L.M. Azevedo Moreira, L. Damasceno Espirito Santo, A. Fernandes Lacerda Carvalho
{"title":"Down syndrome due to rare inherited 15/21 Robertsonian translocation: genetics and reproductive counselinga","authors":"L.M. Azevedo Moreira, L. Damasceno Espirito Santo, A. Fernandes Lacerda Carvalho","doi":"10.1016/S2171-9748(13)70040-0","DOIUrl":"10.1016/S2171-9748(13)70040-0","url":null,"abstract":"<div><p>The carriers of a rearrangement involving with chromosome 21 have a potential risk of genetically unbalanced conceptions, which may result in liveborn children with Down syndrome. Reproductive risks for couples carriers of a balanced Robertsonian translocation depends on the rearranged chromosomes and the sex of the carrier. This article aims to analyze the segregation and reproductive trend of a rare 15/21 translocation in five generations of a family. It was considered the current advances in reproductive technology as a possibility to prevent fetal aneuploidia. Given the genetic risk, the preimplantation diagnosis appears also as an alternative to avoid the option of an unwanted later abortion and to obtain a healthy progeny.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 3","pages":"Pages 36-38"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70040-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91171968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"We have lost a great friend","authors":"Agustí Serés Dr.","doi":"10.1016/S2171-9748(13)70039-4","DOIUrl":"10.1016/S2171-9748(13)70039-4","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 3","pages":"Page 35"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70039-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75798992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypothyroidism and Down's syndrome","authors":"C. Claret , J.M. Corretger , A. Goday","doi":"10.1016/S2171-9748(13)70035-7","DOIUrl":"10.1016/S2171-9748(13)70035-7","url":null,"abstract":"<div><h3>Introduction</h3><p>Subclinical hypothyroidism is common in the first years of life of children with Down's syndrome (DS). The aim of this study was to analyse the natural evolution of this disease and to identify the factors that predict its spontaneous remission.</p></div><div><h3>Material and methods</h3><p>A retrospective, observational study conducted on patients with DS and hypothyroidism diagnosed before 5 years of age, who were seen in a DS reference medical centre.</p></div><div><h3>Results</h3><p>A total of 53 patients, 28 boys and 25 girls, with a mean age 2.4<!--> <!-->±<!--> <!-->1.1 years, were identified with subclinical hypothyroidism. The hypothyroidism resolve spontaneously in 39 cases (73.6%), in a mean time of 13.2<!--> <!-->±<!--> <!-->11.1 months, this resolution rate being significantly higher in the patients without goitre: 94.9% (95% confidence interval [CI]: 81.2-99.3%) vs 28.6% (95% CI: 4.4-37.7%), <em>p</em> <em><</em> <em>.</em>05, and with negative antithyroid antibodies: 89.7% (95% CI: 74.6-96.2%), vs 42.9% (95% CI: 20.7–56%), <em>p</em> <em><</em> <!-->.05). Fifteen patients (28.3%) were treated with levothyroxine.</p></div><div><h3>Conclusions</h3><p>The subclinical hypothyroidism that appears in early infancy in DS is usually transient. The absence of goitre and antibodies is associated with a higher spontaneous resolution rate.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 2","pages":"Pages 18-24"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70035-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82950731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Down's syndrome with abnormal inner ear: Is it suitable for cochlear implantation?","authors":"H. Eyzawiah , A. Suraya , A. Asma","doi":"10.1016/S2171-9748(13)70036-9","DOIUrl":"10.1016/S2171-9748(13)70036-9","url":null,"abstract":"<div><p>Hearing loss is a common problem in Down's syndrome (DS). The majority of this population, up to 80%, are suffering from a conductive type hearing loss, whereas estimating 4-20% are due to sensorineural hearing loss. Over the years, the treatment of profound sensorineural hearing loss has been changed since the introduction of cochlear implants. We report a case of a 4 years and 5 months old child with DS and low Intelligence Quotient that had been referred to our centre for cochlear implants. In view of late referral and multiple additional handicaps, with addition of having Larged Vestibular Aqueduct Syndrome (LVAS), bilateral incomplete partition of cochlear Type II and abnormal periventricular white matter, she had been rejected for cochlear implantation.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 2","pages":"Pages 25-28"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70036-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84530465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A human rights issue","authors":"K. Trias Trueta","doi":"10.1016/S2171-9748(13)70034-5","DOIUrl":"10.1016/S2171-9748(13)70034-5","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 2","pages":"Page 17"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70034-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76722607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skills and social interaction of children with Down's syndrome in regular education","authors":"R. Valdívia Lucisano , L.I. Pfeifer , M.P. Panuncio-Pinto , J.L. Ferreira Santos , P.P. Gomes Anhão","doi":"10.1016/S2171-9748(13)70037-0","DOIUrl":"10.1016/S2171-9748(13)70037-0","url":null,"abstract":"<div><p>This study identifies the process of social interaction of children with Down's syndrome (DS) in the regular educational system of a city in the interior of São Paulo, Brazil. Six children aged from three to six years old participated in the study. Each child was videotaped in four situations of social interaction in two distinct environments (indoors and outdoors), which enabled the analysis of interpersonal and self-expression skills through the observation of 15 types of behaviors. The results reveal that the behavior type <em>“Interacts with another child”</em>, within the category “interpersonal skills”, was the most frequent both indoors and outdoors with an average of 27.5 and 28.3, respectively. With regard to “selfexpression skills”, only the behavior <em>“Smiles”</em> had a considerable number of occurrences indoors with an average of 8.16, while the behaviors <em>“Smiles”</em> and <em>“Imitates other children”</em> presented significant occurrence outdoors with averages of 5.16 and 3, respectively. The conclusion is that including children with DS in the regular educational system promotes new forms of learning and interaction for them through daily contact with children with typical development, enabling them to acquire social interaction skills.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"17 2","pages":"Pages 29-34"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(13)70037-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86344698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Amadó , B. Benejam , J. Mezuca , E. Serrat , E. Vallès-Majoral
{"title":"Socio-cognitive abilities in children with Down's syndrome: results of a preliminary study","authors":"A. Amadó , B. Benejam , J. Mezuca , E. Serrat , E. Vallès-Majoral","doi":"10.1016/S2171-9748(12)70026-0","DOIUrl":"10.1016/S2171-9748(12)70026-0","url":null,"abstract":"<div><p>The understanding of false belief is one of the most important milestones in the development of social cognition in children. Many studies have been conducted on this kind of cognition in children with a typical development. Despite being a key point for improving their welfare and quality of life, there are few studies in children with Down's syndrome. The aim of the present work is to carry out an in-depth study of social cognition in children with Down's syndrome. For this purpose, we used 6 tasks, with 3 levels of difficulty, in a group of 9 children aged between 4 and 14 years. Six of these children had a genetic diagnosis of Down's syndrome. The results of our research corroborate previous studies suggesting difficulties in the development of social cognition in children with Down's syndrome, and more specifically in tasks involving false beliefs.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"16 3","pages":"Pages 34-39"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(12)70026-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86359854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic groups for children with dual pathology: Down's syndrome and autistic traits in Fundació Catalana Síndrome de Down","authors":"B. Ortiz Guerra","doi":"10.1016/S2171-9748(12)70028-4","DOIUrl":"10.1016/S2171-9748(12)70028-4","url":null,"abstract":"<div><p>In this article the author places special emphasis on the importance of making a diagnosis of the psychopathology associated with Down's syndrome (SD): the dual pathology. In particular, the diagnosis of autism, included within the general development disorders according to the DSM-IV diagnostic classification.</p><p>The alarm signals of children with DS in their first years of life, which must be evaluated in depth, are mentioned throughout the article. The different diagnostic classifications are then reviewed with the aim of adapting them to the specificity of DS. Lastly, the methodology and psychotherapy indicated after establishing the diagnosis is discussed.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"16 3","pages":"Pages 44-48"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(12)70028-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77302725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Participation in the XI World Down's Syndrome Congress","authors":"K. Trias Trueta","doi":"10.1016/S2171-9748(12)70025-9","DOIUrl":"10.1016/S2171-9748(12)70025-9","url":null,"abstract":"","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"16 3","pages":"Page 33"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(12)70025-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"98492785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M.L. López de Dicastillo Roldán , V.E. Gómez Palacio , J. Gil Albarova , J. Bregante Baquero
{"title":"Femoral neck stress fractures in a young girl with Down's syndrome","authors":"M.L. López de Dicastillo Roldán , V.E. Gómez Palacio , J. Gil Albarova , J. Bregante Baquero","doi":"10.1016/S2171-9748(12)70027-2","DOIUrl":"10.1016/S2171-9748(12)70027-2","url":null,"abstract":"<div><p>Stress fractures are injuries that are often related to repeated cycles of loading on a normal bone subjected to excessive mechanical stress, as well on a bone of less resistance.</p><p>We report the case of a 5 year old girl with Down syndrome and consults because of her walking difficulty and a left groin pain of 3–4 days duration. In the history highlights the tendency of the girl to make repetitive jumps in monopodal support on the left lower extremity. Radiographic examination revealed a stress fracture of the left femoral neck. After conservative treatment the patient had a satisfactory outcome.</p></div>","PeriodicalId":100720,"journal":{"name":"International Medical Review on Down Syndrome","volume":"16 3","pages":"Pages 40-43"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2171-9748(12)70027-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78347529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}