[Effects of a balanced hypocaloric diet on body weight, blood pressure, lipid and lipoprotein picture of the obese child].
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Biomedical subjects
Publications and source records attributed to A Sterpa.
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The "Prune-Belly" syndrome is rare and sporadic. The authors describe three siblings of both sexes with the syndrome. Good results in two of the patients arouse new interest in surgery for this syndrome. The possibility of prenatal diagnosis is discussed.
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We report a case of Noonan syndrome with characteristic facies, short stature, defect cardiac, epilepsy in a 15 months old girl with Arnold Chiari malformation type 1. We discuss our observations in relation to Noonan syndrome and ACM I.
Osteopathy offers a variety of non invasive healing treatments for birth trauma and pediatric problems and it is a choice in Neonatology. It is the osteopaths' highly developed sense of touch that allows the physician to palpate (feel) the patient living anatomy. The osteopathic's job is to set the body up to heal itself, to restore this normal function. The osteopath gently applies a precise amount of force to promote movement of body fluids, eliminate dysfunction in the motion of the tissues and release compressed bones and joints. We report a study to determine the safety and efficacy of osteopathic treatments. The gentle nature of this treatment makes it particularly effective for babies. It can be used to reduce distress and trauma in babies delivered by forceps or after a protracted and difficult delivery (whose prolonged crying may be misdiagnosed as colic), and can be used to treat infants who become hyperactive. Among 4558 babies observed between 1999 and 2001 in our Neonatology Unit, 488 cases were observed by an osteopath and 155 cases have been selected for osteopathic treatment. The outcome measure was symptom relief. There were no adverse effects.
General movements (GMs) can be observed in fetus (as young as nine weeks postmenstrual age) and in infants. Without neurological dysfunction, GMs continue in a similar pattern (writhing movements) until the end of the eight week postterm which is then followed by a gradually emerging new pattern (fidgety movements). At an age of about 15 weeks postterm, infants develop gradually other patterns of spontaneous motor activity (manipulation, voluntary movements, reaching, touching, grasping, axial rolling, antigravity movements, etc.). The changes in spontaneous motility and GMs developmental trajectories were good predictors of the neurological outcome. We report the results of our studies in fetal distress and in perinatal abnormalities for the evaluation of predictive value of GMs assessment.
Detection during pregnancy of twin kinsmen generates a series of issues. The delivery must be programmed and prepared. The unexpected birth of twin kinsmen represents an emergency. In this woman, the normal antenatal US evaluations were not performed because of the social conditions of the mother. The outcome of the twins is determined by the malformations complexity. In this case the abnormalities caused the neonatal death.
The authors expose the problems to be solved preliminarily in order to obtain a perfect standardization of autoptic protocols concerning perinatal subjects. Therefore the propose a draft of detailed anamnestic clinical card that follows the woman and the conception product during and after the pregnancy, and suggest the ways for an adequate perinatal diagnostic autoptic protocol. They deem advisable to insert the anamnestic clinical summary, codified with the SNO-MED, in an autoptic data bank, an irreplaceable instrument of interdisciplinary study.
Considering the overcoming importance that cholesterol levels and lipoprotein pattern presents as atherosclerosis risk factor, the Authors have performed lipoprotein analysis in two groups of obese children (weight excess over 50% of the ideal weight). The patients were hospitalized and treated by dietetic therapy and moderate exercise for 15 days. In group 1 the diet was daily supplemented by fibres. In both groups a weight drop as well as reduction of total cholesterol and LDL cholesterol was observed, while serum triglycerides and VLDL cholesterol and HDL cholesterol remain substantially unchanged.
A 10-year-old boy, in a precomatose state, was admitted to our Endocrine Unit for diabetic ketoacidosis. It took unusually long to reequilibrate the acidosis despite a bicarbonate drip. On the 4th day the patient suddenly complained of an acute abdominal pain associated with macrohematuria and oliguria; ankle edema was evident. No radio-opaque image was detected along the urinary tract. An intravenous pyelogram (IVP) showed an almost totally silent left kidney. Ten days later a control IVP showed complete normality of both kidneys. We postulated that the serious and protracted dehydration might have resulted in the formation of a blood clot along the renal tract and that the rehydration may have subsequently removed it.
The role of ultrasound on paediatric renal tract investigation has become established over the last 15 years, showing only with nuclear magnetic imaging the merit of being truly, non invasive and almost certainly free from biological hazards. The information obtained remains mainly static rather than dynamic, anatomical rather than functional. Conversely radioisotopic methods allow functional studies, mainly in cases in which separate functional are requested. Recently some Authors claimed that these two techniques could replace conventional x-ray investigations. Aim of this paper is to report the results of these techniques separately applied in urinary tract abnormalities in pediatric age. Reliability and utility in terms of diagnostic and therapeutic approach are discussed.