的影响

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria

Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503908

Marina Ortega Macías , Silvia Pérez Porra , Paula Parro Olmo , Claudia Sumpsi Sánchez , Alfredo Cano

引用次数: 0

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