[Should children with breath holding spells be treated with iron?].
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Biomedical subjects
Publications and source records attributed to Finn Ursin Knudsen.
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INTRODUCTION: The proper treatment of patients with acute haematogenous osteomyelitis and acute suppurative arthritis is still controversial. Based on a previous study, a treatment regimen was recommended. We now report on the clinical, bacteriological, and radiological aspects of the diseases, with special attention to possible changes in the natural history of the diseases and the long-term prognosis. MATERIAL AND METHODS: A total of 69 children with acute haematogenous osteomyelitis and 48 with septic arthritis admitted in the period 1977-1987 were entered in a retrospective review. Epidemiological and bacteriological data were analysed and compared to those of an earlier study (1965-1974), confined to the same geographical area. Long-term outcome was assessed by a questionnaire and clinical-radiographic follow-up. RESULTS/CONCLUSIONS: A significant increase in the admission rate for both disorders was seen. The long-term outcome was favourable, with major sequelae found in only three patients (3%) and minor sequelae in two patients (2%). The benign long-term outcome may well be related to quick admittance to hospitals and long-lasting, appropriate antibiotic treatment.
INTRODUCTION: The aim of the study was to evaluate the incidence of physical violence, neglect, and sexual abuse of children as reported to the local authorities in the County of Copenhagen during the year 1998, and compare it with a similar study conducted in 1993. MATERIAL AND METHODS: A questionnaire was posted to the local authorities of the 18 districts in the county. They were asked how many new, verified, and suspected cases of physical, emotional, and sexual abuse had come to their attention in 1998. RESULTS: A total number of 182 cases were identified, corresponding to a total incidence of 2.1 cases per 1000 children aged 0-17 years (2.1@1000), with 0.6@1000 for physical abuse, 0.8@1000 for emotional neglect, and 0.7@1000 for sexual abuse. More than one-third of the cases were considered verified. We found a slight fall in the incidence of abuse of children, as compared to our study from 1993 (2.1@1000 as compared to 2.7@1000 in 1993). The incidence of physical neglect, which the authors' assess to be the most reliable parameter, was found to be unchanged (0.8@1000). DISCUSSION: The authors recommend a common, uniform, centralised registration of cases of child abuse in the counties. We suggest that such registration should contain information about the age of the child, initials, type of abuse, verified or suspected, and who reported the case.