Global pediatrics最新文献

{"title":"Early bone health: exploring relationship between oxidative stress and skeletal development in newborn infants","authors":"Serafina Perrone ,&nbsp;Laura Cannavò ,&nbsp;Virginia Beretta ,&nbsp;Elena Scarpa ,&nbsp;Serena Benedetti ,&nbsp;Chiara Petrolini ,&nbsp;Vincenzo Raitano ,&nbsp;Domenico Corica ,&nbsp;Tommaso Aversa ,&nbsp;Maria Cristina Albertini ,&nbsp;Andrea Dall’Asta ,&nbsp;Maria Elisabeth Street ,&nbsp;Tullio Ghi ,&nbsp;Silvia Carloni ,&nbsp;Malgorzata Wasniewska","doi":"10.1016/j.gpeds.2025.100292","DOIUrl":"10.1016/j.gpeds.2025.100292","url":null,"abstract":"<div><div>Bone health during childhood is critical for proper skeletal development and long-term quality of life. The process of bone formation relies on a balance of mineralization and cellular activity, which is regulated by oxidative stress (OS). While physiological levels of reactive oxygen species (ROS) are important for normal bone cell function and homeostasis, excessive OS can contribute to the development of bone diseases, such as osteoarthritis and osteoporosis. Enzymes like xanthine oxidoreductase are involved in amplifying ROS production, which can lead to cartilage degradation and disrupted bone remodeling. Despite increasing recognition of OS as a risk factor in adult skeletal health, its impact on fetal and neonatal bone development remains underexplored. In vitro and animal model studies, including those using free radicals exposure, have been performed to understand how OS impairs osteogenesis.</div><div>This review examines the role of OS in perinatal bone development analyzing key environmental risk factors and the potential long-term consequences of early-life redox imbalance on skeletal health.</div><div>The sensitivity of the fetal bone to OS suggests that oxidative damage during this critical period can result in impaired bone growth, low birth weight, and long-term skeletal disorders. Oxidative stress interferes with osteoblast differentiation, enhances adipocyte formation from mesenchymal stem cells, and stimulates osteoclast activity, leading to bone resorption. Clinical studies on the impact of OS on neonatal bone metabolism remain limited. Identifying key risk factors for early-life redox imbalance could be crucial in developing potential antioxidant therapies to support skeletal health during childhood</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100292"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping strategies, anxiety and self-efficacy among participants in neonatal resuscitation courses for instructors","authors":"Francesca Saretta ,&nbsp;Laura Polloni ,&nbsp;Francesco Cavallin ,&nbsp;Giuseppe De Bernardo ,&nbsp;Paolo Ernesto Villani ,&nbsp;Rossana Schiavo ,&nbsp;Daniele Trevisanuto","doi":"10.1016/j.gpeds.2025.100291","DOIUrl":"10.1016/j.gpeds.2025.100291","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate coping strategies, anxiety and self-efficacy among participants in Neonatal Resuscitation Courses for instructors.</div></div><div><h3>Methods</h3><div>Cross-sectional study. Sixty-four participants in two Neonatal Resuscitation Courses for Instructors were assessed by using validated questionnaires.</div></div><div><h3>Results</h3><div>Overall, self-efficacy and functional coping strategies were moderate/high, while levels of anxiety were quite low. Self- efficacy was positively correlated with positive attitude (<em>r</em> = 0.29; <em>p</em> = 0.02) and problem solving (<em>r</em> = 0.44; <em>p</em> &lt; 0.01) and inversely correlated with avoidance strategies (<em>r</em>=-0.30; <em>p</em> = 0.01) and anxiety (trait <em>r</em>=-0.47; <em>p</em> &lt; 0.01; state <em>r</em>=-0.35; <em>p</em> = 0.01). Emotional maturity was positively correlated with positive attitude (<em>r</em> = 0.42; <em>p</em> &lt; 0.01) and problem solving (<em>r</em> = 0.45; <em>p</em> &lt; 0.01) and inversely correlated with anxiety (trait -0.51; <em>p</em> &lt; 0.01; state <em>r</em>=-0.34; <em>p</em> = 0.01). Finalization of action was positively correlated with problem solving (<em>r</em> = 0.40; <em>p</em> &lt; 0.01) and inversely correlated with avoidance strategies (<em>r</em>=-0.34; <em>p</em> = 0.01) and trait anxiety (<em>r</em>=-0.32; <em>p</em> = 0.01). Relational fluidity was positively correlated with turning to religion (<em>r</em> = 0.28; <em>p</em> = 0.03) and inversely correlated with avoidance strategies (<em>r</em>=-0.31; <em>p</em> = 0.01), and trait anxiety (<em>r</em>=-0.42; <em>p</em> &lt; 0.01). Context analysis was positively correlated with problem solving (<em>r</em> = 0.34; <em>p</em> = 0.01) and inversely correlated with state anxiety (<em>r</em>=-0.36; <em>p</em> &lt; 0.01). Problem solving was significantly higher in doctors compared to nurses (<em>p</em> = 0.01).</div></div><div><h3>Conclusions</h3><div>Neonatal resuscitation instructor candidates displayed high self-efficacy and functional coping strategies, with low anxiety levels. This may help professionals to better deal with stressful and demanding situations and reinforce adaptive work management.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100291"},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The unseen burden: Challenges by children and adolescents in witness protection programs in western countries","authors":"Pietro Ferrara ,&nbsp;Margherita Zona ,&nbsp;Ignazio Cammisa ,&nbsp;Ida Giardino ,&nbsp;Maria Pastore ,&nbsp;Mehmet Vural ,&nbsp;Massimo Pettoello-Mantovani ,&nbsp;Francesca Scaltrito ,&nbsp;Clara Pettoello-Mantovani","doi":"10.1016/j.gpeds.2025.100288","DOIUrl":"10.1016/j.gpeds.2025.100288","url":null,"abstract":"<div><div>Witness Protection Programs are indispensable tools in the fight against organized crime, designed to safeguard individuals whose testimonies are crucial for justice. While these programs have demonstrated remarkable success in ensuring the physical safety of adult witnesses, the profound and often unaddressed challenges faced by accompanying children and adolescents represent a critical oversight. This article examines the multifaceted psychosocial, familial, educational, and societal hurdles encountered by children and adolescents relocated within western witness protection programs, focusing in particular on Europe and the US. Drawing upon existing literature, this report elucidates the cumulative trauma, identity disruption, social isolation, and educational instability inherent in their experiences. The analysis reveals a historical underestimation of children's unique vulnerabilities and rights within these programs. Recommendations emphasize the urgent need for a paradigm shift towards child-centric and family-focused western witness protection programs, advocating for holistic assessment, integrated mental health services, prioritized educational continuity, proactive social integration strategies, community engagement, enhanced professional training, and robust long-term research to ensure the comprehensive well-being of this exceptionally vulnerable population.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100288"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The silent wounds of war: Psycho-physical impacts and international legal implications for children in conflict zones","authors":"Pietro Ferrara ,&nbsp;Margherita Zona ,&nbsp;Ida Giardino ,&nbsp;Francesca Scaltrito ,&nbsp;Clara Pettoello-Mantovani ,&nbsp;Ignazio Cammisa","doi":"10.1016/j.gpeds.2025.100287","DOIUrl":"10.1016/j.gpeds.2025.100287","url":null,"abstract":"<div><div>Children exposed to war confront a distinct array of adversities that extend far beyond the immediate threats of violence and displacement. While the direct consequences—such as physical harm, the loss of loved ones, and the destruction of homes—are profoundly distressing, the more insidious and enduring damage often stems from the disruption of critical developmental processes. Armed conflict undermines the foundational elements required for healthy childhood development, including emotional security, consistent caregiving, education, accessible healthcare, stable social networks, and physical safety. The psychological impact of living in, or fleeing from, conflict zones infiltrates all aspects of a child's life. The breakdown of community infrastructure, forced displacement, and prolonged uncertainty severely limit opportunities for peer interaction, structured play, and social learning—experiences that are vital for shaping self-concept, empathy, and emotional regulation. In environments where fear, mistrust, and violence become normalized, children may struggle to form secure attachments or to envision a hopeful future. It is widely recognized that environmental and contextual factors exert a profound influence on children's developmental trajectories, encompassing cognitive, emotional, and physical domains. Research consistently highlights the role of neighborhood safety, access to healthcare and education, and socioeconomic stability in shaping developmental outcomes. At the neurobiological level, chronic exposure to stress activates regulatory systems such as the hypothalamic–pituitary–adrenal (HPA) axis, which, when persistently engaged, can interfere with brain maturation. This dysregulation is often associated with impairments in memory, attention, language acquisition, and executive functioning, and with increased susceptibility to internalizing disorders such as post-traumatic stress disorder (PTSD), anxiety, depression, and attachment-related difficulties.</div><div>Physiologically, prolonged stress can weaken immune function, disturb sleep patterns, hinder somatic growth, and elevate the risk of both acute health problems and chronic diseases. The pervasive and multi-dimensional impact of war on children calls not only for academic inquiry but also for immediate ethical and policy responses. This article emphasizes that a nuanced understanding of trauma's effects across developmental systems is critical to inform targeted, trauma-responsive interventions.</div><div>The aim is to raise attention on the importance of establishing effective strategies, which must prioritize not only the treatment of individual symptoms but also broader efforts aimed at prevention and systemic recovery, thereby fostering resilience and contributing to the long-term rehabilitation of communities affected by conflict.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100287"},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Montenegro Charter for the protection and recovery of children in disasters","authors":"Neboija Kavaric ,&nbsp;Joseph Haddad ,&nbsp;Massimo Pettoello-Mantovani","doi":"10.1016/j.gpeds.2025.100286","DOIUrl":"10.1016/j.gpeds.2025.100286","url":null,"abstract":"<div><div>The Charter was jointly developed by EPA-UNEPSA and the International Pediatric Association (IPA) through the contributions of ideas and recommendations from presidents and delegates of European National Pediatric Societies who participated in the 2nd EPA-UNEPSA Hot Topics International Meeting held in Budva, Montenegro, on June 12, 2025 in collaboration with the Association for Preventive Pediatrics of Montenegro,: Giuseppe Buonocore, former President, Italian Academy of Pediatrics; Robert Cohen, President, Conseil National Professionnel de Pédiatrie, Association Française de Pédiatrie Ambulatoire; Pietro Ferrara vice-President, Italian Society of Pediatrics; Hilary Hoey, former President, Faculty of Paediatrics, Royal College Physicians Ireland; Esin Koc, President, Turkish Neonatal Society &amp; the Union of European Neonatal and Perinatal Societies (UENPS); Georgios Konstantinidis, President, Serbian Pediatric Association; Georgina Kuli Lito, President, Albanian Society of Pediatrics; Hajrija Maksić, President, BIH Pediatric Association; Aida Mujkić, President, Pediatric Society of Croatia; Leyla Namazova, President UPR; Tudor Pop, President, Romanian Society of Preventive Pediatrics; Beiqi Ramus, President, Kosovo Pediatric Association; Aspazija Sofijanova, President, N.Macedonia Pediatric Association; Eli Somekh, former President, Israeli Pediatric Association; Tarana Taghi-zada, President, Azerbaijan Pediatric Association &amp; Vice president, Eurasian Federation Children's Doctors; Stephen Turner, President, Royal College of Paediatrics and Child Health, UK; Mehmet Vural, former President, Turkish Pediatric Association. The International Pediatric Association (IPA) and EPA-UNEPSA gratefully acknowledge their invaluable contributions.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100286"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International legal implications for children in conflict zones","authors":"Clara Pettoello-Mantovani ,&nbsp;Margherita Zona ,&nbsp;Francesca Scaltrito ,&nbsp;Ignazio Cammisa ,&nbsp;Ida Giardino ,&nbsp;Pietro Ferrara","doi":"10.1016/j.gpeds.2025.100285","DOIUrl":"10.1016/j.gpeds.2025.100285","url":null,"abstract":"<div><div>This article examines the unique vulnerability of children in armed conflict, emphasizing the interplay between their developmental stage, inherent dependency, and evolving legal status. It explores the international legal framework for child protection, which integrates International Humanitarian Law, International Human Rights Law, and International Criminal Law to mitigate the impacts of conflict and ensure accountability for violations. Despite the existence of robust legal instruments, a persistent gap remains between legal norms and their effective implementation, resulting in ongoing harm to children. The article highlights how international law not only prohibits acts such as killing, maiming, and attacks on schools and hospitals but also mandates obligations for recovery, reintegration, and access to health and education—implicitly addressing the psycho-physical harm children endure. Arguing that legal understanding must extend beyond legal professionals to include healthcare providers, the article calls for interdisciplinary collaboration to protect children more effectively. It concludes by advocating for the integration of Mental Health and Psychosocial Support (MHPSS) as an explicit and adequately resourced component of the right to health in humanitarian responses, to address the full spectrum of children's needs in conflict settings.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100285"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the motor proficiency and physical capacity of asthmatic children and adolescents: A cross-sectional study","authors":"Josiane G Luiz ,&nbsp;Évelim Leal de Freitas Dantas Gomes ,&nbsp;Manoella Cavalcante de Andrade ,&nbsp;Dirceu Costa","doi":"10.1016/j.gpeds.2025.100284","DOIUrl":"10.1016/j.gpeds.2025.100284","url":null,"abstract":"<div><h3>Background</h3><div>Exercise restrictions due to asthma are associated with a sedentary lifestyle and reduced physical activity. Based on the limited data available in the literature, improvements in motor proficiency among individuals with respiratory diseases may be related to increased physical activity and better performance in activities of daily living. Therefore, the aim of this study was to evaluate motor proficiency and its association with aerobic capacity in children and adolescents with asthma.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted. Motor proficiency was evaluated using the Movement Assessment Battery for Children – 2nd edition (MABC-2). Aerobic capacity was assessed using the Modified Shuttle Walk Test (MSWT). Asthma control was determined using the Asthma Control Questionnaire (ACQ6).</div></div><div><h3>Results</h3><div>Fifty participants not engaged in regular physical activity (25 with asthma and 25 controls) were evaluated. The mean age was 7.7 ± 2.65 years in the asthma group (AG) and 10.9 ± 3.89 years in the control group (CG). Both groups performed below predicted values in the MSWT (58.7 ± 21.3 % AG and 66.8 ± 29.2 % CG). The AG performed significantly worse than the CG on the aiming and catching subscale of the MABC-2 (15.4 ± 5.23 and 20.1 ± 7.06, <em>p</em> = 0.01, respectively). Moreover, a moderate negative correlation was found between manual dexterity and asthma control (<em>r</em> = -0.51, <em>p</em> = 0.02). Each 9.79-point increase in the MABC-2 manual dexterity subscale was associated with a 1.72-point reduction in the ACQ6.</div></div><div><h3>Conclusions</h3><div>Low aerobic capacity appears to negatively impact balance, and poor asthma control appears to negatively affect manual dexterity in the AG. Moreover, the AG had worse performance in aiming and catching compared to the CG.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100284"},"PeriodicalIF":0.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of photography for qualitative data collection with adolescent mothers: a scoping review","authors":"Daniela de Castro Barbosa Leonello ,&nbsp;Giovanna Ushirobira Souza ,&nbsp;Rhyquelle Rhibna Neris ,&nbsp;Giovanna Cristina Machado Kayzuka ,&nbsp;Marina Prado de Souza ,&nbsp;Adriana Moraes Leite","doi":"10.1016/j.gpeds.2025.100283","DOIUrl":"10.1016/j.gpeds.2025.100283","url":null,"abstract":"<div><h3>Introduction</h3><div>Photography has been increasingly explored in data collection processes, as it enriches the process and allows the interviewee to take on the role of protagonist [1]. Among the methods that use images, <em>Photovoice</em> and Photo-Elicitation stand out in qualitative research [2]. The objective of this research was to map the development of Photo-Elicitation and <em>Photovoice</em> methods with adolescent mothers as data collection techniques.</div></div><div><h3>Methods</h3><div>A scoping review was conducted from August to October 2024. The guiding question formulated was: \"How have Photo-Elicitation and <em>Photovoice</em> been developed with adolescent mothers as a data collection method?\". The search strategy included LILACS, PubMed, CINAHL, and <em>Web of Science</em>.</div></div><div><h3>Results</h3><div>A total of 46 articles were found, mostly published in English. Ten were selected after full-text reading.</div></div><div><h3>Conclusion</h3><div>The literature converges in considering Photo-Elicitation and <em>Photovoice</em> as visual and interactive resources that facilitate the communication of adolescent mothers' experiences.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"14 ","pages":"Article 100283"},"PeriodicalIF":0.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food and housing insecurity, adverse childhood experiences, and pediatric emergency department use","authors":"Raymen R. Assaf ,&nbsp;Theodore Heyming ,&nbsp;Tricia Morphew ,&nbsp;Kellie Bacon ,&nbsp;Shelby Shelton ,&nbsp;Jason A. Douglas","doi":"10.1016/j.gpeds.2025.100282","DOIUrl":"10.1016/j.gpeds.2025.100282","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the relationship between neighborhood-level <em>repression-adverse childhood experiences (ACEs)</em> (family member incarceration, community violence, discrimination), food and housing insecurity, and pediatric emergency department (ED) utilization.</div></div><div><h3>Methods</h3><div>The measured exposures were food/housing insecurity, <em>repression-ACEs</em>, and childhood opportunity index (COI 3.0) based on caregiver/patient surveys and home address. The primary outcome was ED visits 12 months before and after the ED index visit. Multivariable regression models examined associations between the exposures and annual ED visit rates per 100 patients, adjusting for potential confounders.</div></div><div><h3>Results</h3><div>From March 2021 - May 2023 6228 patients (range 0–22 years) had an index ED visit. 64.9 % were Hispanic, 7.0 % Asian, 1.9 % Black, 7.0 % Other/multiple races, and 19.1 % White. Of the participants, 11.6 % had a <em>repression-ACE</em>; 22.3 % food or housing insecurity, and average COI was moderate (53.3, SD = 23.8). Food and housing insecurity were higher among Black (29.0 %) and Hispanic (26.3 %) participants (<em>p</em> &lt; 0.001). Very low to moderate COI was highest in Black (51.3 %) and Hispanic (77.4 %) participants (<em>p</em> &lt; 0.001). Black participants reported the highest <em>repression-ACEs</em> (25.6 %, <em>p</em> &lt; 0.001). In univariate analyses, food insecurity (RR = 1.12, <em>p</em> = 0.07) and housing insecurity (RR = 1.13, <em>p</em> = 0.04) increased the ED visit rate. Experiencing discrimination increased this rate by 27 %, (RR = 1.27, <em>p</em> = 0.02). The effect of violence exposure (<em>p</em> = 0.03) and family member incarceration (<em>p</em> = 0.07) on ED visit rate varied across racial groups.</div></div><div><h3>Conclusions</h3><div><em>Repression-ACEs</em> interact with race and ethnicity and social inequities (food/housing insecurity, COI) in shaping ED utilization. Impacts of ACEs on children’s health continue to shape inequities in pediatrics while defining areas for action.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"13 ","pages":"Article 100282"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal umbilical hernia: A simple noninvasive technique","authors":"Jayalaxmi Shripati Aihole","doi":"10.1016/j.gpeds.2025.100280","DOIUrl":"10.1016/j.gpeds.2025.100280","url":null,"abstract":"<div><h3>Background</h3><div>A congenital umbilical hernia is a common anomaly seen at birth or during infancy, as a small or large umbilical bulge or swelling due to herniation of the bowel or omentum, mostly requiring medical attention. If umbilical fascial ring fails to close and obliterate after the separation of umbilical cord soon after birth, will be clinically presenting as umbilical hernia. Though spontaneous resolution of umbilical hernia is established fact, but however, duration of it, is still a matter of speculation and what should be done during this waiting period: twiddling the thumbs? and how to avoid surgical interventions or morbidities.</div></div><div><h3>Aim and methods</h3><div>Hence author proposes here a conservative, non-invasive management technique by mother herself to help to heal her baby from this anomaly during this watchful expectancy period to avoid fatalities.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"13 ","pages":"Article 100280"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}