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Biomedical subjects

E Marni

Publications and source records attributed to E Marni.

31 records · Page 2Linked to original sources

[Obesity and mental disorders in childhood].

The aim of the present study was to establish the prevalence and the type of psychiatric disturbances in a group of 42 obese children (18 boys aged from 6.8 to 13.8 years and 24 girls aged from 2.8 to 15.4 years; weight excess mean +/- 1SD 146.7 +/- 17.4%) and to evaluate the efficacy of a psychological approach of obesity in childhood. The children were in a normal caloric diet and they were encouraged to reach a "target weight" in a given period of time. 22 children were randomly assigned the "analyzed" group (auxological, alimentary and psychological evaluation) and 20 to the "control" group (auxological and alimentary assessment). The psychological evaluation was performed in 20 children (the parents of two children refused to give their consent) by the following tests: creative drawing test; draw a man test (Machover); draw a tree test (Koch); draw a family test (Co-man); Rorschach's test; TAT (Thematic Apperception Test) or, in the younger, the Düss's tales. The results of these psychological tests have been communicated to the patients and or parents. The children were followed for a period of 7 months. We found in 8 children (40%) personality disturbances (which were severe in two cases) and a psychological support was started. The observed main types of disturbances were depression and anxiety. Both were due to a missing harmony between their parents, to a difficult relationship either with their mother or with other children, and to the bad child's opinion of himself. In 4 subjects a psychological support associated with diet promoted a slow, progressive and continuous weight loss.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Nutrition in school-age children: a survey at a nursery school].

The results of a social-nutritional investigation in a maternal school are reported. Aim of the present study was to evaluate the dietary habits and life style in a group of 3-6 years old children and their compliance in following a diet in accordance with the LARN86 recommendations. The enquiry was carried out by a questionnaire, by an analysis of the ingesta and by a paediatric and auxological examination. Blood and instrumental tests (Lipids panel, Blood glucose, Insulin, Fructosamine, IgE, ECG) were performed in children with high familial risk of atherosclerosis. The main findings were the following: i. 17 children (21%) were classified as having high atherosclerosis familial risk; ii. the atherosclerosis high risk group showed also increased incidence (p less than 0.01) of familial allergy; iii. children had higher approval for food with high carbohydrate and animal protein content; iv. fat intake was proportional to the number of different types of fat bought by the families; v. excessive dietary lipids and low carbohydrate intake were found in most families. The revaluation at the end of the study showed a good compliance for the proposed diet scheme by children, but a poor compliance by their families.

Body Weight↗

[Intestinal invagination. Analysis of cases].

16 cases of intussusception, occurred in the last 9 years in the Pediatric Department of the Ospedale di Circolo of Varese, are reported. Barium enema was carried out in 15 cases and the reduction of the intussusception, attempted in 5 of them, was obtained in 3 (20%). The low rate of the attempts of reduction by barium enema is consistently related to a delay in the diagnosis; 56% of the patients showed actually at the diagnosis the three main symptoms simultaneously: abdominal pain, vomiting, "currant jelly stool". The significant positive correlation (p less than 0.01) between the symptoms duration at the diagnosis and the hospitalization period points out that a correct treatment of the intussusception depends mainly on a precocious diagnosis.

Barium Sulfate↗

[Buschke's scleredema and carditis: a clinical case].

An 11-year old girl who presented non-pitting edema of the face and neck, shoulder pain and a gallop rhythm about 10 days after a febrile episode with sore throat is described. The mask-like facial appearance and limited movement of the neck led to suspect scleredema which may be accompanied by carditis. Skin and muscle biopsy findings confirmed the diagnosis. Cardiac involvement included a gallop rhythm persisting for 6 months, ECG changes consisting in transitory T-wave inversion in leads II and V2 - V4, a transitory pericardial function rub and hepatomegaly due to right-sided failure which responded to digitalization. In this case the presence of a gallop rhythm and elevated ASLO titer led to an initial diagnosis of acute rheumatic fever; dermatomysitis and sclerodermia are also to be considered in the differential diagnosis of scleredema of Buschke. In our patient the edema resolved completely within 12 months, the gallop rhythm within 6 months and the ECG became normal after 8 months.

Arrhythmias, Cardiac↗