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2.
Indian J Pediatr ; 2009 Apr; 76(4): 369-73
Artículo en Inglés | IMSEAR | ID: sea-79916

RESUMEN

OBJECTIVE: The objectives of the study was to know whether the 'thinfat' phenotype exists in newborns, in Central Karnataka and to correlate various factors that contribute to this peculiar phenotype, with emphasis on genetic and maternal environmental factors. METHODS: For 1000 consecutive singleton term newborns, weight, length, head, mid arm, abdominal circumferences, biceps and subscapular skinfolds were measured at birth and compared with measurements of white Caucasian babies born in Southampton UK and Mysore babies at birth. RESULTS: The Davangere babies were significantly smaller in all measurements at birth (p < 0.001) compared to Southampton babies. The deficit varied according to the measurements; It was greatest for birth weight (-1.6 SD, CI -3.0, -0.2), mid arm circumference (-2.0 SD, CI -3.3, -0.8), head circumference (-1.8 SD, CI -3.1, -0.5) and least for length (-0.4 SD, CI -1.9, 1.1) and subscapular skin fold (-0.3 SD, CI -0.25, -0.12). Predictors of skinfold thickness were maternal body mass index (p < 0.05), maternal mid arm circumference (p < 0.001) and consanguinity (p < 0.05). CONCLUSION: Despite being small, truncal adiposity was present in Davangere neonates confirming the 'thinfat' phenotype. The role of consanguinity in other words, the role of genes, is important in determining this 'thinfat' phenotype in newborns.


Asunto(s)
Antropometría , Peso al Nacer , Índice de Masa Corporal , Humanos , Recién Nacido , Edad Materna , Fenotipo , Grosor de los Pliegues Cutáneos , Adulto Joven
3.
Indian J Pediatr ; 2007 Dec; 74(12): 1113-5
Artículo en Inglés | IMSEAR | ID: sea-79694

RESUMEN

Kallmann's syndrome is a rare genetic disorder due to abnormal migration of olfactory axons and gonadotropin releasing hormone producing neurons, characterized by hypogonadism and anosmia. The prevalence of Kallmann's syndrome is 1:10,000 to 1:60,000 with a male to female ratio of 5:1. The inheritance of Kallmann's syndrome may be X-linked, autosomal recessive or autosomal dominant with variable penetrance, mutation involving KAL-1 and KAL-2 gene respectively. We report a case of Kallmann's syndrome in a 19-year-old boy with characteristic clinical, biochemical and MRI findings.


Asunto(s)
Adulto , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Estudios de Seguimiento , Humanos , Síndrome de Kallmann/diagnóstico , Masculino , Índice de Severidad de la Enfermedad , Testosterona/uso terapéutico
4.
Indian J Pediatr ; 2007 Dec; 74(12): 1081-3
Artículo en Inglés | IMSEAR | ID: sea-82277

RESUMEN

OBJECTIVE: To determine the baseline Widal titres in apparently healthy children in Davangere. METHODS: Cross-sectional study was done on 250 children. Widal titers were found using tube agglutination test. RESULTS: Out of 250,64.2% had a titre of less than 1:20,22.4% had a titre equal to 1:20,9.6% had a titre of 1:40 and 3.6% had a titre of 1:80 to 'O' antigen and 67.2% had a titre of less than 1:20, 21.2% had a titre equal to 1:20, 8% had a titre of 1:40 and 3.6% had a titre of 1:80 to 'H' antigen of S. enterica subsp. enterica ser. Typhi. No children in age group 6 months-2 years had a titre of 1:80 to either antigen. All children in this age group had a titre of less than 1:20 to AH antigen and older children had a titre upto 1:40 dilution. CONCLUSION: Baseline titres for either S. enterica subsp. enterica ser. Typhi antigen in 6 month-2 year was 1:40 and older children was 1:80. Baseline titres for H antigen of S. enterica subsp. enterica ser. Paratyphi A in 6 month-2 year was less than 1:20 and for older children was 1:40 dilution.


Asunto(s)
Factores de Edad , Aglutinación , Pruebas de Aglutinación , Preescolar , Estudios Transversales , Enfermedades Endémicas , Femenino , Humanos , Incidencia , India/epidemiología , Lactante , Masculino , Fiebre Paratifoidea/epidemiología , Valores de Referencia , Factores de Riesgo , Salmonella paratyphi A/inmunología , Salmonella typhi/inmunología , Índice de Severidad de la Enfermedad , Fiebre Tifoidea/epidemiología
5.
Indian J Pediatr ; 2007 Aug; 74(8): 787-9
Artículo en Inglés | IMSEAR | ID: sea-84601

RESUMEN

Wharton's jelly is a specialized tissue which acts as supportive and protective structure substituting for the adventitia of the umbilical vessels. Absence of Wharton's jelly around the umbilical arteries is very rare and an unusual cause of perinatal mortality. We report a case of absent Wharton's jelly around the umbilical arteries with patent vitellointestinal duct--a rare association.


Asunto(s)
Adulto , Femenino , Seropositividad para VIH , Humanos , Recién Nacido , Masculino , Embarazo , Resultado del Embarazo , Ultrasonografía Prenatal , Arterias Umbilicales/anomalías , Cordón Umbilical/patología
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