Helvetica paediatrica acta
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Twenty-eight children were diagnosed as having dermatomyositis (DM) on the basis of the criteria of Bohan and Peter. Ten of the 28 children developed calcinosis. ⋯ It persisted for a long time beyond the remission of the active muscle symptoms without tendency to spontaneous resolution. Long-term follow-up data substantiate calcinosis as the most frequent and the most serious sequela in this series of childhood DM.
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Comparative Study
[Intensive phototherapy with a blue double lamp in the treatment of neonatal hyperbilirubinemia].
The purpose of this study was to investigate the effect of "intensive phototherapy" (blue double light, 2 X 30 microW/cm2) on neonatal hyperbilirubinemia in 41 infants, compared to a control group treated with "single light" phototherapy (1 X 30 microW/cm2). The double light treatment enhances the photodegradation of bilirubin. The number of exchange transfusions was reduced, and no further exchange transfusions had to be carried out. No significant clinical side effects during the phototherapy were observed.
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The clinical and pathologic findings of a case of cystic partially differentiated nephroblastoma in a 5-month-old boy is reported. We believe that it probably represents the differentiated counterpart of nephroblastoma. After nephrectomy, the child was given a short course single cytotoxic therapy with vincristine for 6 months.
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57 preterm and 1 term infant suffering from severe idiopathic respiratory distress syndrome with respiratory insufficiency were mechanically ventilated with an inspiratory-time of at least 1.5 sec and an inspiratory:expiratory ratio of always less than 1:2. Consequently the respiratory frequencies were below 14/min (low frequency ventilation). ⋯ None showed radiological evidence of bronchopulmonary dysplasia. This fact together with a relatively low incidence of pneumothorax (6.8%) suggests that this method if compared with conventional ventilation is less likely to cause persistent lung damage.
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Sleep behavior between 1/2 and 5 years in 320 Swiss children of the first Zurich longitudinal study is reported. The average length of night sleep between 1/2 and 5 years was 11 to 12 hours. Day sleep was noted in 96% of the children between 6 and 24 months, and in 20% at age 5. ⋯ Evening wakefulness was observed in 16% and night waking in 40 to 50% of all children. 18% woke up at least once each night. Night wakening between 2 and 5 years was positively correlated. In about half of the children with evening wakefulness and/or night wakening these sleep behaviors were considered as abnormal by the mothers.