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September 03, 2010
The Swiss Iodized Salt Program Provides Adequate Iodine for School Children and Pregnant Women, but Weaning Infants Not Receiving Iodine-Containing Complementary Foods as well as Their Mothers Are Iodine Deficient - Journal of Clinical Endocrinology and Metabolism
Andersson M et al. – The objective of the study was to first confirm that Swiss school children and pregnant women remain iodine sufficient and then to assess iodine status in infancy and the relative contribution of breast milk and IFM/CF to their iodine intakes. In countries in which iodized salt programs supply sufficient iodine to older children and pregnant women, weaning infants, particularly those not receiving iodine–containing IFM, may be at risk of inadequate iodine intakes....
Limited motor performance and minor neurological dysfunction at school age - Acta Pediatrica
Peters LHJ et al. – Limited motor performance is related to the severity and type of MND. Coordination problems and fine manipulative disability are strongly related to poor motor performance, mild dysfunctions of posture and muscle tone to a lesser extent....
Sudden Death of a 7-Year-Old Boy Due to Undiagnosed Glioblastoma - American Journal of Forensic Medicine and Pathology
Sutton JT et al. – The authors present a case of sudden death of a 7–year–old boy who at autopsy was found to have an undiagnosed glioblastoma. The boy was asymptomatic until 2 hours before death complaining of a headache and was later found unresponsive in bed. A medicolegal autopsy was notable for a large hemorrhagic mass of the right frontal lobe, which on analysis was diagnostic of a glioblastoma. The authors feel that this is a unique case for 2 main reasons; high–grade gliomas of the cerebral cortex are rare in the pediatric population, and it is unusual for a large neoplasm to remain asymptomatic until 2 hours prior to death....
Child and adolescent mental health in the Middle East: an overview - Middle East Journal of Family Medicine
El–Gilany AH et al. – The last few decades have witnessed significant achievement in child physical health with control of infectious diseases and improvement of nutritional status. It is a paradox that physical health among children has improved while mental health has been deteriorating. Recently, therefore, attention has been turning to child mental health promotion. Available studies revealed that prevalence of mental disorders in Middle East is similarly high as in other parts of the world. Many risk factors and constraints are prevalent in the region. However, there are supporting factors that need to be promoted. Situation of child and adolescent mental health in the region as well as challenges facing any future program are discussed....
Pleomorphic Ichthyosis: Proposed Name for a Heterogeneous Group of Congenital Ichthyoses with Phenotypic Shifting and Mild Residual Scaling - Acta Dermato-Venereologica
Vahlquist A – Congenital ichthyosis is often associated with typical neonatal phenotypes, "Collodion baby" and "Harlequin foetus", later transforming into severe lamellar or erythrodermic ichthyosis. However, in a minority of cases the skin condition will improve spontaneously after birth, although slight scaling, xerosis, hypohidrosis and keratoderma usually persist. Some of these patients will eventually be diagnosed as suffering from self–improving collodion ichthyosis, ichthyosis prematurity syndrome, or other, even rarer, forms of ichthyosis also characterized by a phenotypic shift in early childhood. This paper summarizes newly described aetiologies for some of these diseases and discusses difficulties encountered when trying to distinguish them clinically from other types of autosomal recessive congenital ichthyosis. To remind health providers about this heterogeneous group of partially transient disorders of cornification, a new umbrella term, "pleomorphic ichthyosis", is proposed....
High Body Mass Index in Adolescent Girls Precedes Psoriasis Hospitalization - Acta Dermato-Venereologica
Bryld LE et al. – A total of 1074 (0.36%) of the schoolchildren were identified as having psoriasis, with at least one hospital admission. Multivariate analysis demonstrated an association between excess increase in body mass index and psoriasis in females only. Being overweight in adolescence was the main factor behind this observation. The female group showed a significant association between psoriasis and body mass index at ages 12 and 13 years. This was not the case for males or for body mass index measured at ages 11 years and below....
Storytelling as a communication tool for health consumers: development of an intervention for parents of children with croup - BMC Pediatrics
Hartling L et al. – Several challenges arose during the development of the stories including: staying true to the story versus being evidence based; addressing the use of the internet by consumers as a source of health information; balancing the need to be comprehensive and widely applicable while being succinct; considerations such as story length, reading level, narrative mode, representation of different demographics and illness experiences, graphics and layout. The process was greatly informed by feedback from the end–user group. This allowed us to shape the products to ensure accuracy, credibility, and relevance. This experience is valuable for further work in the area of stories and narratives, as well as more broadly for identifying and developing communication strategies for healthcare consumers....
Child mortality from solid-fuel use in India: a nationally-representative case-control study - BMC Public Health
Bassani DG et al. – Child mortality risks, from all causes, due to solid fuel exposure were lower than previously, but as exposure was common solid, fuel caused 6% of all deaths at ages 0–4, 20% of deaths at ages 1–4 or 128 000 child deaths in India in 2004. Solid fuel use has declined only modestly in the last decade. Aside from reducing exposure, complementary strategies such as immunization and treatment could also reduce child mortality from acute respiratory infections....
Substantial Morbidity for Hospitalized Children With Community-Acquired Rotavirus Infections: 2005-2007 IMPACT Surveillance in Canadian Hospitals - The Pediatric Infectious Disease Journal
Le Saux N et al. – The authors describe community–acquired rotavirus illness in 1359 children hospitalized at 12 centers in Canada between January 2005 and December 2007. The median age was 1.5 years. Almost half (48.6%) had significant dehydration, almost one–fifth (19%) had clinical sepsis and 7% had seizures at presentation. The median hospital stay was 3.4 days. Severe clinical presentations are less commonly described in surveillance programs....
Lack of Increase in Vancomycin Resistance of Pediatric Methicillin-Resistant Staphylococcus aureus Isolates From 2000 to 2007 - The Pediatric Infectious Disease Journal
Zheng X et al. – The authors retrospectively studied 306 pediatric methicillin–resistant Staphylococcus aureus isolates collected in 2000/2001, 2003, 2005, and 2007 for possible vancomycin minimum inhibitory concentration change over time using Etest, agar dilution, and broth microdilution methods. Vancomycin MICs did not increase. Inducible clindamycin resistance declined significantly. Considerably different proportions of isolates with vancomycin MIC = 2 micro g/mL were identified by different laboratory methodologies, suggesting the need for caution in their interpretation and in comparing published data....

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