Acta paediatrica Japonica : Overseas edition最新文献_第5页

Stretched minimal diameter of the ductus and coil occlusion. 拉伸最小直径的导管和线圈闭塞。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01967.x

H Tomita, S Fuse, S Chiba

{"title":"Stretched minimal diameter of the ductus and coil occlusion.","authors":"H Tomita, S Fuse, S Chiba","doi":"10.1111/j.1442-200x.1998.tb01967.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01967.x","url":null,"abstract":"Background: Stretching of the ductus was supposed to determine the size mismatch of the coil with the ductus in coil occlusion that results in residual leak or migration.Methods: We measured the minimal diameter (D) and the stretched minimal diameter (S) of the ductus in 12 patients with patent ductus arteriosus (PDA). The stretch index (SI) was calculated as S divided by D. We calculated ratios of the loop diameter of the first implanted coil to D (C1/D) and S (C1/S) and those of the sum of all the loop diameters of all implanted coils for complete closure to D (total C/D) and to S (total C/S).Results: Stretched minimal diameter divided by D was 1.8 +/- 0.3. Ratios of the loop diameter of the first implanted coil to D (C1/D), and S (C1/S) were 3.7 +/- 1.8 and 2.1 +/- 0.9, respectively. Ratios of the sum of all the loop diameters of all coils to D (total C/D) and S (total C/S) were 5.2 +/- 1.6 and 2.9 +/- 0.9, respectively. Standard deviations of C1/S and total C/S are significantly smaller than those of C1/D and total C/D, respectively.Conclusions: The narrowest segment of the ductus could be stretched to twice the size of the minimal diameter. The stretched minimal diameter may be a more reliable parameter to select the loop diameter of coils than the angiographic minimal diameter.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"453-6"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01967.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732153","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: 3

Microfocal radiography in the diagnosis of childhood renal osteodystrophy. 微焦摄影在儿童肾性骨营养不良诊断中的应用。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01969.x

G Demircin, A Oner, N Ecin, M Bülbül, I Somuncu, H Tunali

{"title":"Microfocal radiography in the diagnosis of childhood renal osteodystrophy.","authors":"G Demircin, A Oner, N Ecin, M Bülbül, I Somuncu, H Tunali","doi":"10.1111/j.1442-200x.1998.tb01969.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01969.x","url":null,"abstract":"Background: Renal osteodystrophy is common in children with chronic renal failure (CRF) and X-ray is an intensive method in the diagnosis of the disease. In this study we compared microfocal radiography with conventional method for the diagnosis of renal osteodystrophy.Methods: The X-rays of left wrists of 21 children with CRF and chronic renal insufficiency were taken by conventional and microfocal methods.Results: Both methods revealed osteopenia in all patients (100%), widening, fraying and cupping of ulnar and radial metaphysis in 10 (47.6%), osteosclerosis in three (14.2%) and pseudofracture in one (4.7%) patient. Microfocal radiography demonstrated osteosclerosis in one patient, pseudofracture in four and subperiosteal resorption in five patients that were not detected by conventional method.Conclusion: Two methods were found to be significantly different in demonstrating the changes due to rickets and hyperparathyroidism and it is concluded that microfocal radiography may be preferred in the diagnosis of childhood renal osteodystrophy.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"461-5"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01969.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732684","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: 5

Vertical transmission of human immunodeficiency virus type 1 in Japan, 1989-1997: presence of two subtypes B and E with subtype E predominance. National Cooperative Study Investigators on Vertical Transmission of HIV-1. 人类免疫缺陷病毒1型在日本的垂直传播，1989-1997:存在B和E两种亚型，其中E亚型占优势。HIV-1垂直传播国家合作研究调查员。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01

N Yoshino, S Naganawa, T Nakasone, S Imura, T Kita, M Honda

{"title":"Vertical transmission of human immunodeficiency virus type 1 in Japan, 1989-1997: presence of two subtypes B and E with subtype E predominance. National Cooperative Study Investigators on Vertical Transmission of HIV-1.","authors":"N Yoshino, S Naganawa, T Nakasone, S Imura, T Kita, M Honda","doi":"","DOIUrl":"","url":null,"abstract":"A collaborative group for studying vertical transmission of human immunodeficiency virus (HIV)-1 in pregnant women and their babies was established in Japan in 1989. Forty-two infants, including 13 HIV-1-infected, 25 uninfected and four of undetermined status and 15 control children born to HIV-1 negative mothers were diagnosed and followed from birth to 1.5 years. All strains from HIV-positive infants were either clade E (eight infants, 61.5%) or B (five infants, 38.5%) according to DNA sequencing specific for the HIV-1 C2-V3 region. The 42 mothers with HIV-1 were women with sexual-risk behavior from all regions, but were concentrated in the Kanto District. In this group of HIV-infected children, there was no significant difference between the transmissibility of their mother's clade E and B viruses. Eight (61.5%) of the 13 virus-infected babies were Japanese and five (62.5%) of the eight were positive for HIV-1 clade E. The V3 loop region of the clade E virus of the babies was conserved but approximately 60% of the sequences which showed a substitution of aspartic acid by asparagine at position 29. The results suggest that HIV-1 clade E may be predominant in vertical transmissions and are phenotypically different from HIV-1 in persons with various other risk behaviors in Japan.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"503-9"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732599","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

Long survivors with Ki-1 lymphoma having t(2;5) (p23;q35). Does the presence or absence of t(2;5) influence the prognosis of patients with Ki-1 lymphoma? 长期存活的Ki-1淋巴瘤患者有t(2;5) (p23;q35)。是否存在t(2;5)影响Ki-1淋巴瘤患者的预后?

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01972.x

T Shikano, M Ohkawa, H Nakadate, Y Hatae, T Takeda

{"title":"Long survivors with Ki-1 lymphoma having t(2;5) (p23;q35). Does the presence or absence of t(2;5) influence the prognosis of patients with Ki-1 lymphoma?","authors":"T Shikano, M Ohkawa, H Nakadate, Y Hatae, T Takeda","doi":"10.1111/j.1442-200x.1998.tb01972.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01972.x","url":null,"abstract":"We experienced three patients with CD30+ diffuse large cell lymphoma having chromosomal abnormalities. The first patient was an 8-year-old girl with bilateral cervical lymphadenopathy. A biopsy of a cervical lymph node revealed diffuse large cell lymphoma (stage III), positive for CD30 and a chromosomal abnormality, t(2;5). She attained a remission and is now in complete remission 108 months after diagnosis, despite frequent relapses. The second patient was a 13-year-old boy with right axillar and supraclavicular lymph-node adenopathy. A biopsy of a cervical lymph node revealed diffuse large cell lymphoma (stage III), positive for CD30 and a chromosomal abnormality, t(2;5). He attained remission and was in continuous first remission 112 months after diagnosis. The third patient was an 11-year-old boy with fever and bilateral cervical lymph node revealed diffuse large cell lymphoma (stage III), positive for CD30 and chromosomal abnormality without t(2;5). He showed a very aggressive clinical course. Only the patients with Ki-1 lymphoma having t(2;5) survived over 100 months from the diagnosis, despite the advanced stage of the disease. These findings and a review of the literature showed that the presence or absence of t(2;5) may influence the outcome of Ki-1 lymphoma.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"474-8"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01972.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732687","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

Values for urinary beta 2-microglobulin and N-acetyl-beta-D-glucosaminidase in normal healthy infants. 正常健康婴儿尿β 2微球蛋白和n -乙酰- β - d -氨基葡萄糖酶的测定值。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01961.x

M Nishida, H Kawakatsu, H Komatsu, K Ishiwari, M Tamai, K Tsunamoto, Y Kasubuchi, T Sawada

{"title":"Values for urinary beta 2-microglobulin and N-acetyl-beta-D-glucosaminidase in normal healthy infants.","authors":"M Nishida, H Kawakatsu, H Komatsu, K Ishiwari, M Tamai, K Tsunamoto, Y Kasubuchi, T Sawada","doi":"10.1111/j.1442-200x.1998.tb01961.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01961.x","url":null,"abstract":"Background: Measuring urinary beta 2 microglobin (B2M) and N-acetyl-beta-D-glucosaminidase (NAG) excretion is widely used as a valuable clinical tool in assessing renal tubular lesions. However, few data are available on normal values for urinary excretion of B2M and NAG in infancy.Methods: Urinary B2M and NAG were measured in healthy infants. The logarithmic values of urinary B2M, NAG, B2M/creatinine ratio and NAG/creatinine ratio were distributed almost normally and reference ranges were calculated from the logarithms of the observed values.Results: The levels of urinary B2M and B2M/creatinine ratio were highest in the 1-month-old group, followed by a decrease during the first 3 months. Urinary B2M excretions in the 3-month-old group showed rather lower levels than those of the 12-month-old and 36-month-old groups. Although urinary NAG excretions were almost constant throughout all groups, urinary NAG/creatinine ratio decreased gradually until 3 years of age.Conclusions: We suggest that these reference ranges are of importance in evaluating tubular damage due to a variety of renal diseases in infancy.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"424-6"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01961.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732147","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: 11

Serotypes and antibacterial susceptibility of pneumococci isolated from children with infections in Ankara in relation to proposed pneumococcal vaccine coverage. 从安卡拉感染儿童中分离的肺炎球菌血清型和抗菌敏感性与拟议的肺炎球菌疫苗覆盖率的关系

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01964.x

G Kanra, G Erdem, M Ceyhan, K P Klugman, A Vasas

{"title":"Serotypes and antibacterial susceptibility of pneumococci isolated from children with infections in Ankara in relation to proposed pneumococcal vaccine coverage.","authors":"G Kanra, G Erdem, M Ceyhan, K P Klugman, A Vasas","doi":"10.1111/j.1442-200x.1998.tb01964.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01964.x","url":null,"abstract":"Background: Streptococcus pneumoniae is an important pathogen for both children and adults. Although there is an effective vaccine, it is not protective under 2 years of age and common serotypes differ from one location to another.Methods: A total of 44 Streptococcus pneumoniae isolates were recovered from clinical specimens of children in various hospitals in Ankara, Turkey. All isolates were serotyped and evaluated for vaccine coverage and tested for antibacterial susceptibility.Results: There were 23 different serotypes with a predominance of serotypes 6A, 14, 19F and 23F. The nine-valent conjugate vaccine, which has been proposed for use in young children, covers 90.4% of isolations in children < 2 years of age. This coverage decreases to 43.4% after 2 years of age. The coverage of 23-valent vaccine is better than that of the conjugate vaccine (60.8% vs 43.4%, P < 0.05). Two relatively common and resistant types in our isolates (10A and 21) are not included in either vaccines and adding these serotypes into the 23-valent vaccine was suggested. Although the rate of intermediately penicillin resistant strains was 31.8%, highly penicillin resistant strains were not found in the present study.Conclusions: The usefulness of conjugate vaccine before 2 years of age and appropriate choice of vaccine strains to include all resistant serotypes for older children in our region, is discussed. It is shown that conjugated vaccine is protective in children less than 2 years of age, but a booster with 23-valent vaccine will be needed once they are older than 2.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"437-40"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01964.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732150","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: 12

Vertical infection of human immunodeficiency virus as an imported infectious disease. 人类免疫缺陷病毒垂直感染作为一种输入性传染病。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01981.x

N Takayama, K Hachimori, M Minamitani, H Yamada, H Kaku

{"title":"Vertical infection of human immunodeficiency virus as an imported infectious disease.","authors":"N Takayama, K Hachimori, M Minamitani, H Yamada, H Kaku","doi":"10.1111/j.1442-200x.1998.tb01981.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01981.x","url":null,"abstract":"Background and methods: In Japan, 26 children who vertically acquired human immunodeficiency virus (HIV) infection had been reported as at February 1997. Little information was published about their epidemiological backgrounds and the rate of perinatal HIV transmission in Japan remains unknown. To learn the epidemiological features of perinatal HIV infection in Japan, we examined the medical records of five perinatally infected children.Results: Three of five mothers were Japanese and two others were South East Asian. Four of them acquired HIV infection abroad and one became infected through her spouse who had acquired infection abroad. Therefore, HIV infection in these five cases can be regarded as an imported infectious disease. None of the five mothers noticed their HIV infection before their pregnancy. One mother was found to be HIV seropositive during her pregnancy, but the others did not notice their HIV infection until their delivery.Conclusions: To reduce the incidence of perinatally HIV-infected children it is necessary to lower the incidence of mother-to-infant HIV transmission. In Western countries they have succeeded in reducing the risk for perinatal HIV transmission with perinatal zidovudine therapy. To prescribe the preventive therapy against perinatal HIV transmission, it is essential to know if pregnant women are infected with HIV or not. Therefore, women of childbearing age should accept voluntary prenatal HIV testing. At the same time, they should be offered such programs that can enable them to receive timely counseling, besides medical treatment, if they are found to be HIV infected.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"510-4"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01981.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732600","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

The pediatrician's role in the twenty-first century. 儿科医生在21世纪的角色。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01958.x

M Gracey

{"title":"The pediatrician's role in the twenty-first century.","authors":"M Gracey","doi":"10.1111/j.1442-200x.1998.tb01958.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01958.x","url":null,"abstract":"The world's children comprise: (i) those in wealthy, industrialized countries; (ii) those from rapidly industrializing countries; (iii) minority groups including recently arrived immigrants in otherwise affluent and healthy societies; (iv) previously traditional people in rapid transition to urbanized, Western lifestyles; and (v) many millions living in grinding poverty in overcrowded, unhygienic conditions where child mortality is high and often due to malnutrition and infections. Industrialization, affluence, better housing, hygiene and nutrition, better clinical care and disease prevention have helped enhance child health in many countries over the past century. However, this is being offset by obesity, smoking, alcohol and drug abuse and social disruption, mental disease and high rates of violence including homicide and suicide. These 'new morbidities' are worse among minorities and in populations undergoing rapid social change. Social pressures including unemployment, depression and family dysfunction are important. Pediatricians must become active in decisions about the use of public resources in disease prevention, health education and more rational and equitable use of high technology. They should also be active advocates for children and their rights and advise governments about all issues that affect child health, protection and well-being. This is particularly so in the poorest and developing countries. There is a need for better international collaboration, training and exchange programs involving the International Pediatric Association, United Nations International Children's Emergency Fund, World Health Organization and other local, national and regional organizations to help overcome these problems as the next century draws near.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 5","pages":"393-9"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01958.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20732242","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: 1

Type III D mucopolysaccharidosis (Sanfilippo D): clinical course and symptoms. III型D型粘多糖病(Sanfilippo D):临床病程和症状。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-10-01 DOI: 10.1111/j.1442-200x.1998.tb01977.x

A Tylki-Szymańska, B Czartoryska, D Górska, E Piesiewicz-Grzonkowska

引用次数: 11

Diffuse splenic and visceral hemangiomas complicated by chronic consumption coagulopathy. 弥漫性脾及内脏血管瘤并发慢性消耗性凝血功能障碍。

Acta paediatrica Japonica : Overseas edition Pub Date : 1998-08-01 DOI: 10.1111/j.1442-200x.1998.tb01954.x

H Platokouki, S Aronis, A Mitsika, D Keramidas, E Harokopos

引用次数: 6