Background In line with a consistent literature, somatic symptom disorders (having pronounced somatic symptoms without objective somatic signs) in childhood and adolescence have experienced traumatic events, such as physical or sexual abuse, major loss, natural disasters or who have been witnesses to violence. Recent studies are focusing the attention on the role of attachment and post-traumatic symptomatology for a better evaluation of this disorder. Objective The following objectives are set by the present study: 1) to evaluate the post-traumatic stress and related psychological symptomatology in a group of children diagnosed with somatic symptom disorders; 2) to evaluate their attachment models; 3) to test the extent of the association between post-traumatic symptomatology and attachment organisation in somatic symptom disorders. Method Twenty consecutive Italian patients aged from 8 to 15 (m = 11,9; ds = 1,48), previously diagnosed with somatic symptom disorders, were administered the Trauma Symptom Checklist for Children (TSCC-A) and the Child Attachment Interview (CAI). Results Post-traumatic symptomatology, evaluated in 9 subscales, showed clinically significant scores about anxiety, depression and post-traumatic stress; dissociation symptomatology was seen only in 5% of the patients. Insecure attachment was found in more than half of the patients diagnosed with somatic symptom disorders. Conclusions This study suggests that attachment organisation may be a fundamental element to be assessed in the evaluation of somatic symptom disorders in children and adolescents. Finally, methodological limitations restricting causal inferences between attachment and dissociation are discussed. According to universally acknowledged biopsychosocial model of development, numerous biological and environmental factors influence development of children. One of them is iron deficiency in the organism. The study assessed physical, motor and psychosocial development of children who at an early age had the diagnosis of iron deficiency anaemia and had been treated by iron drugs. Their neurological, receptive, expressive and cognitive functions were assessed using BINS (Bayeley's Infanft's Neurodevelopmental Screen). The sample was divided into 2 age groups: 16-20 and 21-24 months. PO-0940The study shows that in children, who had iron deficiency at an early age and had taken treatment with relevant drugs in a timely manner, the aggregate indicators of four clusters do not differ significantly from standard indicators submitted by BINS. We deem important time diagnosis of iron deficiency and beginning of respective treatment, in order to avoid problems in psychomotor development; Timely treatment will favour the processes of development of child's social and school preparedness. Background and aims The causes of psychosomatic disorders in children are in a family attitude towards a child and the relationship between parents. The understanding of 'family psychological health' will allow creating strategies to prevent and treat psyc...
Background CDH was the most common cause of death in newborn group of surgical patients in our hospital. Statistics significantly changed after introducing the delayed approach of surgical correction. Objectives Study objectives are to assess the effectiveness of delayed surgical correction in patients with CDH. Methods We compared Two groups of patients with CDH, who underwent the surgery. In the first group, since 1978, great majority of patients were operated in first 24–48 h of life. In second group, since 2007, time of surgical intervention was approximately at t 98 h after birth. In 98%, in both groups, diaphragmatic defect was primarily closed. Only in 2% of cases patch or silo was used. None extra corporal membrane oxygenation or preoperative NO was never used. Conclusion Delayed surgical correction – 96 h after birth, after initial management and pulmonary support, improves the outcome in patients with CDH, compared with surgical intervention in first 24–48 h of life.
Share of food allergies is quite high in the general structure of allergy morbidity (varies between 0.1% and 7%). Allergy diseases comprise global problem of public health care system. Goal of the work: foal of our work is study of prevalence of food allergies and risk factors in children’s population in selected populations of Tbilisi, Batumi and Kutaisi-Tskaltubo Materials and methods Studied population includes 2655 children (2010–2013) from 1-month to 14-year age. 1359 of them were girls and 1296 – boys (I group: children from 1 month to 6 years and II group – from 6 years to 14 years). At the first stage of epidemiological study, screening of 2665 children was conducted by means of the initial questionnaire filled in directly at a time of interviewing of the parents. Identification of the factors of causal significance was provided based on anamnesis data, comparison of general serum and specific IgE and in vivo allergologic diagnostics (prick-tests). Obtained data were statistically processes by means of SPSS/V12.5 software (Statistical Package for Social Sciences). Results Epidemiological studies showed that prevalence of food allergies in children’s population (7.5% - Tbilisi; 6.2% - Kutaisi-Tskaltubo; 4.3% - Adjara) was 18.04%. Average total IgE, im both cases, was 3–5 times higher than normal value and no statistically reliable difference between the groups was found (p > 0.05). Only 3.9 of children with food allergies had IgE within normal limits. High frequency of late diagnostics was established (p < 0.001). Conclusion Thus, according to the obtained data, share of the manageable risk factors is high and this could provide basis for development of targeted and effective prevention measures for the children’s population. Food allergy is complex and versatile process requiring further study.
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