摘要:

Progressive mental retardation is the main clinical symptom in aspartylglucosaminuria. The intellectual functions of 116 patients were studied. Based on cross‐sectional test results, an average longitudinal developmental profile consisted of three parts: a period of abnormally slow but positive development in childhood, a gradual loss of reached skills after the age of 13–16 years and a rapid decline after the age of 25–28 years. Only nine young patients had a developmental age higher than six years, and two higher than seven years. The mean age of the female group was seven years higher than that of the males, but the mean developmental ages were the same for both g

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12725.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A school‐based dietary survey, using seven‐day records, was performed in two cohorts of Swedish adolescents; 14– and 17‐year‐olds. The study comprised 366 boys and 365 girls. When compared to previous studies in Sweden, a striking finding was a decrease in dietary fat intake and an increase in carbohydrate intake. However, the relative intake of saturated fat had not changed (15% of total energy). The dietary change was mainly due to an increased consumption of cereal products. There were no major differences in dietary habits or nutrient density of the food between the two age groups, or between boys and girls. The mean intakes of protein, fat and carbohydrate, expressed as a percentage of the total energy intake, were 15, 33 and 52%, respectively. The mean intakes of vitamins and minerals were low only for selenium. The boys had a high iron intake (1.5 and 1.7 times the recommended intake for 14‐ and 17‐year‐olds, respectively) while the mean iron intake for girls was 0.9 times the recommended dietary allowances in both age groups. The intake of dietary salt was higher in boys than in girls (7.7 g and 9.0 g per day in 14‐ and 17‐year‐old boys, respectively, and 5.8 g per day in both 14‐ and 17‐year‐old girls). In a long‐term health perspective, this positive change in nutrient intake in adolescents may contribute to a reduction in the incidence of diet‐related diseases in Sweden. However, our results strongly suggest that if intakes are further reduced in the adolescent age groups, this may reduce the energy intake to a hazardously low level in a significant number of ado

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12726.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The origin of recurrent abdominal pain of “non‐organic origin” is believed to be psychogenic in most cases. But the pathogenesis of the pain itself is unknown. To test the hypothesis that recurrent abdominal pain of non‐organic origin is related to increased pain sensitivity in the myofascial elements of the abdominal wall itself, an investigation of pain pressure threshold of the abdominal wall, close to the umbilicus, was carried out. Altogether 140 children in the fourth school grade, approximately 11 years old, were tested for pressure pain threshold. Two groups were constituted: one without pain symptoms (no recurrent abdominal pain, chest pains or headache (n= 50)) and one with recurrent abdominal pain (n= 49). The pressure pain threshold differed significantly (p<0.0001). To support the hypothesis that recurrent abdominal pain is a part phenomenon of a specific pattern of muscular tension and tenderness, the pressure pain threshold was tested in five other muscles, with significant

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12727.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Psychosomatic symptoms among children are believed to be commonplace. In this investigation by questionnaire, 47% of 1333 schoolchildren reported one or several symptoms, such as recurrent abdominal pain, headache, chest pains, loss of appetite and disturbances in bowel function. Coexistence of such symptoms was considerable and if a child had one of these, the probability that it would have one or more other symptoms was significantly increased. This correlation may strengthen both the suspicion that these symptoms are often psychosomatic and the idea that they have common CNS origin. There were appreciable differences in the frequency of the symptoms, between children at the more socially stable schools and schools with social problems. In the latter, the frequencies of symptoms differed between Swedish and immigrant children, which was not the case in the more socially stable schools.

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12728.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12729.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In a preterm infant, chest tubes were inserted for treatment of bilateral pneumothoraces. Hemorrhagic pericardial effusion with cardiac tamponade developed, probably resulting from traumatic injury by the left chest tube. The infant survived due to timely diagnostic and therapeutic intervention. No recurrence of pericardial effusion was seen and follow‐up showed normal psychomotor developmen

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12730.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

We report a case of transient erythroblastopenia in a three‐year‐old girl presenting with echovirus 11 infection. Viral infection was demonstrated by isolation of echovirus 11 in stool cultures and the presence of echovirus 11‐specific IgM antibody in serum. We suggest that echovirus may have played a role in the pathogenesis of transient erythroblastopenia of childhood in this pa

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12731.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Two children aged 3 months and 14 years developed heparin‐induced thrombocytopenia whilst receiving heparin. The clinical course was complicated by renal vein thrombosis in the 3‐month‐old infant and subcutaneous haemorrhage requiring resuscitation in the 14‐year‐old child. Anticoagulant therapy was discontinued immediately in the 3‐month‐old child. In the 14‐year‐old child, because of the need for continued anticoagulation therapy, low molecular weight heparin was used until warfarin cou

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12732.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Hall, David M. B.Health for all Children. 2nd ed.

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12733.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Two previously healthy children, aged 13 and 14 years, respectively, presented with diabetic ketoacidosis. Both children developed acute renal failure, a rare complication of diabetic ketoacidosis and required dialysis.

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1993.tb12734.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY