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Prevalence of Anemia and Its Associated Factors Among 6-59-Month-Old Children in Ayder Comprehensive Specialized Referral Hospital, Northern Ethiopia.

Authors: Gebrehiwot TH, Atsbaha AH, Engdashet Berhe S
Journal: Journal of nutrition and metabolism
mental health psychology open access

Abstract

Craniopharyngioma originates from remnants of the craniopharyngeal duct, and central nervous system germ cell tumor (CNS germ cell tumor) shows a predilection for the diencephalon such as the pituitary and the pineal gland., According to the Brain Tumor Registry of Japan (2009–2015), the 5‐year survival rates of craniopharyngioma and pure germinoma are 95.8% and 96.7%, respectively. Despite their favorable prognosis and several long‐term survivors, these tumors can significantly impact patients' quality of life. Young adults with craniopharyngioma have reported perceived disadvantages at work and in social integration. Pediatric brain tumor survivors, specifically males, and CNS germ cell tumor survivors have high unemployment rates. Additionally, postoperative childhood and adolescent craniopharyngioma patients may experience significant difficulties in daily functioning and social relationships, even if they show normal intellectual development on neuropsychological examination. Regarding physical activity, several adult patients with primary brain tumors may be inadequately active from the time of diagnosis until post‐treatment. Moreover, over 70% of patients with pituitary adenoma, a brain tumor affecting structures in the diencephalic region, have low overall physical activity levels. Social behavioral disorders, including apathy, disinhibition, and executive dysfunction, are among the higher brain dysfunction that can occur after an acquired brain injury., Several reports on social behavioral disorders in patients with brain tumors have been published., , Apathy has been reported in patients with craniopharyngioma. Furthermore, social participation in patients with acquired brain injury is associated with apathy and executive dysfunction., However, the association between physical activity and apathy in patients with acquired brain injury remains underexplored., The actual conditions of social participation and physical activity in patients with craniopharyngioma or CNS germ cell tumor, as well as the association between social participation or physical activity and social behavioral disorders, have not been adequately investigated. To bridge these gaps, this study aimed to (1) compare social participation and physical activity in patients with craniopharyngioma or CNS germ cell tumor; (2) assess the severity of social behavioral disorders in these patients; and (3) examine the association between social participation, physical activity, and social behavioral disorders. Our findings could inform targeted support strategies to promote social participation and physical activity, ultimately aiding patients, families, and caregivers.