T WAVE CONTOUR IN THE PRECORDIAL LEADS DURING CHILDHOOD

PEDIATRICS ◽  
1951 ◽  
Vol 7 (3) ◽  
pp. 400-407
Author(s):  
R. W. REYNOLDS

The T wave in the precordial V leads was studied in 187 normal children and young adults in the age range of 2 weeks to 20 years and in 164 individuals of like age with cardiovascular disease or with disease or medication capable of affecting the cardiovascular system. On the basis of this analysis correlated with a survey of the literature, it is concluded that: a. An upright T wave in lead V2 or leads further to the right should be considered abnormal in children between 2 weeks and 9 years of age until proved otherwise. b. The normal sequence in the direction of the T wave from V4R to V6 is from a negative to a positive wave with transitional forms which may be notched or diphasic. The reversal of this pattern is to be considered abnormal. c. The presence of unexpected T wave contours in specific leads at the different ages should be considered as evidence demanding re-examination of the ECG and of the child for abnormalities.

2002 ◽  
Vol 13 (01) ◽  
pp. 001-013 ◽  
Author(s):  
James Jerger ◽  
Rebecca Estes

We studied auditory evoked responses to the apparent movement of a burst of noise in the horizontal plane. Event-related potentials (ERPs) were measured in three groups of participants: children in the age range from 9 to 12 years, young adults in the age range from 18 to 34 years, and seniors in the age range from 65 to 80 years. The topographic distribution of grand-averaged ERP activity was substantially greater over the right hemisphere in children and seniors but slightly greater over the left hemisphere in young adults. This finding may be related to age-related differences in the extent to which judgments of sound movement are based on displacement versus velocity information.


1971 ◽  
Vol 40 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Berenice Abrams

1. Serum proteins were studied in 106 children ranging from 3 to 14 years using a modification of Laurell's method of quantitative immunoelectrophoresis. 2. Quantitative values are given for eleven proteins, viz.: α1 lipoprotein, α1 antitrypsin, α1 easily precipitable glycoprotein, α1 group specific component, α2 macroglobulin, caeruloplasmin, haptoglobin, transferrin, haemopexin, β lipoprotein, and β1AC(C3). 3. There were no significant differences in protein levels between the sexes, and no correlation between age and protein level within the age range studied. 4. The values were also compared with those of infants aged 6–12 months, young adults of 16–25 years, and adults of 16–65 years.


PEDIATRICS ◽  
1949 ◽  
Vol 4 (6) ◽  
pp. 805-809
Author(s):  
W. M. KELSEY ◽  
L. B. LEINBACH

Values for total serum base in 96 normal children under 12 years of age as determined by the conductivity method fell between 143 to 160.5 mEq./l. The mean was 153. Standard deviations for each age group are given. The values in 73 normal persons above the age of 12 varied from 142 to 160.5 mEq./l. The mean was 147 mEq./l. A statistically significant difference between the total serum base in children and adults was found.


2013 ◽  
Vol 33 (suppl_1) ◽  
Author(s):  
Pragya Sinha ◽  
Jamal S Rana ◽  
Ebenezer T Oni ◽  
Ehimen C Aneni ◽  
Roger S Blumenthal ◽  
...  

BACKGROUND The association between a positive family history (PFH) of premature cardiovascular disease (PCVD) and atherosclerosis has been explored in numerous studies. In adults, various studies have confirmed a significant positive correlation between a PFH and PCVD. Scant literature however, focuses on young individuals. Nevertheless, it is important to understand the impact that a PFH has in young people because the foundations of atherosclerosis and adverse cardiac behaviors develop in youth. In this paper, we aimed to systematically review the evidence linking a PFH of PCVD to indirect markers of subclinical atherosclerosis. METHODS The search was conducted on Medline, Web of Science and Embase. ‘Family history’, ‘children/young adults’ and ‘subclinical atherosclerosis’ were the three main concepts used. Increase in mean carotid IMT (cIMT), endothelial dysfunction and vascular inflammation were used as indirect measures of subclinical atherosclerosis. RESULTS 1191 articles were identified in the initial search. 24 papers with 5400 participants were included in the final review. There were five cohort studies and nineteen case control studies from twelve countries. Mean cIMT was found to be significantly increased in those with a PFH by eleven of the fourteen papers reviewed. Endothelial dysfunction, measured by flow mediated dilatation (FMD), was found to be significantly increased in five of the seven included studies. The evidence on vascular inflammation was somewhat inconsistent with only ten of the nineteen studies demonstrating significance. The results tend to suggest that an elevated mean cIMT, as well as a greater degree of endothelial dysfunction are seen in children and young adults with a PFH of PCVD. Moreover, these differences exist in asymptomatic children as young as 8-9 years (4 studies) in the absence of any other cardiac risk factor. DISCUSSION Individuals with a PFH of PCVD have evidence of subclinical atherosclerosis in their youth demonstrating an accelerated tendency to acquire cardiovascular disease. Some of this risk may be attributable to behavioral risk clustering in families. However, a significant proportion of this elevated risk is related solely to a positive family history and needs attention.


2021 ◽  
pp. 270-278

Background: To evaluate improvements in clinical measures and symptoms in children and young adults with accommodative insufficiency in an open trial of office-based vergence and accommodative therapy. Methods: Major eligibility requirements included ages 9 to 30 years and amplitude of accommodation (AA) ≥2 diopters (D) below Hoffstetter’s minimum. Participants completed 8 weekly, 1-hour sessions of office-based vergence and accommodative therapy. Therapy procedures followed the Convergence Insufficiency Treatment Trial (CITT) therapy protocol with emphasis on accommodative procedures. Clinical measures of accommodation and symptoms (Convergence Insufficiency Symptom Survey [CISS]) were assessed at baseline and after therapy. Results were evaluated using the Student’s t test and Kruskal-Wallis test. Repeatability of CISS scores at baseline was assessed using Bland Altman 95% Limits of Agreement (LoA) and Interclass Correlation Coefficient (ICC). Results: Eighteen participants (mean age 17.4 ± 8.0 years) were enrolled; sixteen completed the study. The mean AA improved significantly from 5.5D OD and OS at baseline to 12.4D OD and 12.8D OS at outcome (p<0.001). Mean monocular accommodative facility (AF) also increased significantly in both eyes from 6.6 cycles per min (cpm) OD and 7.4cpm OS at baseline to 14.2cpm OD and OS at outcome (p≤0.0009). Amplitude-scaled monocular AF also showed significant improvements (p≤0.034 for both). Mean CISS score improved 10.50 points (p=0.0003). Significantly greater improvements in AA were observed in children (9.0D) than in adults (4.3D) in the right eye (p=0.007 for both comparisons). Conversely mean improvement in CISS score was significantly greater in adults than in children (p=0.039). Repeated CISS scores differed by, on average,1.47 points (95% limits of agreement:-5.19, 8.13; p=0.12). The ICC was 0.95 with a 95% confidence interval of 0.87 to 0.98. Conclusion: Eight weekly sessions of office-based accommodative vergence therapy combined with homebased- reinforcement therapy resulted in improvements of symptoms and clinical measures of accommodation in children and young adults with accommodative insufficiency.


Circulation ◽  
1980 ◽  
Vol 61 (5) ◽  
pp. 902-912 ◽  
Author(s):  
F W James ◽  
S Kaplan ◽  
C J Glueck ◽  
J Y Tsay ◽  
M J Knight ◽  
...  

Diabetes Care ◽  
2011 ◽  
Vol 34 (9) ◽  
pp. 1998-2004 ◽  
Author(s):  
Mohammed K. Ali ◽  
Kai McKeever Bullard ◽  
Gloria L. Beckles ◽  
Mark R. Stevens ◽  
Lawrence Barker ◽  
...  

CHEST Journal ◽  
2006 ◽  
Vol 130 (4) ◽  
pp. 108S ◽  
Author(s):  
Amit Gupta ◽  
Kenneth Rosenman ◽  
Sarah Lyon-Callo ◽  
Elizabeth Hanna

2020 ◽  
Vol 1 (1) ◽  
pp. 24-29
Author(s):  
Zeyad Alzaben ◽  
◽  
Ahmad Zaben ◽  
Miguel A. Zapata ◽  
◽  
...  

AIM: To evaluate retinal parameters in a sample of healthy young Caucasian adults to define the normal or physiological range of inter-ocular asymmetry in this particular age and ethnic group. METHODS: Study sample consisted of 37 Caucasian children and young adults aged between 12 and 23y (spherical equivalent from -3.00 D to +4.00 D, anisometropia <0.5 D and axial length differences <0.3 mm). Normal inter-ocular asymmetry values were determined and 95% inter-ocular difference tolerance values were obtained. RESULTS: Statistically significant inter-ocular differences were found in mean (P=0.003) and superior (P=0.008) retinal nerve fiber layer (RNFL) thickness, as well as in central macular thickness (P=0.039), with larger values in the left eye in all instances, and with tolerance limits of inter-ocular asymmetry of -9.00 µm to 6.00 µm, -28.00 µm to 9 µm and -39.00 µm to 29.00 µm, respectively. In addition, statistically significant differences were found between males and females in mean thickness of the RNFL in the right eye (P=0.020). CONCLUSION: The exploration of the normal asymmetries of the retina may be an effective approach to further understand myopia onset and progression, which is particularly relevant in this age group. Differences in instrumentation and sample characteristics compromise direct comparison with published research and warrant the need for further studies.


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