ABSTRACT
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Subject(s)
Child , Humans , History, 20th Century , Pediatrics/trends , Social Medicine/trends , Pediatrics/history , Social Medicine/history , SpainSubject(s)
Child Welfare/trends , Health Priorities/trends , Maternal Welfare/trends , Adult , Female , Humans , Infant , Infant, Newborn , SpainSubject(s)
Infant, Low Birth Weight , Infant, Premature , Culture , Family , Humans , Infant, Newborn , Psychology, Social , Risk Factors , Socioeconomic FactorsSubject(s)
Child Health Services , Health Status , Child, Preschool , Female , Humans , Male , Socioeconomic Factors , SpainSubject(s)
Child , Chronic Disease , Age Factors , Child, Institutionalized , Child, Preschool , Emotions , Female , Humans , Male , Parent-Child Relations , Psychology, Child , Sibling RelationsSubject(s)
Ambulatory Care/organization & administration , Child Health Services/organization & administration , Health Facilities, Proprietary/organization & administration , Health Facility Administration , Pediatrics , Child , Delivery of Health Care/organization & administration , Humans , SpainABSTRACT
This study analyzes the sanitary, sociofamiliar, cultural and economic aspects of children who have been diagnosed of acute and chronic viral hepatitis. Retrospective data was collected of 249 children. A questionnaire was given to the parents and the information collected was processed in a computer. The results showed that most children had been sent to the hospital without a diagnosis and in chronic hepatitis the diagnosis was delayed for more than a year. The social status did not influence the type of hepatitis. Children with chronic hepatitis active had a worse performance in school. The disease was transmitted to other family members in 30% of cases and hospital expenses were high.
Subject(s)
Hepatitis, Viral, Human/psychology , Acute Disease , Child , Chronic Disease , Family Health , Female , Hepatitis, Viral, Human/complications , Hepatitis, Viral, Human/diagnosis , Humans , Learning Disabilities/etiology , Male , Retrospective Studies , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
As a result of congenital hypothyroidism (CH) early detection program carried out in our clinic during the period 1978-1981, 31.609 capillary blood samples (35,7% from newborn infants) were taken on filter paper cards. An evaluation of TSH following the specific radioimmunoanalysis technique was made in all the samples, and an evaluation of T4 whenever TSH values were higher than 25 microU/ml serum. Thirteen cases of CH were detected: nine with permanent H and four with transient H. Two cases of hyperthyrotropinemia were also detected. Frequency of permanent CH in our population is of 1/3.512. Corresponding biochemical data and detailed clinical characteristics detected, including the cost of the procedure are shown. Authors emphasize on possibility of preventing brain damage and subsequent subnormality through early detection and treatment of congenital hypothyroidism, together with a suitable cost-benefit ratio, makes necessary to carry out a nationwide campaign in accordance with those centers already established.