Antonio Cutrupi*, M. Barbalace, C. Covani , S. Malavenda
In this study, we present our experience on 55 patients affected by varicocele and treated underwent surgery with a scrotal access. 55 patients were enrolled with clinical palpable and infraclinical (ultrasonic Doppler scanning) varicocele. They all underwent scrotal varicocelectomy under general anaesthesia. At 6 months, no other complications were reported. No case of testicular atrophy was observed. None had recurrence of varicocele. Scrotal access with general anaesthesia is a safe and useful technique to treat patients with varicocele in the paediatric population.
Antonio Cutrupi*, M. Barbalace, C. Covani, S. Malavenda
Background: Gynecomastia is defined as the presence of excessive breast tissue in males, which can appear unilateral or bilateral. Bilateral gyne¬comastia is frequently found in the neonatal period, early in puberty, and with increasing age. Prepubertal bilateral gynecomastia in the absence of endocrine abnormalities is extremely rare, with only a few cases in literature.
Methods : We report the case of a healthy boy of 17 years old with bilateral breast masses. No abnormalities were found on ul¬trasonography and all endocrine parameters were within normal limits. Treatment consisted of peripheral liposuction followed by subcutaneous partial resection of the gland, conducted through an infra-areolar incision and a left side drainage in aspiration for a week for firm tissue removal intraoperative skin laceration.
Results: Microscopy of the subcutaneous mastectomy specimen revealed gynecomastia without signs of malignancy. Postopera¬tive course of patient was uncomplicated, with no signs of recur-rence of breast tissue.
Conclusions: Atypical presentations of gynecomastia are often not recognized, with little attention to breast development in prepu¬bertal non-obese children. Since prepubertal gynecomastia could be a sign of possible underlying diseases, a thorough examina¬tion and further research is recommended. If there is no causal treatment, surgical resection is the therapy of first choice. Pe¬ripheral liposuction and surgical resection of the gland tissue are the mainstay of treatment. In summary, we describe two cases of prepubertal unilateral gynecomastia with a normal endocrine workup. Further research is needed to establish the pathophysi¬ologic mechanisms of prepubertal gynecomastia, since underly¬ing etiology in most cases remains unclear.
Taryam MMO, Hammadi HMYA, Al Faisal W*, Hussein HY, AlSerkal FY, Monsef NA, Buharoun A, AlBehandy NS
Background: The World Health Organization estimates that 2.5 million children younger than 5 years die from vaccine-preventable diseases each year. Immunization is the most effective tool for combating and eliminating infectious diseases.
Objectives: The study aims to identify the coverage rates of students, and refusal and non-response of parents during the measles mass vaccination campaign 2015-2016. It aims also to understand the current situation and the factors influencing voluntary vaccination coverage among 5-18 years old children at private schools of Dubai, and parents’ attitudes toward voluntary vaccination activities.
Methodology: The Primary Health care service at Dubai Health Authority developed guidelines for the measles vaccination campaign in Dubai as a part of the national campaign all over UAE Emirates and the global efforts to reduce measles morbidity and mortality using Supplementary Immunization Activity (SIA) Strategy. These included information on the target population, the general campaign strategy, approaches to vaccine distribution and delivery, the location of temporary vaccination sites, the supervision of campaign implementation, and the reporting and treatment of adverse events following immunization (AEFI). A total of 266343 students at private schools in Dubai were identified as target population for the phase one. The target group was the students in the age group of 5-18 years. Medical staff were trained to take part in the vaccination activities in 175 schools in Dubai. School teams (90) and Dubai health authority mobile teams (25). Healthcare professionals were identified and trained to conduct on-site supervision of the campaign. All parents of students were approached with health educational materials and consent form. Meetings with parents were held in order to understand the non-response circumstances. Campaign vaccination activities and reports were reviewed.
Results: The study revealed that about 61.8% of the total students population were vaccinated at schools, 3.36 were vaccinated at other primary health care facilities, 11.3% were refused vaccination due to previously recievnig two doses of the vaccine, 3.45% were refused due to other causes, 0.42% were shown contraindications and about 19.58% were not responding to consent form. The study showed that about 12.7% of the vaccinated were below 5 years old and 87.3% were above 5 years old. The study reflected that about 78.6% of the total below 5 years students’ population and about 76.2 of the total above 5 years student’s population were covered. Current study showed that about 49.9% of those who were vaccinated inside schools were males and 50.1 % were females. As per nationality, the study showed that about 11.5% of total population vaccinated at schools were UAE nationals and 88.5% were expatriate.
Conclusion: The campaign has achieve good percentage of coverage. Comprehensive mobilization, and support from government departments were critical to the success of the campaign. However, those parents who did not respond were a lot, which raise issue of communication in need to be further investigated. There is a need to improving communication with parents through different available approaches in order to better understanding of the phenomena of not responding and improving the environment for future cooperation.
Taryam MMO, Aldallal AMRA, Al Faisal W *, Hussein HY, Monsef NA, AlBehandy NS
Background: Disability is a health problem of public health concern. Screening procedures are an important part of the assessment process to identify children and youth who have disabilities. However, such procedures must be used with care as they provide only a preliminary sign that a child has a disability. Objectives: This study is aiming at screening of childhood disability, physical, mental, developmental and others, among students population at school facilities in Dubai.
Methodology: The screening was carried out at private schools facilities in Dubai for the period 2015-2016. All students population at private school facilities in Dubai (170) at both (Diera side and Bur Dubai Side) were included. Schools were screened for identification of disability. About 266000 students were approached through conducting comprehensive routine annual medical examinations by school physicians, revising students Medical records, and utilizing diagnostic reports provided by specialist doctors and hospitals.
Results: The study revealed that about 3.2% of total student’s population in private schools in Dubai are suffering from some kind of disability (4.77% of total Emirati, and 2.99% of total expatriates). Learning disabilities was among the highest prevalent cause of disability followed by visual impairment and hyperactivity: 1.7%., 0.38% and 0.36 respectively; Regarding physical disability, 0.13 % of the total students population at private schools in Dubai were having some kind of it, and again it is more prevalent among UAE nationals (0.19%) compared to other expatriate nationalities (0.12%).
Conclusion: Functional and structural impairments and disabilities among Dubai school population at private schools facilities showed alarming prevalence. This raises many questions in terms of applying further tools for further identification as well as the need for early interventions and early rehabilitation services for better correction. It is recommended to apply well structured and competently operated national screening program at earlier ages for addressing both identification and intervention/ rehabilitation issues.
Background: Obesity and Overweight among children and adolescents is continuously worldwide increasing problem, which put this vital segment of population at greater risk for health problems compared with their normal-weight counterparts and are more likely to become obese adults. Obese children and adolescents are more likely to have serious health conditions, such as cardiovascular, metabolic, and psychosocial illnesses; type 2 diabetes; hypertension; high cholesterol; stroke; heart disease; nonalcoholic fatty liver disease; certain cancers; and arthritis. Other reported health consequences of childhood obesity include eating disorders and mental health issues, such as depression and low self-esteem.
Objectives: To measure the short-term impact of a multi-functional childhood obesity intervention program in Dubai.
Methodology: The study has been carried out in two private schools of Dubai. The total population was 2890 for the first school and 1077 for the second, with age range 5-18 years of both males and females. Initial weight assessment was carried out in both schools using WHO chart for males and females. Prevalence of obesity and overweight were recorded in both school as base-line data. This was followed by 6-month duration intervention conducted by multi functions governmental team, which applied three health initiatives, Student Health File Initiative by Dubai Health Authority, Food Labeling Initiative by Dubai Municipality and Happy Schools Initiative by Dubai Knowledge and Human Development Authority along with Ministry of Health and Dubai Sport Council. All three initiatives targeted all students in schools regardless of the weight. After 6 months of intervention second body weight assessment has been carried out with the same tool.
Results: The study showed that the pre-intervention prevalence of obesity among students in the first school was 14.4%, while the pre-intervention prevalence of overweight was 15.9%. After intervention, the prevalence of obesity was 13.9% and the prevalence of overweight was 15.4%. The study showed obesity and overweight reduction of 1% after the intervention. As for the second school, the prevalence of obesity and overweight among students before intervention were 14.8% and 15.6% respectively, while they were 14.2% and 14.7% respectively after the intervention, which revealed 1.5% reduction of the prevalence and overweight among student of this school. The reduction in both schools was 1.1%.
Conclusion: The effectiveness of school-based interventions that treat childhood obesity is questionable. Student Health File with a family component, Food Labeling and Physical activity interventions in a school-based setting may have impact. This needs more studies and further application in order to have evidence on the effectiveness of such a program. Trials evaluating promising interventions applied over a long period, using responsive outcomes, with longer measurement timeframes are urgently needed. Applying the program component at wider scale to cover other schools in Dubai for the coming five years is needed to be taken into consideration.
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