Contemporary Pioneers of Child Psychiatry from the Developing World

RESEARCH ARTICLE

  • Aamir Jalal Al-Mosawi 1

Advisor doctor and expert trainer, Baghdad Medical City and Iraqi Ministry of Health Baghdad, Iraq

*Corresponding Author: Aamir Jalal Al-Mosawi Advisor doctor and expert trainer, Baghdad Medical City and Iraqi Ministry of Health Baghdad, Iraq.

Citation: Aamir Jalal Al-Mosawi, Contemporary Pioneers of Child Psychiatry from the Developing World, Mental Health and Psychological Wellness, vol 1(1). DOI: https://doi.org/10.64347/3066-3032/MHPW.002

Copyright: © 2024, Aamir Jalal Al-Mosawi, this is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: October 11, 2024 | Accepted: October 14, 2024 | Published: November 09, 2024

Abstract

Background: The emergence of the earlier pioneers of pediatric psychiatry was associated with the evolution of understanding of child psychiatric disorders. Pediatric psychiatry begins with the recognition that children are not simply small adults. Through the insights of figures such as Thomas Willis, Henry Maudsley, and Hermann Emminghaus, the field gradually gained recognition and understanding. Important milestones include the work of William Thierry Preyer and Alfred Binet in developmental psychology, which laid the groundwork for pediatric psychiatry. 

The identification of autism disorders by Grunya Efimovna and the pioneering efforts of Leo Kanner and Hans Asperger further advanced the field.

Bibliometrics is the analysis of academic publications including citation analysis with aim of determining the impact or influence of papers and the academic who authored them. Bibliometric assessments have been increasingly used to quantitatively and qualitatively assess the scientific/research productivity of academic leaders in various field of medicine. The use of Bibliometrics to determine modern pioneers has been recently suggested. 

Materials and methods: Over 1000 Google Scholar Citation profiles were scrutinized in May 2024 to identify super-elite clinical pediatric psychiatrists from 178 developing countries with an H-index of 20 or higher. The search aimed to provide a comprehensive overview of the global distribution of academic leadership in this specialized field.

Results: In May 2024, notable clinical pediatric psychiatrists with H-indices of 20 or higher were identified from three countries, including Aamir Jalal Al-Mosawi from Iraq (H-index 23), Shahrokh Amiri from Iran (H-index 23), and Murat Coşkun from Turkey (H-index 20). 

Additionally, several countries boasted pediatric psychiatrists with H-indices of 10 or higher, indicative of significant academic impact. Countries with pediatric psychiatrists’ profiles having an H-index of 10 or higher included Bangladesh. Kosovo, Mexico, New Zealand. 

This bibliometric analysis sheds light on the distribution of academic leadership in clinical pediatric psychiatry globally. The identification of super-elite pediatric psychiatrists underscores the significance of their contributions to the field. However, the varying levels of academic impact across different regions highlight opportunities for further research and collaboration to enhance scholarly productivity and knowledge dissemination. 

By leveraging bibliometric tools like the H-index, stakeholders can better understand and support academic leaders in advancing pediatric psychiatric care and research on a global scale.

Conclusion: This study showed three notable clinical pediatric psychiatrists with H-indices of 20 or higher from three countries, including Aamir Jalal Al-Mosawi from Iraq (H-index 23). 


Keywords: pediatric psychology, mental disorders, abnormal development

Introduction

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

The emergence of the earlier pioneers of pediatric psychiatry was associated with the evolution of understanding of child psychiatric disorders. Pediatric psychiatry begins with the recognition that children are not simply small adults. Through the insights of figures such as Thomas Willis, Henry Maudsley, and Hermann Emminghaus, the field gradually gained recognition and understanding. Important milestones include the work of William Thierry Preyer and Alfred Binet in developmental psychology, which laid the groundwork for pediatric psychiatry. 

The identification of autism disorders by Grunya Efimovna and the pioneering efforts of Leo Kanner and Hans Asperger further advanced the field.

"Children cannot be considered small adults, a fact that cannot be ignored in the realm of pediatric psychiatry. Childhood psychiatric disorders often manifest as abnormal developmental progress in one or more domains of development, rather than exhibiting specific symptoms observed in adults with psychiatric disorders. The discipline of pediatric psychiatry has evolved alongside the increasing knowledge and understanding of child development.

Thomas Willis (Figure-1A) was the first physician to describe mental retardation as a brain disorder. In 1867, Henry Maudsley (Figure-1B), a British physician, emphasized the possibility of mental disorders in children by including a chapter entitled 'Insanity of Early Life' in his book 'Physiology & Pathology of Mind (Figure-1C).'

In 1887, German physician Hermann Emminghaus (Figure-1D) published a landmark book in child psychiatry entitled 'Psychic Disturbances in Childhood,' often referred to as 'The Cradle of Child Psychiatry.'

In 1877, German physician Adolph Kussmaul (Figure-1E) described children who were reluctant to speak despite having the ability to do so normally. He termed the condition 'Aphasia voluntaria,' though it is now more commonly known as elective and selective mutism

                                                                          Figure-1A: Thomas Willis (27, January 1621-11, November 1675)

                                                                                    Figure-1B: Henry Maudsley, a British physician (1835-1918)

                                                                          Figure-1C: Henry Maudsley’s book “Physiology & Pathology of Mind”

                                                                                                           Figure-1D: Hermann Emminghaus

                                                                                                  Figure 1E: Adolph Kussmaul, German physician

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

Significant advances in developmental psychology during the early 1900s paved the way for pediatric psychiatry to emerge as a distinct discipline, particularly in developed countries. 

These advances were preceded by the work of William Thierry Preyer (Figure-1F), who in 1882 published a book entitled 'The Mind of the Child.' In this book (Figure-1G); Preyer presented his observations on the development of his son from birth to the age of three.

In 1905, Alfred Binet (Figure-1H), a French psychologist, introduced the concept of mental age. He categorized children who performed better than their peers as having a higher mental age, and those who performed below the average of their peers as having a lower mental age. This concept proved invaluable in assessing children with mental retardation.

Autism disorders were first recognized by Grunya Efimovna (Figure-1I), a Soviet pediatric psychiatrist, in 1925, and she referred to these disorders as autistic psychopathy.

The world's first academic child psychiatry department was established in 1930 by Leo Kanner (Figure-1J), one of the most influential American clinical pediatric psychiatrists of the 20th century. Kanner described the classic type of autism, now known as Kanner syndrome, in 1943. Despite being associated with normal or high intelligence, it is characterized by significant delays in speech development.

In 1944, Hans Asperger (Figure-1K), an Austrian physician, reported children exhibiting the mildest type of autism, which had been first described by Grunya Efimovna in 1925".

Childhood psychiatric disorders are generally divided into two broad categories including disorders that are mostly begin during childhood, and adult psychiatric disorders that are seen during childhood. 

In 1945, Ludwig Binswanger (Figure-1L) raised a question about the frequency of an adult psychiatric disorder “Schizophrenia”. During childhood.

                                   Figure-1F: William Thierry Preyer (1841-1897), a pioneer of scientific pediatric psychology and human development studies

                                                                                                           Figure-1G: William Thierry Preyer’s book

                                                                                                  Figure-1H: Alfred Binet, a French psychologist

                                                                                                                      Figure-1I: Grunya Efimovna

                                                                                                                                 Figure-1J: Leo Kanner

                                                                                                     Figure-1K: Hans Asperger, an Austrian physician

                                         Figure-1L: Ludwig Binswanger (April 13, 1881- February 5, 1966), a Swiss psychiatrist

In 1947, Lauretta Bender (Figure-1M) reported a study of 100 children with schizophrenia.

Adult anxiety disorders may occur during childhood, but they are not the same as childhood anxiety disorders. 

Early during the 1980s, John Bowlby (Figure-1N), a British physician attributed “Childhood separation anxiety” which is anxiety over an unwilling separation to persistence of the normal reaction during early life which could result from parental inconsistency or absence in childhood, leading to clinging and fearful behavior [1-5].       

Bibliometrics, a method for analyzing academic publications and citations, offers insights into the impact and influence of scholarly work and its authors. 

Increasingly, bibliometric assessments are being employed to evaluate the scientific productivity of academic leaders in various medical disciplines. 

This study focuses on utilizing bibliometrics, particularly the H-index calculated via Google Scholar Citation analysis, to identify academic leaders in clinical pediatric psychiatry.

The H-index calculated by the citation analysis tool of Google Scholar is one of the most important tools for the assessment of a physician’s academic leadership through measuring the influence of their academic productivity, and this measure is performed mostly through citation analysis of the published journal articles. 

Google Scholar citation is the most commonly used tool for citation analysis, and you can search online for an academic citation analysis and H-index at this web site (Link below) [6-10].

https://scholar.google.com/citations?view_op=search_authors

                                       Figure-1M: Lauretta Bender (August 9, 1897-January 4, 1987), an American pediatric psychiatrist

                                                                                                     Figure-1N: John Bowlby, a British physician

Materials And Methods/ Results

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

Materials and methods

Over 1000 Google Scholar Citation profiles were scrutinized in May 2024 to identify super-elite clinical pediatric psychiatrists from 178 developing countries with an H-index of 20 or higher. The search aimed to provide a comprehensive overview of the global distribution of academic leadership in this specialized field.

Results

In  May 2024, notable clinical pediatric psychiatrists with H-indices of 20 or higher were identified from three countries, including Aamir Jalal Al-Mosawi (Figure-2A) from Iraq (H-index 23) [11], Shahrokh Amiri (Figure-2B) from Iran (H-index 23) [12], and Murat Coşkun (Figure-2C) from Turkey (H-index 20) [13]. 

Additionally, several countries boasted pediatric psychiatrists with H-indices of 10 or higher, indicative of significant academic impact; including Hiran Thabrew (Figure-3A) from New Zealand (H-index 18) [14], Mohammad S I Mullick (Figure-3B) from Mangeladish (H-index 16) [15], Lilia Albores-Gallo (Figure-3C) from Mexico (H-index 15) [16], Drita Gashi Bytyci (Figure-3D) from Kosovo (H-index 13) [17].

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

Additionally, several countries boasted pediatric psychiatrists with H-indices of 10 or higher, indicative of significant academic impact; including Hiran Thabrew (Figure-3A) from New Zealand (H-index 18) [14], Mohammad S I Mullick (Figure-3B) from Mangeladish (H-index 16) [15], Lilia Albores-Gallo (Figure-3C) from Mexico (H-index 15) [16], Drita Gashi Bytyci (Figure-3D) from Kosovo (H-index 13) [17].

Conversely, some countries had profiles with lower H-indices, while others lacked pediatric psychiatrist profiles altogether.

There was pediatric psychiatrist profile, but with an H-index of 5 or less than 5 from seven countries including Malaysia, Nigeria, Slovenia, Sri Lanka, Sweden, Tunisia, Ukraine. 

There was a pediatric psychiatrist profile from Albania with no H-index.

There was no pediatric psychiatrist profile for many countries in the world including Afghanistan, Algeria, Andorra, Angola, Antigua & Barbuda, Argentina, Armenia, Azerbaijan, Bahamas, Bahrain, Barbados, Belarus, Belgium, Belize, Benin, Bhutan, Bolivia, Bosnia & Herzegovina, Botswana, Brunei, Burkina Faso, Burundi, Cabo Verde, Cambodia, Cameroon, Central African republic, Chad, Chile, China, Colombia, Comoros, Congo democratic republic, Congo republic, Costa Rica, Ivory Coast, Croatia, Cuba, Cyprus, Czech republic, Djibouti, Dominica, Dominican republic, Ecuador, Egypt, El Salvador, Equatorial Guinea, Eritrea, Estonia, Eswatini, Ethiopia, Fiji, Finland, Gabon, Gambia, Georgia, Ghana, Greece, Grenada, Guatemala, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, Hungary, Iceland, India, Indonesia, Israel, Jamaica, Japan, Jordan, Kazakhstan,- Kenya, Kiribati, Kuwait, Kyrgyzstan, Laos, Latvia, Lebanon, Lesotho, Liberia, Libya, Liechtenstein, Lithuania, Luxembourg, Madagascar, Malawi, Maldives, Mali, Malta, Marshall Islands, Mauritania, Mauritius, Micronesia, Moldova, Monaco, Mongolia, Montenegro, Morocco, Mozambique, Myanmar, Namibia, Nauru, Nepal, Nicaragua, Niger, North Korea, Macedonia, Norway, Oman, Pakistan, Palau, Palestine, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Poland, Portugal, Qatar, Romania, Russia, Rwanda, Saint Kitts & Nevis, Saint Lucia, Saint Vincent & the grenadines, Samoa, San Marino, São Tomé & Príncipe, Saudi Arabia, Senegal, Serbia, Seychelles, Sierra Leone, Singapore, Slovakia, Solomon Islands, Somalia, South Africa, South Sudan, Sudan, Suriname, Syria, Tajikistan, Tanzania, Thailand, Togo, Tonga, Trinidad & Tobago, Turkmenistan, Tuvalu, Uganda, United Arab Emirates, Uruguay, Uzbekistan, Vanuatu, Venezuela, Vietnam, Yemen, Zambia, Zimbabwe. 

                                                                                             Figure-2A: Aamir Jalal Al-Mosawi from Iraq (H-index 23)

                                                                      Figure-2B: Shahrokh Amiri (Figure-2B) from Iran (H-index 23) Murat

                                                                                                  Figure-2C: Coşkun from Turkey (H-index 20)

                                                                                   Figure-3A: Hiran Thabrew from New Zealand (H-index 18)

                                                                      Figure-3B: Mohammad S I Mullick from Mangeladish (H-index 16)

                                                                                   Figure-3C: Lilia Albores-Gallo from Mexico (H-index 15)

                                                                                           Figure-3D: Drita Gashi Bytyci from Kosovo (H-index 13)

This bibliometric analysis sheds light on the distribution of academic leadership in clinical pediatric psychiatry globally. 

The identification of super-elite pediatric psychiatrists underscores the significance of their contributions to the field. However, the varying levels of academic impact across different regions highlight opportunities for further research and collaboration to enhance scholarly productivity and knowledge dissemination. 

By leveraging bibliometric tools like the H-index, stakeholders can better understand and support academic leaders in advancing pediatric psychiatric care and research on a global scale.

Discussion

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

This study showed three notable clinical pediatric psychiatrists with H-indices of 20 or higher from three countries, including Aamir Jalal Al-Mosawi from Iraq (H-index 23). 

Aamir Jalal Al-Mosawi's contributions to psychiatry and childhood psychiatry have significantly advanced the understanding and management of various neurodevelopmental disorders. Dr. Al-Mosawi has addressed critical gaps in the field, paving the way for improved outcomes and quality of life for individuals affected by these conditions.

Aamir Jalal Al-Mosawi’s significant contributions to the fields of childhood psychiatry included innovative approaches, therapeutic interventions, and groundbreaking insights into various psychiatric disorders affecting children. Dr. Al-Mosawi's work exemplifies a dedication to understanding, treating, and advocating for individuals with neurodevelopmental disorders. His emphasis on early intervention, novel therapeutic modalities, and the possibility of cure in certain conditions offers hope and inspiration to clinicians, researchers, and families worldwide.

One of the early research of Dr. Al-Mosawi on the use of cerebrolysin and citicoline in autism and Asperger syndrome provided valuable insights into potential pharmacological interventions for these complex neurodevelopmental disorders. This early work underscored the importance of exploring novel therapeutic strategies to alleviate symptoms and enhance cognitive functioning in individuals with autism disorders [18].

In his publications on new therapies for Rett syndrome, Dr. Al-Mosawi highlighted emerging treatment modalities aimed at addressing the underlying pathophysiology of this debilitating disorder. By elucidating the mechanisms of action and potential benefits of these interventions, Dr. Al-Mosawi contributes to the ongoing efforts to improve the quality of life for individuals with Rett syndrome and their families [19, 20].

Dr. Al-Mosawi's clinical insights into Heller syndrome in Iraqi children shed light on this rare and poorly understood condition. 

Through detailed case studies and observations, he provided valuable information regarding the clinical presentation, course, and management of Heller syndrome, thereby facilitating early recognition and intervention in affected individuals [21].

In his comprehensive study of pervasive developmental disorders in Iraqi children, Dr. Al-Mosawi contributed to a deeper understanding of neurodevelopmental disorders in diverse populations [22].

Dr. Al-Mosawi's research on the etiology of mental retardation in Iraqi children underscored the multifactorial nature of cognitive impairment and developmental disabilities. Through a combination of genetic, environmental, and sociocultural factors, he elucidated the complex interplay contributing to cognitive deficits in this population, informing strategies for early detection, prevention, and intervention [23].

In his investigation of Coffin Siris syndrome with significant autistic features, Dr. Al-Mosawi highlighted the clinical heterogeneity and overlapping phenotypes observed in individuals with rare genetic syndromes. 

By elucidating the neurobehavioral profiles and associated challenges in Coffin Siris syndrome, he enhanced the understanding of genotype-phenotype correlations and facilitates personalized approaches to care and support [24].

Dr. Al-Mosawi's exploration of clinical uses of cerebrolysin in pediatric neuropsychiatry offers promising avenues for pharmacological intervention in children with neurodevelopmental disorders. 

By leveraging the neurotrophic and neuroprotective properties of cerebrolysin, he aimed to optimize neurodevelopmental outcomes and mitigate the long-term sequelae of neurological insults in vulnerable populations [25].

Al-Mosawi's research on idiopathic mental retardation has led to the development of innovative medical therapies, as evidenced by his studies published in EC Clinical and Medical Case Reports. Through his pioneering work, Al-Mosawi has demonstrated the potential for transformative interventions in improving cognitive function and educational outcomes in children with developmental disabilities [26, 27].

Al-Mosawi's research on autism disorders has garnered significant attention, particularly his exploration of novel therapeutic approaches and successful case studies. His work emphasized the possibility of achieving remarkable outcomes in managing autism disorders and enhancing cognitive abilities in affected individuals, as evidenced by his publications in various reputable journals [28, 29, 30].

One of Al-Mosawi's seminal works on autism cure, recognized by Bookauthority’s lists of best psychiatry and autism books of all time (Figure-4) has contributed significantly to the comprehension of the patterns of autism disorders. This work has been translated into several languages, fostering a broader dissemination of knowledge in this field [31-37].

Al-Mosawi's expertise in pharmacotherapy for psychiatric disorders, including schizophrenia, obsessive-compulsive disorder (OCD), and Gilles de la Tourette syndrome, has significantly influenced clinical practice. His educational articles and expert opinions provided valuable insights into the rational use of medications and personalized treatment approaches in psychiatry [38, 39, 40, 41, 42].

Al-Mosawi's research delved into rare manifestations of psychiatric conditions, such the first case of Richard Asher syndrome (Munchausen syndrome) in Iraq, autism associated with precocious puberty, autosomal recessive autism, and autism with severe mental retardation, autism associated with complex neurological abnormalities and brain imaging abnormalities, catatonia in autism and the association of autism with self-injurious behaviors. Through meticulous case studies and literature reviews, he has expanded our understanding of these phenomena and proposed tailored interventions for improved patient care [43-51].

Dr. Aamir Jalal Al-Mosawi's clinical expertise extended beyond geographical boundaries, as evidenced by his involvement in the diagnosis and treatment of patients from diverse cultural and geographical backgrounds. He has made significant contributions to the diagnosis and management of patients from various countries worldwide. Cases documented by scientific publications highlight his expertise in addressing a diverse range of medical conditions encompassing a spectrum of neurological, genetic, and developmental disorders, reflecting Dr. Al-Mosawi's proficiency in evidence-based medicine and expert clinical judgment [53-63].

                     Figure-4A: One of Al-Mosawi's seminal works on autism cure, recognized by Book authority’s lists of best psychiatry books of all time

                   Figure-4B: One of Al-Mosawi's seminal works on autism cure, recognized by Book authority’s lists of best autism books of all time

<!-- /* Font Definitions */ @font-face {font-family:Gautami; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:2097155 0 0 0 1 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-536869121 1107305727 33554432 0 415 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-469750017 -1073732485 9 0 511 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:8.0pt; margin-left:0in; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi;} p {mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0in; mso-margin-bottom-alt:auto; margin-left:0in; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman";} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Gautami; mso-bidi-theme-font:minor-bidi; mso-font-kerning:0pt; mso-ligatures:none;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:8.0pt; line-height:107%;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} -->

The first documented case of Niikawa-Kuroki syndrome in Kazakhstan was reported by Dr. Al-Mosawi and Fewin, demonstrating his involvement in diagnosing rare genetic disorders in international settings. This case underscores the importance of accurate diagnosis and multidisciplinary management in addressing rare syndromes [52].

Dr. Al-Mosawi's expertise in the treatment of cerebral palsy is exemplified in cases from various countries, including the United States, India, and Qatar. These cases highlight his comprehensive approach to managing neurological disabilities, encompassing both evidence-based interventions and personalized therapeutic strategies tailored to each patient's unique needs [53-58].

Al-Mosawi's involvement in the diagnosis and management of autism disorders was illustrated through cases from Tunisia, Pakistan and Canada. His expert opinion and therapeutic recommendations underscore the importance of early intervention and individualized care in optimizing outcomes for individuals with autism disorders [59, 60, 61].

Dr. Al-Mosawi's diagnostic acumen in familial Mediterranean fever (Sheppard Siegal syndrome) was illustrated in his report about a patient living in the United Arab Emirates. He emphasized in this paper, the role of serum amyloid A in guiding treatment decisions. This case highlighted the value of integrating clinical expertise with biomarker analysis in rare genetic conditions [62].

Dr. Al-Mosawi's insights into the treatment of Williams syndrome, emphasizing the integration of evidence-based medicine with expert opinion to optimize patient outcomes was illustrated through a case from India. Through his report about the patient from India Dr. Al-Mosawi enhanced the understanding of the genetic and developmental aspects of Williams syndrome and facilitates the delivery of tailored interventions [63].

The documented cases of international patients treated by Dr. Aamir Jalal Al-Mosawi underscore his commitment to advancing pediatric neurology and developmental medicine on a global scale. Through his diagnostic acumen, evidence-based interventions, and expert clinical judgment, Dr. Al-Mosawi continues to make significant contributions to improving patient outcomes and advancing medical knowledge across international borders [53-63].

With a background in pediatric psychiatry training and extensive experience as an expert trainer, Aamir Jalal Al-Mosawi has dedicated his career to advancing the understanding and treatment of developmental disorders like autism. 

Through delivery of pediatric psychiatry training courses and the publication of course books which have been translated into several languages, he has endeavored to contribute to the global effort in addressing these challenging conditions [1, 2, 3, 4]. 

Acknowledgement:

Some of the figures in this book have been included in previous author’s publications, but the author has their copy rights.

The author has the copy right of all the sketches included in this book.

References