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Pediatric Reports, Volume 17, Issue 6

2025 December - 24 articles

Cover Story: Accurate documentation of childhood deaths is essential for reliable mortality statistics and public health planning. This study reviewed 391 death certificates for individuals under 18 years issued in Shiga Prefecture, Japan, between 2015 and 2023. Errors were found in about one third of certificates, with large variation by specialty: obstetricians had the highest error rate and forensic physicians the lowest. Frequent problems included listing non-specific mechanisms such as cardiac arrest instead of an underlying cause and omitting congenital anomalies from the causal chain. After the COVID-19 pandemic began, deaths from acute diseases decreased, while deaths from congenital disorders increased. These findings underscore the need for enhanced training and regular review to enhance the accuracy of pediatric death certification. View this paper
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Articles (24)

  • Brief Report
  • Open Access
338 Views
9 Pages

17 December 2025

Background: Open access endoscopy (OAE) allows outpatient endoscopic procedures without prior consultation with the endoscopist, a practice common in adult gastroenterology but not part of pediatric gastroenterology practice. Here we evaluate the fea...

  • Article
  • Open Access
1,058 Views
11 Pages

C-Reactive Protein Levels of Healthy Term Infants Born After Prolonged Rupture of Membranes

  • Anders Batman Mjelle,
  • Vilde Solberg,
  • Emma Rød,
  • Eydís Oddsdóttir Stenersen,
  • Håvard Tetlie Garberg,
  • Per Arne Tølløfsrud,
  • Arild Rønnestad and
  • Anne Lee Solevåg

Background/Objective: Even in the absence of infection, prolonged rupture of membranes (PROM) has been associated with elevated neonatal C-reactive protein (CRP). As both the sensitivity and specificity of CRP in predicting early-onset neonatal sepsi...

  • Opinion
  • Open Access
483 Views
8 Pages

Malignancy Ratio in Pediatric Patients with Hereditary Multiple Exostoses: True Association or Reporting Bias?

  • Francesco Fabrizio Comisi,
  • Andrea Maria Comisi,
  • Elena Esposito and
  • Salvatore Savasta

Background: Hereditary Multiple Exostoses (HME) is a rare autosomal dominant skeletal disorder resulting from loss-of-function variants in the EXT1, EXT2, or EXT3 genes. While malignant transformation into chondrosarcoma is well documented, the incid...

  • Brief Report
  • Open Access
544 Views
16 Pages

Early identification of neurodevelopmental trajectories is essential for timely intervention in infancy. While joint mobility is often seen as an indicator of motor capacity, its link to early functional performance remains unclear. This study examin...

  • Article
  • Open Access
651 Views
17 Pages

Aim: Early childhood caries (ECC) is a widespread and multifactorial oral disease that affects children globally. Parents’ knowledge, attitudes, and behaviors are crucial in preventing ECC and supporting oral health. This study evaluated Croati...

  • Article
  • Open Access
630 Views
15 Pages

Parental Knowledge and Acceptance of Pediatric Lumbar Puncture in Northern Saudi Arabia: Implications for Clinical Practice and Education: A Cross-Sectional Study

  • Dana Faez K. Alenezi,
  • Rahaf Maqil T. Alanazi,
  • Fai Fihat S. Almatrafi,
  • Reema Mubarak O. Alanazi,
  • Nouf Swilim K. Alenezy,
  • Dalia Aqeel J. Alanazi,
  • Shahad Wadi A. Alanazi,
  • Rahaf Salman Z. Alanazi,
  • Ayman Hamed Alenezi and
  • Manal S. Fawzy
  • + 3 authors

Background/Objectives: Lumbar puncture (LP) remains a vital pediatric procedure for diagnosing neurological and systemic conditions. Despite its clinical significance, parental hesitation to authorize pediatric LP often impedes early diagnosis and ca...

  • Case Report
  • Open Access
758 Views
16 Pages

Immunological Profile in Atypical Kawasaki Disease: A Case Report Highlighting the Diagnostic Utility of Cytokine Analysis by qRT-PCR

  • Margarita L. Martinez-Fierro,
  • Idalia Garza-Veloz,
  • Felipe D. Marrufo-Garcia,
  • Manuel Gonzalez-Plascencia,
  • Rocio C. Calderon-Zamora,
  • Claudia Sifuentes-Franco and
  • Monica Rodriguez-Borroel

Background: Kawasaki Disease (KD) is an acute vasculitis affecting children under five years of age, with atypical presentations posing diagnostic challenges and a higher risk of coronary complications when untreated. Methods: We report on a 2-year-o...

  • Case Report
  • Open Access
867 Views
13 Pages

Two Rare Cases of Bilateral Diaphragmatic Paralysis in Neonates

  • Sara Ronci,
  • Chiara Maddaloni,
  • Stefano Caoci,
  • Stefano Pro,
  • Daniela Longo,
  • Andrea Conforti,
  • Andrea Dotta and
  • Francesca Campi

Diaphragmatic paralysis (DP) in neonates is a rare yet potentially life-threatening cause of respiratory distress, often resulting from obstetric trauma or cardiac surgery. This report presents two distinct cases of bilateral DP: one following a dyst...

  • Article
  • Open Access
373 Views
20 Pages

Patterns of Segmental Strain of the Left Ventricle in Extremely Premature Infants

  • Tatiana Chumarnaya,
  • Evgeniya Gusarova,
  • Natalya Kosovtsova,
  • Svetlana Koltashova and
  • Olga Solovyova

Extremely premature newborns are predisposed to cardiovascular complications due to a number of factors, including myocardial immaturity, hemodynamic changes, and iatrogenic effects. There are few studies on myocardial strain in extremely premature i...

  • Article
  • Open Access
535 Views
9 Pages

Influence of Neonatal Exposure to Hyperoxia on Skeletal Muscle in a Rat Model

  • Kentaro Awata,
  • Irena Santosa,
  • Yoshiteru Arai,
  • Mayu Nakagawa,
  • Hiroki Suganuma and
  • Hiromichi Shoji

14 November 2025

Background/Objectives: Premature births below 32 weeks of gestation generally require respiratory oxygen support, leading to a relatively hyperoxic environment compared to in utero conditions. Transient hyperoxia exposure has been linked to an elevat...

  • Systematic Review
  • Open Access
1,108 Views
16 Pages

10 November 2025

Background: Infantile hypertrophic pyloric stenosis represents one of the most prevalent gastrointestinal disorders in infants. It presents with severe persistent vomiting and electrolyte imbalance. Pyloromyotomy is the gold standard approach in the...

  • Case Report
  • Open Access
2,535 Views
12 Pages

10 November 2025

Background: Acute respiratory infections (ARIs) pose a significant clinical challenge in paediatric populations, especially in children with comorbidities who may exhibit underlying immune dysregulation. Inosine pranobex (IP) is an immunomodulatory a...

  • Article
  • Open Access
829 Views
11 Pages

Comparison of Serum Sodium Levels Following Intravenous Administration of Isotonic and Hypotonic Solutions in Young Children: A Randomized Controlled Trial

  • Nisara Chongcharoen,
  • Yupaporn Amornchaichareonsuk,
  • Suwanna Pornrattanarungsi and
  • Ornatcha Sirimongkolchaiyakul

Objectives: This study evaluated changes in serum sodium (S Na) 24 h after the administration of isotonic versus hypotonic intravenous fluids (IVFs) and the incidences of dysnatremia and hyperchloremic metabolic acidosis. Methods: This double-blind,...

  • Article
  • Open Access
737 Views
25 Pages

Spatial Epidemiology of Pediatric Cancer in Romania: A Decade of Persistence, Continuity, and Localized Hotspots (Temporal Trend 2008–2017)

  • Iulia Daniela Nedelcu,
  • Ion Andronache,
  • Ioannis Liritzis,
  • Helmut Ahammer,
  • Herbert Franz Jelinek,
  • Andreea Karina Gruia,
  • Daniel Peptenatu and
  • Marko Radulovic

Objective: Pediatric cancer, though less prevalent than adult malignancies, constitutes a significant public health concern due to its long-term effects on survival, development, and quality of life. This study aimed to investigate spatial patterns a...

  • Article
  • Open Access
517 Views
13 Pages

Healthcare and School Professionals’ Satisfaction with Implementation of Finnish Smart Family Practice in Poland

  • Justyna Nowak,
  • Agata Szymczak,
  • Marta Morawska,
  • Heli Kuusipalo,
  • Emma Koivurinta,
  • Kati Kuisma,
  • Päivi Mäki,
  • Taina Sainio,
  • Nella Savolainen and
  • Katarzyna Brukało

Background: Poland is one of six countries implementing the Finnish Smart Family practice under the Joint Action Health4EUKids, aimed at supporting families in adopting lifestyle counseling methods and preventing childhood obesity across the European...

  • Article
  • Open Access
633 Views
12 Pages

Implementation of an Early Mobility Initiative in a Pediatric Bone Marrow Transplant Unit

  • Anne Swanson,
  • Kylie James,
  • Kimberly Fan,
  • Akshay Sharma,
  • Xiaomeng Yuan,
  • Haitao Pan,
  • Gabriela Maron,
  • Hana Hakim and
  • Saad Ghafoor

Background/Objectives: Children who have received hematopoietic cell transplants (HCTs) often face complex clinical courses and complications that increase their risk of functional impairments. Because of this, pediatric HCT recipients may benefit fr...

  • Article
  • Open Access
1,130 Views
12 Pages

Background/Objectives: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by impairments in social interaction and communication, as well as by repetitive behaviors, with a rising global prevalence. Concurrently, the use o...

  • Case Report
  • Open Access
661 Views
6 Pages

Background: Tracheal stenosis in children is a rare but potentially life-threatening condition. We report a case of multilevel tracheal stenosis in a child who sustained blunt chest trauma in a car accident. Case Presentation: The patient is an 11-ye...

  • Case Report
  • Open Access
1,651 Views
12 Pages

Can Milrinone Be a Therapeutic Alternative in Persistent Pulmonary Hypertension of the Newborn? A Case Series and Narrative Review

  • Eliza Wasilewska,
  • Norbert Dera,
  • Łukasz Minarowski,
  • Łukasz Osiński,
  • Anna Doboszynska,
  • Sławomir Szajda and
  • Alina Minarowska

Background: Persistent pulmonary hypertension of the newborn (PPHN) remains a life-threatening condition resulting from failure of postnatal circulatory adaptation. Inhaled nitric oxide (iNO) is the standard first-line therapy; however, limited acces...

  • Article
  • Open Access
666 Views
11 Pages

Accuracy of Death Certificates for Children: A Population-Based Retrospective Analysis

  • Masahito Yamamoto,
  • Masahito Hitosugi,
  • Eisuke Ito,
  • Kohei Takashima,
  • Mami Nakamura,
  • Seiro Narumiya and
  • Yoshihiro Maruo

Background/Objective: Accurate determination and documentation of causes of death in children are essential for generating reliable mortality statistics and guiding public health strategies. Previous studies have reported frequent inaccuracies in ped...

  • Article
  • Open Access
1,223 Views
13 Pages

Pregnancy and Pregnancy Outcomes in Women with Eating Disorders: A Four-Year Longitudinal Study with Case Series

  • Bárbara César Machado,
  • Sónia Gonçalves,
  • Sofia Duarte,
  • Isabel Brandão,
  • António Roma-Torres and
  • Filipa Soares

Background/Objectives: Eating disorders (EDs) often affect fertility, yet many women with ED still become mothers. The pattern of ED symptoms during pregnancy and postpartum, along with their effects on maternal and child health, is not yet fully und...

  • Case Report
  • Open Access
777 Views
5 Pages

Is Beta Ketothiolase Deficiency an Uncommon Disease or an Unsuspected Diagnosis? The Role of Genetic Biochemistry Approaches in Metabolic Acidosis

  • Luis D. Campos-Acevedo,
  • Joel Arenas-Estala,
  • Marisol Ibarra-Ramírez,
  • Graciela A. López-Uriarte,
  • María C. Ruíz-Herrera,
  • Marcelo Rodríguez-Rivera and
  • Laura E. Martínez-de-Villarreal

Beta ketothiolase deficiency is a hereditary metabolic disorder caused by the pathogenic variants of the ACAT gene, which encodes for the mitochondrial enzyme acetoacetyl-CoA thiolase. Patients with a deficiency of the enzyme experience recurrent epi...

  • Case Report
  • Open Access
713 Views
19 Pages

Language and Cognitive Features in a Girl with Bosch–Boonstra–Schaaf Optic Atrophy Syndrome

  • Ivana Bogavac,
  • Ljiljana Jeličić,
  • Maša Marisavljević,
  • Milica Ćirović,
  • Jelena Ðorđević,
  • Ivan Krgović and
  • Miško Subotić

Bosch–Boonstra–Schaaf optic atrophy syndrome (BBSOAS) is an extremely rare neurological condition caused by a disruption in the NR2F-1 gene. The most common clinical features are optic atrophy and intellectual and developmental delay. Thi...

  • Article
  • Open Access
1,412 Views
12 Pages

Objectives: Myelomeningocele is one of the most common dysraphic defects. Does shortening the time of exposure to the toxic effects of amniotic fluid and mechanical trauma in utero on the herniated spinal cord and spinal nerves, thanks to prenatal su...

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Pediatr. Rep. - ISSN 2036-7503