摘要:

AbstractSeventy‐six children (aged 17–19 months) received 10 μg ofHaemophilus influenzaetype b polyribosyl‐ribitol phosphate (PRP) vaccine, diluted with either phosphate‐buffered saline (PBS) or diphtheria‐tetanus‐pertussis (DTP) vaccine, in a singleblind randomized trial. There were few side effects when PRP was administered alone. Before vaccination 37 of 76 children (49%) had non‐protective antibody levels (1.0 μg/mL. Of 12 infants who had antibody levels less than 0.15 μg/mL 1 month after immunization, 10 had protective levels 18 months later. Administration of PRP mixed with DTP did not affect antibody response to PRP. The potential use and limitations of PRP va

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02378.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

AbstractWe examined headache activity in 900 Australian youth aged 10–18, using a self‐report questionnaire. Headache prevalence, duration, severity, symptomatology and precipitants were examined, as well as the self‐statements and coping responses of children. Headaches were experienced by most children, and girls reported more frequent headaches than boys. Common headache symptoms included those traditionally associated with muscle‐contraction headache and migraine. Some children reported that they found headaches to be a terrible experience and ‘wished they would die’ during a headache. Of the various coping responses that were endorsed, the use of medication was the most frequent. Methodological problems include the reliability and validity of self‐report data, and the limitations of cross‐sectional

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02379.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

AbstractUsing range‐gated pulsed Doppler sonography, cerebral blood flow velocity (CBFV) waveforms from the anterior cerebral artery (ACA), middle cerebral artery (MCA) and circle of Willis artery (CW) were examined in a total of 34 newborn infants. We compared the pulsatility index (PI) from the three cerebral arteries sampled in 10 term and 10 preterm (29 ± 2 weeks) newborn infants without a history of perinatal asphyxia or intracranial pathology. The PI in the ACA ranged from 0.60 to 1.03. There were no significant differences in PI between the three vessels by paired comparisons. The PI of the MCA differed from that of the ACA by 0.00 ± 0.05. The variation coefficient (CV) was 7%. For CW wih ACA, the difference was 0.00 ± 0.04 and CV was 6%. Both intra‐ and interexaminer variation in PI measurements were studied in another 14 infants. The variation coefficients were 5–8% for all three cerebral arteries.We showed that CBFV waveform patterns were similar in regional cerebral arteries, with PI being a consistent CBFV index. In normal cerebral circulation, the intervessel PI differences were within observer variations. Deviation from this may suggest abnormal regional cerebral haemo

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02380.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

AbstractThe incidence of hyperkalaemia in 43 consecutive infants born at less than 28 weeks gestation and cared for in our neonatal intensive care unit was documented. Plasma K levels were related to indices of renal function as well as to the degree of illness in the infants. The mean gestational age was 26.0 weeks (range 24–27 weeks) and the mean birthweight was 815 g (range 395–1170 g).Twenty‐six of the infants (60%) had at least one plasma K>5.5 mmol/L and 13 (30%) had a maximum plasma K>7 mmol/L. The mean postnatal age at which the plasma K exceeded 7 mmol/L was 25 h (range 10–39 h). Five infants with plasma K>7 mmol/L developed cardiac arrhythmias and four died of this complication. Only one infant had a targe intraventricular haemorrhage.Only two of 16 infants with an initial plasma K6 mmol/L (P<0.005). Plasma K also correlated directly with plasma urea (P<0.001) and plasma creatinine (P<0.025), and inversely with urine volume (P<0.05). Plasma K did not correlate with K intake, arterial pH, presence of asphyxia, severity of respiratory illness, gestation or birthweight.The rapidity with which the plasma K concentration reached potentially hazardous levels in some infants makes it imperative to measure plasma K within 6 h of birth and to continue to monitor levels at least every 6 h for the first 48 h in all infants born at less than 28 weeks ge

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02381.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

AbstractA nine year old girl who presented with a thrombosis of the right internal jugular vein and superior vena cava was found to be in cardiac failure and to have a dilated cardiomyopathy. After transient improvement she deteriorated and was accepted for cardiac transplantation. Following transplantation her condition has been much improved.

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02382.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02384.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Book reviewed in this article:DIETARY MANAGEMENT OF CHILDREN WITH ACUTE DIARRHOEA, by D.B. Jelliffe and E.F.P. JelliffeDRUGS AND THE ATHLETE, by G. I. Wadler and B. HainlineFETAL NEONATAL BRAIN INJURY, by D.K. Stevenson and P. SunshineYEAR BOOK OF NEONATAL&PERINATAL MEDICINE 1989, edited by M.H. Klaus and A. A. FanaroffTHE BABY UNDER 1000 g, by D. Harvey, R.W.I. Cooke and G.A. LevittASPECTS OF CHILDHOOD NUTRITION, edited by G. H. Bourne

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02385.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1990.tb02386.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY