Impact of maternal hypertension on neonatal immunoglobulins [Ig]

The aim of this work was to study the effect of maternal hypertension [preeclampsia or essential hypertension PAH] and its impact on the Ig profile of cord blood. Fifty neonates were included, 25 target cases [babies born to mothers with pregnancy associates hypertension [PAH]] and 25 cases as a control group [neonates born to normal mothers]. The results revealed a difference as regards IgG in the control group compared with PAH [preeclampsia and essential hypertension]. Regarding the mode of delivery, IgG was higher [SS] in vaginal compared with CS. It is the gestational age and not the birth weigh which influenced the Ig level of the newborn. So, the control of maternal hypertension and nutritional support as well as vaginal delivery together with the prevention of prematurity will elevate the Ig level of the neonate to overcome the challenge of external environment

study of health services of preschool children

This study included 125 preschool children, 65 boys and 60 girls. Their ages ranged from 2 to 5 years classified into 2-3 years, 3-4 years and 4-5 years age groups [37.6%, 29.6% and 32.8%, respectively]. Clinical examination as well as nutritional assessment by the measurement of weight and length was compared to the standard growth charts of NCHS and application of waterlow classification. Questionnaire of the mothers about infectious diseases affecting their children in the last 6 months, vaccinations and causes of absenteeism was done. The study pointed out that all children received compulsory vaccines and its booster doses. Some received additional vaccines [e.g. HBV, MMR and meningitis, 27.2%. 25.6% and 12.8%, respectively]. RTI was the most infectious diseases but it did not affect their nutritional status because they were well nourished. Health causes of absenteeism were 46.4%, while non-health causes were 16%. The attendees were classified into six classrooms, each included [20-25] children under the supervision of six teachers and six helpers and a doctor was visiting the center twice weekly. However, elevation of health services provided in day centers is recommended

study of some atherogenic risk factors in children

Atherosclerosis is a multifactorial reversible disease in childhood age. So, the early identification of young high risk population offers an opportunity for the early initiation of preventive measures [Kwiterovich, 1989]. This study included 100 children [54 males and 46 females], their ages ranged from 6 to 9 years, they were classified into; a target group [50] with positive family history of premature CAD and a control group [50] without this history. They were subjected to history taking, clinical examination and lab investigations. The results revealed that DM and hypertension were atherogenic risk factors. The target group showed a significant difference regarding TC, LDL-C and LDL-C/HDL-C ratio compared to the control group, again these were potent atherogenic risk factors. Regarding TG and HDL-C, there was no significant statistical difference. The study recommended screening program for children over 2 years, especially those with positive family history of premature CHD to start early preventive measures

Relationship between helicobacter pylori and recurrent abdominal pain [RAP]

H. pylori is an important cause for RAP in children; it is a significant predisposing factor for the development of peptic ulcer, gastric lymphoma and adenocarcinoma [Glassman et al., 1989]. This study was designed to point out the importance of H. pylori as a cause of RAP in children. It included 130 children classified into a target group [65 children with RAP] and 65 healthy children without GIT symptoms as a control group. This study revealed risk factors for H. pylori infection [e.g. RAP, increasing age, unexplained GIT symptoms, family history of peptic ulcer and low socioeconomic standard]. Seropositivity for H. pylori was SS higher than for the control group. It was concluded that serologic tests can be considered ideal for screening children with RAP. It identifies those who warrant further investigation to avoid unnecessary invasive procedures in seronegative children [Gabtree et al., 1991]