Gastrointestinal dysfunction in dermatitis herpetiformis.
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Biomedical subjects
Publications and source records attributed to T Lindberg.
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The UN Convention on the Rights of the Child recognizes the right of the child to the highest attainable standard of health, and to treatment of illness and rehabilitation. There are very great differences in access to health care, including preventive medicine such as immunization, and adequate nutrition, between countries in the developed and developing world. These particularly affect children in war zones and in countries affected by sanctions. Developed countries are not perfect; many children in the United States are not fully immunized, and in Sweden hidden refugees and disabled children receive sub-standard care.
AIM OF THE STUDY: To analyze the influence of kangaroo care (KC) with and without nasogastric tube-feeding (NGTF) on plasma cholecystokinin (CCK) and somatostatin (SS) levels in preterm infants and in their parents. PATIENTS AND METHODS: Eighteen infants, median (range) gestational age 28 wks (24-34 wks) and birth weight 1230 g (766-2660 g) received KC for > or = 60 min at a median age of 3 days. In infants, blood samples were taken before KC and at 5, 30 and > or = 60 minutes of KC and from the parents (n = 15) before and at > or = 60 minutes of KC. Eight infants receiving KC and 67 infants not receiving KC were fed by nasogastric tube. Blood samples were taken before and 30 min after the end of feeding. All blood samples were analyzed by specific SS and CCK radioimmunoassays. RESULTS: In infants, the median plasma cholecystokinin level decreased from 10.3 to 9.0 pmol/l (p < 0.05) during KC without feeding. Plasma SS did not change. Plasma CCK levels increased from 10.1 to 22.3 pmol/l (p = 0.028) after NGTF during KC and were unchanged after NGTF without KC. Plasma somatostatin levels were unchanged after NGTF in both groups. In parents, plasma somatostatin levels and cholecystokinin levels did not change during KC. CONCLUSIONS: In infants, plasma cholecystokinin, but not somatostatin levels, decreased during KC. Plasma CCK levels increased after NGTF only in combination with KC. Plasma SS levels were unchanged. In parents, plasma somatostatin and cholecystokinin levels were not influenced by KC.
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