Letters to the Editor

PEDIATRICS ◽  
1981 ◽  
Vol 67 (1) ◽  
pp. 166-166
Author(s):  
Lewis A. Barness

I think that both this letter and the preceding one emphasize some of the dilemmas that the Committee on Nutrition went through in trying to come to agreement on the recommendations of the onset of supplemental foods. First, I would not quarrel with the caloric intake, nor the weight of the 2-month-old infant. The caloric intake may be considered on the upper limits for this age group. Second, I certainly do agree that most children do well with many different types of varieties of feeding, so far as we can tell.

Author(s):  
Ritu Gupta ◽  
Ravinder K Gupta ◽  
Vallabh Dogra ◽  
Himani Badyal

Objective: To study the various beliefs and problems regarding menstruation among adolescent girls living in rural border areas. Design- Prospective study. Setting- Pediatric outpatient clinic. Materials and methods- About 200 adolescent girls (11-19 years) living in rural border areas were enrolled for the study. These girls were asked about menarche, duration of the cycle, amount of blood loss and the various menstrual problems. They were also asked about the various beliefs and myths regarding menstruation. The girls having any illness affecting the menstrual cycle or those suffering from neuropsychiatric disorders were excluded from this study. Results- About 51% of the study population was in the age group 17-18 years. About 43.5% of girls attained menarche at the age of 10-12 years. About 51% of girls did not know about menstruation before menarche. Abdominal pain was the most common side effect seen in 41% of girls during menstruation. About 61% of girls considered themselves unclean during menstruation.  Twenty percent avoided schools, 20% avoided kitchen, 12% avoided temples while 10% stayed away from friends/ relatives. Only 33% of girls knew that menstruation stops temporarily after becoming pregnant. Twenty-two percent girls were using sanitary napkins while the rest used different types of clothes during the menstrual cycle. Conclusion- There is a dire need to educate girls regarding menstruation before menarche in the rural border areas. Every mother should discuss in a friendly way regarding various aspects of menstruation.


2018 ◽  
Vol 28 (6) ◽  
pp. 1939-1946
Author(s):  
Miodrag Simović ◽  
Dragan Jovašević ◽  
Marina M. Simović

Based on international standards adopted within the framework and under the Organisation of the United Nations, all national legislations recognise several different types and forms of criminal acts regarding misuse of narcotics. It is the matter of various activities of unauthorized production, traffic and other forms of inciting or enabling others to come into possession of narcotics for immediate use, which seriously endangers the health and life.Depending on the needs of each individual state, the distinction is made between the offenses, for the perpetrators are given different types and measures of penalties and other criminal sanctions. A similar situation exists in the Republic of Serbia.The paper analyzes the system of criminal offenses in various types and forms of manifestation in the theoretical and practical sense for whose offenders that are prescribed serious criminal sanctions.


Author(s):  
Mahesweta Guru ◽  
Prasad Yeshwant Deshmukh

Background: Infertility is agonising condition. Tuberculosis is an important health problem worldwide. One third of the world’s population is currently affected with tuberculosis. Hysterolaparoscopy is a well-recognized procedure for the diagnosis of infertility. Culture for TB bacilli is the gold standard for diagnosis of genital TB.Methods: Infertile women undergoing dilatation and curettage with hysterolaparoscopy with normal husband semen analysis as a part of their infertility workup at M. G. M. Medical Hospital, Kalamboli. Sample size: 30.Results: Incidence of GTB=22.85%, 25-29 year followed by 35-40 years’ age group was the most common age group was observed. In our study, 74.3% infertility pattern was primary, 25.7% were secondary only 2.85 % (n =1) of the cases of GTB were diagnosed by using TB BACTEC. Laparoscopic findings su0ggested that 18 cases had normal findings and 8 cases had laparoscopic features suggestive of GTB. On chromo pertubation, delayed and absent spillage of the dye was seen in 2 cases. On Hysteroscopy, 29 cases (82.9%) of the patients had normal findings and 3 cases had Hysteroscopic features suggestive of GTB.Conclusions: Genital tuberculosis remains an important under diagnosed cause of infertility. Though culture is considered as gold standard for diagnosis of genital tuberculosis, since GTB is paucibacillary there is an urgent need for more research to come to conclusion whether culture is still gold standard. Further research is required to detect the most sensitive method for diagnosis.


2014 ◽  
Vol 14 ◽  
pp. 87-147 ◽  
Author(s):  
Florentina Badalanova Geller

Cosmogonies and mythopoesis in the Balkans and beyondCompared and contrasted in this article are three different types of accounts dealing with the cosmogonic and eschatological themes employed in Slavonic and Balkan oral tradition, para-Biblical literature and modern poetry. The focus of analysis is the cluster of motifs attested in the creation narrative of the apocryphal Legend of the Sea of Tiberias. Two versions are examined: the South-Slavonic one discovered in 1845 by V. Grigorovich in the Monastery of Slepche, and the 18th century Russian account from MS № 21.11.3 (fols. 3a–5b) from the Archaeographic Department of the Library of the Academy of Sciences [Библиотека Академии наук, Рукописный отдел] in St. Petersburg, composed most probably by an Old Believer; this manuscript is published here for the first time. Folklore counterparts of the apocryphal Legend of the Sea of Tiberias are treated, with special emphasis on the oral narratives from the Bulgarian diaspora in Bessarabia (God and the Devil Create the World Amicably but then Fall Out). Finally, a poem of the 20th century Bulgarian intellectual Pencho Slaveykov [Пенчо Славейков] from his anthology “On the Island of the Blessed” is discussed; the poem, entitled How God willed the Earth to come to be and what did Satanail do after that? was designated by Slaveykov himself as “a legend of the Bogomils”, and blended within his lyrics are dualistic themes and motifs attested in vernacular Christianity, with the hallmark of Haeresis Bulgarica. Kosmogonie i mitopoetyki na Bałkanach i nie tylkoW artykule zostały porównane trzy typy narracji zawierających wątki kosmogoniczne i eschatologiczne, które funkcjonują w słowiańskiej i bałkańskiej tradycji ustnej, literaturze parabiblijnej oraz poezji doby modernizmu. Przedmiotem uwagi stała się grupa motywów poświadczonych w narracji o stworzeniu, znanej z Legendy o Morzu Tyberiadzkim. Analizom poddane zostały dwie wersje: południowosłowiańska, odkryta w 1845 roku przez W. Grigorowicza w Monastyrze w Slepče, oraz ruska – z XVIII wieku, znajdująca się w kodeksie MS № 21.11.3 (fols. 3a–5b), przechowywanym w Oddziale Rękopisów Biblioteki Akademii Nauk w Sankt Petersburgu – skomponowana najprawdopodobniej w środowisku staroobrzędowców (rękopis ten jest tu publikowany po raz pierwszy). Następnie przeprowadzona została analiza odpowiedników folklorystycznych apokryficznej Legendy o Morzu Tyberiadzkim, ze szczegól­nym uwzględnieniem narracji ustnych funkcjonujących w bułgarskiej diasporze w Besarabii (Bóg i Diabeł tworzą świat w przyjaźni ale potem stają się wrogami). Na końcu został poddany interpretacji poemat z XX wieku autorstwa bułgarskiego modernisty Penczo Sławejkowa [Пенчо Славейков] z antologii Na wyspie błogosławionych [На острова на блажените]; poemat ten, zatytułowany Jak Bóg zezwolił, aby powstała ziemia i co potem uczynił Satanael?, został nazwany przez samego autora „legendą Bogomiłów”, i skompilowany w jego tekstach z dualistycznymi motywami występującymi w chrześcijaństwie tego regionu, a rozpoznawa­nymi jako haeresis bulgarica.


2005 ◽  
Vol 6 (1) ◽  
pp. 74-84 ◽  
Author(s):  
Ozlem Tulunoglu ◽  
Tezer Ulusu ◽  
Yasemin Genç

Abstract The aim of this study was to evaluate the median survival time of fixed and removable space maintainers related to age groups, gender, and their distribution in upper and lower dental arches. The adherence of patients to a periodic recall program and the success rate of different types of space maintainers related to different arches were also evaluated. This study included 663 patients aged between 4-15 years old that were treated between the years of 1997 and 2002. The patients were categorized into four main groups: lost to follow-up, failed, successful, and censored at the end of study. Three hundred forty-five space maintainers were considered lost to follow-up, 83 were considered failed, 206 successful, and 20 censored-at-end. The overall median survival time of the appliances was 6.51 months. Median survival time was 7.25 months in the 4-6 age group, 6.35 months in the 7-12 age group, and 7.0 months in the 13+ age groups. Median survival time was 5.76 months in girls and 7.11 months in boys. Median survival time of space maintainers was 7.17 months for maxilla and 6.69 months in the mandible. Median survival time was 5.25 months for space maintainers fabricated in both arches. Citation Tulunoglu Ö, Ulusu T, Genç Y. An Evaluation of Survival of Space Maintainers: A Six-year Follow-up Study J Contemp Dent Pract 2005 February;(6)1:074-084.


PEDIATRICS ◽  
1950 ◽  
Vol 6 (1) ◽  
pp. 9-19
Author(s):  
WILLIAM E. LADD

AS THIS is the first general meeting of the Academy since the establishment of a surgical section, it would seem fitting to comment on our hopes for this venture. The last few decades have seen great advances in all fields of medicine. Among the most widely known, perhaps, are insulin, antibiotics, chemotherapy, water balance, vitamin and hormone therapy and other laboratory discoveries. I want, however, to call your attention to some of the advances which have been made in the field of pediatric surgery and to remind you that although these have been aided by laboratory achievements they would have been impossible without the cooperation of the pediatrician. Please recall that roughly 30 years ago atresia of the bile ducts carried a mortality of 100%. Intestinal obstruction due to midgut volvulus had an equally high mortality. Congenital diaphragmatic hernia—other than those through the esophageal hiatus—had an estimated 90% mortality. The recovery of a patient with intestinal atresia was indeed a rare incident. The mortality from intussusception, and even from pyloric stenosis, was nearly 60%. Today the mortality in these and other conditions has been reduced by from 25% to 75%, and in some conditions to nearly zero. This striking lowering of mortality has been brought about largely by men, both medical and surgical, who devote their energies to the care of infants and children. It seems, therefore, particularly opportune and appropriate that these pediatricians and pediatric surgeons should join together in a concerted effort to advance the care of this age group. I, for one, am sufficiently optimistic to believe that greater advances will be made in the decades to come if we all work together and with one goal in mind; namely, the improvement of the lot of the afflicted child. The establishment of a surgical section in this Academy certainly should help the pediatrician, the pediatric surgeon and last, but far from least, sick children.


PEDIATRICS ◽  
1984 ◽  
Vol 74 (6) ◽  
pp. 1131-1131
Author(s):  
HARRY F. LAWS

To the Editor.— There seems to be a great deal of argument as to when a child should be switched from breast/formula to cow's milk. Supportive data are difficult to come by for an exact age, although recommendations abound. The consensus appears to favor the concept that excess cow's milk can lead to problems, especially if started at a very early age. Here is a method that I have been using in my practice for the last few years: Observing that weaning from the breast/bottle to a cup results in decreased milk consumption and overall caloric intake becomes supplemented with solid foods, this weaning time becomes a logical time to suggest starting cow's milk (as a decreased intake, decreases the "risks" associated with cow's milk intake).


2019 ◽  
Vol 967 ◽  
pp. 221-227 ◽  
Author(s):  
Adeyemi Adesina

Different initiatives have evolved over the years to improve the durability of concrete, and one of the promising areas gaining attention in recent years is the use of nanomaterials in concrete. Though most of the applications of nanomaterials to improve the properties of concrete has been restricted to laboratory applications, it is anticipated that in few years to come more commercial and large-scale applications will ensue. This overview explored different types of nanomaterials already used in concrete and their effects on the durability of concrete. It was found out that nanosilica is the most used nanomaterial in concrete. And all types of nanomaterials currently used, enhance the durability of concrete significantly compared to other methods employed before the advent of nanomaterials in concrete. However, the use of other nanomaterials such as nanotitania and nanoalumina is attracting great attention. But the use of nanomaterials in concrete is faced by several challenges such as its high cost, production process, toxicity, etc. It is expected that with more research and application in the use of nanomaterials to enhance the properties of concrete, cheap and user-friendly nanomaterials can be developed. In addition, this review shows the possibility of enhancing the current durability properties with the use of nanomaterials.


Author(s):  
Neha Varun ◽  
Nidhi Gupta ◽  
Sana Khan

Background: Abnormal uterine bleeding (AUB) is one of the most commonly encountered gynecological problem and almost 33 % of women in gynecological outpatient department presented with abnormal uterine bleeding. Dilatation and curettage (D and C) have been the main diagnostic procedure in the evaluation of abnormal uterine bleeding patients for decades. The objective of the present study was to analyze the different types of endometrial histopathology of patients presented with the abnormal uterine bleeding and its correlation with the different types of abnormal uterine bleedingMethods: This is a retrospective study, conducted in a medical college in the Department of Obstetrics and Gynecology over a period of one year from June ’17 to June ’18. All cases of AUB more than 35 years of the age group who underwent D and C procedure were included in this study. Total 100 patients were analyzed.Results: Total 100 patients were analyzed. Age group ranges from 35-58 years and most common age group presenting with AUB was 35-39 years. The most common presenting complaint was menorrhagia 54% (54/100). Histopathology of endometrium showed non-organic causes in 80% (80/100) of AUB patients and the remaining 20% (20/100) had organic causes. Most common endometrial histopathology among non-organic causes was proliferative endometrium 43.75% (35/80) and the most common organic cause was endometrial polyp 40% (8/20). Endometrial hyperplasia was found in 30% (6/20) and endometrial carcinoma was found in 20% (4/20) of cases among organic causes.Conclusions: D and C is the useful and the cost-effective diagnostic procedure in the evaluation of AUB. Histopathological evaluation of endometrial samples is especially indicated in AUB patients to rule out carcinoma and preneoplastic conditions as histopathology is 100% diagnostic in cases of endometrial hyperplasia and carcinoma.


2014 ◽  
Vol 5 (4) ◽  
pp. 569-577 ◽  
Author(s):  
Rohini Prasad Devkota ◽  
Tek Narayan Maraseni ◽  
Geoff Cockfield

Flood risk analysis provides a rational for the appraisal of policy options for the decision makers. In this paper, by employing referendum method and face to face questionnaire surveys for 210 households in West Rapti River in Nepal, the willingness to pays (WTPs) to avoid four climate change-induced flood scenarios were assessed. Differences on WTPs among age, sex and education groups were analysed, and correlation between WTPs and different types of incomes and flood related damage costs were tested. The WTP was lowest for age group below 35 and it was highest for the age group 35–44. Females suffered more from flood than males and hence their average annual WTP was higher than male's average. Similarly, the average WTP was higher for literate then illiterate people in all flood scenarios. The average annual WTPs were statistically significantly (p < 0.05) positively correlated with annual total income, farm income, livestock income and flood-related damage costs. The level of WTPs estimated in this study would be helpful for formulating flood-related policy and plan, prioritising investment and implementation of the programmes.


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