We present a case with a suspected epileptic disorder. This may be a result of a neurocardiogenic syncope leading to seizures. A 10-year-old boy suffered two episodes of sudden loss of consciousness after getting injections. Electrocardiography (ECG) and electroencephalography recordings during a venipuncture showed asystole of 6 seconds followed by a generalized seizure with clonic jerks of the right arm and leg while theta waves in the EEG were noted. Tilt-table testing could not provoke a pathological reaction.

Child↗

PubMedDate not supplied

Using kangaroo care in a clinical setting with fullterm infants having breastfeeding difficulties.

Usually Kangaroo Care (KC) or skin-to-skin holding care is done with preterm infants. This article, however, documents clinical experiences with three mothers and their fullterm infants who were having latching/breastfeeding difficulties. In each case the nurse placed the fullterm infant in KC for approximately 1 hour prior to and continuing into the next breastfeeding session. Although no recommendations can be made based on case studies, these clinical experiences suggest that KC is a worthwhile intervention to try when a mother and her fullterm infant are struggling to achieve successful breastfeeding.

Body Temperature↗

PubMedDate not supplied

Birth kangaroo (skin-to-skin) care and breastfeeding. An eclamptic woman's story.

Kangaroo care (KC), also known as skin-to-skin care, has been described often in the nursing literature for its benefits for both preterm and fullterm infants. In this case study KC was used for a mother in a high-risk situation: eclampsia. This mother gave birth to a 34-week preterm infant, and desired breastfeeding. KC was initiated, and due to the high risk for subsequent seizures, included close observation by these nurses. The mother successfully breastfed, and continued the KC at home.

Adult↗

PubMedDate not supplied

Aerobic capacity and functional classification of patients with severe left-ventricular dysfunction.

Classes I/II and III of the classification systems of the New York Heart Association (NYHA), Canadian Cardiovascular Society (CCS) and American Medical Association (AMA) were compared with each other and with the Weber classification (O2 uptake, VO2/kg during treadmill walking) in 35 male patients with severe left ventricular dysfunction. Measured end points were ventilatory threshold (VT) and peak exercise. Also investigated was whether the CCS and AMA scales, due to their more stringent differentiation, are more precise than the NYHA system in determining a limited physical capacity and whether there are other differentiating factors useful in classification which may be derived from cardiopulmonary exercise testing. At the VT, the mean VO2/kg did not differ significantly in any classification system between classes I/II and III (12.8 +/- 2.5 vs. 11.1 +/- 2.3 ml/kg/min) and corresponded to Weber class B. At peak exercise, the mean VO2/kg only differed significantly within the NYHA classification; classes I/II (16.3 +/- 3.1 ml/kg/min) corresponded to Weber class B, and class III (13 +/- 3 ml/kg/min) to Weber class C. The individual values displayed a large scatter. Factors differing in classes I/II and III of all three systems at peak exercise were the ventilatory equivalent of O2 and CO2 as well as end-tidal partial pressure for O2 and CO2. At VT these factors showed a separating character only in the AMA classification. It is not possible to determine objective functional impairment by use of the NYHA, CCS and AMA systems because they are not analogous to the Weber system. Nevertheless, these classification systems can be used for clinical assessment and follow-up.

Exercise Test↗

PubMedDate not supplied

Estimates of direct and maternal covariance functions for growth of Australian beef calves from birth to weaning.

Records for birth and subsequent, monthly weights until weaning on beef calves of two breeds in a selection experiment were analysed fitting random regression models. Independent variables were orthogonal (Legendre) polynomials of age at weighing in days. Orders of polynomial fit up to 6 were considered. Analyses were carried out fitting sets of random regression coefficients due to animals' direct and maternal, additive genetic and permanent environmental effects, with changes in variances due to temporary environmental effects modelled through a variance function, estimating up to 67 parameters. Results identified similar patterns of variation for both breeds, with maternal effects considerably more important in purebred Polled Herefords than a four-breed synthetic, the so-called Wokalups. Conversely, repeatabilities were higher for the latter. For both breeds, heritabilities decreased after birth, being lowest when maternal effects were most important around 100 days of age. Estimates at birth and weaning were consistent with previous, univariate results.

Animals↗

PubMedDate not supplied

Estimating genetic covariance functions assuming a parametric correlation structure for environmental effects.

A random regression model for the analysis of "repeated" records in animal breeding is described which combines a random regression approach for additive genetic and other random effects with the assumption of a parametric correlation structure for within animal covariances. Both stationary and non-stationary correlation models involving a small number of parameters are considered. Heterogeneity in within animal variances is modelled through polynomial variance functions. Estimation of parameters describing the dispersion structure of such model by restricted maximum likelihood via an "average information" algorithm is outlined. An application to mature weight records of beef cow is given, and results are contrasted to those from analyses fitting sets of random regression coefficients for permanent environmental effects.

Age Distribution↗

PubMedDate not supplied

Leptin as a metabolic regulator during fetal and neonatal life and in childhood and adolescence.

Body weight is regulated by a feedback loop in which peripheral signals report nutritional information to an integratory center in the brain. The cloning of the ob gene is consistent with this concept and suggests that body fat content in adult rodents is regulated by a negative feedback loop centered in the hypothalamus/1-8/. In a recent report, two severely obese children with congenital leptin deficiency due to a homozygous frame-shift mutation involving the deletion of a single guanine nucleotide in codon 133 of the ob gene have been described. This discovery provides the first genetic evidence that leptin is an important regulator of energy balance in humans. However, it has become increasingly clear that apart from leptin's function in the central nervous system and in regulation of energy balance, leptin also acts in the periphery and might be important as a hormone modulating processes in regard to reproduction, glucose metabolism and insulin resistance, as well as growth and development of many tissues and organs either directly or indirectly. This report reviews some of the topics of leptin research that are of particular importance and relevance for pediatric and adolescent medicine and for pediatric endocrinology in particular.

Adolescent↗

PubMedDate not supplied

Detection of anabolic residues in misplaced implantation sites in cattle.

Eight weeks before slaughter, 26 heifers, 2 calves, and 1 steer were implanted with licensed anabolic preparations at off-label injection sites. After slaughter, 24 of 31 implantation sites (77%) were detected. Residual pellets of Revalor H contained a mean of 42.9 mg trenbolone acetate (range 19.8-57.7 mg) and 4.6 mg (1.96-6.45 mg) estradiol, corresponding to 30% (19.8-57.7%) and 32.7% (14.0-46.6%) of the originally applied dose, respectively. In the tissue areas containing residual Revalor H pellets, total residues ranged from 14.8 microg to 12.6 mg trenbolone acetate, 41.7 microg to 1.45 mg trenbolone, and 11.1 microg to 3.39 mg estradiol. The outer tissue areas of the injection sites contained <2 microg hormones. The preparations Synovex H, Finaplix H, Implus S, and Component EC behaved similarly to Revalor H. Residues of Synovex Plus were low, whereas the Compudose silicone rubber contained 58.8% of the implanted dose, but left no significant tissue residues. If implantation sites are processed in meat manufacturing, international threshold levels of the respective substances will be exceeded in tons of meat products.

Anabolic Agents↗

PubMedDate not supplied

Determination of locust bean gum and guar gum by polymerase chain reaction and restriction fragment length polymorphism analysis.

A polymerase chain reaction (PCR) was developed to differentiate the thickening agents locust bean gum (LBG) and the cheaper guar gum in finished food products. Universal primers for amplification of the intergenic spacer region between trnL 3' (UAA) exon and trnF (GAA) gene in the chloroplast (cp) genome and subsequent restriction analysis were applied to differentiate guar gum and LBG. The presence of <5% (w/w) guar gum powder added to LBG powder was detectable. Based on data obtained from sequencing this intergenic spacer region, a second PCR method for the specific detection of guar gum DNA was also developed. This assay detected guar gum powder in LBG in amounts as low as 1% (w/w). Both methods successfully detected guar gum and/or LBG in ice cream stabilizers and in foodstuffs, such as dairy products, ice cream, dry seasoning mixes, a finished roasting sauce, and a fruit jelly product, but not in products with highly degraded DNA, such as tomato ketchup and sterilized chocolate cream. Both methods detected guar gum and LBG in ice cream and fresh cheese at levels <0.1%.

DNA↗

PubMedDate not supplied

Introduction: mucopolysaccharides.

Explore the source record for details and available documents.

Chondroitin↗