Sample records for 13-18 year-old teenagers

  1. Examination of the Relationship between Internet Attitudes and Internet Addictions of 13-18-Year-Old Students: The Case of Kahramanmaras

    Ilhan, Aziz; Çelik, H. Coskun; Gemcioglu, Muharrem; Çiftaslan, Malik Ejder


    This study aims to determine internet attitudes and internet addiction levels of 13-18-year-old students and examine the relationship between these variables. The "internet attitude scale", developed by Tavsancil and Keser (2002) and the "internet addiction scale", developed by Hahn and Jerusalem and adapted into Turkish by…

  2. Teenage Thinking on Teenage Drinking: 15- to 16-Year Olds' Experiences of Alcohol in Northern Ireland

    McKay, Michael T.; Cole, Jon C.; Sumnall, Harry


    Focus groups were conducted with 15- to 16-year olds in Northern Ireland looking at reasons for alcohol consumption and reflections on specific attitudes towards alcohol and behaviours resulting from alcohol use. Participants reported greater concern with "being caught" drinking by parents than with any negative short- or long-term health impact…

  3. [Phyllodes tumor in a 12-year old teenage girl: about a case and review of the literature].

    Issara, Karima; Houjami, Majdouline; Sahraoui, Souha; Bouchbika, Zineb; Benchakroun, Nadia; Jouhadi, Hassan; Tawfiq, Nezha; Benider, Abdellatif


    Phyllodes tumors of the breast are very rare and are exceptional in children and adolescents; their treatment is based on surgery and radiotherapy, with a good prognosis. We report the case of a 12-year old teenage girl presenting with a mass in the left breast. The diagnosis of a phyllodes tumor was confirmed on the basis of clinical, imaging and histological examinations. Treatment consisted of a large tumorectomy without adjuvant therapy, with good evolution during a 2-year follow-up.

  4. A differentiated approach in the sporting dance studies with teenagers of 13 years old

    Demidova O.N.


    Full Text Available A differentiated approach to the sporting dance exercises on the stage of a preliminary basic training was grounded. The experiment involved 20 dancers (10 boys and 10 girls aged 13 years old. Morpho-functional status, physical development and physical preparedness levels of adolescents were determined. The criteria for the distribution of the children into groups to practice sporting dances in accordance with the levels of physical development and physical preparedness (including sensitive periods performance of physical performance development to ensure optimal loading and exercises efficiency.


    Rafal Grad


    Full Text Available The aim of the research was to get information about pro-health behaviours and belief in oneself among 13-15-year old teenagers living in Biała Podlaska. The research included 229 pupils from three Grammar Schools (115 girls and 114 boys. The range of respondents’ age varied from 13 to 15 years old. The research tool was two anonymous questionnaires. The first questionnaire contained questions concerning teenagers’ belief in themselves and the efficacy of their activities (10 statements. The second questionnaire referred to the pro-health behaviours and it consisted of 14 situations described in the form of multiple choice questions. It was shown that Grammar School goers higly evaluated their own sense of efficacy (31,2 points. Girls (30,39 points in comparison to boys (32,05 evaluated their efficacy lower by 1,66 points. Grammar School goers in 85,7% of cases choose healthy behaviours and girls are the group which reach for such behaviours more often.

  6. [Selected nourishment habits depending on physical activity of 14-16 year-old teenagers in the north-eastern Poland on the example of Sokolski district].

    Szczerbński, Robert; Karczewski, Jan Kazimierz; Siemienkowicz, Joanna


    The aim of the survey was the evaluation of specific nourishment habits among 14-16 year-old teenagers of a different physical activity in the north-eastern Poland on the example of Sokolski district. The 14-16-year teenagers from secondary school, in Sokolski district (368 boys and 368 girls) were examined. They were chosen at random. The researches were carried out from November to December in 2006-2007 school year by the method of a diagnostic poll with the aid of the anonymous questionnaire. The low percentage of teenagers who declared the proper nourishment habits was stated, and it was observed that the more physically active teenagers were the more of them declared rational nourishment habits within the scope of analyzed nourishment habits.

  7. Language Development: 2 Year Olds

    ... Listen Español Text Size Email Print Share Language Development: 2 Year Olds Page Content Article Body Your ... At this time, there’s more variation in language development than in any other area. While some preschoolers ...

  8. Recursos humanos odontológicos y necesidades de tratamiento de caries en adolescentes de 12 años en Chile Human resources in dentistry and treatment needs of caries in 12-year-old teenagers in Chile

    R Cabello Ibacache


    Full Text Available El objetivo del estudio es estimar los recursos odontológicos para resolver las necesidades de tratamiento de los adolescentes de 12 años de Chile, pertenecientes a los niveles socio económicos alto, medio y bajo. El estudio se realizó a partir de los resultados del "Estudio Diagnóstico Nacional de Salud Bucal del Adolescente de 12 Años y Evaluación del Grado de Cumplimiento de los Objetivos Sanitarios de Salud Bucal 2000-2010", proyecto FONIS el que fue realizado en una muestra de 2.232 adolescentes de 12 años, con representación regional proporcional a la población nacional. Para estratificar por nivel socioeconómico este estudio se usó la clasificación y ranking de pobreza por comuna de MIDEPLAN y la caracterización por NSE de los establecimientos del Ministerio de Educación Se calculó el recurso humano necesario mediante la aplicación de estándares de rendimiento del ministerio de salud, comparando estos parámetros en el eje de nivel socioeconómico. Se observan diferencias estadísticamente significativas en las necesidades de tratamiento entre los NSE, concentrándose la mayor necesidad en los grupos de NSE bajo y medio.The aim of this study is to determine oral health care delivery team workforce necessary to tackle oral health treatment needs of 12-year-old adolescents from different socioeconomic status. The sample consisted of 2.232 individuals. There was a proportional representation of the Nations regions. The Socioeconomic status (SES was stratified through the MIDEPLANs poverty municipality ranking and by means of description of SES of the selected school by the Ministry of Education. To determine oral health treatments needs we carried out dental examination and WHO diagnosis criteria were used. We calculated the oral health care delivery team workforce based on Ministry of Health recommendations and compare among SES. Differences upon health care delivery team workforce necessary to tackle oral health treatment

  9. Language Development: 1 Year Olds

    ... Stages Listen Español Text Size Email Print Share Language Development: 1 Year Olds Page Content Article Body ... assured, it’s not your imagination. He’s developing his language and comprehension skills right on schedule. This giant ...

  10. 上海市10~17岁青少年超重肥胖检出率及相关因素研究%Incidence of overweight and obesity of 10~17 years old teenagers and the influencing factors in Shanghai.

    张丹; 赵正言; 林穗青; 吴巧玲; 彭咏梅


    [目的]调查上海市10~17岁青少年超重及肥胖检出率及分布情况,分析相关影响因素.[方法]用国家“十一五”支撑代谢综合征项目样本中上海市横向部分7 737名青少年体格评估数据,分别采用中国( WGOC)及国际(IOTF)青少年超重肥胖标准计算超重肥胖检出率,比较两标准差异,并分析超重肥胖的影响因素.[结果]上海市10~17岁青少年超重、肥胖检出率分别为:11.9%、6.2%,总超重率18.1%(WGOC标准);13.6%、3.6%,总超重率17.2%(IOTF标准).按WGOC标准,男女生超重、肥胖检出率分别为男:17.5%、7.7%;女6.0%、4.6%.单因素中性别、年龄、出生体重、家庭收入、父母生育年龄、父母吸烟史、父母超重史、母饮酒史、父亲学历、父系高血压/糖尿病/高血脂/冠心病/脂肪肝史及母系脂肪肝史等17项是青少年超重的影响因素,多因素分析:性别(OR=3.376,P<0.001)、年龄(OR=1.736,P<0.001)、家庭收入(OR=1.467,P=0.001,)、母生育年龄(OR=0.704,P=0.023)、父超重(OR=1.545,P<0.001)、母超重(OR=3.14,P<0.001)、父系高血脂史(OR=1.293,P=0.018)是青少年超重的影响因素.[结论]上海市有近1/5的青少年超重肥胖,居国内较高水平.性别、年龄、家族史等是青少年超重肥胖的主要危险因素.%[Objective] To analyze the incidence of overweight and obesity of 10 -17 years old teenagers in Shanghai in 2011 and identify the influencing factors. [Methods] With the samples of 7 737 youth physical assessment data in Shanghai horizontal research part of the Metabolic Syndrome Project supported by national The Eleventh Five Year Plan.a-dopt China (WGOC) and the International Obesity Task Force (IOTF) childhood BMI standard used to calculated the incidence of overweight and obesity,compared the difference of this two standard,and analyzed the influencing factors of childhood overweight and obesity. (Results] Among 7 737 teenagers of 10 -17

  11. Internet Gambling and Problem Gambling among 13 to 18 Year Old Adolescents in Iceland

    Olason, Daniel Thor; Kristjansdottir, Elsa; Einarsdottir, Hafdis; Haraldsson, Haukur; Bjarnason, Geir; Derevensky, Jeffrey L.


    This study reports findings on Internet gambling and problem gambling among Icelandic youth. Participants were 1.537 13-18 year-old students, 786 boys and 747 girls. Results revealed that 56.6% had gambled at least once in the past 12 months and 24.3% on the Internet. Gender and developmental differences were found for Internet gambling, as boys…

  12. 3~4岁儿童心理行为发展与家庭环境,年龄、性别关系研究%Research on the relationship between psychological and behavioral development of 3~4 years old teenage and family ,age and gender

    何晓玲; 顾莉萍; 邓成; 何淑华; 廖艳


    [目的]探讨家庭环境、年龄、性别对3~4岁儿童心理行为发展的影响,为儿童保健、早期教育的干预指导提供更丰富参考资料. [方法]调查中山市石岐区36~48月龄儿童152人,应用和<家庭环境量表中文版(FES-CV)对家长进行问卷调查.对幼儿心理行为发展的动作、认知能力、情感与意志、社会性、语言、社会习惯与家庭环境的亲密度、情感表达、矛盾性、独立性、成功性、文化性、娱乐性、道德宗教观、组织性和控制性进行Spearman相关检验分析.以男女儿童心理行为发展采用Mann-Whitney检验. [结果]男女幼儿动作能力发展差异有统计学意义(P<0.05),认知能力、情感与意志、社会性、语言、社会习惯能差异无统计学意义(P>0.05).幼儿动作和认知能力与年龄呈正相关关系.家庭知识性与认知能力发展、成功性与社会性发展呈正相关关系. [结论]3~4岁儿童动作、认知能力仍在快速发展,男女幼儿动作能力发展已不同,知识性高的家庭有利于儿童认知能力的提高,成功性高的家庭有利于儿童社会性的发展.%[Objective]To find out the relationship between family, age and gender and psychological and behavioral development in 3~4 years old teenage.[Methods]152 children from Shiqi Area of Zhongshan city took part in the study.Parents filled in the Moss's Family Environment Scale and children mental health questionnaire(age 3~6).Spearman analysis and Mann-Whitney analysis were used to analyze the data.[Results]There was no significant difference between boys and girls except motion ability.The motion and cognition ability related with age positively, so as to the relationship of family achievement and social ability, and family intellectual-cultrual orientation and cognition ability.[Conclusions]The motion and cognition bility still develop fast as 3~4 years old toddler grow up.The motion ability development is

  13. The Relationship between Bible Reading and Attitude toward Substance Use among 13-15 Year Olds

    Francis, Leslie J.


    The relationship between Bible reading and attitude toward drug use is examined among a sample of 25,888 teenagers, 13-15 year olds, throughout England and Wales. Information about sex, age, personality, belief in God, and church attendance was also considered. The conclusion is that Bible reading makes a small but significant contribution to…

  14. How Grammatical Are 3-Year-Olds?

    Eisenberg, Sarita L.; Guo, Ling-Yu; Germezia, Mor


    Purpose: This study investigated the level of grammatical accuracy in typically developing 3-year-olds and the types of errors they produce. Method: Twenty-two 3-year-olds participated in a picture description task. The percentage of grammatical utterances was computed and error types were analyzed. Results: The mean level of grammatical accuracy…

  15. [13-Year old boy with abdominal pain].

    Thomassen, Irene; Klinkhamer, Paul J J M; van de Poll, Marcel C G


    A 13-year old boy presents with pain in the lower right abdomen, showing clinical signs of appendicitis. During McBurney' incision an appendix sana was seen. Histologic examination showed penetrating enterobiasis. This was treated with mebendazol.

  16. Epidemiology of social behavioral disorders in male teenagers of Bushehr port 2005

    Amer Yazdanparast


    Full Text Available Background: Social Behavioral Disorders (SBD is significantly widespread among teenagers in such a way that psychologists called it as “the new hidden morbidity”. Therefore, screening of teenagers, finding out the related demographic factors and introducing them to consultation centers are very important points for therapeutic interventions. Methods: In this cross-sectional study, a total of 400 male teenagers aged 13-18 years old were randomly selected in two stages, from a population in Bushehr in November 2005. Pediatric Symptoms Checklist 35-items Questionnaire (PSC/35 was used for their parents or their close relatives. The PSC/35 has 93% and 71% sensitivity and specificity, respectively. The cut off point of 28 was considered as the state of having SBD using this Questionnaire. Results: Overall 148 (37% male teenagers were recognized to have SBD. SBD was more prevalent in boys with an annual educational average score of 14 (out of 20 in comparison with those with 14-17 or >17. Father’s job (labor, farmer or multiple job, predisposed his teenager children to SBD more than when he was employee or businessman. These behavioral abnormalities were more common if they were living with a single parent (death or divorce. SBD was more prevalent in those with externalized personality than both inter-externalized and internalized personalities. Less social behavioral disorders had a positive correlation with leisure time activities. Increase of age in male teenagers, number or order of children, being single, parents’ level of education, mother's occupation and the total income rate of the family had no significant correlation with SBD. Conclusions: The prevalence of social behavioral disorders in male teenagers of Bushehr port is more than industrial countries. Demographic factors such as father’s job (labor, farmer or multiple jobs, living with a single parent (death or divorce, no leisure time activity, and internalized personality were

  17. Expectations of a Five-Year-Old


    When celebrating the birthday of a five-year-old child, there is never a shortage of good wishes and the hope that the child will have a bright future. However, in spite of these sentiments, one cannot help wondering what kind of person the child will finally grow into. The same concern applies when we observe the five-year-old Shanghai Cooperation Organization (SCO).

  18. Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

    De Genna, Natacha M.; Larkby, Cynthia; Cornelius, Marie D.


    Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12-18 years old). Data were collected during pregnancy and when…

  19. 1000 Year-old Trees Protected



    Wuhan (Xinhua) : Ninety-seven ginkgo(银杏) trees in the city of Suizhou, each more than 1 000 years old, have been equipped with lightning rods(避雷针) and placed under special protection by local villagers in Central China's Hubei Province.

  20. Medical Care and Your 1- to 2-Year-Old

    ... Play, and Your 1- to 2-Year-Old Growth and Your 1- to 2-Year-Old Communication and Your 1- to 2-Year-Old Childproofing and Preventing Household Accidents Movement, Coordination, and Your 1- to 2-Year-Old Sleep and Your 1- to 2-Year-Old Your Child's Checkup: 15 Months Your Child's Checkup: 1.5 ...

  1. Fasciolopsiasis in a five year old girl.

    Naher, B S; Shahid, A T; Khan, K A; Nargis, S; Hoque, M M


    A 5 year old girl hailing from Keraniganj, presented with the complaints of fever, periumbilical pain and vomiting. In vomitus, Fasciolopsis buski worm in adult form was identified by naked eye examination. In stool, ova of Fasciolopsis buski were also observed under microscope. Clinically she was pale and had hepatomegaly. Microcytic hypochromic anaemia with normal liver function test was found on lab investigation. She was diagnosed as a case of Fasciolopsiasis and treated with Praziquantel and on follow up visit she was found to be free of symptom.

  2. Growth and Your 1- to 2-Year-Old

    ... Table: Avoiding Power Struggles Toddlers: Learning by Playing Sleep and Your 1- to 2-Year-Old Feeding Your 1- to 2-Year-Old Movement, Coordination, and Your 1- to 2-Year-Old Learning, Play, and Your 1- to 2-Year-Old Your Child's Growth Your Child's Checkup: 1.5 Years (18 Months) ...

  3. Harm minimization among teenage drinkers

    Jørgensen, Morten Hulvej; Curtis, Tine; Christensen, Pia Haudrup;


    . In regulating the social context of drinking they relied on their personal experiences more than on formalized knowledge about alcohol and harm, which they had learned from prevention campaigns and educational programmes. CONCLUSIONS: In this study we found that teenagers may help each other to minimize alcohol......AIM: To examine strategies of harm minimization employed by teenage drinkers. DESIGN, SETTING AND PARTICIPANTS: Two periods of ethnographic fieldwork were conducted in a rural Danish community of approximately 2000 inhabitants. The fieldwork included 50 days of participant observation among 13......-16-year-olds (n = 93) as well as 26 semistructured interviews with small self-selected friendship groups of 15-16-year-olds (n = 32). FINDINGS: The teenagers participating in the present study were more concerned about social than health risks. The informants monitored their own level of intoxication...

  4. Stercoral perforation in a 17-year old.

    McHugh, S


    INTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.

  5. Stercoral perforation in a 17-year old.

    McHugh, S


    INTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.

  6. 19 years old and a neutrino expert

    Laëtitia Pedroso


    Courtney Williams, a 19-year old British student, is passionate about physics. She has just spent a week at CERN, from 12 to 16 July, a prize she won for a project on neutrinos in the framework of the European Union Contest for Young Scientists (EUCYS) held in September 2009.   Courtney Williams pays a visit to the CERN Library. “I’m returning to London after a very busy week at CERN but I hope to be back again one day, this time to work here. CERN is an amazing place for any scientist and it’s definitely the place to be if you want to study particles”, said Courtney during our interview. Courtney has just completed the first year of her physics degree course at Imperial College in London, which means that, combined with her two years of A-level studies, she has now been studying physics - and neutrinos in particular - for a total of 3 years. Before starting her university course, Courtney spent the summer break working on ACoRNE, the Acoustic Co...

  7. Communication and Your 13-to 18-Year-Old

    ... Old Feeding Your 1- to 2-Year-Old Communication and Your 13- to 18-Year-Old KidsHealth > ... games, and talking about current events. Vocabulary and Communication Teens essentially communicate as adults, with increasing maturity ...

  8. Medical Care and Your 13- to 18-Year-Old

    ... Old Feeding Your 1- to 2-Year-Old Medical Care and Your 13- to 18-Year-Old ... school importance of regular physical activity continue Common Medical Problems Sports injuries and other problems, such as ...

  9. Feeding Your 1- to 2-Year-Old

    ... Old Feeding Your 1- to 2-Year-Old Feeding Your 1- to 2-Year-Old KidsHealth > For Parents > Feeding Your 1- to 2-Year-Old Print A ... calories. Your toddler will continue to explore self-feeding, first with fingers and then with utensils at ...

  10. Medical Care and Your 1- to 2-Year-Old

    ... Old Feeding Your 1- to 2-Year-Old Medical Care and Your 1- to 2-Year-Old KidsHealth > For Parents > Medical Care and Your 1- to 2-Year-Old ... A The toddler months continue to bring the medical challenges of colds , scrapes and bruises, and other ...

  11. Motor Proficiency Predicts Cognitive Ability in Four-Year-Olds

    Hernandez, Amanda Martinez; Caçola, Priscila


    Research has shown links between motor proficiency and cognition in school-age children, however, few have explored earlier ages. We aimed to determine the association between motor proficiency and cognitive ability in four-year-olds. Motor and cognitive skills were examined in 32 (15 males, 17 females) four-year-olds (±5.59 months) using the…

  12. Teenage Pregnancy.

    McClellan, Mary C.


    Reviews the problems of teenage pregnancy, including the costs to society, the challenge to educators, and the types of preventive programs developing across the country. Programs dealing strictly with reproduction and contraception are the least effective deterrents to teenage pregnancy. (MD)

  13. Medical Care and Your 6- to 12-Year-Old

    ... compared with other kids the same age and gender. The doctor will take a medical and family ... Talking to Your Child About Puberty Understanding Puberty Communication and Your 6- to 12-Year-Old Contact ...

  14. Fitness and Your 13- to 18-year-old

    ... various media, including watching TV, listening to music, surfing online, and playing video games. So it's no ... 12-Year-Old Steroids Preventing Children's Sports Injuries Nutrition & Fitness Center Feeding Your Child Athlete Fitness for ...

  15. Drug signs and teenagers

    ... use in teenagers; Drug abuse - teenagers; Substance abuse - teenagers Images Signs of drug abuse References National Council on Alcoholism and Drug Dependence. Talking with Children. www.ncadd. ...

  16. Teenage Pregnancy

    ... Pediatrician Ages & Stages Prenatal Baby Toddler Preschool Gradeschool Teen Dating & Sex Fitness Nutrition Driving Safety School Substance Abuse Young Adult Healthy Children > Ages & Stages > Teen > Dating & Sex > Teenage Pregnancy Ages & Stages Listen Español Text Size ...

  17. Teenage Sexuality

    ... Pediatrician Ages & Stages Prenatal Baby Toddler Preschool Gradeschool Teen Dating & Sex Fitness Nutrition Driving Safety School Substance Abuse Young Adult Healthy Children > Ages & Stages > Teen > Dating & Sex > Teenage Sexuality Ages & Stages Listen Español Text Size ...

  18. Can bilingual two-year-olds code-switch?

    Lanza, E


    Sociolinguists have investigated language mixing as code-switching in the speech of bilingual children three years old and older. Language mixing by bilingual two-year-olds, however, has generally been interpreted in the child language literature as a sign of the child's lack of language differentiation. The present study applies perspectives from sociolinguistics to investigate the language mixing of a bilingual two-year-old acquiring Norwegian and English simultaneously in Norway. Monthly recordings of the child's spontaneous speech in interactions with her parents were made from the age of 2;0 to 2;7. An investigation into the formal aspects of the child's mixing and the context of the mixing reveals that she does differentiate her language use in contextually sensitive ways, hence that she can code-switch. This investigation stresses the need to examine more carefully the roles of dominance and context in the language mixing of young bilingual children.

  19. Assessing Two-Year-Olds' Knowledge of Number Agreement Morphology

    Blossom, Megan


    Previous research in the area of children's knowledge of number agreement morphology has yielded mixed results. Some researchers have found evidence for sensitivity to agreement morphology at as early as 16 months, while others report that children do not comprehend number agreement morphology until as late as five or six years old. Studies of…

  20. Duodenal adenocarcinoma in a 10-year-old boy.

    Mohamed, Zouari; Habib, Bouthour; Rabia, Ben Abdallah; Youssef, Hlel; Riath, Ben Malek; Youssef, Gharbi; Nejib, Kaabar


    Gastrointestinal malignancies are extremely rare in the paediatric population and duodenal cancers represent an even more unusual entity. It represents 0.3-1% of all gastrointestinal tumours. A case report of a 10-year-old boy with duodenal adenocarcinoma is reported and the difficulties of diagnosing and treating this rare tumour are discussed.

  1. Duodenal adenocarcinoma in a 10-year-old boy

    Zouari Mohamed


    Full Text Available Gastrointestinal malignancies are extremely rare in the paediatric population and duodenal cancers represent an even more unusual entity. It represents 0.3-1% of all gastrointestinal tumours. A case report of a 10-year-old boy with duodenal adenocarcinoma is reported and the difficulties of diagnosing and treating this rare tumour are discussed.

  2. Laterality and Motor Skills in Four-Year-Olds.

    Tan, Lesley E.


    Compared four-year-old left-handed children and children lacking definite hand preference with right-handers on motor skills. Found no differences between left-handers and right-handers of either sex, but the children lacking hand preference had lower scores. Possible sex differences and implications for the education of children lacking…

  3. Five-Year-Olds' Fascination for Television: A Comparative Study.

    Hake, Karin


    Compared 5-year-olds' understanding of and fascination with a public service and a commercial television program; also compared parents' and children's perspectives. Found that children were particularly fascinated by sequences containing conflicts and aggression. Sixteen of 20 children chose the commercial channel program. Parents showed insight…

  4. Intervention reducing particle exposure in Homes of 50+ year olds

    Gunnarsen, Lars Bo; Spilak, Michal; Frederiksen, Marie


    An intervention reducing particle exposure was conducted in 27 apartments of 50+ year olds in Denmark. Two recirculating particle filtration units were installed in each apartment. They operated for two weeks in active filtration mode and for two weeks in sham mode in a randomized cross-over desi...

  5. Meaning from Syntax: Evidence from 2-Year-Olds

    Arunachalam, Sudha; Waxman, Sandra R.


    When toddlers view an event while hearing a novel verb, the verb's syntactic context has been shown to help them identify its meaning. The current work takes this finding one step further to reveal that even in the absence of an accompanying event, syntactic information supports toddlers' identification of verb meaning. Two-year-olds were first…

  6. Ten-year-olds' reflections on their life in preschool

    Broström, Stig


    What do children think of their time in preschool? In the present study, twelve ten-year-old children collected data from their classmates. The children tend to remember their friends, and reflect on what games they played and with whom. Only about one in three respondents even mentioned the day...

  7. Hypersexuality in a 28-year-old woman with rabies.

    Senthilkumaran, Subramanian; Balamurgan, Namasivayam; Sweni, Shah; Menezes, Ritesh G; Thirumalaikolundusubramanian, Ponniah


    Unusual clinical presentations of rabies are well known. A case of rabies is reported in a 28-year-old female who presented with features of increased sexual desire and heightened sexual arousal without provocation. Health care providers should be aware that marked changes in sexual behavior may be related to infection due to rabies.

  8. One-Year-Olds Think Creatively, Just Like Their Parents

    Hoicka, Elena; Mowat, Rachael; Kirkwood, Joanne; Kerr, Tiffany; Carberry, Megan; Bijvoet-van den Berg, Simone


    Creativity is an essential human ability, allowing adaptation and survival. Twenty-nine 1-year-olds and their parents were tested on divergent thinking (DT), a measure of creative potential counting how many ideas one can generate. Toddlers' and parents' DT was moderately to highly correlated. Toddlers showed a wide range of DT scores, which were…




    Full Text Available Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. Survival after the age of 12 years without corrective surgery is rare. We present the case of a 30 year - old man with uncorrected tetralogy of Fallot.

  10. [Giant intracranial aneurysm in three years old boy: case report].

    de Tella, Osvaldo Inácio; Crosera, João Francisco; Herculano, Marco Antonio; de Paiva Neto, Manoel Antonio


    Cerebral aneurysms are rare in the pediatric age group and differ from adults' aneurysms in size, localization and incidence. We report a 3-year-old boy with giant middle cerebral artery aneurysms who presented with subarachnoid hemorrhage. The patient was submitted to surgical treatment and the postoperative period was uneventful.

  11. Attachment and Reciprocity in the Two-Year-Old Child.

    Marvin, Robert S., II

    This paper reported a pilot study on issues relevant to the social development of the 2-year-old child and discussed the results within the framework of the evolutionary-control-systems theory proposed by Bowlby (1958, 1969) and Ainsworth (1967, 1969). The issues examined were (1) attachment and (2) reciprocity, or the ability of the child-mother…

  12. Medical Care and Your 2- to 3-Year-Old

    ... Old Feeding Your 8- to 12-Month-Old Feeding Your 1- to 2-Year-Old Medical Care and Your ... of keeping kids healthy and up to date on immunizations against many serious childhood diseases. Checkups also are a chance for you ...

  13. Similarity Predicts Liking in 3-Year-Old Children

    Fawcett, Christine A.; Markson, Lori


    Two studies examined the influence of similarity on 3-year-old children's initial liking of their peers. Children were presented with pairs of childlike puppets who were either similar or dissimilar to them on a specified dimension and then were asked to choose one of the puppets to play with as a measure of liking. Children selected the puppet…

  14. Bilingualism in the Six-Year-Old Navajo Child.

    Spolsky, Bernard; Holm, Wayne

    The amount of English spoken by six-year-old Navaho children as they enter first grade is increasing and will probably continue to increase. Contacts outside the reservation contribute to this increase as do the almost completely monolingual (English) schools. Location of residence is also a factor. Linguistic borrowing of English words is another…

  15. Autoimmune polyglandular syndrome in a 13-year old girl

    Borgwardt, L.; Pedersen, P.; Peitersen, B.


    Autoimmune polyglandular syndrome (APS) is an entity, defined by autoimmunity towards two or more endocrine organs. APS is classified in 3 subgroups (type-1, type-2a, type-2b), according to the organs involved. A case is presented of a 13-year old girl referred to the Department of Paediatrics...

  16. SaferNanoDesign Summer School | 13-18 June


    A bioHC Summer School - 13-18 June 2016 - European Scientific Institute, Archamps, Haute-Savoie.   How can industrial innovation in nanotechnologies be reconciled with the legitimate concerns of citizens regarding environmental protection and public health? Tomorrow’s researchers and engineers will require skills in risk evaluation using computational methods of modelling and simulation relevant to nanomaterials. An intensive one-week specialist school, SaferNanoDesign will examine the analytical tools and methodologies required to rise to the challenge of the ecodesign of nanomaterial-enabled technology. The School combines an intensive programme of lecture presentations, followed up by practical sessions (experiments, computer simulation and modelling) and interdisciplinary group work. Courses will be given by international experts from France, Scotland, the US, the Netherlands and Switzerland and representatives from industry and regulatory bodies. For more information: www....

  17. Gender, Popularity and Notions of In/Authenticity amongst 12-Year-Old to 13-Year-Old School Girls

    Read, Barbara; Francis, Becky; Skelton, Christine


    This paper draws on data from a research project investigating gendered identities and interactions of high-achieving students in Year Eight in England (12-13 years old), particularly in relation to students' "popularity" amongst their peers. As part of this study 71 students were interviewed from nine different schools in urban, rural and small…

  18. Teenage pregnancy antenatal and perinatal morbidity: results from a tertiary centre in Greece.

    Pergialiotis, V; Vlachos, D-E G; Gkioka, E; Tsotra, K; Papantoniou, N; Vlachos, G D


    We present the experience of a tertiary referral hospital in Greece, evaluating obstetric and perinatal outcomes among teenage and average maternal age (AMA) women. We retrospectively assessed all singleton pregnancies during a twelve-month period (January-December 2012). A total of 1,704 cases were reviewed and divided into two groups: one of AMA mothers (20-34 years old) (1,460 women) and the other of teenage mothers (12-19 years old) (244 women). We observed significantly higher incidence rates of preterm births (p teenage mothers. Antenatal surveillance was decreased among teenage mothers (p Teenage pregnancy is accompanied by significant antenatal and perinatal complications that need specific obstetrical attention. Obstetricians should be aware of these complications in order to ameliorate the antenatal outcome of childbearing teenagers.

  19. Video Games vs. Reading and School/Cognitive Performances: A Study on 27000 Middle School Teenagers

    Lieury, Alain; Lorant, Sonia; Trosseille, Bruno; Champault, Françoise; Vourc'h, Ronan


    Video games are a very common leisure activity among teenagers and the aim of this study is to analyse their relations with cognitive and school performances. This study is part of a broad survey, conducted on 27,000 French teenagers (14.5 years old) in middle school (9th grade). The survey contained both a questionnaire on leisure activities…

  20. Unusual cause of acute lower extremity ischemia in a healthy 15-year-old female: A case report and review of popliteal artery aneurysm management in adolescents

    David M. Notrica; Emilie Amaro; Maria E. Linnaus; Jozef Zoldos


    Limb ischemia in healthy teenagers is unusual. While traumatic or iatrogenic injury is the most common etiologies of limb ischemia in the pediatric population, anatomic variants such as true aneurysms should be considered [1]. We report the second documented pediatric case of an idiopathic, isolated true popliteal aneurysm resulting in acute limb ischemia in a previously healthy 15-year-old female. We also review the proper evaluation and surgical management of this anatomic anomaly. In this ...

  1. Determinants of loneliness in Jerusalem's 70-year-old population.

    Stessman, J; Ginsberg, G; Klein, M; Hammerman-Rozenberg, R; Friedman, R; Cohen, A


    This study aims to find the determinants of feelings of loneliness in 70 year olds living in Jerusalem. Results based on home interviews (n = 605) of a 40% systematic sample of 70 year olds in the electoral register showed that around 46.3% of females and 21.3% of males reported being lonely. Persons of European/North American origin felt less lonely than those of Asian or African origin, probably due to the former's wider social support network, perceiving friends, neighbors or other relatives as being available to back up children in an emergency. The major factors associated with loneliness were: being depressed, having a poor self-assessed health status, not attending synagogue, and being widowed but not remarried. Factors that did not reduce loneliness included having paid employment, watching TV or listening to the radio. No association was found between cognitive status and loneliness. Our systems model suggests a strong reciprocal relationship between loneliness and depression.

  2. Edwards syndrome in a 6-year old girl.

    Raczkowski, Jan W; Daniszewska, Barbara; Paradecka, Anna


    Trisomy 18 (Edwards syndrome - ES) is the second most common trisomy. It occurs in 1/3 000 to 1/8 000 births. ES is a cause of numerous developmental disorders and malformations. The median life span of children with ES is about 2 weeks and only 5%-10% will survive their first year of life. The report presents a case of a 6-year-old girl with ES.

  3. Pyomyositis in a 69-year-old tennis player.

    Burkhart, Bradd G; Hamson, Karl R


    Pyomyositis is an acute bacterial infection of skeletal muscle usually caused by Staphylococcus aureus. Outside of tropical areas, pyomyositis is rare, especially in an otherwise healthy individual. We present a case of a 69-year-old tennis professional who developed pyomyositis of the piriformis muscle following a tennis tournament. We discuss the literature on pyomyositis and the need for high clinical suspicion in the diagnosis of this disorder, as well as the need for early aggressive antibiotic treatment.

  4. A 65-year-old woman diagnosed with PHACE syndrome.

    Burch, Ezra A; Garzon, Maria C; Parikh, Anuraag; Meyers, Philip M


    PHACE syndrome is characterized by the association between infantile hemangioma and varied but characteristic systemic manifestations, including cerebrovascular and cardiac abnormalities. The disorder has primarily been diagnosed in children, with little information available regarding long-term outcomes in affected individuals. We report the oldest known individual with PHACE syndrome in the medical literature, a 65-year-old woman who was diagnosed after a transient ischemic attack.

  5. 47 Year Old Patient with Pseudo-Asthma

    Bulent Altinsoy


    Full Text Available 47- year- old female patient presented in out-patient department in Afyon Chest Disease Hospital with dyspnea, cough and purulent sputum. She has been receiving regular inhaler β-agonist and corticosteroids with the diagnosis of asthma bronchial since childhood. However, the patient had a history of very often upper and lower respiratory tract infections. The patient did not smoke, drink alcohol, or use illicit drugs intravenously. She was currently on asthma medications.

  6. An 80-Year-Old Woman with Left Shoulder Pain

    Khoo, SB


    This case history illustrates the real life experience and dilemma of an 80-year-old woman in pursuit of medical care for her left shoulder pain. Points for discussion range from clinical features of Pancoast tumor, importance of pain management, good principles of Family Medicine and Palliative care to ethical issues of conspiracy of silence, limited treatment plan and palliative versus curative radiotherapy treatment without a known biopsy report. This paper provides opportunity for analysi...


    Vidyadhar Kinhal; Sanjeev Joshi; Sambasiviah Chidambara Murthy; Syeda Siddiqua Banu


    Pyoderma gangrenosum is a rare, non - infectious and destructive skin disease. Its exact etiopathogenesis is not clearly understood and is believed to be due to immune dysfunction. Several theories have been postulated; however none are consistent in all patients. Pyoderma gangrenosum mostly affects adults and rarely in children. An underlying systemic diseas e is often seen in most of the cases. A three - year - old male child presented with a non - ...

  8. A three-year-old girl with IQ of 140



    As a three-year-old,Saffron Pledger should only just be learning to count,running for the first time or simply scribbling with crayons as her young mind develops.But she is no normal child,this prodigy already r____1 bedtime stories to her seven-month-old sister and is set to become one of the youngest m ____2 of Mensa.

  9. Transient Unexplained Shock in 30-year-old Trauma Patient

    Rahmani, Farzad; Ebrahimi Bakhtavar, Hanieh; Shahsavari Nia, Kavous; Mohammadi, Neda


    Shock as an inadequate tissue perfusion is one of the frequent causes of death in trauma patients. In this context, there are various reasons for hemodynamic instability and shock including hypovolemic (hemorrhagic), obstructive (cardiac tamponade, tension pneumothorax), cardiogenic, neurogenic, and rarely septic. In the present report, a 30-year-old trauma patient with full clinical signs and symptoms of shock referred while had unknown origin; it was finally recognized as anaphylactic shock.

  10. Transient Unexplained Shock in 30-year-old Trauma Patient.

    Rahmani, Farzad; Ebrahimi Bakhtavar, Hanieh; Shahsavari Nia, Kavous; Mohammadi, Neda


    Shock as an inadequate tissue perfusion is one of the frequent causes of death in trauma patients. In this context, there are various reasons for hemodynamic instability and shock including hypovolemic (hemorrhagic), obstructive (cardiac tamponade, tension pneumothorax), cardiogenic, neurogenic, and rarely septic. In the present report, a 30-year-old trauma patient with full clinical signs and symptoms of shock referred while had unknown origin; it was finally recognized as anaphylactic shock.

  11. Oral cleanliness of 12-13-year-old and 15-year-old school children of Sunsari District, Nepal

    Yee R


    Full Text Available The aim of the study was to evaluate the oral cleanliness of school children in the District of Sunsari, Nepal. A multi-stage random sampling oral epidemiological survey was conducted in private and government, urban, rural town and rural village schools in 15 illakas of Sunsari District, Eastern Nepal. A total of 600, 12-13-year-old and 600 15-year-old school children were examined by trained examiners using the simplified oral hygiene index (OHI-S. The average age-group, debris and calculus index scores were combined to obtain the simplified oral hygiene index (OHI-S. The mean OHI-S scores were compared and evaluated using the parametric t-test for two independent samples. The mean OHI-S for urban 12-13-year-old school children was 0.98 compared to 1.34 for school children of rural towns and 1.44 for school children of rural villages and these differences in mean OHI-S were statistically significant ( P < 0.005. In the 15-year-old age group, urban school children had a mean OHI-S score of 1.00 compared to 1.37 for rural towns and 1.43 for rural villages. The variance in the mean OHI-S scores were statistically significant ( P < 0.005. The overall level of cleanliness in the school children surveyed was good. Children of urban schools had the lowest scores followed by school children from rural towns and then rural villages. When the mean OHI-S scores were compared with the DMFT scores, there was an inverse relationship between oral cleanliness and dental caries. Frequency of sugar consumption and the availability and affordability of fluoridated toothpaste may be important factors in the development of dental caries than oral cleanliness.

  12. Portion size variably affects food intake of 6-year-old and 4-year-old children in Kunming, China.

    Smith, Lindsey; Conroy, Katharine; Wen, Hongmei; Rui, Li; Humphries, Debbie


    Age and portion size have been found to influence food intake in American children but have not been examined in an international context. This study evaluated the association between age and the effects of portion size on the food intake of kindergarteners in Kunming, China. Using a within-subjects crossover design in a classroom setting, 173 children in two age groups, mean age 4.2 years and 6.1 years, were served a predefined reference, small (-30%) and large (+30%) portion of rice, vegetables, and a protein source during lunchtime over three consecutive days. Each portion was weighed before and after the meal to determine amount of food consumed. Linear mixed modeling, controlling for repeated measures and clustering by classroom, was used to compare food intake under small and large portion size conditions to the reference portion. Children ate significantly less food when served small portions. When served a large portion, 6-year-old children increased food intake while 4-year-old children decreased food intake in comparison to the reference portion. Findings indicate that portion size affects food intake in Chinese children 4-6-years old. Older children show larger increases in food intake with increased portion size than do younger children.

  13. Exploring attitudes and behaviour towards teenage pregnancy.

    Redwood, Tracey; Pyer, Michelle; Armstrong-Hallam, Sarah


    This article illustrates a methodological approach, which actively engaged 14 to 19 year olds in the research process. This two phase study explored the attitudes and behaviours of young people towards teenage pregnancy in Northamptonshire, UK. The first phase involved training young mothers to lead six focus groups with three specifically targeted 'at-risk' groups; other teenage mothers, young offenders and looked after children (from 14 to 19 years of age). An open question began each focus group but the young women or peer researchers were aware of the topics they wished to explore and provided prompts as necessary. Seven topics are presented under the headings of: alcohol and drugs; planned pregnancy; professionals' treatment; need for love; support by family, friends and partners; labelling and the reality for teenage mothers; and future aspirations. The reasons for pregnancy or consequences of pregnancy are discussed under the implications and recommendations.

  14. Angiomatoid fibrous histiocytoma in a 25-year-old male

    David Dingli


    Full Text Available Angiomatoid fibrous histiocytoma (AFH is a rare disease that is often misdiagnosed initially. Patients can present with a clinical picture concerning for other diseases, and pathologic review is not always revealing. Molecular diagnostics are increasingly being utilized to detect gene fusions characteristic for AFH. Surgery remains the mainstay of management, and can effectively control local recurrences and metastases. Herein we describe a case report of a 25-year-old gentleman whose presentation was concerning for lymphoma. Subsequently we review of the relevant literature.

  15. Satisfaction in everyday life for frail 85-years old adults:

    Johannesen, A; Petersen, Janne; Avlund, K


    The purpose of this study was to investigate whether social relations, continuity, self-determination, and use of own resources are associated with everyday life satisfaction among 85-year-old adults with physical disabilities. The population includes 187 frail men and women from the longitudinal......) feel able to manage their own lives; (4) do not live alone; and (5) have not lately lost close friends. Lack of everyday life satisfaction is associated with (1) using home-care services and (2) living in an institution. The findings stress the importance of helping old persons stay active...

  16. Takotsubo cardiomyopathy in a 90-year-old Chinese man

    XU Rong-he; HUANG Jian-qiang; YU Dan-qing; MA Gui-zhou; CAI Zhi-xiong; NI Chu-min; CHEN Ping; ZHU Zhi-dan; LUO Yan-hua; ZHU Guo-hong


    A 90-year-old Chinese man was transferred to the Emergency Department of the Affiliated Shantou Hospital of Sun Yat-sen University for treatment of an acute myocardial infarction.He suffered chest pain with three days of cough,dyspnea and fever.A diagnosis of Takotsubo cardiomyopathy was made in normal coronary arteries from urgent coronary angiography and characteristic apical dyskinesis and basal hyper contractility in left ventriculography.The patient died from severe multi-organ failure on the second day of hospitalization.

  17. A 44-year-old man with bilateral pneumothorax.

    Albores, Jeffrey; Abtin, Fereidoun; Barjaktarevic, Igor


    A 44-year-old man presented with a 3-day history of persistent upper-back pain, chest discomfort, and dyspnea. He denied any precipitating events such as trauma or vigorous activity before the presentation of symptoms. His exercise capacity had been excellent. He is a lifetime nonsmoker and never had significant lung problems apart from intermittent asthma for which he had several ED visits in the past. Chest CT scan performed during an asthma exacerbation 2 years earlier demonstrated two left-side lung blebs. He had no prior surgical procedures.

  18. Bilateral Ota nevus in a 15 years old patient

    Savaş Öztürk


    Full Text Available Nevus of Ota is a dermal melanocytosis, clinically localizedon skin that is innervated by the first and secondbranches of the trigeminal nerve. It occurs almost entirelyin Asian people. The clinical manifestations are usuallyunilateral; only 5% of cases are bilateral. In this article,due to rarity of the case, a 15-year-old patient, who was diagnosedwith bilateral ota nevus, without having any dermatologicalcomplaints other than cosmetic appearenceand stains in her eyes and around was presented.Key words: Bilateral ota nevus, child, melanocytosis

  19. Spitzoid Melanoma: A Ten Year-Old Boy

    Işıl Kılınç Karaarslan


    Full Text Available Spitzoid melanoma is a rare variant of melanoma, in which the clinical and histopathologic diagnoses are difficult. Data on the features of Spitzoid melanoma in children is limited in the literature, since melanoma is rarely seen in childhood. Here, we report a 10 year-old child with a Spitzoid melanoma. By the means of this case, it has been emphasized that melanoma should be considered in the differential diagnosis of vascular lesions even seen in childhood, unless the clinical and dermoscopic features are characteristic for an entity. (Journal of Current Pediatrics 2008; 6: 127-9

  20. [Snake bite in a 53-year-old female tourist].

    Bertheau, S; Aghdassi, A; Otto, M; Hegenscheid, K; Runge, S; Lerch, M M; Simon, P


    Snake bites are rare events in Germany and are not life-threatening with usually only mild clinical symptoms. The most widespread venomous snake is the common European adder (Vipera berus). Here we present the case of a 53-year-old woman who was bitten by a common adder. Although the patient was initially in stable condition she developed edematous swelling of the complete lower limb, subcutaneous bleeding, and rhabdomyolysis. The aim of this report is to raise awareness that even in a central European country like Germany snake bites with a life-threatening course can occur and need immediate attention and medical care.

  1. [Successful preclinical thoracotomy in a 17-year-old man].

    Puchwein, P; Prenner, G; Fell, B; Sereinigg, M; Gumpert, R


    We report the case of a 17-year-old man who sustained multiple stab wounds after a knife attack. After arrival of the emergency medical team the patient suffered a cardiac arrest caused by cardiac tamponade. After emergency thoracotomy and open heart massage the patient developed ROSC and could be discharged 13 days later without neurological deficits. Prehospital thoracotomy is rarely performed in Austria but is the only realistic chance for survival in cases of hematopericardium and tamponade. Better training of emergency physicians in Austria concerning surgical resuscitation could increase survival rates especially after penetrating thoracic trauma.

  2. Primary cardiac osteosarcoma in a 42-year-old woman

    Zou Jianyong


    Full Text Available Abstract We describe here a 42-year-old woman who was admitted to hospital with a pedunculated mass in her left atrium. She was diagnosed with a primary cardiac osteosarcoma with special immunohistochemical characteristics. Echocardiography and computed tomography can be used to differentiate cardiac osteosarcomas from routine intracardiac tumors. The patient was treated by surgical removal of the mass. Two years later, she has shown no evidence of disease recurrence. We discuss primary osteosarcomas in the cardiac cavity and their management.

  3. Primary pulmonary adenocarcinoma in a 16-year-old boy

    Måreng, Ane Stillits; Langer, Seppo W; Bodtger, Uffe


    Primary pulmonary adenocarcinoma in children or adolescents is a rare disease, and as such, there are no randomised studies on lung cancer for this age group. Treatment choice is extrapolated from studies in adults (mean age of participants: 60 years). We present the 5-year follow-up of a 16-year......-old boy who presented with metastatic primary pulmonary adenocarcinoma (T3N3M1a) and was treated aggressively, including radiation therapy for local and distant recurrence. He had complete remission, had completed his education, was employed full-time, and suffered only from mild side effects to treatment....

  4. Giant coronary artery aneurysms in a 58-year-old

    Anil Kumar Singhi


    Full Text Available All giant Kawasaki aneurysms may not regress fully; some may eventually calcify, undergo thrombosis, and get detected in asymptomatic adults at later age. Tomisaku Kawasaki initially described this illness as mucocutaneous lymph node syndrome in childhood in 1967 and coronary arteritis was recognized later. We present a 58-year-old male, possibly one of the oldest surviving patients with giant coronary aneurysms who presented with large secundum atrial septal defect (ASD with heart failure. This indicates that the disease was perhaps prevalent outside Japan even before the first Kawasaki′s description.

  5. [Bromo-Dragonfly poisoning of 18-year-old male].

    Nielsen, Visti Torbjørn; Høgberg, Lotte C G; Behrens, Jens Kristian


    Bromo-Dragonfly (BDF) is a designer drug chemically related to LSD and amphetamine. The first registration in Denmark was in October 2007. In the present case an 18-year-old man ingested about 2 ml BDF and developed acute psychosis. At the hospital the patient displayed, hyperpyrexia, tachycardia, tachypnea and hypertension. Because of severe hallucinations and agitation the patient was detained at the hospital and received symptomatic treatment with large doses of benzodiazepines. Four days after hospitalization, the patient discharged himself without significant symptoms or paraclinical findings.

  6. Galactorrhea in a 14-year-old girl.

    Panamonta, Ouyporn; Pakawut, Nawarut


    The authors report a 14-year-old girl who had galactorrhea with regular menstruation. Furthermore, this galactorrhea case was associated with hyperprolactinemia and prolactinoma. The patient tolerated and responded well to therapy with bromocriptine. The serum prolactin levels decreased from 103.27 ng/mL to 24.25 ng/mL after 8 weeks of treatment and 12.48 ng/mL after 6 months of treatment. No pituitary tumor was demonstrated after 12 months of therapy and the galactorrhea had not recurred 1 year after ending the bromocriptine treatment.

  7. Five year old preschoolers’ sharing is influenced by anticipated reciprocation

    Mingrui eXiong


    Full Text Available Whether children share in anticipation of future benefits returned by a partner is an interesting question. In this study, 5-year-old children and an adult partner played a sharing game, in which children donated first and the partner donated afterward. In Experiment 1, the partner’s resources were more attractive than the child’s. In the reciprocal condition, the child was told that s/he would be a recipient when the partner played as a donor. In the nonreciprocal condition, however, the child was told that an anonymous child would be the recipient when the partner donated. Results showed that children shared more with the partner when they knew that they would be a recipient later. In Experiment 2, the child was always the recipient when the partner donated, but the partner’s resources were more desirable than the child’s in the high-value condition, and less desirable in the low-value condition. We found that children were more generous when the partner’s resources were valued higher. These findings demonstrate that 5-year-old preschoolers’ sharing choices take into account the anticipated reciprocity of the recipient, suggesting either self-interested tactical sharing or direct reciprocity in advance of receiving. Specifically, they adjust their sharing behavior depending on whether a partner has the potential to reciprocate, and whether it is worth sharing relative to the value of the payback.

  8. Intellectual functioning in a 70-year-old urban population.

    Andersson, E; Berg, S; Lawenius, M; Svanborg, A


    A subsample of 229 persons from the population study "70-year-olds in Gothenburg" was studied with different intelligence tests. The non-response was 15%, and another 4% refused to take part in the psychological examination or had handicaps which made the performance of all or some of the tests impossible. Measurements were made of verbal meaning (SRB1), reasoning (SRB2), spatial ability (SRB3), perceptual speed (Ps-if) and logical thinking and observation (Raven's Coloured Progressive Matrices). There were no differences in the tests between men and women except with Raven's Coloured Progressive Matrices, where the men had a better score. Amongst the women, those who had received a longer education had a better score compared with those who had had less education. Norm-tables for the different tests are presented. As far as could be judged from cross-sectional comparisons the average general cognitive capability was good, even though the 70-year-olds to a higher degree were suffering from mental disorders than younger individuals and more often were living in social situations that could have influenced basic physical and mental functions. The perceptual speed was the only ability that showed a marked change at the age of 70.

  9. Antiretroviral treatment induced catatonia in 16-year-old boy

    Anand Lingeswaran


    Full Text Available We present a 16-year-old boy, who had presented to us with catatonic features of mutism, withdrawal, passive negativism, grimacing, gesturing, echopraxia, and excitement of 5 days duration while taking antiretroviral therapy (ART for a period of 2 years. He had history of birth asphyxia and acquired HIV infection from his father when the same syringe and needle was used on both of them in a medical setting where the father and son had consulted for treatment of pyrexia of unknown origin. He was the eldest of a three children family in which the biologic father had acquired HIV through extramarital sexual contact with HIV-infected sex workers but was unaware of his HIV positive status till our patient, the 16-year-old was admitted and treated for pulmonary tuberculosis at 14 years of age. The boy′s mother had only acquired HIV after having three children with the HIV-positive husband, thus leaving the other two children HIV negative. The catatonia completely resolved within 2 days after the ART was withheld, and risperidone 1 mg twice a day was prescribed. This case highlights the risks of ART and breach of universal precautions.

  10. Chemical properties of two-year-old deciduous species

    Chow, P.; Rolfe, G.L.; Lee, C.S.; White, T.A.


    Contents of ash, hot-water extractives, 1% sodium hydroxide extractives, alcohol-benzene extractive, lignin, holocellulose, alpha-cellulose, and pentosan were determined on two-year-old, short-rotation trees of autumn olive, black alder, black locust, eastern cottonwood, royal paulownia, silver maple, and sycamore. These plantations were established in 1978 on marginal agricultural land that was not suitable for food production in Illinois. Six comparable species of commercial lumber were also analyzed. Test results indicated that all chemical properties did vary with species, above-ground tree portions, and ages of species. The two-year-old juvenile trees had higher average extractives, holocellulose, pentosan, and ash content than did the lumber of matured wood. Black locust possessed the highest values of holocellulose and alpha-cellulose, while the eastern cottonwood had the highest extractive contents. Silver maple had the highest lignin content. Both bark and branches which consisted of about 32% of the mass weight of young trees, had a higher average lignin, extractive and ash content than those of the stemwood. Based on chemical composition, these seven juvenile deciduous species could serve as a raw material for the paper and chemical industries, as well as for energy. 19 references, 8 figures, 6 tables.

  11. Pica in under- 6 year old kindergarten children in Bushehr

    fatemeh Khosravizadegan


    Full Text Available Background: Pica is an eating disorder typically defined as the persistent eating of nonnutritive substances for a period of at least 1 month, without an association with an aversion to food. This behavior should be developmentally inappropriate, and not a culturally sanctioned practice. Pica is more prevalent in underdeveloped and low socioeconomic areas. In this study under 6-year old kindergarten children of Bushehr were evaluated. Methods: In a cross sectional study, 256 under 6-year old kindergarten children were evaluated in Bushehr in 2001. The necessary information regarding pica characteristics was given to the parents and teachers. The questionnaires were completed by the parents and teachers, and the suspects were assessed a second time. A more complete history and psychiatric examination was done to confirm the diagnosis of pica according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders IV in these children. Results: A total of 256 children including 123 girls (48% and 133 boys (52% were evaluated. Pica was diagnosed in 67 of these children (26.2%. The most prevalent age for pica was 12-18 months (27 persons, 40.2% and 18-24 months (20 persons, 29.8%. Pica was significantly associated with sex (being a girl and positive family history. Conclusion: Pica is prevalent in kindergarten children in Bushehr. Educating parents and teachers seems to be necessary.

  12. Language complexity modulates 8- and 10-year-olds' success at using their theory of mind abilities in a communication task.

    Wang, J Jessica; Ali, Muna; Frisson, Steven; Apperly, Ian A


    Basic competence in theory of mind is acquired during early childhood. Nonetheless, evidence suggests that the ability to take others' perspectives in communication improves continuously from middle childhood to the late teenage years. This indicates that theory of mind performance undergoes protracted developmental changes after the acquisition of basic competence. Currently, little is known about the factors that constrain children's performance or that contribute to age-related improvement. A sample of 39 8-year-olds and 56 10-year-olds were tested on a communication task in which a speaker's limited perspective needed to be taken into account and the complexity of the speaker's utterance varied. Our findings showed that 10-year-olds were generally less egocentric than 8-year-olds. Children of both ages committed more egocentric errors when a speaker uttered complex sentences compared with simple sentences. Both 8- and 10-year-olds were affected by the demand to integrate complex sentences with the speaker's limited perspective and to a similar degree. These results suggest that long after children's development of simple visual perspective-taking, their use of this ability to assist communication is substantially constrained by the complexity of the language involved.

  13. Transplantation of a 2-year-old deceased-donor liver to a 61-year-old male recipient.

    Dai, Wing Chiu; Sharr, William W; Chok, Kenneth S H; Cheung, Tan To; Fung, James Y Y; Chan, Albert C Y; Chan, See Ching; Lo, Chung Mau


    The suitable size of a graft is a key element in the success of liver transplantation. A small-for-size liver graft is very likely to sustain a significant degree of injury as a result of ischemia, preservation, reperfusion, and rejection. Usually, small-for-size grafts are a concern in living-donor liver transplantation rather than in deceased-donor liver transplantation. Here, we describe the successful transplantation of a liver from a 2-year-old deceased donor to a 61-year-old male recipient who suffered from liver failure related to hepatitis B. No report of successful deceased-donor liver transplantation with discrepancies between donor and recipient age and size to such an extent has been found in the literature. Despite unusually large discrepancies, with effort in minimizing the ischemic time, revised surgical techniques, and strong regenerative power of the "young" graft, the old patient's liver function gradually returned to normal. This again proves that the definition of a "suitable graft" evolves with time and experience.

  14. Physical activity levels and energy expenditure of 9-year-old – 12-year-old overweight and obese children

    Anita E. Pienaar


    Full Text Available The high occurrence of overweight and obesity amongst children is a disturbing health problem worldwide. Possible causes of increasing childhood obesity are inactivity and energy imbalances. The aim of this study was to analyse the total energy expenditure (TEEand physical activity levels in 9-year-old – 12-year-old overweight and obese children during a weekday and a weekend day, as well as during a weekday morning and afternoon. Twenty-four 9-year-old – 12-year-old children (seven boys and 17 girls, of whom nine were overweight and 15 were obese, were selected from seven public primary schools for this study. Body mass index (BMI cut-off points were used to distinguish between overweight and obese. Each participant wore an ACTICAL™ monitor to determine their physical activity levels and TEE. It was found that the TEE of the children did not differ between a week day and a weekend day, although the TEE of the week day afternoon differed significantly from that of the weekday morning. Unlike the overweight children, none of the obese children met the requirements of 60 minutes of moderate-intensity physical activity per day. Strategies should be found to increase the activity levels of overweight and, especially, obese children, specifically during the mornings and over weekends.


    Die hoë voorkoms van oorgewig en obesiteit onder kinders is wêreldwyd ’n kommerwekkende gesondheidsprobleem. Fisieke onaktiwiteit en energiewanbalanse word as moontlike oorsake van die probleem beskou. Die doel van hierdie studie was om die totale energieverbruik (TEV en fisieke-aktiwiteitsvlakke van 9-jarige – 12-jarige oorgewig- en obese kinders tydens ‘n totale weeksdag en naweekdag te ontleed, asook tydens die oggend en middag van ‘n weeksdag. Vier-en-twintig 9-jarige – 12-jarige kinders (sewe seuns en 17 dogters, waarvan nege oorgewig en 15 obees was, is uit sewe publieke laerskole vir die studie gekies

  15. A 31-year-old pregnant woman with angioedema.

    Speck, Aimee L; Killen, Paul D; Greenhawt, Matthew J


    Angioedema is swelling of the deep layers of the dermis and subcutaneous tissue due to an increase in vascular permeability. Angioedema sometimes occurs concomitantly with urticaria and represents an allergic disease. In other cases, angioedema is not associated with an allergic condition. We present the case of a 31-year-old woman with new-onset angioedema in the setting of her first pregnancy. After detailed history, physical examination, and laboratory evaluation, a cause for her angioedema was found that had not been considered previously and had significant implications for future management, particularly in light of her current pregnancy. Because allergists are commonly called on to evaluate and treat angioedema, we should be aware of the many disease processes that can present with this symptom and be well-versed in the workup of new-onset angioedema.

  16. Cystic fibrosis school for 10-year-olds

    Bregnballe, Vibeke; Schiøtz, Peter Oluf


    on which they can make their own choices in order to improve their quality of life. In practical terms we make classes of 4-8 10-year-old children with CF. We give them 6 lessons of 3 hours. One lesson every second month. The lessons substitute a monthly visit. The psysiotherapist and the nurse teach...... give them a good basis on which they can make their own choices about how they want to live their lives with cystic fibrosis and with optimal quality of life.......Compliance or rather lack of compliance has always been a problem when treating patients with cystic fibrosis. The patients tend to drop the treatment more or less if the treatment gets too complicated or laboured. We have attempted a systematical education of our patients in a CF school...

  17. Omental infarction in an obese 10-year-old boy

    Katerina Kambouri


    Full Text Available Primary omental infarction (POI has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.

  18. [Oral hygiene customs in 6-12 year old schoolchildren].

    Hernández-Martínez, César Tadeo; Medina-Solís, Carlo Eduardo; Robles-Bermeo, Norma Leticia; Mendoza-Rodríguez, Martha; Veras-Hernández, Miriam; De la Rosa-Santillana, Rubén; Escoffié-Ramírez, Mauricio; Márquez-Rodríguez, Sonia


    OBJECTIVE. To characterize utilization of oral hygiene devices and customs in schoolchildren. MATERIAL AND METHODS. We performed a cross-sectional study in 1,404 schoolchildren (6- 12 year olds) from 14 public schools in Pachuca, Hidalgo, México, using a questionnaire for sociodemographic variables and 1) Tooth brushing frequency (customs were 85.5% tooth brushing, 90.9% toothpaste, 19.4% flossing, and 28.2% mouthwash. Only 11.8% of participants reported utilization in all 4 categories. We observed differences (p < 0.05) across sexes only in the use of toothpaste, as women used it more often. Differences across age were observed (p < 0.05) for tooth brushing (younger children brushed more often) and flossing (older children flossed more often). CONCLUSIONS. Tooth brushing was the oral hygiene practice more often performed in this sample, with other frequencies being relatively low. There were differences by age and sex across some variables.

  19. Choline associated hypersexuality in a 79-year-old man.

    Calabrò, Rocco Salvatore; Cordici, Francesco; Genovese, Carmelo; Bramanti, Placido


    Hypersexuality, also referred to as sexually inappropriate behavior and sexual disinhibition, involves persistent, uninhibited sexual behaviors directed at oneself or at others, sometimes associated with neurodegenerative disorders. Choline is a water-soluble essential nutrient, used as a dietary supplement in different diseases. This report was aimed at considering choline intake as a possible cause of iatrogenic hypersexuality. After an evaluation, a 79-year-old man affected by memory loss was diagnosed with mild cognitive impairment and treated with oral choline. After 6 weeks of regular choline assumption, the patient showed a pathological increase in libido with sexual urges. As choline was withdrawn, the hypersexuality disappeared within 5 days. Since hypersexuality may be an underreported and overlooked adverse effect of drugs and dietary supplements acting on the cholinergic pathway, this should be considered when treating and counselling patients with inappropriate sexual behavior.

  20. Satisfaction in everyday life for frail 85-years old adults:

    Johannesen, A; Petersen, Janne; Avlund, K


    The purpose of this study was to investigate whether social relations, continuity, self-determination, and use of own resources are associated with everyday life satisfaction among 85-year-old adults with physical disabilities. The population includes 187 frail men and women from the longitudinal...... study of the 1914 population in Glostrup, Copenhagen. Participants were all interviewed in their homes by an occupational therapist. Findings provide evidence that frail older adults more frequently express satisfaction with their daily lives when they (1) are occupied as usual; (2) have friends; (3......) feel able to manage their own lives; (4) do not live alone; and (5) have not lately lost close friends. Lack of everyday life satisfaction is associated with (1) using home-care services and (2) living in an institution. The findings stress the importance of helping old persons stay active...

  1. Pyomyositis in a 5-year-old child.

    Romeo, S; Sunshine, S


    We present a case of pyomyositis in an otherwise healthy 5-year-old child that underscores the potential for serious, life-threatening complications. Pyomyositis of the gluteal, psoas, and iliacus muscles was associated with osteomyelitis, septic arthritis, a large inferior vena cava thrombus, septic pulmonary emboli, and eventual pneumonia. Primary pyomyositis is a purulent infection of striated muscle thought to be caused by seeding from a transient bacteremia. The focal infection typically forms an abscess that generally responds to intravenous antibiotics and occasionally requires adjunctive computed tomography-guided aspiration and drainage. This localized infectious process rarely produces further sequelae unless treatment is delayed. Pyomyositis is rare in healthy individuals and requires a high clinical suspicion in patients who present with fever, leukocytosis, and localized pain.

  2. Pituitary stalk lesion in a 13-year-old female

    Zilbermint, Mihail; Ramnitz, Mary S.; Lodish, Maya B.; Kanaka-Gantenbein, Christina; Kattamis, Antonis; Lyssikatos, Charalampos; Patronas, Nicholas J.; Quezado, Martha M.


    Germinomas presenting with a pituitary stalk lesion and panhypopituitarism are rare in children, and their definite diagnosis is challenging. An invasive diagnostic approach, such as a transsphenoidal biopsy, is often required prior to establishing a treatment regimen. A 13-year-old female presented with 1 year of secondary amenorrhea, fatigue, and progressive thirst with polyuria. Laboratory work-up revealed panhypopituitarism (central hypothyroidism, hypogonadotropic hypogonadism, adrenal insufficiency and central diabetes insipidus). α-Fetoprotein and β-human chorionic gonadotropin were not elevated in serum nor in cerebrospinal fluid. The magnetic resonance imaging (MRI) of the pituitary region showed an enhancing infundibular lesion, extending into the hypothalamus, and infiltrating the pituitary gland. A transsphenoidal biopsy of the infundibular lesion confirmed the diagnosis of germinoma (germ-cell tumor). After appropriate hormone replacement therapy, chemotherapy and low-dose radiation therapy, the patient achieved complete resolution of the pituitary stalk lesion on the MRI. PMID:24129100

  3. A 59 year-old man with sellar lesion.

    Sargis, Robert M; Wollmann, Robert L; Pytel, Peter


    A 59 year-old man presented with a large sellar mass. Pathologic examination revealed a tumor with two distinct cell populations. The majority of the tumor showed typical pituitary gonadotroph adenoma morphology and staining. Diffusely scattered throughout this tumor were nests of epithelial cells with an appearance typical of adamantinomatous craniopharyngioma and that were proliferating by Ki-67. Moreover, their diffuse distribution within the adenoma portion of the tumor suggests that these areas arose from within the adenoma where squamous rests are not observed. While pituitary adenomas juxtaposed to craniopharyngiomas have been reported, these cases have consisted of distinct masses unlike the intimately admixed tumor described in this case. Moreover, all previous reports of craniopharyngiomas with pituitary adenoma have consisted of prolactinomas. This is the first reported case of a craniopharyngioma with gonadotroph adenoma.

  4. Pituitary stalk lesion in a 13-year-old female.

    Zilbermint, Mihail; Ramnitz, Mary S; Lodish, Maya B; Kanaka-Gantenbein, Christina; Kattamis, Antonis; Lyssikatos, Charalampos; Patronas, Nicholas J; Quezado, Martha M; Stratakis, Constantine A


    Germinomas presenting with a pituitary stalk lesion and panhypopituitarism are rare in children, and their definite diagnosis is challenging. An invasive diagnostic approach, such as a transsphenoidal biopsy, is often required prior to establishing a treatment regimen. A 13-year-old female presented with 1 year of secondary amenorrhea, fatigue, and progressive thirst with polyuria. Laboratory work-up revealed panhypopituitarism (central hypothyroidism, hypogonadotropic hypogonadism, adrenal insufficiency and central diabetes insipidus). α-Fetoprotein and β-human chorionic gonadotropin were not elevated in serum nor in cerebrospinal fluid. The magnetic resonance imaging (MRI) of the pituitary region showed an enhancing infundibular lesion, extending into the hypothalamus, and infiltrating the pituitary gland. A transsphenoidal biopsy of the infundibular lesion confirmed the diagnosis of germinoma (germ-cell tumor). After appropriate hormone replacement therapy, chemotherapy and low-dose radiation therapy, the patient achieved complete resolution of the pituitary stalk lesion on the MRI.

  5. How do 5-year-olds understand questions?

    Sauerland, Uli; Grohmann, Kleanthes; Teresa Guasti, Maria


    the question word was related to the sentential subject or object position of the verb. The findings show that there is considerable variation among languages, but the two factors mentioned consistently affect children’s performance. The cross-linguistic variation shows that three linguistic factors facilitate......The comprehension of constituent questions is an important topic for language acquisition research and for applications in the diagnosis of language impairment. This article presents the results of a study investigating the comprehension of different types of questions by 5-year-old, typically...... developing children across 19 European countries, 18 different languages, and 7 language (sub-)families. The study investigated the effects of two factors on question formation: (a) whether the question contains a simple interrogative word like ‘who’ or a complex one like ‘which princess’, and (b) whether...

  6. Neurogenic muscle hypertrophy in a 12-year-old girl.

    Zutelija Fattorini, Matija; Gagro, Alenka; Dapic, Tomislav; Krakar, Goran; Marjanovic, Josip


    Muscular hypertrophy secondary to denervation is very rare, but well-documented phenomena in adults. This is the first report of a child with neurogenic unilateral hypertrophy due to S1 radiculopathy. A 12-year-old girl presented with left calf hypertrophy and negative history of low back pain or trauma. The serum creatinine kinase level and inflammatory markers were normal. Magnetic resonance imaging showed muscle hypertrophy of the left gastrocnemius and revealed a protruded lumbar disc at the L5-S1 level. The protruded disc abuts the S1 root on the left side. Electromyography showed mild left S1 radiculopathy. Passive stretching and work load might clarify the origin of neurogenic hypertrophy but there is still a need for further evidence. Clinical, laboratory, magnetic resonance imaging and electromyography findings showed that S1 radiculopathy could be a cause of unilateral calf swelling in youth even in the absence of a history of back or leg pain.

  7. Thyrotoxic Dysphagia in an 82-Year-Old Male

    Konstantinos Parperis


    Full Text Available Dysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-year-old male who presented with a 4-week history of dysphagia and weight loss. Workup for his dysphagia with upper endoscopy, MRI brain, electromyography, acetyl-cholinesterase receptor antibodies, and voltage-gated calcium channel antibodies were negative. Modified Barium swallow test showed oropharyngeal dysphagia. Thyroid function tests that revealed hyperthyroidism and antibodies to TSH-receptor were positive. Based on the above findings, we considered Graves' disease as the most likely diagnosis. Patient was treated with methimazole and beta-blockers and subsequently his dysphagia resolved. This paper highlights the importance to clinicians of considering thyrotoxicosis as possible diagnosis in an elderly patient presenting with unexplained dysphagia.


    Vidyadhar Kinhal


    Full Text Available Pyoderma gangrenosum is a rare, non - infectious and destructive skin disease. Its exact etiopathogenesis is not clearly understood and is believed to be due to immune dysfunction. Several theories have been postulated; however none are consistent in all patients. Pyoderma gangrenosum mostly affects adults and rarely in children. An underlying systemic diseas e is often seen in most of the cases. A three - year - old male child presented with a non - healing ulcer over left thigh. Clinical features, histopathology, other investigations and dramatic response to corticosteroids suggested a diagnosis of idiopathic pyo derma gangrenosum. Associated idiopathic thrombocytosis was also seen. Idiopathic pyoderma gangrenosum is very rare in children. Idiopathic pyoderma gangrenosum associated with idiopathic thrombocytosis and keloidal scarring has not been reported earlier

  9. Tetanus trismus in a 2 year old child: Case report

    Menon Narayanankutty Sunilkumar, Vadakut Krishnan Parvathy


    Full Text Available Tetanus is still a major cause of mortality and morbidity in developing countries. It occurs in children mainly in the unimmunized, due to parental ignorance and objection to vaccination. This potentially fatal disease caused by a neurotoxin, tetanospasmin released from wounds infected with Clostridium tetani, an anaerobic gram–positive bacillus. As tetanus becomes less common, cases are likely to be misdiagnosed or go unrecognized. In this case report, we present a case of tetanus in a partially immunized 2 year old girl who presented with trismus. She was treated with the recent recommendations and adequate supportive care. Detection of tetanus at a very early stage can favor lifesaving interventions. Trismus, infected wound and partially immunized/unimmunized status of a child were the key features leading to the prompt diagnosis and early treatment.

  10. Prevalence of mutans streptococci in one-year-old children.

    Grindefjord, M; Dahllof, G; Wikner, S; Hojer, B; Modeer, T


    Colonization with mutans streptococci was studied in 1095 1-year-old children living in suburban Stockholm. During a scheduled vaccination appointment at a child health centre, a bacterial sample was obtained from the child's tongue and a structured questionnaire was completed by the accompanying parent. Six percent of the subjects were colonized with mutans streptococci. The variables most strongly correlated with presence of mutans streptococci were: non-Swedish background, consumption of sugar-containing beverages at night and total consumption of sugar-containing beverages. The results indicate that, by the age of 1 year, maternally influenced behaviour patterns such as dietary habits that may predispose to early colonization of mutans streptococci are already established. Such early colonization with mutans streptococci may predict high caries risk in the primary dentition.

  11. Subcutaneous scrotal dirofilariasis in a 3- year- old boy

    Biserka Pigac


    Full Text Available Dirofilariasis is a zoonosis caused by parasites the genus Dirofilaria, most common species are D. repens and D. immitis. This parasitosis rarely affects humans and it is usually asymptomatic. Canines are considered to be the reservoir of the parasite, yet the parasite is transmitted via mosquito bite. We present a case of subcutaneous scrotal dirofilariasis in a 3-year-old boy from north- western part of Croatia, where this zoonosis's not endemic, which characterizes this entity as rarity in this part of the country. In this case, parasitic infestation was manifested as painless scrotal nodule up to 1 cm in its largest diameter. Surgical excision revealed a thread- like material exiting the incision site. According to well –preserved morphologic characteristics, the specimen was characterized as a helminth of the genus Dirofilaria. We emphasize the importance of dirofilariasis in patients with subcutaneous nodules. And increase the awareness level of these parasites among clinicians and pathologists.

  12. Paratesticular myxoid liposarcoma in a 23-year old Nigerian

    Okezie M. Mbadiwe


    Full Text Available Paratesticular liposarcomas are rare tumors and are usually seen in patients in middle age or older. Optimal treatment is radical orchidectomy. Radiotherapy or chemotherapy is added for advanced disease or recurrences. These practice guidelines often vary from the experience in developing countries. We present a 23-year old man who presented with paratesticular myxoid liposarcoma, after transscrotal orchidectomy for ‘testicular tumor’ without histology. He was subsequently managed by neoadjuvant chemotherapy and complete tumor excision. A case of paratesticular myxoid liposarcoma in a young man is highlighted. Also noted is the fact that complete extirpation at primary surgery reduces the risk of local recurrence. The practice of transscrotal orchidectomy and non-submission of surgical specimens is highlighted and condemned.

  13. Metanephric adenoma: Management in a 7-year-old child

    Katharine Caldwell


    Full Text Available We report the case of a 7-year-old girl in whom a left renal mass was incidentally discovered on computerized tomography (CT scan during evaluation for acute perforated appendicitis. The presence of polycythemia and the radiographic characteristics of the mass suggested a metanephric adenoma but a Wilm's tumor could not be excluded with preoperative studies. Gross inspection and intra-operative ultrasound of the tumor supported the suspicion of a metanephric adenoma and a partial nephrectomy was performed. Frozen section and permanent pathologic analysis confirmed a benign metanephric adenoma. At current date, patient is recovering well and polycythemia has resolved. A review of the management of metanephric adenoma in the child is presented.

  14. Septic Bursitis in an 8-Year-Old Boy

    Panagiotis Kratimenos


    Full Text Available Background. The prepatellar bursa can become inflamed owing to repeated trauma. Prepatellar bursitis is extremely rare in children. Methods. We report the case of an 8-year-old boy who was treated for an erythematous, swollen, and severely painful right knee, fever, inability to bear weight on the leg, and purulent material draining from a puncture wound. We describe the differential diagnosis for tender swollen knee, including infection, gout, rheumatoid arthritis, and osteoarthritis. If untreated, prepatellar bursitis can progress to patellar osteomyelitis. Results. Wound cultures grew Streptococcus pyogenes, with the infection resolving with amoxicillin. Conclusions. A high index of suspicion is necessary in children presenting with prepatellar bursitis to prevent potentially devastating sequelae of infection of the septic joint.

  15. A 6-Year-Old With Leg Cramps.

    Jenssen, Brian P; Lautz, Andrew J; Orthmann-Murphy, Jennifer L; Yum, Sabrina W; Waanders, Angela; Fox, Elizabeth


    A 6-year-old girl presented with a history of leg pain and cramping that progressively worsened over a 2- to 3-week period of time. Her examination was notable for normal vital signs, limited range of motion of her left hip, and a limp. Inflammatory markers were slightly elevated, but the serum electrolytes, calcium, and magnesium, complete blood cell count and differential, and creatine kinase level were normal. She was hospitalized for further diagnostic evaluation and was noted to have abnormal muscle movements classified as myokymia (continuous involuntary quivering, rippling, or undulating movement of muscles). Electromyography confirmed the myokymia but did not reveal evidence of a myopathy or neuropathy, prompting additional evaluation for a systemic etiology.

  16. Extrinsic Rewards Diminish Costly Sharing in 3-Year-Olds.

    Ulber, Julia; Hamann, Katharina; Tomasello, Michael


    Two studies investigated the influence of external rewards and social praise in young children's fairness-related behavior. The motivation of ninety-six 3-year-olds' to equalize unfair resource allocations was measured in three scenarios (collaboration, windfall, and dictator game) following three different treatments (material reward, verbal praise, and neutral response). In all scenarios, children's willingness to engage in costly sharing was negatively influenced when they had received a reward for equal sharing during treatment than when they had received praise or no reward. The negative effect of material rewards was not due to subjects responding in kind to their partner's termination of rewards. These results provide new evidence for the intrinsic motivation of prosociality-in this case, costly sharing behavior-in preschool children.

  17. Late Established Mutans Streptococci in Children over 3 Years Old

    Mitsugi Okada


    Full Text Available Acquisition of mutans streptococci has been reported to most commonly occur at approximately 26 months of age. In the present study, we detected Streptococcus mutans and S. sobrinus using polymerase chain reaction (PCR assays in children, then re-examined the subjects to determine the time of acquisition of these bacteria over a 1-year period. The subjects were 57 children ranging in age from 3 to 5 years old, each with primary dentition. Plaque samples were collected from all erupted tooth sites using a sterile toothbrush. PCR assays were performed to detect the targeted mutans streptococci at the beginning of the study (baseline and after 1 year. At the baseline examination, the prevalence of S. mutans and S. sobrinus was 61.4% and 54.4%, respectively, in all subjects, of whom 14 (24.6% were positive for S. mutans alone, 10 (17.5% for S. sobrinus alone, and 21 (36.8% for both S. mutans and S. sobrinus, with 12 (21.1% negative for both. After 1 year, 4 of 22 (18.2% subjects newly had acquired S. mutans and 15 of 26 (57.7% had aquired S. sobrinus, while 5 (8.8% remained negative for both bacteria. The age of the first positive S. mutans finding ranged from 49 to 71 months, while that for S. sobrinus ranged from 49 to 81 months old. Our results suggest that S. sobrinus becomes established later than S. mutans in the oral cavities of children over the age of 3 years old.

  18. From Benign to Malign in a Case of Cervical Adenopathy in a 17-Year-Old Adolescent: Diagnostic Traps

    Simona Dumitra


    Full Text Available Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis. We report a case of right laterocervical adenopathy in a 17-year-old teenager admitted to hospital with an episode of fever associated with dysphagia, congested pharynx, and pultaceous deposits. Initially the adenopathy was considered to be secondary to a coinfection with Streptococcus B-hemolytic and Epstein-Barr virus, as suggested by the positive bacteriological and serological tests. The onset of the adenopathy before the episode and the ultrasound modifications raised the suspicion of a malignancy, later confirmed by the histopathologic examination of the lymph node excision. The final diagnosis was nodal metastasis of an undifferentiated lymphoepithelial carcinoma with an ENT starting point. Currently, the adolescent is hospitalised in the ENT ward, where the pharynx carcinoma with nodal metastasis was confirmed. Sometimes the infectious context can mask or unmask a malign chronic disease with insidious evolution.

  19. [Teenage pregnancy].

    Mora-Cancino, María; Hernández-Valencia, Varcelino


    In Mexico, 20% of the annual births are presented in women younger than 20 years old. Pregnancy in adolescents puts at risk mother and child health. This risk is major while the woman is younger, especially when the social and economic conditions are not favorable, which is decisive in later psychosocial development. It has been pointed out that the youths with low education, with minor academic and laboral expectations, with low self-esteem and assertiveness, tend to begin early their active sexual life, to use less frequently contraceptives, and in the case of younger women, to be pregnant, with the risk of abortion because they cannot to make the best decision. It is important to take into account the social context and the special characteristics of the family to understand situation of adolescent at risk of pregnancy.

  20. Teenage pregnancy: A socially inflicted health hazard

    Banerjee Bratati


    Full Text Available Background: Early marriage and confinement are contributing factors to high maternal and perinatal mortality and morbidity. Objective: To assess the magnitude of the problem of teenage pregnancy and its complications. Materials and Methods: A hospital-based cohort study was undertaken over 4 months among women admitted to a rural hospital in West Bengal. The study cohort comprised of teenage mothers between 15-19 years old and a control cohort of mothers between 20-24 years old. Data included demographic variables, available medical records, and complications viz. anemia, preterm delivery, and low birth weight. Anemia was defined as a hemoglobin level below 10 gm% during the last trimester of pregnancy, preterm delivery was defined as occurring within 37 weeks of gestation, and low birth weight was defined as babies weighing less than 2500 grams at birth. Result: Teenage pregnancy comprised 24.17% of total pregnancies occurring in the hospital during the study period. The study group had 58 subjects and the control group had 91 subjects. The prevalence of anemia was significantly higher ( P < 0.05 in the women in the teenage group (62.96% than in the women in the control group (43.59%. However, severe anemia with a hemoglobin level below 8 gm% was only found in the control group. Preterm delivery occurred significantly more ( P < 0.001 in the study group (51.72% than in the control group (25.88%. The incidence of low birth weight was significantly higher ( P < 0.0001 among the group of teenagers (65.52% than among the women in the control group (26.37%. Not a single newborn was above 3 kg in the study group, while none were below 1.5 kg in the control group. The mean birth weight was 2.36 kg in the study group and 2.74 kg in the control group; the difference was strongly significant ( P < 0.001. Conclusion: The study shows that anemia, preterm delivery, and low birth weight were more prevalent among teenagers than among women who were 20

  1. A 55 year old man with progressive neurologic deficits

    Sendjaja Muljadi


    Full Text Available At least 50 percent of the decline in functional abilities associated with the elderly is caused by neurological conditions, particularly vascular dementia, such as occurs in Binswanger disease. Binswanger disease is a rare condition, characterized by acute strokes with symptoms and signs compatible with lacunar infarction. The disease onset is commonly between 55 and 75 years. The majority of patients with Binswanger disease have chronic hypertension and other putative factors including diabetes mellitus, polycythemia, thrombocytosis, hyperlipidemia, hyperglobulinemia and pseudoxanthoma elasticum, increased fibrinogen levels and the antiphospholipid antibody syndrome. We report the case of a 55 year-old man, who suffered from involuntary movements of his right arm, slight hemiparesis on the right side, and also had dementia. He had a history of high blood pressure and laboratory tests showed that he had diabetes mellitus. The brain magnetic resonance imaging showed irregular white matter abnormalities with multiple lacunar infarcts in the basal ganglia and pons. The clinical picture is characterized by acute strokes, followed by involuntary movements and also dementia. Therefore we decided to diagnose it as Binswanger disease. After discharge from hospital, the patient has not returned for follow-up.

  2. Assessing Executive Function components in 9 years old children

    Sandra Reyes


    Full Text Available Executive Function (EF is a multidimensional construct. It includes a set of abilities that allows to execute actions with a purpose, aimed to a goal, in an efficient way. The objective of this work is to explore some of the cognitive abilities that constitute a common factor for EF in 9 years-old children. The chosen instruments: Batería de Evaluación Neuropsicológica de la Función Ejecutiva en niños (ENFEN (Battery of Neuropsychological Assessment for Executive Function in Children, along with the Backward Digits Subtestfrom the WISC-III, were administered to 101 children from private schools of Buenos Aires State, Argentina. The ENFEN consists on EF tasks, including Phonological and Semantic Fluency, Trail Making Test versions for children (gray and colored sets, Interference Task, and Planning disc movements according to a model. An initial confirmatory factor analysis didn’t show significant fit indexes, being the Inhibitory control the variable with the lower and non significant factorial weight. A second model excluding the Inhibitory control measure was conducted, and it showed excellent fit indexes. Therefore, it can be concluded that at this age, some of the cognitive abilities included on the EF are: Phonological and Semantic Fluency, Sustained and Selective attention, Planning and Working memory; which is not the case for Inhibitory Control (measured by the Interference Task in the ENFEN.

  3. Achalasia in a sixty-four-year-old man.

    Komisaruk, E A; Seymour, N E


    Achalasia is an esophageal motility disorder characterized by increased lower esophageal sphincter pressure and absence of peristalsis in the lower esophagus. Patients typically present with complaints of progressive difficulty swallowing over a period of several years. Diagnosis is confirmed by esophageal manometry. Complications of achalasia include esophagitis, aspiration and possibly an increased risk of esophageal carcinoma. Medical treatment options include pneumatic dilatation, esophageal bougienage, nitrates, calcium channel blockers and botulinum toxin injections. The primary method of surgical treatment is the Heller myotomy, in which longitudinal incisions are made in the muscle fibers of the lower esophageal sphincter to reduce sphincter pressure. Frequently, a fundoplication is performed in addition to the myotomy to decrease the likelihood of development of gastroesophageal reflux. In recent years, the Heller myotomy has been performed both thoracoscopically and laparoscopically. An additional development has been the placement of an endoscope in the esophagus to provide transillumination during surgery; intraoperative endoscopy allows improved assessment of the depth of myotomy incisions and reduces the risk of esophageal perforation. The case report below describes a 64-year-old-man with achalasia who presented with persistent dysphagia despite multiple attempts at medical treatment. A laparoscopic Heller myotomy with Toupet fundoplication was performed with subsequent eradication of symptoms. A discussion of the epidemiology, etiology, clinical presentation, diagnosis and treatment of achalasia follows the case report.

  4. [Desmoplastic ameloblastoma in a 7 year old child].

    Mikou, A; Al Bouzidi, A; Kabbaj, R; Chahdi, H; Kamous, W; Zoubeir, Y; Rharrassi, I; Rimani, M; Labraimi, A; El Khatib, M; Rzin, A; Nassih, M


    Desmoplastic ameloblastoma is a benign, locally aggressive neoplasm of proliferating odontogenic epithelial origin. It is seen among old patients from 17 to 72 years with an average age 42 years and without predilection of sex. We report the case of a 7 year old child, having presented since the 5 years age, a gingival tumefaction on the left higher incisivo-canin group which increased volume gradually. The stomatologic examination showed a gingival tumefaction covered with a healthy mucous membrane, ovoid form and measuring 3 cm on its horizontal axis. The tomodensitometry of the jawbone showed in front of the 21st and the 22nd tooth, the presence of an osseous lesion associating of the hearths of osteolysis and osteocondensation with rupture of cortical and invasion of the soft tissue. A curetting of the lesion was carried out and the anatomopathologic examination retained the diagnosis of desmoplastic ameloblastoma. The characteristic of our observation is the youth of the patient. In addition, the desmoplastic ameloblastoma is relatively rare, is characterized by an anatomical distribution, a radiological appearance and a morphological aspect differents from the traditional ameloblastoma. A radical surgical treatment is suggested for this tumour to avoid recurrency.

  5. Primary Pleural Angiosarcoma in a 63-Year-Old Gentleman

    Ahmed Abu-Zaid


    Full Text Available Primary pleural angiosarcomas are extremely rare. As of 2010, only around 50 case reports have been documented in the literature. Herein, we report the case of a 63-year-old gentleman who presented with a 3-month history of right-sided chest pain, dyspnea, and hemoptysis. Chest X-ray showed bilateral pleural effusion with partial bibasilar atelectasis. Ultrasound-guided thoracocentesis showed bloody and exudative pleural fluid. Cytologic examination was negative for malignant cells. An abdominal contrast-enhanced computed tomography (CT scan showed two right diaphragmatic pleural masses. Whole-body positron emission tomography/computed tomography (PET/CT scan showed two hypermetabolic fluorodeoxyglucose- (FDG- avid lesions involving the right diaphragmatic pleura. CT-guided needle-core biopsy was performed and histopathological examination showed neoplastic cells growing mainly in sheets with focal areas suggestive of vascular spaces lined by cytologically malignant epithelioid cells. Immunohistochemical analysis showed strong positivity for vimentin, CD31, CD68, and Fli-1 markers. The overall pathological and immunohistochemical features supported the diagnosis of epithelioid angiosarcoma. The patient was scheduled for surgery in three weeks. Unfortunately, the patient died after one week after discharge secondary to pulseless ventricular tachycardia arrest followed by asystole. Moreover, we also present a brief literature review on pleural angiosarcoma.

  6. Marine durability of 23-year old reinforced concrete beams

    Mohammed, T. U. [NEWJEC Inc., Technology Development Dept., Osaka (Japan); Otsuki, N. [Tokyo Inst. of Technology (Japan); Hisada, M. [Niigata Univ., (Japan); Hamada, H. [Ministry of Transport, Port and Harbor Research Inst., Yokosuka (Japan)


    Results of a study concerning the durability of 23-year old reinforced concrete beams exposed to marine tidal and atmospheric environments are presented. The study focused on the corrosion of steel bars with respect to orientation in concrete, carbonation and chloride ion-induced corrosion, quantitative evaluation of electrochemical data and the influence of stirrups on macrocell formation. Experimental work included half cell potential, polarization resistance, solution resistance investigations, chloride ion profile and carbonation depth measurements, microscopic observations of steel-concrete interfaces, and visual inspection of steel bars corrosion. Results showed that chloride ion-induced corrosion was significantly influenced by the orientation of the steel bars in the concrete. Macrocell corrosion was found to be the governing process of corrosion in atmospheric environment, while stirrups played an important role in macrocell formation. Assuming the use of a suitable pit concentration, polarization data was considered to provide an acceptable, although inexact, estimate of the depth of corrosion. Peak chloride ion concentration was not observed at the concrete surface but at some distance below the surface, probably due to the effect of wetting and drying cycles. 8 refs., 9 tabs., 11 figs.

  7. [Bilateral axillary nodes. 30-year-old patient, housewife].

    Rodak, R; Ramseier, E


    A 20-year old patient who had been adequately treated for lymph node tuberculosis 14 years ago presented 1 week after giving birth to a healthy daughter. She complained about painful lumps in both axillae. During pregnancy the patient suffered from hyperemesis gravidarum, lost 6 kg of weight, and had night sweats. During the last three months of her pregnancy she had a deep vein thrombosis in her right lower leg. The clinical examination showed soft axillary lumps up to 3 cm. The lab showed the following pathological findings: blood sedimentation rate 51 mm/h, CRP 44.8 mg/l, LDH 221 U/l and INR 1.3 (indicating insufficient anticoagulation with phenprocoumon). The chest x-ray showed no infiltrate or indications of a past tuberculosis. A fine needle aspiration cytology was performed on an accessible node. Gram stain, Ziehl Neelsen stain, as well as the bacteriological cultures were all negative. An ultrasound examination of the axilla showed a thickened subcutis without a mass. Cytology showed lobular epithelium, consistent wih ductal mamma epithelium without atypical cells. The diagnosis of an accessory mamma tissue in both axillae was made. During the course of the following weeks the glands decreased in size and the patient was free of symptoms.

  8. Giant Cell Fibroma in a Two-Year-Old Child

    Anna Carolina Volpi Mello-Moura


    Full Text Available The giant cell fibroma is a benign nonneoplastic fibrous tumor of the oral mucosa. It occurs in the first three decades of life in the mandibular gingiva, predominantly, showing predilection for females. This article reports a case of giant cell fibroma in a 2-year-old girl, which is an uncommon age for this lesion. The patient was brought for treatment at the Research and Clinical Center of Dental Trauma in Primary Teeth, where practice for the Discipline of Pediatric Dentistry (Faculty of Dentistry, University of São Paulo, Brazil takes place. During clinical examination, a tissue growth was detected on the lingual gingival mucosa of the lower right primary incisors teeth. The lesion was excised under local anesthesia and submitted to histological examination at the Oral Pathology Department of the Faculty of Dentistry, University of São Paulo, which confirmed the diagnosis of giant cell fibroma. There was no recurrence after 20 months of monitoring. This instance reinforces the importance of oral care from the very first months of life in order to enable doctors to make precocious diagnosis and offer more appropriate treatments for oral diseases, as well as to promote more efficient oral health in the community.

  9. 20 year old lady with a paraspinal mass.

    O'Toole, Orna


    A 20 year old female presented with a 4 month history of right upper limb pain and paraesthesias. She had no systemic symptoms and no prior medical or family history of note. MRI revealed a right-sided intradural extramedullary mass extending from C7-T1 and displacing the spinal cord. While awaiting surgery her symptoms progressed to involve the right lower limb. She was re-imaged and the lesion now extended from C5 to T3 with spinal cord compression at C7-T1. The radiological features and recent rapid growth were felt to be in keeping with a large plexiform neurofibroma. The patient underwent emergency resection of the lesion and pathology revealed Hodgkin\\'s Lymphoma (HL)-mixed cellularity type. A mediastinal mass was identified on further imaging and biopsy confirmed the diagnosis of HL-stage IV. The patient is currently undergoing treatment with ABVD chemotherapy. CNS-HL is extremely rare and may occur de novo or in association with systemic disease. Lesions may be parenchymal or dural based and are usually intracranial with an increased risk of CNS involvement in HL-mixed-cellularity type as in our patient. This is the first report in the literature of CNS-HL radiologically mimicking a paraspinal plexiform neurofibroma.

  10. A 55 years old man with pulmonary alveolar microlithiasis

    Rebeen R Saeed


    Full Text Available Pulmonary alveolar microlithiasis (PAM is a very rare diffuse chronic lung disease characterized by deposition of small spherules of calcium phosphate within the alveolar cavity. The disease is usually seen from birth up to 40 years of age and is usually diagnosed incidentally during radiography of the chest for other reasons. Most of patients are asymptomatic or having very mild symptoms and the majority of patients either have normal or restrictive pulmonary function test. Clinically, the course of the disease is different; it remains static in few patients or it may progress to pulmonary fibrosis, respiratory failure and cor pulmonale in others. In this case report, we present a 55-year-old man who presented with moderate shortness of breath which has progressed from mild symptoms with in the previous years. His chest high-resolution CT scan showed diffusely scattered, ill-defined little shadowy micronodules which involve the left lung; lingula and left lower lobe in particular. A lung biopsy confirmed the diagnosis of PAM. He was followed up for 1 year with treatment by steroid and alendronate, and no progression was noticed in fact improvement in pulmonary function test noticed. This is the first case report of PAM in Kurdistan.

  11. Primary Vesical Actinomycosis in a 23-Year-Old Man

    Tevfik Ziypak


    Full Text Available Introduction. Actinomycosis can affect any organ of the body, although cutaneous fistulas are common in actinomycotic infections, and other organs such as the bladder are only rarely involved. Case Presentation. Herein we report and discuss a young male patient with primary vesical actinomycosis. A 23-year-old man was hospitalized complaining of intermittent gross hematuria over a 6-month duration. The patient underwent a cystoscopic examination under general anesthesia; an edematous, hyperemic, wide-based mass, which protruded from the dome of the bladder, was seen and incompletely resected. The histopathological examination of the material showed Actinomyces organisms surrounded by inflammation and a photomicrograph showed the microorganism. After confirmation of bladder actinomycosis, the patient received penicillin. A CT scan of the abdomen and pelvis showed no evidence of the mass at the postoperative 6th month. Cystoscopic examination showed complete healing of the transurethral resection area at the dome of the bladder. Conclusion. In conclusion, we believe that the gold standard treatment for vesical actinomycosis should include the combination of a transurethral resection of the mass and long-term penicillin treatment.

  12. Forty years old and still young at heart


    I am 40 years old but my average age is 4. Who am I? The answer is the CERN nursery school, located near Gate A on the Meyrin site. This year's traditional end-of-year party on 24 June was a lot more lively than usual. To mark the school's fortieth birthday in style, the teachers dressed up in pretty, floating costumes, a clown on stilts was in attendance, to the delight of a fascinated crowd of children, and balloons were released into the sky. Dozens of balloons were released into the sky to mark the CERN nursery school's 40th Anniversary.Standing on stilts and performing a juggling act, the clown was the highlight of the evening. In 1965, when it was created on the initiative of a group of parents, the nursery school consisted of a single class that was open in the mornings only and was held in a room located outside the CERN site. The Staff Association took up the reins right from the start and is still running the school today. The school went from strength to strength. "Even at the beginning, there was...

  13. Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial

    Bocca, Gianni; Corpeleijn, Eva; Stolk, Ronald P.; Sauer, Pieter J. J.


    Objective: To assess the effects of a multidisciplinary intervention program for 3-year-old to 5-year-old overweight and obese children compared with a usual-care program. Design: Randomized controlled clinical trial conducted from October 2006 to March 2008. Setting: Groningen Expert Center for Kid

  14. Patterns of Weight Control Behavior among 15 year old Girls

    Balantekin, Katherine N.; Birch, Leann L.; Savage, Jennifer S.


    Objective The objectives were to identify and predict patterns of weight control behavior in 15 year old (yo) girls and to examine weight control group differences in energy intake. Method Subjects included 166 girls assessed every 2 years (ys) from age 5 to 15. Latent class analysis was used to identify patterns of weight control behaviors. Antecedent variables (e.g. inhibitory control at 7ys), and concurrent variables (e.g. BMI and dietary intake at 15ys) were included as predictors. Assessments were a combination of survey, interview, and laboratory measures. Results LCA identified four classes of weight control behaviors, Non-dieters (26%), and three dieting groups: Lifestyle (16%), Dieters (43%), and Extreme Dieters (17%). Levels of restraint, weight concerns, and dieting frequency increased across groups, from Non-dieters to Extreme Dieters. BMI at 5ys and inhibitory control at 7ys predicted weight control group at 15ys; e.g. with every one-point decrease in inhibitory control, girls were twice as likely to be Extreme Dieters than Non-dieters. Girls in the Extreme Dieters group were mostly classified as under-reporters, and had the lowest self-reported intake, but ate significantly more in the laboratory. Discussion Among 15yo girls, “dieting” includes a range of both healthy and unhealthy behaviors. Risk factors for membership in a weight control groups are present as early as 5ys. Patterns of intake in the laboratory support the view that lower reported energy intake by Extreme Dieters is likely due under-reporting as an intent to decrease intake, not actual decreased intake. PMID:26284953

  15. A 29-Year-Old Male with Borderline Lepromatous Leprosy

    Lubna Khondker


    Full Text Available Leprosy (Hansen’s disease is a chronic granulomatous infectious disease that primarily affects the peripheral nerves, skin, upper respiratory tract mucosa, eyes and certain other tissues. It is diagnosable and curable if recognized early and treated adequately. A twenty nine-year-old male from Jessore, Bangladesh reported in Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh with the complaints of multiple erythematous, large, raised and circumscribed lesions with loss of sensations on different parts of the body, especially distal portions of all four limbs for last eight months. Subsequently he developed ulcers on the anesthetic fingers due to smoking and few ulcerative lesions on both feet. Skin examination revealed multiple erythematous, large nodular lesions on both sides of the cheek and forehead, multiple erythematous, indurated, large plaques with raised margin and central clearing on the trunk, waist and all four limbs, few satellite lesions around the large plaques on the trunk, few hypopigmented patches and plaques on buttock and lower limbs, multiple painless ulcers on dorsal surface of fingers of both hands, both lateral malleoluses and right sole. On examination of peripheral nerves, left great auricular nerve, both ulnar nerves and both common peroneal nerves were moderately enlarged and tender. Slit skin smear for AFB (modified Z-N stain was done and revealed that there were large number of acid and alcohol-fast bacilli arranged in straight and curved parallel bundles with globular masses (cigar-bundle appearance, morphologically resembling Mycobacterium leprae. Skin biopsy for histopathological examination revealed extensive infiltration of macrophages in the dermis, separated from epidermis by narrow grenz zone, with destruction of skin adnexa. Few foci of poorly defined granuloma in dermis were also noted. The patient was managed with rifampicin, clofazimine, dapsone, prednisolone and omeprazole.

  16. Obturator externus abscess in a 9-year-old child

    de Bodman, Charlotte; Ceroni, Dimitri; Dufour, Justine; Crisinel, Pierre-Alex; Bregou-Bourgeois, Aline; Zambelli, Pierre-Yves


    Abstract Rationale: Obturator pyomyositis is a rare condition in children. Diagnosis is often delayed because of its rarity, and the vagaries of its presentation cause it to be easily be missed. Physicians should therefore familiarize themselves with this condition and consider it as a possible differential diagnosis in patients presenting with an acutely painful hip. Inflammatory syndrome is also frequent among sufferers and the MRI is a very sensitive diagnostic tool for obturator pyomyositis. Additionally, joint fluid aspirations and blood cultures are also useful in identifying the pathogen. The appropriate antibiotic therapy provides a rapid regression of symptoms during the early stage of pyomyositis. In cases of MRI-confirmed abscess, surgical treatment is indicated. Patient concerns: Our report focuses on a case of obturator pyomyositis in a 9-year-old boy. The child was febrile for 5 days and could only manage to walk a few steps. His hip range of motion was restricted in all directions. In addition, the patient had presented pain and swelling of his right elbow for a day, with a restriction of motion in the joint. There was a clear inflammatory syndrome. A diagnosis of hip and elbow septic arthritis was suspected, and the child underwent joint aspiration of the both cited joints. The aspiration of the elbow returned pus. Conversely, no effusion was found in the hip aspiration. The administration of empiric intravenous antibiotherapy was started. Diagnoses: An MRI revealed an osteomyelitis of the ischio-pubic area associated with a subperiosteal abscess. Interventions: Subsequently, 3 days after elbow arthrotomy, a surgical treatment was performed on the patient's right hip in order to evacuate the subperiosteal abscess and muscular collection because of the persistence of the patient's symptoms and inflammatory syndrome despite susceptible intravenous antibiotics. Postsurgery the patient showed steady improvement. Lessons: Such cases demonstrate how

  17. Perinatal characteristics among early (10–14 years old and late (15–19 years old pregnant adolescents

    Alves João


    Full Text Available Abstract Background Pregnancy in adolescents is a worldwide health problem and has been mostly common in poor populations. It is not clear if socioeconomic or biological factors are the main determinants of perinatal adverse outcomes in pregnant adolescents. Adolescents under 15 years old may present a high growth rate which may contribute to impair fetal growth. Our aim is to compare perinatal characteristics among early (aged 10 to 14 years and late (aged 15 to 19 years pregnant adolescents. Methods A cross-sectional study was performed using data from Pernambuco State 2009, obtained from DATASUS/SISNAC, a Brazilian Government, open-access public health database. Maternal and neonatal outcomes were compared between early (aged 10–14 years and late (aged 15–19 years pregnant adolescents. Family income was compared between early and late pregnant adolescents using a sample of 412 subjects evaluated at Instituto de Medicina Integral Prof. Fernando Figueira (IMIP during 2011. Statistical comparisons were made using the chi-square test was used with a significant level of 0.05; bivariate and multivariate analysis were performed. This project was approved by the Institutional Ethics Review Board. Results Data from 31,209 pregnant adolescents were analyzed. 29,733 (95.2% were aged 15 to 19 years and 1,476 (4.7% were aged 10 to 14 years. There were significant differences with respect to marital status, education level and number of prenatal visits of mothers aged 10 to 14 years compared to 15 to 19 years. Of importance, early adolescents had a greater rate of neonates born premature and with low birth weight. Prematurity and low birth weight remained statistically significant after multivariate analysis. Conclusions Early aged adolescents may have an increased risk of prematurity and low birth weight. These findings highlight the potential role of biological factors in newborn outcomes in pregnant adolescents.

  18. Social Networks and Cyber-bullying among Teenagers



    In the digital society, even if ICT offers new opportunities and benefits to teenagers, it also poses significant challenges to them. More and more teenagers are becoming victims of aggression via ICT. In Europe, among the 9-16 year-old participants in the EU Kids Online survey (2011): 33 % were bothered or upset by inappropriate material online, 12 % were bothered or upset meeting online contacts offline, and 80 % were fairly or very upset by cyber-bullying. Cyber-bullying does not respect b...

  19. The knowledge of pregnant teenagers on Speech Therapy related to maternal-infant health care - doi:10.5020/18061230.2007.p207

    Daniela Carvalho Neves; Aline Maria de Araújo Aguiar; Izabella Santos Nogueira de Andrade


    This study had as its objective to investigate the knowledge of pregnant teenagers on Speech Therapy related to maternal-infant health care. A qualitative analysis was made based on a thematic investigation of the subject matter. Ten pregnant teenagers with chronological age between ten and nineteen years old joined in the survey. They found themselves around the fifth and ninth months of gestation age, being attended at the Center of Pregnant TeenagersAttention Care at Fortaleza General H...

  20. Analysis of relationship between emotional intelligence and social adjustment in teenager male students.

    Ahmad yarmohammadian; Heydar Sharafi rad


    Introduction: The aim of this study was to examine the relationship between emotional intelligence and social adjustment in a sample of teenager students from Fasa city. Method: For this purpose, 150 students, who were volunteers to participate in this research, of three age groups- 10-12 years old(first grade of guidance school), 13-15 years old (third grade of guidance school), and 16-18 years old (third grade of high school)- were selected by multiple clustral random sampling. All particip...

  1. Influence of facilities of ski preparation on the bodily condition of teenagers 11-12 years.

    Vorona V.V.


    Full Text Available The indexes of bodily condition of teenagers were determined. A dynamics and increase of the explored indexes were analyzed in the process of ski preparation in the system of lessons of the physical culture of schoolchildren. The 156 teenagers at the age 11-12 years old took part in the experiment. The positive effect of ski training in the bodily condition of the investigated teenagers is proved. Reliable intercommunication was determined between the ski movements and indexes of bodily condition, which characterize work of the cardiovascular system.

  2. Influence of Mandarin tone exposure on the processing of intonation by 14-year-old American adolescents: An fMRI study

    Lin, Jo-Fu Lotus; Imada, Toshiaki; Kuhl, Patricia; Wang, Yue


    This study investigated, for American adolescents, whether the learning of non-native speech contrasts in one prosodic domain (Mandarin Chinese tones) would influence the processing of non-native contrasts in another prosodic domain (Mandarin Chinese intonation). Two groups of 14-year-old American teenagers were tested using the functional magnetic resonance imaging (fMRI) technique, including eight who had received a two-week Mandarin tone training program and eight with no exposure to Mandarin. Subjects were scanned during identification tasks. Despite their similar behavioral performance on identification of Mandarin intonation, preliminary results showed different cortical activation patterns for the two groups. Teenagers exposed to Mandarin showed similar activation patterns for the Mandarin intonation and Mandarin tone task, with more right-hemisphere activation for intonation, which differed from activation for English intonation. Teenagers without exposure activated similar areas for Mandarin and English intonation. Familiarity with Mandarin tonal contrasts affects brain activation, not only for Mandarin tones but also for Mandarin intonation, suggesting that training effects may transcend levels. [Work supported by NIH (HD 37954) and the Talaris Research Institute.

  3. Teenage partners' communication about sexual risk and condom use: the importance of parent-teenager discussions.

    Whitaker, D J; Miller, K S; May, D C; Levin, M L


    Teenagers' communication with their partners about sex, an important factor in sexual risk reduction, has been shown to be influenced by discussions teens have with their parents about sex. The present study confirmed that parent-teen communication about sex does indeed promote teenagers' discussions with their partners about sex and condom use, but only when parents communicate in a skilled, comfortable, and open manner. Interviews were conducted during 1993-94 with 372 sexually active Black and Hispanic US high school students 14-17 years old from Alabama, New York, and Puerto Rico. On average, teens had first intercourse at age 13.7 years and had had 3.9 partners. The association between parent-teen discussions about sexuality and sexual risk and teenager-partner communication about sex was high when parental responsiveness (openness, skill, comfort) was rated high by the teenager, but this association was weaker and of only marginal significance when responsiveness was rated as low. Similarly, when parental responsiveness was high, sexuality and risk discussions were significantly associated with increased condom use during most recent intercourse and lifetime condom use. However, at low levels of parental responsiveness, sexuality discussions were negatively associated with most recent and lifetime condom use. The association between parent-teen communication and condom use was direct and independent. These findings highlight the importance of communication skills training for parents.

  4. Reducing teenage pregnancy.

    Fallon, Debbie


    The Teenage Pregnancy Independent Advisory Group (TPIAG) was established in 2000 to advise the government about reducing teenage pregnancy rates and supporting teenage parents to continue with their education. The group reached the end of its tenure in December 2010. This short article highlights some of the key issues from the final report and provides some insights into past achievements and future directions from an interview with Gill Frances, TPIAG's chair.

  5. Discovering Teenage Galaxies


    out the actual observations, taking all the specific requirements into account. "We were actually trying to measure a faint signal from intergalactic gas caused by the cosmic ultraviolet background radiation. But as often happens in science, we got a surprise and found something we weren't looking for - dozens of faint, discrete objects emitting radiation from neutral hydrogen in the so-called Lyman alpha line, a fundamental signature of protogalaxies," explains Rauch. The same small patch of sky, centred on a quasar, was observed between 2004 and 2006 for an unprecedented 92 hours, the equivalent of about 12 complete nights, allowing the astronomers to obtain a spectrum of the Universe when it was only 2 billion years old. The result of this search is the detection of 27 faint objects. The weak light signal that the team has detected from these distant objects implies low star formation rates and a small amount of chemical enrichment, suggesting that they are indeed at an early stage of formation. "The properties of the emitters seem to provide an excellent match to those of 'Damped Lyman Alpha Systems', the main reservoir of neutral hydrogen in the far Universe," says Andy Bunker. "This suggests that the objects found are the long-sought counterparts of the DLAS in emission. The new observations confirm theoretical research proposing that galaxies like our own have formed by the amalgamation of small proto-galaxies early on in the history of the Universe," he adds. "What makes our discovery particularly exciting is that it opens the route to find large numbers of building blocks of normal galaxies and that we will now be able to study in detail how galaxies like our Milky Way have come together," says Martin Haehnelt.

  6. Four- and Six-Year-Olds Use Pragmatic Competence to Guide Word Learning

    Vazquez, Maria D.; Delisle, Sarah S.; Saylor, Megan M.


    The present study investigates whether four- and six-year-old children use pragmatic competence as a criterion for learning from someone else. Specifically, we ask whether children use others' adherence to Gricean maxims to determine whether they will offer valid labels for novel objects. Six-year-olds recognized adherence to the maxims of…

  7. Social Context Effects in 2- and 4-Year-Olds' Selective versus Faithful Imitation

    Yu, Yue; Kushnir, Tamar


    This study asked whether children's tendency to imitate selectively (ignore causally unnecessary actions) versus faithfully ("overimitate" causally unnecessary actions) varies across ages and social contexts. In the first experiment, 2-year-olds and 4-year-olds were randomly assigned to play 1 of 3 prior games with a demonstrator: a…

  8. Early Number and Arithmetic Performance of Ecuadorian 4-5-Year-Olds

    Bojorque, Gina; Torbeyns, Joke; Moscoso, Jheni; Van Nijlen, Daniël; Verschaffel, Lieven


    This study aimed at (a) constructing a reliable and valid test to assess Ecuadorian 4-5-year olds' number and arithmetic skills; (b) providing empirical data on Ecuadorian 4-5-year olds' number and arithmetic skills; and (c) confronting these children's actual performances with the performances expected by national experts in this domain. We…

  9. Effect of Core Training on 16 Year-Old Soccer Players

    Afyon, Yakup Akif


    Core trainings have been widely used by trainers recently in order to improve performance of soccer players. In this context, the aim of this study is to examine the effect of core training on some motoric capabilities of 16 years old soccer players. Thirty certified soccer players who were 16 years old from B.B. Bodrumspor Club in 2013-2014…

  10. Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram

    Kavvadia, Katerina; Agouropoulos, Andreas; Gizani, Sotiria


    To assess the caries risk profiles in 2- to 6-year-old Greek children using a computer-based program and to evaluate the contribution of various risk factors.......To assess the caries risk profiles in 2- to 6-year-old Greek children using a computer-based program and to evaluate the contribution of various risk factors....

  11. Evidence of 600-million-year old fungi-algae symbiosis discovered in marine fossils

    Trulove, Susan


    Researchers from China and the United States have found evidence of lichen-like symbiosis in 600-million-year-old fossils from South China. The previous earliest evidence of lichen was 400-million-years-old, discovered in Scotland. The discovery also adds to the scarce fossil record of fungi and raises new questions about lichen evolution.

  12. Neurodevelopmental and cardiometabolic outcome in 4-year-old twins and singletons born after IVF

    Kuiper, Derk; Bennema, Anne; la Bastide-van Gemert, Sacha; Seggers, Jorien; Schendelaar, Pamela; Haadsma, Maaike; Hoek, Annemieke; Heineman, Maas-Jan; Hadders-Algra, Mijna


    This prospective cohort study evaluated whether the cognitive development, neurological condition, anthropometrics and blood pressure of 4-year-old IVF twins differed from those of 4-year-old IVF singletons; 103 IVF singletons and 48 IVF twins born after conventional IVF treatment were included. Pri

  13. Perception and Production of Lexical Tones by 3-Year-Old, Mandarin-Speaking Children

    Wong, Puisan; Schwartz, Richard G.; Jenkins, James J.


    The present study investigated 3-year-old children's perception and production of Mandarin lexical tones in monosyllabic words. Thirteen 3-year-old, Mandarin-speaking children participated in the study. Tone perception was examined by a picture-pointing task, and tone production was investigated by picture naming. To compare children's productions…

  14. Determinants of developmental coordination disorder in 7-year-old children

    Faebo Larsen, Rikke; Hvas Mortensen, Laust; Martinussen, Torben;


    The aim of this study was to investigate early life determinants of developmental coordination disorder (DCD) in 7-year-old children.......The aim of this study was to investigate early life determinants of developmental coordination disorder (DCD) in 7-year-old children....

  15. Hypomineralized second primary molars: Prevalence data in Dutch 5-year-olds

    Elfrink, M.E.C.; Schuller, A.A.; Weerheijm, K.L.; Veerkamp, J.S.J.


    The aim of this cross-sectional observational study was to report on the prevalence of hypomineralizations in second primary molars in 5-year-old Dutch children. In the study 386 (45% girls) 5-year-old Dutch children, all insured by a Health Insurance Fund, participated. Scoring criteria for molar i

  16. Hypomineralized second primary molars : prevalence data in Dutch 5-year-olds

    Elfrink, M E C; Schuller, A A; Weerheijm, K L; Veerkamp, J S J


    The aim of this cross-sectional observational study was to report on the prevalence of hypomineralizations in second primary molars in 5-year-old Dutch children. In the study 386 (45% girls) 5-year-old Dutch children, all insured by a Health Insurance Fund, participated. Scoring criteria for molar i

  17. Hypomineralized second primary molars: prevalence data in Dutch 5-year-olds

    Elfrink, M.E.C.; Schuller, A.A.; Weerheijm, K.L.; Veerkamp, J.S.J.


    The aim of this cross-sectional observational study was to report on the prevalence of hypomineralizations in second primary molars in 5-year-old Dutch children. In the study 386 (45% girls) 5-year-old Dutch children, all insured by a Health Insurance Fund, participated. Scoring criteria for molar i

  18. How to Talk to a Teenager about a Suicide Attempt in Your Family

    How to Talk to a Teenager about a Suicide Attempt in Your Family This information is intended to help inform and ... six to twelve year old child after a suicide attempt in the family. It is not intended to replace the advice ...

  19. Predicting the Outcomes of Physical Events: Two-Year-Olds Fail To Reveal Knowledge of Solidity and Support.

    Hood, Bruce; Carey, Susan; Prasada, Sandeep


    Examined in 4 experiments 2-year-olds' knowledge of solidity in search tasks. Found no evidence that 2-year-olds represented solidity and support constraints on trajectories of falling objects; two experiments included 2.5-year-olds who succeeded on search tasks. Explored implications of 2-year-olds' poor performance in light of very young…

  20. Teenagers Media Habits.

    Campbell, Laurence R.

    This study attempted to determine what media most effectively communicated to teenagers, how the media habits of Florida teenagers compared with those in other states, and how the media habits of journalism students compared with those not in journalism. A total of 430 students from Florida high schools and 457 from high schools in other states…




  2. Assessing Physicians' Intentions to Talk about Sex when They Vaccinate Nine-Year-Old to 15-Year-Old Girls against HPV

    Askelson, Natoshia M.; Campo, Shelly; Smith, Sandi; Lowe, John B.; Dennis, Leslie; Andsager, Julie


    The human papillomavirus (HPV) vaccine provides physicians with an opportunity to have conversations with girls about sex and sex-related topics. Current research suggests that these conversations are not happening. This study was designed to assess whether physicians would use the HPV vaccination as an opening to communicate with nine-year-old to…


    Jagiello Marina; Jagiello Wladyslaw


    Purpose: The level of self esteem in 14-16-year-old female tennis players. Material: The main aim of the study was to determine the level of self-esteem among 14-16-year-old girls practising tennis in comparison to their peers not engaged in sport on a regular basis. The study involved two groups of girls: those practising tennis competitively (n=30) and those not training sports systematically (n=30). The subjects’ age was in the range of 14-16 years old and their training experience 3-6 yea...

  4. Persuasion from an Eighteen-Year-Old's Perspective: Perry and Piaget.

    Dinitz, Sue; Kiedaisch, Jean


    Looks at how the theories of William Perry and Jean Piaget explain choices students made in writing persuasive essays. Examines the implications of their theories for teaching persuasion to eighteen-year olds. (SR)

  5. Basilar impression and osteogenesis imperfecta in a three-year-old girl: CT and MRI

    Rush, P.J.; Berbrayer, D.; Reilly, B.J.


    A 3-year-old girl with osteogenesis imperfecta developed symptomatic basilar impression. Her neurological symptoms were treated by foramen magnum decompression and laminectomy. This is an unusually young patient to have this condition.

  6. A 75-year-old man with renal insufficiency and eosinophilia after coronary angiography

    Zhaoping LU; Geng SHAO; Yong HUO; Wenhui DING; Yang YANG; Chen CHEN


    @@ Case presentation A 75-year-old male patient received esophageal carcinoma surgery in Oct 2005. The next day of the operation, he had dyspnea, chest discomfort and sweating when he was on some activities.

  7. Percutaneous transsplenic embolization of esophageal varices in a 5-year-old child

    Rasinska, G.; Wermenski, K.; Rajszys, P.

    A five-year-old girl with portal vein thrombosis and severe gastrointestinal hemorrhage recurring after repeated endoscopic sclerotherapy was successfully embolized via an ultrasonically guided transsplenic catheterization of the splenic vein.

  8. Fracture of the acetabulum in a 14-year-old patient: 20-year review

    Sprenger, T.R.; Howard, F M


    A case report of 14-year old female with an acetabular fracture involving the anterior column and posterior column-posterior wall is presented here and the findings on 20-year follow-up are described.

  9. Energy Efficiency: An Experiential-Based Energy Unit for Youth Ages 13-18

    Poorman, Myken D.; Webster, Nicole


    Not all 16 year olds can buy hybrid cars to help save gas emissions, but they can learn new, easy ways to save energy. Youth are more likely to develop a greater sense of positive impact on the environment if they learn easy and creative ways to use energy more efficiently at a young age. Through the use of practical applications, youth can begin…

  10. Filariasis presenting as a scrotal nodule in a 2 year old child:A case report

    Kiran Yagain; Mary Mathew


    A two year old boy from southwestern village of India presented with a2 cm í1 cm size swelling in scrotum for8 months. It was excised surgically and the histopathological examination revealed a gravid filarial worm. The occurrence of adult filarial worm in2 year old boy signifies the endemicity and high larval load of insect vectors in western coast of south India.

  11. Severity of Diarrhea and Malnutrition among Under Five-Year-Old Children in Rural Bangladesh

    Ferdous, Farzana; Sumon K. Das; Ahmed, Shahnawaz; Farzana, Fahmida D.; Latham, Jonathan R.; Chisti, Mohammod J.; Ud-Din, Abu I. M. S.; Ishrat J Azmi; Talukder, Kaisar A.; Faruque, Abu S.G.


    Enteric pathogens are commonly associated with diarrhea among malnourished children. This study aimed to determine the association between the severity of diarrheal illnesses and malnutrition among under 5-year-old children. During 2010 and 2011, we studied 2,324 under 5-year-old diarrheal children with mild disease (MD) and moderate-to-severe disease (MSD) attending a hospital in Bangladesh. Children with MSD were more likely to be malnourished compared with children with MD (35% versus 24%,...

  12. Perceptions of rural teenagers on teenage pregnancy

    M S Richter


    Full Text Available It is important to seek an understanding of teenagers’ perceptions regarding teenage pregnancy. Opsomming Die doel van hierdie studie was om die persepsies van tieners in die Bosbokrand-distrik in die Limpopo Provinsie, Suid-Afrika, te ondersoek en te beskryf. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  13. Characteristics of sexually active teenage girls who would be pleased with becoming pregnant.

    Cavazos-Rehg, Patricia A; Krauss, Melissa J; Spitznagel, Edward L; Schootman, Mario; Cottler, Linda B; Bierut, Laura Jean


    To investigate factors associated with favorable pregnancy attitudes among teenage girls. Participants were sexually active teenage girls aged 15-18 years old (n = 965) who took part in the 2002 or 2006-2010 National Survey of Family Growth (NSFG). Multinomial multivariable logistic regression was used to assess the likelihood of being pleased with a teenage pregnancy. Sixteen percent of sexually active teenage girls (n = 164) would be pleased (11 % a little pleased, 5 % very pleased) if they became pregnant. In a multivariable model, participants who had not yet discussed sexual health topics (i.e., how to say no to sexual intercourse or birth control) or had only discussed birth control with a parent were more likely to be very pleased with a teenage pregnancy than participants who had discussed both topics with a parent. Prior pregnancy, racial/ethnic group status, older age, and having parents with a high school education or less also increased the odds of being pleased with a teenage pregnancy. Being pleased with a teenage pregnancy was correlated with a lack of discussion of sexual health topics with parents, prior pregnancy, and sociodemographic factors (having less educated parents, racial/ethnic group status). Pregnancy prevention efforts can be improved by acknowledging the structural and cultural factors that shape teenage pregnancy attitudes.

  14. Unusual cause of acute lower extremity ischemia in a healthy 15-year-old female: A case report and review of popliteal artery aneurysm management in adolescents

    David M. Notrica


    Full Text Available Limb ischemia in healthy teenagers is unusual. While traumatic or iatrogenic injury is the most common etiologies of limb ischemia in the pediatric population, anatomic variants such as true aneurysms should be considered [1]. We report the second documented pediatric case of an idiopathic, isolated true popliteal aneurysm resulting in acute limb ischemia in a previously healthy 15-year-old female. We also review the proper evaluation and surgical management of this anatomic anomaly. In this case, surgical management included resection of the aneurysm, reconstruction with reverse saphenous vein grafting, and distal endarterectomies to restore adequate distal blood flow. Ultimately, this patient's limb and function were salvaged with minimal consequences.

  15. Primary alveolar rhabdomyosarcoma of breast in a 13 year old female with cardiopulmonary metastases and cyto-histological correlation: A case report

    Wamala D


    Full Text Available Introduction: Rhabdomyosarcoma is the commonest soft tissue sarcoma of childhood. The tumour commonly occurs in the body regions of the head and neck, genitourinary and extremities. Primary rhabdomyosarcoma of the breast is extremely rare and present diagnostic challenges especially in resource limited centers. It is an aggressive tumour with a poor prognosis especially when diagnosed late. Case presentation: We present a case of 13 year old female with primary rhabdomyosarcoma of breast metastasized to regional axillary lymph nodes, lung and heart. The patient failed to respond to chemotherapy mainly due diagnostic challenges and succumbed to the disease. Conclusion: Breast masses in young patients should be diagnosed early and accurately, and optimal treatment promptly instituted. The incidence of primary rhabdomyosarcoma of breast is increasing in teenagers, and the tumour has a bad prognosis especially in late stage. We think this case will add knowledge and skills required in histological and cytological diagnosis of breast rhabdomyosarcoma.

  16. Developmental changes and the effect of self-generated feedback in metacognitive controlled spacing strategies in 7-year-olds, 10-year-olds, and adults.

    Tsalas, Nike; Paulus, Markus; Sodian, Beate


    The current study investigated the development of metacognitive monitoring-based control of spacing choices in children and adults. Moreover, we assessed whether metacognitive learning decisions are influenced by the effects of previous metacognitive decisions. We tested groups of 7-year-olds, 10-year-olds, and adults in a task with two learning blocks in which they needed to monitor their learning through judgments of learning (JoL) and in which they then needed to decide whether to space their study, mass it, or terminate it. Extending previous findings, our study provides the first evidence that already by 7 years of age children can make metacognitive controlled scheduling decisions. The results also revealed that adults had more clearly differentiated strategies related to their JoL. Furthermore, our study provides evidence that participants of all age groups improved their relative monitoring accuracy in the second learning block and adjusted their JoL. However, only adults changed their strategy choices.

  17. Teenage pregnancies and abortion.

    Morgenthau, J E


    The issue of abortion, except when it is rendered moot because the fetus endangers the life of the mother, is not really a medical issue. The physician's role is to help patients achieve and maintain their maximum potential for physical, mental, and social well-being. To accomplish this, the physician must acquire a constantly evolving database of scientific knowledge, must evaluate this information in a critical and ethical manner, and must be prepared to apply what is learned. In the realm of applied ethics, no particular religion, profession, culture, class, or sex should be thought of as having all the answers in the realm of applied ethics. This physician's actions are predicated on the belief that, to a large extent, ethical precepts reflect the broader social and economic issues of the period in which they are articulated. If this is the case, then in today's world the population explosion, the postindustrial society, the women's rights movement, inequality of access, and the ability to perform prenatal diagnosis are all factors which have molded the approach to the issue of abortion. Only the last 3 of these can in any way be considered as medical. When considering the role of a physician in dealing with the issue of abortion in the adolescent, this individual relies on the concept articulated by the World Health Association (WHA): promoting the physical, emotional, and social well-being of one's patients. Each year in the US over 1 million 15-19 year olds become pregnant, resulting in over 600,000 births. Most of these pregnancies are unintentional, yet approximately 90% of the infants are kept in the home by mothers who are ill prepared to be parents. What is most disturbing is that the pregnancy rate for the younger mother, 16 years or under, is accounting for an ever increasing percentage of the total. Studies at the Adolescent Health Center of the Mount Sinai Hospital in New York City as well as national studies suggest that the younger teens are more

  18. Speed and agility of 12- and 14-year-old elite male basketball players.

    Jakovljevic, Sasa T; Karalejic, Milivoje S; Pajic, Zoran B; Macura, Marija M; Erculj, Frane F


    The aims of this study were (a) to identify and compare the speed and agility of 12- and 14-year-old elite male basketball players and (b) to investigate relations between speed and agility for both age groups of basketball players, to help coaches to improve their work. Sixty-four players aged 12 (M = 11.98 years, SD = 0.311) and 54 players aged 14 (M = 14.092 years, SD = 0.275) were tested. Three agility tests: agility t-test, zigzag agility drill, and agility run 4 × 15 m and 3 speed tests: 20-m run, 30-m run, and 50-m run were applied. Fourteen-year-old players achieved significantly better results in all speed and agility tests compared with 12-year-old players. The correlation coefficient (r = 0.81, p = 0.001) showed that 12-year-old players have the same ability in the 30- and 50-m runs. The other correlation coefficient (r = 0.59, p = 0.001) indicated that 20- and 30-m runs had inherently different qualities. The correlation coefficients between agility tests were year-old players, the correlation coefficients between the speed test results were 0.71, which means that all the 3 tests represent the same quality. During the speed training of 12-year-old players, it is advisable to focus on shorter running distances, up to 30 m. During the agility training of the same players, it is useful to apply exercises with various complexities. In speed training of the 14-year-old players, the 30- and 50-m runs should be applied, and agility training should include more specific basketball movements and activities.

  19. Teenage pregnancy: who suffers?

    Paranjothy, S; Broughton, H; Adappa, R; Fone, D


    In this review, we examine the epidemiology of teenage pregnancy (girls aged 15-17 years) in the UK and consider the evidence for its impact on the health and well-being of the mother, the baby, the father and society. There has been some decrease in the teenage pregnancy rate over the last decade in the UK but rates are still considerably higher than those in other European countries. Pregnancy and childbirth during the teenage years are associated with increased risk of poorer health and well-being for both the mother and the baby, possibly reflecting the socio-economic factors that precede early pregnancy and childbirth. There is little evidence concerning the impact of teenage fatherhood on health and future studies should investigate this. The effect on society is a perpetuation of the widening gap in health and social inequalities. Public health interventions should aim to identify teenagers who are vulnerable and support those who are pregnant with evidence based interventions such as teenage antenatal clinics and access to initiatives that provide support for early parenthood.

  20. Visual access trumps gender in 3- and 4-year-old children's endorsement of testimony.

    Terrier, Nathalie; Bernard, Stéphane; Mercier, Hugo; Clément, Fabrice


    Several studies have investigated how preschoolers weigh social cues against epistemic cues when taking testimony into account. For instance, one study showed that 4- and 5-year-olds preferred to endorse the testimony of an informant who had the same gender as the children; by contrast, when the gender cue conflicted with an epistemic cue--past reliability--the latter trumped the former. None of the previous studies, however, has shown that 3-year-olds can prioritize an epistemic cue over a social cue. In Experiment 1, we offer the first demonstration that 3-year-olds favor testimony from a same-gender informant in the absence of other cues. In Experiments 2 and 3, an epistemic cue-visual access--was introduced. In those experiments, 3- and 4-year-olds endorsed the testimony of the informant with visual access regardless of whether it was a same-gender informant (Experiment 3) or a different-gender informant (Experiment 2). These results demonstrate that 3-year-olds are able to give more weight to an epistemic cue than to a social cue when evaluating testimony.

  1. Effects of perceptual variables on numerosity comparisonin 5-6-year-olds and adults

    Midori eTokita


    Full Text Available Although a critical issue in the debate over the existence of abstract numerical representation, it remains unclear whether and how perceptual variables affect numerosity judgment and how they change across development stages. In this research, we examine the effects of perceptual variables on approximate numerosity comparison in 5-6-year-olds and adults using the identical experimental procedure. In the assessment of the effect of the perceptual variables, we measured precision (i.e., Weber fraction and accuracy (i.e., point of subjective equality; PSE of the numerosity comparison. In Study 1, we tested how the manipulation of the cumulative element area would affect approximate numerosity comparison. The results showed that Weber fractions increased and the size of bias enlarged in the large element condition in both adults and 5-6-year-olds. In study 2, we tested how the manipulation of the array area would affect the precision and accuracy of approximate numerosity comparison. The results demonstrated that Weber fractions increased and the size of bias enlarged in the large array condition in both adults and 5-6-year-olds. Overall, our results suggest that the effect of perceptual variables on 5-6-year-olds is qualitatively similar to that on adults. In addition, we also tested whether the performance of approximate comparison correlated with the initial numerical skill in 5-6-year-olds to reveal least relationship between them.


    Katarzyna Kochan


    Full Text Available Introduction. Increased body growth is connected with higher sensitivity to environmental influence and may be a cause of instability of body posture. This happens when trunk and lower limbs growth is more intense. Because body posture disorders are most often diagnosed in children and school adolescents, the sample chosen were subjects between 7 and 15 years old. Material and methods. The data was gathered in 2002 in the town of Polkowice. Examination concerned 2706 boys and girls aged 7 to 15 years old. The measurement included basic somatic features and for the body posture photogrammetric method was used. Results. It was indicated that the relative trunk length in both sexes was decreasing in early school period but in the three oldest groups of age there was a significant increase. The height of kyphosis was increasing significantly in both sexes with age. Most intensive growth of this parameter was observed between 12 and 13 years old subjects. In both sexes there could be seen significant increase of kyphosis depth between 12 and 14 years old and also the decrease of lumbar lordosis between 12 and 13 years old subjects. Conclusion. Significant increase of thoracical spine relative height and lumbar lordosis depth in adolescents in both sexes can be one of the causes of weakening spine stability and affect correct body posture development.

  3. Unusual cause of a painful right testicle in a 16-year-old man: a case report

    Riaz Amjid A


    Full Text Available Abstract Introduction Urgent surgical exploration of the scrotum of a child or teenager who presents with a painful and swollen testicle is paramount if testicular torsion is not to be missed. It is extremely rare for a non-scrotal pathology to present with acute scrotal signs. Here we present such a rare case and emphasize the importance of being aware of this potential clinical pitfall. Case presentation A 16-year-old Caucasian man presented as a surgical emergency with a five to six hour history of a painful, red, and swollen right hemiscrotum. He also complained of vague lower abdominal pain, vomiting, and watery diarrhea. He had a temperature of 38.5°C and a tender, red, and swollen right hemiscrotum. The right testicle appeared elevated. He was mildly tender in his central and upper abdomen and less so in the lower abdomen. No convincing localizing abdominal signs were noted. He had an increased white cell count (15 × 109/L and C-reactive protein (CRP; 300 mg/L. Urgent right hemiscrotal exploration revealed about 5 ml of pus in the tunica vaginalis and a normal testicle. A right iliac fossa incision identified the cause: a perforated retrocecal appendix. Appendectomy was performed, and both the abdomen and scrotum washed copiously with saline before closure. The patient made an uneventful recovery. Conclusion Acute appendicitis presenting with scrotal signs due to a patent processus vaginalis is an extremely rare clinical entity. To date, fewer than five such cases have been reported in the medical literature. It is, therefore, extremely important to be aware of this unusual clinical scenario, as only a high index of suspicion will enable prompt, successful management of both the appendicitis and the scrotal abscess.

  4. Prevalence, comorbidity and heritability of hoarding symptoms in adolescence: a population based twin study in 15-year olds.

    Volen Z Ivanov

    Full Text Available BACKGROUND: Hoarding Disorder (HD is often assumed to be an 'old age' problem, but many individuals diagnosed with HD retrospectively report first experiencing symptoms in childhood or adolescence. We examined the prevalence, comorbidity and etiology of hoarding symptoms in adolescence. METHODS: To determine the presence of clinically significant hoarding symptoms, a population-based sample of 15-year old twins (N = 3,974 completed the Hoarding Rating Scale-Self Report. Co-occurring Obsessive Compulsive Disorder (OCD, Autism Spectrum Disorders (ASD and Attention Deficit Hyperactivity Disorder (ADHD were estimated from parental report. Model-fitting analyses divided hoarding symptom scores into additive genetic, shared, and non-shared environmental effects. RESULTS: The prevalence of clinically significant hoarding symptoms was 2% (95% CI 1.6-2.5%, with a significantly higher prevalence in girls than boys. Exclusion of the clutter criterion (as adolescents do not have control over their environment increased the prevalence rate to 3.7% (95% CI 3.1-4.3%. Excessive acquisition was reported by 30-40% among those with clinically significant hoarding symptoms. The prevalence of co-occurring OCD (2.9%, ASD (2.9% and ADHD (10.0% was comparable in hoarding and non-hoarding teenagers. Model-fitting analyses suggested that, in boys, additive genetic (32%; 95% CI 13-44% and non-shared environmental effects accounted for most of the variance. In contrast, among girls, shared and non-shared environmental effects explained most of the variance, while additive genetic factors played a negligible role. CONCLUSIONS: Hoarding symptoms are relatively prevalent in adolescents, particularly in girls, and cause distress and/or impairment. Hoarding was rarely associated with other common neurodevelopmental disorders, supporting its DSM-5 status as an independent diagnosis. The relative importance of genetic and shared environmental factors for hoarding differed

  5. Children's Judgments of Emotion from Conflicting Cues in Speech: Why 6-Year-Olds Are So Inflexible

    Waxer, Matthew; Morton, J. Bruce


    Six-year-old children can judge a speaker's feelings either from content or paralanguage but have difficulty switching the basis of their judgments when these cues conflict. This inflexibility may relate to a lexical bias in 6-year-olds' judgments. Two experiments tested this claim. In Experiment 1, 6-year-olds (n = 40) were as inflexible when…

  6. 14 CFR 13.18 - Civil penalties: Administrative assessment against an individual acting as a pilot, flight...


    ... against an individual acting as a pilot, flight engineer, mechanic, or repairman. 13.18 Section 13.18... assessment against an individual acting as a pilot, flight engineer, mechanic, or repairman. (a) General. (1... procedures against an individual acting as a pilot, flight engineer, mechanic, or repairman, under 49...

  7. Dynamic Characteristic Analysis of Spinal Motor Control Between 11- and 15-Year-Old Children.

    Chow, Daniel H; Lau, Newman M


    Spinal motor control can provide substantial insight for the causes of spinal musculoskeletal disorders. Its dynamic characteristics however, have not been fully investigated. The objective of this study is to explore the dynamic characteristics of spinal motor control via the fractional Brownian motion mathematical technique. Spinal curvatures and repositioning errors of different spinal regions in 64 children age 11- or 15-years old during upright stance were measured and compared for the effects of age and gender. With the application of the fractional Brownian motion analytical technique to the changes of spinal curvatures, distinct persistent movement behaviors could be determined, which could be interpreted physiologically as open-loop behaviors. Moreover, it was found that the spinal motor control of 15-year-old children was better than that of 11-year-old children with smaller repositioning error and less curvature variability as well as shorter response time and smaller curvature deformation.

  8. Oral Health Status Among 6- and 12-year-old Jordanian Schoolchildren

    Rajab, Lamis Darwish; Petersen, Poul Erik; Baqain, Zaid


    Purpose: No nationwide oral health survey has previously been carried out in Jordan. The aims of the study were to assess the burden of dental caries and gingival health among children aged 6 and 12 years in relation to sociodemographic factors and to ascertain the trend over time in the occurrence...... caries and gingival health status. WHO methodology and criteria were applied. Structured questionnaires were used to collect information about oral hygiene, dental visits, consumption of sugars and parents' level of education. Results: The caries prevalence rates were 76.4% in 6-year-olds and 45.5% in 12......, the mean caries experience and the amount of untreated dental caries increased over time. Moreover, 17.7% of 6-year-old children and 49.1% of the 12-year-olds had gingival bleeding. Significant differences in gingival health were found by sex, location, geographical areas and socioeconomic group...

  9. Dental status and dental caries in 85-year-old Danes

    Vilstrup, Lene; Holm-Pedersen, Poul; Mortensen, Erik Lykke


    OBJECTIVES: This study reports findings on the dental status and the prevalence of dental caries among a group of 85-year-old Danes from the Glostrup 1914 Cohort, Denmark. The purpose of the study was to analyse whether caries experience was related to number of teeth and to indicators...... and cognitive impairment tended to have more active caries than 85-year-olds with no impairment. CONCLUSIONS: A substantial proportion of 85-year-old individuals had retained a natural dentition; however, active dental caries is a problem of concern among the most elderly....... of functional ability and cognitive function. METHODS: A total of 191 individuals (78 men and 113 women) participated in a cross-sectional population study conducted in 2000. Using mobile dental equipment, a clinical oral examination and an interview were administered to all participants in their homes...

  10. Cost-effectiveness of human papillomavirus vaccination programmes parallel to current routine vaccination of young teenage girls

    Westra, T.A.; Postma, M.J.


    Objectives: Since 2009, 12-year-old Dutch teenage girls are vaccinated against human papillomavirus (HPV) infection. The current uptake of HPV vaccination, being approximately 60% nowadays, is however comparatively low. Consequently, a large group of women are still at risk of developing HPV-induced

  11. Comparative Evaluation of Auditory Attention in 7 to 9 Year Old Learning Disabled Students

    Fereshteh Amiriani


    Full Text Available Background and Aim: Learning disability is a term referes to a group of disorders manifesting listening, reading, writing, or mathematical problems. These children mostly have attention difficulties in classroom that leads to many learning problems. In this study we aimed to compare the auditory attention of 7 to 9 year old children with learning disability to non- learning disability age matched normal group.Methods: Twenty seven male 7 to 9 year old students with learning disability and 27 age and sex matched normal conrols were selected with unprobable simple sampling. 27 In order to evaluate auditory selective and divided attention, Farsi versions of speech in noise and dichotic digit test were used respectively.Results: Comparison of mean scores of Farsi versions of speech in noise in both ears of 7 and 8 year-old students in two groups indicated no significant difference (p>0.05 Mean scores of 9 year old controls was significant more than those of the cases only in the right ear (p=0.033. However, no significant difference was observed between mean scores of dichotic digit test assessing the right ear of 9 year-old learning disability and non learning disability students (p>0.05. Moreover, mean scores of 7 and 8 year- old students with learning disability was less than those of their normal peers in the left ear (p>0.05.Conclusion: Selective auditory attention is not affected in the optimal signal to noise ratio, while divided attention seems to be affected by maturity delay of auditory system or central auditory system disorders.

  12. Body perception of teenagers in school environments

    Valentin Gavídia Catalan


    Full Text Available Objective: To assess body perception of teenagers in school environments. Methods: We conducted a qualitative study in a secondary public school from the city of Fortaleza-CE, Brazil, with students from the ninth grade, aged 14 to 16 years old, independent of sex, from March to June, 2009. The first phase consisted of the selection of ten students, using a schematic drawing of the human body. In the second phase, there was a focal group with guiding questions about body awareness and desire for change. Results: For the students, the idea of good posture would be a person who had good education and to be straightwhen walking and sitting. We perceived dissatisfaction and important misunderstanding in relation to their body and posture, and there was unanimity concerning the desire of achieving changes. Conclusion: There are mixed feelings related to the body, by teenage students, when you inquire about their image and desire to change. If, on one hand, they refer to perceive themselves with proper and correct posture, on the other hand, they are eager for change, easily identified with present standard body reported in the media and worshiped as “ideal body”. It is urgent and necessary to consolidate the culture of health promotion in schools as well as build healthy educational environment.

  13. Spirometry in an unselected group of 6-year-old children

    Kjaer, Henrik Fomsgaard; Eller, Esben; Bindslev-Jensen, Carsten;


    This study presents reference equations for spirometric parameters in 6-year-old children and evaluates the ability of spirometry to discriminate healthy children from children with asthma. Baseline spirometry and respiratory symptoms were assessed in 404 children participating in a longitudinal...... in Delta FEV1(mean) between healthy children and children with asthma (3.1% vs. 6.1%, P Spirometry including bronchodilator measurements was demonstrated...... to be feasible in 6-year-old children and reference values were determined. Spirometry aids the diagnosis of asthma in young children, but knowledge on sensitivity and specificity of these measurements is a prerequisite....

  14. A Case of Premature Ovarian Failure in a 33-Year-Old Woman

    Emma Colao


    Full Text Available Objective. To assess aetiology of a POF in a 33-year-old woman and, if possible, plan a cure. Design. Case report. Setting. medical genetics diagnostic unit in a university hospital. Patient. A 33-year-old woman with premature ovarian failure (POF. Intervention(s. Genetic counseling, karyotyping, FISH study. Result(s. Turner-like diagnosis. Conclusion(s. Most cases of POF remain idiopathic. Turner syndrome can occur in very different phenotypes; cytogenetic and molecular profiling can provide a definitive diagnosis in cases with nonclassical phenotype.

  15. A case of premature ovarian failure in a 33-year-old woman.

    Colao, Emma; Granata, Teresa; Vismara, Marco F M; Bombardiere, Francesco; Nocera, Donatella; Luciano, Elisa; Perrotti, Nicola; Malatesta, Paola


    Objective. To assess aetiology of a POF in a 33-year-old woman and, if possible, plan a cure. Design. Case report. Setting. medical genetics diagnostic unit in a university hospital. Patient. A 33-year-old woman with premature ovarian failure (POF). Intervention(s). Genetic counseling, karyotyping, FISH study. Result(s). Turner-like diagnosis. Conclusion(s). Most cases of POF remain idiopathic. Turner syndrome can occur in very different phenotypes; cytogenetic and molecular profiling can provide a definitive diagnosis in cases with nonclassical phenotype.

  16. Imitation of suprasegmental patterns by five-year-old children with adequate and inadequate articulation.

    Shadden, B B; Asp, C W; Tonkovich, J D; Mason, D


    Ten five-year-old children with adequate articulation skills and 10 five-year-old children with inadequate articulation skills were administered the Templin-Darley Test of Articulation and the Test of Rhythm and Intonation Patterns (TRIP). Differences between the adequate and inadequate groups in terms of the mean percentage correct and the correlations between TRIP and Templin-Darley Test scores within groups were statistically nonsignificant. Item analysis revealed no differences between groups in the pattern of performance on the three subtests of the TRIP or on specific test items. The possible effects of therapy enrollment on suprasegmental test performance are discussed, and future research needs are suggested.

  17. Severity of diarrhea and malnutrition among under five-year-old children in rural Bangladesh.

    Ferdous, Farzana; Das, Sumon K; Ahmed, Shahnawaz; Farzana, Fahmida D; Latham, Jonathan R; Chisti, Mohammod J; Ud-Din, Abu I M S; Azmi, Ishrat J; Talukder, Kaisar A; Faruque, Abu S G


    Enteric pathogens are commonly associated with diarrhea among malnourished children. This study aimed to determine the association between the severity of diarrheal illnesses and malnutrition among under 5-year-old children. During 2010 and 2011, we studied 2,324 under 5-year-old diarrheal children with mild disease (MD) and moderate-to-severe disease (MSD) attending a hospital in Bangladesh. Children with MSD were more likely to be malnourished compared with children with MD (35% versus 24%, P household income (1.71 [1.42, 2.07]). Childhood malnutrition was associated with dysentery and dehydrating diarrhea.

  18. Analysis of relationship between emotional intelligence and social adjustment in teenager male students.

    Ahmad yarmohammadian


    Full Text Available Introduction: The aim of this study was to examine the relationship between emotional intelligence and social adjustment in a sample of teenager students from Fasa city. Method: For this purpose, 150 students, who were volunteers to participate in this research, of three age groups- 10-12 years old(first grade of guidance school, 13-15 years old (third grade of guidance school, and 16-18 years old (third grade of high school- were selected by multiple clustral random sampling. All participants were asked to complete the Emotional Intelligence Scale (EIS and the Social Acceptance Questionnaire (SAQ. Analysis of the data involved both descriptive and inferential statistics including means, standard deviations and regression analysis. Results: The results of multiple regression analysis showed that there is a significance relationship between the emotional intelligence and the social adjustment of the students of 10-12-year old group and 13-15 year old group (P0/05. There was also a significance relationship between the total emotional intelligence and social adjustment at the level (P0/05. Conclusion: The results of regression analysis showed that the social adjustment of teenagers could be predicted by emotional intelligence. That is, when emotional intelligence will be high, the social acceptance and social adjustment is high and vice versa. Based on findings, it can be concluded that emotional intelligence improves the quality of social and emotional relationship skills. It also helps individual to coping with life problems and stress.

  19. Constructing maturity through alcohol experience - Focus group interviews with teenagers

    Demant, Jakob Johan; Järvinen, Margaretha


    alcohol experience and positive attitudes towards drinking are related to popularity and influence in the peer group. The function of alcohol in teenagers’ struggle for recognition is so strong that the participants who drink very little or not at all are put under considerable pressure. With alcohol......Danish 14- and 15-year-olds are at the top of the European list when it comes to drinking and drunkenness. The aim of this article is to demonstrate how the struggle for social recognition–with alcohol as the central marker–transpires in groups of teenagers in Denmark. This article shows how...... as a central marker of maturity–and the drinking teenagers’ parents described as supporters of this view–non-drinking teenagers come out as the potential losers in the negotiation of status in the groups. The data are drawn from a large qualitative study in which 28 focus group interviews were conducted...

  20. Stereotype or grammar? The representation of gender when two-year-old and three-year-old French-speaking toddlers listen to role nouns.

    Lévy, Arik; Gygax, Pascal; Gabriel, Ute; Zesiger, Pascal


    Using a preferential looking paradigm, the current study examined the role that grammatical gender plays when preschool French-speaking toddlers process role nouns in the masculine form (e.g., chanteurs masculine 'singers'). While being auditorily prompted with "Look at the 'a role noun'!", two- and three-year-olds were presented with two pictures of two characters ('boy-boy' versus 'girl-boy') with attributes of the given role noun (e.g., singers with microphone and music notes). All role nouns were presented in the masculine plural form, which, despite its use to refer to mixed-gender groups, can be interpreted as referring to men. We expected toddlers to be biased by stereotypes, yet when non-stereotypical role nouns were presented, toddlers were not influenced by grammatical gender, but by their own sex (even more so for three-year-old toddlers). The absence of sensitivity to grammatical cues for either age group is discussed in terms of the developmental awareness of grammatical gender.

  1. A 60-year-old obese woman with osteoarthritis of the knee

    Christensen, Pia; Riecke, B F; Christensen, R


    A case is presented of a 60-year-old woman with concomitant obesity and knee osteoarthritis. The bad knees prevented the patient from exercising; however, with a focused dietary intervention employing food supplements for the first period of 8 weeks, an ordinary low-energy diet for another 8 weeks...... is the treatment of choice in patients with this combination of diseases....

  2. Understanding Bullying: Using Role-Play with 12-Year-Old Boys in Cyprus

    Kaloyirou, Chrystalla; Lindsay, Geoff


    This study examines the use of role-play in order to investigate bullies' intentions, feelings and perceptions through identification and projection. The study was conducted with nine 12-year-old boys that presented high levels of bullying behaviour, according to their teachers and peers, from three state primary schools in Nicosia, Cyprus, with…

  3. Biofidelity Evaluation of a Prototype Hybrid III 6 Year-Old ATD Lower Extremity.

    Boucher, Laura C; Bing, Julie; Bolte, John H


    Incomplete instrumentation and a lack of biofidelity in the extremities of the 6 year-old anthropomorphic test device (ATD) pose challenges when studying regions of the body known to interact with the vehicle interior. This study sought to compare a prototype Hybrid III 6 year-old ATD leg (ATD-LE), with a more biofidelic ankle and tibia load cell, to previously collected child volunteer data and to the current Hybrid III 6 year-old ATD (HIII). Anthropometry, range of motion (ROM), and stiffness measurements were taken, along with a dynamic evaluation of the ATD-LE using knee-bolster airbag (KBA) test scenarios. Anthropometry values were similar in eight of twelve measurements. Total ankle ROM was improved in the ATD-LE with no bumper compared to the HIII. The highest tibia moments and tibia index values were recorded in KBA scenarios when the toes were positioned in contact with the dashboard prior to airbag deployment, forcing the ankle into axial loading and dorsiflexion. While improvements in the biofidelity of the ATD-LE are still necessary, the results of this study are encouraging. Continued advancement of the 6 year-old ATD ankle is necessary to provide a tool to directly study the behavior of the leg during a motor vehicle crash.

  4. HRCT features in a 5-year-old child with follicular bronchiolitis

    Reittner, P.; Fotter, R.; Lindbichler, F.; Tillich, M. [Department of Radiology, Karl-Franzens University and University Hospital Graz, Auenbruggerplatz 9, A-8036 Graz (Austria); Varga, E.M.; Zach, M. [Department of Pediatrics, Karl-Franzens University and University Hospital Graz, Graz (Austria); Popper, H. [Department of Pathology, Karl-Franzens University and University Hospital Graz, Graz (Austria)


    High-resolution CT (HRCT) is the most sensitive radiographic method to image small airways disease. We discuss the HRCT features of follicular bronchiolitis in a 5-year-old boy and correlate them with the histopathological findings. The changes described include centrilobular nodules, bronchiectasis and bronchiolectasis, branching opacities and areas of reduced lung attenuation. (orig.) With 2 figs., 5 refs.

  5. Oral ulcer as primary manifestation of HIV infection in an 80-year-old man

    Ludvigsen, Lene Ugilt Pagter; Søgaard, Ole Schmeltz


    Oral lesions such as candidiasis, Kaposi's sarcoma, hairy leukoplakia, herpes simplex infection, and ulcerative periodontitis are associated with HIV infection and may be the primary presentation in persons with undiagnosed HIV. We report a clinical case in which an 80-year-old man presented...

  6. Neuroleptic malignant syndrome in a 4-year-old girl associated with alimemazine

    van Maldegem, Bianca T; Smit, Leo M E; Touw, Daan J; Gemke, Reinoud J B J


    UNLABELLED: Neuroleptic malignant syndrome (NMS) is a rare but serious disorder caused by antipsychotic medication including phenothiazines. For sedative purposes, increasing doses of alimemazine were administered to a 4-year-old multiple handicapped girl, with cerebral damage of the basal ganglia.

  7. Improving Social Competence through Emotion Knowledge in 2-Year-Old Children: A Pilot Study

    Giménez-Dasí, Marta; Fernández-Sánchez, Marta; Quintanilla, Laura


    Research Findings: The goal of this study was to determine the efficacy of an educational intervention program to improve emotion knowledge, emotion regulation, and social competence in 2-year-old Spanish children. This study makes two original contributions because there are no validated education programs for such young children and because it…

  8. Perceived Motor Competence Differs From Actual Performance in 8-Year-Old Neonatal ECMO Survivors

    Toussaint, L.C.; Cammen-van Zijp, M.H. van der; Janssen, A.J.; Tibboel, D.; Heijst, A.F. van; Ijsselstijn, H.


    OBJECTIVE: To assess perceived motor competence, social competence, self-worth, health-related quality of life, and actual motor performancein 8-year-old survivors of neonatal extracorporeal membrane oxygenation (ECMO). METHODS: In a prospective nationwide study, 135 children completed the extended

  9. Road safety effect of obligatory eye test for 45 year olds and older.


    Some years ago, the introduction of an obligatory eye test for drivers 45 years old and older was (once more) brought to discussion. We expect that the introduction of such a measure will only have a very slight positive effect on road safety. This measure, in which only visual acuity is tested, wil

  10. Cortisol reactions to a social evaluative paradigm in 5- and 6-year-olds

    Weerth, C. de; Zijlmans, M.A.C.; Mack, S.; Beijers, R.


    The goal of the present study was to develop a stress paradigm to elicit cortisol secretory responses in a group of 5- and 6-year-old children as a whole. To this end, we tested a paradigm containing elements of social evaluative threat, unpredictability and uncontrollability, and with a duration of

  11. One- to Three-Year-Old Children's Experience of Subjective Wellbeing in Day Care

    Seland, Monica; Sandseter, Ellen Beate Hansen; Bratterud, Åse


    The aim of the study on which this paper is based was to explore in which situations and contexts Norwegian 1-3-year-olds experience subjective wellbeing in day care. The data in this study was collected through qualitative phenomenological observations of 18 children, and an inductive process of analysis was conducted. The results show that…

  12. Investigating Gender Differences in the Science Performance of 16-Year-Old Pupils in the UK.

    Bell, John F.


    Investigates whether gender stereotypes of boys outperforming girls in physics and girls outperforming boys in biology are still present. Considers the performance on individual question parts of an examination for 16-years-olds in the United Kingdom. Also considers the memory processes involved and related to gender differences in science…

  13. Examining Genetic and Environmental Effects on Social Aggression: A Study of 6-Year-Old Twins

    Brendgen, Mara; Dionne, Ginette; Girard, Alain; Boivin, Michel; Vitaro, Frank; Prusse, Daniel


    Using a genetic design of 234 six-year-old twins, this study examined (a) the contribution of genes and environment to social versus physical aggression, and (b) whether the correlation between social and physical aggression can be explained by similar genetic or environmental factors or by a directional link between the phenotypes. For social…

  14. Functional analysis of insistence on sameness in an 11-year old boy with Asperger syndrome

    Ollington, N.; Green, V.A.; O'Reilly, M.F.; Lancioni, G.E.; Didden, H.C.M.


    Objective: To identify the functional properties of insistence on sameness associated with autism spectrum disorders. Method: An 11-year-old boy with Asperger syndrome was observed during play where scenarios (mistakes, misplaced items, interrupted activity) were created to correspond with parent-re

  15. Management of tongue and lip laceration due to dystonia in a 1-year-old infant

    J P Beena


    Full Text Available This case report describes the management of tongue and lip lacerations due to dystonia in a 1-year-old infant. A splint was given to raise the bite and prevent repeated trauma and aid in healing of the oral tissue. This paper highlights the importance of pediatric dentist's role in improving quality of patient care in an intensive care unit.

  16. Episodic Memory and Episodic Foresight in 3- and 5-Year-Old Children

    Hayne, Harlene; Gross, Julien; McNamee, Stephanie; Fitzgibbon, Olivia; Tustin, Karen


    In the present study, we examined the development of episodic memory and episodic foresight. Three- and 5-year-olds were interviewed individually using a personalised timeline that included photographs of them at different points in their life. After constructing the timeline with the experimenter, each child was asked to discuss a number of…

  17. Early Childhood Settings and Funded Two-Year-Old Children: Experiences from Four Settings in England

    Phair, Heleanna; Davis, Geraldine


    In 2013 funding was introduced to support disadvantaged two-year-old children to attend early childhood settings in England. This study explores the experiences of four early childhood settings as they worked with these funded children for the first time. Using interviews and observations within the settings, findings demonstrate some adjustment…

  18. 3-Year-Old Children Make Relevance Inferences in Indirect Verbal Communication

    Schulze, Cornelia; Grassmann, Susanne; Tomasello, Michael


    Three studies investigated 3-year-old children's ability to determine a speaker's communicative intent when the speaker's overt utterance related to that intent only indirectly. Studies 1 and 2 examined children's comprehension of indirectly stated requests (e.g., "I find Xs good" can imply, in context, a request for…

  19. Development of Inferencing Skills in 5 to 7 Year Old Children

    Anne, V.; Ramasamy, K.


    The present study investigated the development of inferencing in five to seven year old children. The subjects consisted of thirty typically developing children of five, six and seven years, distributed into three groups of ten. Four sets of material were prepared and for each two types of questions were constructed. The questions being of literal…

  20. Analyzing the Responses of 7-8 Year Olds When Solving Partitioning Problems

    Badillo, Edelmira; Font, Vicenç; Edo, Mequè


    We analyze the mathematical solutions of 7- to 8-year-old pupils while individually solving an arithmetic problem. The analysis was based on the "configuration of objects," an instrument derived from the onto-semiotic approach to mathematical knowledge. Results are illustrated through a number of cases. From the analysis of mathematical…

  1. Enhancing the Executive Functions of 3-Year-Olds in the Dimensional Change Card Sort Task

    Perone, Sammy; Molitor, Stephen J.; Buss, Aaron T.; Spencer, John P.; Samuelson, Larissa K.


    Executive functions enable flexible thinking, something young children are notoriously bad at. For instance, in the dimensional change card sort (DCCS) task, 3-year-olds can sort cards by one dimension (shape), but continue to sort by this dimension when asked to switch (to color). This study tests a prediction of a dynamic neural field model that…

  2. Slowly but Surely: Adverbs Support Verb Learning in 2-Year-Olds

    Syrett, Kristen; Arunachalam, Sudha; Waxman, Sandra R.


    To acquire the meanings of verbs, toddlers make use of the surrounding linguistic information. For example, 2-year-olds successfully acquire novel transitive verbs that appear in semantically rich frames containing content nouns ("The boy is gonna pilk a balloon"), but they have difficulty with pronominal frames ("He is gonna pilk…

  3. Oral health and dental behaviour in 11-year-old children of different ethnic groups

    Verrips, G.H.; Frencken, J.E.; Kalsbeek, H.; Filedt Kok-Weimar, T.L.


    This investigation was first, to assess the oral health of 11-year-old children in four ethnic groups in Amsterdam; second, to assess their dental behaviour and third, to identify potential determinants of frequency of toothbrushing. Representative samples of 97 Surinamese, 209 Moroccan, 128 Turkish

  4. Acute lower abdominal pain caused by adnexal torsion in a ten-year-old girl

    Steinthorsdottir, Kristin Julia; Hansen, Lars Folmer; Bisgaard, Thue


    A ten-year-old girl presented with four days of lower abdominal pain. A diagnostic laparoscopy on the suspicion of acute appendicitis revealed left-sided adnexal torsion. The cyanotic ovary was detorsed and recovered. At three-month follow-up there were no clinical or ultrasonic signs of patholog...

  5. A 52-Year-Old Woman with a Palpable Abdominal Mass

    Yuh-Jeng Yang


    Full Text Available A 52-year-old woman presented with a history of diabetes mellitus under medical treatment and a surgical history of a cesarean section 20 years ago. The patient was referred to our emergency department because of a 2-week hypermenorrhea and unspecific abdominal pain without nausea and vomiting, fever, or other symptoms. She did not complain of weight loss.

  6. A 22-Year-Old Nonsmoker With Diffuse Cystic Lung Disease.

    Foust, Kimber; Albores, Jeffrey; Fishbein, Gregory A; Genshaft, Scott; Wang, Tisha


    A 22-year-old previously healthy woman was evaluated in pulmonary clinic for shortness of breath and cough that had been slowly progressive over 3 months. She otherwise reported being fully functional and attended her college graduation a week prior to evaluation. She had no history of smoking, illicit drug use, connective tissue disease, or noxious exposures.

  7. Effect of Rearing Environment on the Feeding Pattern of under Two Years Old Nigerian Children

    Asekun-Olarinmoye, Esther Olufunmilayo; Lawoyin, Taiwo Olubanke; Asekun-Olarinmoye, Ifeoluwapo Oyebola


    With economic pressures on families increasing, more women are working outside the home leaving their children in day care centres. In a community-based, descriptive cross-sectional study, the feeding pattern in two groups of children under two years old, cared for in two different rearing environments: home environment and day care centres, was…

  8. A 25-year-old woman with type 2 diabetes and liver disease

    Junker, Anders Ellekær; Gluud, Lise Lotte; Pedersen, Jens


    A 25-year-old female nurse was referred to our diabetes outpatient clinic with poorly controlled type 2 diabetes, obesity and elevated liver function tests (LFTs). Following a liver biopsy she was diagnosed with non-alcoholic steatohepatitis (NASH) and liver fibrosis. Treatment with subcutaneous ...

  9. Four-Year-Olds' Beliefs about How Others Regard Males and Females

    Halim, May Ling; Ruble, Diane N.; Tamis-LeMonda, Catherine S.


    Children's awareness of how others evaluate their gender could influence their behaviours and well-being, yet little is known about when this awareness develops and what influences its emergence. The current study investigated culturally diverse 4-year-olds' ("N" = 240) public regard for gender groups and whether exposure to factors that…

  10. Narrative Comprehension Skills in 5-Year-Old Children: Correlational Analysis and Comprehender Profiles

    Potocki, Anna; Ecalle, Jean; Magnan, Annie


    This study was designed to examine whether a variety of cognitive and linguistic factors theoretically considered to be predictive of reading comprehension skills in elementary school children were also predictive of listening comprehension skills in 131 five-year-old children. The results showed that the predictors of young children's listening…

  11. Motor and Cognitive Control in a Normative Sample of 7-Year-Olds

    Roebers, Claudia M.; Kauer, Marianne


    The aim of the present study was to explore the relationship between cognitive and motor control by correlating individual performance on a variety of complex tasks in a normative sample of over 100 7-year-olds. While there are a few studies including children with specific developmental disorders (i.e. ADHD and DCD) showing that they share…

  12. Hyperventilation with cold versus dry air in 2- to 5-year-old children with asthma

    Nielsen, Kim G; Bisgaard, Hans


    -subject SDs (SDw). The challenge sequence was randomly assigned. A comparator challenge was performed 1 hour later if the first challenge gave a change of 3 SDw or more. Forty 2- to 5-year-old children with asthma were included. Responsiveness to cold versus dry air showed significant, but weak, correlation...... (r(2) = 0.34, p

  13. Home Computer Use and Academic Performance of Nine-Year-Olds

    Casey, Alice; Layte, Richard; Lyons, Sean; Silles, Mary


    A recent rise in home computer ownership has seen a growing number of children using computers and accessing the internet from a younger age. This paper examines the link between children's home computing and their academic performance in the areas of reading and mathematics. Data from the nine-year-old cohort of the Growing Up in Ireland survey…

  14. A 55-Year-Old Man with Right Testicular Pain: Too Old for Torsion?

    Tang, Yu Ho; Yeung, Victor Hip Wo; Chu, Peggy Sau Kwan; Man, Chi Wai


    Testicular torsion is predominantly a disease of adolescence, but age itself should not be an exclusion criterion for the diagnosis. A lack of suspicion for testicular torsion in older patients may result in a missed or delayed diagnosis which jeopardizes the chance of testicular salvage. In this article, we report a case of testicular torsion in a 55-year-old Chinese man.

  15. Chest Pain and ST-Segment Elevation in an 18-Year-Old Man.

    Kawji, Mazen M; Glancy, David Luke


    An 18-year-old man came to the hospital because of 1 day of chest pain typical of pericarditis. He had had an upper respiratory infection 10 days earlier. His electrocardiograms indicated evolving pericarditis. His echocardiogram showed mild, diffuse left ventricular hypokinesia, and his troponin I level peaked at 47.5 ng/ml. Thus, he had myopericarditis.

  16. Functional somatic symptoms and consultation patterns in 5- to 7-year-olds

    Rask, Charlotte Ulrikka; Ørnbøl, Eva; Fink, Per Klausen;


    OBJECTIVE: To investigate the frequency of and factors linked to medical consultation for functional somatic symptoms (FSS) among 5- to 7-year-old children. METHODS: We assessed 1327 children from the Copenhagen Child Cohort 2000 for FSS at ages 5 to 7 years. Register data on past health care use...

  17. Cat-scratch disease with severe pleuritis in a 6-year-old girl.

    Kimura, Sasagu; Hasegawa, Shunji; Yanagihara, Masashi; Inoue, Hirofumi; Matsushige, Takeshi; Tsuneoka, Hidehiro; Ichiyama, Takashi; Ohga, Shouichi


    We present the case of a 6-year-old girl with cat-scratch disease (CSD), who developed severe pleuritis without lymphadenitis. Bartonella henselae DNA was detected on real-time polymerase chain reaction (PCR) analysis of whole blood. This is the first report of CSD diagnosed on real-time PCR using whole blood.

  18. An 8-year-old boy with a Pott's puffy tumor

    Huijssoon, E; Woerdeman, PA; van Diemen-Steenvoorde, RAAM; Hanlo, PW; Plotz, FB


    An 8-year old boy with a history of trauma, sinusitis and a swelling of the frontal. bone with somnolence was diagnosed with a Pott's puffy tumor (PPT). Minimal invasive surgical intervention was performed together with a strict regimen of antibiotic therapy. In this case debridement of the frontal

  19. Two-Year-Olds Interpret Novel Phonological Neighbors as Familiar Words

    Swingley, Daniel


    When children hear a novel word in a context presenting a novel object and a familiar one, they usually assume that the novel word refers to the novel object. In a series of experiments, we tested whether this behavior would be found when 2-year-olds interpreted novel words that differed phonologically from familiar words in only 1 sound, either a…

  20. Two-Year-Olds Exclude Novel Objects as Potential Referents of Novel Words Based on Pragmatics

    Grassmann, Susanne; Stracke, Maren; Tomasello, Michael


    Many studies have established that children tend to exclude objects for which they already have a name as potential referents of novel words. In the current study we asked whether this exclusion can be triggered by social-pragmatic context alone without pre-existing words as blockers. Two-year-old children watched an adult looking at a novel…

  1. Dyslexia: Group Screening among 15-16-Year-Olds in Oslo, Norway

    Green, K.; Tonnessen, F. E.; Tambs, K.; Thoresen, M.; Bjertness, E.


    In 15-16 year olds from Oslo, Norway, we investigated the occurrence of self-reported dyslexia and reading/writing difficulties (RWD), and we measured dyslexic symptoms using the "Duvan" dyslexia screening test. The prevalence of self-reported dyslexia was 8.2%, while 10.4% reported severe or moderate RWD. The group of self-reported dyslexics…

  2. Examining Communicative Behaviors in a 3-Year-Old Boy Who Is Blind.

    Perfect, Michelle M.


    The communication patterns of a 3-year-old boy who is blind were observed during 35 videotaped classroom sessions to determine if his echolalic responses varied according to school activity and message category. Analysis revealed that, although the child was expressive with adults, he had difficulty communicating with his peers and in producing…

  3. Five- to 8-Year-Old Emirati Children's and Their Teachers' Perceptions of War

    Buldu, Mehmet


    This study examined 5- to 8-year-old Emirati children's and their teachers' perceptions of war. Data for this study were collected through drawings and semi-structured interviews. A phenomenological procedure was used to analyze the data. Younger children could not articulate the details of the specific nature of war. Many children defined war as…

  4. Features of 30–40 years old tourists-skiers’ technical training in spring and autumn.

    Оlexander Toporkov


    Full Text Available Purpose: compare the test results of the level of tourists’ technical readiness of 30–40 years old skiers at various stages of preparation. Determine the effectiveness of developed programs to improve the technical readiness of 30–40 years old tourists-skiers. Material and Methods: 14 people aged 30 to 40 years old who have a different experience in water, hiking and mountain as well as ski-sport hiking took part in research. Analysis of scientific and methodical literature, pedagogical observations, pedagogical experiment, methods of mathematical statistics is used. Results: the test results of 30–40 years old tourists skiers which are the participants in the experimental group received at different stages of preparation and preparatory period and the results after passing ski sports hiking of the third category of complexity are processed. Their comparative analysis is held. Conclusions: It was found that the developed training program can effectively influence the increase of the level of tourists’ and skiers’ technical skills and preparedness

  5. Features of 30–40 years old tourists-skiers’ technical training during before hiking preparation

    Alexander Toporkov


    Full Text Available Purpose: compare the test results of the level of tourists’ technical readiness of 30–40 years old skiers in winter period of preparation. Determine the effectiveness of developed programs to improve the technical readiness of 30–40 years old tourists-skiers. Material & Methods: 14 people aged 30 to 40 years old who have a different experience in water, hiking and mountain as well as ski-sport hiking took part in research. Analysis of scientific and methodical literature, pedagogical observations, pedagogical experiment, methods of mathematical statistics is used. Results: the test results of 30–40 years old tourists skiers which are the participants in the experimental group received in winter period of preparation and preparatory period and the results after passing ski sports hiking of the third category of complexity are processed. Their comparative analysis is held. Conclusions: it was found that the developed training program can effectively influence the increase of the level of tourists’ and skiers’ technical skills and preparedness, which contributes to the successful passage of ski sports categorized hiking.

  6. Childhood Trauma and Multiple Personality Disorder: The Case of a 9-Year-Old Girl.

    LaPorta, Lauren D.


    This paper reports the case of a nine-year-old female victim of sexual abuse, evaluated and diagnosed with multiple personality disorder over a six-month period. Included is a description of the child's presentation with historical and developmental data. A discussion of the dynamic and predisposing features of the case follows, along with…

  7. [A 35-year-old woman with fever, dyspnea, and pain in the left thigh].

    Picardi, A; Navajas, F; De Iorio, F; Amicarelli, M; Spoto, S; De Galasso, L; Vespaciani Gentilucci, U; Scarlata, S; Zardi, E; Di Cuonzo, G


    A thirty-five years old woman during her twelfth pregnancy presented fever and pain at the left thigh. After cesarean delivery dyspnea added to the first two symptoms and pulmonary embolism was suspected. A clinical history revaluation suggested a diagnosis of infectious endocarditis and femoural osteomielitis due to a septic embolus.

  8. Seasonal variations in growth and body composition of 8-11-year-old Danish children

    Dalskov, Stine-Mathilde; Ritz, Christian; Larnkjær, Anni


    BACKGROUND: Earlier studies on seasonality in growth reported the largest height gains during spring and largest body weight gains during autumn. We examined seasonality in height, body weight, BMI, fat mass index (FMI) and fat-free mass index (FFMI) among contemporary Danish 8-11-year-olds. METH...

  9. Knowledge of Love: Narratives of Romance Told by 12-Year-Old Children

    Haldar, Marit


    This article reports research on young people's conceptualisations of love and romance through a gender perspective. The data are stories written by 12-year-old girls and boys in Norway who were asked to fantasise about their future love life. Their narratives are explored through discourse analysis and semiotics and analysed within a…

  10. Duodenal intussusception secondary to web presenting as recurrent pancreatitis in a 7-year-old girl

    Tu, Long H. [University of Connecticut School of Medicine, Farmington, CT (United States); Kaweah Delta Healthcare District, Graduate Medical Education, Visalia, CA (United States); Villalona, Gustavo A. [Yale School of Medicine, Department of Surgery, Section of Pediatric Surgery, New Haven, CT (United States); SSM Health Cardinal Glennon Children' s Hospital, Department of Pediatric Surgery, St. Louis, MO (United States); Cowles, Robert A. [Yale School of Medicine, Department of Surgery, Section of Pediatric Surgery, New Haven, CT (United States); Silva, Cicero T. [Yale School of Medicine, Department of Diagnostic Imaging, Section of Pediatric Radiology, 333 Cedar St., P.O. Box 208042, New Haven, CT (United States)


    Duodenal intussusception is a rare entity in children, with 32 cases reported in the English literature to our knowledge. Most reported cases are associated with endoluminal tubes or polyps, and the presenting symptoms are chronic and nonspecific. We report a case of duodenal intussusception in a 7-year-old girl secondary to a duodenal web and review the imaging findings. (orig.)

  11. Categorization of Regional and Foreign Accent in 5- to 7-Year-Old British Children

    Floccia, Caroline; Butler, Joseph; Girard, Frederique; Goslin, Jeremy


    This study examines children's ability to detect accent-related information in connected speech. British English children aged 5 and 7 years old were asked to discriminate between their home accent from an Irish accent or a French accent in a sentence categorization task. Using a preliminary accent rating task with adult listeners, it was first…

  12. Development and impact analysis of 3-year-old child FE human model

    Koizumi, T.; Tsujiuchi, N.; Taki, N.; Forbes, P.A.; Lange, R. de


    In a previous study, a 3-year old child FE human model was developed by scaling down an adult male FE human model. Scaling down was performed for body dimensions, joint characteristics, and material properties. The focus of this current study is biofidelity validation and enhancement of the 3-year-o

  13. A Learning Trajectory in 6-Year-Olds' Thinking about Generalizing Functional Relationships

    Blanton, Maria; Brizuela, Bárbara M.; Gardiner, Angela Murphy; Sawrey, Katie; Newman-Owens, Ashley


    The study of functions is a critical route into teaching and learning algebra in the elementary grades, yet important questions remain regarding the nature of young children's understanding of functions. This article reports an empirically developed learning trajectory in first-grade children's (6-year-olds') thinking about generalizing functional…

  14. Hands as Companions of the Mind: Essential Practical Life for the 5-Year-Old

    Gilder, Sharon Allen


    Numerous observations in Montessori classrooms led veteran Montessorians Pamela W. Trumble and Eleni Bokas to the conclusion that a universal need exists to bring integrity back to Practical Life, especially for 5-year-olds. Maria Montessori's observations over a century ago revealed the importance of Practical Life and its relationship to the…

  15. A novel case of chronic conjunctivitis in a 58-year-old woman caused by Raoultella.

    Zuberbuhler, B; Abedin, A; Roudsari, A


    A 58-year-old woman presented to eye emergency with a chronic conjunctivitis which was diagnosed by laboratory microbiological testing to be due to the environmental pathogen Raoultella planticola. The organism was sensitive to Chloramphenicol and the patient made a rapid recovery on these drops. This is the first report of this organism infecting the eye.

  16. BE, DO, and Modal Auxiliaries of 3-Year-Old African American English Speakers

    Newkirk-Turner, Brandi L.; Oetting, Janna B.; Stockman, Ida J.


    Purpose: This study examined African American English--speaking children's use of BE, DO, and modal auxiliaries. Method: The data were based on language samples obtained from 48 three-year-olds. Analyses examined rates of marking by auxiliary type, auxiliary surface form, succeeding element, and syntactic construction and by a number of child…

  17. Factors increasing the caries risk of second primary molars in 5-year-old Dutch children

    Elfrink, Marlies E C; Schuller, Annemarie A; Veerkamp, Jaap S J; Poorterman, Jan H G; Moll, Henriette A; ten Cate, Bob J M


    BACKGROUND: Caries is still a prevalent condition in 5-year-old children. At present, knowledge regarding some aetiological factors, like deciduous molar hypomineralization (DMH), is limited. AIM: To investigate aetiological factors both directly and indirectly associated with caries in second prima

  18. Paternal Psychosocial Characteristics and Corporal Punishment of Their 3-Year-Old Children

    Lee, Shawna J.; Perron, Brian E.; Taylor, Catherine A.; Guterman, Neil B.


    This study uses data from 2,309 biological fathers who participated in the Fragile Families and Child Well-Being Study (FFCWS) to examine associations between psychosocial characteristics and levels of corporal punishment (CP) toward their 3-year-old children over the past month. Results indicate that 61% of the fathers reported no CP over the…

  19. Self-Repair of Speech by Four-Year-Old Finnish Children

    Salonen, Tuuli; Laakso, Minna


    The aim of this study was to examine what four-year-old children repair in their speech. For this purpose, conversational self-repairs (N = 316) made by two typically developing Finnish-speaking children (aged 4 ; 8 and 4 ; 11) were examined. The data comprised eight hours of natural interactions videotaped at the children's homes. The tapes were…

  20. Correlates of Physical Activity in 2-Year-Old Toddlers : The Generation R Study

    Wijtzes, Anne I.; Kooijman, Marjolein N.; Kiefte-de Jong, Jessica C.; de Vries, Sanne I.; Henrichs, Jens; Jansen, Wilma; Jaddoe, Vincent W. V.; Hofman, Albert; Moll, Henriette A.; Raat, Hein


    Objective To describe and identify correlates of objectively measured physical activity and sedentary behavior in 2-year-old toddlers. Study design A total of 347 children participating in a birth cohort study wore a unaxial ActiGraph accelerometer during 1 weekday and 1 weekend day. Information on

  1. Cytological diagnosis of adamantinoma of long bone in a 78-year-old man

    Mimi Gangopadhyay


    Full Text Available A clinicohistopathological study of a rare case of adamantinoma of long bone in a 78-year-old patient is presented. The cytological features when evaluated in conjunction with clinical and radiologic features are sufficiently diagnostic. The primary knowledge of its existence and knowledge of its cytological features are important for a correct preoperative cytological diagnosis.

  2. Porcine surfactant (Curosurf) for acute respiratory failure after near-drowning in 12 year old.

    Onarheim, H; Vik, V


    This case report describes rapid and persistent improvement after one single dose of porcine surfactant (Curosurf) 0.5 ml/kg(-1) (40 mg/kg) intratracheally for adult respiratory distress syndrome (ARDS) with severe oxygenation failure 8 h after freshwater near-drowning in a 12-year-old girl.

  3. Health in a population of eighteen-year-old males in Italy.

    Emanuele, A M; Falivene, C; Previtera, B


    A population of 18-year-old males were studied in order to investigate which biohumoral parameters were modified with respect to the so-called "reference values." To achieve our end, we analyzed the distribution curves of some biohumoral parameters, so selected to test various organs and apparatuses. Our results showed a clear incidence of hepatic affections and dislipidemias.

  4. Does Chess Training Affect Conceptual Development of Six-Year-Old Children in Turkey?

    Sigirtmac, Ayperi Dikici


    Many studies propose that chess is a game requiring cognitive skills and has positive effects on mental development. In recent years, chess training has also been emphasised as important during the early childhood period. However, no studies have been done with six-year-old children. The purpose of this study was to investigate whether or not…

  5. Episodes of confusion and slurred speech in a 34-year-old woman from India

    Chandril eChugh


    Full Text Available A 34-year-old woman from India, presented with episodes of confusion and progressive speech deterioration. She also had a painless neck lump, which persisted despite antibiotics. She was diagnosed to have a space occupying lesion in the left parietal lobe, which was subsequently biopsied.

  6. Phonetic Disintegration in a Five-Year-Old following Sudden Hearing Loss.

    Binnie, Carl A.; And Others


    The speech of a five year old boy who suffered a profound hearing loss following meningitis was sampled at two week intervals for nine months. It was speculated that phonetic processes such as diphthongization, syllabification, and prolonged duration may be strategies for enhancing feedback during speech. (Author)

  7. Dental health state in the 20 year-old population and more in Cienfuegos province.

    Emma Gil Ojeda


    Full Text Available Background: The absence of consice data of some indicators in the stomatological subsystem of our province difficults the knowledge of the real situation of the dental health in our province population. Objetive: to determine some epidemiological indicators related to dental health in the 20 year-old population and more in Cienfuegos province. Method: a descriptive epidemiologcal study. Methods: 253 621 patients in a range of 20 years old and more. All health areas including municipalities were taken into consideration from May to June 2004. Results: The kind of denture more demanded for its rehabilitation by the population was the upper and the lower one. The highest indicators of cavities and exodonties were found in the 35 to 59 year-old group of patient as well as in the rural areas. The anatomic localization of cavity lesions were predominant in the posterior dental sector with a relation between sectors of 1:1,7. The lowest percetange in the covering range of stomatological attention was found in the 35 to 59 year-old group with 5 and 18 % in the majority of the municipalities. Conclusions: Through this investigation the behaviour of proposed indicators were evaluated as well as the necesities of treatment to establish future strategies of work in order to improve the dental health in the population.

  8. School functioning in 8- to 18-year-old children born after in vitro fertilization

    Wagenaar, Karin; Ceelen, Manon; Weissenbruch, van Mirjam; Knol, Dirk; Delemarre-van de Waal, Henriette; Huisman, Jaap


    The aim of this study was to examine the school functioning of 8- to 18-year-old children born after in vitro fertilization (IVF). We compared 233 children born after IVF to 233 matched control children born spontaneously from parents with fertility problems on measures of education level, general c

  9. Secondary mania due to AIDS and cryptococcal meningitis in a 78-year-old patient.

    Chou, Po-Han; Ouyang, Wen-Chen; Lan, Tsuo-Hung; Chan, Chin-Hong


    We report a 78-year-old man without past psychiatric history who experienced his first manic episode successfully treated with quetiapine and lorazepam, but was ultimately found to have AIDS and Cryptococcus neoformans meningitis. Our presented case highlights the importance of comprehensive differential diagnoses to rule out secondary causes of psychiatric symptoms presenting for the first time in elderly patients.

  10. Refractory thrombotic thrombocytopenic purpura in a 16-year-old girl: successful treatment with bortezomib

    Balen, T. van; Schreuder, M.F.; Jong, H. de; Kar, N.C.A.J. van de


    We present a case of a 16-year-old girl with autoimmune thrombotic thrombocytopenic purpura (TTP), refractory to plasma exchange and high-dose prednisone. Despite the additional treatment with rituximab, she developed renal and neurological complications with ongoing hemolysis and thrombocytopenia.

  11. Local intra-arterial thrombolysis in a 4-year-old male with vertebrobasilar artery thrombosis

    Janmaat, Mirjam; Gravendeel, Joost P; Uyttenboogaart, Maarten; Vroomen, Patrick C; Brouwer, Oebele F; Luijckx, Gert-Jan


    We report the case of a 4-year-old male with vertebrobasilar artery thrombosis for which he was treated with local intra-arterial urokinase 60 hours after onset of symptoms. Initially the patient had dysarthria and dysphagia. Brain magnetic resonance imaging (MRI) in a community hospital showed abno

  12. Severe hypercholesterolemia associated with primary biliary cirrhosis in a 44-year-old Japanese woman

    Tatsuo Kanda; Osamu Yokosuka; Hiroshige Kojima; Fumio Imazeki; Keiich Nagao; Ichiro Tatsuno; Yasushi Saito; Hiromitsu Saisho


    A 44-year-old woman developed jaundice and was diagnosed as stage Ⅱ of primary biliary cirrhosis (PBC). She showed a severely high total cholesterol level. This article focuses on atypical presentations of PBC and the need to test the total cholesterol level of PBC patients.

  13. [Secular trends of caries prevalence among 6 and 12 year-old youths in the Netherlands].

    Truin, G.J.; Schuller, A.A.; Poorterman, J.H.G.; Mulder, J.


    In order to gain insight into the development of caries prevalence and caries experience among Dutch youth, a meta-analysis was carried out on epidemiological caries data collected in 5 and 6 and 11 and 12 year-olds between 1980 and 2009. From the present analysis it appears that after the mid-1980'

  14. Frontal Electroencephalogram Activation Asymmetry, Emotional Intelligence, and Externalizing Behaviors in 10-Year-Old Children

    Santesso, L. Diane; Dana, L. Reker; Schmidt, Louis A.; Segalowitz, Sidney J.


    The purpose of the present study was to examine the relations among resting frontal brain electrical activity (EEG) (hypothesized to reflect a predisposition to positive versus negative affect and ability to regulate emotions), emotional intelligence, and externalizing behaviors in a sample of non-clinical 10-year-old children. We found that boys…

  15. Repair in the Peer Talk of 6-Year-Old Boys

    Newbold, Elisabeth J.; Howard, Sara; Wells, Bill


    This article reports a qualitative analysis of linguistic and interactional aspects of repair in naturalistic play, interaction between three 6-year-olds (C, D and F), one of whom (child D) displays some speech and language difficulties. The methodology draws on conversation analysis together with perceptual phonetic observation. The analysis…

  16. Thermal detection thresholds in 5-year-old preterm born children; IQ does matter.

    Graaf, J. de; Valkenburg, A.J.; Tibboel, D.; Dijk, M.


    BACKGROUND: Experiencing pain at newborn age may have consequences on one's somatosensory perception later in life. Children's perception for cold and warm stimuli may be determined with the Thermal Sensory Analyzer (TSA) device by two different methods. AIM: This pilot study in 5-year-old children

  17. Limitations in 4-Year-Old Children's Sensitivity to the Spacing among Facial Features

    Mondloch, Catherine J.; Thomson, Kendra


    Four-year-olds' sensitivity to differences among faces in the spacing of features was tested under 4 task conditions: judging distinctiveness when the external contour was visible and when it was occluded, simultaneous match-to-sample, and recognizing the face of a friend. In each task, the foil differed only in the spacing of features, and…

  18. Writing and Reading Skills as Assessed by Teachers in 7-Year Olds: A Behavioral Genetic Approach

    Oliver, Bonamy R.; Dale, Philip S.; Plomin, Robert


    A behavioral genetic analysis of general writing ability was conducted using teacher assessments based on UK National Curriculum criteria for a sample of 3296 same-sex pairs of 7-year-old twins. Writing was highly heritable within the normal range (0.66) and at the low extreme (0.70). Environmental influences were almost all non-shared, with…

  19. Allocation of Resources to Collaborators and Free-Riders in 3-Year-Olds

    Melis, Alicia P.; Altrichter, Kristin; Tomasello, Michael


    Recent studies have shown that in situations where resources have been acquired collaboratively, children at around 3 years of age share mostly equally. We investigated 3-year-olds' sharing behavior with a collaborating partner and a free-riding partner who explicitly expressed her preference not to collaborate. Children shared more equally with…

  20. Wakefulness (Not Sleep) Promotes Generalization of Word Learning in 2.5-Year-Old Children

    Werchan, Denise M.; Gómez, Rebecca L.


    Sleep enhances generalization in adults, but this has not been examined in toddlers. This study examined the impact of napping versus wakefulness on the generalization of word learning in toddlers when the contextual background changes during learning. Thirty 2.5-year-old children (M = 32.94, SE = 0.46) learned labels for novel categories of…

  1. Characteristics of 15-Year-Old Students Predicting Scientific Literacy Skills in Turkey

    Demir, Ergül


    Since 2003, Turkey regularly participates in PISA. According to the PISA 2012 results, 15-year-old students in Turkey performed below both OECD countries and participating countries. Defining the relations between students' characteristics and their scientific literacy skills is thought to provide deeper understanding for the nature of this…

  2. Facial Mimicry in 6-7 Year Old Children with Disruptive Behavior Disorder and ADHD

    Deschamps, Peter; Munsters, Nicolette; Kenemans, Leon; Schutter, Dennis; Matthys, Walter


    Background: Impairments in facial mimicry are considered a proxy for deficits in affective empathy and have been demonstrated in 10 year old children and in adolescents with disruptive behavior disorder (DBD). However, it is not known whether these impairments are already present at an earlier age.

  3. Three-year old boys treasure pirate memories : Gender and episodic memory in preschoolers

    Wessel, Ineke; Rutten, Vera; Ruiter, Selma


    Recently, Scarf and colleagues (2013) proposed that 3-year olds fail to retain episodic memories for longer than 15 minutes. In their study, children found a locked pirate’s treasure chest in a sandbox. After a delay in which the child was elsewhere, the experimenter announced that they would return

  4. Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy.

    Dilorenzo, Michael; Weinstein, Samuel; Shenoy, Rajesh


    Tetralogy of Fallot is one of the most frequently diagnosed congenital cardiac abnormalities; however, its association with dextrocardia and situs inversus is reported only rarely. We report a case of these findings in a 7-year-old boy, describe the patient's postoperative course, and review the medical literature relevant to these combined conditions.

  5. Exploring Expressive Vocabulary Variability in Two-Year-Olds: The Role of Working Memory

    Newbury, Jayne; Klee, Thomas; Stokes, Stephanie F.; Moran, Catherine


    Purpose: This study explored whether measures of working memory ability contribute to the wide variation in 2-year-olds' expressive vocabulary skills. Method: Seventy-nine children (aged 24-30 months) were assessed by using standardized tests of vocabulary and visual cognition, a processing speed measure, and behavioral measures of verbal working…

  6. Developmental Dyscalculia and Basic Numerical Capacities: A Study of 8--9-Year-Old Students

    Landerl, Karin; Bevan, Anna; Butterworth, Brian


    Thirty-one 8- and 9-year-old children selected for dyscalculia, reading difficulties or both, were compared to controls on a range of basic number processing tasks. Children with dyscalculia only had impaired performance on the tasks despite high-average performance on tests of IQ, vocabulary and working memory tasks. Children with reading…

  7. Increased time to pregnancy is associated with suboptimal neurological condition of 2-year-olds

    Seggers, Jorien; Schendelaar, Pamela; Bos, Arend F.; Heineman, Maas Jan; Middelburg, Karin J.; Haadsma, Maaike L.; Hadders-Algra, Mijna


    Objective To evaluate whether time to pregnancy (TTP) is associated with neurological condition of 2-year-old children born to subfertile parents. Design Data collected in a prospective, assessor-blinded follow-up study were used for cross-sectional analyses. Patients Participants were the singleton

  8. Developing Number Knowledge: Assessment, Teaching and Intervention with 7-11 Year Olds. Math Recovery

    Wright, Robert J.; Ellemor-Collins, David; Tabor, Pamela D.


    This fourth book in the Mathematics Recovery series equips teachers with detailed pedagogical knowledge and resources for teaching number to 7 to 11-year olds. Drawing on extensive programs of research, curriculum development, and teacher development, the book offers a coherent, up-to-date approach emphasizing computational fluency and the…

  9. Speech Characteristics of 8-Year-Old Children: Findings from a Prospective Population Study

    Wren, Yvonne; McLeod, Sharynne; White, Paul; Miller, Laura L.; Roulstone, Sue


    Speech disorder that continues into middle childhood is rarely studied compared with speech disorder in the early years. Speech production in single words, connected speech and nonword repetition was assessed for 7390 eight-year-old children within the Avon Longitudinal Study of Parents and Children (ALSPAC). The majority (n=6399) had typical…

  10. Influence of Emotional Facial Expressions on 3-5-Year-Olds' Face Recognition

    Freitag, Claudia; Schwarzer, Gudrun


    Three experiments examined 3- and 5-year-olds' recognition of faces in constant and varied emotional expressions. Children were asked to identify repeatedly presented target faces, distinguishing them from distractor faces, during an immediate recognition test and during delayed assessments after 10 min and one week. Emotional facial expression…

  11. Snoring and atherosclerotic manifestations in a 70-year-old population

    Jennum, P; Schultz-Larsen, K; Christensen, N J


    the issue we examined the association between self-assessed snoring and the relation to atherosclerotic manifestations. 804 70-year-old males and females were classified according to snoring habits. Alcohol and tobacco consumption, blood pressure, body mass index, social group, plasma lipids (triglycerides...

  12. A Rare Cause of Macroscopic Hematuria on Eleven-Year-Old Girl: Bladder Hemangioma

    Sezgin Guvel


    Full Text Available Hemangiomas of the urinary tract can arise anywhere along the system. These rare benign lesions can cause life-threatening severe hematuria. We  present an 11-year-old girl with recurrent multiple bladder hemangioma treated with fulguration and review of the literature.  

  13. Learning Benefits of Self-Controlled Knowledge of Results in 10-Year-Old Children

    Chiviacowsky, Suzete; Wulf, Gabriele; Laroque de Medeiros, Franklin; Kaefer, Angelica; Tani, Go


    The purpose of the present study was to examine whether the learning benefits of self-controlled knowledge of results (KR) would generalize to children. Specifically, the authors chose 10-year-old children representative of late childhood. The authors used a task that required the children to toss beanbags at a target. One group received KR…

  14. Self-Controlled Feedback in 10-Year-Old Children: Higher Feedback Frequencies Enhance Learning

    Chiviacowsky, Suzete; Wulf, Gabriele; de Medeiros, Franklin Laroque; Kaefer, Angelica; Wally, Raquel


    The purpose of the present study was to examine whether learning in 10-year-old children--that is, the age group for which the Chiviacowsky et al. (2006) study found benefits of self-controlled knowledge of results (KR)--would differ depending on the frequency of feedback they chose. The authors surmised that a relatively high feedback frequency…

  15. Correlates of physical activity in 2-year-old toddlers: The generation R study

    Wijtzes, A.I.; Kooijman, M.N.; Kiefte-de Jong, J.C.; Vries, S.I. de; Henrichs, J.; Jansen, W.; Jaddoe, V.W.V.; Hofman, A.; Moll, H.A.; Raat, H.


    Objective: To describe and identify correlates of objectively measured physical activity and sedentary behavior in 2-year-old toddlers. Study design: A total of 347 children participating in a birth cohort study wore a unaxial ActiGraph accelerometer during 1 weekday and 1 weekend day. Information o

  16. 77 FR 11651 - Hybrid III 10-Year-Old Child Test Dummy


    ... results, the agency is pursuing the development of an HIII-10C modification consisting of an abdominal.... Executive Summary II. Background a. 2005 NPRM b. Developments Since 2005 c. Summary of Decision III. Summary... 1. Labeling the Dummy as a ``Ten Year Old'' 2. Best Practices for Belt Routing 3. Abdominal...

  17. Major stroke in a 19-year-old patient with a univentricular heart

    Riemann, Mads; Idorn, Lars; Wagner, Aase


    Patients with univentricular heart malformations are at increased risk of suffering from thromboembolic events. We present a case of a 19-year-old woman born with a univentricular heart who suffered a major stroke while being treated with only salicylic acid. At least 20% of patients...

  18. Foix-Chavany-Marie syndrome in a 17-year-old female with congenital cytomegalovirus infection.

    Conforti, Renata; Capasso, Raffaella; Capaldo, Guglielmo; Dato, Clemente; Saracino, Dario; Di Iorio, Giuseppe; Melone, Mariarosa A


    Foix-Chavany-Marie syndrome is characterized by bilateral facio-glosso-pharyngo-masticatory paralysis of voluntary movement due to bilateral anterior opercular lesions. We describe the case of a 17-year-old female affected by Foix-Chavany-Marie syndrome and congenital cytomegalovirus infection, evaluating the possible etiopathogenetic correlation between cerebral cortical dysplasia and intrauterine infections.

  19. Intermittent pancreatitis in a 2-year-old chihuahua mixed breed dog.

    Chan, Alice K Y


    A 2-year-old, female, Chihuahua mixed breed was presented on multiple occasions with vomiting and diarrhea. Diagnostic tests, including blood analyses and ultrasonography, established pancreatitis as the cause of gastrointestinal irritation. Hospitalization and supportive care, followed by maintenance of a prescription gastrointestinal diet, allowed management of the disease.

  20. Icteric flare of chronic hepatitis B in a 95-year old patient

    WS Wong; Wai Keung Leung; Henry L Y Chan


    A 95-year old gentleman developed fatal icteric flare of chronic hepatitis B despite lamivudine treatment. This article highlights the atypical presentations of chronic hepatitis B in elderly patient and the need to consider this possibility for acute fulminant hepatitis in endemic areas.

  1. Teaching 3.5-Year-Olds to Revise Their Beliefs Given Ambiguous Evidence

    Bonawitz, Elizabeth; Fischer, Adina; Schulz, Laura


    Previous research suggests that 3-year-olds fail to learn from statistical data when their prior beliefs conflict with evidence. Are children's beliefs entrenched in their folk theories, or can preschoolers rationally update their beliefs? Motivated by a Bayesian account, we conducted a training study to investigate this question. Children (45…

  2. Development of Face Recognition in 5- to 15-Year-Olds

    Kinnunen, Suna; Korkman, Marit; Laasonen, Marja; Lahti-Nuuttila, Pekka


    This study focuses on the development of face recognition in typically developing preschool- and school-aged children (aged 5 to 15 years old, "n" = 611, 336 girls). Social predictors include sex differences and own-sex bias. At younger ages, the development of face recognition was rapid and became more gradual as the age increased up…

  3. Childhood obesity: the extent of the problem among 6-year-old Irish national school children.

    Evans, D S


    Childhood obesity is rapidly increasing worldwide. In Ireland, the number of overweight children has trebled over the last decade. The study aimed to provide an assessment of the prevalence of obesity of 6-year-old children in one region of Ireland.

  4. PAVEd for Success: An Evaluation of a Comprehensive Preliteracy Program for Four-Year-Old Children

    Schwanenflugel, Paula J.; Hamilton, Claire E.; Neuharth-Pritchett, Stacey; Restrepo, M. Adelaida; Bradley, Barbara A.; Webb, Mi-Young


    The purpose of the study was to evaluate the effectiveness of "PAVEd for Success," comprehensive preliteracy program guidelines to support the development of foundational preliteracy skills in 4 year olds. Prekindergarten teachers received professional development on variables of the program that included a summer institute, after-school…

  5. Obstructive urolithiasis, unilateral hydronephrosis, and probable nephrolithiasis in a 12-year-old Clydesdale gelding.

    Macbeth, Bryan J


    A 12-year-old Clydesdale gelding was presented for colic and dysuria. Obstructive urolithiasis and chronic renal disease were diagnosed via transurethral endoscopy and percutaneous ultrasonography. Nephroliths, hydronephrosis, and peri-ureteral fibrosis were present. Surgical intervention was declined and the gelding was managed medically with antibiotics and dietary modification.

  6. Relationship between general and specific coordination in 8- to 17-year-old male basketball players.

    Kamandulis, Sigitas; Venckūnas, Tomas; Masiulis, Nerijus; Matulaitis, Kestutis; Balciūnas, Mindaugas; Peters, Derek; Skurvydas, Albertas


    The purpose of the present study was to investigate the relationships between general coordination, sport-specific coordination, and sport-specific fitness of 8- to 17-year-old male basketball players. 312 males with training experience ranging from one year in the 8-year-old cohort up to 10 years for the 17-year-olds performed basketball-specific fitness (20 m sprint, Illinois, countermovement jump), general coordination (20 m run with three obstacles), semi-basketball-specific coordination (20 m sprint dribbling two balls, countermovement jump with arm swing) and basketball-specific coordination (Illinois ball dribbling) tests. There were moderate to large correlations between the results of both general and basketball-specific coordination with the results of most basketball-specific coordination tests in all age groups. Correlations between general and basketball-specific coordination were large in four age groups (11-14 yr., r = .52 to r = .76), moderate in five groups (8-10, 15 & 16 yr., r = .37 to r = .46), while not significant in the 17-year-olds. These results suggest that the importance of general coordination for sport-specific skills improvements during a sports-specific skill acquisition phase, remains high at the skill refinement phase, and decreases when sport-specific skills have been mastered to near-perfection.

  7. Structural Priming as Learning: Evidence from Mandarin-Learning 5-Year-Olds

    Hsu, Dong-Bo


    Three experiments on structural priming in Mandarin-speaking 5-year-olds were conducted to test the priming as implicit learning hypothesis. It describes a learning mechanism that acts on a shared abstract syntactic representation in response to linguistic input using an equi-biased Mandarin SVO-"ba" alternation. The first two…

  8. Intonation Facilitates Contrast Resolution: Evidence from Japanese Adults and 6-Year Olds

    Ito, Kiwako; Jincho, Nobuyuki; Minai, Utako; Yamane, Naoto; Mazuka, Reiko


    Two eye-tracking experiments tested how pitch prominence on a prenominal adjective affects contrast resolution in Japanese adult and 6-year old listeners. Participants located two animals in succession on displays with multiple colored animals. In Experiment 1, adults' fixations to the contrastive target (pink cat [right arrow] GREEN cat) were…

  9. Toxic epidermal necrolysis triggered by clobazam: a case report in a 13-year-old girl.

    Dang, Chuong D; Beets-Shay, Linda; Kahn, Estelle C


    We present a case of toxic epidermal necrolysis (TEN) triggered by clobazam in a 13-year-old girl who was subsequently treated with intravenous immunoglobulin. In December 2013 the U.S. Food and Drug Administration released a warning that clobazam might cause "serious skin reactions" such as Stevens-Johnson syndrome or TEN and approved label changes.

  10. Verbal Competence in Narrative Retelling in 5-Year-Olds with Unilateral Cleft Lip and Palate

    Klintö, Kristina; Salameh, Eva-Kristina; Lohmander, Anette


    Background: Research regarding expressive language performance in children born with cleft palate is sparse. The relationship between articulation/phonology and expressive language skills also needs to be further explored. Aims: To investigate verbal competence in narrative retelling in 5-year-old children born with unilateral cleft lip and palate…

  11. A 400,000-year-old mitochondrial genome questions phylogenetic relationships amongst archaic hominins

    Orlando, Ludovic Antoine Alexandre


    of the fossil record, this study confirms that genomic information can be recovered from extremely damaged DNA molecules, even in the presence of significant levels of human contamination. Together with the recent characterization of a 700,000-year-old horse genome, this study opens the Middle Pleistocene...

  12. Action-Based Digital Tools: Mathematics Learning in 6-Year-Old Children

    Dejonckheere, Peter J. N.; Desoete, Annemie; Fonck, Nathalie; Roderiguez, Dave; Six, Leen; Vermeersch, Tine; Vermeulen, Lies


    Introduction: In the present study we used a metaphorical representation in order to stimulate the numerical competences of six-year-olds. It was expected that when properties of physical action are used for mathematical thinking or when abstract mathematical thinking is grounded in sensorimotor processes, learning gains should be more pronounced…

  13. Sex Survey about university students of UPF (from 20 to 27 years old

    Carmen Maté


    Full Text Available The purpose of the present survey was to assess the level of sexual knowledge, attitudes and practice of university students, adult young people from 20 to 27 years old and to identify if there was any significant difference in terms of age and sexual activity with other surveys. The survey was undertaken in which data were collected from 838 students who attended the third and four course of their graduate in Humanities. Differences between answers by sex were tested using Pearson’s χ2 test. The study established that behaviour, knowledge, attitudes and practice of the universitary students vary by sex in some regards. The fi rst sexual relationships is around they have 15,4 years old and no statistically significant difference was found between sex. The average of the starter interesting about sex is around 13,5 years old and a statistically signifi cant difference was found between sex, the average of boys is 12,7 years old and girls 13,7. People who were sexually active are satisfi ed and show is so important to their wellbeing. Majority use contraceptive methods in the last relationship and the same percentage use the condom in order to avoid sexually transmitted diseases. The study confirmed that there are 21% the students don’t use any method to avoid sexually transmitted diseases. Our conclusion is both, the knowledge and attitudes of students necessarily required appropriate sex education in the secondary school.

  14. Development and verification of child observation sheet for 5-year-old children.

    Fujimoto, Keiko; Nagai, Toshisaburo; Okazaki, Shin; Kawajiri, Mie; Tomiwa, Kiyotaka


    The aim of the study was to develop a newly devised child observation sheet (COS-5) as a scoring sheet, based on the Childhood Autism Rating Scale (CARS), for use in the developmental evaluation of 5-year-old children, especially focusing on children with autistic features, and to verify its validity. Seventy-six children were studied. The children were recruited among participants of the Japan Children's Cohort Study, a research program implemented by the Research Institute of Science and Technology for Society (RISTEX) from 2004 to 2009. The developmental evaluation procedure was performed by doctors, clinical psychologists, and public health nurses. The COS-5 was also partly based on the Kyoto Scale of Psychological Development 2001 (Kyoto Scale 2001). Further, the Developmental Disorders Screening Questionnaire for 5-Years-Olds, PDD-Autism Society Japan Rating Scale (PARS), doctor interview questions and neurological examination for 5-year-old children, and the Draw-a-Man Test (DAM) were used as evaluation scales. Eighteen (25.4%) children were rated as Suspected, including Suspected PDD, Suspected ADHD and Suspected MR. The COS-5 was suggested to be valid with favorable reliability (α=0.89) and correlation with other evaluation scales. The COS-5 may be useful, with the following advantages: it can be performed within a shorter time frame; it facilitates the maintenance of observation quality; it facilitates sharing information with other professions; and it is reliable to identify the autistic features of 5-year-old children. In order to verify its wider applications including the screening of infants (18months to 3years old) by adjusting the items of younger age, additional study is needed.

  15. [Social stratification and nutritional anthropometry in children under 15 years old La Escalera, Lara State, Venezuela].

    Torres-Villanueva, Mario; Dellán-Rodríguez, Graciela; Papale-Centofanti, Jham; Rodríguez, Dioslibeth; Mendoza, Norelis; Berné, Yelitza


    Malnutrition is a public health problem for underdeveloped countries. From the 852 million of undernourished estimated by FAO between 2000 and 2002, 815 million belonged to underdeveloped countries, 28 million to countries in transition and 9 million to developed countries. Malnutrition in Venezuela had a 6% raise between 2000 and 2002, when it went from 11% to 17%. This work was done with children under 15 years old from La Escalera, using classic indicators and their combination, relating them with socioeconomic conditions, through the NBI and Graffar Méndez Castellano methods, as to consider the population nutritional profile. The higher prevalence corresponded to normal nutritional values, which oscillated between 55,7% and 80,7% in the 7-14 years old group and the 2-6 years old group, respectively. Malnutrition was found in the under 2 years old group and 7-14 years old group, with values ranging between 12,5 and 41,0% respectively. The least prevalence was found for excess malnutrition. 100% of the families in this study are poor, according to NBI; although the Graffar Mendez Castellano method established that poverty was about 60%, while 40% belonged to a medium-low status. Relating nutritional diagnosis with social stratification and the mother's educational level, three patterns were observed: III, IV and V, prevailing normal diagnosis, followed by malnutrition by deficit and malnutrition by excess, respectively. The predominating mother's educational level corresponded to incomplete high school, followed by analphabetism and the least prevalent has complete basic elementary education. It should be noted that the nutrition deficit was inversely related to the socioeconomic stratification and the mother's educational level.

  16. The unplanned teenage pregnancy

    S.M. Ross


    Full Text Available Surveys conducted in the Durban area of Natal showed that 18 per cent of all pregnancies occurred amongst teenagers with the incidence amongst the various population groups varying bëtween Whites 14 per cent, Indians 17 per cent, Coloureds and Blacks 20 per cent. This compares with a world-wide teenage pregnancy rate of 10-15 per cent. Amongst primigravid pregnancies 33 per cent Indians and 53 per cent of Africans were found to be 18 years of age or less.

  17. Teenagers and Satanism.

    Bredenberg, Alice M.

    The background of Satanism and typical Satanic activities are described. It is noted that contemporary Satanism has three forms: solitary Satanists, outlaw cults, and neo-Satanic churches. Included in a description of Satanic activities are Heavy Metal music and fantasy games, both of which are intensely interesting to teenagers. The next section…

  18. Endometriosis in teenagers.

    Sarıdoğan, Ertan


    Endometriosis affects a significant proportion of teenagers. Published studies suggest that laparoscopically confirmed endometriosis could be found in over 60% of adolescent girls undergoing laparoscopic investigation for pain, in 75% of girls with chronic pelvic pain resistant to treatment and in 70% of girls with dysmenorrhea and in approximately 50% of girls with chronic pelvic pain not necessarily resistant to treatment. Both early and advanced forms, including deep endometriosis have been reported to be present in teenagers. It has recently been claimed that deep endometriosis has its roots in teenage years. Risk factors include obstructive mullerian anomalies, family history, early menarche and early onset dysmenorrhea. Both surgical and medical treatment approaches are used for treatment in this age group, but care should be taken when treatment with GnRHa and progestins is being considered due to their potential impact on bone formation. Further studies are urgently needed to determine whether early diagnosis and treatment of teenage endometriosis lead to better long term outcomes or simply increase number of interventions without preventing progression of the disease.

  19. Teenage Nutrition and Physique.

    Huenemann, Ruth L.; And Others

    Body size, composition, and conformation in a teen-age population, and associated factors were studied to obtain useful data for planning programs in public health nutrition. This book describes the purpose, methods, and findings of this four-year longitudinal and cross-sectional study conducted in Berkeley, California, during the years 1961 to…

  20. Bold Books for Teenagers

    Gallo, Don


    "Bold Books for Teenagers" provides dynamic, informative viewpoints on important issues in publishing and teaching contemporary literature, especially literature for adolescents. Reviews of young adult literature also appear in this column. This article examines how English teachers can help students explore their interests without promoting any…

  1. Cardiorespiratory fitness and body mass index values in 9-year-old rural Norwegian children

    Resaland, G K; Mamen, A; Anderssen, S A


    AIM: To describe cardiorespiratory fitness and body mass index (BMI) values in a representative population of 9-year-old Norwegian children in two rural communities and compare present values with previous findings. METHODS: Two hundred and fifty-nine 9-year-old children were invited, and 256...... and 16.8% of the girls were classified as overweight, and 1.6% of the boys and 6.9% of the girls as obese. Mean age, body mass, height and Ponderal index were not significantly different between sexes. Girls had a higher BMI than boys (p = 0.05). CONCLUSION: Compared to earlier Norwegian studies......, children's BMI values seem to have increased substantially. This increase is most pronounced in girls. When assessing these differences using the PI, this increase is less marked. Comparing maximal oxygen uptake data with that in earlier Nordic studies, there is no evidence that fitness has declined among...

  2. Live birth afterin vitro fertilization (ivf) in a 53 year old woman:A case report

    Orazulike NC; Oriji VK; Fiebai PO


    To report a case of live birth in a53 year old woman following assisted reproductive techniques (ART).A53-year-old civil servant who registered for antenatal care at theUniversity ofPort HarcourtTeachingHospital(UPTH) in2008 at17 weeks gestation is presented.She had conceived after4 years of infertility follow treatment by intracytoplasmic sperm injection/embryo transfer (ICSI-ET) using her husband’s sperm and donor eggs.The pregnancy was complicated by breech presentation at term.She was delivered of a healthy live male infant by elective caesarean section at38 weeks of gestation.The puerperium was complicated by hypertension, which was managed appropriately.Infertility in women of advanced reproductive age can be successfully treated with donor oocytes inNigeria.Antenatal supervision and delivery by skilled attendants is the key to achieve favourable outcome.

  3. The development of categorical perception of Mandarin tones in four- to seven-year-old children.

    Chen, Fei; Peng, Gang; Yan, Nan; Wang, Lan


    To track the course of development in children's fine-grained perception of Mandarin tones, the present study explored how categorical perception (CP) of Mandarin tones emerges along age among 70 four- to seven-year-old children and 16 adults. Prominent discrimination peaks were found for both the child and the adult groups, and they were well aligned with the corresponding identification crossovers. Moreover, six-year-olds showed a much narrower width (i.e. a sharper slope) compared to younger children, and have already acquired adult-like identification competence of Mandarin high-level and mid-rising tones. Although the ability to discriminate within-category tone pairs did not change, the between-category discrimination accuracies were positively correlated with chronological ages among child participants. We assume that the perceptual refinement of Mandarin tones in young children may be driven by an accumulation of perceptual development from the tonal information of the ambient sound input.


    Dybinska Ewa


    Full Text Available The aim of this paper was to test fitness levels of chosen parameters in the respiratory system in comparison to sports results in a group of 100m medley 14-year old male and female swimmers. The main measurement method was based on immediate observation of the following variables: a The fitness level of particular parameters in the respiratory system, b The level of swimming fitness. Based on the detailed analysis of the chosen respiratory parameter levels among 14-year old male and female swimmers in relation to their sports result in 100m medley distance, the following general statements have been formulated: the average levels of the chosen respiratory parameters estimated, in most of the cases, above average, especially among female swimmers.

  5. Arthroscopic excision of acetabular osteoid osteoma in a 7-year-old patient.

    Aşık, Mehmet; Erşen, Ali; Polat, Gökhan; Bilgili, Fuat; Tunalı, Onur


    The purpose of this study was to present the case report of a 7-year-old patient who was treated with hip arthroscopy for an acetabular osteoid osteoma. A 7-year-old patient was referred to our clinic with hip pain. In the assessment of the patient, an acetabular osteoid osteoma was detected in his right hip; it was adjacent to his triradiate cartilage. An arthroscopic surgery was planned as an alternative to open safe hip dislocation. The osteoid osteoma was completely removed with hip arthroscopy. Postoperative CT scanning and histopathological analysis confirmed the diagnosis. Exposure of the acetabulum can be problematic in paediatric patients due to the potential risks of open safe dislocation. Hip arthroscopy can safely be used for benign hip lesions in paediatric patients. Level of evidence Case report, Level V.

  6. Factors Affecting the IQ of Preterm Born Children of 4-6 Years Old

    Shokofeh Radfar


    Full Text Available Background: This research was carry out with aim of study of factors affecting the IQ of children 4-6 years old born preterm. Materials and Methods: This analytical-cross sectional study was carried out on 102 premature children with age 4-6 years old during years 2004 to 2006. The tools used in this study were Wechsler intelligence scale for children and questioner including demographical characteristic. In this study we used t-test and spearman correlation and also SPSS-18 was used to analyze data. Results: In this study there was statistical relationship between normal child development and gestational age, birth weight, maternal education, multiple pregnancies, but there were not any statistical significant relationship between the history of preterm birth and child s gender, consanguinity parents, apgar, mother job. Conclusion: IQ in preterm babies who admitted in the NICU was lower than non-admitted preterm or term babies.

  7. [Assessment of fruit and vegetable intake among the 50-year-old population of Wroclaw].

    Ilow, Rafał; Regulska-Ilow, Bozena; Misiewicz, Dominika; Rózańska, Dorota; Kowalisko, Alicja; Biernat, Jadwiga


    Intake of fruit and vegetable among 50-year-old population of Wroclaw and the impact of education level on the consumption of fruits and vegetables was assessed. The study group was 50-year-old, 1520 inhabitants of Wroclaw (879 women and 641 men), who participated in 2008 in the Cardiovascular Diseases Prevention Program organized by the Health Division of the Municipal Office in Wroclaw. To assess fruit and vegetable intake Food Frequency Questionnaire (FFQ) was used. The mean daily intake of vegetables and fruit was 289,4 g for women and 209,1 g for men. Women consumed significantly more vegetables, fruits, and the amounts of fruits and vegetables compared with men. The impact of educational level on fruit and vegetable consumption in the study group was found.

  8. Live birth after in vitro fertilization (ivf in a 53 year old woman: A case report

    NC Orazulike


    Full Text Available To report a case of live birth in a 53 year old woman following assisted reproductive techniques (ART. A 53-year-old civil servant who registered for antenatal care at the University of Port Harcourt Teaching Hospital (UPTH in 2008 at 17 weeks gestation is presented. She had conceived after 4 years of infertility follow treatment by intracytoplasmic sperm injection/embryo transfer (ICSI-ET using her husband's sperm and donor eggs. The pregnancy was complicated by breech presentation at term. She was delivered of a healthy live male infant by elective caesarean section at 38 weeks of gestation. The puerperium was complicated by hypertension, which was managed appropriately. Infertility in women of advanced reproductive age can be successfully treated with donor oocytes in Nigeria. Antenatal supervision and delivery by skilled attendants is the key to achieve favourable outcome.

  9. Cross-national differences in grip strength among 50+ year old Europeans

    Andersen-Ranberg, Karen; Petersen, Inge; Frederiksen, Henrik;


    , education, health and socioeconomic status. The relative excess was found to be 11% and the absolute difference 5.0 kg for 50- to 54-year-old men, increasing to 28% and 6.9 kg among 80+ year-old men. The corresponding figures for women were 16% and 4.3 kg, and 21% and 3.5 kg, respectively. Southern European...... with higher rates of functional decline and mortality, and thus may be used as a health indicator, it is of interest to examine whether the results on extremely old can be reproduced in a large-scale European survey. GS was measured in a cross-sectional population-based sample of 27,456 individuals aged 50...

  10. Castleman’s Disease Associated with Mitral Valve Prolapse in a 22 Years Old Patient

    M. Vaziri


    Full Text Available Introduction: Chronic granulomatous disease (CGD is an inherited disorder of phagocyte function. The defect of intracellular killing in phagocytes is the cause of recurrent pyogenic infection of patients. Clinical presentations and infections mostly occur during the first 2 years of life and early diagnosis of disease can prevent or decrease the rates of recurrence of infections and mortality.Case Report: This case report represents a 21 years old man who was admitted and underwent repeated surgery due to pyogenic infections for CGD. The second case was his 20 years old sister who was underwent surgery due to cervical abscess.Conclusion: This case-report implies that CGD may rarely go undiagnosed until adulthood, so in adults who develop recurrent pyogenic infection, we should be suspicious to CGD, and Nitroblue tetrazolium test is the convenient method for its diagnosis.

  11. Nitrogen forms in 1- to 7-year-old opencast lignite mine soils

    Gil-Sotres, F.; Leiros, M.C.; Trasar-Cepeda, M.C.; Saa, A.; Gonzalez-Sangregorio, M.V. (Facultad de Farmacia, Santiago de Compostela (Spain). Dept. de Edafologia y Quimica Agricola)


    The distribution of different forms of N was studied in very young (0- to 7-year-old) soils from the Meirama lignite mine in northwest Spain. Total N increased rapidly with soil age, largely in the humic acid-associated fraction. Acid hydrolysis indicated that amino acid N and a hydrolysable unknown form of N increased with soil age. The fractionation reported by Bettany et al. (1980) indicated that alkali/pyrophosphate-extractable humus increased with soil age. All these data suggest that there is rapid stabilization of organic N during the first few years of evolution of these mine soils, to the extent that distribution of N forms in the 7-year old soil is very similar to that in native soils. 23 refs., 2 figs., 6 tabs.


    Jagiello Wladyslaw


    Full Text Available Purpose: The purpose of the research was to determine basic technical skills (throws in 17-19-year-old judokas and the level of their performance. Material: The study involved 30 judo athletes (aged 17-19. Results: To determine the athletes’ basic technical skills (throws, an analysis of source materials and a diagnostic survey were used. To determine the level of technical skills, the method of expert assessment was applied. Statistical software package Statistica 8 was used in the statistical analysis. In the coaches’ opinion, 17-19-year-old judokas have a specific, characteristic of this age group, set of basic technical skills (throws aptly defining their technical preparation. Conclusions: The tested group of judokas exhibited the highest level of demonstrating throws of the koshi-waza (hip group, and the lowest one of the ashi-waza (foot group.

  13. Bone Mineral Density in 10 to75 Year-Old Iranian Healthy Women: Population Base Study

    M Pajouhi


    Full Text Available Osteoporosis is a major public health problem in Iran. Bone densitometry is used to diagnose osteopenia and osteoporosis and if necessary, prevent bone fractures, especially that of femoral neck. Bone density is related to several factors including race, age, sex, environmental factors and nutrition. No comprehensive study has been performed in Iran, yet. Among the 10 to 75 year-old population living in Tehran, after excluding those who suffered from conditions affecting bone metabolism, 600 people were randomly selected from 50 clusters. All participants underwent a clinical examination and lumbar and spinal densitometry using DXA method. Prevalence of osteoporosis and osteopenia in women older than 50, was 28.1% and 53.3%, respectively. Prevalence of osteopenia and osteoporosis was higher in our study population. Peak bone density in the 25-35 -year-old population could be useful in policy-making for prevention and treatment of osteoporosis.

  14. Bone Mineral Density in 10 to75 Year-Old Iranian Healthy Women: Population Base Study

    M Pajouhi


    Full Text Available Osteoporosis is a major public health problem in Iran. Bone densitometry is used to diagnose osteopenia and osteoporosis and if necessary, prevent bone fractures, especially that of femoral neck. Bone density is related to several factors including race, age, sex, environmental factors and nutrition. No comprehensive study has been performed in Iran, yet. Among the 10 to 75 year-old population living in Tehran, after excluding those who suffered from conditions affecting bone metabolism, 600 people were randomly selected from 50 clusters. All participants underwent a clinical examination and lumbar and spinal densitometry using DXA method. Prevalence of osteoporosis and osteopenia in women older than 50, was 28.1% and 53.3%, respectively. Prevalence of osteopenia and osteoporosis was higher in our study population. Peak bone density in the 25-35 -year-old population could be useful in policy-making for prevention and treatment of osteoporosis.

  15. Occupational exposure during pregnancy and the risk of hay fever in 7-year-old children

    Christensen, Berit Hvass; Thulstrup, Ane Marie; Hougaard, Karin Sørig;


    OBJECTIVES: The prevalence of allergic diseases including hay fever has increased in the last decades, especially in Westernised countries. The aim of this study was to analyse whether occupational exposure during pregnancy is associated with development of hay fever in 7-year-old Danish children....... METHODS: A total of 42 696 women and their children from the Danish National Birth Cohort were categorised according to maternal occupational exposure. Exposure information was obtained by combining job title in pregnancy with a commonly used asthma Job Exposure Matrix. Information on hay fever...... in the child was obtained by an internet questionnaire at follow-up at 7 years of age. RESULTS: Adjusted logistic regression analyses showed no significant association between maternal occupational exposure during pregnancy and hay fever among the 7-year-old children. Stratifying for atopic status...

  16. The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

    Lee, Jin-Young; Moon, Seong-Hwan; Kim, Han Jo; Park, Moon Soo; Suh, Bo-Kyung; Nam, Ji Hoon; Jung, Jae Kyun; Lee, Hwan-Mo


    Purpose School screening allows for early detection and early treatment of scoliosis, with the purpose of reducing the number of patients requiring surgical treatment. Children between 10 and 14 years old are considered as good candidates for school screening tests of scoliosis. The purpose of the present study was to assess the epidemiological findings of idiopathic scoliosis in 11-year-old Korean adolescents. Materials and Methods A total of 37856 11-year-old adolescents were screened for s...

  17. Do Parents’ Exercise Habits Predict 13–18-Year-Old Adolescents’ Involvement in Sport?

    Saulius Sukys, Daiva Majauskienė, Vida J. Cesnaitiene, Diana Karanauskiene


    Full Text Available This study examined links between parents’ exercise habits and adolescents’ participation in sports activities, considering the aspects of gender and age. It was hypothesized that regular exercise by both parents would be related to children’s involvement in sport regardless of their gender and age. Moreover, it was hypothesized that children’s sports activities would be more strongly related to their father’s exercise activities. The study also examined the links between parents’ exercise habits and children’s motivation for sports. It was hypothesized that competition motives would be more important for children whose parents exercised regularly. The research sample included 2335 students from the seventh (n = 857, ninth (n = 960 and eleventh (n = 518 grades of various Lithuanian schools. The study used a questionnaire survey method, which revealed the links between parents’ exercise habits and their children’s participation in sport. Assessment of data for girls and boys showed that daughters’ participation in sport could be predicted by both their fathers’ and mothers’ exercise habits, but sons’ sports activities could be predicted only by the regular physical activities of their fathers. The assessment of children’s sporting activities according to age revealed links between parental exercising and the engagement of older (15–16 years old, but not younger adolescents (13–14 years old. Analysis of sports motivation showed that competition motives were more important for boys than for girls. Fitness, well-being and appearance motives were more important for older adolescents (15–18 years old, while competition motives were more important for younger adolescents (13–14 years old. Research revealed the relationship between children’s sport motives and fathers’ exercise habits, while examination of mothers’ exercise revealed no difference.

  18. Patterns of language and auditory dysfunction in 6-year-old children with epilepsy

    Selassie, Gunilla Rejnö-Habte; Olsson, Ingrid; Jennische, Margareta


    In a previous study we reported difficulty with expressive language and visuoperceptual ability in preschool children with epilepsy and otherwise normal development. The present study analysed speech and language dysfunction for each individual in relation to epilepsy variables, ear preference, and intelligence in these children and described their auditory function. Twenty 6-year-old children with epilepsy (14 females, 6 males; mean age 6:5 y, range 6 y–6 y 11 mo) and 30 reference children w...

  19. Development of a Deflection Measurement System for the Hybrid III Six-Year Old Biofidelic Abdomen


    Despite advancements in automotive safety, motor vehicle collisions remain the leading cause of unintentional death for children ages 5 to 14. Enhancement of child occupant protection depends on the ability to accurately assess the effectiveness of restraint systems. Booster seat design and proper belt fit require evaluation using child anthropomorphic test devices, yet biofidelity of the abdomen and pelvis of the current anthropomorphic test device, the Hybrid III 6-year-old, needs improveme...

  20. Clostridium perfringens Bacteremia in an 85-Year-Old Diabetic Man

    Mirrakhimov, Aibek E.; Gopika Chandra; Prakruthi Voore; Maliha Khan; Oleksandr Halytskyy; Ahmed Elhassan; Ali, Alaa M.


    Emphysematous cholecystitis is an uncommon and dangerous complication of acute cholecystitis. Common risk factors for this disease include male gender, old age, presence of diabetes mellitus and cholelithiasis. The disease is best treated with emergent surgery and parenteral antibiotics. We present the case of an 85-year-old nursing home resident who presented to our institution with a 3-day history of gradually worsening abdominal discomfort.

  1. Clostridium perfringens Bacteremia in an 85-Year-Old Diabetic Man.

    Mirrakhimov, Aibek E; Chandra, Gopika; Voore, Prakruthi; Khan, Maliha; Halytskyy, Oleksandr; Elhassan, Ahmed; Ali, Alaa M


    Emphysematous cholecystitis is an uncommon and dangerous complication of acute cholecystitis. Common risk factors for this disease include male gender, old age, presence of diabetes mellitus and cholelithiasis. The disease is best treated with emergent surgery and parenteral antibiotics. We present the case of an 85-year-old nursing home resident who presented to our institution with a 3-day history of gradually worsening abdominal discomfort.

  2. Clostridium perfringens Bacteremia in an 85-Year-Old Diabetic Man

    Aibek E. Mirrakhimov


    Full Text Available Emphysematous cholecystitis is an uncommon and dangerous complication of acute cholecystitis. Common risk factors for this disease include male gender, old age, presence of diabetes mellitus and cholelithiasis. The disease is best treated with emergent surgery and parenteral antibiotics. We present the case of an 85-year-old nursing home resident who presented to our institution with a 3-day history of gradually worsening abdominal discomfort.

  3. Risperidone-induced enuresis in a 12-year-old child

    Reetika Dikshit


    Full Text Available Risperidone has been documented to be effective in the management of behavior problems, aggression, and conduct disorder in children. While metabolic side effects like weight gain and obesity have been attributed to Risperidone use in children, side effects of the drug related to the urinary bladder are rare. We present a case of Risperidone-induced enuresis in a 12-year-old boy with conduct disorder that resolved completely after stopping the medication.

  4. Risperidone-induced Enuresis in a 12-year-old Child

    Dikshit, Reetika; Karia, Sagar; De Sousa, Avinash


    Risperidone has been documented to be effective in the management of behavior problems, aggression, and conduct disorder in children. While metabolic side effects like weight gain and obesity have been attributed to Risperidone use in children, side effects of the drug related to the urinary bladder are rare. We present a case of Risperidone-induced enuresis in a 12-year-old boy with conduct disorder that resolved completely after stopping the medication. PMID:28149096

  5. Ovarian mucinous cystadenocarcinoma in 17-year-old girl : a case report

    Lee, Jong Koo; Ko, Jae Kook; Moon, Hee Jung; Kim, Mi Young; Yu, Hyun; Shin, Hyun Ja; Seo, Kung Yong; Kim, Jeong Rye [Korea Veterans' Hospital, Seoul (Korea, Republic of)


    Malignant epithelial neoplasm usually occurs in postmenopausal women, with less than 10% of cases occurring in women under the age of 20. In patients below this age, the majority of ovarian tumors are of germ cell origin and malignant ovarian epithelial tumors are uncommon. We report US and CT imaging in a case of mucinous cystadenocarcinoma in a 17-year-old nullipara who complained of amenorrhea for 45 days and a palpable mass.

  6. Solitary Atypical Adenomatous Hyperplasia in a 12-Year-Old Girl.

    Jin, Moran; Lee, Yang-Haeng; Kim, Bomi; Yoon, Young Chul; Wi, Jin Hong


    Atypical adenomatous hyperplasia is a premalignant lesion reflecting a focal proliferation of atypical cells. These lesions are usually observed as incidental findings in lungs that have been resected due to other conditions, such as lung cancer. We report the youngest case of atypical adenomatous hyperplasia on record in a 12-year-old girl. In this patient, the lesion was found in association with pneumothorax.

  7. Secretory Carcinoma in a 79- Year-Old Woman: An Exceptionally Rare Type of Breast Carcinoma

    Posso, Veronica; Redrobán, Ligia


    Secretory breast carcinoma is an exceptionally rare mammary gland neoplasia described mainly in adult females and children of both sexes, and very rarely in the elderly. It has particular histopathological and immunohistochemical features and a favorable prognosis. We report the case of a 79-year-old Hispanic woman with a palpable breast mass. Currently, the patient is disease free after a followup period of 6 years without local recurrence or axillary lymph-nodes nor distant metastases. PMID:28058101

  8. Supraorbital blowin fracture presenting as an ocular dystopia in a nine-year-old girl.

    Nallamothu, Ranganadh; Kallam, Shanmukha Reddy; Gunturu, Srikanth; Singh, Sukumar; Rachalapally, Vijay Kumar


    A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed.

  9. 0 to 5 year-old children hearing appraisal by encephalic trunk audition evoked potentials

    Bustamante Mejía, César; Unidad de Otoneurología, Sección Otorrinolaringología, Hospital Central de la Fuerza Aérea del Perú, Lima, Perú


    OBJECTIVE: To analyze hearing development and maturation from 0 to 5 years of age by evaluating latency times with encephalic trunk audition evoked potentials (AEP). MATERIAL AND METHODS: Forty-four 0 to 5 year-old patients were grouped by age and AEP performed with identical parameters; all patients were sedated to avoid interference. RESULTS: Latency times decreased as age increased, denoting age/latency time (V wave) relation as indicator of hearing development and maturation. CONclusiOn: ...

  10. A 26-Year-Old Retained Demised Abdominal Pregnancy Presenting with Umbilical Fistula

    Nnadi Daniel


    Full Text Available This is a report on a 72-year-old postmenopausal woman who presented with passage of fetal bones through an umbilical fistula. She was diagnosed as a case of demised abdominal pregnancy, which had been retained for 26 years. She subsequently had exploratory laparotomy, evacuation of the abdominal pregnancy, hysterectomy, and bowel resection. The patient’s condition remained unstable throughout the postoperative period and she died from septicemia on the eleventh day.

  11. Coronary Bypass Surgery in a 105-Year-Old Patient with Cardiopulmonary Bypass

    Temucin Noyan Ogus


    Full Text Available Coronary artery bypass grafting is one of the routine daily surgical procedures in the current era. Parallel to the increasing life expectancy, cardiac surgery is commonly performed in octogenarians. However, literature consists of only seldom reports of coronary artery bypass grafting in patients above 90 years of age. In this report, we present our management strategy in a 105-year-old patient who underwent coronary artery bypass grafting at our institution.

  12. Case report 536: Chronic tophaceous gout in a 17-year-old male

    Garagiola, D.M.; Braunstein, E.M. (Indiana Univ., Indianapolis (USA). Dept. of Radiology); Clark, S.A. (Indiana Univ., Indianapolis, IN (USA). Dept. of Pathology); Colyer, R.A. (Indiana Univ., Indianapolis, IN (USA). Dept. of Orthopaedics)


    We have presented a case of gout with destructive arthritis of the first metatarsophalangeal joint in a seventeen year old boy. The diagnosis was not suspected due to the patient's age and the presentation as an expanding lesion of the base of the phalanx. Renal insufficiency may have contributed to the early onset of the disease, but even in chronic renal failure secondary gout is rare. (orig./GDG).

  13. Pulmonary Aspergillosis in a Previously Healthy 13-Year-Old Boy

    Jonathan H. Rayment


    Full Text Available Chronic granulomatous disease (CGD is a rare, polygenic primary immunodeficiency. In this case report, we describe a previously healthy 13-year-old boy who presented with multifocal pulmonary aspergillosis and was subsequently diagnosed with an autosomal recessive form of chronic granulomatous disease. CGD has a variable natural history and age of presentation and should be considered when investigating a patient with recurrent or severe infections with catalase-positive organisms.

  14. Occlusal characteristics in 3-year-old children – results of a birth cohort study

    Wagner, Yvonne; Heinrich-Weltzien, Roswitha


    Background Aim of this prospective study was to determine prevalence of malocclusion and associated risk factors in 3-year-old Thuringian children. Methods Subjects (n = 377) were participants in a regional oral health programme, a birth cohort study with the aim to prevent caries (German Clinical Trials Register DRKS00003438). Children received continuous dental care since birth. Occlusal characteristics (overjet, overbite, anterior open bite, canine relationship and posterior crossbite) wer...

  15. Prevalence of Malocclusion in 13-15 Year-old Adolescents in Tabriz

    Ahangar Atashi, Mohammad Hossein


    Background and aims Malocclusion with its great hazardous effects seems to have become more prevalent in recent decades; therefore, the present study was carried out to assess the prevalence of different malocclusions among 13-15 year-old adolescents in Tabriz. Materials and methods The subjects in the present study consisted of 398 adolescents aged 13-15, who were randomly selected from 5 different districts of the city. Students who had previous orthodontic treatment or extraction of any pe...

  16. Metaphoric Car Drawings By a 12-Year-Old Congenitally Blind Girl.

    Chao, Hsin-Yi; Kennedy, John M


    A 12-year-old congenitally-blind girl drew a car moving, stationary, and braking. For stationary, she put the wheels inside the car and, for braking, drew the wheels as rough rectangles. At the age verbal metaphor is understood (Winner, 1988), the girl invented metaphoric drawings. In these, what is shown is not what is meant. In late childhood, metaphor may be understood similarly in pictures and words and by the sighted and blind.

  17. Recurrent sigmoid volvulus associated with eventration of diaphragm in a twenty-six-year-old man.

    Prabhu, Shailesh Mukund; Venkatesan, Bhuvaneswari; Shetty, Gurucharan; Narula, Mahender Kaur; Chauhan, Udit; Udiya, Alok Kumar


    Recurrent sigmoid volvulus is a clinical entity characterized by recurrent episodes of partial or complete sigmoid volvulus. Although it is commonly seen in the elderly, it can be occasionally seen in younger patients. Patients with recurrent partial sigmoid volvulus are relatively asymptomatic or present with mild abdominal pain. Early diagnosis and treatment is essential to prevent conversion to acute gangrenous volvulus. We present a case of recurrent partial sigmoid volvulus in association with eventration of diaphragm in a 26-year-old man.

  18. Concurrent Testicular and Bladder Cancer in a 57-year-old Man

    Esther Han


    Full Text Available We present a rare finding of concurrent right testis non-seminomatous mixed germ cell tumor and muscle invasive urothelial carcinoma of the bladder in a 57-year-old homeless man. The socioeconomic factors and the disease presentation caused a treatment dilemma in terms of the appropriate type of neoadjuvant chemotherapy. The patient ultimately underwent upfront surgery with retroperitoneal lymph node dissection and radical cystoprostatectomy followed by adjuvant cisplatin-based chemotherapy.

  19. Concurrent Testicular and Bladder Cancer in a 57-year-old Man

    Esther Han; Stein, Daniel M.; Dongping Shi; Ranko Miocinovic


    We present a rare finding of concurrent right testis non-seminomatous mixed germ cell tumor and muscle invasive urothelial carcinoma of the bladder in a 57-year-old homeless man. The socioeconomic factors and the disease presentation caused a treatment dilemma in terms of the appropriate type of neoadjuvant chemotherapy. The patient ultimately underwent upfront surgery with retroperitoneal lymph node dissection and radical cystoprostatectomy followed by adjuvant cisplatin-based chemotherapy.

  20. Intrathyroidal thymic tissue mimicking a malignant thyroid nodule in a 4-year-old child

    So Hyun Park


    Full Text Available

    Intrathyroidal thymic tissue is rare and may be confused with a malignant thyroid nodule because of hyperechoic dots mimicking calcifications. We report the case of a thyroid nodule with malignant ultrasonographic findings in a 4-year-old child, which was confirmed cytologically as ectopic thymic tissue. The sonographic findings of ectopic thymus were similar to those of the thymus; therefore, clinicians should be familiar with ultrasonography findings of normal thymic tissue.

  1. [19-year-old kick-boxer with hematemesis and splenomegaly].

    Wobser, H; Schölmerich, J; Büttner, R


    Traumatic portal vein thrombosis is a rare cause of nonmalignant, noncirrhotic portal hypertension. We report a case of a 19-year old patient, who presented with variceal bleeding and splenomegaly. Diagnosis was based on the history of kickboxing and an otherwise negative etiological investigation. The patient underwent endoscopic therapy and portosystemic shunt operation (Warren-shunt) due to cavernous transformation and severe hypersplenism. Thereafter the patient remained asymptomatic.

  2. Acquired capillary hemangioma of the eyelid in a 49-year-old woman from Turkey

    Sertac Argun Kivanc


    Full Text Available A 49-year-old woman developed a dark brown nodular mass in the lower eyelid. The lesion had grown fast for 2 months and then had remained stable in size. Excisional biopsy was performed. Histopathological examination of an excisional biopsy specimen pointed to proliferative vessels lined by increased endothelial cells without nuclear atypism. The nodular mass evaluated as a capillary hemangioma.

  3. Nutritional Situation Assessment of 65 Years Old Patient Who Applicate to Emergency Department

    Ižsmail Nalbur


    Full Text Available Aim: In this study.we want to purpose that nutritinos and socio-demographic situations who over 65 years old patients come in one of the most important 3rd degree hospital emergeny department. Material and Method: We practice Mini Nutritional Assessment test descriptive and forward-looking on 93 women and 111 men totally 204 patients between 15.03.2014-30.03.2014 who applicate emergency department. Results: In these group % 68.61 0f patient was between 65-79 years old; % 31.39 of was patient over 80 years old. After Mini Nutritional Assessment test results patient of % 60.8 in Group 1; % 18.6 in Group 2; % 20.6 in Group 3. However in Goup1 and 2 there was no important difference between gender (p=0.196, p=0.216; in Group 3 male gender was meaningful more than female (p=0.024. In Group 1 and Group 2 65-79 years old patient group was meaningful more than 80 years ol patient group (p=0.02, p=0.017. In Group 3 there was no difference beween in these groups (p=0.109. In this study groups there was meaningful difference between age and weight (p<0.001, there was no diffeence for height (p=0.722. In Group 2 avarege of arm circumference and calf circumference higher than Group 3 (p=0.010, p=0.016. In this study patients who hospitalized in intensive care unit after this treatmet in emergengy department meaningful more than Group 1 and 2 (p=0.038. Discussion: Early diagnosis of malnutrition in elderly patient who applicate emergengy department is important for treatment.

  4. A bilobed testicle diagnosed with ultrasound in an 18-year-old boy

    Farzaneh Hekmatnia


    Full Text Available Bilobed testicle is a very rare congenital malformation with an unknown etiology. Herein, we report an 18-year-old boy presented with a right-bilobed testicle mimicking a testicular tumor. The present case highlights the importance of considering bilobed testicle as a valuable differential diagnosis of testicular mass to prevent unnecessary surgery. Furthermore, the case could provide more information about presentation and management of bilobed testicle.

  5. Total Body Fat Content versus BMI in 4-Year-Old Healthy Swedish Children

    Elisabet Forsum; Eva Flinke Carlsson; Hanna Henriksson; Pontus Henriksson; Marie Löf


    Childhood overweight and obesity, a worldwide problem, is generally identified using BMI (body mass index). However, this application of BMI has been little investigated in children below 5 years of age due to a lack of appropriate methods to assess body composition. Therefore, we used air displacement plethysmography (ADP) to study 4.4-year old boys and girls since this method is accurate in young children if they accept the requirements of the measurement. The purpose was to analyze the rel...

  6. Complete paroxysmal atrioventricular block in a 2-year-old girl

    Holst, Line M; Dixen, Ulrik; Jeppesen, Dorthe L


    We present a case of atypical syncope in a 2-year-old, otherwise healthy girl. The patient presented with three episodes of syncope without any precipitating factors and no family history of sudden unexpected death. Holter monitoring revealed 24 events of complete atrioventricular block lasting u...... to 6 seconds. A normal 12-lead electrocardiogram does not necessarily exclude cardiac disease, and Holter monitoring is warranted in children with atypical syncope....

  7. Clinical Reasoning: A 39-year-old man with abdominal cramps

    Jaiser, Stephan R.; Baker, Mark R; Whittaker, Roger G.; Birchall, Daniel; Chinnery, Patrick F.


    A 39-year-old lawyer presented with intermittent spasms and pain in his abdominal muscles, particularly the right upper quadrant. These had occurred since his mid-20s and there had been long asymptomatic periods, including 8 years prior to the most recent 4-month exacerbation. Trivial movement triggered a spasm of the abdominal muscles, leading to severe pain, which made breathing uncomfortable and interfered with sleep. The symptoms subsided spontaneously after 4 to 5 days, leaving him with ...

  8. Multimodal Imaging after Sudden Cardiac Arrest in an 18-Year-Old Athlete

    Rehman, Mobeen Ur; Atalay, Michael K.; Broderick, Ryan J.


    We report the case of a previously healthy 18-year-old male athlete who twice presented with sudden cardiac arrest. Our use of electrocardiography, echocardiography, cardiac magnetic resonance, coronary angiography, coronary computed tomographic angiography, and nuclear stress testing enabled the diagnoses of apical hypertrophic cardiomyopathy and anomalous origin of the right coronary artery. We discuss the patient's treatment and note the useful role of multiple cardiovascular imaging methods in cases of sudden cardiac arrest. PMID:26664308

  9. Intrathyroidal thymic tissue mimicking a malignant thyroid nodule in a 4-year-old child

    Park, So Hyun [Dept. of Radiology, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul (Korea, Republic of); Ryu, Chang Woo; Kim, Gou Young; Shim, Kye Shik [Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul (Korea, Republic of)


    Intrathyroidal thymic tissue is rare and may be confused with a malignant thyroid nodule because of hyperechoic dots mimicking calcifications. We report the case of a thyroid nodule with malignant ultrasonographic findings in a 4-year-old child, which was confirmed cytologically as ectopic thymic tissue. The sonographic findings of ectopic thymus were similar to those of the thymus; therefore, clinicians should be familiar with ultrasonography findings of normal thymic tissue.

  10. Giant epicardial cyst presenting as acute cardiac tamponade in a 2-year-old boy.

    Masuoka, Ayumu; Sakurai, Hayato; Shiraishi, Masahisa; Yoshiba, Shigeki; Katogi, Toshiyuki; Suzuki, Takaaki


    Cystic structures within the pericardial cavity are rare. They are divided into epicardial and pericardial variants. Pericardial and epicardial cysts rarely cause symptoms. This report describes a case of epicardial cyst with acute cardiac tamponade in a 2-year-old boy with no previous cardiac history who was transferred to our hospital because of hemodynamic instability. Emergency drainage of the pericardial effusion and complete excision of the cyst were performed through a median full sternotomy.

  11. Susac′s syndrome in a 27-Year-Old female

    Mohsen Adelpoor


    Full Text Available A 27-year-old woman was referred by the neurologist for ophthalmic examination. She had a history of headache, visual loss in her right eye, four-limb paresthesia, and behavioral changes over the previous 10 months. The patient complained of tinnitus and hearing loss for two weeks. The patient was initially diagnosed with multiple sclerosis, but auditory and retinal involvement (small branch retinal artery occlusion in fluorescein angiography raised the possibility of Susac′s syndrome.

  12. Superior cerebellar aneurysm causing subarachnoid haemorrhage in a 17-year-old with alagille syndrome.

    O'Connell, David


    Alagille syndrome is a rare autosomal dominant condition characterised by mutation in Jagged1 gene. Intracranial aneurysms may be seen in this condition and may present as subarachnoid hemorrhage. We describe the first case of superior cerebellar aneurysm rupture causing WFNS grade 1 subarachnoid haemorrhage in a 17-year-old girl. The clinical condition and management of this rare occurrence is discussed with a review of literature.

  13. Supraorbital Blowin Fracture Presenting as an Ocular Dystopia in a Nine-Year-Old Girl

    Ranganadh Nallamothu


    Full Text Available A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed.

  14. Facial reconstruction of a 3500-year-old Egyptian mummy using axial computed tomography.

    Hill, B; Macleod, I; Watson, L


    Rebuilding faces from skulls presented for forensic identification or of historical importance has been carried out for many years using standardized methods. However, the reproduction of the face of a 3500-year-old mummy still enclosed in its cartonnage proved to be an unusual challenge. The face had to be rebuilt without opening the cartonnage to ensure preservation of the remains. Consequently, the method devised involved using the latest medical imaging technology to determine the shape of the skull.

  15. Clivus osteomyelitis secondary to Enterococcus faecium infection in a 6-year-old girl.

    Rusconi, R; Bergamaschi, S; Cazzavillan, A; Carnelli, V


    A 6-year-old girl was diagnosed to suffer from clivus osteomyelitis secondary to Enterococcus faecium infection. On the basis of the magnetic resonance image, the abscess was drained via the posterior wall of the pharyngeal tract immediately. Subsequent antibiotic therapy allowed rapid improvement and long-term healing of the osteomyelitic process without any side effect. Osteomyelitis or abscess of the clivus is very rare in adult patients and extremely rare in children. Some etiopathogenetic hypotheses are discussed in this case.

  16. A 25-year-old man with 50 teeth: Astonishing but true!!

    Bhatia, Vishwas; Jain, Nitul; Bhatia, Garima; Garg, Rakesh


    Retained primary teeth is a well-known process but multiple retained primary, permanent, and supernumerary teeth that too in an asymptomatic, non-syndromic patient is a rare possibility that has rarely been reported in literature. This case report discusses the clinical and radiographic details along with treatment options in a 21-year-old patient having a total number of 50 teeth, i.e., 16 retained primary teeth, 32 permanent teeth, and 2 supernumerary teeth without being associated with any...

  17. Mixed Squamous Cell and Glandular Papilloma of the Lung in a 64-Year-Old Woman

    Yun, Ju Sik; Kim, Do Wan; Choi, Yoo Duk; Na, Kook Joo; Song, Sang Yun


    Mixed squamous cell and glandular papilloma of the lung is an extremely rare benign epithelial tumor showing a mixture of squamous and glandular epithelium. Here, we report a case of mixed squamous cell and glandular papilloma that presented as a solitary nodule in the left lower lobe of a 64-year-old woman. Chest computed tomography demonstrated a lobulated mass in the basal segment of the left lower lobe. The patient underwent a lobectomy under the suspicion of lung malignancy. The histopat...

  18. Awake Tracheal Intubation in an 8-Year-Old Girl with McCune-Albright Syndrome.

    Bohman, J Kyle; Segura, Leal


    An 8-year-old girl with McCune-Albright syndrome presented for resection of a very large fibrous dysplasia mass of the face with significant distortion of the airway anatomy. She had significant obstructive sleep apnea with daytime somnolence and hemoglobin oxygen desaturations while breathing room air preoperatively. We were able to successfully manage her airway by providing IV sedation, topical anesthesia of the airway, and oral fiberoptic intubation in close collaboration with our otorhinolaryngology colleagues.

  19. Association between breakfast consumption and educational outcomes in 9–11-year-old children

    Littlecott, Hannah J; Moore, Graham F; Moore, Laurence; Lyons, Ronan A.; Murphy, Simon


    Objective Breakfast consumption has been consistently associated with health outcomes and cognitive functioning in schoolchildren. Evidence of direct links with educational outcomes remains equivocal. We aimed to examine the link between breakfast consumption in 9–11-year-old children and educational outcomes obtained 6–18 months later.\\ud Design Data on individual-level free school meal entitlement and educational outcomes (Statutory Assessment Tests (SATs) at Key Stage 2) were obtained via ...

  20. Liver abscess due to Klebsiella pneumoniae in a healthy 12-year-old boy

    Da Hye Yoon


    Full Text Available Pyogenic liver abscess (PLA is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on this subject.

  1. Fatal pulmonary thromboembolism associated with hemoglobin SC disease in a 15 year-old boy

    Thiago Trolez Amancio


    Full Text Available We report a case of hemoglobin SC disease complicated by fatal pulmonarythromboembolism in a 15 year-old Brazilian boy, submitted to autopsy. Thiscase shows the importance of early diagnosis and treatment of sickle celldisease, which generates systemic involvement in youth and the importanceof considering the hypercoagulability in these patients. The autopsy was veryinstructive, revealing the florid morphologic aspect of sickle cell disease andits complications.

  2. A 36-year-old female with Krukenberg tumor from a colonic carcinoma

    Srikanth Umakanthan


    Full Text Available Krukenberg tumor is bilateral ovarian carcinoma′s metastasizing most commonly from a gastric primary followed by a colon. We report a case of 36-year-old female with bilateral ovarian mass diagnosed as Krukenberg with a work up for locating the primary site. In this case, we discuss widely the clinical aspects with histopathological features and literature review of Krukenberg tumor.

  3. A 75-Year Old Man Complaining of Flank Pain and Obstructive Urinary Symptoms: A Case Report

    Farid Kowsari


    Full Text Available "nBenign renal cystic adenoma with out malignant features is a very rare entity. A 75 year old male with obstructive Lower tract symptoms and vague flank pain was admitted and planned for nephrectomy of non functional kidney -due to long term nephrolithiasis- intra operative finding was a cystic hydronephrotic kidney filled by thick mucous secretions which turned out to be a cyst adenoma of kidney with no malignant features.

  4. Nephrolithiasis with Bardet-Biedl syndrome in a three-year-old girl: A case report

    Meral Torun Bayram


    Full Text Available Bardet-Biedl syndrome is a multisystemic developmental disorder diagnosed on the basis of the presence of obesity, retinal defects, polydactyly, hypogonadism, renal dysfunction, and learning disabilities. Renal disease is clinically heterogeneous, but is recognized as a cardinal feature and is a major cause of mortality in BBS. We here presented a three-year-old girl with renal stone and Bardet-Biedl syndrome.

  5. An 11-Year-Old Child with Autosomal Dominant Polycystic Kidney Disease Who Presented with Nephrolithiasis

    Fatih Firinci


    Full Text Available Patients with autosomal dominant polycystic kidney disease become symptomatic and are diagnosed usually at adulthood. The rate of nephrolithiasis in these patients is 5–10 times the rate in the general population, and both anatomic and metabolic abnormalities play role in the formation of renal stones. However, nephrolithiasis is rare in childhood age group. In this paper, an 11-year-old child with autosomal dominant polycystic kidney disease presenting with nephrolithiasis is discussed.

  6. Individual, family, and neighborhood correlates of independent mobility among 7 to 11-year-olds.

    Janssen, Ian; Ferrao, Thomas; King, Nathan


    Objective. Independent mobility refers to the freedom that children have to move around their neighborhood without adult supervision. It is related to their physical activity and health. We examined the intrapersonal, family, and neighborhood correlates of independent mobility within children. Methods. 497 American parents of 6.9-11.9 year olds completed a survey (November, 2014) that assessed their child's independent mobility range, several intrapersonal characteristics of their child (gender, age, race, etc.), several characteristics of their family (family structure, socioeconomic status, parental physical activity, etc.), and their perceptions of the safety of their neighborhood (18 questions reduced to 4 components). Associations were determined using ordinal logistic regression. Results. Children's age, parent's perception that their neighborhood is safe for children, and parent's fear of neighborhood crime were the independent correlates of independent mobility. Compared to 6.9-7.9 year olds, the odds ratio (95% CI) for increasing independent mobility were 2.31 (1.47-3.64) in 8.0-9.9 year olds and 3.38 (2.13-5.36) in 10.0-11.9 year olds. Compared to children whose parents who did not perceive that their neighborhood was safe for children, the odds ratio for increasing independent mobility was 4.24 (2.68-6.70) for children whose parents perceived their neighborhood was safe for children. Compared to children whose parents had the lowest fear of neighborhood crime, the odds ratio for increasing independent mobility was 0.41 (0.27-0.62) for children whose parents had the highest fear of crime. Conclusions. Children's independent mobility was associated with their age, their parent's perception that their neighborhood was safe for children, and their parent's fear of crime.

  7. Paraurethral Leiomyoma in a 20 Year-old Woman: A Case Report

    Emily Adams-Piper


    Full Text Available We present the case of a 20 year-old woman with a vulvar mass, found to be a paraurethral leiomyoma. She subsequently underwent supermedial-approach paraurethral mass excision, distal urethral reconstruction and cystourethroscopy. Paraurethral leiomyoma make up approximately five percent of urethral tumors. This case depicts the presentation and treatment of a paraurethral leiomyoma in one of the youngest women reported in the literature.

  8. Primary omental malignant mixed Müllerian tumor in a 67-year-old woman

    魏丽惠; 王建六; 张岫屏; 崔恒; 沈丹华; 钱和年


    @@Malignant mixed Müllerian tumors (MMMTs) are highly aggressive neoplasms composed of sarcomatous and carcinomatous elements commonly encountered in the female genital tract and rarely occur in extragenital sites. Most of extragenital MMMTs develop from the peritoneum. To our knowledge, only 25 cases have been described in the literature. Among them, only 2 cases have arised in the major omentum.1 Here we report a case of a 67-year-old female with primary MMMT of the major omentum.

  9. Newly Emerging Feeding Difficulties in a 33-Year-Old Adult With CHARGE Syndrome

    Hudson, Alexandra; Blake, Kim


    Feeding and swallowing difficulties are common among individuals with CHARGE syndrome. Many children require gastrostomy tube feeding in their early years and often undergo a delay in feeding and oral-motor skill development. There is little information available on adults with CHARGE syndrome, and the feeding difficulties they face. The present case describes newly emerging mouth over-stuffing feeding behaviors and feeding difficulties in a 33-year-old adult with CHARGE syndrome who had not ...

  10. Gonococcal peritonitis diagnosed post laparotomy in a 38-year-old woman: a case report

    Wilmore, Stephanie MS; Reynolds, Carl J


    A 38-year-old South African lady with a background history of cervical intra-epithelial neoplasia and recent colposcopy presented to the emergency department with severe abdominal pain. Initial investigations were non-diagnostic and despite empirical antibiotic therapy the patient developed peritonism. Post-laprotomy the diagnosis of severe pelvic inflammatory disease and peritonitis secondary to infection with Neisseria Gonorrhoea was made.

  11. Gonococcal peritonitis diagnosed post laparotomy in a 38-year-old woman: a case report.

    Wilmore, Stephanie Ms; Reynolds, Carl J


    A 38-year-old South African lady with a background history of cervical intra-epithelial neoplasia and recent colposcopy presented to the emergency department with severe abdominal pain. Initial investigations were non-diagnostic and despite empirical antibiotic therapy the patient developed peritonism. Post-laprotomy the diagnosis of severe pelvic inflammatory disease and peritonitis secondary to infection with Neisseria Gonorrhoea was made.

  12. Bifocal Spinal Cord Injury without Radiographic Abnormalities in a 5-Year Old Boy: A Case Report

    K. G. Snoek


    Full Text Available We present the extremely unusual case of a 5-year-old boy with a bifocal (cervical as well as lumbar spinal cord injury without radiographic abnormalities (SCIWORAs. The MRI showed cord oedema at the level of C2 and T10. We propose that during the motor vehicle crash severe propulsion of the head with a flexed lumbar region resulted in a traction injury to the lower thoracic and lumbar spine and maximum flexion caused SCIWORA in C2.

  13. Trisomy 18 mosaicism in a 15-year-old boy with normal intelligence and short stature



    We report a 15-year-old boy with mosaicism for trisomy 18 and normal intelligence. Approximately 50% of his leukocytes are trisomic. This patient represents the sixth report of an individual with trisomy 18 mosaicism and normal intelligence. Those individuals with trisomy 18 mosaicism and normal intelligence need to be advised of increased risks for offspring with chromosome abnormalities and offered the option of prenatal diagnosis for cytogenetic anomalies. 6 refs.

  14. Heart and Lung Metastases From Endometrial Stromal Sarcoma in a Forty-Two-Year-Old Woman

    Shakerian, Behnam; Mandegar, Mohammad Hossein; Moradi, Bahieh; Roshanali, Farideh


    Introduction: Low-grade endometrial stromal sarcoma (LG-ESS) is a malignant intrauterine tumor that rarely presents with distant metastasis. Simultaneous lung and cardiac metastases from LG-ESS is also an extremely rare event. Case Presentation: A 42-year-old woman presented with dyspnea and exercise intolerance. She had a history of hysterectomy and left salpingoophorectomy. She underwent second laparotomy as well as right oophorectomy after new finding of vaginal mass with histopathologic d...

  15. Acute myeloid leukemia with basophilic differentiation in a 3-year-old Standardbred gelding

    Furness, Mary Catherine; Setlakwe, Emile; Sallaway, John; Wood, Darren; Fromstein, Jordan; Arroyo, Luis G.


    A 3-year-old Standardbred gelding with a history of pyrexia, persistent hemorrhage from the oral cavity, and a large, soft swelling at the junction of the caudal aspect of the mandibular rami and proximal neck was evaluated. The horse had neutropenia and anemia, with atypical granulated cells in a blood smear. Additional tests confirmed acute myeloid leukemia with basophilic differentiation, which has been reported in humans, cats, dogs, and cattle but not horses. PMID:27708445

  16. Four-Year-Olds Use a Mixture of Spatial Reference Frames.

    James Negen

    Full Text Available Keeping track of unseen objects is an important spatial skill. In order to do this, people must situate the object in terms of different frames of reference, including body position (egocentric frame of reference, landmarks in the surrounding environment (extrinsic frame reference, or other attached features (intrinsic frame of reference. Nardini et al. hid a toy in one of 12 cups in front of children, turned the array when they were not looking, and then asked them to point to the cup with the toy. This forced children to use the intrinsic frame (information about the array of cups to locate the hidden toy. Three-year-olds made systematic errors by using the wrong frame of reference, 4-year-olds were at chance, and only 5- and 6-year-olds were successful. Can we better understand the developmental change that takes place at four years? This paper uses a modelling approach to re-examine the data and distinguish three possible strategies that could lead to the previous results at four years: (1 Children were choosing cups randomly, (2 Children were pointing between the egocentric/extrinsic-cued location and the correct target, and (3 Children were pointing near the egocentric/extrinsic-cued location on some trials and near the target on the rest. Results heavily favor the last possibility: 4-year-olds were not just guessing or trying to combine the available frames of reference. They were using the intrinsic frame on some trials, but not doing so consistently. These insights suggest that accounts of improving spatial performance at 4 years need to explain why there is a mixture of responses. Further application of the selected model also suggests that children become both more reliant on the correct frame and more accurate with any chosen frame as they mature.

  17. Four-Year-Olds Use a Mixture of Spatial Reference Frames.

    Negen, James; Nardini, Marko


    Keeping track of unseen objects is an important spatial skill. In order to do this, people must situate the object in terms of different frames of reference, including body position (egocentric frame of reference), landmarks in the surrounding environment (extrinsic frame reference), or other attached features (intrinsic frame of reference). Nardini et al. hid a toy in one of 12 cups in front of children, turned the array when they were not looking, and then asked them to point to the cup with the toy. This forced children to use the intrinsic frame (information about the array of cups) to locate the hidden toy. Three-year-olds made systematic errors by using the wrong frame of reference, 4-year-olds were at chance, and only 5- and 6-year-olds were successful. Can we better understand the developmental change that takes place at four years? This paper uses a modelling approach to re-examine the data and distinguish three possible strategies that could lead to the previous results at four years: (1) Children were choosing cups randomly, (2) Children were pointing between the egocentric/extrinsic-cued location and the correct target, and (3) Children were pointing near the egocentric/extrinsic-cued location on some trials and near the target on the rest. Results heavily favor the last possibility: 4-year-olds were not just guessing or trying to combine the available frames of reference. They were using the intrinsic frame on some trials, but not doing so consistently. These insights suggest that accounts of improving spatial performance at 4 years need to explain why there is a mixture of responses. Further application of the selected model also suggests that children become both more reliant on the correct frame and more accurate with any chosen frame as they mature.

  18. Motor performance in five-year-old extracorporeal membrane oxygenation survivors: A population-based study


    textabstractIntroduction: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a cardio-pulmonary bypass technique to provide life support in acute reversible cardio-respiratory failure when conventional management is not successful. Most neonates receiving ECMO suffer from meconium aspiration syndrome (MAS), congenital diaphragmatic hernia (CDH), sepsis or persistent pulmonary hypertension (PPH). In five-year-old children who underwent VA-ECMO therapy as neonates, we assessed motor...

  19. Visual spatial cue use for guiding orientation in two-to-three-year-old children

    Danielle evan den Brink; Gabriele eJanzen


    In spatial development representations of the environment and the use of spatial cues change over time. To date, the influence of individual differences in skills relevant for orientation and navigation has not received much attention. The current study investigated orientation abilities on the basis of visual spatial cues in two-to-three-year-old children, and assessed factors that possibly influence spatial task performance. Thirty-month and 35-month-olds performed an on-screen Virtual Real...

  20. Balance and motor coordination are not fully developed in 7 years old blind children

    Navarro,Andréa Sanchez; Fukujima, Marcia Maiumi [UNIFESP; Fontes,Sissy Veloso; Matas, Sandro Luiz de Andrade [UNIFESP; Prado,Gilmar Fernandes do


    Visually impaired children show difficulties in recognizing their own bodies, objects around then and the spatial parameters that are essential for independent movement. This study analyzes the neuro-psychomotor development of a group of congenitally visually impaired children as compared to children with normal sight. We have evaluated two groups of seven-year-olds by means of neurological evolution examination (NEE). The group studied comprised 20 blind children and the control group compri...

  1. An 81-year-old male with iliopsoas abscess by Streptococcus sanguis.

    dos Santos, Vitorino Modesto; Fachinelli, Leticia Rita; Farage, Luciano; de Souza Lima, Gylseanne; Machado de Carvalho, Maira Rocha; Nogueira de Andrade, Igor Gabriel


    Iliopsoas muscle abscess is an uncommon condition, which has been growing in incidence. We describe a primary iliopsoas abscess by Streptococcus sanguis affecting an 81-year-old man cured by antibiotic therapy and aspiration procedure. The objective is to enhance the suspicion index about the iliopsoas abscess that may be mistaken for other causes of acute abdomen. The important diagnostic role of abdominal imaging studies is also emphasised.

  2. Hamartoma of the urinary bladder in a 15-year-old boy

    Al Shahwani, Noora; Alnaimi, Abdulla Rashid; Ammar, Adham; Al-ahdal, Esra M.


    Hamartoma of the bladder is an unusual entity described in only eleven patients to date. It may present as painless hematuria, irritative urinary tract symptoms, or inability to void or it may be diagnosed incidentally. Hamartoma of the bladder may be isolated or occur as part of a syndrome. No isolated bladder hamartoma to date has shown malignant potential. We describe here a bladder hamartoma in a 15-year-old boy.

  3. Hamartoma of the urinary bladder in a 15-year-old boy

    Al Shahwani, Noora; Alnaimi, Abdulla Rashid; Ammar, Adham; Al-ahdal, Esra M.


    Hamartoma of the bladder is an unusual entity described in only eleven patients to date. It may present as painless hematuria, irritative urinary tract symptoms, or inability to void or it may be diagnosed incidentally. Hamartoma of the bladder may be isolated or occur as part of a syndrome. No isolated bladder hamartoma to date has shown malignant potential. We describe here a bladder hamartoma in a 15-year-old boy. PMID:27274896

  4. [Interrupted aortic arch in a 68-year-old female with hypertension].

    Benincasa, Susanna; Fineschi, Massimo; Ceccherini, Claudio; Pierli, Carlo


    Interrupted aortic arch (IAA) is a rare congenital malformation of the aorta and aortic arch. We report the case of a 68-year-old female with hypertension and poor control of blood pressure levels. She was diagnosed with aortic coarctation by aortography during young age. A double access angiography was performed that showed a type A IAA, a rare condition in adults that may cause hypertension.

  5. Congenital Orbital Lymphangioma in a 20-Years Old Girl – Case Report and Review of Literature

    Mishra A


    Full Text Available We report a case of a 20-year-old girl who presented to the out-patients’ department with congenital, progressive unilateral proptosis and reduced vision. Ultrasound, computed tomography (CT scan and magnetic resonance imaging (MRI were performed. Diagnosis of orbital lymphangioma was made on imaging. Authors highlight the crucial role of imaging in diagnosis and to plan therapeutic approach. This case is reported because of its extreme rarity and unusual presentation.

  6. Traumatic posterior dislocation of the hip in a 3-year-old child.

    Forde, James C


    We report the case of a traumatic posterior dislocation of the hip in a 3-year-old boy. After a fall in the garden, the boy was brought to our emergency department where an x-ray confirmed a posterior dislocation of his right hip. A successful prompt reduction was performed in the operating room under general anesthesia. This uncommon injury represents an orthopedic emergency and requires prompt reduction to lessen the risk of complications including avascular necrosis of the femoral head.

  7. Laparoscopic sleeve gastrectomy for a two-and half year old morbidly obese child ☆

    Mohaidly, Mohammed Al; Suliman, Ahmed; Malawi, Horia


    INTRODUCTION Laparoscopic sleeve gastrectomy (LSG) is an accepted technique in bariatric surgery for reducing obesity. Recent reports indicate it to be effective even in children but it has not been tried in very young children. PRESENTATION OF CASE We report here a case of a 2 and half years old child subjected to LSG for his morbid obesity and associated obstructive sleep apnea and bowing of legs. LSG was performed after investigations ruled out hereditary or genetic causes of obesity. The ...

  8. The Relationship between Clinical and Chemical Hyperandrogenism in 14-18-Years- Old Girls

    Tahereh Naderi; Marzieh Akbarzadeh; Mohammad Hossain Dabbaghmanesh; Hamidreza Tabatabaee; Zahra Zareh


    Background: One of the most common endocrine disorders in women's medicine is the increased androgen and the symptoms of increased androgens in women such as polycystic ovary syndrome. The two main components to diagnose this syndrome are menstrual disorder and clinical or laboratory hyperandrogenism, but other causes should be ruled out in order to confirm the diagnosis. This study aims to examine clinical Hyperandrogenism in female students of 14 to 18 years old in Shiraz in 2010.Materials ...

  9. Prevalence of aggressive periodontitis in 15-18 years old schoolgirls in Tehran, Iran

    Sadeghi R


    Full Text Available Background and Aim: Aggressive periodontitis is one of the periodontal diseases, which affects systemically healthy individuals usually under the age of 30 years old. The disease is characterized by rapid bone destruction which is not in accordance with the quantity of bacterial plaque. The purpose of the present study was to determine the prevalence of aggressive periodontitis among 15-18 years old female students in Tehran high schools. Materials and Methods: In this cross sectional study, , 2870 students were selected from all educational areas of Tehran during 1382-83 based on systematic clustered random sampling .Probing pocket depth on 6 areas of incisors and first molars were examined in each subject. Students with pocket depth equal to or more than 4 mm on more than one tooth were referred to Shahed Dental School for radiographic examination. For cases in which the distance between the crest of interdental septa and CEJs were equal to or more than 2 mm, full clinical and radiographic examination was performed. Results: Among the subjects of study, only 4 fulfilled the diagnostic criteria of localized aggressive periodontitis. Nobody was diagnosed with generalized aggressive periodontitis. The prevalence of aggressive periodontitis among 15-18 years old schoolgirls was 0.14%. Conclusion: The results of the present study were similar to previous studies with the same age groups and diagnostic criteria in other countries. For determination of total prevalence in Tehran, similar studies in schoolboys are recommended.

  10. Three- and 4-year-old children's response tendencies to various interviewers.

    Okanda, Mako; Kanda, Takayuki; Ishiguro, Hiroshi; Itakura, Shoji


    Unlike young preschoolers, older preschoolers may exhibit a response bias under social pressure from authoritative interviewers. To examine this, 3- and 4-year-old preschoolers were asked yes-no questions about familiar and unfamiliar objects in three conditions. In one condition an adult asked them questions in a live interaction, in a second condition an adult asked questions via video, and in a third condition a robot asked questions via video. The 3-year-olds exhibited a yes bias-a tendency to say "yes"-in nearly all conditions. The only exception was when they were asked questions about unfamiliar objects by the human interviewer via video, where they did not respond in a biased manner. The 4-year-olds exhibited a yes bias in only one condition-when they were questioned by a live human interviewer about both objects. They also exhibited a nay-saying bias when asked questions about unfamiliar objects in both video conditions, and they did not show any response bias in other conditions. The results suggest that the social pressure from an authoritative adult in a live interaction is problematic.


    Frane Zuvela


    Full Text Available Inadequately adopted fundamental movement skills (FMS in early childhood may have a negative impact on the motor performance in later life (Gallahue and Ozmun, 2005. The need for an efficient FMS testing in Physical Education was recognized. The aim of this paper was to construct and validate a new FMS test for 8 year old children. Ninety-five 8 year old children were used for the testing. A total of 24 new FMS tasks were constructed and only the best representatives of movement areas entered into the final test product - FMS-POLYGON. The ICC showed high values for all 24 tasks (0.83-0.97 and the factorial analysis revealed the best representatives of each movement area that entered the FMS-POLYGON: tossing and catching the volleyball against a wall, running across obstacles, carrying the medicine balls, and straight running. The ICC for the FMS-POLYGON showed a very high result (0.98 and, therefore, confirmed the test's intra-rater reliability. Concurrent validity was tested with the use of the "Test of Gross Motor Development" (TGMD-2. Correlation analysis between the newly constructed FMS-POLYGON and the TGMD-2 revealed the coefficient of -0.82 which indicates a high correlation. In conclusion, the new test for FMS assessment proved to be a reliable and valid instrument for 8 year old children. Application of this test in schools is justified and could play an important factor in physical education and sport practice.

  12. Validity of an Athletic Skills Track among 6- to 12-year-old children.

    Hoeboer, Joris; De Vries, Sanne; Krijger-Hombergen, Michiel; Wormhoudt, René; Drent, Annelies; Krabben, Kay; Savelsbergh, Geert


    The purpose of this study was to examine the feasibility and validity of an Athletic Skills Track (AST) to assess fundamental movement skills among 6- to 12-year-old children in a physical education setting. Four hundred sixty-three Dutch children (211 girls, 252 boys) completed three tests: the Körperkoordinationstest für Kinder (KTK) and two Athletic Skills Tracks (AST-1, AST-2). The validity of AST-1 and AST-2 was examined by correlating the time (s) needed to complete the tracks and the KTK Motor Quotient (MQ). Overall, there was a low correlation between AST-1 and the KTK MQ (r = -0.474 (P year-olds. The results indicate that fundamental movement skills of 6- to 12-year-old children can be assessed with a quick, convenient and low-cost motor competence test in a physical education setting, i.e., an Athletic Skills Track. Future studies should further assess the reliability, discriminative ability and validity of age-specific versions of the AST.

  13. Evaluation of 6 and 10 Year-Old Child Human Body Models in Emergency Events


    Emergency events can influence a child’s kinematics prior to a car-crash, and thus its interaction with the restraint system. Numerical Human Body Models (HBMs) can help understand the behaviour of children in emergency events. The kinematic responses of two child HBMs–MADYMO 6 and 10 year-old models–were evaluated and compared with child volunteers’ data during emergency events–braking and steering–with a focus on the forehead and sternum displacements. The response of the 6 year-old HBM was similar to the response of the 10 year-old HBM, however both models had a different response compared with the volunteers. The forward and lateral displacements were within the range of volunteer data up to approximately 0.3 s; but then, the HBMs head and sternum moved significantly downwards, while the volunteers experienced smaller displacement and tended to come back to their initial posture. Therefore, these HBMs, originally intended for crash simulations, are not too stiff and could be able to reproduce properly emergency events thanks, for instance, to postural control. PMID:28099505

  14. [Variations in tooth decay rates among children 5 and 12 years old in Minas Gerais, Brazil].

    Lucas, Simone Dutra; Portela, Margareth Crisóstomo; Mendonça, Lisette Lobato


    The aim of this ecological study was to analyze to what extent World Health Organization goals were met in relation to dental caries in 2000 in Minas Gerais State, Brazil, identifying factors associated with variation in DMFT and the occurrence of DMFT < or = 3 among 12-year-old children and in the percentage of caries-free 5-year-olds. Secondary data from different sources were used. Linear regression and multiple logistic regression techniques were applied to the analysis of the numerical and dichotomous dependent variables. Socioeconomic and dental services supply/utilization indicators were used as potential explanatory variables. The goals expressed by DMFT < or = 3 at 12 years and a minimum of 50% caries-free 5-year-olds were met by 37% and 9% of the State's municipalities, respectively. In general the dependent variables were associated with socioeconomic level, and no associations were identified with dental care. The results should not be generalized, but they do suggest inequities in oral health and the role played by socioeconomic factors and water fluoridation.

  15. Physical training of 30–40 years old tourists skiers to ski sports hiking

    Alexander Toporkov


    Full Text Available Purpose: compare the test results obtained at different stages of physical training of tourists skiers, immediately after passing of the ski sports hiking of the third category of complexity and 14 days after hiking. Determine the effectiveness of the designed program to improve the physical readiness of 30–40 years old tourists skiers. Material and Methods: 14 people aged 30 to 40 years old who have a different experience in water, hiking and mountain as well as ski-sport hiking took part in research. Analysis of scientific and methodical literature, pedagogical observations, pedagogical experiment, methods of mathematical statistics is used. Results: the test results of 30–40 years old tourists skiers which are the participants in the experimental group received at different stages of preparation and preparatory period and the results after passing ski sports hiking of the third category of complexity are processed. Their comparative analysis is held. Conclusions: it was found that the developed training program can effectively influence the physical readiness of tourists skiers, as well as all functions and systems that contribute to the successful passage of ski sports categorized hike.

  16. Contrastive voicing acquisition in 2-year-old children: Preliminary data

    Hitchcock, Elaine R.; Koenig, Laura L.


    Earlier studies using voice-onset time (VOT) as the acoustic marker of contrastive voicing acquisition in English have differed widely in method and statistical procedures. Research in this area has shown three primary patterns of voicing acquisition for English stop consonants. One report indicates children demonstrate discrete voicing categories with adult-like VOT values as early as 2 years old. Other reports suggest a subperceptual distinction of the voicing contrast, followed by an exaggerated voicing contrast with evidence of more adult-like discrete categories by 3 years old. Still other reports suggest no distinction between the voicing categories until approximately 3 years. This work investigates voicing acquisition in three typically developing, English-speaking 2-year-old children. The subjects were recorded every 2 weeks for 4-6 months. Approximately 15-20 tokens were elicited for four target utterances containing initial /b p t d/. Frequency distribution, measures of central tendency, and skewness will be calculated for every recording session of each child. Discussion will focus on the development of contrastive VOT categories and their stability over time. These data will contribute to our understanding of laryngeal timing for English stop consonants in young children.

  17. [Life style of children and obesity in a population of 5-year-old children].

    Locard, E; Mamelle, N; Munoz, F; Miginiac, M; Billette, A; Rey, S


    The increasing level of childhood obesity has prompted some research into the early risk factors likely to lead to preventive measures. A case-control study was conducted of a five year-old population in the Rhône and Isère administrative "départements" of France during the children's first visit to primary school, with the participation of 327 obese children and 704 controls. Anthropometric data on the children since birth, together with data on their lifestyles, were collected in interviews with parents. "Family obesity" and "obesity at birth" were found to be closely related to the child's obesity at five years old (adjusted OR = 2.7 and 2.1 respectively). Of the environmental factors, the hypothesis tested paid specific attention to television viewing, snacks between meals and lack of sleep. These three variables were all found to be risk factors of obesity at five years old. However after allowing for parental obesity, the only remaining significant risk factor for obesity at five was lack of sleep (adjusted OR = 1.4). The pathogenic assumptions raised by these results are discussed.

  18. Oral hygiene, periodontal status and treatment needs among 12-year-old students, Castro, Chile, 2014.

    Mariana Wauters


    Full Text Available The present study aims to determine the level of oral hygiene, periodontal status and treatment needs, indicating if there are differences between men and women, in 12-year-old students from Castro, Los Lagos region, during March and April of 2014. A cross-sectional study was carried out. A total of 242 12-year-old students from municipal and subsidized private schools in Castro were selected through a stratified random sample representative of each school. Students were evaluated by a calibrated examiner to determine the Simplified Oral Hygiene Index (OHI-S and the Community Periodontal Index of Treatment Needs (CPITN. Data were transferred to a Microsoft Excel spreadsheet and statistically analyzed to calculate the amount and percentage of the variables. Mann-Whitney U-test was used for comparison between genders. From the total, 59.5% of the students have regular hygiene. Also, 86.4% of the assessed adolescents have gingivitis and 13.6% of them have periodontitis. The periodontal treatment need indicates that 58% of the students require oral hygiene instructions and scaling. No statistically significant differences were found for gender. There is a higher prevalence of periodontal diseases associated with regular oral hygiene than the regional and national reference in 12-year-old adolescents in Castro. Then, it is necessary to teach and promote specific public health strategies based on epidemiological data

  19. Emotion word comprehension from 4 – 16 years old: A developmental survey

    Simon Baron-Cohen


    Full Text Available Background: Whilst previous studies have examined comprehension of the emotional lexicon at different ages in typically developing children, no survey has been conducted looking at this across different ages from childhood to adolescence. Purpose: To report how the emotion lexicon grows with age. Method: Comprehension of 336 emotion words was tested in n = 377 children and adolescents, aged 4 to16 years old, divided into 6 age-bands. Parents or teachers of children under 12, or adolescents themselves, were asked to indicate which words they knew the meaning of. Results: Between 4 and 11 years old, the size of the emotional lexicon doubled every 2 years, but between 12 and 16 years old, developmental rate of growth of the emotional lexicon levelled off. This survey also allows emotion words to be ordered in terms of difficulty. Conclusions: Studies using emotion terms in English need to be developmentally sensitive, since during childhood there is considerable change. The absence of change after adolescence may be an artefact of the words included in this study. This normative developmental data-set for emotion vocabulary comprehension may be useful when testing for delays in this ability, as might arise for environmental or neurodevelopmental reasons.

  20. Sensory assessment of normal adolescents between 11 and 18 years old

    Nara Suemi Shishido


    Full Text Available Tactile sensibility allows for adequate neuropsychomotor development. In addition, it enables the understanding of the subject’s own body, actions and explorations of objects, people and the environment. Previous studies have evaluated 3 to 10 year-old children. Herein, we evaluate the tactile sensibility in adolescents. The aim of this study was to verify whether the rapid growth of the body changes the normal pattern of tactile sensibility in adolescents. Furthermore, we provide evaluation material that is easy to use, simple, and secure to handle, designed to attend the specific age range studied. Thirty-two young participants between 11 and 18 years old, sixteen males and sixteen females, were evaluated. The adolescents go to public school and present normal development patterns. Graphesthesia, stereognosia, and Semmes-Weinstein monofilament tests were performed to evaluate the sensibility on the ventral and dorsal sides of the right and left hands. A questionnaire was used to identify the relevant activities performed with the hands during the studied period. The adolescents tested were collaborative during the research and presented curiosity regarding the boxes used in the experiment. Results indicated alterations in the tactile sensibility on the dorsal side of the hands from 13-year- old males. The major activities indicated by the adolescents were writing and sports for males and writing and cleaning for females. First evidences of possible changes in the normal tactile sensibility during adolescence were observed in this study.

  1. 1- and 2-year-olds' expectations about third-party communicative actions.

    Thorgrimsson, Gudmundur B; Fawcett, Christine; Liszkowski, Ulf


    Infants expect people to direct actions toward objects, and they respond to actions directed to themselves, but do they have expectations about actions directed to third parties? In two experiments, we used eye tracking to investigate 1- and 2-year-olds' expectations about communicative actions addressed to a third party. Experiment 1 presented infants with videos where an adult (the Emitter) either uttered a sentence or produced non-speech sounds. The Emitter was either face-to-face with another adult (the Recipient) or the two were back-to-back. The Recipient did not respond to any of the sounds. We found that 2-, but not 1-year-olds looked quicker and longer at the Recipient following speech than non-speech, suggesting that they expected her to respond to speech. These effects were specific to the face-to-face context. Experiment 2 presented 1-year-olds with similar face-to-face exchanges but modified to engage infants and minimize task demands. The infants looked quicker to the Recipient following speech than non-speech, suggesting that they expected a response to speech. The study suggests that by 1 year of age infants expect communicative actions to be directed at a third-party listener.

  2. External Ear Resonant Amplitude and Frequency of 3-7 Year Old Children

    Amir Hossein Zare


    Full Text Available Objective: To measure external ear resonant amplitude and frequency in children (3-7 years old and to compare with adult measures. Method and materials: The external ear resonance peak amplitude and frequency of 63 children 3-7 years old were recorded. All of the children had normal tympanogram and there was no cerumen in external auditory canal. 20 adult of 21-24 years old (10 male , 10 female were selected in order to compare with children that had normal tympanogram. The tests included : 1-otoscopy 2- tympanometry 3-microphone probe tube test. Results: The average of resonance peak frequency for children and adult is 4200 Hz and 3200 Hz , respectively. The resonance frequency of children had significantly diffrence with average of resonance frequency in adults. The average of resonance peak amplitude for children and adult is 17.70 dB and 17.17 dB , respectively. Conclusion: Resonant frequency and amplitude affect the hearing aid prescription and fitting process and calculating insertion gain; so, this measures seem should be considered in children hearing aid fitting.

  3. Epistemology for Beginners: Two- to Five-Year-Old Children's Representation of Falsity.

    Mascaro, Olivier; Morin, Olivier


    This paper investigates the ontogeny of human's naive concept of truth. Surprisingly, children find it hard to treat assertions as false before their fifth birthday. Yet, we show in six studies (N = 140) that human's concept of falsity develops early. Two-year-olds use truth-functional negation to exclude one term in an alternative (Study 1). Three-year-olds can evaluate discrepancies between the content of a representation and what it aims at representing (Study 2). They use this knowledge to treat beliefs and assertions as false (Study 3). Four-year-olds recognise the involutive nature of falsity ascriptions: they properly infer 'p' from 'It is not true that "It is not true that "p"' (Study 4), an inference that rests on second-order representations of representations. Controls confirm that children do not merely equate being mistaken with failing to achieve one's goal (Studies 5 and 6). These results demonstrate remarkable capacities to evaluate representations, and indicate that in the absence of formal training, young children develop the building blocks of a theory of truth and falsity-a naive epistemology. We suggest that children's difficulties in discarding false assertions need not reflect any conceptual lacuna, and may originate from their being trustful.

  4. Risk factors of teenage pregnancy

    Maria Siettou


    Full Text Available Teenage pregnancy is a worldwide medical and social issue, associated with many physical, psychological and social consequences and can result in birth, miscarriage or abortion. Aim: The aim of the present study is to find those risk factors that contribute to teenage pregnancy. Results: In U.S.A., according to data from Unicef, the birth rate among teenagers touches the 52.1% and it is four times higher, than the corresponding rate recorded in the countries of Western Europe. The United Kingdom has the highest rate of teenage pregnancy in Europe and in contrast to the decline in the rate of teenage pregnancy, recorded in the remaining countries of Western Europe, this figure has remained relatively stable, especially in adolescents aged 16 years and below. In Greece, according to National Statistics Office, in 2007, we had 3.129 births by teenagers under 18, with 75 births by teenagers under 15. The main factors contributing to the incidence of teenage pregnancy are socioeconomic factors, the family, the education and the sexual behavior of teenagers. Conclusions.It is necessary the state, through the health services and the education programs, to provide modern sex education in schools, as well as programs of prevention and health education in primary health care. The cooperation of these authorities is essential, to better address the extent and consequences of teenage pregnancy.

  5. Teenage pregnancy, epidemiological behavior in Las Tunas during the period 2012 - 2014

    Enelis Reyes Reyes


    Full Text Available Background: teenage pregnancy is a medical risk to be considered, not only for determining an increase of maternal morbidity and an estimated of 2 to 3 times infant mortality, but also as one of the most important factors in the occurrence of congenital malformations.Objective: to determine the epidemiological behavior of teenage pregnancy in Las Tunas province during the period 2012 - 2014.Methods: a descriptive, observational and retrospective study of the behavior of teenage pregnancy was carried out in the province and time period previously stated. The study was performed in municipalities and People's Councils. The universe consisted of 148 169 women of childbearing age and the sample comprised 3 309 pregnant female teenagers from 12 to 19 years old.Results: the phenomenon of teenage pregnancy continues, but the province and its municipalities show favorable data; 2013 was the one of the most negative results, being Manatí and Amancio municipalities the most significant ones; in all the municipalities there are People's Councils with results that are higher than municipal and provincial averages. The adolescent fertility rate in the province was between 39.0 and 45.2 per 1000, being 2013 and Amancio municipality the ones with the highest incidence.Conclusions: although the teenage pregnancy continues, the province and its municipalities show favorable data, resulting from an integrated and successful health programs, involving Provincial Genetics Network work.

  6. Children's Readiness Gains in Publically Funded, Community-Based Pre-Kindergarten Programs for 4 Year Olds and Preschool for 3 Year Olds

    Goldstein, Peggy; Warde, Beverly; Peluso, Paul


    Background: Many states provide public funding to facilitate school readiness for community-based pre-K and preschool programs for 4 year old children and "at risk" 3 year old children. Little research exists on the school readiness gains of children participating in these "garden variety" community-based programs. Objective:…

  7. Comparison of reasons of admission of young, age 18-30 years old in Intensive Care Unit to young adult, age 31-40 years old due to road accident

    Vaios Douloudis


    Full Text Available During recent years, it has been noticed a remarkable increase in frequency of admission of young individuals in Intensive Care Units (ICU due to road accidents. The aim of the present study was to compare the reasons of admission of young individuals 18-30 years old to young adults 31-40 years old in ICU due to road accident. Method and material: The sample studied consisted of individuals 18-40 years old that were hospitalized in ICU due to road accident. Data were collected by the completion of a specially designed clinical protocol for the needs of the research. For the analysis of data the statistical package SPSS 13 was used and the x2 method. Results: 81,2% of the sample-studied were men and 18,8% women. Regarding nationality, 80,1 % were Greek and 19,9% foreigner. 34,6% of the participants were unemployed, 21,2% were working in private sector, 20,1% were free-lancers and 16,2% students. 46,3% of individuals were admitted in ICU after transfer of another hospital. In 69,7% of the participants age 18-30 years old and 74,5% of 31-40 years old road took place accident at night and 77,3% 18-30 years old and 77,0% of 31-40 years old road accident took place on the way to entertainment. The statistical analysis of data showed that : road accidents were the main reason for admission in ICU of young individuals of age 18-30 years old with statistically significant difference compared to those 31-40 years old, p<0,001. Brain injuries as well as admission of motorcycle drivers were more frequent in individuals of age 18-30 years old with statistically significant difference compared to those 31-40 years old, p=0,018 and p=0,041, respectively. On the contrary, admission of car-drivers and those who had consumed alcohol were more frequent in individuals of age 31-40 years old with statistically significant difference compared to group 18-30 years old, p=0,041 and , p<0,001, respectively. Conclusions: More often admitted in ICU motorcycle drivers of


    Anna Leonidovna Plotnikova


    Full Text Available In this article one can find the results of the research of the teenagers social intelligence at the age of 14-15 years old, making use of narcotic smoking blends. Some specific features of their social intelligence, development level of empathy and communicative skills in comparison with nonsmoking peers are given.Purpose: to find and describe specific features of the social intelligence of the teenagers at the age of 14-15 years old making use of the narcotic smoking blends in comparison with nonsmoking peers.Method: testing, Mann – Whitney U Test.Results: the teenagers making use of narcotic smoking blends have a low level of the social intelligence, communicative skills and empathic abilities. Such elements of the social intelligence as the ability to foresee the behavioral consequences in a concrete situation (prognostic competence and the ability to logical generalization of non-verbal reactions of a person are worse developed in comparison with nonsmoking peers. There are no significant differences between smoking girls and smoking boys.Areas of use: resocialization and rehabilitation of the addicted teenagers

  9. Black Teenage Pregnancy

    Loretta I. Winters


    Full Text Available This article examines the relative importance of race and socioeconomic status (SES in determining whether Black and White teenagers report having ever been pregnant. Data gathered from 1999 to 2006 by the National Center for Health Statistics of the Center for Disease Control and Prevention included 1,580 Black and White females aged 15 to 19 years. Results supported the effects of race and SES, with SES having the stronger effect. However, the effects of race and SES differ when controlling for the state of the economy. No difference between Blacks and Whites was found during better economic times. During 2003-2004, the period of greatest economic stress, race was determined to be the only predictor of teenage pregnancy. In particular, during 2005-2006, the reduction in pregnancy rates for Black minors (15-17 fell below those for White minors within their respective SES categories. Policy implications are discussed in light of these findings.

  10. Sexual health, teenage responsibility.


    The Planned Parenthood Association of South Africa in 1992, published a manual on ¿Responsible Teenage Sexuality¿. It deals comprehensively and frankly with issues of teenage sexuality in an easy-to-use module format. With increasing emphasis on the need for sex education at school and in the home, this manual provides essential information for teachers, youth leaders, and health professionals. The modules take cognizance of the sensitive issues that concern young people. The open approach enables counselors to provide the answers that young people seek in an honest and comfortable way. Compiled by the youth counselors of the Cape Town Planned Parenthood Association of South Africa, the manual is based on their knowledge and experience of providing sex education to young people from all communities over the past 10 years.

  11. The Troubled Teenager

    Renshaw, Domeena


    Problems that may bring teenagers to the family physician's office include bizarre behavior such as drug or alcohol intoxication, psychosis, panic or anxiety attacks and stealing; being dangerous to themselves or to others; sexual emergencies including pregnancy, rape and incest; a crisis involving key people such as parents' divorce or illness; school phobia, and anxiety or other reactions to sickness, surgery or death. When evaluating troubled teens and their families, the physician should ...

  12. Motivate Teenagers to Study



    As the growth of people,the brain will be mature gradually,so the teenagers' immature actions can be attribute to some areas of their brain which hasn't developed completely.As an English teacher,understanding this stage of psychological and physiological characteristics of students and then using some teaching means and adopting corresponding measures for classroom teaching would inject more energy and obtain a better teaching effect.

  13. Phonological Patterns in Normally Developing Spanish-Speaking 3-and 4-Year Olds of Puerto Rican Descent.

    Goldstein, Brian A.; Iglesias, Aquiles


    This study used quantitative and qualitative methodology to examine the phonological patterns of 24 3-year-old and 30 4-year-old Spanish-speaking preschoolers of Puerto Rican descent. The children acquired the sounds of their language at an early age and did not exhibit high percentages of occurrence on targeted phonological processes. (DB)

  14. Cognitive and Linguistic Sources of Variance in 2-Year-Olds' Speech-Sound Discrimination: A Preliminary Investigation

    Lalonde, Kaylah; Holt, Rachael Frush


    Purpose: This preliminary investigation explored potential cognitive and linguistic sources of variance in 2- year-olds' speech-sound discrimination by using the toddler change/no-change procedure and examined whether modifications would result in a procedure that can be used consistently with younger 2-year-olds. Method: Twenty typically…

  15. Father-Child Interaction: Associations with Self-Control and Aggression among 4.5-Year-Olds

    Meece, Darrell; Robinson, Cheryl Malone


    Examined correlates of positive father caregiving and harsh control among 721 (350 girls) four-year-old children through analysis of NICHD Study of Early Child Care data and 7050 (3450 girls) four-year-old children through analysis of Early Childhood Longitudinal Study-Birth Cohort data. Findings from both samples suggest that, for both boys and…

  16. Correlates of fruit and vegetable consumption among 11-year-old Belgian-Flemish and Dutch schoolchildren

    Wind, Marianne; de Bourdeaudhuij, Ilse; te Velde, Saskia J;


    To determine factors associated with the consumption of fruit and vegetables among 11-year-old schoolchildren in Belgium-Flanders and the Netherlands.......To determine factors associated with the consumption of fruit and vegetables among 11-year-old schoolchildren in Belgium-Flanders and the Netherlands....

  17. Gait pattern in 9-11-year-old children with generalized joint hypermobility compared with controls

    Nikolajsen, Helene; Larsen, Peter Kastmand; Simonsen, Erik Bruun;


    To study differences in gait patterns in 10-year-old children with Generalized Joint Hypermobility (GJH) and with no GJH (NGJH).......To study differences in gait patterns in 10-year-old children with Generalized Joint Hypermobility (GJH) and with no GJH (NGJH)....

  18. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part I : multivariable regression analysis

    Seggers, Jorien; Haadsma, Maaike L.; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J.; Roseboom, Tessa J.; Schendelaar, Pamela; Van den Heuvel, Edwin R.; Hadders-Algra, Mijna


    STUDY QUESTION: Does ovarian hyperstimulation, the in vitro procedure, or a combination of these two negatively influence blood pressure (BP) and anthropometrics of 4-year-old children born following IVF? SUMMARY ANSWER: Higher systolic blood pressure (SBP) percentiles were found in 4-year-old child

  19. Imitation of Hierarchical Structure versus Component Details of Complex Actions by 3- and 5-Year-Olds

    Flynn, Emma; Whiten, Andrew


    We investigated developmental changes in the level of information children incorporate into their imitation when a model executes complex, hierarchically organized actions. A total of 57 3-year-olds and 60 5-year-olds participated, watching video demonstrations of an "artificial fruit" box being opened through a complex series of nine different…


    Jagiello Marina


    Full Text Available Purpose: The level of self esteem in 14-16-year-old female tennis players. Material: The main aim of the study was to determine the level of self-esteem among 14-16-year-old girls practising tennis in comparison to their peers not engaged in sport on a regular basis. The study involved two groups of girls: those practising tennis competitively (n=30 and those not training sports systematically (n=30. The subjects’ age was in the range of 14-16 years old and their training experience 3-6 years. The level of self-esteem was determined by means of Morris Rosenberg’s questionnaire in the Polish modification. Results: As a result of the conducted study significant differences in the level of self-esteem between the tested groups and a correlation with their training experience were found. As a result of the conducted study, it was found that both groups of girls represented the level of self-esteem defined as average (tennis players - 29.9 points; non-training girls - 26.4 points. However, these differences were statistically significant (p≤0.05 to the advantage of tennis players. Conclusions: Statistically significant differences were found between the level of self-esteem among girls training tennis and their peers not practising sports regularly (to the advantage of the former ones. Far more (almost twice as many tennis players achieved a high level of self-esteem in comparison to girls who do not systematically practise sports. None of the examined tennis players represented a low level of self-esteem. The length of training experience has a statistically significant, positive correlation with the level of tennis players’ self-esteem.

  1. Development of 5- and 10-year-old pediatric phantoms based on polygon mesh surfaces

    Melo Lima, V. J. de; Cassola, V. F.; Kramer, R.; Oliveira Lira, C. A. B. de; Khoury, H. J.; Vieira, J. W. [Department of Anatomy, Federal University of Pernambuco, Avenida Professor Moraes Rego 1235, CEP 50670-901, Recife, Pernambuco (Brazil); Department of Nuclear Energy, Federal University of Pernambuco, Avenida Professor Luiz Freire 1000, CEP 50740-540, Recife, Pernambuco (Brazil); Federal Institute of Education, Science and Technology of Pernambuco, Avenida Professor Luiz Freire 500, CEP 50740-540, Recife, Pernambuco, Brazil and Polytechnic School of Pernambuco, University of Pernambuco, Rua Benfica 455, CEP 50751-460, Recife, Pernambuco (Brazil)


    Purpose: The purpose of this study is the development of reference pediatric phantoms for 5- and 10-year-old children to be used for the calculation of organ and tissue equivalent doses in radiation protection. Methods: The study proposes a method for developing anatomically highly sophisticated pediatric phantoms without using medical images. The 5- and 10-year-old male and female phantoms presented here were developed using 3D modeling software applied to anatomical information taken from atlases and textbooks. The method uses polygon mesh surfaces to model body contours, the shape of organs as well as their positions, and orientations in the human body. Organ and tissue masses comply with the corresponding data given by the International Commission on Radiological Protection (ICRP) for the 5- and 10-year-old reference children. Bones were segmented into cortical bone, spongiosa, medullary marrow, and cartilage to allow for the use of micro computer tomographic ({mu}CT) images of trabecular bone for skeletal dosimetry. Results: The four phantoms, a male and a female for each age, and their organs are presented in 3D images and their organ and tissue masses in tables which show the compliance of the ICRP reference values. Dosimetric data, calculated for the reference pediatric phantoms by Monte Carlo methods were compared with corresponding data from adult mesh phantoms and pediatric stylized phantoms. The comparisons show reasonable agreement if the anatomical differences between the phantoms are properly taken into account. Conclusions: Pediatric phantoms were developed without using medical images of patients or volunteers for the first time. The models are reference phantoms, suitable for regulatory dosimetry, however, the 3D modeling method can also be applied to medical images to develop patient-specific phantoms.

  2. Prevalence of osteoporosis in women older than 50 years old in Bushehr port

    Seyed Sajad Eghbali


    Full Text Available Background: Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone, leading to enhanced bone fragility. Prevalence of osteoporosis increases with age. The aim of this study was to estimate the prevalence of osteoporosis in women older than 50 years old in Bushehr port, irrespective of osteoporosis risk factors. Methods: A total of 406 women over 50 years old were selected from 13 cluster areas of Bushehr port using random sampling method. We used dual x-ray absorptimetry (DXA for measuring bone mineral density of femoral neck and lumbar areas. Demographic data, smoking, physical activity, daily intake of vitamin D and calcium, body mass index and waist to hip ratio were recorded for each women. Results: Mean BMDs of lumbar spine and femoral area were 0.944 (±0.844 g/cm2 and 0.842 (± 0.181 g/cm2, respectively. BMDs had a trend to decrease with increasing age (P<0.0001. The prevalence of osteopenia and osteoporosis in lumbar spine were 32.0% and 7.4%, respectively and the prevalence of osteopenia and osteoporosis in femur were 29.6% and 3.9%, respectively. No significant differences were observed between normal women and osteoporotic women in secondary osteoporosis risk factors. But osteoporotic women had more history of present or past smoking in comparison to normal women (P<0.05. Conclusion: Prevalence of osteopenia and osteoporosis in women older than 50 years old in Bushehr port is less than USA, Europe and Tehran populations.

  3. Evaluation of First Permanent Molars DMFT in 12 Years Old Children in Hamadan City ( 2005

    T. Massom


    Full Text Available Introduction & Objective: DMFT Index is the best epidemiologic caries index in dentistry and can show the state of oral and dental hygiene in one society. By considering this index we can design suitable preventive and treatment program for total population of a society. The aim of this descriptive analytical study was evaluation of DMF6 index in 12 years old children in Hamadan city.Materials & Methods: Using explorer and mirror under natural light, 4 permanent first molars of 480 twelve years old students were examined from the aspect of decay, missing and filling; then DMF6 was accounted for each subject. The statistical analysis was done by SPSS 12 and Pearson, Chi- square test. Results: The mean of DMF6 was 2.17±1.39. DMF6 in girls (2.22 was more than boys (2.12 but this difference was not statistically significant. 72.9% of girls and 72.5% of boys had carries in their first permanent molars. 1.3% of girls and 2.5% of boys had one missing first molar. The difference between girls and boys in missing and decayed teeth was not statistically significant. 22.5% of girls and 11.7% of boys had filling teeth and only this difference was statistically significant. 26% of population had no sound teeth and only 18.8% of them had 4 sound first permanent molors. 72.7% of population had caries and 1.9% had missing and 17.1% had filled teeth. Conclusion: Analysis of DMF6 showed that untreated caries is the most important problem in 12 years old children in Hamadan.

  4. Effects of Values Education Program on Social Emotional Development of Six Year Old Children



    Full Text Available In this study, the effects of Values Education Program on social and emotional development of six-year-old children attending preschool are examined. Study group of the research is composed of 44 six-year-old students attending preschool classes. As data collection device, Preschool Behavioral and Emotional Rating Scale (PreBERS developed by Epstein & Synhorst (2009. PreBERS’ adaptation into Turkish and validity and reliability study for six year old children is done by Öztürk Samur, Deniz, Durmuşoğlu Saltalı & Arı (2009 is used. At the end of analysis of the data gathered in the study, it is seen that there is a significant difference between experiential and control groups’ post-test scores from emotional regulation, school readiness, social confidence and total social emotional development in favor of experiential group. However, a difference in family involvement scores is not remarkable. There is a significant difference between pre-test and post-test scores of experiential group from school readiness, social confidence, family involvement and total social emotional development; it is seen that post-test scores are considerably higher than pre-test scores. There is a significant difference in family involvement sub-dimension for control group; their post-test scores are remarkably higher than pre-test scores. It was seen that, there was only a significant difference in family involvement sub-dimension for pre-test post test scores of control group children, in other sub-dimensions there was no significant difference. Results of the retention test which was applied to the experimental group proved that the effects of the program are permanent.

  5. Formality in Chat Reference: Perceptions of 17- to 25-Year-Old University Students

    Jennifer Waugh


    Full Text Available Objective – To examine the ways in which the formality of language used by librarians affects 17- to 25-year-old university students’ perceptions of synchronous virtual reference interactions(chat reference, in particular, perceptions of answer accuracy, interpersonal connection, competency, professionalism, and overall satisfaction.Methods – This qualitative study used semi-structured interviews to examine the perceptions of participants. Participants reviewed and responded to two virtual reference transcripts, portraying a librarian and student asking a simple question. One transcript portrayed a librarian using traditional, formal language while the other portrayed a librarian using informal language. Five17- to 25-year-old university students were interviewed. Data were analyzed using a phenomenological, qualitative approach to discover common themes.Results – Analysis suggests that participants perceived the formal librarian as being “robotic” and impersonal while the informal librarian was thought to be more invested in the referenceinteraction. Several participants viewed the formal librarian as more competent and trustworthy and questioned the effort put forth by the informal librarian, who was perceived as young and inexperienced. Participants’ perceptions of professionalism were based on expectations of social distance and formality. Satisfaction was based on content and relational factors. Several participants preferred the formal interaction based on perceptions of competency, while others preferred the informal librarian due to perceived interpersonal connection. Conclusion – Formality plays a key role in altering the perceptions of 17- to 25-year-olds when viewing virtual reference interaction transcripts. Both language styles had advantages and disadvantages, suggesting that librarians should become cognizant of manipulating their language to encourage user satisfaction.

  6. [Prevalence and trend of gastrointestinal malignant tumors in the elderly over 75 years old in China].

    Zheng, Ying; Wu, Chunxiao


    Gastrointestinal malignant tumors are the most common malignant neoplasms among the elderly people over 75 years old in China. There are 122.1 thousand new gastric cases and 78.2 thousand new colorectal cancer cases diagnosed each year in China, which accounts for 42.73% and 18.08% respectively of the cases with same age in the world. The gastric cancer accounts for 25.13% and colorectal cancer accounts for 28.86%of all the malignancies in the elderly. The gastric cancer death accounts for 36.38% and colorectal cancer death accounts for 44.68% in those people over 75 years old in China. It was estimated that the risk of developing gastrointestinal malignant tumors of these elderly people was about 5-6 times and the risk of death of gastrointestinal malignant tumors was about 7-8 times of the general population. Compared with the general population and the people of 55-74 years old, the incidence of gastric cancer in the elderly decreased more slowly and the incidence of colorectal cancer increased more quickly over the past 40 years, which brought significant double burden. The survival rate of gastrointestinal malignant tumors in these elderly was lower than that of the general population. We summarized the incidence, mortality, survival and trend of gastrointestinal malignant tumors in the Chinese elderly, in order to provide data for predicting the age distribution and disease burden in the future, to improve the awareness for cancer prevention and control among these elderly, and to call attention to epidemiology, preclinical and clinical medicine for the elderly, especially in the field of study on the influence between comorbidity and cancer treatment, with the aim of improving survival and quality of life among the elderly.

  7. Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs.

    Adams, Elizabeth J; Hoffmann, Laurel M; Rosenberg, Kenneth D; Peters, Dawn; Pennise, Melissa


    The objective of this study is to explore the association between having a child with special health care needs (CSHCN) and food insecurity when the child is 2 years old. We studied women who had a live birth in 2004-2005 and responded to Oregon's Pregnancy Risk Assessment Monitoring System (PRAMS) survey 3 months postpartum (Time 1) and the follow-up survey (PRAMS-2), when the child was 2 years old (Time 2). Women answering affirmatively to the PRAMS-2 question, "In the last 12 months, did you ever eat less than you felt you should because there was not enough money for food?" were considered food insecure. CSHCN status was identified by affirmative responses to questions about needs for ongoing services (Time 2). PRAMS and PRAMS-2 responses were weighted for study design and non-response. Results report weighted analyses, unless noted. Among 1812 mothers completing PRAMS-2, 13.6 % (unweighted) had a 2-year-old CSHCN and 11.9 % (unweighted) were food insecure at Time 2. The estimated prevalence of food insecurity at 2-year follow-up was 20.7 % among families of CSHCN and 9.7 % for others. After adjustment for Time 2 marital status, education, lifetime U.S. residence, income and health conditions, multivariable logistic regression revealed that odds of food insecurity were more than two times as great for CSHCN mothers 2 years post-partum compared to non-CSHCN mothers (adjusted odds ratio 2.6, 95 % confidence interval 1.3, 4.6). Families of CSHCN face increased risk for food insecurity. Improved understanding of causal determinants of food insecurity among households of CSHCN is needed.

  8. Conjunctival Splendore-Hoeppli phenomenon in a 3-year-old child.

    Orhan, Diclehan; Kiratli, Hayyam; Kocabeyoğlu, Sibel


    A case of benign granulomas of the conjunctiva in a 3-year-old girl is reported. Histologic features of the excised conjunctival lesions were consistent with Splendore-Hoeppli phenomenon. This phenomenon is thought to be a granulomatous reaction to an antigen-antibody precipitate related to parasites or fungi. No causative agent is identified in our patient. Immunohistochemical analysis showed no immunoreactivity for immunoglobulin G (IgG), IgM, IgA, or the C3 component of the complement. We propose that the presence of small amelanotic nodular conjunctival tumors should arouse suspicion related to the Splendore-Hoeppli phenomenon even in early childhood.

  9. A 16-Year-Old Female with Peutz-Jeghers Syndrome

    Mufti Munsurar Rahman


    Full Text Available Peutz-Jeghers syndrome is a rare autosomal dominant disorder of hamartomatous polyposis of the gastrointestinal tract, with pigmentation around lips and macules on the buccal mucosa that typically manifests itself as recurrent colicky abdominal pain and intestinal obstruction due to intussusception. Here we report a case of a 16-year-old girl who presented with abdominal pain, vomiting and previous history of laparotomy for intussusception. Multiple well demarcated black pigmented macules on lips, perioral region, buccal mucosa, digits, palms and soles were noted. She was diagnosed as a case of Peutz-Jeghers syndrome and managed conservatively.

  10. Gender identity disorder and autism spectrum disorder in a 23-year-old female.

    Lemaire, Mathieu; Thomazeau, Barbara; Bonnet-Brilhault, Frédérique


    We describe the case of a 23-year-old woman with Gender Identity Disorder (GID) asking for a cross-sex hormonal treatment with sex reassignment surgery and who was recently diagnosed with Autism Spectrum Disorder (ASD). Gender identity clinics are now reporting an overrepresentation of individuals with ASD among GID patients. The prevalence of ASD is 10-fold higher among GID patients than in general population. However, few case reports or studies have explored the co-occurrence of ASD and GID. This co-occurrence is relevant for diagnostic and clinical management and also raises important theoretical issues.

  11. [Awake Nasotracheal Intubation for a 4-Year-old Boy with an Oral Penetrating Toothbrush Injury].

    Kobayashi, Naoya; Ando, Kokichi; Saito, Kazutomo; Toyama, Hiroaki; Fudeta, Hiroto; Yamauchi, Masanori


    We report a case of an oral penetrating injury caused by a toothbrush in a 4-year-old 17-kg boy. The toothbrush was lodged in the right cervical region through the oral cavity, and emergency surgery for removal was planned under general anesthesia. Although mask ventilation was not possible because of the protruding toothbrush handle, awake nasotracheal intubation was successfully performed with a fiber-scope and intravenous fentanyl 25 μg. We conclude that appropriate analgesics could facilitate awake intubation in pediatric patients.

  12. Malignant Nonfunctioning Neuroendocrine Neoplasm of the Pancreas in a 10-Year-Old Child

    Ahmed Marwan


    Full Text Available Malignant neoplasms of the pancreas are extremely rare in children and only represent a small percentage of pediatric cancer-related deaths. The paucity of cases reported in the literature, in addition to the lack of understanding of biologic behavior, has led to a lack of consensus concerning optimal management strategy. Presentation differs compared to adult counterparts and generally prognosis is improved even when lymph node metastases occur. Here we review the literature and report the case of a 10-year-old autistic female with a malignant nonfunctioning pancreatic endocrine neoplasm of the head of the pancreas successfully extirpated via pancreaticoduodenectomy.

  13. Malignant Nonfunctioning Neuroendocrine Neoplasm of the Pancreas in a 10-Year-Old Child.

    Marwan, Ahmed; Christein, John D


    Malignant neoplasms of the pancreas are extremely rare in children and only represent a small percentage of pediatric cancer-related deaths. The paucity of cases reported in the literature, in addition to the lack of understanding of biologic behavior, has led to a lack of consensus concerning optimal management strategy. Presentation differs compared to adult counterparts and generally prognosis is improved even when lymph node metastases occur. Here we review the literature and report the case of a 10-year-old autistic female with a malignant nonfunctioning pancreatic endocrine neoplasm of the head of the pancreas successfully extirpated via pancreaticoduodenectomy.

  14. Osteochondroma arising from a lumbar facet joint in a 16-year-old.

    Hancock, Graeme E; Mariathas, Chrishan; Fernandes, James A; Breakwell, Lee M; Cole, Ashley A; Michael, Antony L R


    Osteochondromas are benign tumours of bony or cartilaginous origin, which may be solitary or multiple. They are rare in the axial skeleton and have previously been reported to arise from facet joints only in four cases in the English literature. We report the case of a 16-year-old girl who presented with a palpable bony lump and a short history of back pain. Imaging showed a bony lesion arising from a left-sided facet joint in the lumbar spine. Following excision biopsy, there was complete resolution of symptoms. The literature on the origin and management of spinal osteochondromas is discussed.

  15. Pallidal deep brain stimulation in a 5-year-old child with dystonic storm: case report.

    Aydin, Sabri; Abuzayed, Bashar; Uysal, Serap; Unver, Olcay; Uzan, Mustafa; Mengi, Murat; Kizilkilic, Osman; Hanci, Murat


    A 5-year-old child had a medical history of epilepsy and a newly presented mental retardation with a life-threatening dystonic storm. Neuroimagings showed bilateral calcification of the pallidum. Several treatment modalities were performed, but the symptoms showed no significant improvement. The patient was operated on in order to place a deep brain stimulation (DBS) targeting bilateral globus pallidum internus (GPi). The dystonia showed a remarkable improvement after surgery, with 81% reduction of dystonia severity after 15 months. To our best knowledge, this is the youngest patient mentioned in the literature to be treated with DBS, which was also life-saving in this case.

  16. A Case of Juvenile Huntington Disease in a 6-Year-Old Boy

    Jun-Sang Sunwoo


    Full Text Available Huntington disease is a neurodegenerative disorder distinguished by the triad of dominant inheritance, choreoathetosis and dementia, usually with onset in the fourth and fifth decades. It is caused by an unstable cytosine-adenine-guanine (CAG trinucleotide repeat expansion in the gene IT15 in locus 4p16.3. Juvenile HD that constitutes about 3% to 10% of all patients is clinically different from adult-onset form and characterized by a larger number of CAG repeats typically exceeding 60. We report a case of a 6-year-old boy with myoclonic seizure and 140 CAG repeats confirmed by molecular genetic analysis.

  17. Bifid cardiac apex in a 25-year-old male with sudden cardiac death.

    Wu, Annie; Kay, Deborah; Fishbein, Michael C


    Although a bifid cardiac apex is common in certain marine animals, it is an uncommon finding in humans. When present, bifid cardiac apex is usually associated with other congenital heart anomalies. We present a case of bifid cardiac apex that was an incidental finding in a 25-year-old male with sudden cardiac death from combined drug toxicity. On gross examination, there was a bifid cardiac apex with a 2-cm long cleft. There were no other significant gross or microscopic abnormalities. This case represents the very rare occurrence of a bifid cardiac apex as an isolated cardiac anomaly.

  18. Renal angiomyolipoma with inferior vena caval thrombus in a 32-year-old male

    Matthew W Christian


    Full Text Available Renal angiomyolipoma (AML rarely presents with evidence of extension into the renal vein, inferior vena cava (IVC or atrium. We report a case of a renal AML with a tumor thrombus to the IVC in a 32-year-old male. The patient subsequently underwent a right radical nephrectomy with IVC tumor thrombectomy. To our knowledge, there are four published cases of renal AML presenting with tumor thrombus in males. This case report describes the management of the youngest male ever to develop a renal AML with IVC tumor thrombus.

  19. Body mass index of 16-year olds in urban Maseru, Lesotho

    Violet L. van den Berg


    Full Text Available Background: Overweight and/or obesity amongst children and adolescents is a global epidemic with health consequences that track into adulthood. No data are currently available regarding overweight/obesity amongst adolescents in Lesotho.Aim and setting: To assess the prevalence of overweight and/or obesity and the associated risk factors amongst 16-year olds in urban Maseru, Lesotho.Method: A cross-sectional descriptive study was conducted on a systematic sample of 16-year olds ingrade four (N = 221; 56.6% girls from randomly-selected schools in urban Maseru. Diet histories and data on lifestyle, physical activity and knowledge, attitudes and/or perceptions and practices regarding nutrition were obtained during structured interviews and body mass index (BMI was determined.Results: Amongst these 16-year olds, 27.2% girls and 8.3% boys were overweight and/or obese based on World Health Organization cut-offs for BMI; 39.8% were insufficiently active or inactive;6.4% used alcohol regularly; and 11.7% used tobacco. Whilst 28.1% reported no television watching/electronic gaming/computer usage (combined screen time outside school, 23.6% reported ≥ 4 hours of combined screen time outside school. Most (91.4% consumed < 3 servings of vegetables/day; 86.4% consumed < 2 servings of fruits/day; and 95.5% consumed < 2 servings of dairy/day. The majority consumed maize porridge (56.1%, bread (63.8% and margarine/oil/fat (82.3% daily and added sugar to their food (74.2%. Fruits, vegetables, dairy, meat, pulses and traditional foods were only consumed weekly or less often. Most bought from tuck shops (18.6% daily; 54.3% weekly. Various gaps in knowledge, perceptions and practices were identified that may benefit from educational intervention.Conclusions: The current study identifies westernised dietary and lifestyle changes, along with overweight and/or obesity, amongst 16-year old adolescents in Lesotho.

  20. Overweight, body image and bullying--an epidemiological study of 11- to 15-years olds

    Brixval, Carina S; Rayce, Signe L B; Rasmussen, Mette


    contribution to the international cross-sectional research project Health Behaviour in School-aged Children (HBSC) 2002 was used. Data were assessed from questionnaires and 4781 students aged 11-, 13- and 15-years old were included in the analyses. Logistic regression was used for the analyses. RESULTS......: The regression analyses showed that overweight and obese students were more exposed to bullying than their normal weight peers. Among boys, odds ratios (ORs) for exposure to bullying were 1.75 (1.18-2.61) in overweight and 1.98 (0.79-4.95) in obese boys compared with normal weight. Among girls, the corresponding...

  1. Groin Swelling in a Four-Year-Old Boy: Primary Great Saphenous Vein Aneurysm.

    Çiçek, Mustafa Cüneyt; Çiçek, Ömer Faruk; Yalçınkaya, Adnan; Taşoğlu, İrfan


    Primary venous aneurysm, especially in pediatric population, is a very rare clinical entity. We report a case of primary great saphenous vein aneurysm in a 4-year-old boy. He was initially suspected of suffering from inguinal hernia because the soft mass was detected at the inguinal region when the patient was in the standing position, but color Doppler ultrasonography demonstrated the swelling to be a great saphenous vein aneurysm. We decided that surgery was the best option because of potential risk for thromboembolism.

  2. Some features of one-year-old tart Cherry shoots of cv. Sehattenmorelle

    Dariusz Świetlik


    Full Text Available The purpose of this study was to obtain data on the relationship between the length of 1-year-old shoots and their fruiting, and both their terminal and lateral growtn produced in the current year. The measurements were taken in 1977 and 1979 from the tart cherry trees of cv. Schattenmorelle grafted of Prunus mahaleb L. or Prunus avium L. grown in loose sandy soil. In 1977 there were more shoots of over 30 cm than in 1979. The longer the shoots, the more lateral shoots were there. Only the shortest shoots (1-10 cm bore more fruit per unit length as compared to the longer shoots.

  3. A 22-year-old man with severe osteoporosis due to prolactinoma.

    Dandinoğlu, Taner; Akarsu, Selim; Tekin, Levent; Arbal, Serkan; Dinçer, Umit


    Prolactin-secreting adenomas represent nearly 40% to 60% of all pituitary adenomas. Prolactin inhibits the secretion of gonadotropin-releasing hormone that is responsible for the synthesis and secretion of gonadotropins. Sex steroids have an important effect on the regulation of bone metabolism in men. Decreased libido and impotence are the most common presenting symptoms of hyperprolactinemia in males. These symptoms are easily neglected by both patients and some physicians. We present a 22-year-old man with multiple osteoporotic fractures associated with prolactinoma despite the use of teriparatide for 18 months. We emphasize and highlight the importance of hyperprolactinemia and fractures caused by high prolactin levels.

  4. Catastrophic antiphospholipid syndrome and pulmonary embolism in a 3-year-old child

    Olivier, Carine; Blondiaux, Eleonore; Dacher, Jean-Nicolas [University Hospital of Rouen, Department of Radiology, Rouen (France); Blanc, Thierry [University Hospital of Rouen, Department of Neonatal Medicine, Rouen (France); Borg, Jeanne-Yvonne [University Hospital of Rouen, Haematology Laboratory, Rouen (France)


    We report a rare example of catastrophic antiphospholipid syndrome (CAPS) in a young child. A 3-year-old girl with no previous medical history presented with extensive and recurrent thromboses. The diagnosis of CAPS was based on the occurrence of cardiopulmonary embolism in the child with a high titre of autoantibodies directed against phospholipids and beta-2-glycoprotein 1. In spite of a relatively rapid diagnosis and multiple treatments, the outcome was unfavourable. Multimodality imaging, including both ultrasonography and spiral CT, allowed close follow-up of the thromboses. (orig.)

  5. A 55-Year Old Man with Acute Painful Flank Mass, a Case Report

    Aida Alavi-Moghaddam


    Full Text Available Lumbar hernias (LH accounts for less than 1.5% of total hernia incidence. It can occur in two separate triangular areas of the flank. About 300 cases have been reported in the literature. Here, we report a 55-year old man with acute painful left side flank mass and final diagnosis of LH. The mass was appeared about three hours before admission and his pain was slight at first but became more severe gradually. He had stable vital sign and the only positive finding on his physical examination was the sphere shape, firm, mobile, and mild tender mass at his left flank.

  6. Purulent Meningoencephalitis Mixed Etiology in a Child Two Years Old: Problems of Diagnosis and Treatment

    E. N. Simovanyan


    Full Text Available Modern features of purulent meningoencephalitis is the frequent development of the disease at adverse premorbid background, the formation of a mixed infection, which leads to severe prolonged duration, the occurrence of complications. For example the medical history of two years old child with acute purulent meningoencephalitis mixed etiology (Str. Pneumoniae, H. influenzae type b, developed on the background of chronic herpes virus infection, rezudual-organic CNS pathology, submitted the algorithm of diagnostic and therapeutic measures in these cohort of patients.

  7. Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient

    Yayi He


    Full Text Available We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN. The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consideration in diabetic patients with symptoms of pyelonephritis who show a poor response to conventional treatment. Elective nephrectomy may be life saving in some patients.

  8. A 19 year old with heavy vaginal bleeding; unlikely diagnosis of uterine carcinsarcoma

    Andrew L. Atkinson


    Full Text Available Uterine carcinosarcoma is a rare malignancy that has a high recurrence rate after treatment with very poor long term prognosis. Women are diagnosed usually over the age of 50, with most cases occurring between the sixth and seventh decade of life. We present a rare case of uterine carcinosarcoma diagnosed a nineteen year old after having a dilation and curettage for heavy vaginal bleeding. The patient went on to have a total abdominal hysterectomy with transposition of the ovaries as well as adjuvant treatment with chemotherapy. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 221-223

  9. Sarcoma botryoides in a 14 year old girl: a rare case

    Salil Bindu Chakrabarty


    Full Text Available Embryonal rhabdomyosarcoma (Sarcoma botryoides of the uterine cervix is an uncommon entity. Because of extreme rarity its discussion has mainly been in the light of individual case reports. We report a case of a 14-year old female who presented with irregular vaginal bleeding and cervical polyp. Her biopsy specimen confirmed sarcoma botryoides and she underwent abdominal hysterectomy with wide excision of vaginal cuff after a multidisciplinary consultation. [Int J Reprod Contracept Obstet Gynecol 2015; 4(3.000: 927-929

  10. Ingestion of tea tree oil (Melaleuca oil) by a 4-year-old boy.

    Morris, Marilyn C; Donoghue, Aaron; Markowitz, Jennifer A; Osterhoudt, Kevin C


    A 4-year-old boy ingested a small quantity of tea tree oil. Within 30 minutes, he became ataxic and shortly thereafter progressed to unresponsiveness; he was endotracheally intubated by paramedics. His neurologic status improved gradually over 10 hours, and he remains well on follow-up. Tea tree oil is an increasingly popular topical antiseptic that is available in a wide variety of products, often without warning labels. Healthcare providers should be aware of the common uses of tea tree oil, as well as its potential toxicity.

  11. Reconstruction of bilateral axillary post burn contracture in a 3 year old: A case report

    Krishna kumar. A; SUN Bing-wei


    A 2 year old male child was admitted with history of accidental pouring by boiling water all over the body resulting in 51% surface area burns involving the posterior and lateral thoracic region, both the upper limbs in the proximal regions near the shoulder, anterior and posterior abdomen and pubic region with second and third degree severe burns. After correcting the dehydration a series of procedures were performed including anti-shock, wound debridement under GA, etc. At 20 days post-burn, after making sure the wound was healthy a partial thickness skin grafting was done. During rehabilitation, bilateral axillary suffered contracture with hypertrophic scar(Fig 1).

  12. 17-Year-Old Boy with Renal Failure and the Highest Reported Creatinine in Pediatric Literature

    Vimal Master Sankar Raj


    Full Text Available The prevalence of chronic kidney disease (CKD is on the rise and constitutes a major health burden across the world. Clinical presentations in early CKD are usually subtle. Awareness of the risk factors for CKD is important for early diagnosis and treatment to slow the progression of disease. We present a case report of a 17-year-old African American male who presented in a life threatening hypertensive emergency with renal failure and the highest reported serum creatinine in a pediatric patient. A brief discussion on CKD criteria, complications, and potential red flags for screening strategies is provided.

  13. "A 40-year-old female with painless, slow growing prepatellar mass".

    Arora, Sumit; Batra, Sahil; Rao, Seema; Maini, Lalit; Gautam, V K


    A 40-year-old woman from India presented with a mass in the front of her left knee which had been present for 8 months. Local examination revealed a globular mass of approximate size 5 cm × 4 cm × 4 cm in front of the lower pole of left patella. The patient was investigated with imaging studies and laboratory tests. Plain radiograph of the chest was normal. In addition, contrast enhanced Magnetic Resonance Imaging (MRI) of the left knee was performed. Based on the history, physical examination, laboratory and imaging studies, what is the differential diagnosis?

  14. Jejunal intussusception in a 10-year-old boy with blue rubber bleb nevus syndrome

    Beluffi, Giampiero [Section of Paediatric Radiology, Department of Radiodiagnosis, IRCCS Policlinico S. Matteo, Piazzale Golgi, 2, 27100, Pavia PV (Italy); Romano, Piero; Matteotti, Chiara; Minniti, Silvio; Ceffa, Franco [Division of Paediatric Surgery, IRCCS Policlinico S. Matteo, Pavia (Italy); Morbini, Patrizia [Department of Pathology, IRCCS Policlinico S. Matteo, Pavia (Italy)


    Jejunal intussusception in a Chinese 10-year-old boy affected by the blue rubber bleb nevus syndrome is presented and discussed. The syndrome is rare, sporadically found with possible dominant inheritance, and due to a gene mutation mapped on the short arm of chromosome 9. It presents with distinctive cutaneous and gastrointestinal malformations together with possible other organ involvement. Gastrointestinal malformations tend to bleed and lead to anaemia. Infrequent complications of the gastrointestinal malformations are volvulus, intestinal infarction and intussusception. The age of the patient and the jejunal intussusception precipitated by a vascular malformation containing calcifications (which were also found in different gut segments) make this case remarkable. (orig.)

  15. Malignant thyroid teratoma: report of an aggressive tumor in a 64-year-old man.

    Vilallonga, R; Zafon, C; Ruiz-Marcellan, C; Obiols, G; Fort, J M; Baena, J A; Villanueva, B; Garcia, A; Sobrinho-Simões, M


    Malignant teratoma of the thyroid is a rare and aggressive tumor, frequent in children than in adults. Histologically, thyroid teratomas usually show a predominance of a neuroectodermal component. Mature cartilage and bone may be present. We present the case of primary malignant teratoma of the thyroid in a 64-year-old man. Histologically, the tumor displayed a predominant neuroectodermal component. The diagnosis was confirmed by immunohistochemistry. The patient underwent a radical thyroidectomy with central neck dissection as primary treatment and radioiodine treatment afterwards. The patient had local and distant recurrence. A second surgery was performed with poor results and the patient died 3 months afterwards.

  16. Orbital Extension of a Giant Ethmoidal Sinus Osteoma in a 30-Year-old Female

    Esmat Karbassi


    Full Text Available Introduction: Osteoma is a benign tumor rarely found in the paranasal sinuses.   Case Report: A 30-year-old female presented with an 8-month history of proptosis of the right eye that was progressing slowly. She was diagnosed with ethmoid osteoma and managed with collaborative surgery at the ophthalmology and otolaryngology departments. After surgery, the patient suffered visual loss that was managed medically. The surgical steps and protocol used for safe removal are discussed in the report.    Conclusion: Management of a giaint osteoma extending to orbital tissue needs meticulous dissection through open approach and collaborative surgery by otolaryngologist and ophtalmologist

  17. A 65-year-old man with persistent cough and large nodular opacity.

    Grimes, Brandon S; Albores, Jeffrey; Barjaktarevic, Igor


    A 65-year-old Asian man with a history of chronic hepatitis B infection presented to our pulmonary clinic for second opinion of his chronic, persistent, nonproductive cough. He was evaluated 10 months earlier with chest CT scan, which revealed a large lingular nodular opacity that was diagnosed as nodular cryptogenic organizing pneumonia by CT scan-guided percutaneous lung biopsy. Systemic corticosteroids were initiated and continued over the next 10 months. The dry cough persisted, and he developed intermittent left-sided pleuritic chest pain. He denied fevers, night sweats, hemoptysis, weight loss, or dyspnea. He was a lifelong nonsmoker and moved to the United States from China during childhood.

  18. Successful replantation of both lower legs in a 41-year- old man

    YU Guang; LEI Hong-yu; GUO Shuang; YU Hao; HUANG Jian-hua; LIANG Sheng-hai


    Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and passive exercises were initiated in both of the knee joints. Four months after surgery, the patient was capable of walking independently for 20-30 m without the aid of crutches. After 28 months' follow-up, plantar sensitivity was defined as S3. This patient was satisfactory with the cosmetic and functional results.

  19. Discovery of 505-million-year old chitin in the basal demosponge Vauxia gracilenta.

    Ehrlich, H; Rigby, J Keith; Botting, J P; Tsurkan, M V; Werner, C; Schwille, P; Petrášek, Z; Pisera, A; Simon, P; Sivkov, V N; Vyalikh, D V; Molodtsov, S L; Kurek, D; Kammer, M; Hunoldt, S; Born, R; Stawski, D; Steinhof, A; Bazhenov, V V; Geisler, T


    Sponges are probably the earliest branching animals, and their fossil record dates back to the Precambrian. Identifying their skeletal structure and composition is thus a crucial step in improving our understanding of the early evolution of metazoans. Here, we present the discovery of 505-million-year-old chitin, found in exceptionally well preserved Vauxia gracilenta sponges from the Middle Cambrian Burgess Shale. Our new findings indicate that, given the right fossilization conditions, chitin is stable for much longer than previously suspected. The preservation of chitin in these fossils opens new avenues for research into other ancient fossil groups.

  20. Pseudoangiomatous stromal hyperplasia of the breast: a case report of a 12-year-old girl

    Eman Almohawes, MD


    Full Text Available Pseudoangiomatous stromal hyperplasia (PASH of the breast is a benign lesion, characterized by a dense proliferation of stromal mesenchymal cells of myofibroblastic origin forming empty, slit-like channels. We report PASH in a 12-year-old girl with a huge rapidly enlarged right breast. Biopsy of the mass showed histopathologic features characteristic of PASH. Immunohistochemical studies revealed diffuse positive membranous immunoreactivity to CD34. Although it is a benign lesion, lumpectomy was performed to minimize the damage from developing breast tissue.

  1. Complete clinical response to neoadjuvant chemotherapy in a 54-year-old male with Askin tumor.

    Mulsow, J


    Askin tumor is a tumor of the thoracopulmonary region that most commonly affects children and adolescents. These rare tumors are a form of primitive neuroectodermal tumor and typically carry a poor prognosis. Treatment is multimodal and consists of a combination of neoadjuvant chemotherapy, radical resection, and adjuvant chemo- and radiotherapy or all of the above. Surgery is advocated in most cases. We report a case of Askin tumor in a 54-year-old male who showed rapid and complete response to neoadjuvant chemotherapy. This allowed potentially radical surgery to be avoided. At one-year follow-up he remains disease-free.

  2. An unusual cause of central cyanosis in a nine-year-old boy

    A Shobi


    Full Text Available Pulmonary arteriovenous malformations are rare vascular anomalies which rarely present in childhood. We discuss a nine-year-old male child who presented with the classical triad of exertional dyspnea, cyanosis and clubbing since six years of age. Pulmonary arteriovenous malformation was suspected on chest radiography and was later confirmed on computed tomography scan. A bubble contrast echocardiography showed the presence of an extracardiac shunt. Pulmonary angiography was done to delineate the anatomy of the pulmonary vasculature and to plan embolization. The child has undergone two sittings of transcatheter coil embolization with improvement in oxygenation.

  3. A 64-Year-Old Woman with Chest Pain, Limb Weakness, and Endometrial Cancer

    Simon Ponthus


    Full Text Available Necrotizing autoimmune myopathy (NAM is a rare subgroup of idiopathic inflammatory myopathies (IIM. This pathology usually affects proximal limb muscles and in some cases the myocardium. Patients usually display proximal limb weakness. Muscular biopsy is required to confirm the diagnosis. We report the case of a 64-year-old woman with an atypical first presentation of NAM, manifested by chest pain in the context of metastatic endometrial cancer. The diagnosis of NAM was however made when she returned a second time with proximal limb weakness. A treatment with prednisone was then initiated, to which rituximab was rapidly associated, beside a specific chemotherapy.

  4. Imperforate anus, delayed presentation in a 7-year-old girl.

    Acosta Farina, D; Ortiz-Interian, C J; Acosta Vasquez, C E


    Most of the cases of imperforate anus should be discovered at birth, during the initial physical examination. This case represents the status of Third World rural perinatal care, wherein delivery of an infant by a midwife in poverty stricken area of mountainous Jipijapa, Ecuador, failed to reveal the anomaly during the cursory examination. Moreover, the cultural taboos of the Jipijapan agricultural community further delayed the diagnosis. A 7-year-old girl with imperforate anus presenting with a rectovaginal fistula is reported. Specific findings in the case, therapy, and an approach to the diagnosis are discussed.

  5. Snoring, sympathetic activity and cardiovascular risk factors in a 70 year old population

    Jennum, P; Schultz-Larsen, K; Christensen, Niels Juel


    In order to describe the relation between snoring, cardiovascular risk factors, metabolic factors and sympathetitic activity, 804 70-year-old males and females were classified according to snoring habits and life-style factors (alcohol and tobacco consumption), blood pressure, body mass index (BMI...... with tobacco consumption (p = 0.08). No associations were found between snoring and fasting glucose, plasma lipids, plasma epinephrine or in the use of antihypertensive medication. In multivariate analysis, with forced entry of gender, BMI, physical activity, alcohol and tobacco consumption, the relation...

  6. Intermuscular lipoma in a 4-year-old child presenting like Spigelian hernia


    Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made unde...

  7. Bilateral xanthogranulomatous funiculitis and orchiepididymitis in a 13-year-old adolescent boy.

    Repetto, Paolo; Bianchini, Maria Anastasia; Ceccarelli, Pier Luca; Roncati, Luca; Durante, Viviana; Biondini, Diego; Maiorana, Antonio; Barbolini, Giuseppe; Cacciari, Alfredo


    Xanthogranulomatous orchitis is an extremely rare inflammatory nonneoplastic lesion of the testis. We report a case of a 13-year-old adolescent boy who presented a painless left hemiscrotal swelling. The subsequent ultrasonography and magnetic resonance imaging revealed the presence of abnormal expanding tissue located in both testes and spermatic cord, reaching the internal inguinal ring. Testicular tumor markers were normal. The frozen section examination of the surgical specimen showed only inflammatory tissue and not neoplastic tissue. No orchiectomy was performed. Definitive histopathologic diagnosis was xanthogranulomatous inflammation. To our knowledge, this is the youngest case of xanthogranulomatous orchiepididymitis and funiculitis found in medical literature.

  8. Transitory spinal cord swelling in a 6-year-old boy with Guillain-Barre syndrome

    Delhaas, T. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands)]|[Department of Pediatrics, University Hospital Maastricht, P0 Box 5800, 6202 AZ Maastricht (Netherlands); Kamphuis, D.J. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands); Witkamp, T.D. [Department of Radiology, University Hospital Utrecht, Utrecht (Netherlands)


    A 6-year-old boy developed progressive motor weakness and areflexia. The clinical picture, combined with electrophysiological findings, indicated a diagnosis of Guillain-Barre syndrome (GBS). MRI on admission revealed spinal cord swelling and increased signal intensity within the cord. It is concluded that, since a degree of central nervous system involvement can occasionally be part of the spectrum of GBS, swelling of the spinal cord without contrast enhancement does not exclude a diagnosis of GBS. (orig.) With 2 figs., 8 refs.

  9. Giant parietal lobe infantile gliosarcoma in a 5-year-old child

    Hemant V Savant


    Full Text Available The relative frequency of pediatric gliosarcoma (GSM is 1.9% among glioblastomas and 0.5% among pediatric central nervous system tumors. A 5-year-old female child came to us with history of fever and loss of appetite since 2 weeks and right sided weakness since 4 days. Magnetic resonance imaging showed a large heterogeneously enhancing space occupying lesion in the left parieto-occipital region. A parieto-occipital craniotomy with radical excision of tumor was performed. The patient was given adjuvant therapy following surgery and survived until 9 months following surgery. The etiopathogenesis, treatment modalities and prognosis of GSM is discussed.

  10. Multifocal gastrointestinal stromal tumor (GIST) of the stomach in an 11-year-old girl

    Park, Jin [University of North Carolina Hospitals, Department of Radiology, Chapel Hill, NC (United States); Rubinas, Tara C. [University of North Carolina Hospitals, Department of Pathology, Chapel Hill, NC (United States); Fordham, Lynn A. [University of North Carolina School of Medicine, Department of Radiology, Chapel Hill, NC (United States); Phillips, J.D. [University of North Carolina School of Medicine, Department of Surgery, Division of Pediatric Surgery, Chapel Hill, NC (United States)


    A previously healthy 11-year-old girl presented with an 8-month history of anemia and left upper quadrant abdominal pain. US examination demonstrated a 9-cm cystic mass with a fluid-fluid level in the left upper quadrant with unclear organ of origin. Abdominal MR imaging demonstrated a complex cystic mass, likely arising from the stomach. Additional T2 hyperintense submucosal lesions were identified in the gastric wall. Surgical excision confirmed the diagnosis of multifocal gastric gastrointestinal stromal tumor (GIST). MR imaging was helpful in suggesting a gastric origin of the primary mass and in demonstrating multifocal disease within the stomach. (orig.)

  11. Congenital Bochdalek′s hernia in a 18-year-old boy

    Supriya Sarkar


    Full Text Available Adult presentation of congenital Bochdalek′s hernia is rare. Here we report the case of a 18-year-old boy who presented to us with dyspnea, low grade fever, and cough for whom the diagnosis of congenital Bochdalek′s hernia was confirmed by computed tomography (CT scan of thorax after barium ingestion. Problems of this adult presentation because of difficulty in diagnosis, operative management, and rudimentary lung were properly and successfully dealt with in our case. We concluded that before undergoing operation in adult Bochdalek′s hernia, thorough check-up is necessary as rudimentary lung may not expand resulting in ventilatory insufficiency during postoperative phase.

  12. Colonic Necrosis in a 4-Year-Old with Hyperlipidemic Acute Pancreatitis

    Tiffany J. Patton


    Full Text Available Here we report the case of a 4-year-old male with severe acute pancreatitis due to hyperlipidemia, who presented with abdominal pain, metabolic abnormalities, and colonic necrosis. This colonic complication was secondary to the extension of a large peripancreatic fluid collection causing direct serosal autodigestion by pancreatic enzymes. Two weeks following the initial presentation, the peripancreatic fluid collection developed into a mature pancreatic pseudocyst, which was percutaneously drained. To our knowledge, this is the youngest documented pediatric case of colonic necrosis due to severe pancreatitis and the first descriptive pediatric case of a colonic complication due to hyperlipidemia-induced acute pancreatitis.

  13. Renal artery thrombosis and hypertension in a 13 year old girl with antiphospholipid syndrome.

    Ostuni, P A; Lazzarin, P; Pengo, V; Ruffatti, A; Schiavon, F; Gambari, P


    The case of a 13 year old girl with renal artery thrombosis and hypertension is described. A cerebrovascular accident and a probable occlusion of the superior mesenteric artery also occurred. Very high levels of 'lupus anticoagulant', anticardiolipin antibodies as well as false positive Venereal Disease Research Laboratory tests were repeatedly shown. Moreover, the patient fulfilled at least four classification criteria for systemic lupus erythematosus, but only a slight positivity for antinucleolar antibodies was present. The striking relation between antiphospholipid antibody levels and clinical events and the treatment of this complex syndrome are discussed. Images PMID:2108619

  14. A giant trichobezoar causing rapunzel syndrome in a 12-year-old female

    Nadeem Ul Nazeer Kawoosa


    Full Text Available Bezoar is a tightly packed collection of undigested material that is unable to exit the stomach. Most bezoars are of indigestible organic matter such as hair-trichobezoars; or vegetable and fruit-phytobezoars; or a combination of both. Trichobezoars commonly occur in patients with psychiatric disturbances who chew and swallow their own hair. In very rare cases, the Rapunzel syndrome hair extends through the pylorus into the small bowel causing symptom and sign of partial or complete gastric outlet obstruction. A case report of trichobezoar in the stomach causing Rapunzel syndrome in a 12-year-old female is reported.

  15. [Extreme reactive thrombocytosis in a healthy 6 year-old child].

    de Lama Caro-Patón, G; García-Salido, A; Iglesias-Bouzas, M I; Guillén, M; Cañedo-Villaroya, E; Martínez-Romera, I; Serrano-González, A; Casado-Flores, J


    Thrombocytosis is usually a casual finding in children. Reactive or secondary thrombocytosis is the more common form, being the infections diseases the most prevalent cause of it. Regarding the number of platelets there are four degrees of thrombocytosis; in its extreme degree the number of platelets exceeds 1,000,000/mm(3). We describe a case of extreme reactive thrombocytosis in a healthy 6-year-old child. He required critical care admission for diagnosis and treatment (maximum number of platelets 7,283,000/mm(3)). We review the different causes of thrombocytosis in childhood, the differential diagnosis, and the available treatments in case of extreme thrombocytosis.

  16. Mycoplasma pneumoniae associated organising pneumonia in a 10 year old boy.

    Wachowski, O; Demirakça, S; Müller, K-M; Scheurlen, W


    We describe a 10 year old boy with organising pneumonia associated with acute Mycoplasma pneumoniae infection. The diagnosis of organising pneumonia was made by open lung biopsy and the M pneumoniae infection was proven serologically. Antibiotic and long term corticosteroid treatment resulted in steadily improving pulmonary function monitored by spirometry. The introduction of anti-inflammatory treatment with NSAIDs/immunosuppressive agents in order to spare steroids was well tolerated and resulted in further improvement of the pulmonary function. To our knowledge this is the first documented case of Mycoplasma pneumoniae associated organising pneumonia to be reported in a child.

  17. Constructing qualitative energy concepts in a formal educational context with 6 – 7 year old students



    Full Text Available The research presented in this paper is a preliminary empirical study of primary school children’s ability to construct a qualitative explanatory model for the ‘energy’ concept. The research results are particularly encouraging since it seems that 6-7 year old children are able, following a relevant teaching intervention, to utilize a linear causal reasoning and construct a preliminary energy model. Through the use of this model, the children are able to describe natural phenomena, such as the lighting of a lamp or the movement of a small motor using a battery or a photovoltaic cell.

  18. Idiopathic myelofibrosis with generalized periostitis in a 4-year-old girl.

    Walia, Mandeep; Mehta, Rajesh; Paul, Premila; Saluja, Sumita; Kapoor, Sujala; Sharma, Monika


    Idiopathic myelofibrosis, a chronic myeloproliferative disorder of unknown origin, is characterized by splenomegaly, extramedullary hematopoiesis, leukoerythroblastosis, teardrop erythrocytes, and myelofibrosis. It is a rare disorder in childhood. The authors describe a 4-year-old girl with features consistent with idiopathic myelofibrosis, who also had generalized solid laminated periosteal reaction involving all long bones. The presence of thrombocytopenia at the onset and lack of leukocytosis were in contrast to the reported features seen in children. Recent case reports describe a relatively indolent course in children. Spontaneous remissions have also been described in pediatric cases. The fulminant course of this patient without any features of malignant transformation was noteworthy in this regard.

  19. [Elbow dislocation and lateral epicondyle fracture in a five year-old girl. Case report].

    Rincón, D; Guzmén, R; Camacho, J; Abril, C


    Traumatic elbow dislocation in the pediatric population is a particularly unusual injury. It was first described by Stimson in 1900 and almost 100 years later revisited by Tachdjian in 1990. Three percent of cases are associated with lateral epicondyle fracture, so this is an infrequent injury that has been described in only a few papers as case reports. The mechanism of injury is not clearly known, nor is the best type of treatment or its complications. We report herein the case of a five year-old girl with fracture dislocation of the lateral epicondyle who was managed with closed reduction and percutaneous fixation with Kirschner nails, with good functional results.

  20. Early Eruption of Maxillary Pre Molar with Turner's Hypoplasia in a 5-Year-Old Boy.

    Rai, Nitya; Mathur, Shivani; Sandhu, Meera; Sachdev, Vinod


    Early eruption of permanent maxillary premolar appears to be a unique finding, at such an early chronological age. Untimely eruption of permanent maxillary premolar is discussed in a 5-year-old male patient. On intra oral examination grossly carious primary maxillary first molar (tooth number 54,64) were reported. The erupting teeth presented with a hypomineralized cusp tip. Extraction following space maintainer in 64 region was given. Pediatric dentist should consider these kinds of rarities in eruption pattern while examining a pediatric patient.