Eman Zaky - Academia.edu (original) (raw)
Papers by Eman Zaky
International Journal of Science and Research (IJSR)
Background: Autism is increasing, as is vitamin D deficiency; autism epidemic came upon the world... more Background: Autism is increasing, as is vitamin D deficiency; autism epidemic came upon the world at the same time the major health authorities advised fair skin people to avoid the sun, so a link to explore between the 2 conditions appeared tempting to many investigators. Objective: Investigation of the prevalence of Autism Spectrum Disorders (ASDs) in an Egyptian sample of vitamin D deficient/insufficient rachitic infants and children compared to age and sex matched healthy controls. Methodology: Thirty five vitamin D deficient/insufficient rachitic Egyptian infants and children (group I) and 35 clinically healthy age and sex matched controls were enrolled (group II). Rickets biochemical markers, 25 hydroxy vitamin D, and Vineland Adaptive Behavioral Scales were assessed for all studied infants and children. DSM IV TR criteria were used for diagnosis of ASDs that were rated using Childhood Autism Rating Scale (CARS). Results: Mild to moderate autism was recorded in 25.71% of group I compared to none of controls and their CARS total score was significantly negatively correlated with serum level of 25 hydroxy vitamin D. Conclusion: Screening for ASDs in cases of Vitamin D deficient/insufficient rickets, as proved to be a high risk group for developing such disorders, is worthy.
Neonatal and Pediatric Medicine, 2017
Highlighting the neurological basis of normal face processing and its abnormalities in ASD seems ... more Highlighting the neurological basis of normal face processing and its abnormalities in ASD seems crucial because of its percussions on symptomatology and the management plan of autistic children. Human face processing that has been proven to be compromised in many autistic individuals is pivotal for proper social interactions. Such spontaneous perceptual task in normal children is carried out by face processing areas of the brain as fusiform gyrus, superior temporal sulcus, and amygdala. Behavioral, electrophysiological, and neuroimaging studies showed evidences of dysfunction of such areas in many autistics who often focus on face periphery and cannot interpret that it tells something about a person’s state of mind. Very early targeted intervention can stimulate face processing areas of the brain during the early developmental phases of social brain circuitry which in turn will help autistics to pay attention to faces and learn how to understand emotional expressions. Eventually, prevention or at least significant amelioration of both the spectrum and severity of autistic symptomatology might be possible.
Sport practice is not only a perfect means of promoting physical health but also it can improve m... more Sport practice is not only a perfect means of promoting physical health but also it can improve mental health and the overall quality of life of any individual. Applied Sport Psychology is the branch of science that is used to train athletes on different psychological skills and how to use them efficiently whether during competitions or in their regular lives. Olympic Games represents an occasion to demonstrate the pivotal role of such science in the remarkable achievements of many athletes who always prove without any doubts that nothing is impossible for strong will, fighting spirit, and unshaken faith. To conclude, the precious lesson which can be learnt from the inspiring stories of many athletes throughout their careers is simply that in order to achieve our goals in life, not only in sports, we have to dream big, have faith, believe in ourselves, do our best, and be sure that we can.
Current Pediatric Research, 2017
Violence represents a great challenge especially to those who are concerned with children’s and a... more Violence represents a great challenge especially to those who are concerned with children’s and adolescents’ behavior. Violent behavior can be encountered in children as young as preschoolers. At any age, violent behavior is an alarming sign that must be taken seriously and dealt with properly, as early as possible, to avoid unwanted and sometimes catastrophic consequences. Collaborative works must be directed to significantly reduce the exposure of children to violence whether at home, school, neighborhood, and or in media to cut the vicious circuit of violence short. Children in any community represent its future; hence, it is wise to integrate sincere efforts to ensure that such future will be healthy, bright, and promising. We must do our best to give our children the chance to see and live in a better world where “goodness, fairness, kindness, and beauty” are prevailing and being rewarded.
Current Pediatric Research, 2018
Background: Genetic susceptibility has a crucial role in the development of type 1 diabetes melli... more Background: Genetic susceptibility has a crucial role in the development of type 1 diabetes mellitus (T1DM). Several genes were found to be involved; one of the most important genes is interleukin 2 receptor α (IL2RA) gene which was found to be associated with T1DM in several countries. Objective: Investigating the potential association of T1DM, its age of onset, and its complications with IL2RA receptor gene polymorphism in an Egyptian sample of type 1 diabetics. Methodology: A case control study was conducted enrolling 100 cases suffering from T1DM and 100 healthy controls of comparable age and sex. Assessment of random blood sugar, HbA1c, and genetic study of IL2RA rs706778 gene polymorphism were done for all studied subjects. Results: The AA and AG genotypes of IL2AR/CD25 rs706778 were significantly more prevalent among studied diabetics compared to controls. Furthermore, the mutant allele A was significantly more prevalent among diabetics while the G allele was significantly mo...
QJM: An International Journal of Medicine, 2021
Background A majority of extremely preterm infants are treated with mechanical ventilation, which... more Background A majority of extremely preterm infants are treated with mechanical ventilation, which is associated with an increased risk for future development of chronic lung disease, neonatal brain damage, and neurodevelopmental impairments. Objectives The aim of the current study was to evaluate the current and follow up neurodevelopmental status of an Egyptian sample of newly and previously discharged mechanically ventilated infants following them up for a period of 6 months for the earlier group and a year for the latter. Patients and Methods The current study was designed to be a descriptive study with retrospective (50 infants) and prospective (50 infants) domains. It was carried out on 100 neonates who were recruited from the Pediatric Neonatology Clinic, Children's Hospital and Neonatal Intensive Care Unit, Ain Shams University using clinical evaluation, Bayley Scales of Infant Development, and Childhood Autism Rating Scale (CARS).. Results There was statistically signifi...
Clinical Depression, 2017
Journal of Child and Adolescent Behavior, 2018
HANDBOOK 94-167 (2d ed. R. Bigelow 1969) [hereinafter cited as COMPUTERS AND THE LAW]; R. BIGELOW... more HANDBOOK 94-167 (2d ed. R. Bigelow 1969) [hereinafter cited as COMPUTERS AND THE LAW]; R. BIGELOW, COMPUTER LAW SERVICE (1972).
Journal of Child and Adolescent Behavior, 2017
Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder that is characterized by th... more Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder that is characterized by the presence of multiple motor tics and at least one phonic tic for a minimum of one year duration. It has many differential diagnoses and is often associated with psychiatric comorbidities. One of the differential diagnoses of TS is Autism Spectrum Disorder (ASD); the stereotypic behavior of which needs to be differentiated from the tics of Tourette sufferers. This is a report of an 8-year-old boy with Tourette syndrome who was seriously disabled by his symptoms that necessitated thorough evaluation to exclude any causes, differential diagnoses, and or comorbidities. The treatment of children and adolescents with Tourette syndrome is an important clinical issue. In such cases the potential longterm negative effects of using antipsychotic or other medications need to be weighed against the disruptive effects of persistent Tourette symptoms on patients' lives.
Journal of Child and Adolescent Behavior, 2017
Tourette syndrome (TS) is a hereditary neurobehavioral disorder which starts early during childho... more Tourette syndrome (TS) is a hereditary neurobehavioral disorder which starts early during childhood and manifests with a group of motor and one or more vocal tics for a duration of a year at least. It tends to be a lifelong chronic disorder with many remissions and exacerbations but in general, it is not a degenerative disease and has no negative percussions on intelligence or life span. Cases with TS need proper professional evaluation to exclude any differential diagnoses and detect any comorbidities. Cognitive Behavior Therapy (CBT), medications, and supportive intervention are indicated for cases with significant functional impairment. Some sufferers consider TS a very annoying lifelong disorder while others think about it as an inspiring companion that makes them gifted, unique and special.
Journal of Child and Adolescent Behaviour, 2017
Journal of Child and Adolescent Behaviour, 2016
Psychosocial adversities are not uncommon among children with chronic physical illnesses who surv... more Psychosocial adversities are not uncommon among children with chronic physical illnesses who survived because of the improved management of such disorders and health care's quality. Accordingly, mental health assessment and treatment of any concomitant mental disorder is a crucial part of the management plan of chronically physically ill children and adolescents. Addressing the psychosocial, psychiatric, educational, and vocational needs of those children and adolescents by a multidisciplinary professional team with appropriate family and social support are essential to help them to cope with their illnesses and achieve their ultimate goals in life. Finally, it is very worthy to let those young individuals learn by experience and modeling that "to be or not to be" will always be our choice and none else.
Journal of Child and Adolescent Behaviour, 2016
Journal of Child and Adolescent Behaviour, 2015
Factitious Disorder Imposed on Another is a behavior pattern in which a caregiver fabricates, exa... more Factitious Disorder Imposed on Another is a behavior pattern in which a caregiver fabricates, exaggerates, or induces mental or physical health problems in those who are in her or his care. With deception at its core, this behavior is an elusive, potentially lethal, and frequently misunderstood form of child abuse or medical neglect that has been difficult to define, detect, and confirm. Symptoms of the syndrome are hard to identify but are most prevalent when the child only becomes sick in the presence of his or her mother. The mother maintains a dynamic relationship with the physician, as the whole disorder is centered upon her need for attention and compassion from the doctor to placate self-doubt in the sufferer. The first concern in Factitious Disorder Imposed on Another is to raise the awareness about it in order not to miss it as it could be lethal and to ensure the safety and protection of any real or potential victims. This may require that the child be placed in the care of another. In fact, managing a case involving Factitious Disorder Imposed on Another often requires a team that includes a social worker, foster care organizations, and law enforcement, as well as doctors. Psychotherapy generally focuses on changing the thinking and behavior of the individual with the disorder and its goal in such disorder is to help the person identify the thoughts and feelings that are contributing to the behavior, and to learn to form relationships that are not associated with being ill.
European Psychiatry, 2015
International Journal of Science and Research (IJSR)
Background: Autism is increasing, as is vitamin D deficiency; autism epidemic came upon the world... more Background: Autism is increasing, as is vitamin D deficiency; autism epidemic came upon the world at the same time the major health authorities advised fair skin people to avoid the sun, so a link to explore between the 2 conditions appeared tempting to many investigators. Objective: Investigation of the prevalence of Autism Spectrum Disorders (ASDs) in an Egyptian sample of vitamin D deficient/insufficient rachitic infants and children compared to age and sex matched healthy controls. Methodology: Thirty five vitamin D deficient/insufficient rachitic Egyptian infants and children (group I) and 35 clinically healthy age and sex matched controls were enrolled (group II). Rickets biochemical markers, 25 hydroxy vitamin D, and Vineland Adaptive Behavioral Scales were assessed for all studied infants and children. DSM IV TR criteria were used for diagnosis of ASDs that were rated using Childhood Autism Rating Scale (CARS). Results: Mild to moderate autism was recorded in 25.71% of group I compared to none of controls and their CARS total score was significantly negatively correlated with serum level of 25 hydroxy vitamin D. Conclusion: Screening for ASDs in cases of Vitamin D deficient/insufficient rickets, as proved to be a high risk group for developing such disorders, is worthy.
Neonatal and Pediatric Medicine, 2017
Highlighting the neurological basis of normal face processing and its abnormalities in ASD seems ... more Highlighting the neurological basis of normal face processing and its abnormalities in ASD seems crucial because of its percussions on symptomatology and the management plan of autistic children. Human face processing that has been proven to be compromised in many autistic individuals is pivotal for proper social interactions. Such spontaneous perceptual task in normal children is carried out by face processing areas of the brain as fusiform gyrus, superior temporal sulcus, and amygdala. Behavioral, electrophysiological, and neuroimaging studies showed evidences of dysfunction of such areas in many autistics who often focus on face periphery and cannot interpret that it tells something about a person’s state of mind. Very early targeted intervention can stimulate face processing areas of the brain during the early developmental phases of social brain circuitry which in turn will help autistics to pay attention to faces and learn how to understand emotional expressions. Eventually, prevention or at least significant amelioration of both the spectrum and severity of autistic symptomatology might be possible.
Sport practice is not only a perfect means of promoting physical health but also it can improve m... more Sport practice is not only a perfect means of promoting physical health but also it can improve mental health and the overall quality of life of any individual. Applied Sport Psychology is the branch of science that is used to train athletes on different psychological skills and how to use them efficiently whether during competitions or in their regular lives. Olympic Games represents an occasion to demonstrate the pivotal role of such science in the remarkable achievements of many athletes who always prove without any doubts that nothing is impossible for strong will, fighting spirit, and unshaken faith. To conclude, the precious lesson which can be learnt from the inspiring stories of many athletes throughout their careers is simply that in order to achieve our goals in life, not only in sports, we have to dream big, have faith, believe in ourselves, do our best, and be sure that we can.
Current Pediatric Research, 2017
Violence represents a great challenge especially to those who are concerned with children’s and a... more Violence represents a great challenge especially to those who are concerned with children’s and adolescents’ behavior. Violent behavior can be encountered in children as young as preschoolers. At any age, violent behavior is an alarming sign that must be taken seriously and dealt with properly, as early as possible, to avoid unwanted and sometimes catastrophic consequences. Collaborative works must be directed to significantly reduce the exposure of children to violence whether at home, school, neighborhood, and or in media to cut the vicious circuit of violence short. Children in any community represent its future; hence, it is wise to integrate sincere efforts to ensure that such future will be healthy, bright, and promising. We must do our best to give our children the chance to see and live in a better world where “goodness, fairness, kindness, and beauty” are prevailing and being rewarded.
Current Pediatric Research, 2018
Background: Genetic susceptibility has a crucial role in the development of type 1 diabetes melli... more Background: Genetic susceptibility has a crucial role in the development of type 1 diabetes mellitus (T1DM). Several genes were found to be involved; one of the most important genes is interleukin 2 receptor α (IL2RA) gene which was found to be associated with T1DM in several countries. Objective: Investigating the potential association of T1DM, its age of onset, and its complications with IL2RA receptor gene polymorphism in an Egyptian sample of type 1 diabetics. Methodology: A case control study was conducted enrolling 100 cases suffering from T1DM and 100 healthy controls of comparable age and sex. Assessment of random blood sugar, HbA1c, and genetic study of IL2RA rs706778 gene polymorphism were done for all studied subjects. Results: The AA and AG genotypes of IL2AR/CD25 rs706778 were significantly more prevalent among studied diabetics compared to controls. Furthermore, the mutant allele A was significantly more prevalent among diabetics while the G allele was significantly mo...
QJM: An International Journal of Medicine, 2021
Background A majority of extremely preterm infants are treated with mechanical ventilation, which... more Background A majority of extremely preterm infants are treated with mechanical ventilation, which is associated with an increased risk for future development of chronic lung disease, neonatal brain damage, and neurodevelopmental impairments. Objectives The aim of the current study was to evaluate the current and follow up neurodevelopmental status of an Egyptian sample of newly and previously discharged mechanically ventilated infants following them up for a period of 6 months for the earlier group and a year for the latter. Patients and Methods The current study was designed to be a descriptive study with retrospective (50 infants) and prospective (50 infants) domains. It was carried out on 100 neonates who were recruited from the Pediatric Neonatology Clinic, Children's Hospital and Neonatal Intensive Care Unit, Ain Shams University using clinical evaluation, Bayley Scales of Infant Development, and Childhood Autism Rating Scale (CARS).. Results There was statistically signifi...
Clinical Depression, 2017
Journal of Child and Adolescent Behavior, 2018
HANDBOOK 94-167 (2d ed. R. Bigelow 1969) [hereinafter cited as COMPUTERS AND THE LAW]; R. BIGELOW... more HANDBOOK 94-167 (2d ed. R. Bigelow 1969) [hereinafter cited as COMPUTERS AND THE LAW]; R. BIGELOW, COMPUTER LAW SERVICE (1972).
Journal of Child and Adolescent Behavior, 2017
Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder that is characterized by th... more Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder that is characterized by the presence of multiple motor tics and at least one phonic tic for a minimum of one year duration. It has many differential diagnoses and is often associated with psychiatric comorbidities. One of the differential diagnoses of TS is Autism Spectrum Disorder (ASD); the stereotypic behavior of which needs to be differentiated from the tics of Tourette sufferers. This is a report of an 8-year-old boy with Tourette syndrome who was seriously disabled by his symptoms that necessitated thorough evaluation to exclude any causes, differential diagnoses, and or comorbidities. The treatment of children and adolescents with Tourette syndrome is an important clinical issue. In such cases the potential longterm negative effects of using antipsychotic or other medications need to be weighed against the disruptive effects of persistent Tourette symptoms on patients' lives.
Journal of Child and Adolescent Behavior, 2017
Tourette syndrome (TS) is a hereditary neurobehavioral disorder which starts early during childho... more Tourette syndrome (TS) is a hereditary neurobehavioral disorder which starts early during childhood and manifests with a group of motor and one or more vocal tics for a duration of a year at least. It tends to be a lifelong chronic disorder with many remissions and exacerbations but in general, it is not a degenerative disease and has no negative percussions on intelligence or life span. Cases with TS need proper professional evaluation to exclude any differential diagnoses and detect any comorbidities. Cognitive Behavior Therapy (CBT), medications, and supportive intervention are indicated for cases with significant functional impairment. Some sufferers consider TS a very annoying lifelong disorder while others think about it as an inspiring companion that makes them gifted, unique and special.
Journal of Child and Adolescent Behaviour, 2017
Journal of Child and Adolescent Behaviour, 2016
Psychosocial adversities are not uncommon among children with chronic physical illnesses who surv... more Psychosocial adversities are not uncommon among children with chronic physical illnesses who survived because of the improved management of such disorders and health care's quality. Accordingly, mental health assessment and treatment of any concomitant mental disorder is a crucial part of the management plan of chronically physically ill children and adolescents. Addressing the psychosocial, psychiatric, educational, and vocational needs of those children and adolescents by a multidisciplinary professional team with appropriate family and social support are essential to help them to cope with their illnesses and achieve their ultimate goals in life. Finally, it is very worthy to let those young individuals learn by experience and modeling that "to be or not to be" will always be our choice and none else.
Journal of Child and Adolescent Behaviour, 2016
Journal of Child and Adolescent Behaviour, 2015
Factitious Disorder Imposed on Another is a behavior pattern in which a caregiver fabricates, exa... more Factitious Disorder Imposed on Another is a behavior pattern in which a caregiver fabricates, exaggerates, or induces mental or physical health problems in those who are in her or his care. With deception at its core, this behavior is an elusive, potentially lethal, and frequently misunderstood form of child abuse or medical neglect that has been difficult to define, detect, and confirm. Symptoms of the syndrome are hard to identify but are most prevalent when the child only becomes sick in the presence of his or her mother. The mother maintains a dynamic relationship with the physician, as the whole disorder is centered upon her need for attention and compassion from the doctor to placate self-doubt in the sufferer. The first concern in Factitious Disorder Imposed on Another is to raise the awareness about it in order not to miss it as it could be lethal and to ensure the safety and protection of any real or potential victims. This may require that the child be placed in the care of another. In fact, managing a case involving Factitious Disorder Imposed on Another often requires a team that includes a social worker, foster care organizations, and law enforcement, as well as doctors. Psychotherapy generally focuses on changing the thinking and behavior of the individual with the disorder and its goal in such disorder is to help the person identify the thoughts and feelings that are contributing to the behavior, and to learn to form relationships that are not associated with being ill.
European Psychiatry, 2015