摘要:

ABSTRACT:Vahlquist, B. (Department of Paediatrics, University Hospital, Uppsala, Sweden). A two‐century perspective of some major nutritional deficiency diseases in childhood. Acta Paediatr Scand, 64:161, 1975.–In this review, dealing with historical aspects and the present day situation in developing countries, three major nutritional deficiencies among children are discussed, namely rickets, iron deficiency anaemia and protein energy malnutrition (P

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03817.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Fomon, S. J., Filer, L. J., Jr, Thomas, L. N., Anderson, T. A. and Nelson, S. E. (Department of Pediatrics, University Hospital, University of Iowa, Iowa City, USA). Influence of formula concentration on caloric intake and growth of normal infants. Acta Paediatr Stand, 64:172, 1975.–Fifteen fullterm female infants were enrolled in each of two feeding groups and all but one completed the proposed period of observation to age 112 days. Formulas prepared from the same ingredients (fat‐free milk solids, a mixture of corn and coconut oils, lactose, vitamins and minerals) were fed ad libitum to both groups. Formula concentration was 54 kcal/100 ml for one group and 100 kcal/100 ml for the other. A limited selection of commercially prepared strained foods was permitted after 28 days of age. Weighed intakes of food were recorded for each day of study. During the interval 8 through 41 days of age, the infants fed the 54 kcal/100 ml formula consumed a considerably greater quantity of food but fewer calories than did those fed the 100 kcal/100 ml formula. Those fed the 54 kcal/100 ml formula also gained less weight. These differences between feeding groups were statistically significant. After 41 days of age, mean caloric intakes (kcal/kg/day) and rates of gain in weight were similar for the two feeding groups. The data provide a basis for speculation on the possible difference in allocation of calories to growth and non‐growth in the two g

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03818.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Björkstén, B. and de Chateau, P. (Department of Paediatrics, Umeå University, Umeå, Sweden.) Use of the Nitroblue Tetrazolium (NBT) Test in the differentiation between pyelonephritis and cystitis. Acta Paediatr Scand 64:182, 1975.– NBT tests were performed on blood from 37 patients with urinary tract infections caused by conform bacteria. The level of infections was evaluated by the clinical signs, ESR, renal concentrating capacity and titre of antibodies against the strains ofE. coliisolated in their urine. Elevated proportions of NBT‐positive neutrophils were found in 11 of 14 patients with pyelonephritis and in 3 of 23 patients with cystitis or asymptomatic bacteriuria (ABU). The total number of NBT‐positive neutrophils was 1000 or more per mm3blood in 11 of 13 patients considered to have pyelonephritis, while it was 800 or less in all the patients investigated, evaluated as having cystitis or asymptomatic bacteriuria. The NBT test is recommended as an adjunct in the level diagnosis or urinary tract infections in children. The utility of the test in smouldering pyelonephritis is presently being inv

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03819.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Hagberg, B., Hagberg, G. and Olow, I. (Department of Paediatrics II, Children's Hospital and the Habilitation Unit of Bräcke‐Östergård, Gothenburg, Sweden). The changing panorama of cerebral palsy in Sweden 1954–1970. I. Analysis of the general changes. Acta Paediatr Scand 64:187, 1975 From an unselected series of 560 cases of cerebral palsy in Sweden, born 1954‐70, the changes in incidence through the four periods 1954‐58, 1959‐62, 1963‐66 and 1967‐70 were analysed. The total incidence successively and significantly decreased from 2·2%0in the first period to 1·3%0in the last. This decrease was mainly related to (1) the syndromes of spastic and ataxic diplegia, (2) the low birth weight babies, and (3) the group with perinatal causes. The decrease was not related to any special intelligence quotient or g

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03820.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Hagberg, B., Hagberg, G. and Olow, I. (Department of Paediatrics II, Children's Hospital and the Habilitation Unit of Bräcke‐Östergård, Gothenburg, Sweden). The changing panorama of cerebral palsy in Sweden 1954–1970. II. Analysis of the various syndromes. Acta Paediatr Scand 64:193, 1975 From an unselected series of 560 Swedish cases of cerebral palsy, born 1954‐70, various data of etiologic and pathogenetic interest were analysed in detail. Untraceable and prenatal factors were found to dominate within the group of spastic hemiplegia. Placental dysfunction in small‐for‐date babies and severe asphyxia were thought to be the two main pathogenetic factors among the patients with spastic tetraplegia. In spite of a significant decrease in the number of low birth weight children within the group of spastic diplegia, this syndrome was still very characteristic for the child born immature. Ataxic diplegic forms were found to have greater pathogenetic similarities to spastic diplegia than to simple ataxia. In two‐thirds of the children the latter syndrome was characterized by normal pregnancy, delivery and birth weight and an untraceable (genetic?) factor. Oyskinetic syndromes were mostly encountered after peri

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03821.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Jodal, U., Lindberg, U. and Lincoln, K. (Department of Paediatrics and Institute of Medical Microbiology, University of Göteborg, Göteborg, Sweden). Level diagnosis of symptomatic urinary tract infections in childhood. Acta Paediatr Scand, 64:201, 1975.–As no method for localization of urinary tract infection has been shown to be absolutely reliable, six procedures have been carried out simultaneously in 25 girls with acute symptomatic infections and the reliability of each method assessed. While clinical diagnosis of pyelonephritis or cystitis correlated well with the overall results of the battery of tests, the reliability of individual tests varied. Highest reliability was obtained with CRP determinations followed by antibody titration, sedimentation rate, and renal concentrating capacity. In the bladder washout test only 8 of the 14 patients with pyelonephritis had findings clearly indicating high infection. Intermittent or inadequate discharge of bacteria from the renal parenchyma is suggested as the major source for this inaccuracy. In fact, half of the 42 final washout specimens from girls with acute pyelonephritis contained less than 1 000 bacteria per ml, indicating that low numbers of organisms in ureteric urine is common in childhood pyelonephri

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03822.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Danks, D. M., Tippett, P. and Rogers, J. (Genetics Research Unit, Royal Children's Hospital Research Foundation, Melbourne, Australia). A new form of prolonged transient tyrosinemia presenting with severe metabolic acidosis. Acta Paediatr Scand 64:209, 1975.–Yet another form of tyrosinemia is described, in a young baby who developed metabolic acidosis and ceased to grow when weaned from breast milk onto a higher protein formula. Severe tyrosyluria and mild tyrosinemia cleared on a low‐protein diet which also corrected the acidosis. However, restoration of growth required a normal protein intake with very greatly reduced amounts of phenylalanine and tyrosine. The metabolic fault later resolved spontaneously at about 12 months of age. Mental development appears normal and liver disease was never apparent. The patient and her mother both excrete quite large quantities of an unidentified pept

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03823.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Sansaricq, C, Garg, S., Norton, P. M., Phansalkar, S. V. and Snyderman, S. E. (Department of Pediatrics, New York University Medical Center, New York, USA) Cystine deficiency during dietotherapy of homocystinemia. Acta Paediatr Scand 64:215, 1975.–Cystine deficiency was inadvertently produced in a boy receiving specific dietary therapy for homocystinuria. This was manifested as a loss in weight, the reappearance of significant amounts of homocystine in the plasma and urine, and the elevation of the plasma methionine level. In addition, there was a significant reduction in the level of cystine in the plasma. This reduction in plasma cystine level differentiates cystine deficiency from loss of biochemical control due to failure to keep the prescribed diet. The addition of cystine to the regime of this child, without any other dietary modification, resulted in a complete remissio

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03824.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Christiansen, C, Redbro, P., and Theger Nielsen, C. (Departments of Clinical Chemistry, Clinical Physiology, Paediatrics and Neurology, Glostrup Hospital, 2600 Glostrup, and Department of Clinical Physiology, Aalborg Sygehus Syd, 9000 Aalborg, Denmark). Iatrogenic osteomalacia in epileptic children. A controlled therapeutic trial. Acta Paediatr Scand, 64:219, 1975.–Bone mineral content (BMC) in the forearms (related to total body calcium) was measured for a controlled therapeutic trial in 25 epileptic children on long‐term treatment with phenytoin and in 22 normal children before and during treatment with vitamin D or placebo. In the epileptic children, hypocalcaemia and elevated serum alkaline phosphatase was found in 20% and 16%, respectively. The group of epileptic children treated with vitamin D2 (2000 IU daily) for 3 months showed a significant increase in bone mineral content, 5% on average. The epileptic children treated with placebo showed a significant decrease, 2% on average, while the normal children treated with vitamin D or placebo showed no change in bone mineral content. The results indicate a possible benefit of prophylactic vitamin D treatment in epileptic child

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03825.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACT:Köhler, E.‐M. and Köhler, L. (Department of Paediatrics, University Hospital, Lund, Sweden). Health and behaviour in four‐year‐old children. Acta Paediatr Scand, 64:225, 1975.–A health control of an unselected population of 2447 4‐year‐oId‐children included a thorough somatic examination as well as an analysis of child upbringing practice and problems. The relation between the children's physical health, as defined by presence or absence or “functionally important health problems” and the children's behaviour, as reported by their mothers, was elucidated. On the whole, children with health problems were not perceived as more troublesome, although children with some special kinds of disturbances, e.g. neurological and dental, constituted problems in certain areas, e.g. toilet training and hyperactivity. The use of blame as a method of upbringing was very frequent and especially frequent in children with dental defects and visual disturbances. The perception of behaviour problems and the use of methods in upbringing were the same in children with newly detected health problems as in children with previously known health problems. The implications for the Child Health Service are to identify these risk‐groups, to advice and support them in order to reduce p

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb03826.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY