Childhood leukemia and non-Hodgkin's lymphoma survivors lack knowledge about their past disease and possible late effects. I-BFM ELTEC study with Chilean and Croatian participation.

PURPOSE: Late effects in childhood cancer survivors are a major cause of morbidity and mortality. The objective was to establish knowledge about the disease, late effects, self-care practices, application of health knowledge/education, sources of information, and biopsychosocial impact of cancer, and compare the results of Chile and Croatia. METHODS: One-hundred-and-seventy-one, 5-year survivors who were treated for leukemia or non-Hodgkin's lymphoma responded to a questionnaire (119 in Chile and 52 in Croatia). The questionnaire was reviewed by BFM-ELTEC. RESULTS: Health knowledge about past diagnosis and general treatment had 96% Chilean and 85% Croatian survivors. Ninety percent of Chilean and 73% of Croatian survivors were unaware of possible late effects, and half did not know which specialist to visit for follow-up. Forty-six percent of Chilean and 35% of Croatian survivors knew about healthy lifestyles, but most did not practice them. The 74% of Chileans and 87% of Croatian survivors recalled having received health education during treatment. About 50% of survivors in both groups were afraid or anguish, but it was also a growth experience for 60% of Chilean and 42% of Croatian survivors. Eighty-seven percent Chilean and 77% Croatian survivors considered themselves physically independent, while 76% and 75% felt psychologically independent, respectively. CONCLUSION: A significant lack of knowledge about the specific treatment, late effects, and future health in both countries was detected. They did not achieve significant learning with the education received. Psychological sequelae were found that are important to prevent.

[Revista Chilena de Pediatría: 90 years of story]. / Revista Chilena de Pediatría: 90 años de historia.

Revista Chilena de Pediatría (RCHP) has been published uninterruptedly since its first edition in Ja nuary 1930, beyond political and economic fluctuations, technological innovation, and social trans formations. The objective of this article is to pay tribute to and thank the editors who participated so actively in the publication of the RCHP and to review the major milestones, which have led it to the position it has today as a mainstream magazine. Since its entry into the digital world two deca des ago, there has been a significant increase in the flow of manuscripts received, participation of foreign authors, citations received and promotion in international rankings. In 2014, the RCHP was incorporated into the National Library of Medicine (NLM) and, in 2017, into the Emerging Sources Citation Index (ESCI), while evaluating to receive an Impact Factor (IF) from the Journal Citation Report (JCR). As a representative magazine of a scientific society, it is essential to maintain a balance between scientific and economic sustainability, the promotion of national and international publica tion, the scientific impact need for continuing rising in international rankings, and the impact on our children>s care in the different corners of the country.

Revista Chilena de Pediatría: 90 años de historia / Revista Chilena de Pediatría: 90 years of story

Resumen: Revista Chilena de Pediatría (RCHP) se ha publicado en forma ininterrumpida desde su primera edición en enero de 1930, sorteando vaivenes políticos y económicos, innovación tecnológica y transformaciones sociales. El objetivo del presente manuscrito es homenajear y agradecer a los editores que participaron tan activamente de la publicación de RCHP y repasar los grandes hitos, que la han llevado al posicionamiento que tiene hoy como revista de corriente principal. Desde su ingreso al mundo digital hace 2 décadas, se ha registrado un importante aumento en el flujo de manuscritos re cibidos, participación de autores extranjeros, citas recibidas y ascenso en los rankings internacionales. En el año 2014 RCHP fue incorporada a la National Library of Medicine (NLM) y el 2017 al Emerging Sources Citation Index (ESCI) mientras se evalúa para recibir un Factor de Impacto (FI) de parte del Journal Citation Report (JCR). Como revista representante de una sociedad científica, es fundamen tal mantener el equilibrio entre la sustentabilidad científica y la económica, entre la promoción de la publicación nacional y la internacionalización, entre el impacto científico requerido para continuar ascendiendo en los rankings internacionales y su rol en la educación continua, con impacto en la atención y cuidado de nuestros niños, en los distintos rincones del país.

Abstract: Revista Chilena de Pediatría (RCHP) has been published uninterruptedly since its first edition in Ja nuary 1930, beyond political and economic fluctuations, technological innovation, and social trans formations. The objective of this article is to pay tribute to and thank the editors who participated so actively in the publication of the RCHP and to review the major milestones, which have led it to the position it has today as a mainstream magazine. Since its entry into the digital world two deca des ago, there has been a significant increase in the flow of manuscripts received, participation of foreign authors, citations received and promotion in international rankings. In 2014, the RCHP was incorporated into the National Library of Medicine (NLM) and, in 2017, into the Emerging Sources Citation Index (ESCI), while evaluating to receive an Impact Factor (IF) from the Journal Citation Report (JCR). As a representative magazine of a scientific society, it is essential to maintain a balance between scientific and economic sustainability, the promotion of national and international publica tion, the scientific impact need for continuing rising in international rankings, and the impact on our children>s care in the different corners of the country.

[The Big Data: Related concepts and some applications in pediatrics]. / Los Big Data: Conceptos relacionados y algunas aplicaciones en pediatría.

Medical technology advances, the Electronic Health Record (EHR), and the complex production of biomolecular data are generating large volumes of information, in various formats and from multiple sources, which are known as "Big Data". The integrated analysis of these data has opened up a wide possibility to explore answers related to health problems. In pediatrics, there has been an increase in the studies on Big Data, or the computer tools use that have been developed to analyze these data. The purposes of those studies have been diverse, for example, for earlier detection and prevention of a wide range of medical conditions, improvement of diagnoses, to specify treatments or anticipate the outcome of some pathology and so on. For this reason, this contribution aims to review the main concepts involved in the analysis of Big Data or its related computer technologies, as well as to exa mine their current applications, potentialities, and limitations. This study was carried out based on a non-systematic bibliographical review, focused on the field of pediatrics. In the selection of applica tion examples, it was considered that they were primary sources, published in the last five years and with child and youth populations.

Los Big Data: conceptos relacionados y algunas aplicaciones en pediatría / The Big Data: related concepts and some applications in pediatrics

Resumen: El avance de la tecnología médica, el registro de salud electrónico (EHR, por sus siglas en inglés) y la producción compleja de datos biomoleculares están generando grandes volúmenes de información, en varios formatos y de múltiples fuentes, que se conocen como "Big Data". El análisis integrado de estos datos ha abierto una amplia posibilidad para explorar respuestas a problemas de salud. En pediatría, se han incrementado los estudios se analizan Big Data o se utilizan las herramientas infor máticas que se han desarrollado para analizar estos datos. Los propósitos de esos estudios han sido variados, por ejemplo: en la detección y prevención temprana de una amplia gama de afecciones médicas, mejoramiento de los diagnósticos, para especificar tratamientos o anticipar el resultado de alguna patología, etc. El presente documento tiene como objetivo revisar los conceptos principales involucrados en el análisis de Big Data o en las tecnologías informáticas asociadas, así como también examinar sus aplicaciones, potencialidades y limitaciones actuales. Este estudio se realizó sobre la base de una revisión bibliográfica no sistemática, centrada en el campo de la pediatría. En la selección de los ejemplos de aplicación, se consideró que eran fuentes primarias, publicadas en los últimos cinco años y con poblaciones infanto-juveniles.

Abstract: Medical technology advances, the Electronic Health Record (EHR), and the complex production of biomolecular data are generating large volumes of information, in various formats and from multiple sources, which are known as "Big Data". The integrated analysis of these data has opened up a wide possibility to explore answers related to health problems. In pediatrics, there has been an increase in the studies on Big Data, or the computer tools use that have been developed to analyze these data. The purposes of those studies have been diverse, for example, for earlier detection and prevention of a wide range of medical conditions, improvement of diagnoses, to specify treatments or anticipate the outcome of some pathology and so on. For this reason, this contribution aims to review the main concepts involved in the analysis of Big Data or its related computer technologies, as well as to exa mine their current applications, potentialities, and limitations. This study was carried out based on a non-systematic bibliographical review, focused on the field of pediatrics. In the selection of applica tion examples, it was considered that they were primary sources, published in the last five years and with child and youth populations.

Adolescentes urbanos: conocimientos sobre la atención de salud sexual y reproductiva / Urban adolescents: knowledge about sexual and reproductive health care

Objetivo: Identificar entre adolescentes estudiantes beneficiarios del sistema público de salud, conocimientos sobre la atención de salud sexual y reproductiva (SSR). Paciente y Método: Muestra estratificada, 368 adolescentes de comunas de bajos ingresos y elevados nacimientos en adolescentes, en Santiago-Chile. Encuesta autoaplicada, anónima y confidencial, preguntó conocimientos, uso de servicios y características de la atención amigable. Resultados: 52,9 por ciento de los encuestados sabía de la atención de SSR y, de ellos, 22,1 por ciento había consultado. Variables predictivas para utilización de los servicios fueron: ser mujer, haber estado saliendo con un novio/a, haber recibido educación sexual en la familia y no vivir con los padres. La mayoría de los consultantes evaluó positivamente la atención de SSR. Razones porque no solicitaron atención de SSR fueron: no tener necesidad, vergûenza de consultar y falta de información sobre disponibilidad de este tipo de atención. Conclusiones: Escaso porcentaje de adolescentes escolares demanda atención de SSR. La atención recibida en el sistema público es bien evaluada. Adolescentes que demandan atención profesional para resolver necesidades de SSR son: mujeres, aquellos que están en relación de pareja y los que han recibido educación sexual en la familia. No necesitarla, vergûenza y falta de información, son factores que afectan la consulta.

Objective: To identify the knowledge about sexual and reproductive health (SRH) care among adolescent participants of the public health care system. subjects and Methods: Stratified sample of 368 adolescents from low-income and high teenager's pregñancy rate communities in Santiago, Chile. A self-administered, anonymous and confidential survey asked about knowledge, use of services and friendly care characteristics. results: 52.9 percent of respondents knew of SRH care and from these, 22.1 percent had used it. Predictors for service use were: being female, been dating a boyfriend/girlfriend, having received sex education at home and not living with parents. Most participants positively evaluated the sRH service. Reasons for not seeking sHR care were: no need it, embarrassment to consult and lack of information on this type of care availability. Conclusions: Low percentage of school adolescents demand sRH attention. The care provided in the public system is well evaluated. Teens who demand professional attention to solve sHR needs are: women, who are in a relationship and those who have received sex education at home. Furthermore, no need for care, embarrasment and lack of information are factors that affect the consultation.