0332

NUTRITIONAL ASSESSMENT AND SERUM ZINC IN RURAL PRIMARY SCHOOL CHILDREN AT FAYUM GOVERNORATE

EL-Shourbagy O.1, EL-Gamal H A.1, Karam M.1, Hefny Z.2, Sobhy M.1

1 Institute of Postgraduate Childhood Studies, Ain Shams University, Cairo, Egypt

2 Ministry of Agriculture, Cairo, Egypt

 

Objective: Assessment of nutritional status , serum zinc and intelligent quotient in primary school  children in rural areas at Fayum Governorate, Egypt.

Methods:: Four Hundred (400) primary School children , randomly selected form rural areas at Fayum Governorate , with age ranging from 66 to 74 months from January 1997 to June 1997 . They were subjected to: Complete personal and medical history, anthropometric measurments, assessment of intelligent quotient and estimation of hemoglobin level, serum albumin and serum zinc.

Results: Weight for height Z- score in 14% of children were>- 1SD, weight for height % of median in 9% of children were >90%, the prevelance of low height for age was 15.9% > - 1SD, and 2.3%  >-2SD. The mean serum zinc was lower than that observed from other studies, Out of 400 children, 172(43%) of studied children were anemic. A significant positive association was found between hemoglobin level and the intelligent quotient on one hand and the occupation of the father on the other hand (P>o.o5)

Conclusion: Fayum Governorate at the time of the study was deficient in diet sources of zinc.
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PSYCHOLOGICAL ASPECTS OF CHRONIC ADENOTONSILLITIS IN LATE CHILDHOOD

AL-Nasher M1, Soad A 2, EL-Gamal H A1, Soliman N.

1 Medical Department, Institute of Postgraduate Childhood Studies, Ain Shams University, Cairo, Egypt

2 Pychiatric Department Faculty of Medicine, Ain Shams University

 

Objective: To study the effects of chronic adenotonsillitis its possible upper airway obstruction in late childhood and to determine the effect of severity and duration of upper air way obstruction in chronic adenotonsillitis on psychology of the affected children.

Methods: This study was conducted on 83 children (age 7-12 years) suffering from chronic adenotonsillitis of duration more than one year going for adenotonsillectomy besides 30 apparently normal children as a control full general, otorhinolaryngologic and psychiatric evaluation, according to DSM- IV criteria, were done for all children. Also, psychometric studies were done preoperatively and 5-6 months after surgery.

Results: Psychiatric morbidity in the study group was 39.75 % in contrast to 16.66% in the control group. Attention deficit disorder, opposition defiant disorder and nocturnal enuresis were significant among the cases than the controls and showed gradual increase with the severity and duration of upper airway obstruction, both attention deficit disorder and nocturnal enuresis showed significant decrease after surgery also significant improvement on attention problem immaturity, motor tension and conduct disorder subscales.

Conclusion: Upper airway obstruction in children is associated with externalizing behaviors in term of inattention, hyperactivity and opposition -alism.
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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A STUDY OF HUMAN IMMUNODEFICIENCY VIRUS ( HIV) IN CHRONIC DIARRHEA IN CHILDREN

EL-Gamal H A1, Eid E M1, Rashad R M2

1 Institute of Postgraduate Childhood Studies, Ain Shams University, Cairo, Egypt

2 Mataria Teaching Hospital, Cairo, Egypt

 

Objective: To detect if chronic diarrhea of unknown etiology, alone, can be considered suspicious of AIDS in children.

Methods: Thirty two children were included in this study 21 patients with chronic diarrhea of unknown etiology and 11 as a normal control group .All children were subjected to full history taking, thorough clinical examination, complete blood picture, urine and stool analysis, kidney and liver function tests and antibodies detection by two different methods.

Results: No HIV antibodies were detected in all the studied groups and there were statistically significant increases in leucocytic and platelet counts in chronic diarrhea patients than in control group.

Conclusion: This study does not recommend screening of HIV antibodies in chronic diarrhea cases of unknown etiology, only, but chronic diarrhea associated with other manifestation of HIV infection.