scholarly journals Early neonatal features of juvenile offenders

2022 ◽  
pp. 65-69
Author(s):  
D. A. Yakhieva-Onikhimovskaia ◽  
S. M. Kolesnikova ◽  
E. N. Suprun ◽  
V. V. Filippova

Objective: Identification of perinatal risk factors as differential predictors of violent and non-violent crimes among children and adolescents who come under the attention of juvenile departments of the internal affairs bodies of the Russian Federation.Methods: Study of the perinatal history data of 148 juvenile offenders of comparable age (13-16 years old), selected using continuous sampling method in the course of a clinical observational cohort retrospective study.Results: Children from the control group in half of the cases were “late premature” (48%), with protein-energy malnutrition (frequency of occurrence of FGRP 56.8% BMI 56.1 ± 13.65). The beginning of their life was accompanied by a low score according to Apgar scale (6.9 ± 1.81). From the first minutes of life, they required urgent therapy in the delivery room (35.9%) and subsequent treatment at the ICU (25.7%) due to the damage of the respiratory system (asphyxia 11.5%, RDS 19.6%, episodes of apnea 16.2 %) and increasing dysfunction of the central nervous system (IVH II-IV grade 24.3%). Subsequently, they demonstrated a disruption of early neonatal adaptation and a clinical picture of the realization of intrauterine fetal developmental disorders, which arose both as a result of improper metabolism and of a prolonged oxygen starvation (adrenal hypoplasia 27.7%, cardiomyopathy 29.7%, hypoxia 48.6%).Conclusions: The initial protein-energy deficiency revealed in the course of the study if accompanied by the course of both acute and chronic oxygen starvation could influence the formation of destructive behavior in the group of juvenile offenders.

2015 ◽  
Vol 14 (2) ◽  
pp. 43-47
Author(s):  
Sukhendu Shekhar Sen ◽  
Jhulan Das Sharma ◽  
Dhananjoy Das ◽  
Shahed Iqbal ◽  
Md Badruddoza

Background: The predominant form of malnutrition is commonly called proteincalorie malnutrition. Protein Energy Malnutrition (PEM) is still a major health problem in children of developing countries including Bangladesh. The causes of malnutrition are multifactorial including nutritional factors, socioeconomic factors, health status of the mothers and repeated infections in children.Objective: To explore the information regarding the breast feeding practices of children suffering from Protein-Energy Malnutrition.Methods: This case control study was conducted in Chittagong Medical College Hospital from November 2006 to April 2007. A total of 65 controls and 65 cases were selected consecutively for the purpose of the study. Their mothers were interviewed with help of structured questionnaire containing all the variables of interest to attain the study objectives. The test statistics used to analyze the data were descriptive statistics and Chi-square (c2) or Fisher’s Exact Probability Test.Results: A significantly higher frequency of cases (67.7%) were given pre-lacteal feed, predominantly honey and sugar-water compared to control group (41.5%) (p = 0.008). Nearly 100% of controls were given colostrums compared to 75% of the cases. About one-third (31.3%) of the cases was exclusively breast-fed in comparison to 58.5% of the control group (p = 0.003). Over onequarter (27.7%) of the control were breast-fed upto 6 months of age, as opposed to only 1.5% cases (p < 0.001). Duration of predominant breast feeding for more than 6 months of age was also significantly higher in control group than that in case group (p = 0.001). Breast milk substitutes demonstrate their significant presence in cases (38.5%) than that in controls (9%) (p = 0.003).Conclusion: The study showed that rejection of colostrums, practice of prelacteal feeding, delayed initiation of breast feeding, early cessation of exclusive breast feeding and use of formula milk all were significantly higher in the malnourished group of children than those in their normal counterpart.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 43-47


PEDIATRICS ◽  
1995 ◽  
Vol 96 (1) ◽  
pp. 77-77
Author(s):  
H Ozkan ◽  
N Olgun ◽  
E Sasmaz

This study was a case-control study of 44 children ages 3 to 24 months. The purpose of the study was to compare the humoral and cellular immunity of 29 patients (Group I) who were less than the 3rd percentile for weight by Turkish standards versus a control group of 15 patients (Group II) with weights between the 25th and 90th percentiles. The Group I patients were considered to have protein energy malnutrition (PEM) with various degrees of severity based on a Turkish classification method established by Dogramaci and Wray in 1958. None of the Group I patients had frank kwashiorkor, but 19 had bronchopneumonia, six had gastroenteritis, and four had both forms of infection at the time studies were done. Detailed immunologic evaluation was carried out on all the subjects including IgG, IgM, IgA, C3, mature T lymphocytes (CD3+), helper/inducer T Lymphocytes (CD4+) and suppressor/cytotoxic T lymphocytes (CD8+). The authors chose to study patients with PEM and infections because the immune response is more likely to be suppressed at this time. In the PEM group all of the immunoglobulins (IgG, IgM, IgA) were significantly elevated over the controls level (P &lt; .01). This hyperimmunoglobulinemia state has been previously reported and could be secondary to reduced suppressor T lymphocytes (C8+). C3 complement levels were also significantly lower (P &lt; .01) than controls, which have been previously noted. These low C3 levels could be secondary to decreased production from the liver or increased utilization with an intercurrent infection. In evaluating the lymphocyte series CD3+, CD4+, and CD8+ were all significantly reduced while CD4/CD8 levels were normal.


1996 ◽  
Vol 75 (3) ◽  
pp. 445-460 ◽  
Author(s):  
C.-L. Ha ◽  
L.E. Paulino ◽  
B.D. Woodward

AbstractA direct comparison of systemic (spleen) and mucosal (intestine) antibody-producing systems was made in weanling male C57BL/6J mice subjected to wasting protein-energy malnutrition (PEM) by means of a low-protein protocol known to duplicate immunological and physiological features of human malnutrition. ELISA revealed low concentrations of biliary and gut lumen immunoglobulin (Ig) A in malnourished mice concomitantly with a high concentration of blood IgA. The low-protein model, therefore, exhibited fidelity to human protein-energy malnutrition in its influence on the concentrations of the mucosal Ig, IgA, in critical biological fluids. The number of IgA-, IgM- and IgG-containing cells was estimated morphometrically on a per organ basis. The low-protein protocol supported expansion in numbers of mucosal IgA-containing cells (18 x relative to a zero-time control group) and of splenic IgG- containing cells (135 x ), albeit an attenuated expansion in comparison with that of well-nourished control animals (132x and 571x respectively relative to zero-time controls). Up to terminal differentiation of Ig-containing cells, systemic and mucosal antibody-producing systems exhibited similarly remarkable resistance to wasting malnutrition. Epithelial transport of IgA may be an aspect of the mucosal antibody response which is particularly sensitive to PEM.


1986 ◽  
Vol 16 (4) ◽  
pp. 176-177 ◽  
Author(s):  
E Schmutzhard ◽  
W Poewe ◽  
F Gerstenbrand

Weaning is an important factor in the aetiology of protein energy malnutrition (PEM). In the present study it was shown that the psychological aspects of weaning — i.e. separation from the mother — play a more important role in the development of PEM than do physical factors. Of children suffering from PEM, 80.4% were physically separated from the mother at time of weaning, whereas only 32% of a comparable healthy control group had undergone the trauma of separation.


2021 ◽  
Vol 1 (3) ◽  
pp. 189-197
Author(s):  
Nining Fitrianingsih ◽  
Tisna Yanti ◽  
Ludfi Putra Madienda

ABSTRACT: CORRELATION BETWEEN BETWEEN MATERNAL KNOWLEDGE ABOUT NUTRITION WITH PROTEIN-ENERGY LACK IN CHILDREN AGED 2-5 YEARS IN SITUDAUN VILLAGE, BOGOR REGENCY Background of the study: PEM (Less Protein Energy) is one of the most important nutritional disorders in Indonesia and other developing countries. PE patients have various pathological conditions caused by a lack of energy and protein in varying proportions. PEM disease was given an international name, namely Calory Protein Malnutrition (CPM), then converted into Protein Energy Malnutrition (PEM). This disease began to be widely investigated in Africa, and in that continent, PEM is known by the local name kwashiorkor which means red hair disease.Objective: To be able to know the description of mother's knowledge about nutrition for toddlers on things that support nutrition improvement and its relationship with the state of Protein Energy Deficiency in children 24 - 60 months at Posyandu Melati II Kp. Pasir Ipis Situdaun Village, Tenjolaya District, Bogor Regency and the factors that influence it.Research Methods: This research is primary data using an observational approach with a cross-sectional study design (cross-sectional). This analysis is used to determine whether or not there is a relationship between the two variables using the Chi-Square (X2) test because the dependent and independent variables are categories with a 95% confidence level.Research Results: It can be seen from 79 respondents that the mother's level of knowledge is mostly 40 people (50.6%), and a small portion as many as 39 people (49.4%) in Posyandu Melati II, Situdaun Tenjolaya Village, Bogor Regency. And p-value 0.00 (<0.05). This indicates that there is a significant relationship between the mother's level of knowledge about nutrition and the incidence of protein-energy deficiency in children aged 2-5 years.Conclusion: There is a significant correlation between the level of knowledge of mothers about nutrition with the incidence of protein-energy deficiency in children aged 2-5 years in the village of situdaun, Bogor district, with a p-value = 0.000. Keywords: Mother's knowledge about nutrition, Protein Energy Lack, Children    INTISARI: HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG GIZI DENGAN KEJADIAN KURANG ENERGI PROTEIN PADA ANAK USIA 2-5 TAHUN DI DESA SITUDAUN KABUPATEN BOGOR Latar Belakang: KEP (Kurang Energi Protein) merupakan salah satu penyakit gangguan gizi yang penting di Indonesia maupun di negara yang sedang berkembang lainnya. Penderita KEP memiliki berbagai  macam keadaan patologis yang disebabkan oleh kekurangan energi maupun protein dalam proporsi yang bermacam-macam. Penyakit KEP diberi nama secara internasional yaitu Calory Protein Malnutrition (CPM), kemudian diubah menjadi Protein Energy Malnutrition (PEM). Penyakit ini mulai banyak diselidiki di Afrika, dan di benua tersebut KEP dikenal dengan nama lokal kwashiorkhor yang berarti penyakit rambut merah.Tujuan: Untuk dapat Mengetahui gambaran pengetahuan ibu tentang gizi balita terhadap hal hal yang mendukung perbaikan gizi dan hubungannya dengan keadaan Kurang Energi Protein pada anak 24 - 60 bulan di Posyandu Melati II Kp. Pasir Ipis Desa   Situdaun  Kecamatan Tenjolaya, Kabupaten Bogor serta faktor yang mempengaruhinya.Metode Penelitian: Penelitian ini merupakan data primer dengan menggunakan pendekatan observasional dengan desain studi cross sectional (potong lintang). analisis ini digunakan untuk mengetahui ada atau tidaknya hubungan antara dua variebel tersebut dengan menggunakan uji Chi-Square (X2) karena variabel dependen dan independennya adalah kategori dengan tingkat kepercayaan 95%.Hasil Penelitian: Didapatkan dapat diketahui dari 79 responden bahwa tingkat penegtahuan ibu sebagian besar 40 orang (50.6%), dan sebagian kecil sebanyak 39 orang (49.4%)  di Posyandu Melati II Desa Situdaun Tenjolaya Kabupaten Bogor. Dan p value 0.00 (<0.05). Menandakan adanya hubungan yang significant antara hubungan tingkat pengetahuan ibu tentang gizi dengan kejadian kurang energi protein pada anak usia 2-5 tahun.Kesimpulan: Terdapat  korelasi yang bermakna antara hubungan tingkat pengetahuan ibu tentang gizi dengan kejadian kurang energi protein pada anak usia 2-5 tahun di desa situdaun kabupaten bogor, dengan p-value= 0.000. Kata Kunci: Pengetahuan Ibu tentang gizi, Kurang Energi Protein , Anak


1970 ◽  
Vol 7 (2) ◽  
pp. 129-134 ◽  
Author(s):  
SK Mishra ◽  
SP Bastola ◽  
B Jha

Background: Nutrition is the science of food and its relationship to health. Nutritional status is one of the key indicators of health Nutritional status of Nepal is not satisfactory. Especially Protein Energy Malnutrition (PEM) in Nepal is a very common problem in children under five years of age. There are number biochemical parameters which become altered during protein energy malnutrition. Objectives: The objectives of the study are to determine biochemical nutritional indicators among children suffering from PEM and to compare all biochemical parameters with well nourished children and also to determine the factors affecting PEM among children under five years. Materials and methods: The study design was cross sectional, descriptive study with control. Children between ages 6 to 59 months attending outpatient department (OPD) and wards of Kanti Children's Hospital (KCH), Maharajgunj, Kathmandu, Nepal were purposively selected. The sample size was calculated by using prevalence of malnutrition in Nepalese context and allowable error of 10 %, a total of 120 cases which include 60 PEM cases and 60 controls were selected. They were grouped into two groups based on whether they are above or below the 80% of 50th percentile of weight for height based on growth chart of National Centre of Health Statistics 3 (NCHS), USA. Results: The educational status of parents of children with PEM was found to be significantly less (p<0.05) as compared to their non-PEM counterparts. Occupations of parents whose children were in PEM group include mainly housewives and labourers. Larger proportions of children in our study were born at home and exact birth weights of children were not known. Most of the children are colostrum fed. Most of the children in our study were immunized. Almost equal proportion of children belonged to nuclear family type and joint family type. The mean serum glucose, sodium, potassium, cholesterol, haemoglobin was not significantly different in both groups while mean total protein, albumin, and calcium were significantly (p<0.05) low in PEM group when compared to well nourished children (control). There was significantly (p<0.05) higher incidence of hypoproteinemia, hypoalbuminaemia, and hypocalcaemia, in PEM group when compared to control group. Conclusion: A significant proportion of children with protein energy malnutrition had altered biochemical parameters which were related to food intake and biochemical metabolism mandatory during growth and development of children less than five years of age. There was significantly higher proportion of hypoglycaemia, hypoproteinemia, hypoalbuminaemia, anaemia, hypocholesterolemia and hypocalcaemia in children with PEM when compared to normally nourished children. Key words: PEM; Biochemical nutritional indicators; anthropometry DOI: 10.3126/kumj.v7i2.2705 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 129-134


1987 ◽  
Vol 58 (2) ◽  
pp. 215-220
Author(s):  
Takashi Miwa ◽  
Hiromu Shoji ◽  
Moshe Solomonow ◽  
Malektaj Yazdani ◽  
Tetsuo Nakamoto

1. Various biochemical variables of the skins of rat dams and their fetuses in which protein-energy malnutrition was induced during pregnancy were analysed.2. One group of dams was fed on a 200 g protein/kg diet as a control and the other was fed on a 60 g protein/kg diet as an experimental group. Each group of dams was fed from day 13 of gestation until day 22.3. Water, protein and hexosamine concentrations of the fetal skins in the malnourished group were greater than those in the control group, whereas in the dams′ skins, protein concentration was greater in the malnourished group than in the control group.4. Extractability of collagen with neutral salt and pepsin showed no difference between the groups in the skins of fetuses and dams. The content of type III collagen in the fetal skin did not differ between the groups, but was increased in the malnourished dams′ skins compared with that of the control group.5. The present study showed that protein-energy malnutrition during pregnancy significantly affects the metabolism of the skin in both fetuses and their dams. Furthermore, the skins of fetuses and dams are structurally altered in different ways by this nutritional stress.


1973 ◽  
Vol 29 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Sohair I. Salem ◽  
S. M. Hegazi ◽  
S. R. Morcos

1. Rats were given a low-protein (10 g/kg) diet for 16 weeks and the changes occurring in their serum amino acids were studied; during this time a full picture of protein-energy malnutrition was manifested. Groups of rats were killed at intervals of 4 weeks.2. Food intake decreased gradually from the 4th to the 8th week, then increased slightly from the 9th to the 11th week, and then decreased again.3. The body-weight of the rats fell progressively from the 1st week on the low-protein diet, remained stationary from the 10th to the 13th week, and then decreased again during the last 4 weeks.4. The ratio of non-essential to essential amino acid was not correlated with the severity of protein deficiency.5. The ratios between some individual amino acids were compared with these ratios in control rats during the 4-week periods of protein deficiency. The ratio of serine+glycine to threonine was always significantly higher in the protein-deficient than in the control rats.


1970 ◽  
Vol 2 ◽  
pp. 17-19 ◽  
Author(s):  
Md Serajul Islam Chowdhury ◽  
ABM Ziaur Rahman ◽  
Mahmudul Haque ◽  
Nazibun Nahar ◽  
Abu Taher

The present study was designed to analyze serum AST, ALT levels in different grades of protein energy malnutrition to facilitate early diagnosis, management and rehabilitation of PEM. The serum AST and ALT levels of 50 children of aged 5months to 5 years of both sexes were studied. Among them, 30 children suffering from protein energy malnutrition of 3 different grades were selected for experimental group. Age and sex matched 20 apparently healthy children with no systemic disorder and with weight/height ratio greater than 80% were included in control group. Serum AST and ALT levels were measured by kinetic ultraviolet method according to International Federation of Clinical Chemistry. Data were analyzed statistically by un-paired student 't' test. Mean Serum AST and ALT levels of different grades of protein energy malnutrition were significantly higher (p<0.001) than that of control. Values of mean serum AST and ALT levels were highest in grade-I PEM and it were significantly higher (p<0.001) than both grade-II and grade-III. Again mean serum AST and ALT levels were significantly higher (p<0.001) in grade-II PEM than that of grade-III PEM. The elevated levels of serum AST and ALT is due to tissue break down and hepatobiliary disorder. The results of this study indicate that serum ALT and AST levels are increased in PEM which varies according to its severity. Key Words: Aminotranserase; Malnutrition; Protein  DOI:10.3329/jbsp.v2i0.978 J Bangladesh Soc Physiol. 2007 Dec;(2): 17-19.


Author(s):  
Moritz Blanck-Lubarsch ◽  
Dieter Dirksen ◽  
Reinhold Feldmann ◽  
Cristina Sauerland ◽  
Ariane Hohoff

Background: Drinking alcohol during pregnancy can result in severe developmental disorders in the child. Symptoms of the fetal alcohol spectrum disorder (FASD) comprise growth deficiencies, abnormal facial phenotype and damage or dysfunction of the central nervous system. Numerous diagnostic methods for facial phenotyping in FASD exist, but diagnoses are still difficult. Our aim was to find additional and objective methods for the verification of FAS(D). Methods: Three-dimensional dental models of 60 children (30 FAS and 30 controls) were used to metrically determine maximum palatal depths at the median palatine raphe. Three-dimensional facial scans were taken, and vertical distances of the face were measured at five defined facial landmarks (FP1–FP5) for each child. Results: Mean palatal height, total facial length (FP1–FP5) as well as FP4–FP5 did not significantly differ between the FAS group and the control group. Comparing vertical facial subdivisions, however, resulted in significant differences for distances FP1 to FP2 (p = 0.042, FAS > controls), FP2 to FP3 (p < 0.001, FAS < controls), FP3 to FP4 (p < 0.001, FAS > controls) and FP3 to FP5 (p = 0.007, FAS > controls). Conclusions: Metric vertical measurements of the face can be used as additional objective criteria for FAS diagnoses. However, no significant differences were reported for palatal depth evaluation in the specific age range tested in the present study.


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