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Biomedical subjects

B Lask

Publications and source records attributed to B Lask.

At least 37 records · Page 2Linked to original sources
PubMed1997

Eye movement abnormalities in a case of Tourette syndrome.

Tourette syndrome (TS) is a neuropsychiatric disorder that is characterised by the presence of multiple vocal, facial, and motor tics which change with time, and a number of other behavioural phenomena. Previous studies have not revealed any ocular-motor abnormalities. We report the eye movement studies of a patient with TS, using electrooculography and simultaneous video recording. Intrusive saccades occurred during smooth pursuit and optokinetic nystagmus. Reflexive and voluntary saccades were dysmetric and there was a complete failure of antisaccades. These abnormalities are characteristic of disease of the frontal lobes and basal ganglia. We review the literature with respect to the eye movement abnormalities associated with TS.

Adolescent↗
PubMed1994

Use of pelvic ultrasound to monitor ovarian and uterine maturity in childhood onset anorexia nervosa.

This study reports the use of pelvic ultrasound scanning in childhood onset anorexia nervosa. The aim was to determine the weight and weight for height ratio (wt/ht) that would correspond with ovarian and uterine maturity and therefore offer the optimal opportunity for the start or resumption of menstruation. On initial assessment, all children had mean weight, wt/ht, ovarian and uterine volumes significantly below expected. At follow up, half the children had started or resumed menstruation. When compared with those who had persisting amenorrhoea, the recovered children had a significantly higher mean weight (48.4 kg v 43.8 kg), mean wt/ht (96.5% v 87.5%), mean ovarian volume (6.2 ml v 4.9 ml), and mean uterine volume (14.6 ml v 10.8 ml). The study indicates that conventional target weight and wt/ht in anorexia nervosa may be too low to ensure ovarian and uterine maturity, and that pelvic ultrasound, which is well tolerated by this group of children, is a useful addition to their management.

Adolescent↗
PubMed1993

Zinc deficiency and childhood-onset anorexia nervosa.

BACKGROUND: We studied the association of zinc deficiency and childhood-onset anorexia nervosa because the relationship is controversial. METHOD: Anorexia nervosa was diagnosed on the basis of determined food avoidance, weight loss, preoccupation with body weight and energy intake, distorted body image, fear of fatness, self-induced vomiting, excessive exercising, and laxative abuse. Twenty-six such children, admitted to a specialized eating disorders program within a children's hospital, formed the basis of the study. Zinc status was determined by measuring fasting plasma zinc levels and 24-hour urinary zinc excretion using atomic absorption spectrophotometry. Nutritional status was determined by using weight-for-height ratios. A trial of zinc supplementation was attempted using a 12-week double-blind crossover design, with 6 weeks of placebo and 6 weeks of treatment with 50 mg daily of oral zinc sulphate. RESULTS: Zinc deficiency was found to be common, with a significant correlation between fasting plasma zinc levels and malnutrition (Pearson r = .586, p = .004). Introduction of a normal diet rapidly returned zinc levels and weight-for-height ratios to the normal range. Children entering the study with relatively normal zinc levels gained weight no faster than those with low plasma zinc levels. Of seven trials of zinc supplementation, only three were completed, as inadequate oral intake threatened the health of the remaining four. CONCLUSION: Low zinc levels are common in childhood-onset anorexia nervosa, appear to be secondary to self-starvation, and are rapidly reversible without zinc supplementation.

Administration, Oral↗
PubMed1991

Children with pervasive refusal.

Four children are described with a potentially life threatening condition manifested by profound and pervasive refusal to eat, drink, walk, talk, or care for themselves in any way over a period of several months. The multiplicity and severity of the symptoms in these children do not fit comfortably into any existing diagnostic category. Long term and highly skilled nursing and psychiatric care is required to help these children to recover. The possible causes of this syndrome are discussed.

Adolescent↗
PubMed1991

Heart-lung transplantation for cystic fibrosis. 1: Assessment.

Forty five patients with cystic fibrosis (age 5-15 years) were assessed for heart-lung transplantation between September 1987 and March 1990. The two main conditions for acceptance were (i) life expectancy less than 2 years and (ii) a severely impaired quality of life. Patients were accepted onto an active waiting list (n = 26), a provisional waiting list (n = 15), or not accepted (n = 4). Selection was made on clinical grounds with objective measurements used as an aid in assessment. As expected, the mean values for objective measures were significantly different between patients on the active waiting list compared with the provisional waiting list/not accepted group for resting heart rate (118/minute v 101/minute), percentage of ideal weight (83.2% v 93.1%), forced expiratory volume at one second as percent of predicted normal (27.3% v 47.6%), Shwachman-Kulczycki score (33.6 v 52.5), Chrispin-Norman x ray score (25.8 v 22.1), 12 minute walk (540 m v 854 m), and minimal oxygen saturation (81.5% v 92%). Psychological evaluation demonstrated a 55% incidence of individual and a 50% incidence of family morbidity. Of the 26 patients accepted onto the active waiting list, 11 have been transplanted (mean waiting time 3.3 months), 10 have died within a mean of 3.7 months of acceptance, and five remain on the active list (mean 5.6 months).

Adolescent↗
PubMed1991

Anorexia nervosa in a group of Asian children living in Britain.

Four cases of anorexia nervosa occurring in Asian children are described. These case histories are set against the recent increase in eating disorders in patients of different racial origin. The role of sociocultural conflict in immigrant Asian families to Western countries is raised as a possible contributor to the emergence of eating disorders and the need to be aware of anorexia nervosa in such childhood populations is stressed.

Acculturation↗