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Children, Volume 12, Issue 5

2025 May - 130 articles

Cover Story: Delayed cord clamping is beneficial for all newborns and may be lifesaving, especially for preterm infants. This review, intended for healthcare professionals in the field of perinatology, provides insights into the important physiological processes involved in the newborn’s transition to extrauterine life. Sustained cord circulation allows for dual respiration and redistribution of blood and its components, including stem cells. The increased blood volume obtained perfuses vital organs and generates mechanical forces within the microcirculation, which stimulates endothelial cells to release angiocrine growth factors that promote organ development, tissue proliferation, and repair. In combination, these processes prevent hypoperfusion and tissue injury and collectively help reduce risks of hypovolemia, inflammation, and ischemia in the newborn. View this paper
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Articles (130)

  • Article
  • Open Access
2 Citations
1,005 Views
10 Pages

Sagittal Spinal Alignment in Children and Adolescents: Associations with Age, Weight Status, and Sports Participation

  • Giada Annarumma,
  • Fiore Mazza,
  • Alessandro Ambrosi,
  • Erica Keeling,
  • Fredrick Fernando,
  • Felice Sirico,
  • Rossana Gnasso,
  • Andrea Demeco,
  • Marco Vecchiato and
  • Stefano Palermi
  • + 2 authors

Background. Poor posture is a common musculoskeletal concern in children and adolescents and may lead to spinal discomfort and long-term structural issues. While excess weight has been linked to altered sagittal alignment, the impact of sports partic...

  • Article
  • Open Access
2 Citations
1,336 Views
15 Pages

Promoting Mental Health in Adolescents Through Physical Education: Measuring Life Satisfaction for Comprehensive Development

  • Santiago Gómez-Paniagua,
  • Antonio Castillo-Paredes,
  • Pedro R. Olivares and
  • Jorge Rojo-Ramos

Background: Life satisfaction serves as a preventive agent against various emotional, cognitive, and behavioral challenges, making it a crucial cognitive indicator of subjective well-being, particularly during adolescence. Accurately assessing life s...

  • Article
  • Open Access
3 Citations
1,713 Views
17 Pages

Theoretical background: The study of psychological well-being in children and adolescents living with chronic illness is of particular relevance, as the physical and psychosocial aspects of the illness can have a significant impact on their quality o...

  • Article
  • Open Access
852 Views
10 Pages

Background/Objectives: Infliximab biosimilars entered the United States (US) market in November 2016. Uptake of infliximab biosimilars has been slow in adult studies. We aimed to assess variation in the initiation of infliximab biosimilars in a large...

  • Review
  • Open Access
1 Citations
2,234 Views
15 Pages

Parental Perspectives on Oral Health and Access to Care in Children with Down Syndrome: A Narrative Review

  • Petra Saitos,
  • Raluca Iurcov,
  • Abel Emanuel Moca,
  • Teofana Bota,
  • Rebeca Daniela Marton and
  • Mihai Juncar

Background/Objectives: Children with Down syndrome are predisposed to various oro-dental conditions, which can impact their oral-health-related quality of life (OHRQoL) and overall well-being. Given their critical role, parents’ and caregivers&...

  • Article
  • Open Access
2,159 Views
16 Pages

Objective: This study aimed to explore the association between adolescents’ health risk behaviours (excessive use of alcohol, (e)cigarette smoking, cannabis use) and familial factors. A special objective of this study was to compare findings be...

  • Article
  • Open Access
2 Citations
1,165 Views
13 Pages

Objectives: This retrospective study evaluated the short-term effects of removable slow maxillary expansion (SME) on eruption patterns of labially ectopic canines in a Chinese pediatric population, comparing treated patients with untreated controls....

  • Article
  • Open Access
1 Citations
1,606 Views
10 Pages

Gender Differences in a Cohort of Children with Eating Disorders: A Retrospective Study

  • Isabella Tarissi de Jacobis,
  • Elena Inzaghi,
  • Elena Bozzola,
  • Valeria Zanna,
  • Cristina Mascolo,
  • Sara Caterina Kupiec and
  • Maria Rosaria Marchili

Introduction: Eating disorders (EDs) are severe psychiatric disorders that significantly impact the psychological and physiological well-being of affected individuals. Despite increasing prevalence in males over the past few decades, EDs are mainly c...

  • Brief Report
  • Open Access
2 Citations
2,814 Views
11 Pages

Sex-Related Differences in Hip Kinematics During General Movements in Early Infancy: A Biomechanical Cross-Sectional Study

  • Lucía Fernanda Flores-Santy,
  • Barbara Martina Trujillo Gutiérrez,
  • Cristina Mileny Campaña Iza and
  • Juan Pablo Hervás Pérez

The General Movements Assessment provides early insight into motor development’s range of motion; however, its relationship with joint kinematics, such as hip abduction range of motion, remains underexplored. This study analyzed hip abduction k...

  • Article
  • Open Access
869 Views
23 Pages

The Impact of Antenatal and Postnatal Factors on the Development of the Pulmonary Microvasculature in Preterm Infants

  • Raluca Chirculescu,
  • Ruxandra Viorica Stănculescu,
  • Paul Cristian Bălănescu and
  • Gheorghe Peltecu

This research aimed to assess the influence of prenatal and postnatal factors on the remodeling of the pulmonary microvasculature. Methods: The investigation analyzed 67 cases of preterm infants, whose lifespans ranged from 1 day to 149 days. After s...

  • Systematic Review
  • Open Access
5 Citations
11,935 Views
25 Pages

Background: To date, it remains unclear which oral doses and preparation forms of melatonin should be recommended for children and adolescents with non-organic sleep disorders and autism spectrum disorder (ASD). We reviewed the current state of knowl...

  • Case Report
  • Open Access
2,462 Views
9 Pages

Presumed Bartonella-Associated Spondylodiscitis in a 3-Year-Old Child: A Case Report and Review of the Literature

  • Hadi El Assaad,
  • Eckehard Schumann,
  • Christian Klemann,
  • Nadine Dietze-Jergus,
  • Christoph-Eckhard Heyde and
  • Philipp Pieroh

With an incidence of 0.3 per 100,000, spondylodiscitis is a rare condition in children. It is typically bacterial in origin and most commonly caused by Staphylococcus aureus. Bone involvement in cat-scratch disease (CSD) due to Bartonella henselae is...

  • Review
  • Open Access
2,667 Views
14 Pages

The five-year survival rate for childhood cancer now exceeds 80%, leading to an increasing number of young women who may confront infertility in the future due to the gonadotoxic effects of surgery, chemotherapy, and radiation. Despite current guidel...

  • Case Report
  • Open Access
1 Citations
1,541 Views
11 Pages

Pediatric Medial Discoid Meniscus: Case Series and Postoperative Outcomes

  • Franck Accadbled,
  • Oliwer Sygacz,
  • Joe Rassi and
  • Alexandru Herdea

Discoid medial meniscus (DMM) is a rare congenital anomaly, with bilateral cases being even more uncommon. Due to its rarity, comprehensive data on its prevalence, clinical presentation, and optimal management strategies are limited. This study aimed...

  • Review
  • Open Access
1 Citations
1,628 Views
12 Pages

Current and Emerging Applications of Artificial Intelligence in Medical Imaging for Paediatric Hip Disorders—A Scoping Review

  • Hilde W. van Kouswijk,
  • Hizbillah Yazid,
  • Jan W. Schoones,
  • M. Adhiambo Witlox,
  • Rob G. H. H. Nelissen and
  • Pieter Bas de Witte

Introduction: Paediatric hip disorders present unique challenges for artificial intelligence (AI)-aided assessments of medical imaging due to disease-related and age-dependent changes in hip morphology. This scoping review aimed to describe current a...

  • Article
  • Open Access
2,108 Views
12 Pages

Evaluation of Anthropometric Measurements of 17,693 Newborns: Have Percentile Cut-Off Values Changed?

  • Nursu Kara,
  • Didem Arman,
  • Adem Gül,
  • Kudret Ebru Erol and
  • Serdar Cömert

Objective: The aim of our study was to develop current local anthropometric measurement percentiles for newborns and to compare these values with national and international growth chart percentiles. Methods: This retrospective cross-sectional study e...

  • Article
  • Open Access
1 Citations
1,914 Views
16 Pages

Study of the Variability of Transcutaneous Bilirubin Determinations Between Different Ethnic Groups

  • Laia Plaza,
  • Neus Roca Saladrigues,
  • Meritxell Torrabías,
  • Fina Bueno,
  • Marina Damas,
  • Carmina Parès,
  • Jacint Altimiras and
  • Marta Rodríguez González

Background: Pathological hyperbilirubinemia often leads to hospital readmission within the first week of life, with increased risk of neurological damage if untreated. Transcutaneous bilirubin (TcB) measurement was integrated into neonatal screening...

  • Article
  • Open Access
1,487 Views
13 Pages

Hip Involvement in Pediatric Scurvy: Early Magnetic Imaging Signs

  • Lisa Gamalero,
  • Anna Perrone,
  • Chiara Macucci,
  • Alessandra Meneghel,
  • Marta Balzarin,
  • Sandra Trapani,
  • Giuseppe Indolfi,
  • Giorgia Martini and
  • Teresa Giani

Background: Scurvy is an uncommon and often underrecognized disease. However, conditions associated with a restrictive and/or selective diet and inadequate absorption still pose a high risk for developing vitamin C deficiency. Musculoskeletal symptom...

  • Review
  • Open Access
2 Citations
5,893 Views
19 Pages

Addressing Stunting in Children Under Five: Insights and Opportunities from Nepal, Bangladesh, and Vietnam—A Review of Literature

  • Muhammad Yazid Jalaludin,
  • Moretta Damayanti Fauzi,
  • I Gusti Lanang Sidiartha,
  • Collins John,
  • Shamira Aviella,
  • Edy Novery,
  • Annisa Permatasari and
  • Leilani Muhardi

Background: Stunting remains a significant global health issue, particularly in low- and middle-income countries (LMICs). Globally, around 22% of children under five are affected, with high rates persisting in South and Southeast Asia. This review ex...

  • Article
  • Open Access
1 Citations
2,085 Views
27 Pages

A Nutritional and Anthropometric Analysis of the Double Burden of Malnutrition in Children Under Two in Madagascar

  • Rosita Rotella,
  • María Morales-Suarez-Varela,
  • Agustín Llopis-Gonzalez and
  • Jose M. Soriano

Background: Almost half of all deaths worldwide in children under five are related to malnutrition. Malnutrition encompasses a wide array of nutritional conditions and emerging evidence indicates a growing overlap of these different forms of malnutri...

  • Article
  • Open Access
1 Citations
1,219 Views
9 Pages

Cumulative Ambient Light Exposure Affects Outpatient Transcutaneous Bilirubinometer Readings

  • Emily Zhang,
  • Tzong-Jin Wu,
  • Mark L. Hudak,
  • Ke Yan and
  • Ru-Jeng Teng

Background: We recently reported that the transcutaneous bilirubinometer (TCB) tends to underestimate the severity of neonatal jaundice (NJ). We hypothesize that the cumulative ambient light exposure contributes to the discrepancy. Objectives: This s...

  • Article
  • Open Access
1 Citations
3,973 Views
14 Pages

The Evaluation of Anemia Among Stunted Children Aged 6–24 Months in Bandung District, West Java, Indonesia

  • Susi Susanah,
  • David Marcelius,
  • Lulu Eva Rakhmilla,
  • Rini Rossanti,
  • Sindy Amalia Febrianti,
  • Siti Sakinah,
  • Winyarti Winyarti,
  • Safira Satyani Lutfia,
  • Raden Tina Dewi Judistiani and
  • Budi Setiabudiawan
  • + 1 author

Background/Objectives: Anemia, particularly iron-deficiency anemia (IDA), and stunting remain notable early childhood public health challenges in Indonesia; however, studies are still scarce. This study aimed to determine the co-occurrence of anemia...

  • Review
  • Open Access
1,977 Views
15 Pages

Pediatric Tracheotomy: Modern Surgical Techniques, Challenges, and Clinical Considerations

  • Stoyan S. Markov,
  • Petya P. Markova and
  • Kalina I. Madzarova-Nikolova

Introduction: Tracheotomy as a surgical procedure has existed and evolved since ancient times. In modern medicine, surgical techniques for performing this procedure in adults and children have reached a high level of perfection. However, pediatric tr...

  • Article
  • Open Access
1 Citations
1,326 Views
10 Pages

Background: This study aimed to identify the risk factors associated with malignant vasovagal syncope (VVS), a rare yet clinically significant subtype of VVS. Methods: This single-center case–control study enrolled children diagnosed with malig...

  • Article
  • Open Access
1,899 Views
13 Pages

Protective Factors Against Social Exclusion in Adolescents: Physical Condition and Physical Activity

  • Josune Rodríguez-Negro,
  • Javier Murillo-Moraño,
  • Ángel Garrido,
  • Antonio J. Rodríguez-Hidalgo and
  • Juan de Dios Benítez-Sillero

Background: Social exclusion in children and adolescents can lead to negative effects such as anxiety, low self-esteem, and academic difficulties. Physical activity and good physical condition could act as protective factors by promoting social integ...

  • Review
  • Open Access
1 Citations
807 Views
9 Pages

Genetic testing is rapidly becoming standard practice in the care of critically ill newborns within NICUs. Numerous studies have demonstrated the utility of genetic testing, including changes in clinical care, improved diagnostic certainty, and cost...

  • Article
  • Open Access
1,448 Views
16 Pages

Pediatric-Onset Multiple Sclerosis (POMS) and Epilepsy: Exploring Etiological Complexity—Outcomes from a Single-Center Experience

  • Alice Denisa Dică,
  • Dana Craiu,
  • Catrinel Iliescu,
  • Marcel-Alexandru Găină,
  • Carmen Sandu,
  • Cristina Pomeran,
  • Diana Bârcă,
  • Niculina Butoianu,
  • Carmen Burloiu and
  • Daniela Adriana Ion
  • + 8 authors

This article examines the complex relationship between seizures, epilepsy, and multiple sclerosis (MS) in pediatric patients, based on detailed findings from a single-center study. Background: Although multiple sclerosis is primarily recognized as an...

  • Review
  • Open Access
3 Citations
4,481 Views
16 Pages

Early Mobilization Protocols in Critically Ill Pediatric Patients: A Scoping Review of Strategies, Tools and Perceived Barriers

  • Lizeth Dayana Noreña-Buitrón,
  • Valeria Sanclemente-Cardoza,
  • Maria Alejandra Espinosa-Cifuentes,
  • Harold Andrés Payán-Salcedo and
  • Jose Luis Estela-Zape

Background/Objectives: We will describe the early mobilization protocols applied to critically ill pediatric patients in PICUs, analyzing the strategies employed, the tools used, and the barriers perceived by the healthcare team during their implemen...

  • Case Report
  • Open Access
2 Citations
2,769 Views
13 Pages

Background: Seasonal influenza viruses are primarily known for causing respiratory illness, but rare hematologic complications can occur, especially in young children. While influenza A is more commonly linked to severe manifestations, influenza B ca...

  • Case Report
  • Open Access
1,205 Views
15 Pages

Overtime Challenges of Diagnosis and Treatment in Two Pediatric Patients with Extensive Cerebral Tumefactive Lesions Indicative of Baló’s Type Multiple Sclerosis

  • Alice Denisa Dică,
  • Dana Craiu,
  • Catrinel Iliescu,
  • Marcel-Alexandru Găină,
  • Carmen Sandu,
  • Cristina Pomeran,
  • Carmen Burloiu,
  • Alexandra-Maria Găină and
  • Daniela Adriana Ion

Background: Baló’s concentric sclerosis stands out as a rare form of multiple sclerosis that features large tumor-like demyelinating lesions, which resemble brain tumors and create significant diagnostic and therapeutic obstacles for ped...

  • Article
  • Open Access
1,021 Views
30 Pages

Partnering with Young Parents to Improve Early Hearing Detection and Intervention Programmes

  • Genevieve Choi,
  • Holly Teagle,
  • Suzanne C. Purdy and
  • Andrew Wood

Background: Early Hearing Detection and Intervention (EHDI) programmes must partner effectively with families navigating complex circumstances. Adolescent parents (APs) in Teen Parent Units (TPUs) represent a dynamic group demonstrating resilience as...

  • Article
  • Open Access
1 Citations
1,387 Views
14 Pages

Background/objectives: Adolescent dating violence (ADV) is a serious public health concern affecting youth worldwide. Potential risk factors of ADV include child maltreatment (CM) and intimate partner violence exposure (eIPV), though existing researc...

  • Article
  • Open Access
2 Citations
1,651 Views
9 Pages

Background: Fetal hemoglobin (HbF) plays a beneficial role in the progressive adaptation to the postnatal oxygen-rich environment in preterm infants due to its peculiar properties. Our aim was to evaluate if preterm infants resuscitated with delayed...

  • Article
  • Open Access
2 Citations
3,046 Views
12 Pages

Background: Executive function—the cognitive processes and abilities used to perform daily activities and solve real-world problems—is crucial for children’s development. However, existing assessments often lack ecological validity,...

  • Article
  • Open Access
2 Citations
1,894 Views
11 Pages

Improving Medication Safety Through Medication Reconciliation in Pediatric Neurology: Clinical Pharmacist Recommendations and Physician Uptake in a 13-Week Study

  • Margherita Zennaro,
  • Anna Trotter,
  • Daniele Mengato,
  • Laura Camuffo,
  • Claudio Ancona,
  • Irene Toldo,
  • Maria Cecilia Giron,
  • Maria Federica Pelizza,
  • Margherita Nosadini and
  • Francesca Venturini
  • + 2 authors

Background/Objectives: Clinical pharmacy plays a crucial role in optimizing medication use, particularly in pediatric settings where drug therapy can be complex and understudied. This study aims to assess the impact of clinical pharmacists in the Ped...

  • Systematic Review
  • Open Access
1,656 Views
17 Pages

Growth Patterns of HIV-Exposed and -Unexposed Infants in African Countries: A Systematic Review and Meta-Analysis

  • Perpetua Modjadji,
  • Kabelo Mokgalaboni,
  • Wendy N. Phoswa,
  • Tebogo Maria Mothiba and
  • Sogolo L. Lebelo

Background/Objectives: The purpose of this study is to understand the prevalence and odds of poor growth patterns among HIV-exposed but uninfected (HEU) versus HIV-unexposed (HUU) infants in the era of antiretroviral therapy (ART) and prevention of m...

  • Systematic Review
  • Open Access
4 Citations
14,173 Views
17 Pages

Strength Training in Children: A Systematic Review Study

  • Borys Bismark León-Reyes,
  • Dilan Galeano-Rojas,
  • Manuel Gámez-Vílchez,
  • Claudio Farias-Valenzuela,
  • Claudio Hinojosa-Torres and
  • Pedro Valdivia-Moral

Background: With the increasing prevalence of sedentary lifestyles and childhood obesity, physical activity and exercise have emerged as essential pillars of health promotion in childhood. In this context, schools play a fundamental role as key playe...

  • Editorial
  • Open Access
781 Views
4 Pages

Neonatology is a specialized branch of medicine, focussed on the care of newborns, either related to preterm birth or other medical conditions like sepsis, asphyxia, or congenital malformations [...]

  • Review
  • Open Access
1 Citations
2,617 Views
18 Pages

Background: The medical management and non-transplant surgical options for children with short bowel syndrome (SBS)are maximized as first-line treatments. The purpose of this review is to summarize the currently available evidence and new management...

  • Article
  • Open Access
2 Citations
1,142 Views
19 Pages

Background: Children and adolescents with pediatric inflammatory bowel diseases (PIBD) face significant challenges, including emotional stress, social isolation, and interrupted education due to symptoms. Effective counseling and education empower th...

  • Article
  • Open Access
3 Citations
1,025 Views
12 Pages

Effect of Relative Age on Gross Motor Coordination Development, Considering Biological Maturity and Sex

  • Xiaoyu Zhang,
  • Gaël Ennequin,
  • Anthony J. Blazevich and
  • Sébastien Ratel

Objective: This study aimed to investigate the effect of relative age on gross motor coordination (GMC) development, taking into account biological maturity and sex. Methods: 729 participants aged 10 to 16 years completed three GMC tests newly design...

  • Review
  • Open Access
1 Citations
959 Views
9 Pages

The intricate airway anatomy and poorly understood etiology of pediatric conditions render the diagnosis of mediastinal disorders particularly challenging. Traditional diagnostic methods, such as mediastinoscopy and thoracotomy, carry high risks and...

  • Article
  • Open Access
2,810 Views
13 Pages

The Significance of Inflammatory Markers in Pediatric Patients with Acute Gastroenteritis Presenting to the Emergency Department

  • Hazem Alhazmi,
  • Abeer Alzahrani,
  • Saud Alshaikh,
  • Lein Azzhary,
  • Fatimah Alhaddad,
  • Zeyad Alshamrani and
  • Raghad Alwagdani

Background: Considerable mortality and morbidity rates linked to AGE are well documented in the literature. Many inflammatory markers have been studied in the context of research on AGE as tools to predict the clinical course of the disease and deter...

  • Review
  • Open Access
2 Citations
6,056 Views
20 Pages

Growth Failure in Children with Congenital Heart Disease

  • Jihye Lee,
  • Teresa Marshall,
  • Harleah Buck,
  • Mulder Pamela and
  • Sandra Daack-Hirsch

Background/Objectives: Growth failure is a common complication in children with congenital heart disease (CHD), yet its underlying mechanisms and consequences remain incompletely understood. This review aims to provide a comprehensive overview of gro...

  • Article
  • Open Access
1,150 Views
16 Pages

Neonatal and Two-Year Prognosis of Eutrophic Newborns from Monochorionic Diamniotic Twin Pregnancies Complicated by Selective Intrauterine Growth Restriction

  • Marie-Anne Jarry,
  • Nayri Topalian,
  • Lauréline Cosnard,
  • Claude D’Ercole,
  • Cécile Chau and
  • Barthélémy Tosello

Background: Monochorionic diamniotic (MCDA) twin pregnancies are at risk of complications, particularly selective intrauterine growth restriction. The objective of this study was to evaluate the two-year neurologic outcomes of the eutrophic newborns...

  • Review
  • Open Access
1 Citations
7,399 Views
17 Pages

Pediatric Chronic Kidney Disease: Mind the Gap Between Reality and Expectations

  • Chien-Ning Hsu,
  • Pei-Chen Lu,
  • Wei-Ting Liao and
  • You-Lin Tain

Pediatric chronic kidney disease (CKD) is a growing concern that often originates early in life, yet significant challenges remain in translating clinical guidelines into real-world practice. World Kidney Day 2025 highlights the importance of early d...

  • Review
  • Open Access
3 Citations
2,541 Views
14 Pages

Congenital Cytomegalovirus (cCMV) Infection as a Leading Cause of Pediatric Hearing Loss: Review

  • Amber Cradeur,
  • Aaron Jackson,
  • Erin Ware,
  • Torrey L. Fourrier and
  • Gauri Mankekar

Background/Objectives: Congenital cytomegalovirus (cCMV) infection is a significant cause of pediatric hearing loss. However, the prevalence and characteristics of cCMV-related hearing loss remain unclear. Methods: A comprehensive search of major dat...

  • Article
  • Open Access
1,798 Views
20 Pages

Background/Objectives: Physical activity plays an essential role in a healthy lifestyle. For children, the development of an encouraging attitude toward exercise can define a positive life-long behaviour. Type 1 diabetes mellitus (T1DM) is a metaboli...

  • Review
  • Open Access
4 Citations
2,179 Views
34 Pages

The Role of miRNA Expression in Congenital Heart Disease: Insights into the Mechanisms and Biomarker Potential

  • Savina Mannarino,
  • Valeria Calcaterra,
  • Filippo Puricelli,
  • Giulia Cecconi,
  • Claudia Chillemi,
  • Irene Raso,
  • Erika Cordaro and
  • Gianvincenzo Zuccotti

Congenital heart diseases (CHDs) are among the most common congenital malformations. Despite significant advancements in understanding the embryonic development of the heart, the etiology of CHDs remains largely unknown. The complexity of the process...

  • Article
  • Open Access
3,887 Views
8 Pages

Purpose: The objective of this research was to compare the pain-reducing effects of two topical anesthetic agents, 10% atomized lidocaine spray and an EMLA, cream before needle injection applied at different time intervals using parameters of visual...

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Children - ISSN 2227-9067