Sage open pediatrics..Pub Date : 2026-09-09eCollection Date: 2026-01-01DOI: 10.1177/30502225261490267
Ian Young, April Martino, James Dunning, Joshua Prall, James Escaloni, Firas Mourad
{"title":"Resolution of Refractory Headache Symptoms Following Cervical Spinal Manipulation and Electrical Dry Needling in an Adolescent Female: A Case Report.","authors":"Ian Young, April Martino, James Dunning, Joshua Prall, James Escaloni, Firas Mourad","doi":"10.1177/30502225261490267","DOIUrl":"10.1177/30502225261490267","url":null,"abstract":"<p><p>Cervicogenic headache (CGH) in adolescents is poorly understood. The overlap in signs and symptoms between CGH, tension-type headaches and migraine headaches complicate the differential diagnosis. Furthermore, poor outcomes for CGH with conventional pharmacology is not uncommon. Adolescents presenting with cephalgia should be screened appropriately for cervical etiology. Evidence supports the use of upper cervical spinal manipulation and dry needling for the treatment of CGH in the adult population. However, there is a lack of evidence supporting the diagnosis and treatment of CGH in adolescents. This case report describes the clinical diagnosis and successful management of a 16-year-old female with chronic, frequent episodic CGH that was refractory to polypharmacy. The patient was able to stop taking all medication for her headaches and reported resolution of pain and disability, following 4-weeks of upper-cervical spine thrust manipulation and electrical dry needling.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261490267"},"PeriodicalIF":0.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fathers Involvement in Child Feeding and Its Determinants Among Children Aged 6 to 24 Months in Fiche Town, Central Ethiopia: Evidence From a Community-Based Study.","authors":"Ethiopia Nigusu Tefera, Mathewos Mekonnen, Ayele Tilahun, Degefa Gomora, Belda Negesa Beyene, Derese Eshetu Debela","doi":"10.1177/30502225261487030","DOIUrl":"10.1177/30502225261487030","url":null,"abstract":"<p><p>Fathers involvement in child feeding plays a vital role in improving child nutrition. This study aimed to assess fathers involvement in child feeding and associated factors among children aged 6-24 months in Fiche Town, Central Ethiopia. A community-based cross-sectional study was conducted from July 30 to August 30, 2024, among 415 fathers selected using a systematic random sampling technique. Data were collected using Open Data Kit and analyzed in Stata version 17 using bivariable and multivariable logistic regression. Overall, 45.78% (95% CI: 41.0,50.6) of fathers were engaged in child feeding. Fathers aged 19-30 years (AOR = 1.86; 95% CI: 1.01, 3.42), good knowledge (AOR = 1.53; 95% CI: 1.01, 2.31), and a favorable attitude (AOR =0.49; 95% CI: 0.33, 0.75) were significantly associated with fathers involvement. The level of father's involvement in child feeding was low.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261487030"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-09-03eCollection Date: 2026-01-01DOI: 10.1177/30502225261487576
Esha Habib, Aleena Riaz, Muhammad Hamayal, Khurrum Arif, Sardar Umair, Salma Akram, Raouf Ahmad
{"title":"Tracing the Pathway to Care: Pre-Hospital Delays and In-Hospital Morbidity in Children With Esophageal Atresia and Type-C Tracheoesophageal Fistula.","authors":"Esha Habib, Aleena Riaz, Muhammad Hamayal, Khurrum Arif, Sardar Umair, Salma Akram, Raouf Ahmad","doi":"10.1177/30502225261487576","DOIUrl":"10.1177/30502225261487576","url":null,"abstract":"<p><p>Delays along the referral and care pathway for neonatal tracheoesophageal fistula in low-resource settings remain understudied despite their impact on preventable mortality. This case series was done at Pakistan Institute of Medical Sciences. All neonates with confirmed tracheoesophageal fistula were included in the study, enrolling 15 patients, two of which were excluded. Data collection included admission variables, prehospital and in-hospital care timelines. Misdiagnosis occurred in 46.15% of the cases. Time to correct diagnosis from first health-care contact was shorter in survivors (24) than post-operative non-survivors (48). Survival was 71.4% with private transport, whereas all brought via public transport or ambulance died. Overall, in-hospital mortality was 61.5% including three preoperative deaths and five postoperative deaths, and being frequently associated with sepsis, initial misdiagnosis and NICU unavailability. NICU beds remained unavailable for 7/8 non-survivors throughout. Addressing identified gaps may reduce EA/TEF mortality and establishing registries and structured surveillance are essential in Pakistan.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261487576"},"PeriodicalIF":0.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-09-03eCollection Date: 2026-01-01DOI: 10.1177/30502225261487498
Boko Loka Safayi, Abdisa Haro Guye
{"title":"Measles Vaccination Timeliness and Associated Factors Among Children Aged 9-24 Months in the Bule Hora District, West Guji Zone, Oromia, Southern Ethiopia.","authors":"Boko Loka Safayi, Abdisa Haro Guye","doi":"10.1177/30502225261487498","DOIUrl":"10.1177/30502225261487498","url":null,"abstract":"<p><strong>Background: </strong>Vaccine timeliness is essential for preventing childhood morbidity and mortality; however, measles vaccination programs are often evaluated based on coverage rather than timeliness.</p><p><strong>Objectives: </strong>This study assessed measles vaccination timeliness and its associated factors among children aged 9-24 months in Bule Hora District, Oromia, Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted from May to June 2024 among 361 mother-child pairs selected using systematic random sampling.</p><p><strong>Results: </strong>Timely vaccination was observed in 54% (95% CI: 49.1%-59.4%) for the first dose and 58% (95% CI: 48.3%-67.3%) for the second dose of measles vaccination. Maternal secondary education, longer travel time to a health facility, and absence of PNC were significantly associated with timely MCV vaccination.</p><p><strong>Conclusion: </strong>The findings indicate suboptimal measles vaccination timeliness and highlight the need to strengthen postnatal care and maternal counseling to improve measles vaccination timeliness.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261487498"},"PeriodicalIF":0.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-09-03eCollection Date: 2026-01-01DOI: 10.1177/30502225261487322
Marissa K Olson, Sarah A MacLean, Ramona Cordero, Ivelisse Tavarez, Angie Álvarez Linarez, Danuary Garcia Navarro, Tatidelmis Garcia, Sonia Esteva Yan, Jamirka Mercedes Reyes, Francisca Vázquez, Susannah Anderson, Andrew P Steenhoff, Anabel Fernández, Maria G Dunn
{"title":"Decreased Anemia Rates in a Pediatric Clinic in Consuelo, a Rural Community in the Dominican Republic.","authors":"Marissa K Olson, Sarah A MacLean, Ramona Cordero, Ivelisse Tavarez, Angie Álvarez Linarez, Danuary Garcia Navarro, Tatidelmis Garcia, Sonia Esteva Yan, Jamirka Mercedes Reyes, Francisca Vázquez, Susannah Anderson, Andrew P Steenhoff, Anabel Fernández, Maria G Dunn","doi":"10.1177/30502225261487322","DOIUrl":"10.1177/30502225261487322","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate rates of screening, diagnosis, and treatment of anemia in children in Consuelo, Dominican Republic after implementation of quality improvement measures. Introduction: The Niños Primeros en Salud clinic addresses childhood iron deficiency anemia by: screening hemoglobin (Hb) levels, providing iron therapy (IT), and discussing nutrition. In 2015, 30% of children were screened, and rates were 90%, with 51% receiving IT.</p><p><strong>Methods: </strong>We reviewed medical records for children ages 6-15 months with at least one clinic visit from 2022-2024.</p><p><strong>Results: </strong>Of 308 patients, 176 (57%) had a Hb result. 68 (39%) had anemia. Males had a higher rate than females. Of children diagnosed, 45/68 (66%) received IT. Although screening increased, over 1/3 of children were unscreened. Among those screened, rates decreased to 39%. In children diagnosed, IT initiation increased to 63%.</p><p><strong>Conclusions: </strong>Despite improvements, there is room for additional progress in anemia screening and treatment.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261487322"},"PeriodicalIF":0.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-09-01eCollection Date: 2026-01-01DOI: 10.1177/30502225261483490
Ángela María Hoyos-Quintero, Herney Andrés García-Perdomo
{"title":"Social Determinants of Childhood Mortality: Systematic Review and Meta-Analysis With Complementary Narrative Synthesis of Cultural Factors.","authors":"Ángela María Hoyos-Quintero, Herney Andrés García-Perdomo","doi":"10.1177/30502225261483490","DOIUrl":"10.1177/30502225261483490","url":null,"abstract":"<p><strong>Objective: </strong>To identify social determinants associated with childhood mortality and describe cultural factors.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis of observational studies following MOOSE guidelines. MEDLINE, Embase, ProQuest, Wiley, OpenGrey, Google Scholar, and LILACS were searched through October 2024. Childhood mortality was defined as death before age five. Comparable social determinants were pooled quantitatively, while cultural factors were synthesized narratively.</p><p><strong>Results: </strong>Thirty-two studies were included in the qualitative synthesis and 18 in the meta-analysis, mainly from Africa. Mortality was associated with poverty (OR 2.25), low birth height (OR 1.98), lack of breastfeeding (OR 8.04), poor prenatal care (OR 3.32), and previous child death in the family (OR 4.56). Several estimates showed high heterogeneity. Cultural factors included co-sleeping, women's empowerment, maternal decision-making, ethnicity, and ritual beliefs.</p><p><strong>Conclusions: </strong>Maternal and household conditions were associated with childhood mortality. Evidence on cultural determinants remains limited and heterogeneous.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261483490"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Associated Factors of Developmental Delay Among Under-five Children in Sub-saharan African Countries: A Systematic Review and Meta-Analysis.","authors":"Angefa Ayele, Belayneh Jejaw Abate, Eliyas Addisu Taye, Endalew Minwuye Andargie, Halima Ayalew Kebede, Helen Brhan Alemaw, Sofiya Ayalew Kebede, Ashenafi Solomon Weldeyohanis, Adem Tsegaw Zegeye, Alo Edin","doi":"10.1177/30502225261485776","DOIUrl":"10.1177/30502225261485776","url":null,"abstract":"<p><strong>Background: </strong>Developmental delay (DD) is a major public health concern in Sub-Saharan Africa (SSA). This systematic review and meta-analysis estimated the pooled prevalence of DD and identified associated factors among children in SSA.</p><p><strong>Methods: </strong>Observational studies were identified from PubMed, Google Scholar, CINAHL, Scopus, Cochrane Library, Web of Science, and African Journals Online. Data were analyzed using STATA version 16 with a random-effects model.</p><p><strong>Results: </strong>Pooled prevalence was <b>33.00%</b> (95% CI: 22.00-44.00). Subgroup analysis showed the highest prevalence in South Africa (<b>37.00%; 95% CI: 10.00-73.00</b>). Maternal education (AOR = 0.41; 95% CI: 0.24-0.72), child age (AOR = 0.43; 95% CI: 0.23-0.81), maternal age (AOR = 0.24; 95% CI: 0.10-0.57), and nutritional status (AOR = 3.59; 95% CI: 1.08-11.92) were significantly associated with DD.</p><p><strong>Conclusion: </strong>The pooled prevalence of DD in Sub-Saharan Africa is high. Maternal education, child age, maternal age, and nutritional status were key factors associated with DD. Strengthening early screening, improving maternal education, and promoting optimal child nutrition are essential to reduce the burden of developmental delay.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261485776"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-08-26eCollection Date: 2026-01-01DOI: 10.1177/30502225261486016
Hoan Manh Vu, Hien Duy Pham, My Hoan Pham, Trang Thu Dang, Tri Huu Minh Pham, Nhi Yen Bui, Quang Thanh Nguyen
{"title":"Gastrointestinal Blue Rubber Bleb Nevus Syndrome in Children: A Case Series Across Endoscopic, Surgical, and Medical Management.","authors":"Hoan Manh Vu, Hien Duy Pham, My Hoan Pham, Trang Thu Dang, Tri Huu Minh Pham, Nhi Yen Bui, Quang Thanh Nguyen","doi":"10.1177/30502225261486016","DOIUrl":"10.1177/30502225261486016","url":null,"abstract":"<p><p>Blue Rubber Bleb Nevus Syndrome (BRBNS) is a rare venous malformation disorder causing recurrent gastrointestinal bleeding and severe anemia. We report three children illustrating endoscopic, surgical, and medical management. All presented with melena and transfusion-requiring anemia. Case 1 developed gastric perforation after endoscopic band ligation and underwent emergency primary repair with bowel-preserving excision of accessible lesions, followed by recovery. Case 2 had more than 100 gastrointestinal lesions and underwent lesion-directed wedge resections, achieving transfusion independence and hemoglobin normalization at 1 year. Case 3 had idiopathic extrahepatic portal vein obstruction, portal hypertension, and diffuse mesenteric disease that was not safely resectable; sirolimus was initiated, but intermittent bleeding and transfusion dependence persisted. Management should be individualized according to lesion burden, anatomical extent, procedural risk, and feasibility of bowel-preserving treatment. Surgery remains important for complications and resectable disease, whereas systemic therapy may be required for diffuse unresectable involvement.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261486016"},"PeriodicalIF":0.0,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-08-24eCollection Date: 2026-01-01DOI: 10.1177/30502225261483789
Bipesh Kumar Shah, Sushant Sah, Praveen Pandey, Ajay Kumar Shah
{"title":"Challenges and Complications Following Unsuccessful Rigid Bronchoscopic Retrieval of a Distal Airway Foreign Body: A Pediatric Case Report.","authors":"Bipesh Kumar Shah, Sushant Sah, Praveen Pandey, Ajay Kumar Shah","doi":"10.1177/30502225261483789","DOIUrl":"10.1177/30502225261483789","url":null,"abstract":"<p><p>FBA is <b>the</b> most common cause of accidental mortality among children and <b>infants</b>.Rigid bronchoscopy is gold standard but when it fails, flexible bronchoscopy is recommended as a complementary modality. Here we present a case of a <b>10-month-old</b> child who developed vigorous coughing, cyanosis and loss of consciousness following ingestion of a piece of apple.<b>Initial chest X-ray was non-diagnostic as the aspirated material was radiolucent, and the exact location was subsequently identified on HRCT.</b> Foreign body couldn't be retrieved by rigid bronchoscopy. Flexible bronchoscopy was not subsequently attempted. The child was managed with intensive supportive care and broad-spectrum antimicrobials. This case highlights the diagnostic and therapeutic dilemmas encountered when standard bronchoscopic interventions fail. While conservative management may be forced by technical limitations, it carries significant risks of long-term complications.<b>This case illustrates</b> the potential role of flexible bronchoscopy, and the critical need for long-term follow-up in cases of retained airway foreign bodies.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261483789"},"PeriodicalIF":0.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sage open pediatrics..Pub Date : 2026-08-13eCollection Date: 2026-01-01DOI: 10.1177/30502225261479091
Abdul Basit, Shahzaib Khaliq, Sharaz Ahmed, Saira Khan, Hamza Naeem, Majeed Haq
{"title":"Bivalirudin as an Alternative to Heparin in Pediatric Cardiac Procedures: Evidence, Challenges, and Future Directions.","authors":"Abdul Basit, Shahzaib Khaliq, Sharaz Ahmed, Saira Khan, Hamza Naeem, Majeed Haq","doi":"10.1177/30502225261479091","DOIUrl":"https://doi.org/10.1177/30502225261479091","url":null,"abstract":"<p><p>Unfractionated heparin remains the standard anticoagulant for pediatric cardiac procedures, but its drawbacks in children are hard to ignore. Because it works through antithrombin, its effect is unpredictable, dosing is difficult to titrate, and it carries the risk of heparin-induced thrombocytopenia (HIT). Bivalirudin, a direct thrombin inhibitor, inhibits thrombin without needing antithrombin. The pediatric evidence, though, is thin. Beyond one cardiac surgery trial and a few catheterization studies, most work comes from ECMO, along with growing use in pediatric ventricular assist device (VAD) support, where direct thrombin inhibitors have replaced heparin and now feature in society guidance. These studies show bivalirudin is feasible and predictable, but not that it consistently beats heparin. For now, its clearest role is in children who cannot tolerate heparin or whose anticoagulation is unstable. The field needs multicenter randomized trials, agreed-upon protocols, and monitoring built for children.</p>","PeriodicalId":520921,"journal":{"name":"Sage open pediatrics..","volume":"13 ","pages":"30502225261479091"},"PeriodicalIF":0.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}