摘要:

The potential psychological risks of falsely positive test results in neonatal screenings have not been studied previously. 20000 newborns were screened for congenital hypothyroidism. Of the 144 positive tests, 137 were false. The families of 102 babies with false positives were explored in reference to their (1) initial parental psychic reactions (emotional reactions and abilities for coping) and (2) residual reactions 6 to 12 months later. 78 families initially exhibited strong emotional reactions. Providing information about a positive screening test is therefore an acute strain to the majority. After a period of 6 to 12 months there was in 18 families persistent insecurity regarding the baby's health. These concerns were linked by the family to the screening and the disease screened for. This may impair the parent–child relation and, thus, the child's development. Thus a false positive test appear to trigger in the majority a development of a psychic crisis. 12 families seemed however to have been totally untouched by the potential threat of the information. The crisis is effectively solved by most (consideration must be paid to the integrated psychological support given to all). It is not known whether the 18 risk families actually have been iatrogenically hurt or if their worries brought to attention in connection with the screening merely represent habitual psychic maladjustment.Preparation for parenthood and education about screening principles are beneficial and important. This study demonstrates the importance not only of asking how much worry is elicited but also how this worry is being handled (coping ability) in order to provide a fair estimate as to which families are at ris

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09850.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09870.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09873.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

ABSTRACT.The study of cerebral circulation in ill pre‐term infants is important both to improve our understanding of the physiological aspects of cerebral blood flow control, and to provide further insight into the aetiology of intracranial intra‐ventricular haemorrhage. Progress in this field has been hampered by the absence of measurement techniques which must be safe and clinically applicable whilst at the same time providing results with sufficient quality for the confident development of hypotheses.The symposium was held in order to evaluate critically the measurement techniques which might be considered for use in the sick, human newborn inf

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09876.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09874.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Friis‐Hansen, B. (Department of Neonatology, University Hospital, Rigshospitalet, Copenhagen, Denmark). Water distribution in the foetus and newborn infant. Acta Paediatr Scand, Suppl. 305: 7–11, 1983.—A short survey is given over changes in water metabolism from early foetal life to infancy. The close connection between water metabolism and body composition is described as well as the changes taking place after birth. The impact of intrauterine malnutrition, delivery and postnatal nutrition is disc

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09852.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09882.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09883.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

ABSTRACTUtilizing available data for total body water, total body potassium and total body calcium, fat and fat‐free body mass (FFBM) of the reference male adolescent between 10.5 and 18.5 years has been estimated. FFBM was conceptualized to consist of water, protein, carbohydrate, osseous and nonosseous minerals. With increasing age, water concentration of FFBM decreases, protein concentration increases slightly and concentration of osseous minerals increases substantially. The combined effect of these changes is that density of FFBM increases with age. Osseous minerals increase mainly during the adolescent growth spurt. With the age and sex‐specific FFBM: total body water ratios and densities of FFBM presented it will be possible to avoid systematic underestimation of fat content from measurements of total body water and overestimation of fat content from determinations of body density by underwater weigh

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09872.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

ABSTRACT.We report studies in which the amplitude of the cardiac‐synchronous change in transcephalic impedance, ΔZ, has been used in the investigation of cerebral haemodynamics in newborn babies. Three clinical situations, in which cerebral blood flow might be expected to change, have been studied. The impedance signal, ΔZ, decreased in size during a tension pneumothorax, increased slightly with feeding, and, during an exchange transfusion of an asphyxiated baby, there was a consistent increase in the size of the signal during infusion of blood and a decrease in size as blood was withdrawn. This method may be useful for the continuous study of cerebral haemodynamics in the preterm baby over prolonged peri

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1983.tb09877.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY