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Gilles de la Tourette syndrome is a neuro-psychiatric disorder that generally affects children with normal intelligence and can affect also talented children. Gilles de la Tourette syndrome was first described in a book entitled ¿Malleus Maleficarum¿ which means "Witch's hammer" in the late 15th century. The book described a priest whose abnormal involuntary repetitive behaviors were considered to be related to possession by the devil. In the medical literature, Jean Marc Gaspard Itard, a French doctor was the first to describe a patient with this syndrome in 1825. The rather bizarre manifestations of the syndrome including involuntary movements and utterances can make an intelligent child a victim of the condition, and adversely affects his schooling and results in social rejection and consequently isolation. Awareness of this condition by the community, educators, and also medical practitioners are necessary to avoid the loss of affected children who can have the potential to be a talented individual in the future. Gilles de la Tourette syndrome has not been described or documented before in Iraq. The aim of this book is to describe the first case of this syndrome in Iraq.
Mental retardation has been recently called by the American Psychiatric Association¿ intellectual disability¿ despite that World Health Organization is still using the term ¿Mental retardation¿ in its ICD-10 publication. There is no known therapeutic approach that can advance the mental functions to move the patient with mental retardation from the uneducable to educable mental retardation. The aim of this book is to describe a novel therapeutic approach which was successful in advancing the mental functions in a patient with uneducable (Moderate to severe) idiopathic mental retardation and making the child perfectly educable. This book is not about what was called historically a heroic or miraculous medicine, but it is all about providing a preliminary scientific evidence, changing perspectives and opening new frontiers.
Coffin Siris syndrome is very rare genetic syndrome.THE TOTAL NUMBER OF THE REPORTED PATIENTS WITH COFFIN SIRIS SYNDROME IS 169. Coffin Siris syndrome has been reported only once in Iraq. The first Iraqi patient with Coffin Siris syndrome (Al Mosawi AJ,2006) was also the first patient in the Arab. The main aim of this book is to describe the second case of this syndrome in Iraq which is also the case number 170 in the world. The book also describes the historic documentation of the syndrome in the literature.
Non-syndromic agenesis of the corpus callosum is a rare congenital disorder that has not been described or documented in Iraq. In this book, two Iraqi infants with non-syndromic agenesis of the corpus callosum are described. One infant had the isolated type and the second infant had agenesis of the corpus callosum associated with colpocephaly. Both infants had the clinical features of the syndrome resulting from the associated failure of neuronal migration including hypotonia with poor spontaneous movements, and poor head control, and no response to voice. The infant with corpus callosum associated with colpocephaly was treated with a novel therapeutic approach aiming at improving brain functions and accelerating development. She received two medications given by intramuscular injections in five successive therapeutic courses over three months period. Treatment was associated with significant improvement. The second patient didn¿t receive any specific therapy during three months of observation and he didn¿t show any obvious improvement despite he didn¿t have colpocephaly.
Hypoparathyroidism is a rare endocrine disorder that can be congenital or acquired. The congenital disorder can result from aplasia or hypoplasia of parathyroids or occurs as a part of genetic syndromes such as Sanjad-Sakati-Richardson Kirk syndrome. Non-syndromic genetic hypoparathyroidism can be inherited as autosomal dominant and X-linked recessive disorders. Acquired hypoparathyroidism can be autoimmune disorder or classified as idiopathic. Autoimmune hypoparathyroidism is generally suggested by its frequent association with other autoimmune disorders and moniliasis. Idiopathic hypoparathyroidism has not been well documented in Iraq. However, a case of autoimmune hypoparathyroidism associated with alopecia totalis has been observed in Iraq during the 1990s and was reported in 2017 by Al Mosawi AJ. Sanjad Sakati Richardson Kirk Syndrome, a disorder associated with congenital hypoparathyroidism has been well described in Iraq by Al Mosawi AJ in 2018. The syndrome of childhood hypoparathyroidism, vitiligo, poliosis, and macrocytic anemia has not been reported in the literature before. The aim of this book is to describe the first case of this syndrome.
Cerebral palsy is a heterogeneous condition associated with a non-progressive lesion causing permanent disorder of movement with limited mobility. It is generally associated with gross motor developmental delay. In moderate to severe cases of cerebral palsy, motor developmental milestones such as walking may never be achieved. Little is known about the pattern of cerebral palsy in Iraq. The aim of this book is to describe the pattern of cerebral palsy in a sample of Iraqi children observed by a single pediatrician in a tertiary pediatric referral center. Spastic cerebral palsy affecting all limbs (Spastic quadriplegia) accounted for about 67 % of all Iraqi children with cerebral palsy. Radiologic evidence of diffuse brain atrophy was present in more than 25% of the patients with cerebral palsy in this series. This book can also serve medical educators and medical practitioners as an atlas of cerebral palsy as it is rich in photographs.
Physicians particularly consultants are frequently placed in teaching and training positions. Many doctors are teaching medical students in medical schools and training residents in teaching and university hospitals. In addition, many doctors have an obligation to the development of their students, trainee, and their organizations. Therefore, the principles and concepts of development have become increasingly relevant to doctors running hospitals, medical schools and other health institutions and centres. This book is a useful compendium of the conceptual structure of instruction and training styles and methodologies. This book serves well as a source of information to help doctors in training their less senior colleagues in different medical and clinical settings. In addition to enabling the essential understanding of the conceptual background of the process of training in general and training of trainers, this book can also help in optimizing the effectiveness of the training designed to build a potential cadre of trainers.
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