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Research Profile - College of Medicine and Health Science - United ...

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Department <strong>of</strong> Pediatrics<br />

The department is also interested in mapping<br />

recessive genetic disorders using the concept <strong>of</strong><br />

homozygosity mapping, particularly disorders<br />

which are common or unique to this population.<br />

For example, a gene for Joubert syndrome,<br />

which seems to be common in Arabs, was<br />

mapped to chromosome 9q34.3 <strong>and</strong> genetic<br />

heterogeneity was established. Subsequently<br />

other genes for Joubert Syndrome were mapped<br />

<strong>and</strong> mutations were identified in families from<br />

UAE. Another new type <strong>of</strong> epiphyseal dysplasia<br />

was described in a family from UAE <strong>and</strong> a gene<br />

was mapped to chromosome 15q26. Several<br />

other disorders are currently being investigated<br />

using the same concept.<br />

Metabolic disorders are common in the UAE.<br />

The department is active in establishing the<br />

prevalence <strong>of</strong> different metabolic disorders in<br />

the UAE population.<br />

An ongoing study aims to determine prevalence<br />

<strong>of</strong> alcaptonuria within UAE population.<br />

Perinatal nutrition <strong>and</strong> nutritional<br />

disorders<br />

The department is involved in studies on<br />

micronutrients abnormalities in pregnancy <strong>and</strong><br />

the effect on the fetus/newborn.The preliminary<br />

results suggest that micronutrient deficiency is<br />

common in pregnancy <strong>and</strong> outcome studies are<br />

in progress.<br />

The department has been active through the<br />

years in experiments involving amino acids<br />

levels at different ages in the UAE population<br />

<strong>and</strong> showed that some amino acids were<br />

abnormally high in newborn infants using the<br />

then available parenteral amino acid solution.<br />

This led to a change in the solutions used in<br />

the Medical District.<br />

The group working on reproductive toxicology<br />

has established that aflatoxin (a fungus toxin)<br />

contamination <strong>of</strong> foods is very common, <strong>and</strong><br />

that aflatoxins have been detected in blood <strong>of</strong><br />

pregnant women <strong>and</strong> their <strong>of</strong>fspring in larger<br />

amounts than is acceptable. Measurement <strong>of</strong><br />

aflatoxin in breast milk <strong>of</strong> lactating mothers is<br />

in progress. The results will give a much clearer<br />

picture <strong>of</strong> exposure <strong>of</strong> infants to aflatoxins.<br />

Vitamin D status among pediatric<br />

population in UAE<br />

This population based study will reveal the<br />

status <strong>of</strong> Vitamin D levels among adolescents<br />

<strong>and</strong> female pediatric patients in UAE. Since Vit.<br />

D has a pluripotent role in the body <strong>and</strong> has<br />

been found to be deficient among women <strong>and</strong><br />

newborns in UAE (from previous studies from<br />

our department), this important project will<br />

provide information which will lead to<br />

interventional studies in the future.<br />

Role <strong>of</strong> Vitamin D in Lung Development<br />

Since the majority <strong>of</strong> alveolar development<br />

occurs postnatally, the interaction between Vit.<br />

D <strong>and</strong> factors responsible for alveolarization,<br />

particularly VEGF will be studied. Thus the role<br />

<strong>of</strong> Vit. D in the epithelial <strong>and</strong> mesenchymal<br />

interactions during early lung development will<br />

be investigated. This study has significant clinical<br />

implications in Pediatrics as abnormal lung<br />

development <strong>and</strong> airway reactivity frequently<br />

lead to significant morbidity in later life. We<br />

have observed a very high incidence <strong>of</strong> asthma<br />

among the pediatric population in Al Ain.<br />

Other areas <strong>of</strong> research<br />

Other areas <strong>of</strong> research include clinical <strong>and</strong><br />

immunological aspects <strong>of</strong> hepatitis C,<br />

seroepidemiology <strong>and</strong> neonatal screening <strong>of</strong><br />

CMV <strong>and</strong> other congenital infections. Clinical<br />

research in neurology includes pr<strong>of</strong>ile <strong>of</strong><br />

epilepsy <strong>and</strong> drug therapy <strong>of</strong> epilepsy in the<br />

UAE as well as brain imaging <strong>and</strong> epidemiology<br />

<strong>of</strong> cerebral palsy.<br />

Other activities <strong>of</strong> the department include<br />

establishing normal growth charts for children<br />

from the UAE from ages 0-18 years, <strong>and</strong> the size<br />

at birth <strong>of</strong> infants born to UAE nationals. These<br />

growth charts will provide the first st<strong>and</strong>ards for<br />

assessing intrauterine <strong>and</strong> postnatal physical<br />

growth <strong>of</strong> UAE newly born infants <strong>and</strong> children.<br />

The role <strong>of</strong> food allergy <strong>and</strong> airway reactivity is<br />

another area <strong>of</strong> interest in our department. This<br />

is being investigated in a population based<br />

approach.<br />

Factors responsible for inflammatory bowel<br />

disease in the pediatric population is an area <strong>of</strong><br />

interest <strong>and</strong> studies on animal models are being<br />

initiated now.<br />

Outcomes <strong>of</strong> prematurity, especially in the verylow<br />

birthweight <strong>and</strong> extremely low birthweight<br />

groups in the local population.<br />

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