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An Pediatr (Barc) 2020 Jul 8. Epub 2020 Jul 8.

Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón de Madrid, Instituto de Investigación sanitaria del Hospital Gregorio Marañón, Madrid, España; Red de Salud Maternoinfantil y del Desarrollo (RedSAMID), RETICS financiada por el PN I+D+I 2008-2011, ISCIII - Subdirección General de Evaluación y Fomento de la Investigación y el Fondo Europeo de Desarrollo Regional (FEDER), ref. RD12/0026, Madrid, España.

An Pediatr (Barc) 2020 Jul 8. Epub 2020 Jul 8.

Servicio de Bioquímica Clínica, Laboratorio de Diagnóstico Molecular, Hospital Universitario Virgen del Rocío, Sevilla, España.

An Pediatr (Barc) 2020 Jul 8. Epub 2020 Jul 8.

Unidad de Pediatría, Departamento de Salud Pública y Materno-infantil, Universidad Complutense de Madrid, Madrid, España; Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.

An Pediatr (Barc) 2020 Jul 8. Epub 2020 Jul 8.

Servicio de Dermatología Pediatrica, Hospital Materno-Infantil de Málaga, Málaga, España.

An Pediatr (Barc) 2020 Jul 6. Epub 2020 Jul 6.

Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria del Hospital Gregorio Marañón, Madrid, España; Red de Salud Maternoinfantil y del Desarrollo (RedSAMID), RETICS financiada por el Instituto de Salud Carlos III (ISCIII), España.

An Pediatr (Barc) 2020 Jul 6. Epub 2020 Jul 6.

Área de Pediatría, Sección de Pediatría Crítica, Cuidados Intermedios y Paliativos Pediátricos, Hospital Clínico Universitario de Santiago, Santiago de Compostela, La Coruña, España; Grupos de Investigación Soporte Vital y Simulación (Instituto de Investigación de Santiago) y CLINURSID (Universidad de Santiago), A Coruña, España; Grupo de trabajo de Ética de Sociedad Española de Cuidados Intensivos Pediátricos, España.

An Pediatr (Barc) 2020 Jul 6. Epub 2020 Jul 6.

Centro de Salud «Torre Ramona», Zaragoza, España.

An Pediatr (Barc) 2020 Jun 19. Epub 2020 Jun 19.

Unidad de Hospitalización Pediátrica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.

SARS-CoV-2 pandemic dimension has affected the Hospital Pediatrics Medicine assistance in our country. New challenges generated by COVID-19 require a series of proactive measures, based on existing scientific knowledge and standards of good practice, that allow the Pediatric Hospital services readiness and operability. Hospital Internal Pediatrics, as responsible of integral care of the hospitalized child, plays a leading role in the new hospital model emerging from this crisis. Read More

An Pediatr (Barc) 2020 Jul 6. Epub 2020 Jul 6.

Sección de Cardiología Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Universitario Puerta del Mar, Cádiz, España; Unidad de Investigación, Instituto de Investigación Biomédica e Innovación de Cádiz (INiBICA), Hospital Universitario Puerta del Mar, Cádiz, España.

An Pediatr (Barc) 2020 Jun 30. Epub 2020 Jun 30.

Servicio de Pediatría, Hospital General de Valencia, Valencia, España. Electronic address:

An Pediatr (Barc) 2020 Jun 30. Epub 2020 Jun 30.

Organización Nacional de Trasplantes, Madrid, España.

Despite being an international reference in donation and transplantation, Spain needs to improve pediatric donation, including donation after the circulatory determination of death. The present article, a summary of the consensus report prepared by the Organización Nacional de Trasplantes and the Spanish Pediatrics Association, intends the facilitation of donation procedures in newborns and children and the analysis of associated ethical dilemma. The ethical basis for donation in children, the principles of clinical assessment of possible donors, the criteria for the determination of death in children, intensive care management of donors, basic concepts of donation after the circulatory determination of death and the procedures for donation in newborns with severe nervous system's malformation incompatible with life, as well as in children receiving palliative care are commented. Read More

An Pediatr (Barc) 2020 Jun 11. Epub 2020 Jun 11.

Área de Medicina Intensiva, Hospital Universitari i Politècnic la Fe, Valencia, España.

An Pediatr (Barc) 2020 Jun 29. Epub 2020 Jun 29.

Servicio de Pediatría, Hospital Universitario Doctor Peset, Valencia, España.

An Pediatr (Barc) 2020 Jun 29. Epub 2020 Jun 29.

Servicio de Cirugía Pediátrica, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, España.

An Pediatr (Barc) 2020 Jun 29. Epub 2020 Jun 29.

Servicio de Pediatría, Hospital General Univesitario de Alicante, Alicante, España.

An Pediatr (Barc) 2020 Jun 27. Epub 2020 Jun 27.

Sociedad Española de Pediatría Extrahospitalaria y Atención Primaria (SEPEAP).

An update of the Spanish consensus document on the diagnosis and treatment of acute tonsillopharyngitis is presented. Clinical scores should not be used to prescribe antibiotics, unless microbiological tests are not available or there is a child at risk of rheumatic fever. There is no score better than those set out in the previous consensus. Read More

An Pediatr (Barc) 2020 Jun 9. Epub 2020 Jun 9.

Unidad de Patología Infecciosa e Inmunodeficiencias de Pediatría, Hospital Vall d'Hebron, Barcelona, España.

An Pediatr (Barc) 2020 Jun 11. Epub 2020 Jun 11.

Servicio de Dermatología, Hospital Universitario de Móstoles, Madrid, España.

An Pediatr (Barc) 2020 Jun 11. Epub 2020 Jun 11.

Unidad de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Niño Jesús, Madrid, España. Electronic address:

An Pediatr (Barc) 2020 Jun 23. Epub 2020 Jun 23.

Centro de Salud Canillejas, Madrid, España.

An Pediatr (Barc) 2020 Jun 23. Epub 2020 Jun 23.

Sección de Cuidados Intensivos Pediátricos, Hospital Universitario Central de Asturias, Oviedo, España; Cardiología Pediátrica, Hospital Universitario Central de Asturias, Oviedo, España.

Patient safety has become a central component of quality of care. One of the best known and most widely used security tool in all work settings is the checklist. The checklist is a tool that helps to not forget any step during the performance of a procedure, to do tasks with an established order, to control the fulfilment of a series of requirements or to collect data in a systematic way for its subsequent analysis. Read More

An Pediatr (Barc) 2020 Jun 18. Epub 2020 Jun 18.

Servicio de Cuidados Intensivos Pediátricos, Hospital Universitario de Sanliurfa, Sanliurfa, Turquía.

Introduction: Despite similar disease severity scores; we found a higher crude death rate in the group of immigrant children compared to the group of native children in a paediatric intensive care unit. Our study aimed to compare descriptive data and standardised mortality ratios (SMR) in order to analyse differences in mortality.

Material And Methods: We conducted a retrospective study comparing demographic characteristics, diagnostic data, disease severity scores and mortality in immigrant children of Syrian descent and children of Turkish descent. Read More

An Pediatr (Barc) 2020 Jul 22;93(1):57-58. Epub 2020 Apr 22.

Servicio de Pediatría-Neonatología, Hospital Clínico San Carlos, Madrid, España.

An Pediatr (Barc) 2020 Jun 15. Epub 2020 Jun 15.

Servicio de Pediatría, Hospital Infantil Universitario Miguel Servet, Zaragoza, España; Unidad de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Miguel Servet, Zaragoza, España.

An Pediatr (Barc) 2020 Jun 12. Epub 2020 Jun 12.

Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España.

Introduction: Diabetes mellitus 1 is the second most frequent chronic disease, and the most frequent endocrine-metabolic disorder in childhood. The estimated prevalence is between 1.1 and 1. Read More

An Pediatr (Barc) 2020 Jul 11;93(1):72-73. Epub 2020 May 11.

Unidad de Gastroenterología y Hepatología Pediátrica, Complejo Hospitalario Universitario de Albacete, Albacete, España.

An Pediatr (Barc) 2020 May 30. Epub 2020 May 30.

UCI Pediatría, Hospital Universitario Ramón y Cajal, Madrid, España.

An Pediatr (Barc) 2020 Jul 8;93(1):1-3. Epub 2020 Jun 8.

Hospital Sant Joan de Déu, Plataforma de Inmunoterapia Celular SJD-Clínic, Barcelona, España; Institut de Recerca Hospital Sant Joan de Déu de Barcelona (IRP-HSJD), Barcelona, España.

An Pediatr (Barc) 2020 Jun 17;92(6):373-374. Epub 2020 Apr 17.

Hospital Universitario Infanta Leonor, Madrid, España.

An Pediatr (Barc) 2020 Jun 6;92(6):377.e1-377.e9. Epub 2020 Jun 6.

Unidad de Dermatología Pediátrica, Departamento de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España.

Sunburn, immunodepression, photoaging, and photocarcinogenesis, are some of the most significant adverse effects of solar radiation in humans. Children are population group of special vulnerability, due to the fact that exposure to the sun has more pronounced biological effects compared to adults. Furthermore, childhood is a critical period for promoting the development of photo damage and photocarcinogenesis in the later stages of life if adequate measures at not put into place. Read More

An Pediatr (Barc) 2020 Jun 5. Epub 2020 Jun 5.

Servicio de Cirugía Cardiaca Infantil y Cardiopatías Congénitas del Adulto, Hospital Universitario La Paz, Madrid, España.

Introduction: The aims of this article are to analyse the neuropsychological changes in the medium-term in children subjected to aortic arch surgery using selective cerebral perfusion (SCP), as well as to detect any modifiable factors in the surgical technique that may contribute to minimising the subsequent neurological involvement.

Material And Methods: Inclusion criteria were established as: aortic arch disease operated on using SCP during the first year of life, between 10 August 2004 and 24 May 2016, biventricular physiology, and gestational age greater than 31 weeks. In the absence of a chromosomal disease, they were classified, from a neurological point of view, using the Rankin score. Read More

An Pediatr (Barc) 2020 Jul 11;93(1):73-74. Epub 2020 May 11.

Universidad Privada del Norte, Cajamarca, Perú.

An Pediatr (Barc) 2020 Jun 1. Epub 2020 Jun 1.

CIBER de Enfermedades Raras (CIBERER), ISCIII, Madrid, España; Departamento de Genética y Genómica, Instituto de Investigación Sanitaria, Hospital Universitario Fundación Jiménez Díaz, IIS-UAM, Universidad Autónoma de Madrid, Madrid, España.

The development of medicines for certain rare diseases can be frustrated by lack of funding. In certain cases the patients themselves, or their relatives, occasionally fund the clinical trial in which they will be treated with the investigational medicine. There are 3models of self-funded research: 2of them, "pay to try" and "pay to participate", have already been put into practice. Read More

An Pediatr (Barc) 2020 May 11. Epub 2020 May 11.

Servicio de Cirugía Pediátrica. Hospital Universitario La Paz, Madrid, España.

Introduction: Acute appendicitis (AA) is the most common abdominal surgical emergency. No specific studies have been found that evaluate the impact of the coronavirus 2 (SARS-Cov-2) pandemic on AA and its surgical management. An analysis was made on the influence of this new pathology on the clinical course of AA. Read More

An Pediatr (Barc) 2020 Jul 31;93(1):61.e1-61.e14. Epub 2020 May 31.

Servicio de Endocrinología Pediátrica, Hospital Regional Universitario de Málaga, Málaga, España. Electronic address:

Noonan syndrome (NS) is a relatively common genetic condition characterised by short stature, congenital heart defects, and distinctive facial features. NS and other clinically overlapping conditions such as NS with multiple lentigines (formerly called LEOPARD syndrome), cardiofaciocutaneous syndrome, or Costello syndrome, are caused by mutations in genes encoding proteins of the RAS-MAPKinases pathway. Because of this shared mechanism, these conditions have been collectively termed «RASopathies». Read More

An Pediatr (Barc) 2020 Jun 26;92(6):376.e1-376.e10. Epub 2020 May 26.

Asociación Española de Esofagitis Eosinofílica (AEDESEO).

Eosinophilic oesophagitis is an emerging and chronic disorder mediated by the immune system, and is characterised by symptoms of oesophageal dysfunction and inflammation with isolated eosinophil infiltration in the oesophagus. It is more common in males and in atopic subjects, and the symptoms vary with age. In younger children, there is vomiting, abdominal pain and dietary problems, with dysphagia and food impaction in older children and adolescents. Read More

An Pediatr (Barc) 2020 May 25. Epub 2020 May 25.

Hospital Virgen de la Luz, Cuenca, España.

Introduction: Despite the recommendations of the current Clinical Practice Guidelines, the chest x-ray continues to be a widely used diagnostic test in the assessment of infants with acute bronchiolitis (AB). However, there have not been many studies that have assessed its reproducibility in these patients. In the present study, an evaluation is made on the radiographs, describing their quality, their radiological findings, and provides new evidence on the agreement between observers. Read More

An Pediatr (Barc) 2020 May 11. Epub 2020 May 11.

Servicio de Pediatría, Complejo Hospitalario de Soria, Soria, España.

An Pediatr (Barc) 2020 May 23. Epub 2020 May 23.

Servicio de Pediatría, Hospital General Universitario de Albacete, Albacete, España.

Introduction: The procedural sedation scale of the Niño Jesús Hospital (Madrid) (SSPNJH) has not been validated.

Patients And Methods: A prospective analytical study was conducted in 2 hospitals on patients ≥ 6 months undergoing invasive procedures using sedation-analgesia with propofol or midazolam and fentanyl. All were monitored using the bispectral index (BIS). Read More

An Pediatr (Barc) 2020 May 22. Epub 2020 May 22.

Facultad de Ciencias de la Salud, Universidad de Almería, Almería, España.

Introduction: There are few studies on e-Health interventions directed at parents that analyse their costs and any potential savings that may occur. The aims of this study consisted of calculating the costs of the development and maintenance of paediatric web site for parents, including the costs per visit and per visitor, and the potentially savings made as regards medical visits avoided as a result of its use.

Methods: The technology costs as well as the work of the professionals were considered as costs of the web site. Read More

An Pediatr (Barc) 2020 May 22. Epub 2020 May 22.

Unidad de Cuidados Intensivos Pediátricos, Unidad de Gestión Clínica de Cuidados Críticos y Urgencias Pediátricas, Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Málaga, España.

An Pediatr (Barc) 2020 May 20. Epub 2020 May 20.

Sección de Endocrinología Pediátrica, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona. CIBER de Enfermedades Raras (CIBERER) ISCIII, Barcelona, España.

Introduction: The metabolically healthy obese (MHO) phenotype defines obese patients who have preserved insulin sensitivity and absence of metabolic complications. This phenotype is associated with a lower risk of cardiovascular disease and type2 diabetes in adulthood.

Objectives: To determine the prevalence of MHO and the metabolically unhealthy obesity (MUO) phenotype in a cohort of obese children and adolescents and to establish the predictive capacity of the tri-ponderal mass index (TMI) and other anthropometric parameters in order to identify these patients. Read More

An Pediatr (Barc) 2020 05;92(5):316-319

Ospedale San Raffaele, Università Vita-Salute, Milán, Italia.

An Pediatr (Barc) 2020 05;92(5):315-316

Área de Gestión Clínica de Pediatría. Hospital Universitario Central de Asturias, Spain.

An Pediatr (Barc) 2020 May 20. Epub 2020 May 20.

División de Obstetricia y Ginecología, Departamento de Obstetricia, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Introduction: Cuba has the lowest infant mortality rate in Latin America, while Chile has an infant mortality rate above the average of Organization for Economic Cooperation and Development (OECD) countries.

Objective: To compare the epidemiology of infant mortality between Chile and Cuba in order to find characteristics that may explain the differences found.

Method: Comparative analysis between Chile and Cuba of infant mortality rate, causes of mortality, live birth weight, and maternal age, in 2015. Read More

An Pediatr (Barc) 2020 Jul 25;93(1):60.e1-60.e7. Epub 2020 Apr 25.

Servicio de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Niño Jesús, Madrid, España. Electronic address:

The new coronavirus (SARS-CoV-2) that causes a severe acute respiratory syndrome emerges in Wuhan, China, in December 2019. It produces the aforementioned disease due to coronavirus 2019 (COVID-19), and has led to a declaration of a world public health emergency by the World Health Organisation. This new SARS-CoV-2 virus could share characteristics and an immune response similar to those described for other coronavirus. Read More

An Pediatr (Barc) 2020 May 16. Epub 2020 May 16.

CS de Polanco, Cantabria, España.

Introduction: The performing of complementary tests in infectious processes can increase the diagnostic precision, the adequacy of treatments, as well as determining the epidemiology and pattern of bacterial resistance of the community. The Infectious Pathology Group of the Spanish Association of Primary Care Paediatrics (GPI-AEPap) has designed this study in order to determine the availability of complementary tests (CT) for paediatricians working in Primary Care of the public health system as well as their results.

Material And Methods: Observational cross-sectional descriptive national study was carried out using a voluntary self-report questionnaire distributed online to all AEPap members and to the subscribers of the PEDIAP distribution list between the months of April and May 2017. Read More

An Pediatr (Barc) 2020 May 16. Epub 2020 May 16.

Unidad para el Cuidado Integral de la Enfermedad Inflamatoria Intestinal Pediátrica (UCIEII-P), Servicio de Gastroenterología, Hepatología y Nutrición Pediátrica, Hospital Sant Joan de Déu, Barcelona, España.

An Pediatr (Barc) 2020 Jun 30;92(6):378-380. Epub 2020 Apr 30.

Servicio de Dermatología y Venereología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.