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  • ISSN: 2373-9312
    Volume 3, Issue 10
    Research Article
    Bruno dos Santos Santana*, Gisélia Alves Pontes da Silva and Maria Eugênia Farias Almeida Motta
    Objective: To determine if mothers of children with chronic functional constipation show higher levels of anxiety than mothers of children not constipated.
    Methods: Participants were recruited from patients at the Outpatient Pediatric Gastroenterology and Child Care Clinic of the Hospital das Clinicas at UFPE. Cases were considered children 8-12 years of age who complied with the Rome III criteria for chronic functional constipation. The control group had the same age but did not meet this requirement. We excluded patients with chronic diseases or other functional gastrointestinal disorders. Mothers applied the "Parent-report form for children", the constipation module of Rome III questionnaire for adults and the Beck Anxiety Inventory. With children, we used the Screen for Child Anxiety Related Emotional Disorders.
    Results: The case group consisted of 57 children and adolescents and the comparative group of 82 children and their respective mothers. Children in the case group had more separation anxiety disorder than those in the comparison group (p=0.006). It was also observed that most constipated children's mothers often exhibit the same condition (p=0.04). However, constipated children's mothers did not show higher anxiety levels in comparison with the comparative group's mothers (p = 0,46)
    Conclusions: Mothers of constipated children were not more anxious than those of children without functional constipation. Separation anxiety disorder was more frequent among the constipated children though. This shows the relevance of an approach that goes beyond food and drug orientation and evidences psychosocial aspects.
    Case Report
    Stephanie Phillips DO*, John Lazarchick, Michael Bowman and Shayla Bergmann
    The use of the pulse oximeter to estimate oxygen saturation has revolutionized monitoring capabilities in medicine. However, there can be circumstances in which there is a discordance between oxygen saturation measurements via pulse oximeter (SpO2) and actual arterial oxygen levels (PaO2). In these situations, there is a possibility the patient could have a variant hemoglobin as the etiology of this discordance. This finding is generally incidental, and the patients are asymptomatic. However, knowledge of these variants is crucial and may spare patients unnecessary medical investigations. In this case report, two patients with variant hemoglobins found to have low oxygen saturations via pulse oximeter are presented, both of who underwent extensive medical workup and prolonged hospital stays.
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