Angelman syndrome（AS）is a neurodevelopmental disorder caused by abnormal expression or functional deficiency of the UBE3A gene in the maternal chromosome 15q11~13 region.The main clinical manifestations include developmental delay，speech impairment，motor or balance disorders，happy behaviors（frequent laughing，smiling，or excitability），microcephaly，and epilepsy.Currently，the treatment of AS is primarily symptomatic and supportive.However，significant progress is being made in the development of targeted therapies，including small-molecule compounds and gene therapy.This article reviews the advances in AS treatment from these two perspectives.

When rescuing critically sick newborns，infusion remains one of the vital interventions.The main purpose of infusion is to maintain effective circulatory volume and to improve oxygen supply of tissues，whereas fluid overload（FO）might aggravate the patients' condition.Furthermore，due to the immature functions of various organs and the early physiological weight loss in newborns，FO is prevalent among critically sick newborns，and it is highly likely to be associated with organ dysfunction and adverse clinical outcomes.At present，the management of childhood FO is still controversial，and few researches were reported on neonatal FO.This article reviews the pathogenesis，management，evaluation and intervention of neonatal FO.

In developing countries，non-cystic fibrosis bronchiectasis is more common compared to cystic fibrosis bronchiectasis. Bronchiectasis seriously affects the quality of survival and growth of children，and there is no specific treatment.Azithromycin has anti-inflammatory and broad immunomodulatory effects in addition to antibacterial effects. A number of clinical studies have shown the effectiveness of azithromycin in the treatment of children with non-cystic fibrosis bronchiectasis，but the drug resistance caused by the application of azithromycin and azithromycin-related adverse reactions during the treatment have also attracted attention.This article reviews the application of azithromycin in children with non-cystic fibrosis bronchiectasis.

Respiratory syncytial virus is the leading pathogen of lower respiratory tract infections in children under 5 years of age. Early-life respiratory syncytial virus infection is closely associated with long-term adverse outcomes，including impaired lung function，recurrent wheezing，and asthma. Metabolomics，an emerging systems biology approach，enables the quantitative analysis of dynamic changes in small-molecule metabolites within biological samples，providing critical insights into disease pathogenesis. This article reviews the metabolomic profiles of children with respiratory syncytial virus infection，with a focus on alterations in carbohydrate，lipid，and amino acid metabolism pathways. Additionally，it examines the distinct metabolomic features of children who develop recurrent wheezing following respiratory syncytial virus infection. These findings offer novel perspectives for elucidating the pathophysiological mechanisms of respiratory syncytial virus infection and improving early diagnosis and prognostic assessment.

Objective:To investigate the clinical application of ultrasound-guided percutaneous catheter drainage in the management of pediatric pancreatitis, delineate the indications, and assess the efficacy and safety of the procedure.Methods:A retrospective case analysis.Eighteen patients who underwent ultrasound-guided percutaneous drainage at Children′s Hospital of Chongqing Medical University from September 2018 to January 2023 were conducted.The cohort comprised 10 males and 8 females aged 1 year 4 months to 15 years and 9 months.The causes of disease were traumatic pancreatitis (9 cases), acute pancreatitis (8 cases), and recurrent pancreatitis (1 case).The disease duration ranged from 1 day to 5 months.The indications for the procedure included acute peripancreatic fluid collection with infection and peritonitis, pancreatic pseudocyst, progressive increase of acute peripancreatic fluid collection, or compression symptoms.Patients′ clinical data, including drainage site, drainage condition, puncture technique, puncture success rate and puncture complications, were collected and analyzed.Results:Nineteen drainage procedures were all successfully performed on the 18 children, and no puncture injury, drainage tube obstruction, drainage tube infection, and other complications were observed.Postoperative drainage volume on the first day ranged from 100 mL to 1 010 mL.Postoperative catheterization time spanned from 6 to 93 days, with a median of 29 days.One patient experienced drainage tube displacement after surgery, and one patient progressed to chronic pancreatitis.The remaining patients achieved clinical cure and had their drainage tubes removed.No serious short-term or long-term complications were noted postoperatively.Conclusions:Ultrasound-guided percutaneous drainage emerges as an effective therapeutic approach for children with acute pancreatitis, offering advantages such as favorable efficacy, straightforward operation, high safety, and minimal trauma.

Vesicoureteral reflux is the most common cause of urinary tract infection in children, and protracted urinary tract infection can eventually lead to reflux nephropathy.Because there is a possibility of spontaneous resolution of vesicoureteral reflux, management of such patients should focus on preventing urinary tract infection rather than just addressing reflux, with the overall goal of maximizing renal preservation by using minimally invasive means to prevent urinary tract infection and renal scarring.In this paper, the progress in the diagnosis and treatment of vesicoureteral reflux combined with urinary tract infection in children was collated and analyzed for the reference of clinical and scientific researchers.

Objective To investigate the changing antimicrobial resistance profiles of Streptococcus pneumoniae isolates from children in Chongqing area from 2011 to 2022,and to provide evidence for rational use of antibiotics and prevention of nosocomial infections.Methods The clinical data of S.pneumoniae strains isolated from pediatric patients during 2011-2022 were retrospectively analyzed.Antimicrobial susceptibility testing was performed with commercial automated systems and E-test.The results were interpreted according to the breakpoints in CLSI document(2022 edition).Results A total of 26 668 strains of S.pneumoniae were isolated during the 12-year period.The proportion of S.pneumoniae was 16.0％in the total pathogenic bacterial isolates and 46.4％in all the gram-positive bacterial pathogens.S.pneumoniae strains were mainly isolated from respiratory specimens(97.1％),followed by blood samples(1.5％).The highest proportion of S.pneumoniae isolates was in infants(38.2％),followed by toddlers(32.4％),preschool age(22.9％),school age(5.6％),adolescents(0.6％)and neonates(0.4％).All of the 38 strains of nonmeningitis SS.pneumoniae(0.1％)isolated from cerebrospinal fluid were resistant to penicillin.Overall,35.7％and 32.4％of these strains were resistant to cefotaxime and meropenem,respectively.The majority of S.pneumoniae(99.9％,26 630/26 668)were nonmeningitis isolates.The prevalence of penicillin-susceptible(PSSP),-intermediate(PISP),and-resistant(PRSP)strains was 71.9％(16 083),25.1％(5 610),and 3.0％(674),respectively.The prevalence of PRSP in infants and preschool children was higher than that in other age groups.The nonmeningitis S.pneumoniae isolates showed higher than 95％resistance rate to erythromycin,clindamycin and tetracycline,but 0.2％,0.2％and 0.1％resistance rate to levofloxacin,moxifloxacin and rifampicin,respectively.No S.pneumoniae strains were found resistant to vancomycin or linezolid.Conclusions The proportion and antimicrobial resistance profiles of S.pneumoniae strains isolated from pediatric patients varied with age group and specimen type.The decreasing prevalence of PRSP may inform empirical treatment of S.pneumoniae infections in children in Chongqing area.

Pleuropulmonary blastoma (PPB) is the most common primary malignancy of the lungs in children.It is now widely believed that the disease is closely related to genetic variation in patients, especially DICER1 gene mutations.Having the knowledge of genetic variations in children is of great significance for the identification of high-risk groups, disease diagnosis and identification, and the formulation of disease surveillance strategies.Therefore, the genetic progress of pediatric PPB was reviewed in this article.

Neuroblastoma is a highly heterogeneous extracranial malignant solid tumor commonly detected in children.Over the past decade, with the application of second-generation sequencing technologies such as whole-exome sequencing and whole-genome sequencing, chromatin immunoprecipitation and other techniques, the mechanisms underlying the occurrence and development of high-risk neuroblastoma have gradually become clearer.In this article, recent key molecular events that have been elucidated in the occurrence and development of high-risk neuroblastoma are reviewed.

Solid tumor-associated tumor predisposition syndrome (TPS) in children is a type of disease in cancer susceptibility syndromes, and its onset is often associated with specific gene mutations.The early age of onset, the high risk of family disease, and the frequent involvement of tumors in multiple organs are the prominent features of such disease.Understanding the characteristics of such disease is of great significance for its early diagnosis and differentiation and the formulation of family disease surveillance strategies.Therefore, the progress of research on solid tumor-associated TPS in children is reviewed in this article.