Turkish J Pediatr
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Hanhart's syndrome, an uncommon disorder characterized by severe micrognathia, hypoglossia and absence of the extremities, belongs to the oromandibular-limb hypogenesis group of diseases. Our patient was admitted with the complaints of abnormality of the mouth and absence of the upper extremities. Physical examination revealed severe micrognathia, a small tongue adhered to the base of the mouth, absence of bone, muscle and skin tissue at the lower edge of the right humerus and at the middle zone of the left ulna and radius. ⋯ Auditory brainstem responses also revealed bilateral severe sensorineural hearing loss. A literature search revealed two cases of Hanhart's syndrome with conductive hearing loss, but no report of sensorineural hearing loss as part of this entity. Therefore, we present this case of Hanhart's syndrome with severe sensorineural hearing loss.
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Pathological intracranial calcifications detected on computed tomography of 83 children during a six-year period were reviewed. The common causes in our series were tuberous sclerosis and intracranial tumors. ⋯ In two cases (2%), calcifications were idiopathic. The distribution and location of the calcifications in these conditions are discussed.
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The practice of anesthesia in 10,000 children was analysed and evaluated with the aid of Epi-Info, Version 5. There were 545 newborns, 1573 infants, 3147 children between the ages of 1 and 5 years, and 4735 children between the ages of 6 and 15 years. Female:male ratio was 1:1.9. ⋯ Endotracheal intubation was done in 86% of cases, with serious difficulties in 1.3%. 91% of the newborn babies were intubated, 2.8% with difficulty. 9.2% had blood transfusions. There were serious complications in 4.4% and 28 cardiac arrests, of which 20 were successfully resuscitated. Epi-Info, Version 5 was found satisfactory for epidemiological analysis and evaluation in anesthesia, and the information obtained with its aid was discussed in light of published data.
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A frightening, growing epidemic of senseless, irrational and inexcusable violence has seized the United States. While it involves all ages and localities, the occurrences are predominantly in areas of poverty, poor housing and unemployment. Children, particularly the adolescent and young adult male black population, are at greatest risk. ⋯ School-age children can be helped through office discussions and collaboration with teachers. "Leave the knives and guns at home, avoid noisy arguments, use more kindly words." "Television is not real life; the actors do not die." These are our people. Their needs are great. We must help.
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Twenty-four hour ambulatory electrocardiographic monitoring is a useful method to document dysrhythmias and to assess treatment response. Various studies have been done in the pediatric age-group to determine normal heart rate values. In this study we determined the heart rate and rhythm patterns of 25 healthy newborn infants whose ages ranged between 3-10 days (mean 6.5 days). ⋯ Our results were consistent with previous studies carried out in newborn infants. Dysrhythmias were detected during 24-hour ambulatory electrocardiographic monitoring in our study group. Since they were generally benign, they need no treatment.