RESUMEN
Parental compliance in keeping a return appointment for the purpose of having their child's Tuberculin Tine test read was studied in the setting of a large urban pediatric clinic. This compliance rate was found to be 72%. Various factors which could potentially affect compliance with this procedure were examined, and the only factor which correlated significantly was family size. A modified system whereby parents read their child's Tine test in the home setting and reported the test results to the clinic by mail (a method used today in many pediatric outpatient departments) was implemented and evaluated. With this new system, the compliance rate increased to 90%.
Asunto(s)
Citas y Horarios , Servicio Ambulatorio en Hospital , Prueba de Tuberculina , Atención Ambulatoria , Niño , Conducta Cooperativa , Composición Familiar , Humanos , Ciudad de Nueva York , PadresRESUMEN
Infant colic is an extremely common but poorly understood symptom complex, causing great distress for infant, parents, and physician. Many theories have been suggested to explain this entity, but none are widely accepted. Numerous therapies have been proposed; however, few are helpful. A review of infant colic is presented which focuses on suggested etiologies and therapies, either of historic interest or practical significance. An approach to management is suggested which the authors have found to be valuable.
Asunto(s)
Cólico/diagnóstico , Enfermedades Gastrointestinales/diagnóstico , Cólico/etiología , Cólico/terapia , Llanto , Diagnóstico Diferencial , Enfermedades Gastrointestinales/etiología , Enfermedades Gastrointestinales/terapia , Humanos , Lactante , Recién Nacido , Contracción Muscular , Espasmo/diagnósticoRESUMEN
Thirty-six children with psychogenic chest pain were studied. A specific stressful situation causally related to the onset of symptoms could be identified in most patients with psychogenic chest pain. Fifty-five per cent of children with psychogenic chest pain had a history of other recurrent somatic complaints and 30% had a history of significant sleep disturbances.
Asunto(s)
Dolor/etiología , Trastornos Psicofisiológicos , Estrés Psicológico/complicaciones , Tórax , Adolescente , Niño , Preescolar , Femenino , Humanos , Masculino , Dolor/psicología , Trastornos Psicofisiológicos/psicología , Trastornos del Sueño-Vigilia/etiología , Trastornos del Sueño-Vigilia/psicologíaRESUMEN
An adolescent girl complaining of chronic heel pain was found to have acquired hypophosphatemic rickets and a nonossifying fibroma of the femur. The hypophosphatemic rickets was completely corrected by surgical excision of the bone lesion. This case represents another example of tumor-induced osteomalacia.