Statistics

 array:24 [
  "pii" => "S234128792400036X"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2024.02.007"
  "estado" => "S300"
  "fechaPublicacion" => "2024-06-01"
  "aid" => "3296"
  "copyright" => "Asociación Española de Pediatría"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "An Pediatr (Barc). 2024;100:e1-e2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S1695403322001515"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2022.05.009"
      "estado" => "S300"
      "fechaPublicacion" => "2023-01-01"
      "aid" => "3296"
      "copyright" => "Asociación Española de Pediatría"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "sco"
      "cita" => "An Pediatr (Barc). 2023;98:70-1"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en pediatr&#237;a</span>"
        "titulo" => "Exantema posvacunal&#58; urticaria multiforme y p&#250;rpura trombocitop&#233;nica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "70"
            "paginaFinal" => "71"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Post-vaccinal exanthema&#58; Urticaria multiforme and thrombocytopenic purpura"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0015"
            "etiqueta" => "Figura 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 1006
                "Ancho" => 755
                "Tamanyo" => 69865
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evoluci&#243;n del exantema&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Ana Rubio Granda, M&#46; Agustina Alonso &#193;lvarez, Sara Delgado Nicol&#225;s, Est&#237;baliz Garrido Garc&#237;a"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Ana"
                "apellidos" => "Rubio Granda"
              ]
              1 => array:2 [
                "nombre" => "M&#46; Agustina"
                "apellidos" => "Alonso &#193;lvarez"
              ]
              2 => array:2 [
                "nombre" => "Sara"
                "apellidos" => "Delgado Nicol&#225;s"
              ]
              3 => array:2 [
                "nombre" => "Est&#237;baliz"
                "apellidos" => "Garrido Garc&#237;a"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S234128792400036X"
          "doi" => "10.1016/j.anpede.2024.02.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792400036X?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403322001515?idApp=UINPBA00005H"
      "url" => "/16954033/0000009800000001/v3_202301100618/S1695403322001515/v3_202301100618/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S234128792400053X"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2024.03.003"
    "estado" => "S300"
    "fechaPublicacion" => "2024-06-01"
    "aid" => "3332"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2024;100:e3-e4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "It&#8217;s not all ingrowing nail&#58; Childhood retronychia"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e3"
          "paginaFinal" => "e4"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "No todo es u&#241;a encarnada&#58; retroniquia en la infancia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 680
              "Ancho" => 1675
              "Tamanyo" => 141287
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0075"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Preoperative appearance of the affected nail&#46; Proximal elevation of the nail with periungual erythema&#46; &#40;B&#41; Surgical management with total proximal nail avulsion&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cristina Nogueroles Blanco, Sara Fuentes Carretero, Carme Grande Moreillo, Jaume Margarit Mallol"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Nogueroles Blanco"
            ]
            1 => array:2 [
              "nombre" => "Sara"
              "apellidos" => "Fuentes Carretero"
            ]
            2 => array:2 [
              "nombre" => "Carme"
              "apellidos" => "Grande Moreillo"
            ]
            3 => array:2 [
              "nombre" => "Jaume"
              "apellidos" => "Margarit Mallol"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403322001941"
        "doi" => "10.1016/j.anpedi.2022.08.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403322001941?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792400053X?idApp=UINPBA00005H"
    "url" => "/23412879/0000010000000006/v2_202407150516/S234128792400053X/v2_202407150516/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341287924001571"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2024.05.010"
    "estado" => "S300"
    "fechaPublicacion" => "2024-06-01"
    "aid" => "3614"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2024;100:482-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "Phlebectasia of the right jugular vein"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "482"
          "paginaFinal" => "483"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Flebectasia de la vena yugular derecha"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 859
              "Ancho" => 1074
              "Tamanyo" => 90112
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0010"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Colour Doppler ultrasound&#58; evidence of venous flow and absence of intraluminal thrombi&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mar&#237;a Jos&#233; S&#225;nchez Malo, Lorena Mi&#241;ones Su&#225;rez, Rasha Isabel Perez Ajami, Mar&#237;a Santos Gonz&#225;lez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Mar&#237;a Jos&#233;"
              "apellidos" => "S&#225;nchez Malo"
            ]
            1 => array:2 [
              "nombre" => "Lorena"
              "apellidos" => "Mi&#241;ones Su&#225;rez"
            ]
            2 => array:2 [
              "nombre" => "Rasha Isabel"
              "apellidos" => "Perez Ajami"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Santos Gonz&#225;lez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403324000778"
        "doi" => "10.1016/j.anpedi.2024.04.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403324000778?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924001571?idApp=UINPBA00005H"
    "url" => "/23412879/0000010000000006/v2_202407150516/S2341287924001571/v2_202407150516/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
    "titulo" => "Post-vaccinal exanthema&#58; Urticaria multiforme and thrombocytopenic purpura"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "e1"
        "paginaFinal" => "e2"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Ana Rubio Granda, M&#46; Agustina Alonso &#193;lvarez, Sara Delgado Nicol&#225;s, Est&#237;baliz Garrido Garc&#237;a"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "Ana"
            "apellidos" => "Rubio Granda"
          ]
          1 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Agustina Alonso &#193;lvarez"
            "email" => array:1 [
              0 => "maruchi.al.al@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "Sara"
            "apellidos" => "Delgado Nicol&#225;s"
          ]
          3 => array:2 [
            "nombre" => "Est&#237;baliz"
            "apellidos" => "Garrido Garc&#237;a"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Secci&#243;n de Urgencias de Pediatr&#237;a&#44; &#193;rea de Gesti&#243;n Cl&#237;nica de Pediatr&#237;a&#44; Hospital Universitario Central de Asturias&#44; Asturias&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Exantema post-vacunal&#58; urticaria multiforme y p&#250;rpura trombocitop&#233;nica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1743
            "Ancho" => 1305
            "Tamanyo" => 161772
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Outcome of exanthema&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A boy aged 15 months presented with exanthema of several days&#8217; duration&#46; He had been vaccinated against varicella 14 days prior&#46; He appeared to be in excellent general health&#44; had swelling of the eyelids and feet&#44; and generalised exanthema with 2 types of elements&#58; &#40;1&#41; erythematous macules&#44; appearing as hives or plaques in some areas&#44; with a purplish centre in some and pale centre in others&#44; without vesicles or central necrosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; and &#40;2&#41; disseminated petechiae &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; In the complete blood count&#44; the platelet concentration was 30&#8239;000&#8239;platelets&#47;&#956;L&#59; the remaining counts and levels of acute phase reactants were normal and virus detection tests negative&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The patient received 1 dose of prednisolone&#44; and 24&#8239;h later there was marked improvement of the cutaneous manifestations &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; and the platelet count had increased to 47&#8239;000 platelets&#47;&#956;L&#46; The platelet count was normal 10 days later&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Urticaria multiforme and thrombocytopenic purpura are diseases that may be&#44; although infrequently&#44; triggered by vaccination&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> The combined presence of both is surprising&#44; and we were not able to establish a causal relationship&#46; The former is very similar to erythema multiforme&#44; but does not involve the entire body&#46; Vaccine-induced thrombocytopenic purpura is usually self-limited but still carries a risk of bleeding&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a> The care team discussed whether it would be appropriate to administer the second dose of the vaccine due to the risk of thrombocytopenia&#59; although this risk is generally low&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> given the significant symptoms in the patient and the concern of the family&#44; the care team recommended against it&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This research did not receive any external funding&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 871
            "Ancho" => 1262
            "Tamanyo" => 100548
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Generalised exanthema and palpebral oedema&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1740
            "Ancho" => 1305
            "Tamanyo" => 143788
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Disseminated petechiae&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1743
            "Ancho" => 1305
            "Tamanyo" => 161772
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Outcome of exanthema&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Immune thrombocytopenic purpura &#40;ITP&#41; associated with vaccinations&#58; a review of reported cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Perricone"
                            1 => "F&#46; Ceccarelli"
                            2 => "G&#46; Nesher"
                            3 => "E&#46; Borella"
                            4 => "Q&#46; Odeh"
                            5 => "F&#46; Conti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s12026-014-8597-x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Immunol Res"
                        "fecha" => "2014"
                        "volumen" => "60"
                        "paginaInicial" => "226"
                        "paginaFinal" => "235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25427992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urticaria multiforme&#58; a benign frightening rash"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Barros"
                            1 => "J&#46; Antunes"
                            2 => "S&#46; Moura Antunes"
                            3 => "R&#46; Calado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bcr-2020-241011"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ Case Rep"
                        "fecha" => "2021"
                        "volumen" => "14"
                        "paginaInicial" => "e241011"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33509898"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vaccines for measles&#44; mumps&#44; rubella&#44; and varicella in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46; Di Pietrantonj"
                            1 => "A&#46; Rivetti"
                            2 => "P&#46; Marchione"
                            3 => "M&#46;G&#46; Debalini"
                            4 => "V&#46; Demicheli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2020"
                        "volumen" => "4"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23412879/0000010000000006/v2_202407150516/S234128792400036X/v2_202407150516/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "77701"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Paediatrics"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000006/v2_202407150516/S234128792400036X/v2_202407150516/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792400036X?idApp=UINPBA00005H"
]