Orthodontic treatment of an adolescent with cerebral palsy - A case report.

Cerebral palsy is a common cause of chronic motor neuron impairment. A constant prevalence of 2 to 3/1000 births in industrialized countries has been described. This case report describes the treatment of a 9 year old boy presenting this form of motor neuron impairment and class II malocclusion with an overjet of 14 mm, hyperdivergent growth pattern and various habits. Orthodontic treatment consisted mainly of a two-phase treatment. The first phase was treated with removable appliances and followed by a phase with fixed appliances. Treatment duration with removable appliances was 4 years and 5 months and for the fixed appliance phase, 1 year and 7 months. A class I occlusion could be achieved in this case by removable and fixed orthodontic appliances combined with adjunctive treatment for the hypotonic orofacial musculature.

Effect of chlorine on cultivability of Shiga toxin producing Escherichia coli (STEC) and ß-lactamase genes carrying E. coli and Pseudomonas aeruginosa.

The worldwide spread of toxin-producing and multi-drug resistant bacteria in water, food and the environment is considered a major threat to human health. Drinking water quality is controlled by inspection of fecal indicators presence whereby viable contaminants will be efficiently reduced by chlorination which is a common process for disinfection. However, the all-out efficiency is arguable, because bacterial regrowth has been documented after disinfection. In this study, we investigated the stability of Shiga toxin producing Escherichia coli (STEC) and ß-lactamase expressing E. coli and Pseudomonas aeruginosa isolates, both equipped with multiple or single ß-lactamase resistance genes. The aim of the study was to analyze the efficiency of chlorine (Cl2) disinfection against shigatoxigenic or ß-lactamase producing bacteria. Cl2 reacts with the bacterial cells after first contact. Counts of antibiotic resistant E. coli were lower after short than upon extended Cl2 treatment. P. aeruginosa counts decreased moderately upon 15-60 min treatment with 1.2 mg Cl2/l, while cells adapted to tap water were not cultivable anymore. We assume that the bacterial physiology changed to a temporary non-cultivatable state at first Cl2 contact followed by resuscitation of some cells at later stages. STEC viability went down continuously at low Cl2 concentrations and these toxigenic E. coli isolates exhibited slightly increased stability to Cl2 treatment compared with non-toxigenic E. coli. Controlling the efficiency of disinfection, realistic counts of cultivatable cells are achieved after extended Cl2 action.

[Post-partum iron deficiency anaemia]. / Post partum-jernmangelanæmi.

Post-partum anaemia is an important global health issue. It is associated with increased maternal morbidity and mortality. This article focuses on the prevalence, causes and consequences of post-partum anaemia in Western countries. There is a need for national/international guidelines concerning the diagnosis, prevention and treatment of anaemia after delivery. In order to improve the mother's health status and quality of life, we suggest an increased awareness of diagnosing post-partum anaemia and use of evidence-based treatment options including oral and intravenous iron therapy.

[In case of pelvic pain desquamative inflammatory vaginitis is an important differential diagnosis]. / Ved smerter i underlivet er deskvamativ inflammatoriskvaginitis en vigtig differentialdiagnose.

Desquamative inflammatory vaginitis (DIV) is an uncommon, severe form of chronic vaginitis of unknown aetiology. The syndrome is characterised by profuse vaginal discharge, vulvovaginal irritation, dyspareunia and vaginal erythema. As the symptoms and signs are nonspecific, other causes of purulent discharge have to be excluded first. Definition necessitates specific wet smear findings. The purpose of this case report is to consider DIV as a diagnosis in women presenting with persistent vaginitis. An effective treatment using clindamycin and/or glucocorticoids is available.

[Iron deficiency and pregnancy after gastric bypass surgery]. / Jernmangel og graviditet efter gastrisk bypassoperation.

In Denmark, the number of women in reproductive age having Roux-en-Y gastric bypass surgery increased in the period 2007-2010. The malabsorption related to the operation implies a predisposition to macro- and micronutrient deficiencies, which in pregnancy may influence the development of the foetus. The article concerns the need for managing the malabsorption syndrome, iron deficiency in particular, both in antenatal care, during pregnancy, delivery and in the lactation period. We suggest frequent follow-up in these patients and intravenous iron therapy, when oral iron treatment is inadequate.