Research Interests

Our major research interests are (1) to uncover fundamental principles of clinical pediatric research and (2) to enable such studies by advancing clinical work in pediatric departments und pediatric institutions.

Ongoing projects include:

Origin of Alice in Wonderland Syndrome (AIWS) in childhood
„Physical abuse of children can induce AIWS seizures?“
In diverse publications Ped Mind Institute induces the hypothesis, due to clinical experience with elder woman, describing their experience as a child towards physical abuse and AIWS seizures. Any correlations could exist and are basis of further study.

Bittmann S.
The clue to the unknown origin of Alice in Wonderland in Children?.
Pediatr Res Child Health. 2018;1:001.

Bittmann S, Luchter E, Villalon G.
Does sexual abuse play a causative role in Alice in Wonderland Syndrome in Childhood? A help screaming from internet.
J Perina Clin Pediatr. 2018;104.

Bittmann S.
Abuse in children: Indicator of failure in relationship?
Adv Pediatr Res. 2018;5:16.

Bittmann S.
Alice in Wonderland Syndrome in childhood: Abuse is the root?.
J Pediatr Dis. 2018;2.

Developing Novel Vaccination Techniques

„Innovative new two-hand vaccination technique in children“

An innovative new two-hand vaccination technique was published yet in „Advances of Pediatric Research“. The clue of this technique is based on two-hand technique, one do the injection, the other one holds the needle inside the skin to avoid nociceptor and capillary damage.

Bittmann S, Luchter E (2019)
“An innovative new technique of pediatric vaccination: Take both hands and hold the needle to avoid damage of nociceptors and capillaries”.
Adv Pediatr Res 5:26. doi:10.24105/Juni 2019

Child Abuse

„Abuse in Children-Indicator of failure in relationship“

Violence against children have been found many centuries ago and was found in different cultures. Children have been depressed by war, bad life conditions and alimentation. In old testament many cases of punishment by the father as education were found and accepted. To date, many children must work under hard living and working conditions in agriculture and craft business. Till the period of enlightenment, children and newborn were divided early from their parents. The french doctor Tardieu published the first manuscript about abuse in children and the consequences of this, an interesting work that was not spent much public attention. The first trial at dish was present 1890 in New York. The situation of the violent abuse of a young girl was analyzed according the animal protection law. Sigmund Freud analyzed in the early stage of psychoanalytics, that different neurotic behavioral disturbances in adults could be related as a consequence of childhood abuse. Coffey and Kempe found in the 1950th, that abuse and repeat of abuse is often found in newborn and toddler age and that abuse of children is found in every social strata. In the last 30 years, especially since 2006, different spectacular cases of abuse in children, a growing interest of public and politics was found. Nevertheless a great disagreement in public is found, who is all responsible for child abuse. Is it only the parents, who take care for their children or the duty of the country, to secure children from abuse? In which way are pediatricians, teacher, youth offices or other cultural facilities responsible for child abuse? Different institutions have been related to cases of child abuse: pediatricians, general practitioners, pediatric surgeons, youth offices, family law, prosecutor, health office, police and institute of legal medicine. Many other institutions will be involved. The german civil code paragraph 1631 describes, that children have the right for non-violent education. Münchhausen by proxy syndrome describes a form of abuse, where mothers send their children often to a doctor and think their child is ill anywhere. In these cases, the mother is psychological ill and needs treatment.

Bittmann S (2018)
Abuse in children: Indicator of failure in relationship?
Adv Pediatr Res 5:16. doi:10.24105/apr. 2018.5.16

Research in the field of pediatric wound management

„Medical honey in pediatric wound management“

The use of complementary medical treatment in wound management has continued to grow throughout the world. There is a large body of evidence to support the use of honey as a wound dressing for a wide range of types of wounds. Clear guidelines for the use of honey in pediatric wound care do not exist. We present an update of present knowledge using honey as a form of complementary medicine in pediatric wound management.

Weissenstein A, Villalon G, Luchter E, Bittmann S: Medical honey and the role in pediatric emergency wound management
Journal of Pediatric Diseases (2018) Volume 2

Bittmann S.
First results of Treating Pediatric Wounds with Medihoney: Analysis of 60 Cases.
GSL J Pediatr. 2018; 1: 102.

Research in the field of finding new gene mutations

New gene mutations in Charcot-Marie Tooth neuropathy?

Charcot-Marie-Tooth disease (CMT) affects 1 in 2500 people and more than 30 gene mutations play a causative role. It is the eponym for heritable peripheral neuropathy and is named for 3 investigators in the late 1800s. Different forms of CMT exist and the classification is still not completely ruled out. Mutations of the inverted formin-2 gene (INF-2) were identified in patients with focal segmental glomerulosclerosis[1] (FSGS) and autosomal dominant intermediate Charcot-Marie Tooth (DI-CMT) disease. A novel unclassified variante, c.2659GA; p.E887K(het.), located on chromosome 14q32.33, was identified in a 21 months old child with unknown peripheral neuropathy and muscular weakness. The mutation leads to a change of amino acid glutamate to lysine in position 887. This variante was not described yet in world literature.

Bittmann S, Luchter E, Weissenstein A, Villalon G:

A new variante of INF2-gene mutation: Correlation with Charcot-Marie-Tooth type E neuropathy?
Journal of Pediatric Diseases, Journal of Pediatric Diseases (2018) Volume 2


Stefan Bittmann, M.D., M.A.
Hindenburgring 4
48599 Gronau, Germany