[Sinusitis is common in small children]. / Små børn får hyppigt bihulebetaendelse.

Children have air-filled paranasal sinuses from birth. Acute sinusitis is common in early childhood and complicates 5-13% of common colds. Bacteriology comprises 30% Streptococcus pneumoniae, 20% Haemophilus influenzae, 20% Moraxella catarrhalis. While suppurative complications are rare, there has been an increasing focus on comorbidity affecting the lower airways (asthma). The diagnosis is based on clinical criteria developed through microbiological studies. Antibiotic treatment is controversial, but evidence suggests an effect when the diagnosis has been made correctly. We advocate antibiotic treatment in selected cases.

Seafarers' wives and intermittent husbands-social and psychological impact of a subgroup of Norwegian seafarers' work schedule on their families.

OBJECTIVE: To examine the psycho-social impact of work schedules (absence from home) on the families of a subgroup of Norwegian seafarers as reported by their wives (sea wives). Their husbands worked 4-6 weeks on and 4-6 weeks off Norwegian-registered multipurpose vessels (MPV) supporting the off-shore oil industry. METHODS: Questionnaires addressing demographic characteristics, marital satisfaction, social support, subjective health and psychological well-being were distributed to sea wives and controls. The response rate was 57% (192/336) for sea wives and 39% (45/114) for controls RESULTS: There was no difference in demographic characteristics between sea wives and controls except that the sea wives were younger (p<0.01). No differences between sea wives and controls were found with regard to the quality of marital relationships, the subjective evaluation of own health, or mental well-being. Two percent of sea wives and controls had scores suggesting severe depression. In some respects, the sea wives had less social support than the controls. However, the majority of sea wives were content with their families' life style. CONCLUSIONS: The MPV seafarers' absence from home in a 4 weeks on and 4 weeks off (or a 6 weeks on and 6 weeks off) rotation schedule appears to be well tolerated by their families. However, being alone for weeks at the time may exaggerate acute and chronic shore-side problems, and some sea wives may feel a need for more social support during their husbands' absence.