International Journal of Integrative Pediatrics and Environmental Medicine https://ijipem.com/index.php/ijipem <p>The International Journal of Integrative Pediatrics and Environmental Medicine is a peer-reviewed open-access medical journal that publishes original research, reviews, case reports, and letters focused on the interactions between children and their physical and psychological environment. Journal topics center on modifiable factors, such as environmental pollution, child-parent relationships, social circumstances, quality of life of the sick child, ill-child school performance, mental health, and sensitivity to environmental factors. Topics concerning the integration of conventional pediatrics with complementary and alternative medicine for children and research about environmental impacts on cellular and molecular mechanisms of development are of great interest.</p> <p>Conventional medicine papers relevant to pediatrics are very welcome.</p> <p>&nbsp; The journal is now in the "Gold Rush" collection library and indexed in CiteFactor, ROAD (https://portal.issn.org/resource/ISSN/2368-4275), Academic Resource Index, and the <strong>ICI World of Journals</strong> - one of the largest international databases of scientific journals.&nbsp;</p> SciencePower Publishing House, LLC en-US International Journal of Integrative Pediatrics and Environmental Medicine 2368-4275 <p>Policy for Articles with Open Access<br><br>Authors who publish with this journal agree to the following terms:<br><br>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.<br><br>Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.</p> A Case Report on Gastroparesis Secondary to a Posterior Fossa Tumor. https://ijipem.com/index.php/ijipem/article/view/93 <p><strong>Introduction. </strong>Gastroparesis is an uncommon condition with scarce available literature.&nbsp;The presented child had&nbsp;a three-month history of persistent unexplained vomiting and inability to maintain adequate nutrition with severe gastroparesis on gastric emptying study. He was refractory to medical and surgical management.&nbsp;</p> <p><strong>Case Report.&nbsp;</strong>A 20-month-old male was brought into the ED and diagnosed with gastroenteritis. Abdominal X-ray was normal, and the vomiting persisted despite antiemetic (ondansetron) administration. He was started on bethanechol for gastroparesis, which was changed to intravenous metoclopramide as he did not tolerate the oral route. His presentation further progressed with intracranial hypertension, hydrocephalus, seizure, and acute respiratory failure necessitating intubation. He was subsequently diagnosed with an atypical teratoid rhabdoid tumor of the cerebellum, for which pediatric neurosurgery performed surgical resection.</p> <p><strong>Discussion.&nbsp;</strong>The patient was initially diagnosed with post-viral gastroparesis; however, he had shown poor response to medical and surgical therapy and later presented with developmental regression and signs of increased intracranial pressure leading to the diagnosis. In this case, we speculate that the development of gut dysmotility results from disruption of the dorsal motor nucleus of the vagus and autonomic nuclei in the brain stem, which may also have been the reason for medication resistance.&nbsp;</p> <p><strong>Conclusion. </strong>Pediatric gastroparesis is largely diagnosed as idiopathic; however, clinicians should be vigilant to look for secondary causes, especially in treatment-resistant cases.&nbsp;</p> Esha Singhal Linah Omer Raphael Mattamal Copyright (c) 2024 International Journal of Integrative Pediatrics and Environmental Medicine https://creativecommons.org/licenses/by/4.0 2024-04-04 2024-04-04 8 29 32 10.36013/ijipem.v8i.93 Strengthening Capacity for a Hardly Reached Pediatric Population to Achieve Equity in Access to Clinical Trials. https://ijipem.com/index.php/ijipem/article/view/117 <p>abc</p> Adauge Opiegbe Karen Cutts Lewis Kelly Elizabeth Tilley Tetyana L. Vasylyeva Copyright (c) 2024 International Journal of Integrative Pediatrics and Environmental Medicine https://creativecommons.org/licenses/by/4.0 2024-01-13 2024-01-13 8 26 28 10.36013/ijipem.v8i.117 Adenovirus-induced Acute Necrotizing Encephalopathy in a Previously Healthy Infant- A case report https://ijipem.com/index.php/ijipem/article/view/103 <p>Acute necrotizing encephalopathy of childhood has been described as a rare entity that usually affects immunocompetent infants and children, mainly in East Asia, and typically after a viral infection. We describe the case of an 8-month-old, previously healthy Lebanese boy, who presented with fever and seizures and was found to have acute necrotizing encephalopathy with Adenovirus detected in the CSF. The clinical presentation and laboratory and radiological findings are described, and the outcomes are discussed.</p> Carla Chikhani Hmaimess Ghassan Hicham Mansour Soha Ghanem Dany Hamod Yolla Nassif Marwa Masri Copyright (c) 2023 International Journal of Integrative Pediatrics and Environmental Medicine https://creativecommons.org/licenses/by/4.0 2023-08-22 2023-08-22 8 20 25 10.36013/ijipem.v8i.103 Parental Obesity: The Pandemic of Intergenerational Physical and Mental Health Carnage https://ijipem.com/index.php/ijipem/article/view/104 <p>A review of the maternal and paternal impact of obesity at conception on the subsequent health of the offspring paints a nightmarish future in terms of suffering and out-of-control healthcare spending. Consequences of parental obesity on the offspring include obesity, type 2 diabetes, cardiovascular disease,&nbsp;<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/chronic-kidney-disease">chronic kidney disease</a>, stroke, and premature death. Children of obese women tend to have high blood pressure, left ventricular thickening, increased&nbsp;<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/abdominal-fat">abdominal fat</a>&nbsp;mass,&nbsp;<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hyperlipidemia">hyperlipidemia</a>&nbsp;with reduced high-density lipoprotein levels, increased&nbsp;<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/aortic-root">aortic root diameter,</a> insulin resistance, and elevated inflammatory markers, which culminate in a threefold greater risk of cardiometabolic complications than in children of normal-weight mothers. Babies are at greater risk of developing asthma, autism spectrum disorder, attention deficit hyperactivity disorder, cognitive delays, inflammation, cerebral palsy, epilepsy, and the chronic diseases of obesity (such as insulin resistance, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/blood-pressure-high-hypertension">high blood pressure</a>, atherosclerosis, cardiovascular disease, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/stroke">stroke</a>, some cancers, including&nbsp;<a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/breast-cancer">breast</a>,&nbsp;<a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/uterine-cancer">endometrial</a>,&nbsp;and&nbsp;<a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bowel-cancer">colon</a>&nbsp;cancer, gall bladder disease, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/polycystic-ovarian-syndrome-pcos">polycystic ovarian syndrome</a>, musculoskeletal problems such as <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/osteoarthritis">osteoarthritis</a>&nbsp;and&nbsp;<a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/Back-pain">back pain</a>, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gout">gout</a>, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cataracts">cataracts</a>, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/incontinence-and-continence-problems">stress incontinence</a>, and <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/sleep-apnoea">sleep apnea</a>), as well as psychiatric disorders including substance abuse. All parents desire healthy babies, as does society, to avoid the health costs and consequences of our obesity pandemic, but significant personal, societal, public policy, economic, and marketplace interventions will be necessary to avert further devastating impacts. We need to publicize the intergenerational harm caused by obesity, offer support to individuals to help change eating habits and produce a healthier food chain for the nation. Interventions fashioned after the twelve-step program of Alcoholics Anonymous and the adoption of a low carbohydrate abstinence model have proven effective. The time has come to spread the obesity and intergenerational obesity research findings, long accepted by the scientific community but scarcely recognized by the public. We must act before another generation is impacted by lifestyles that have continuously worsened since the 1970s.</p> Cynthia Myers-Morrison Copyright (c) 2023-03-30 2023-03-30 8 1 19 10.36013/ijipem.v8i.104