Pediatrics & Therapeutics
Open Access
ISSN: 2161-0665
+44 1478 350008
ISSN: 2161-0665
+44 1478 350008
Rahmah Amran
University of Indonesia, Indonesia
Posters & Accepted Abstracts: Pediatr Ther
Stunting is one of many health issues in children that have been a great burden for so many years. Stunting is highly associated with malnutrition. It can lead to a number of disorders, including defect of immune system, infections and impairment of cognitive development which increase the rate of morbidity and mortality in patients with stunting and malnutrition. It has been postulated that zinc supplementation has a potential use for prevention of stunting in children. Unfortunately, the results were inconsistent over studies. Th us, this study was conducted to evaluate the eff ectiveness of zinc supplementation in preventing the incidence of stunting in children under two years old. Th e literature search was done through several scientifi c databases, including PubMed, Cochrane, EBSCO and Science Direct. A total of two randomized controlled trial (RCT) were selected based on inclusion and exclusion criteria. Further assessment was done to evaluate its validity, importance and applicability using worksheet that is suitable for therapeutic studies. According to the articles assessed, it was found that there was no signifi cant eff ect of zinc supplementation in preventing the occurrence of stunting in children. Th e increase of height in both control and experiment group were comparable. Th e conclusion is zinc supplementation given to children under two years old is considered to be clinically ineff ective for the prevention of stunting. Right ventricular deformation in asymptomatic children with type-1 diabetes mellitus Rania Salah El-Zayat, Mahmoud Ali Soliman, Morad Beshay Mena and Mohamed Abu Elros Menouï¬ a University, Egypt Background & Aim: Right ventricular function in diabetic children was not fully addressed. Previous reports were mainly directed for the left ventricle. Our objective was to investigate the subclinical eff ects of diabetes on right ventricular systolic and diastolic function in asymptomatic children with type-1 DM using echocardiographic two dimensional strains and strain rate. Methods: Th is study was conducted on 45 children with type-1 DM and 20 healthy controls with comparable age, sex and socioeconomic status. Each patient was subjected to history taking, physical examination, routine laboratory investigations and conventional echocardiographic examination. Apical four chamber view was used for offl ine analysis of RV deformation data including assessment of systolic strain (�?µ), peak systolic strain rate (SRs), peak early diastolic strain rate (SRe) and Peak late diastolic strain rate (SRa) obtained from the basal, mid and apical segments of the RV free wall. Results: Although conventional echocardiography failed to reveal any impairment in RV systolic performance (measured with Tricuspid Annular Plane Systolic Excursion, TAPSE), the values of systolic strain and peak systolic strain rate in the basal, mid and apical segment of the RV free wall were signifi cantly lower in DM group as compared with control group indicating impairment of RV systolic function. Similarly, decreased peak early diastolic strain rate in children with diabetes in RV free wall refl ecting abnormalities of RV diastolic performance. Conclusion: Diabetes mellitus type-1 leads to RV systolic and diastolic dysfunction. Strain and strain rate imaging appear to be a sensitive tool for early detection such abnormalities.