array:23 [
  "pii" => "S234128791500280X"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2015.09.027"
  "estado" => "S300"
  "fechaPublicacion" => "2015-12-01"
  "aid" => "1977"
  "copyright" => "Asociación Española de Pediatría"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "An Pediatr (Barc). 2015;83:365-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1736
    "formatos" => array:3 [
      "EPUB" => 140
      "HTML" => 1174
      "PDF" => 422
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S1695403315003793"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2015.09.017"
      "estado" => "S300"
      "fechaPublicacion" => "2015-12-01"
      "aid" => "1977"
      "copyright" => "Asociación Española de Pediatría"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "An Pediatr (Barc). 2015;83:365-6"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 3569
        "formatos" => array:3 [
          "EPUB" => 121
          "HTML" => 2656
          "PDF" => 792
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Lactancia materna en Espa&#241;a&#46; Un compromiso de todos"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "365"
            "paginaFinal" => "366"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Breastfeeding in Spain&#46; A commitment by everyone"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "C&#46;R&#46; Pall&#225;s Alonso"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "C&#46;R&#46;"
                "apellidos" => "Pall&#225;s Alonso"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S234128791500280X"
          "doi" => "10.1016/j.anpede.2015.09.027"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128791500280X?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403315003793?idApp=UINPBA00005H"
      "url" => "/16954033/0000008300000006/v1_201512060011/S1695403315003793/v1_201512060011/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2341287915001891"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2015.09.017"
    "estado" => "S300"
    "fechaPublicacion" => "2015-12-01"
    "aid" => "1813"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "An Pediatr &#40;Barc&#41;. 2015;83:367-75"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2437
      "formatos" => array:3 [
        "EPUB" => 127
        "HTML" => 1835
        "PDF" => 475
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "Severe acute kidney injury in critically ill children&#58; Epidemiology and prognostic factors"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "367"
          "paginaFinal" => "375"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Da&#241;o renal agudo grave en ni&#241;os cr&#237;ticos&#58; epidemiolog&#237;a y factores pron&#243;sticos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 772
              "Ancho" => 1623
              "Tamanyo" => 87637
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Useful algorithm to determine the risk of mortality or the need for dialysis in critically ill children with AKI&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Touza Pol, C&#46; Rey Gal&#225;n, J&#46;A&#46; Medina Villanueva, P&#46; Martinez-Camblor, J&#46; L&#243;pez-Herce"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Touza Pol"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Rey Gal&#225;n"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Medina Villanueva"
            ]
            3 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Martinez-Camblor"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "L&#243;pez-Herce"
            ]
            5 => array:1 [
              "colaborador" => "en representaci&#243;n del Grupo de Estudio del Fallo Renal Agudo de la Sociedad Espa&#241;ola de Cuidados Intensivos Pedi&#225;tricos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403315000521"
        "doi" => "10.1016/j.anpedi.2015.01.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403315000521?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001891?idApp=UINPBA00005H"
    "url" => "/23412879/0000008300000006/v2_201601190027/S2341287915001891/v2_201601190027/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Breastfeeding in Spain&#46; A commitment by everyone"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "365"
        "paginaFinal" => "366"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "C&#46;R&#46; Pall&#225;s Alonso"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "C&#46;R&#46;"
            "apellidos" => "Pall&#225;s Alonso"
            "email" => array:1 [
              0 => "kpallas&#46;hdoc&#64;gmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neonatolog&#237;a&#44; Hospital 12 de Octubre&#44; Madrid&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Lactancia materna en Espa&#241;a&#46; Un compromiso de todos"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Of all the preventive activities a paediatrician can undertake&#44; those that have the greatest impact on child health are vaccination and promotion of breastfeeding&#46; The objectives set for the training of paediatric residents in breastfeeding should be very ambitious&#46; Any breastfeeding lost through lack of training of professionals is a failure of the health care system&#46; In Spain we have not up to now had any validated tool for estimating knowledge of breastfeeding&#46; The rigorous study carried out by G&#243;mez Fern&#225;ndez-Vegue and Men&#233;ndez Orenga<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> offers us a valuable instrument for assessing paediatricians&#8217; knowledge and skills in breastfeeding and will undoubtedly be very useful to supplement the training actions conducted in Spain on this subject&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">All of us who work as child health professionals&#44; and are therefore concerned with breastfeeding&#44; have long had a validated&#44; evidence-based&#44; universally applicable tool which succeeds in increasing breastfeeding rates<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a>&#58; accreditation of our work centres under the Baby-friendly Hospital Initiative &#40;BFHI&#41;&#44; established in Spain as <span class="elsevierStyleItalic">Iniciativa para la Humanizaci&#243;n de la Asistencia al Nacimiento y Lactancia</span> &#40;IHAN-UNICEF&#41;&#46; This initiative was launched by the World Health Organization &#40;WHO&#41; and UNICEF<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> to encourage hospitals&#44; health services&#44; and especially maternity wards to adopt practices to protect&#44; promote and support exclusive breastfeeding from birth to six months&#44; and complementary foods up to at least 2 years of age&#46; Spain has few accredited centres compared with other countries in our region &#40;16 hospitals and one health centre&#41;&#44; although in recent years numerous hospitals &#40;70&#41; and health centres &#40;80&#41; have initiated the process leading to certification&#46; This greater interest in accreditation reflects greater concern among professionals to improve breastfeeding rates&#46; In addition&#44; 4 years ago IHAN &#40;<a id="intr0010" class="elsevierStyleInterRef" href="http://www.ihan.es/">http&#58;&#47;&#47;www&#46;ihan&#46;es</a>&#41; modified the accreditation procedure&#44; which was adapted so that it could be completed in phases&#58; Discovery&#44; Development&#44; Dissemination and Designation&#46; This facilitates the process&#44; as the objectives are attained gradually&#44; stage by stage&#46; The dissemination phase includes training for all professionals&#44; and the questionnaire presented in this issue of <span class="elsevierStyleItalic">Anales de Pediatr&#237;a</span>&#44; whose authors collaborate with IHAN in the training of paediatric residents&#44; is a valuable instrument which will undoubtedly facilitate the training offered to professionals and enhance its quality&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">As the WHO report &#8220;Born Too Soon&#58; Global Action Report on Preterm Birth&#8221;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a> shows&#44; the frequency of premature births is increasing&#59; every year 15 million children are born prematurely in the world&#46; Implementing cost-effective evidence-based measures&#44; such as Kangaroo Mother Care and support for breastfeeding&#44; could prevent half a million deaths every year&#46; It therefore seemed reasonable that the WHO and UNICEF should decide to adapt BFHI to neonatal units &#40;Neo-BFHI&#41;&#46; Neo-BFHI focuses on supporting the breastfeeding of hospitalised newborns&#44; who&#44; being the most fragile patients&#44; are also those that can most benefit from breastfeeding&#46; Early&#44; systematic&#44; ongoing encouragement for mothers of children admitted to the neonatal unit to begin milk extraction is essential to achieve success not only in breastfeeding but also in the emotional support these mothers need&#46; The main difference compared with the maternity floor is that most children in neonatal units are separated from their mothers&#46; There are still very few centres with the resources to enable mothers to be with their children 24<span class="elsevierStyleHsp" style=""></span>hours a day&#44; which is what we should ideally be aiming for&#46; The BFHI&#39;s Ten Steps to Successful Breastfeeding have been adapted for the situations in neonatal units and 3 basic principles have been included&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> The documentation for Neo-BFHI is now available at <a id="intr0015" class="elsevierStyleInterRef" href="http://ilca.org/i4a/pages/index.cfm?pageid=4214">http&#58;&#47;&#47;ilca&#46;org&#47;i4a&#47;pages&#47;index&#46;cfm&#63;pageid&#61;4214</a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">We have clear evidence that the interest of professionals in initiating the accreditation process for a centre sometimes runs up against the obstacle of paying the assessment fees IHAN charges&#46; The sole purpose of this payment is to obtain funds to defray the costs of the evaluation&#44; the final phase of which involves several assessors visiting the health care institution for 2 or 3 days&#46; Assessment of the 4 phases for a health centre represents a cost to the health care authorities of &#8364;1000&#44; and &#8364;6750 for a hospital&#46; There are certainly few actions in the health field with a more favourable cost-benefit ratio than the expense involved in accreditation compared with the demonstrated benefits in increasing the breastfeeding rate&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> which not only has a positive effect on the health of the child and of the mother&#44; but also reduces parents&#8217; absenteeism from work&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">We all want a better&#44; healthier life for our children&#46; There are authors already reporting that the most frequent cause of acquired immunodeficiency is exposure to artificial formulas&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a> Giving children priority attention is a sign of a developed country&#46; It already seems to have been shown that breastfeeding is associated with higher IQ and greater capacity for social progress&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> Sometimes very complex strategies and high levels of financial investment are required to achieve improvement in certain areas&#46; In the case of breastfeeding&#44; however&#44; we are fortunate&#58; the strategies for change are not complex&#59; they are based on widely available evidence and the cost to each institution is minimal&#46; Greater sensitivity on the part of the public authorities will therefore help the commitment of professionals to achieve its ultimate objective&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Improving breastfeeding rates in Spain is a task in which everyone must play a part&#46; We need a chain extending from the Ministry of Health and the Health Authorities of each Autonomous Committee&#44; through the Learned Societies&#44; to the professionals who are in direct contact with the women and children&#46; In addition&#44; breastfeeding can undoubtedly be supported through education and by controlling the marketing conducted around children and childhood&#44; which constantly uses objects&#44; symbols and words that question or undermine support for breastfeeding and sends mixed messages that reach parents at times of great vulnerability&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">When it comes to breastfeeding&#44; we can achieve a great deal with very little&#44; and now&#44; thanks to the knowledge assessment instrument presented in this issue of <span class="elsevierStyleItalic">Anales de Pediatr&#237;a</span>&#44; we can do even better&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Pall&#225;s Alonso C&#46; Lactancia materna en Espa&#241;a&#46; Un compromiso de todos&#46; An Pediatr &#40;Barc&#41;&#46; 2015&#59;83&#58;365&#8211;366&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validaci&#243;n de un cuestionario sobre conocimientos y habilidades en lactancia materna"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; G&#243;mez Fern&#225;ndez-Vegue"
                            1 => "M&#46; Men&#233;ndez Orenga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Pediatr &#40;Bar&#41;"
                        "fecha" => "2015"
                        "volumen" => "83"
                        "paginaInicial" => "387"
                        "paginaFinal" => "396"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Promotion of Breastfeeding Intervention Trial &#40;PROBIT&#41;&#58; a randomized trial in the Republic of Belarus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;S&#46; Kramer"
                            1 => "B&#46; Chalmers"
                            2 => "E&#46;D&#46; Hodnett"
                            3 => "Z&#46; Sevkovskaya"
                            4 => "I&#46; Dzikovich"
                            5 => "S&#46; Shapiro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2001"
                        "volumen" => "285"
                        "paginaInicial" => "413"
                        "paginaFinal" => "420"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11242425"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Baby-Friendly Hospital Initiative-1&#46; The Global Criteria for the WHO&#47;UNICEF Baby-Friendly Hospital Initiative"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "UNICEF&#44; World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1992"
                        "editorial" => "UNICEF"
                        "editorialLocalizacion" => "New York&#44; United States"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Born too soon&#46; The global action report on preterm birth"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2012"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneva&#44; Switzerland"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care&#58; expert group recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;H&#46; Nyqvist"
                            1 => "A&#46;P&#46; Haggkvist"
                            2 => "M&#46;N&#46; Hansen"
                            3 => "E&#46; Kylberg"
                            4 => "A&#46;L&#46; Frandsen"
                            5 => "R&#46; Maastrup"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0890334413489775"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Hum Lact"
                        "fecha" => "2013"
                        "volumen" => "29"
                        "paginaInicial" => "300"
                        "paginaFinal" => "309"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23727630"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Potential economic impacts from improving breastfeeding rates in the UK"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Pokhrel"
                            1 => "M&#46;A&#46; Quigley"
                            2 => "J&#46; Fox-Rushby"
                            3 => "F&#46; McCormick"
                            4 => "A&#46; Williams"
                            5 => "P&#46; Trueman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/archdischild-2014-306701"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "2015"
                        "volumen" => "100"
                        "paginaInicial" => "334"
                        "paginaFinal" => "340"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25477310"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Being baby friendly&#58; evidence-based breastfeeding support"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Cleminson"
                            1 => "S&#46; Oddie"
                            2 => "M&#46;J&#46; Renfrew"
                            3 => "W&#46; McGuire"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/archdischild-2013-304873"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child Fetal Neonatal Ed"
                        "fecha" => "2015"
                        "volumen" => "100"
                        "paginaInicial" => "F173"
                        "paginaFinal" => "F178"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25293712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association between breastfeeding and intelligence&#44; educational attainment&#44; and income at 30 years of age&#58; a prospective birth cohort study from Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;G&#46; Victora"
                            1 => "B&#46;L&#46; Horta"
                            2 => "C&#46; Loret de Mola"
                            3 => "L&#46; Quevedo"
                            4 => "R&#46;T&#46; Pinheiro"
                            5 => "D&#46;P&#46; Gigante"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S2214-109X(15)70002-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Glob Health"
                        "fecha" => "2015"
                        "volumen" => "3"
                        "paginaInicial" => "e199"
                        "paginaFinal" => "e205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25794674"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0040" class="elsevierStylePara elsevierViewall">To all the professionals and breastfeeding support groups who work to ensure that every day there are more children being breastfed and more mothers happy with their breastfeeding&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23412879/0000008300000006/v2_201601190027/S234128791500280X/v2_201601190027/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "25501"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Editorial"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/23412879/0000008300000006/v2_201601190027/S234128791500280X/v2_201601190027/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128791500280X?idApp=UINPBA00005H"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Editorial
Breastfeeding in Spain. A commitment by everyone
Lactancia materna en España. Un compromiso de todos
C.R. Pallás Alonso
Servicio de Neonatología, Hospital 12 de Octubre, Madrid, Spain
Read
5902
Times
was read the article
2068
Total PDF
3834
Total HTML
Share statistics
 array:23 [
  "pii" => "S234128791500280X"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2015.09.027"
  "estado" => "S300"
  "fechaPublicacion" => "2015-12-01"
  "aid" => "1977"
  "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "An Pediatr &#40;Barc&#41;. 2015;83:365-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1736
    "formatos" => array:3 [
      "EPUB" => 140
      "HTML" => 1174
      "PDF" => 422
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S1695403315003793"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2015.09.017"
      "estado" => "S300"
      "fechaPublicacion" => "2015-12-01"
      "aid" => "1977"
      "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "An Pediatr &#40;Barc&#41;. 2015;83:365-6"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 3569
        "formatos" => array:3 [
          "EPUB" => 121
          "HTML" => 2656
          "PDF" => 792
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Lactancia materna en Espa&#241;a&#46; Un compromiso de todos"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "365"
            "paginaFinal" => "366"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Breastfeeding in Spain&#46; A commitment by everyone"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "C&#46;R&#46; Pall&#225;s Alonso"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "C&#46;R&#46;"
                "apellidos" => "Pall&#225;s Alonso"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S234128791500280X"
          "doi" => "10.1016/j.anpede.2015.09.027"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128791500280X?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403315003793?idApp=UINPBA00005H"
      "url" => "/16954033/0000008300000006/v1_201512060011/S1695403315003793/v1_201512060011/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2341287915001891"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2015.09.017"
    "estado" => "S300"
    "fechaPublicacion" => "2015-12-01"
    "aid" => "1813"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "An Pediatr &#40;Barc&#41;. 2015;83:367-75"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2437
      "formatos" => array:3 [
        "EPUB" => 127
        "HTML" => 1835
        "PDF" => 475
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "Severe acute kidney injury in critically ill children&#58; Epidemiology and prognostic factors"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "367"
          "paginaFinal" => "375"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Da&#241;o renal agudo grave en ni&#241;os cr&#237;ticos&#58; epidemiolog&#237;a y factores pron&#243;sticos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 772
              "Ancho" => 1623
              "Tamanyo" => 87637
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Useful algorithm to determine the risk of mortality or the need for dialysis in critically ill children with AKI&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Touza Pol, C&#46; Rey Gal&#225;n, J&#46;A&#46; Medina Villanueva, P&#46; Martinez-Camblor, J&#46; L&#243;pez-Herce"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Touza Pol"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Rey Gal&#225;n"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Medina Villanueva"
            ]
            3 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Martinez-Camblor"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "L&#243;pez-Herce"
            ]
            5 => array:1 [
              "colaborador" => "en representaci&#243;n del Grupo de Estudio del Fallo Renal Agudo de la Sociedad Espa&#241;ola de Cuidados Intensivos Pedi&#225;tricos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403315000521"
        "doi" => "10.1016/j.anpedi.2015.01.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403315000521?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001891?idApp=UINPBA00005H"
    "url" => "/23412879/0000008300000006/v2_201601190027/S2341287915001891/v2_201601190027/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Breastfeeding in Spain&#46; A commitment by everyone"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "365"
        "paginaFinal" => "366"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "C&#46;R&#46; Pall&#225;s Alonso"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "C&#46;R&#46;"
            "apellidos" => "Pall&#225;s Alonso"
            "email" => array:1 [
              0 => "kpallas&#46;hdoc&#64;gmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neonatolog&#237;a&#44; Hospital 12 de Octubre&#44; Madrid&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Lactancia materna en Espa&#241;a&#46; Un compromiso de todos"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Of all the preventive activities a paediatrician can undertake&#44; those that have the greatest impact on child health are vaccination and promotion of breastfeeding&#46; The objectives set for the training of paediatric residents in breastfeeding should be very ambitious&#46; Any breastfeeding lost through lack of training of professionals is a failure of the health care system&#46; In Spain we have not up to now had any validated tool for estimating knowledge of breastfeeding&#46; The rigorous study carried out by G&#243;mez Fern&#225;ndez-Vegue and Men&#233;ndez Orenga<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> offers us a valuable instrument for assessing paediatricians&#8217; knowledge and skills in breastfeeding and will undoubtedly be very useful to supplement the training actions conducted in Spain on this subject&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">All of us who work as child health professionals&#44; and are therefore concerned with breastfeeding&#44; have long had a validated&#44; evidence-based&#44; universally applicable tool which succeeds in increasing breastfeeding rates<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a>&#58; accreditation of our work centres under the Baby-friendly Hospital Initiative &#40;BFHI&#41;&#44; established in Spain as <span class="elsevierStyleItalic">Iniciativa para la Humanizaci&#243;n de la Asistencia al Nacimiento y Lactancia</span> &#40;IHAN-UNICEF&#41;&#46; This initiative was launched by the World Health Organization &#40;WHO&#41; and UNICEF<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> to encourage hospitals&#44; health services&#44; and especially maternity wards to adopt practices to protect&#44; promote and support exclusive breastfeeding from birth to six months&#44; and complementary foods up to at least 2 years of age&#46; Spain has few accredited centres compared with other countries in our region &#40;16 hospitals and one health centre&#41;&#44; although in recent years numerous hospitals &#40;70&#41; and health centres &#40;80&#41; have initiated the process leading to certification&#46; This greater interest in accreditation reflects greater concern among professionals to improve breastfeeding rates&#46; In addition&#44; 4 years ago IHAN &#40;<a id="intr0010" class="elsevierStyleInterRef" href="http://www.ihan.es/">http&#58;&#47;&#47;www&#46;ihan&#46;es</a>&#41; modified the accreditation procedure&#44; which was adapted so that it could be completed in phases&#58; Discovery&#44; Development&#44; Dissemination and Designation&#46; This facilitates the process&#44; as the objectives are attained gradually&#44; stage by stage&#46; The dissemination phase includes training for all professionals&#44; and the questionnaire presented in this issue of <span class="elsevierStyleItalic">Anales de Pediatr&#237;a</span>&#44; whose authors collaborate with IHAN in the training of paediatric residents&#44; is a valuable instrument which will undoubtedly facilitate the training offered to professionals and enhance its quality&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">As the WHO report &#8220;Born Too Soon&#58; Global Action Report on Preterm Birth&#8221;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a> shows&#44; the frequency of premature births is increasing&#59; every year 15 million children are born prematurely in the world&#46; Implementing cost-effective evidence-based measures&#44; such as Kangaroo Mother Care and support for breastfeeding&#44; could prevent half a million deaths every year&#46; It therefore seemed reasonable that the WHO and UNICEF should decide to adapt BFHI to neonatal units &#40;Neo-BFHI&#41;&#46; Neo-BFHI focuses on supporting the breastfeeding of hospitalised newborns&#44; who&#44; being the most fragile patients&#44; are also those that can most benefit from breastfeeding&#46; Early&#44; systematic&#44; ongoing encouragement for mothers of children admitted to the neonatal unit to begin milk extraction is essential to achieve success not only in breastfeeding but also in the emotional support these mothers need&#46; The main difference compared with the maternity floor is that most children in neonatal units are separated from their mothers&#46; There are still very few centres with the resources to enable mothers to be with their children 24<span class="elsevierStyleHsp" style=""></span>hours a day&#44; which is what we should ideally be aiming for&#46; The BFHI&#39;s Ten Steps to Successful Breastfeeding have been adapted for the situations in neonatal units and 3 basic principles have been included&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> The documentation for Neo-BFHI is now available at <a id="intr0015" class="elsevierStyleInterRef" href="http://ilca.org/i4a/pages/index.cfm?pageid=4214">http&#58;&#47;&#47;ilca&#46;org&#47;i4a&#47;pages&#47;index&#46;cfm&#63;pageid&#61;4214</a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">We have clear evidence that the interest of professionals in initiating the accreditation process for a centre sometimes runs up against the obstacle of paying the assessment fees IHAN charges&#46; The sole purpose of this payment is to obtain funds to defray the costs of the evaluation&#44; the final phase of which involves several assessors visiting the health care institution for 2 or 3 days&#46; Assessment of the 4 phases for a health centre represents a cost to the health care authorities of &#8364;1000&#44; and &#8364;6750 for a hospital&#46; There are certainly few actions in the health field with a more favourable cost-benefit ratio than the expense involved in accreditation compared with the demonstrated benefits in increasing the breastfeeding rate&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> which not only has a positive effect on the health of the child and of the mother&#44; but also reduces parents&#8217; absenteeism from work&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">We all want a better&#44; healthier life for our children&#46; There are authors already reporting that the most frequent cause of acquired immunodeficiency is exposure to artificial formulas&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a> Giving children priority attention is a sign of a developed country&#46; It already seems to have been shown that breastfeeding is associated with higher IQ and greater capacity for social progress&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> Sometimes very complex strategies and high levels of financial investment are required to achieve improvement in certain areas&#46; In the case of breastfeeding&#44; however&#44; we are fortunate&#58; the strategies for change are not complex&#59; they are based on widely available evidence and the cost to each institution is minimal&#46; Greater sensitivity on the part of the public authorities will therefore help the commitment of professionals to achieve its ultimate objective&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Improving breastfeeding rates in Spain is a task in which everyone must play a part&#46; We need a chain extending from the Ministry of Health and the Health Authorities of each Autonomous Committee&#44; through the Learned Societies&#44; to the professionals who are in direct contact with the women and children&#46; In addition&#44; breastfeeding can undoubtedly be supported through education and by controlling the marketing conducted around children and childhood&#44; which constantly uses objects&#44; symbols and words that question or undermine support for breastfeeding and sends mixed messages that reach parents at times of great vulnerability&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">When it comes to breastfeeding&#44; we can achieve a great deal with very little&#44; and now&#44; thanks to the knowledge assessment instrument presented in this issue of <span class="elsevierStyleItalic">Anales de Pediatr&#237;a</span>&#44; we can do even better&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Pall&#225;s Alonso C&#46; Lactancia materna en Espa&#241;a&#46; Un compromiso de todos&#46; An Pediatr &#40;Barc&#41;&#46; 2015&#59;83&#58;365&#8211;366&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validaci&#243;n de un cuestionario sobre conocimientos y habilidades en lactancia materna"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; G&#243;mez Fern&#225;ndez-Vegue"
                            1 => "M&#46; Men&#233;ndez Orenga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Pediatr &#40;Bar&#41;"
                        "fecha" => "2015"
                        "volumen" => "83"
                        "paginaInicial" => "387"
                        "paginaFinal" => "396"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Promotion of Breastfeeding Intervention Trial &#40;PROBIT&#41;&#58; a randomized trial in the Republic of Belarus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;S&#46; Kramer"
                            1 => "B&#46; Chalmers"
                            2 => "E&#46;D&#46; Hodnett"
                            3 => "Z&#46; Sevkovskaya"
                            4 => "I&#46; Dzikovich"
                            5 => "S&#46; Shapiro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2001"
                        "volumen" => "285"
                        "paginaInicial" => "413"
                        "paginaFinal" => "420"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11242425"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Baby-Friendly Hospital Initiative-1&#46; The Global Criteria for the WHO&#47;UNICEF Baby-Friendly Hospital Initiative"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "UNICEF&#44; World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1992"
                        "editorial" => "UNICEF"
                        "editorialLocalizacion" => "New York&#44; United States"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Born too soon&#46; The global action report on preterm birth"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2012"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneva&#44; Switzerland"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care&#58; expert group recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;H&#46; Nyqvist"
                            1 => "A&#46;P&#46; Haggkvist"
                            2 => "M&#46;N&#46; Hansen"
                            3 => "E&#46; Kylberg"
                            4 => "A&#46;L&#46; Frandsen"
                            5 => "R&#46; Maastrup"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0890334413489775"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Hum Lact"
                        "fecha" => "2013"
                        "volumen" => "29"
                        "paginaInicial" => "300"
                        "paginaFinal" => "309"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23727630"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Potential economic impacts from improving breastfeeding rates in the UK"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Pokhrel"
                            1 => "M&#46;A&#46; Quigley"
                            2 => "J&#46; Fox-Rushby"
                            3 => "F&#46; McCormick"
                            4 => "A&#46; Williams"
                            5 => "P&#46; Trueman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/archdischild-2014-306701"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "2015"
                        "volumen" => "100"
                        "paginaInicial" => "334"
                        "paginaFinal" => "340"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25477310"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Being baby friendly&#58; evidence-based breastfeeding support"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Cleminson"
                            1 => "S&#46; Oddie"
                            2 => "M&#46;J&#46; Renfrew"
                            3 => "W&#46; McGuire"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/archdischild-2013-304873"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child Fetal Neonatal Ed"
                        "fecha" => "2015"
                        "volumen" => "100"
                        "paginaInicial" => "F173"
                        "paginaFinal" => "F178"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25293712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association between breastfeeding and intelligence&#44; educational attainment&#44; and income at 30 years of age&#58; a prospective birth cohort study from Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;G&#46; Victora"
                            1 => "B&#46;L&#46; Horta"
                            2 => "C&#46; Loret de Mola"
                            3 => "L&#46; Quevedo"
                            4 => "R&#46;T&#46; Pinheiro"
                            5 => "D&#46;P&#46; Gigante"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S2214-109X(15)70002-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Glob Health"
                        "fecha" => "2015"
                        "volumen" => "3"
                        "paginaInicial" => "e199"
                        "paginaFinal" => "e205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25794674"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0040" class="elsevierStylePara elsevierViewall">To all the professionals and breastfeeding support groups who work to ensure that every day there are more children being breastfed and more mothers happy with their breastfeeding&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23412879/0000008300000006/v2_201601190027/S234128791500280X/v2_201601190027/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "25501"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Editorial"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/23412879/0000008300000006/v2_201601190027/S234128791500280X/v2_201601190027/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128791500280X?idApp=UINPBA00005H"
]
Article information
ISSN: 23412879
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 7 6 13
2024 October 42 24 66
2024 September 43 23 66
2024 August 58 46 104
2024 July 38 24 62
2024 June 58 21 79
2024 May 54 26 80
2024 April 44 28 72
2024 March 43 27 70
2024 February 46 27 73
2024 January 43 23 66
2023 December 42 19 61
2023 November 64 19 83
2023 October 32 20 52
2023 September 22 17 39
2023 August 35 17 52
2023 July 28 26 54
2023 June 39 30 69
2023 May 63 16 79
2023 April 25 11 36
2023 March 76 23 99
2023 February 56 15 71
2023 January 34 20 54
2022 December 49 29 78
2022 November 61 27 88
2022 October 79 51 130
2022 September 41 31 72
2022 August 83 68 151
2022 July 66 53 119
2022 June 87 43 130
2022 May 55 37 92
2022 April 103 40 143
2022 March 74 42 116
2022 February 61 32 93
2022 January 59 35 94
2021 December 30 42 72
2021 November 54 34 88
2021 October 40 49 89
2021 September 27 40 67
2021 August 35 39 74
2021 July 29 43 72
2021 June 40 41 81
2021 May 55 41 96
2021 April 126 78 204
2021 March 73 25 98
2021 February 26 20 46
2021 January 27 20 47
2020 December 29 20 49
2020 November 24 23 47
2020 October 31 16 47
2020 September 31 15 46
2020 August 20 16 36
2020 July 22 18 40
2020 June 27 7 34
2020 May 29 22 51
2020 April 29 14 43
2020 March 28 17 45
2020 February 40 11 51
2020 January 24 11 35
2019 December 30 19 49
2019 November 25 8 33
2019 October 24 11 35
2019 September 28 9 37
2019 August 24 18 42
2019 July 20 20 40
2019 June 16 21 37
2019 May 84 11 95
2019 April 50 17 67
2019 March 24 19 43
2019 February 33 23 56
2019 January 22 20 42
2018 December 33 27 60
2018 November 72 32 104
2018 October 77 17 94
2018 September 26 17 43
2018 July 1 0 1
2018 June 4 0 4
2018 May 3 0 3
2018 April 35 0 35
2018 March 23 0 23
2018 February 13 0 13
2018 January 12 0 12
2017 December 15 0 15
2017 November 22 0 22
2017 October 27 0 27
2017 September 19 0 19
2017 August 15 0 15
2017 July 23 0 23
2017 June 37 11 48
2017 May 38 18 56
2017 April 37 39 76
2017 March 16 8 24
2017 February 15 9 24
2017 January 14 4 18
2016 December 16 9 25
2016 November 31 7 38
2016 October 29 8 37
2016 September 39 3 42
2016 August 43 5 48
2016 July 13 0 13
Show all

Follow this link to access the full text of the article

Idiomas
Anales de Pediatría (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?