OVERACTIVE BLADDER IN CHILDREN: CLINICAL AND PARACLINAL FEATURES

2021 ◽  
Vol 2 (1) ◽  
pp. 48-51
Author(s):  
Burlutskaya A.V. ◽  
Martynenko V.V.

Research objective. To identify clinico-laboratorial and urodynamic deviations among children with overactive bladder. Materials and methods. The study is based on examination of 20 somatically healthy children of 7-10 years old with the following complaints: sudden irresistible urges to urinate, that could be hardly restrained with or without imperative urge incontinence; frequent urination in small portions during the day; frequent awakenings during the night due to the emerging urge to urinate and involuntary urination at night. All children have been examined clinically (identification of the level of homocysteine, registration of the rhythm of urination (by keeping a diary of urination)) and through instrumental methods: uroflowmetry, ultrasound examination of the bladder with identification of the volume of residual urine, electroencephalography. Results. After the examination, the following abnormalities were identified among the majority of the patients: hyperhomocysteinemia; registration of the rhythm of urination showed that the predominant type was pollakiuria, which might be observed in frequent (more than 8 times a day) urination in small portions (among 60% of children), also enuresis (among 65%) and daytime urinary incontinence in the one third of the patients (30%) were diagnosed. On the basis of ultrasound examination of the bladder, it could be concluded that the one third of the children (33%) had an increase in the volume of residual urine (due to a decrease in the contractile function of the detrusor). By the uroflow method of research it was found out that among almost the half of the children (45%), the intermittent type of urination prevailed (in which the maximum and average urine flow rate was reduced, the time to reach the maximum speed was shortened), also rapid (30%) and non-obstructive (25%) types were diagnosed. According to the electroencephalography data, disorganization of the alpha rhythm, with a tendency to an increase in the number of beta rhythm waves was found.

2019 ◽  
Vol 1 (8) ◽  
pp. 42-50
Author(s):  
A. V. Budkevich ◽  
L. B. Ivanov ◽  
G. R. Novikova ◽  
G. M. Dzhanumova

According to the authors, rationing the age-related EEG parameters in children should be based on personal psychical characteristics. A comparative analysis of personal psychical characteristics and electroencephalographic data was carried out in 300 apparently healthy children aged 3-15 years. According to this principle, two subgroups of conditionally healthy children in each age group were singled out: 1) with an immature attention function and 2) with an increased anxious background that do not reach the pathological level. Registration and analysis of EEG was performed by the Neurokariograf computer complex (MBN, Moscow) using mathematical processing methods.The EEG interpretation was based on the principle of assessing the functional state of a child's brain using a three-component model according to: 1) wakefulness level and its dissociation, 2) severity of signs of the EEG neurotic pattern, 3) directionality of formation of traits of the system-functional brain organization (severity of signs functional hypofrontality).lt was found the presence of EEG signs was indicative of a lower level of wakefulness in children with an immature function of attention in all age groups, compared with the indicators of the average population of group and children with an increased background of anxiety. Children with an increased background of anxiety have a tendency to prevalence and excessive spatial synchronization of the alpha rhythm. ln healthy children, the fact of a decrease in wakefulness and the presence of signs of anxiety in the clinic and in EEG patterns indicates individual personalities and should not be considered as pathology.


2015 ◽  
Vol 54 (06) ◽  
pp. 500-504 ◽  
Author(s):  
A. G. Maglione ◽  
A. Scorpecci ◽  
P. Malerba ◽  
P. Marsella ◽  
S. Giannantonio ◽  
...  

SummaryObjectives: The aim of the present study is to investigate the variations of the electroencephalographic (EEG) alpha rhythm in order to measure the appreciation of bilateral and unilateral young cochlear implant users during the observation of a musical cartoon. The cartoon has been modified for the generation of three experimental conditions: one with the original audio, another one with a distorted sound and, finally, a mute version.Methods: The EEG data have been recorded during the observation of the cartoons in the three experimental conditions. The frontal alpha EEG imbalance has been calculated as a measure of motivation and pleasantness to be compared across experimental populations and conditions.Results: The EEG frontal imbalance of the alpha rhythm showed significant variations during the perception of the different cartoons. In particular, the pattern of activation of normal-hearing children is very similar to the one elicited by the bilateral implanted patients. On the other hand, results related to the unilateral subjects do not present significant variations of the imbalance index across the three cartoons.Conclusion: The presented results suggest that the unilateral patients could not appreciate the difference in the audio format as well as bilaterally implanted and normal hearing subjects. The frontal alpha EEG imbalance is a useful tool to detect the differences in the appreciation of audiovisual stimuli in cochlear implant patients.


Author(s):  
I. V. Dvoryakovsky ◽  
S. A. Ivleva

An overview of the data on features of ultrasound examination of the gallbladder with various forms of pathology in children is presented. We examined 650 conditionally healthy children and 840 children with diseases of the abdominal cavity organs, cardiovascular system, and some infectious diseases. The diffuse thickening of the gallbladder wall was established to be the possible result of a wide range of pathological conditions, both of surgical and non-surgical origin. It is shown that sometimes it is necessary to conduct frequent dynamic studies, especially in cases where the primary disease of the gallbladder cannot be ruled out. As a rule, the recognition of the cause of the response of the gallbladder wall and its exclusion as a result of appropriate treatment leads to a normalization of the morphology and function of the gallbladder.


2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaonan Zhao ◽  
Ming Hu ◽  
Cui Zhao ◽  
Qing Zhang ◽  
Lulu Li ◽  
...  

Staphylococcus aureus (S. aureus) is now regarded as a zoonotic agent. Methicillin-susceptible S. aureus (MSSA) ST398 is a livestock-associated bacterium that is most prevalent in China, but there are currently no data available for Shandong. Therefore, the aim of this study was to investigate the epidemiology and characterization of MSSA ST398 from retail pork and bulk tank milk (BTM) in Shandong. A total of 67 S. aureus isolates were collected from retail pork between November 2017 and June 2018. Among the isolates, high antimicrobial resistance rates were observed for penicillin (97.0%), and 92.5% of the isolates were multi-drug resistant (MDR). Eight sequence types (STs) were identified in the retail pork isolates, and the predominant type was ST15 (n=26), which was followed by ST398 (n=14). Staphylococcal protein A gene (spa) typing identified spa types t034 and t1255 in MSSA ST398 from retail pork. Using whole-genome sequencing analysis, we described the phylogeny of 29 MSSA ST398 isolates that were obtained from retail pork (n=14) and BTM (n=15). The phylogenetic tree showed that the MSSA ST398 isolates from different sources had the same lineage. Among the 29 MSSA ST398 isolates, five resistance genes were detected, and all isolates carried DHA-1. Fifteen toxin genes were detected, and all isolates carried eta, hla, and hlb. In conclusion, this study found that a high risk for MSSA ST398 was present in retail pork and BTM. These findings have major implications for how investigations of MSSA ST398 outbreaks should be conducted in the One-Health context.


2004 ◽  
Vol 172 (5) ◽  
pp. 1911-1914 ◽  
Author(s):  
MARK MILLEMAN ◽  
PETER LANGENSTROER ◽  
MICHAEL L. GURALNICK

1952 ◽  
Vol 30 (5) ◽  
pp. 367-377 ◽  
Author(s):  
John Hunter ◽  
E. H. Kerr ◽  
M. G. Whillans

Previous laboratory tests have shown that joint temperatures, on exposure to low ambient temperatures, fall to a greater extent than muscle, rectal, or average skin temperatures. The fall in temperature is accompanied by an increased resistance of joints to movement, and the maximum speed with which the joint can be moved decreases. The predominant type of movement at the human knee joint and interphalangeal joints is a gliding one. The characteristics of synovial fluid explain the increased forces required to move a joint and the loss in speed of movement on exposure to cold. In vivo studies support such predictions.


1989 ◽  
Vol 141 (4) ◽  
pp. 916-917 ◽  
Author(s):  
K.-J. Lidefelt ◽  
U. Erasmie ◽  
I. Bollgren

2013 ◽  
Vol 32 (7) ◽  
pp. 1014-1018 ◽  
Author(s):  
Shang-Jen Chang ◽  
I-Ni Chiang ◽  
Cheng-Hsing Hsieh ◽  
Chia-Da Lin ◽  
Stephen Shei-Dei Yang

2016 ◽  
Vol 33 (S1) ◽  
pp. S349-S349
Author(s):  
C. Lopez ◽  
L. Vaivre-douret

IntroductionThere is currently a resurgence of handwriting difficulties in school-age children. Researches in literature focus on kinematics temporal and spatial measures of letters in the writing process and on clinical performances such as the handwriting scale (BHK). This assessment doesn’t consider the organization and the maturation of the handwriting gesture.ObjectivesWe aim to study the developmental organization of the handwriting gesture to provide developmental standards of reference in order to complete performances measures allowing a better understanding of handwriting disabilities.MethodsHealthy children of elementary school aged between 6 and 11 years old are eligible for inclusion. All children are assessed with neuropsychological and neuropsychomotor evaluations and with handwriting assessment (BHK). Two groups are established, the one with handwriting difficulties and the other one (control group) without writing disorder or learning disabilities. The children were matched for age, gender and school level. All children are filmed with a camera suspended over to observe with specific handwriting tasks, the upper limb gesture about segmental organization of fingers, hand, forearm, arm, shoulder and postural organization.ResultsPreliminary findings show significant differences of the segmental organization of the writing gesture between the two groups. We will discuss the identified causes of the handwriting disorders with the analysis of neuropsychomotor and neurological assessments data in correlation with gesture segmental organization.ConclusionDevelopmental organization of the writing gesture is a possible underlying mechanism of handwriting disabilities. Practically, it appears important to improve news tools of evaluations with gestural writing consideration and to implement it in intervention process.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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