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Biomedical subjects

A Debard

Publications and source records attributed to A Debard.

10 recordsLinked to original sources

[Mothers rooming-in in a department of pediatrics (author's transl)].

The socio-economic and medical characteristics of a population of 100 children hospitalized in a "mother and child" section of a general pediatric department were studied in order to point out some objective data. This population appears socio-economically privileged. The majority of them are single children, with ages ranging from 0 to 10 years and with many babies under 6 months. There are as many working mothers in this group as in the average population of the department. Types of diseases are varied as the children were not chosen on medical criteria. Lastly, the length of the stay in hospital becomes noticeably shorter.

Adult↗

[Mothers rooming-in in a department of pediatrics (author's transl)].

In order to better understand the reactions arising from the admission of a child with his mother to the hospital, the reactions of the families, of the hospital staff and of doctors to the permanent presence of the mothers have been analysed. It appears that, in spite of the constraints linked with this type of hospital treatment, it does have positive aspects as compared to the usual type of hospitalization : the organization of the admission, the existence of a single medical contact, a closer observation, a team which works closer together, better possibilities of obtaining information, a shorter stay in hospital; all these improvements could be generalized. However, this concept of hospital treatment is quite demanding for the hospital staff, who must have the support of all the doctors concerned and of the administration.

Adult↗

[Nanism caused by water deprivation, with transitory growth hormone deficiency].

Report of a case of a girl admitted for alcoholic poisoning then for a toxic syndrome with considerable hypernatremia. Clinical examination showed a dwarfism (-4 S.D.) with break of the growth curve and bone-age retardation. History revealed cruelty and thirsting since the age of 2 years. Isolated somatotropin insufficiency was found. Separation from the family and free drinking induced a spectacular recovery of growth and normalization of growth hormone level. The relative role and relationships between growth hormone deficiency and chronic dehydration due to water deprivation in the physiopathology of dwarfism due to frustration are discussed.

Child↗

[Bourneville's tuberose sclerosis in children (author's transl)].

In 20 out of a series of 30 children with Bourneville's disease, the diagnosis was made from the association of epilepsy and multiple achromic spots, before the appearance of adenomas. A total of 27 of these 30 children had these spots, and their characteristics are reviewed, as well as the average age of onset and frequency of the other typical cutaneous signs noted in this group: sebaceous adenomas, Koenen's tumors, and leather-grained skin plaques. Severe epilepsy was a constant finding and was often resistant to treatment: West's syndrome (18 cases), and Lennox Gastaut's syndrome (16 cases). Severe mental deficiency was also an almost constant finding and was increased by behavioural disorders: 11 out of the 13 children aged more than 5 years. Other locations of the disease included more particularly the ocular (8 cases), skeletal (11 cases), and renal (1 case) regions. In 5 cases, the disease had been transmitted by a parent, but in 3 of these it had not been recognized.

Child↗

[Propionicacidemia. A report on two cases (author's transl)].

Two cases of propionicacidemia are reported. The first patient was a child aged 16 months with psychomotor retardation, severe disturbances of wakefulness, and vomiting; the second case concerned a new-born baby with metabolic acidosis and neurological disorders. In both cases the diagnosis of propionicacidemia was made after the discovery of ketonuria, and raised blood ammonia and glucose levels. Appropriate dietary measures led to great improvement in the first case, and nearly normal psychomotor development in the second case at 7 months of age. Problems related to biotin sensitivity, leucine intolerance, and raised blood ammonia levels are discussed.

Ammonia↗