Examinando por Autor "Riderelli, Jocelyn"

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  • Miniatura
    Ítem
    Las fisuras del sistema en la publicación académica en pediatría:una crítica al acceso abierto y sus consecuencias
    (Sociedad Chilena de Pediatría, 2025-10-21) Díaz, Franco; Gómez-Lund, Oscar; Riderelli, Jocelyn; Monteverde-Fernández, Nicolás; González-Dambrauskas, Sebastián; Jabornisky, Roberto; Jaramillo-Bustamante, Juan Camilo; Caporal, Paula
    En las últimas dos décadas, la publicación académica ha experimentado transformaciones profundas con la digitalización y el acceso a internet. En forma concomitante, el movimiento de Acceso Abierto ha desempeñado un papel fundamental en la mejora de la accesibilidad al conocimiento científico mediante la eliminación de pagos y otras barreras restrictivas. Si bien esta democratización de la información ha generado beneficios sustanciales, también ha introducido desafíos complejos, convirtiendo las publicaciones médicas en una industria lucrativa que pone a prueba los límites éticos de las prácticas comerciales y, en última instancia, la integridad de la investigación. La concentración de poder en unas pocas grandes editoriales dentro de un mercado sesgado e inelástico, la proliferación de editoriales con fines de lucro y la creciente carga financiera, trasladada a los autores, son factores críticos que contribuyen a la crisis actual de la academia. El objetivo de este manuscrito es examinar los principales hitos en la evolución de la publicación académica, analizar su panorama actual y discutir los desafíos fundamentales que enfrenta la industria en la era del Acceso Abierto, particularmente desde la perspectiva de investigadores en pediatría en América Latina. Over the past two decades, academic publishing has undergone substantial transformation, largely driven by digitalization and increased global Internet access. In parallel, the Open Access (OA) movement has played a critical role in advancing equitable access to scientific knowledge by eliminating paywalls and licensing restrictions. While these developments have yielded considerable benefits–particularly in enhancing the dissemination and democratization of research– they have also generated complex ethical and structural challenges. Notably, the consolidation of publishing power among a few major editorial houses, the emergence of profit-driven publication models, and the shifting of publication costs onto authors, have contributed to a growing crisis in academic medicine. These trends have raised concerns regarding transparency, editorial independence, and the overall integrity of the scientific record. This manuscript aims to delineate the historical and structural evolution of academic publishing, assess its current landscape, and critically examine the key challenges facing the field in the context of Open Access. Particular attention is given to the implications for pediatric researchers in Latin America, who are disproportionately affected by these systemic barriers.
  • Miniatura
    Ítem
    Pediatric fluid resuscitation: an oxymoron?
    (Frontiers Media S.A., 2025-06-01) Díaz, Franco; Riderelli, Jocelyn; Jabornisky, Roberto
    In conclusion, fluid therapy is vital for caring for critically ill children, but the rationale for employing fluid boluses as a blind blanket treatment for hemodynamic instability requires thorough reassessment. A comprehensive understanding of fluids as a drug in critical care, including a dose, duration, and de-escalation (4D’s defined by Malbrain et al.), is essential, with specific indications and duration (25). A more rational, individualized approach may facilitate the adoption of alternative strategies aimed at minimizing excessive fluid administration and preventing fluid overload (26). As underscored by FernandezSarmiento et al. (13), it is imperative that clinicians systematically assess and clearly document, at least on a daily basis, the current phase of critical illness in each pediatric patient to ensure fluid management is appropriately tailored. Given the mounting evidence highlighting the potential harms and only transient benefits of fluid resuscitation, a precise, individualized, and context-driven approach to fluid therapy is no longer optional—it is essential. Such a strategy is crucial for optimizing outcomes and minimizing iatrogenic complications in critically ill children globally