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[Incest by the mother: clinical and therapeutic aspects]. [母亲乱伦:临床和治疗方面]。
Pediatrie Pub Date : 1993-01-01
J Y Prigent, P Dardenne, D Lescanne
{"title":"[Incest by the mother: clinical and therapeutic aspects].","authors":"J Y Prigent,&nbsp;P Dardenne,&nbsp;D Lescanne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Whereas clinical and preventive aspects of father-daughter incest are now better-known, mother-child incest remains mysterious. Reporting four recent cases, the authors attempt to describe its main clinical features, particularly those which could allow earlier diagnosis. An original \"constructive\" therapeutic approach of the most severely mentally disturbed children among these victims is then developed: the emphasis is put on how medical, social and legal procedures might be coordinated.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 3","pages":"249-57"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19378152","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}
引用次数: 0
[Diffuse subcortical heterotopias of the gray matter]. [灰质弥漫性皮层下异位]。
Pediatrie Pub Date : 1993-01-01
C Treguier, P Muh, C Le Berre, L Sorel, S Odent, J N Dacher, M Carsin
{"title":"[Diffuse subcortical heterotopias of the gray matter].","authors":"C Treguier,&nbsp;P Muh,&nbsp;C Le Berre,&nbsp;L Sorel,&nbsp;S Odent,&nbsp;J N Dacher,&nbsp;M Carsin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three cases of diffuse subcortical gray matter heterotopias in children are reported. Generalised seizures and mild mental retardation were the most frequent signs. No specific electroencephalographic pattern was recognized. Magnetic resonance imaging scans showed the thick diffuse layer of heterotopic gray matter which was surrounded by normal white matter. Gyration was normal, and no associated malformation was observed. This neuronal migrational disorder happens between the 10th and 16th gestational week. Nineteen observations (17 girls) are reported in the literature. The filiation with agyria-pachygyria and the possible genetic transmission are discussed.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 3","pages":"223-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19379895","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}
引用次数: 0
[Mostly avoidable and rarely considered encephalopathy: mental deficiency of psychiatric origin. Role of parent-child separation]. [大多数是可以避免的，很少被认为是脑病:精神起源的精神缺陷。]亲子分离的作用]。
Pediatrie Pub Date : 1993-01-01
M Berger
{"title":"[Mostly avoidable and rarely considered encephalopathy: mental deficiency of psychiatric origin. Role of parent-child separation].","authors":"M Berger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 4","pages":"271-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19381505","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}
引用次数: 0
[Accessory thymus in cervical ectopy: apropos of a case]. 附胸腺在宫颈异位术中的应用
Pediatrie Pub Date : 1993-01-01
S Duroux, J M Guillard, J F Chateil, J R Pontailler, P Vergnes, J F Colombani, J M Bondonny
{"title":"[Accessory thymus in cervical ectopy: apropos of a case].","authors":"S Duroux,&nbsp;J M Guillard,&nbsp;J F Chateil,&nbsp;J R Pontailler,&nbsp;P Vergnes,&nbsp;J F Colombani,&nbsp;J M Bondonny","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cervical tumors of thymic origin are considered to be uncommon lesions in the differential diagnosis of neck masses. They can be either cystic or solid. The authors present one case of solid cervical thymic tumor in a 2 month-old baby. The embryogenesis of the thymus explains the cervical location of these tumors. Theories of physiopathology are presented. The clinical presentation is variable and their nature is often recognized only upon surgery and preoperative pathologic examination. Some cases of thymoma and respiratory complications resulting from ectopic thymus have been described in the literature, so that total excision of the mass must be performed. This lesion may be more common than suggested in the literature.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 4","pages":"301-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19383248","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}
引用次数: 0
[Space perception and psychomotricity in infants with motor deficiency]. [运动缺陷婴儿的空间知觉和精神运动性]。
Pediatrie Pub Date : 1993-01-01
J Rivière
{"title":"[Space perception and psychomotricity in infants with motor deficiency].","authors":"J Rivière","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 11","pages":"757-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19050923","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}
引用次数: 0
[Mycoplasma pneumoniae pneumopathies in children: clinical, biological and radiological study]. [儿童肺炎支原体肺炎:临床、生物学和放射学研究]。
Pediatrie Pub Date : 1993-01-01
C Gambert, E Werner, M de Kerdanet, F Monginet, H Bruel, C Jezequel
{"title":"[Mycoplasma pneumoniae pneumopathies in children: clinical, biological and radiological study].","authors":"C Gambert,&nbsp;E Werner,&nbsp;M de Kerdanet,&nbsp;F Monginet,&nbsp;H Bruel,&nbsp;C Jezequel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical, radiological and biological features of 19 cases of serologically proven Mycoplasma pneumoniae pneumonia were compared with those of 21 cases of other types of pneumonia. Some clinical features were more frequent in M pneumoniae: patients older than 5 years, association with upper respiratory tract infection, skin rashes, acute course, unsuccessful treatment with penicillin. There were no specific radiological features. When compared with the complement fixation method, the serological diagnosis using agglutination technique appears to be more sensitive.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 3","pages":"241-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19378151","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}
引用次数: 0
[Interfaces between ethics and health policy in matters of genetic diseases]. [遗传疾病方面的伦理与卫生政策之间的关系]。
Pediatrie Pub Date : 1993-01-01
J F Mattei
{"title":"[Interfaces between ethics and health policy in matters of genetic diseases].","authors":"J F Mattei","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 12","pages":"852-3"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19040640","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}
引用次数: 0
[Antibiotic therapy of perforated appendicitis in children: comparison between the amoxicillin-clavulanic acid and the benzylpenicillin-netilmicin-metronidazole combinations]. [儿童穿孔性阑尾炎的抗生素治疗:阿莫西林-克拉维酸与苄青霉素-奈替米米-甲硝唑联合用药的比较]。
Pediatrie Pub Date : 1993-01-01
M Schmitt, J M Bondonny, P Delmas, R B Galifer, Y Revillon, M Robert
{"title":"[Antibiotic therapy of perforated appendicitis in children: comparison between the amoxicillin-clavulanic acid and the benzylpenicillin-netilmicin-metronidazole combinations].","authors":"M Schmitt,&nbsp;J M Bondonny,&nbsp;P Delmas,&nbsp;R B Galifer,&nbsp;Y Revillon,&nbsp;M Robert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a multicentre trial we compared the clinical efficacy of amoxicillin/clavulanate used as a single-agent therapy with that of the three-agent combination usually prescribed in the post-operative period for appendicular peritonitis in children. Only bacteriologically documented peritoneal infections were included. Sixty-four patients were randomly distributed between two groups: Group A (29 cases) treated with amoxicillin/clavulanate, first administered iv (100 mg/kg/d), followed by conversion to the oral route (50 mg/kg/d) once the patient had been afebrile for 48 hours; Group B (35 cases) first treated by the iv route with benzylpenicillin (100,000 IU/kg/d) plus netilmicin (5 mg/kg/d) plus metronidazole (30 mg/kg/d), followed by conversion to the oral route for metronidazole (30 mg/kg/d). In both groups, the total duration of parenteral and oral treatment was not less than 5 days. One hundred and seventy nine bacterial strains were recovered from peritoneal fluid samples obtained during surgery; 86% of these were sensitive to amoxicillin/clavulanate. Clinical efficacy, assessed on the basis of time until return to normal temperature and gut transit and duration of hospitalization, was identical in both groups, with follow-up monitoring on day 30 showing recovery in all cases. Cure was obtained without any problems of infection in 25/29 patients in group A and in 34/35 patients in group B (non significant difference). Tolerance was excellent and identical in the two groups with the exception of three cases of thrombophlebitis which occurred in group B. The results of this study suggest that amoxicillin/clavulanate may be useful as single-agent therapy as a first-line curative treatment for appendicular peritonitis in children.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 9","pages":"633-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19010084","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}
引用次数: 0
[Evaluation of neonatal prognosis using Doppler velocimeter in cases of a high risk fetus]. [应用多普勒测速仪评估高危胎儿的新生儿预后]。
Pediatrie Pub Date : 1993-01-01
M Ferchiou-Cherif, F Zhioua, S Hafsia, L Hamdoun, A Jedoui, R Slim, S Meriah
{"title":"[Evaluation of neonatal prognosis using Doppler velocimeter in cases of a high risk fetus].","authors":"M Ferchiou-Cherif,&nbsp;F Zhioua,&nbsp;S Hafsia,&nbsp;L Hamdoun,&nbsp;A Jedoui,&nbsp;R Slim,&nbsp;S Meriah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe the main characteristics of the Doppler method in the early diagnosis of chronic fetal distress, and report their personal results in the study of 51 high risk pregnancies. In their study the fetal doppler ultrasound findings were correlated with birth weight related to gestational age, and neonatal morbidity. The parameters established from the doppler ultrasound assessment were the placenta resistance (calculated from the formula of Pourcelot: R = S-D/S applied to the umbilical artery) and the cerebro-placental index, Rp/Rc, Rc being the index of cerebral arterial resistance. The diagnosis performance of the method appeared very good: the Rp index was found to be highly specific for hypotrophy (85,7%) and for neonatal morbidity (90%), the RCP index adding its own good sensitivity (85% for hypotrophy and 83,3% for neonatal morbidity). The authors conclude upon the interest to study simultaneously the fetal umbilical and cerebral arterial circulations. The pathological significance of the two indexes appears different so that they are to be complementary in the evaluation of fetal distress.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 11","pages":"828-31"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19052127","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}
引用次数: 0
[Neonatal thrombosis of the aortic arch]. [新生儿主动脉弓血栓]。
Pediatrie Pub Date : 1993-01-01
A Ninot, A Lambert, C Marchal
{"title":"[Neonatal thrombosis of the aortic arch].","authors":"A Ninot,&nbsp;A Lambert,&nbsp;C Marchal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report a case of aortic arch thrombosis in a neonate probably related to perinatal placental emboli. However the finding of a fibroblastic endarteritis raised the possibility of a primitive lesion of the aortic wall. The evolution was complicated by cerebral ischemia. A surgical thrombectomy was performed. The outcome was favourable with persistence of a moderate right motor deficiency at 9 months. The authors advise the addition of an enlargement patch and the use of anticoagulation therapy in case of intimal lesion or very adherent thrombus.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 12","pages":"902-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19040455","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}
引用次数: 0
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