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Children, Volume 13, Issue 8

2026 August - 149 articles

Cover Story: Isolated Left Ventricular Apical Hypoplasia (ILVAH) has long been considered a benign anatomical variant, often diagnosed incidentally in asymptomatic adults. But is it truly harmless? This comprehensive review of 59 cases, including two illustrative clinical presentations—a neonate with transient heart failure and a pregnant woman with acute postpartum decompensation—challenges this assumption. The authors propose that ILVAH is not a benign anomaly but a stress-sensitive restrictive cardiomyopathy, uniquely vulnerable to hemodynamic shifts during infancy and pregnancy. Progressive left atrial dilation is identified as an early warning marker of impending decompensation. The findings call for proactive lifelong surveillance, multidisciplinary pregnancy planning, and rhythm monitoring to mitigate the intrinsic arrhythmogenic risk. View this paper
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Articles (149)

  • Review
  • Open Access
1,253 Views
23 Pages

From FGFR3 Hyperactivation to Disease-Modifying Therapy in Pediatric Achondroplasia: Molecular Mechanisms, Clinical Evidence, and Emerging Treatments

  • Rebecca Cristiana Șerban,
  • Andreea Mitut-Veliscu,
  • Alexandra Dumitra,
  • Liana Marica,
  • Cristina Popescu,
  • Andrei Costache,
  • Șerban Teona,
  • Anca-Lelia Riza,
  • Rodica Dirnu and
  • Ioana Streață
  • + 1 author

21 August 2026

Background/Objectives: Achondroplasia is the most common genetic skeletal dysplasia associated with disproportionate short stature and is primarily caused by gain-of-function variants in the fibroblast growth factor receptor 3 (FGFR3) gene. Constitut...

(This article belongs to the Special Issue Advances in Pediatric Genetic Disorders)
  • Systematic Review
  • Open Access
796 Views
18 Pages

Pediatric Kidney Transplantation: A Systematic Review

  • Noor Sadiq Almoosawe,
  • Fatima Majid Alezairej,
  • Sultan Alsalami,
  • Ayesha Mohamed Alkhanbouli,
  • Ghadir Toosi Zadeh,
  • Ahmed Ghazi Saab,
  • Hia Sadiq Almoosawe,
  • Sarah Albadran,
  • Mustafa Alani and
  • Rajani Dube
  • + 2 authors

21 August 2026

Background/Objectives: Kidney transplantation is the most effective treatment for pediatric patients with end-stage renal disease (ESRD), offering superior survival rates and quality of life compared to dialysis. However, long-term graft survival rem...

(This article belongs to the Section Pediatric Nephrology & Urology)
  • Article
  • Open Access
749 Views
18 Pages

Factors Associated with Acute Lower Respiratory Infections in Children Under Five at a Peruvian Emergency Hospital

  • Anthony D. Mautino-Reyes,
  • Fiorella F. Fuentes-Cosme and
  • Miguel A. Arce-Huamani

21 August 2026

Background/Objectives: Acute lower respiratory infections (ALRIs) are an important cause of morbidity among children under five years of age. This study aimed to identify factors associated with ALRI among children under five treated at a Peruvian em...

(This article belongs to the Section Pediatric Pulmonary and Sleep Medicine)
  • Article
  • Open Access
321 Views
16 Pages

Clinical Characteristics and Surgical Outcomes of Pediatric Ovarian Torsion: A 15-Year Single-Center Experience

  • Ivana Fratrić,
  • Radoica Jokić,
  • Jelena Antić,
  • Stanislava Bodonji and
  • Miloš Pajić

21 August 2026

Background: Ovarian torsion is a pediatric surgical emergency in which timely diagnosis and preservation of ovarian tissue are important considerations for future reproductive and endocrine function. This study aimed to describe the clinical characte...

(This article belongs to the Section Pediatric Surgery)
  • Article
  • Open Access
358 Views
11 Pages

Enhancing Pediatric Pharmaceutical Care: Development and Evaluation of a Rectal Demonstration Model for Pediatric Patients with Inflammatory Bowel Diseases

  • Meike Ruschkowski,
  • Gunter Flemming,
  • Wieland Kiess,
  • Astrid Bertsche,
  • Thilo Bertsche and
  • Martina Patrizia Neininger

21 August 2026

Background/Objectives: Inflammatory bowel disease (IBD) may require topical rectal treatment for distal colonic inflammation. Rectal foams or rectal enemas can reach deeper bowel sections but are complex to administer, especially for pediatric patien...

(This article belongs to the Section Pediatric Gastroenterology and Nutrition)
  • Systematic Review
  • Open Access
581 Views
32 Pages

Hope in Pediatric Palliative Care: A Systematic Review

  • Hana Benešová,
  • Miroslava Janoušková and
  • Martin Loučka

21 August 2026

Context: Previous studies and reviews in adult patients have shown that hope is an important coping mechanism in patients with serious health problems. Although there are individual studies in pediatric patients, there is a lack of a systematic revie...

(This article belongs to the Section Pediatric Anesthesiology, Pain Medicine and Palliative Care)
  • Article
  • Open Access
607 Views
19 Pages

20 August 2026

Background/Objectives: Fetal Alcohol Spectrum Disorder (FASD) is a preventable neurodevelopmental condition associated with dysfunction of fronto-subcortical networks affecting attention, executive function, and behavioral regulation. Central auditor...

(This article belongs to the Special Issue Clinical Diagnostic Techniques for Rare Genetic Diseases in Children: Current Status, Advances, and Thoughts)
  • Review
  • Open Access
590 Views
24 Pages

20 August 2026

Background/Objectives: Recent pediatric sleep research has increasingly adopted an integrated lifestyle perspective, examining sleep together with diet, physical activity, sedentary behavior, and family environments. However, bowel habits remain comp...

(This article belongs to the Special Issue Insufficient Sleep Syndrome in Children and Adolescents: Challenges and Opportunities)
  • Review
  • Open Access
548 Views
15 Pages

20 August 2026

Background/Objectives: Most children and adolescents do not meet recommended physical activity (PA) levels. Artificial intelligence (AI) may enable personalized and adaptive interventions, but evidence across delivery formats remains unclear. This sc...

(This article belongs to the Special Issue Understanding the Correlates and Health Outcomes of Movement Behaviors in Childhood and Adolescence)
  • Article
  • Open Access
502 Views
23 Pages

20 August 2026

Background/Objectives: This study used structural equation modeling (SEM) to examine the sequential mediating roles of school belonging and prosocial behavior in the effects of parent–adolescent and teacher–student relationships on adoles...

(This article belongs to the Section Pediatric Mental Health)
  • Article
  • Open Access
307 Views
13 Pages

Transverse Dental Arch Dimensions and Body Mass Index in Pediatric Patients with Marfan Syndrome: A Case–Control Observational Study

  • Arianna Malara,
  • Maria Driade Anastasio,
  • Fabio Bertoldo,
  • Giuseppina Laganà and
  • Raffaella Docimo

20 August 2026

Objectives: To describe BMI-for-age and transverse dental arch measurements in growing children with Marfan syndrome (MFS) and a non-Marfan pediatric comparison group. Materials and Methods: A retrospective case–control observational study incl...

(This article belongs to the Section Pediatric Dentistry & Oral Medicine)
  • Article
  • Open Access
1 Citations
309 Views
16 Pages

Decision-Making at the Limit of Viability in Newborns: Insights from a Survey of Medical Professionals

  • Claudiu Voic,
  • Melinda Ildiko Mitranovici,
  • Zoran Laurentiu Popa,
  • Maria Cezara Muresan,
  • Septimiu Voidazan and
  • Elena Silvia Bernad

19 August 2026

Legal definitions of human viability vary worldwide. Background/Objectives: The treatment of periviable newborns remains controversial and raises ethical concerns. However, currently, the World Health Organization (WHO) sets the lower limit of viabil...

(This article belongs to the Special Issue Obstetric Factors and Neonatal Outcomes: The Limit of Viability)
  • Article
  • Open Access
429 Views
12 Pages

19 August 2026

Background/Objectives: Problematic internet use (PIU) is a growing behavioral health concern among school-aged children. Whether health literacy and health-promoting lifestyle beliefs are associated with PIU among gifted children—a developmenta...

(This article belongs to the Section Pediatric Mental Health)
  • Article
  • Open Access
1,054 Views
24 Pages

Hot and Cool Executive Functions in Middle Childhood: Evidence for a Weak but Process-Specific Relationship

  • Eva Košíková,
  • Daniela Turoňová,
  • Ľubica Konrádová and
  • Barbora Mesárošová

19 August 2026

Background: Executive functions (EFs) are cognitive and emotional abilities that underpin goal-directed behavior, decision-making, and problem-solving. EFs can be categorized into two broad types, Hot EFs and Cool EFs, distinguished by their relation...

(This article belongs to the Section Pediatric Neurology & Neurodevelopmental Disorders)
  • Article
  • Open Access
377 Views
17 Pages

19 August 2026

Background/Objectives: Existing mental health help-seeking measures may not adequately reflect adolescents’ developmental and sociocultural contexts. This study developed and evaluated a mental health help-seeking scale for Korean adolescents....

(This article belongs to the Special Issue Advances in Adolescent Mental Health: Early Prevention and Intervention)
  • Article
  • Open Access
401 Views
11 Pages

Oxygenation Indices with Oxygen Challenge Test in Neonates During VA ECMO

  • Abhinav Totapally,
  • Camila De Avila,
  • Keith Meyer,
  • Lian Santiago,
  • Felipe Pedroso,
  • Fuad Alkhoury and
  • Balagangadhar R. Totapally

19 August 2026

Objective: To evaluate the response of various oxygenation indices to the oxygen challenge test (OCT), prior to decannulation, in neonates supported with VA ECMO for respiratory indications, and to compare these responses between survivors and non-su...

(This article belongs to the Special Issue Addressing Challenges in Pediatric Critical Care Medicine (2nd Edition))
  • Article
  • Open Access
355 Views
12 Pages

Illness Uncertainty in Pediatric Irritable Bowel Syndrome: A Pilot Study

  • Kaitlyn L. Gamwell,
  • Abigail S. Robbertz,
  • James L. Peugh,
  • Neha Santucci,
  • Kahleb Graham and
  • Kevin A. Hommel

19 August 2026

Background/Objectives: Illness uncertainty is inherent in irritable bowel syndrome (IBS); however, the factors that contribute to it and outcomes impacted by it have yet to be assessed in pediatric IBS. As such, the current longitudinal pilot study a...

(This article belongs to the Special Issue Advances in Pediatric Gastroenterology (2nd Edition))
  • Article
  • Open Access
278 Views
11 Pages

Trends in 1-Month Breastfeeding Before, During, and After the Coronavirus Disease 2019 Pandemic: A Retrospective Single-Center Study in Japan

  • Kyosuke Tabata,
  • Nao Umebayashi,
  • Airi Tanaka,
  • Emiko Suzuki,
  • Yayoi Murano,
  • Tomoyuki Nakazawa,
  • Ken Sakamaki,
  • Daisuke Yoneoka and
  • Hiromichi Shoji

18 August 2026

Background/Objectives: Breastfeeding confers important health benefits for mothers and children. The coronavirus disease 2019 (COVID-19) pandemic disrupted childcare practices and maternal behaviors, with some effects persisting beyond the acute phas...

  • Article
  • Open Access
342 Views
14 Pages

18 August 2026

Background/Objectives: Diaphragm ultrasonography enables noninvasive bedside assessment of diaphragmatic structure and function. However, longitudinal changes in diaphragm ultrasound parameters across different respiratory support modalities remain i...

  • Review
  • Open Access
601 Views
29 Pages

Lung Ultrasound in Bronchopulmonary Dysplasia: Diagnostic Tool, Prognostic Marker or Monitoring Strategy?

  • Ilaria Bucci,
  • Dorina Hoxha,
  • Chiara Rosolia Capasso,
  • Sabrina Di Pillo,
  • Francesco Chiarelli,
  • Marina Attanasi and
  • Paola Di Filippo

18 August 2026

Bronchopulmonary dysplasia (BPD) remains one of the leading chronic respiratory complications of extreme prematurity despite major advances in neonatal intensive care. Current diagnostic definitions are primarily based on respiratory support requirem...

(This article belongs to the Special Issue Applications of Point-of-Care Ultrasound (POCUS) in Neonates and Children: A Paradigm Shift)
  • Article
  • Open Access
355 Views
10 Pages

Self-Esteem as a Predictor of Dental Anxiety in Turkish Children: A Cross-Sectional Study

  • Aybike Memiş,
  • Yasemin Akın,
  • Merve Demirkoparan and
  • Didem Atabek

18 August 2026

Background: Dental anxiety is a prevalent condition in pediatric oral healthcare and linked with multiple etiologic factors. Although sociodemographic factors are frequently examined, the influence of internal psychological constructs such as self-es...

(This article belongs to the Section Pediatric Dentistry & Oral Medicine)
  • Article
  • Open Access
333 Views
14 Pages

18 August 2026

Background/Objectives: Adolescence is a dynamic neurodevelopmental period during which structured language performance may reflect ongoing biological reorganization processes. This study examined whether inflammatory, nutritional, and hormonal biomar...

(This article belongs to the Special Issue Lifestyle Factors and Cognitive Development in Children)
  • Article
  • Open Access
309 Views
13 Pages

Early Postoperative Intra-Abdominal Pressure and Heart Rate in Relation to Time to Trophic Enteral Feeding After Posterolateral Congenital Diaphragmatic Hernia Repair: An Exploratory Cohort Study

  • Raluca-Alina Gogolan,
  • Catalin-Gabriel Cirstoveanu,
  • Ana-Mihaela Bizubac,
  • Mariana-Carmen Heriseanu,
  • Carmina Nedelcu,
  • Adrian-Iustin Georgevici and
  • Nicolae Sebastian Ionescu

18 August 2026

Background: Advances in neonatal intensive care have improved survival in congenital diaphragmatic hernia (CDH), shifting the clinical focus toward long-term complications such as feeding difficulties. Initiation of enteral feeding varies across cent...

(This article belongs to the Special Issue Advances and Challenges in Neonatal Surgery for Congenital Malformations)
  • Article
  • Open Access
511 Views
13 Pages

Ratio That Reveals Risk: Defining TG:HDL-C Ratio Cutoff for Insulin Resistance in Adolescents with Obesity

  • Ahmad Kamil Nur Zati Iwani,
  • Muhammad Yazid Jalaludin,
  • Abqariyah Yahya,
  • Shazana Rifham Abdullah,
  • Liyana Ahmad Zamri,
  • Fazliana Mansor,
  • Janet Yeow Hua Hong and
  • Abdul Halim Mokhtar

18 August 2026

Background/Objectives: Insulin resistance (IR) plays a central role in metabolic dysfunction and elevates the risk of chronic diseases such as type 2 diabetes mellitus in later life. Early identification of IR in adolescents is therefore important. T...

(This article belongs to the Special Issue Endocrine and Metabolic Health in School-Aged Children)
  • Article
  • Open Access
450 Views
13 Pages

Online-Initiated Contact and Child Sexual Abuse Severity: A Forensic Cross-Sectional Study

  • Fatmagül Aslan,
  • Halit Canberk Aydogan,
  • Hacer Yaşar Teke,
  • Işıl Pakiş and
  • Deniz Özel

18 August 2026

Background/Objectives: Digital technologies have created new pathways through which perpetrators can initiate contact with children, yet evidence directly comparing child sexual abuse (CSA) cases according to the mode of first contact between the vic...

(This article belongs to the Section Global Pediatric Health)
  • Article
  • Open Access
349 Views
15 Pages

18 August 2026

Background/Objectives: This retrospective study aimed to evaluate the association between decayed, missing, and filled teeth (DMFT) scores and sinonasal anatomical variations, including Haller cells, concha bullosa, and the direction and severity of...

(This article belongs to the Section Pediatric Dentistry & Oral Medicine)
  • Review
  • Open Access
781 Views
12 Pages

Sensory Processing and Perceptual Alterations in Children Born Preterm: A Scoping Review

  • Clarissa de Oliveira Ruback,
  • Camila Barros Moreira,
  • Carla Trevisan Martins Ribeiro and
  • Maria Dalva Barbosa Baker Meio

18 August 2026

Background and objectives: Children born prematurely are more likely to have altered sensory profiles, which can affect family and school functioning. This scoping review aimed to analyze the relationship between prematurity and the development of at...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
522 Views
21 Pages

Territorial Socioeconomic Vulnerability and Clinical Outcomes in Pediatric Cancer at a Colombian Referral Center

  • Claudia Galeano-Páez,
  • Ana Peñata-Taborda,
  • Hugo Brango,
  • Pamela Londoño-García,
  • Javier Ospina-Martínez,
  • Jaime Polo,
  • Gabriela Jaramillo-Bedoya and
  • Lyda Espitia-Pérez

18 August 2026

Background/Objectives: Childhood cancer outcomes are influenced by clinical, socioeconomic, and territorial factors, particularly in resource-limited settings. This study characterized pediatric cancer patients from Córdoba and Sucre, Colombia...

(This article belongs to the Special Issue Social and Environmental Determinants of Health Care and Outcomes Among Children with Cancers)
  • Case Report
  • Open Access
324 Views
7 Pages

17 August 2026

Background/Objectives: The minimally invasive repair of pectus excavatum (MIRPE) and its modifications represent the gold standard for surgical repair of chest wall deformities. Severe complications during or after MIRPE are rare but likely underrepo...

(This article belongs to the Section Pediatric Surgery)
  • Article
  • Open Access
301 Views
9 Pages

17 August 2026

Objective: We aimed to evaluate the association between preoperative ultrasound features, dynamic changes, and ovarian outcomes in neonatal ovarian torsion, and to compare ovarian survival across ultrasound subgroups. Methods: This retrospective stud...

(This article belongs to the Section Pediatric Surgery)
  • Article
  • Open Access
503 Views
15 Pages

17 August 2026

Background/Objectives: Problematic social media use (PSMU) has become an increasingly important mental health concern among adolescents and young adults. This study aimed to examine the mediating role of psychological inflexibility (PI) in the relati...

(This article belongs to the Special Issue Digital Media Risks and Psychological Adjustment in Child and Adolescence: Cyberbullying, Problematic Use, and Mental Health)
  • Article
  • Open Access
374 Views
21 Pages

17 August 2026

Background: Prenatal diagnosis of congenital heart defects (CHD) is important for perinatal planning, yet the gestational week at which CHD is diagnosed varies considerably. In referred cohorts, diagnostic timing may be influenced by maternal, fetal,...

(This article belongs to the Special Issue Screening and Diagnostics of Fetal and Neonatal Malformations)
  • Article
  • Open Access
383 Views
23 Pages

Particular Aspects of Cardiac Rhythm Disorders in Symptomatic Children and Adolescents

  • Georgiana Bianca Constantin,
  • Iuliana Moraru,
  • Cristina Șerban,
  • Mădălin Guliciuc,
  • Raul Mihailov and
  • Bogdan Ioan Ștefănescu

17 August 2026

Background: Cardiac arrhythmias in children and adolescents may present with nonspecific symptoms such as precordial pain, palpitations, and syncope. We evaluated the clinical characteristics and rhythm findings of symptomatic pediatric patients and...

(This article belongs to the Section Pediatric Cardiology)
  • Article
  • Open Access
396 Views
26 Pages

17 August 2026

Background: Previous Australian child developmental assessment service (CDAS) cohorts have identified a small proportion of children experiencing extreme waiting times (≥730 days) for standardised developmental assessments. However, factors associ...

(This article belongs to the Special Issue Health Care in Children with Disabilities)
  • Article
  • Open Access
357 Views
12 Pages

16 August 2026

Background: As a highly prevalent chronic non-communicable disease in children and teens, dental caries continues to be a major global public health issue. Effective prevention and planning rely heavily on the systematic monitoring of oral health at...

(This article belongs to the Section Pediatric Dentistry & Oral Medicine)
  • Project Report
  • Open Access
376 Views
11 Pages

16 August 2026

Background: The purpose of this paper is to describe lessons learned from a clinical program that was developed to serve adolescents who experienced ABI in childhood during their transition to adulthood by providing insights to achieve good health an...

(This article belongs to the Section Global Pediatric Health)
  • Article
  • Open Access
298 Views
8 Pages

15 August 2026

Introduction: We retrospectively assessed preoperative cardiac autonomic regulation in neonates with TGA who subsequently underwent arterial switch operation. Materials and Methods: Neonates treated between 1 January and 31 December 2024 were studied...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
411 Views
16 Pages

Acute and Recurrent Pancreatitis in Children: Insights into Etiology and Clinical Course from a Retrospective Single-Center Study

  • Alexandra Mititelu,
  • Alina Grama,
  • Gabriel Bența,
  • Alexandru-Ștefan Niculae and
  • Tudor Lucian Pop

15 August 2026

Background/Objectives: Pediatric acute pancreatitis (AP) is increasingly recognized as a clinically significant disease, yet Central and Eastern European cohort data remain limited. Acute recurrent pancreatitis (ARP) affects a substantial proportion...

(This article belongs to the Section Pediatric Gastroenterology and Nutrition)
  • Article
  • Open Access
293 Views
14 Pages

Neurocognitive, Social-Cognitive and Quality of Life Differences in Children with Advanced Heart Failure: A Single-Center Cross-Sectional Study

  • Didem Celik,
  • Aysen Yaprak Kapkin,
  • Nazli Burcu Ozbaran,
  • Nagehan Demiral,
  • Zulal Ulger Tutar,
  • Umit Kahraman,
  • Osman Nuri Tuncer,
  • Ahmet Daylan,
  • Yüksel Atay and
  • Mustafa Ozbaran
  • + 2 authors

15 August 2026

Background: Children with heart failure (HF) are at risk of cognitive and psychiatric problems, and reduced health-related quality of life (QoL), yet data remain limited. This study compared neurocognition, social cognition, health-related quality of...

(This article belongs to the Section Pediatric Cardiology)
  • Review
  • Open Access
579 Views
16 Pages

Delayed Diagnosis and Missed Opportunities for Early Autism Identification in Brazil: An Exploratory Scoping Review

  • Bianca Teeny Sallum,
  • Monaliza Ehlke Ozorio Haddad,
  • Maria Gabriela Custódio de Figueiredo,
  • Tiago S. Bara,
  • Vanessa Furlin and
  • Mara L. Cordeiro

15 August 2026

Background/Objectives: Timely identification of autism spectrum disorder (ASD) is essential for access to early intervention; however, diagnostic delay remains a persistent challenge. Methods: This scoping review synthesized evidence from eight studi...

(This article belongs to the Section Pediatric Neurology & Neurodevelopmental Disorders)
  • Article
  • Open Access
1 Citations
359 Views
21 Pages

Chronological Age and Adaptive Outcomes Following Neuropsychomotor and Aquatic Interventions in Children with Autism: A Secondary Analysis

  • Martina Gnazzo,
  • Giuditta Bargiacchi,
  • Valentina Baldini,
  • Maria Esposito,
  • Rosa Passerini,
  • Emanuela Varriale,
  • Francesco Cerroni,
  • Eva Germanò,
  • Agata Maltese and
  • Marco Carotenuto
  • + 9 authors

14 August 2026

Background: Autism Spectrum Disorder (ASD) can be conceptualized not as a static condition but as a dynamic disorder of developmental regulation, in which neuroplastic potential is translated into functional gains only through structured, experience-...

(This article belongs to the Special Issue Evaluating the Impact of Interventions on Developmental Outcomes in Children with Autism Spectrum Disorder (ASD))
  • Article
  • Open Access
416 Views
19 Pages

Longitudinal Changes in Peripheral Refraction, Lag and Axial Length in Myopic Children Treated with Orthokeratology: A 12-Month Prospective Study

  • Laura Batres,
  • Julia Bodas-Romero,
  • Cristina Arroyo-del Arroyo,
  • María Serramito,
  • Paloma Porras-Ángel,
  • Patricia González-Diaz,
  • Laura Valencia-Nieto and
  • Gonzalo Carracedo

14 August 2026

Background/Objectives: High accommodative lag and relative peripheral hyperopic defocus during near work have been proposed as potential contributors to myopia progression. Orthokeratology (OK) reshapes the cornea to provide central correction while...

(This article belongs to the Special Issue Current Strategies in Myopia Prevention and Management for Children and Adolescents)
  • Article
  • Open Access
319 Views
23 Pages

Multidimensional Social Interaction and School Refusal Tendency Among Elementary and Junior High School Students: A Three-Year Longitudinal Study with an Exploratory Indirect-Association Analysis

  • Ruifeng Zhao,
  • Haotian Gao,
  • Yixin Sun,
  • Mengxuan Wang,
  • Shuanghong Li,
  • Jinrui Zhang,
  • Ruoyu Zhou,
  • Yanlin Wang,
  • Ying Huang and
  • Tokie Anme
  • + 2 authors

14 August 2026

Background/Objectives: School refusal tendency is an important school adaptation issue, but its upstream psychosocial correlates remain insufficiently understood. We examined whether baseline multidimensional social interaction was prospectively asso...

(This article belongs to the Section Pediatric Mental Health)
  • Article
  • Open Access
614 Views
22 Pages

Factors Influencing Successful Breastfeeding: A Regional Survey and Comparative Review in European and Global Contexts

  • Pasqua Anna Quitadamo,
  • Matteo Rinaldi,
  • Simona Pesce,
  • Laura Comegna,
  • Michele Bisceglia,
  • Gianfranco Maffei,
  • Luigi Corvaglia and
  • Mariella Elisabetta Baldassarre

14 August 2026

Background/Objectives: Breastfeeding is universally recognized as essential for neonatal health, offering benefits that extend into later life stages. The World Health Organization (WHO) advocates for increasing access to effective, low-cost interven...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
988 Views
13 Pages

Combined Letrozole and Growth Hormone Therapy in Late-Pubertal Males with Advanced Bone Age and Open Knee Physes

  • Hui Zhang,
  • Pengxiang Zhou,
  • Yunpu Cui,
  • Xuemei Wang,
  • Huiqiang Liu,
  • Jinfang Yuan,
  • Hua Zhang,
  • Rongsheng Zhao,
  • Tongyan Han and
  • Xinli Wang

14 August 2026

Background/Objectives: The therapeutic window for growth hormone (GH) therapy in late-pubertal males with advanced bone age (BA ≥ 15 years) is generally considered closed. Yet, open knee physes may indicate residual growth potential. This single-a...

(This article belongs to the Special Issue Endocrine and Metabolic Health in School-Aged Children)
  • Systematic Review
  • Open Access
937 Views
23 Pages

14 August 2026

Background: Sports injuries in children and adolescents may affect physical health, emotional well-being, sleep, quality of life, confidence, sport participation, and readiness to return to sport. Objective: This systematic review synthesized evidenc...

(This article belongs to the Special Issue Addressing Challenges in Child Mental Health Research and Strategies for Comprehensive Development (2nd Edition))
  • Article
  • Open Access
320 Views
13 Pages

Continuing Trend of Increased Operative Treatment of Clavicle Fractures in Pediatric Patients in the United States Despite a Lack of Supporting Evidence in the Literature

  • Mahara Mohseni,
  • Jad Lawand,
  • Alireza Mirahmadi,
  • Rohit Siddabattula,
  • David Momtaz,
  • Kaveh Momenzadeh,
  • Abdullah Ghali,
  • Mohammad Javad Shariyate and
  • Pooya Hosseinzadeh

14 August 2026

Introduction: Pediatric clavicle fractures are among the most common fractures in this age group. Current research supports the efficacy of nonoperative treatment for these injuries in pediatric patients. Our study seeks to examine the current trends...

(This article belongs to the Special Issue Pediatric Orthopaedic Trauma: Evolving Surgical Indications and Techniques)
  • Article
  • Open Access
369 Views
16 Pages

Moderate-to-Vigorous Physical Activity and School Engagement in Adolescents Attending Rural and Urban Schools in Southern Spain

  • José Luis Solas-Martínez,
  • Pablo Ramírez-Espejo,
  • Rosa Gómez-Martínez and
  • Alberto Ruiz-Ariza

13 August 2026

Background/Objectives: Adolescence is a key period for the development of physical activity habits and school-related behaviors. Moderate-to-vigorous physical activity (MVPA) has been associated with cognitive and educational outcomes, but its relati...

(This article belongs to the Special Issue Promotion of Physical Activity in Children and Adolescents from the School Setting: Present and Future Challenges)
  • Article
  • Open Access
341 Views
10 Pages

Safety and Effectiveness of ERCP in the Pediatric Population: A Tertiary Care Center Experience

  • Dario Ligresti,
  • Dario Quintini,
  • Lucio Carrozza,
  • Gabriele Rancatore,
  • Margherita Pizzicannella,
  • Marco Giacchetto,
  • Maria Vittoria Grassini,
  • Giacomo Emanuele Maria Rizzo,
  • Gaetano Burgio and
  • Ilaria Tarantino
  • + 5 authors

13 August 2026

Background and Aim: Pediatric ERCP remains significantly less studied compared to its application in adults, particularly in infants, due to the limited procedural volume. This study aims to evaluate the indications, procedural specifics, technical s...

(This article belongs to the Topic Evolving Role of Endoscopy in Adult and Pediatric Gastrointestinal Disorders)

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