Table of Content

06 January 2012, Volume 20 Issue 1

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Relationship between dopamine D4 receptor gene polymorphism and working memory in Chinese boys with attention deficit hyperactivity disorder

YANG Bin-rang,CHEN Xiao-wen,ZHANG Min,PENG Gang,ZHANG Lin-lin

2012, 20(1):  9-12. 

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【Objective】 To explore the relationship between the 48 bp variable number of tandem repeat (VNTR) polymorphism in the D4 receptor gene (DRD4) exon 3 and working memory in Han Chinese boys with attention deficit hyperactivity disorder. 【Methods】 The polymorphism of 48 bp VNTR in DRD4 were tested in 80 boys with ADHD and working memory function was measured with digits forward,digits backward,Corsi block recall and visual spatial n-back.They were divided into two groups according to the long-repeat alleles (ranging from 4 to 6 repeats) or the short-repeat alleles (2 or 3 repeat) of DRD4. 【Results】 The repeat numbers of the 48 bp VNTR at the DRD4 ranged from 2 to 6 repeats in boys with ADHD,with the most common being the 4-repeat (73.125%) and 2-repeat (20%) alleles.Neither the 7-repeat allele nor longer repeats were found.The total score and the number of the length in digit backward in ADHD boys with the long-repeat alleles were significantly lower than those with the short-repeat alleles. 【Conclusion】 The long-repeat alleles of DRD4 may affect working memory function in Han Chinese boys with ADHD.

Analysis of eating behavior problems and influence factors among 0~3 years old children in Harbin

LIU Li,LI Jia,WU Jing,ZHOU Xue,LEI Cheng-rong,ZHANG Xiao-hong,WU Li-jie

2012, 20(1):  13-16. 

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【Objective】 To know the eating behavior problems and influence factors among 0~3 years old children in Harbin,and to provide the scientific guidelines for early intervention. 【Methods】 Using cluster sampling method,1 538 children aged 0~3 years were selected to fill the questionnaires in four districts in Harbin.The contents of questionnaire included general information,characteristics of eating behavior, feeding behavior in parents and report for eating behavior problems in parents. 【Results】 The prevalence rate of eating behavior problems was 46.6% among 0~3 years old children in Harbin. Children less than 3 years old behaved "wrong eating habits" more than those in other age groups(χ²=13.37,P=0.004).Children more than 2 years old behaved "poor appetite" more than those in other age groups(χ²＝7.97,P=0.047).This study showed that the prevalence rates were higher in the problems of unstable eating places,doing other things while eating and eating with toys.Logistic analysis showed that children,whose father had the culture level under junior high school,had more eating behavior problems.The effect of income depended on the father's culture level.To the children whose father had culture more than high school,the higher family income was,the more eating behavior problems children had. 【Conclusion】 Health education should be conducted in parents in Harbin and scientific feeding attitude and style should be established to improve good eating habits in children.

Clinical analysis of 19 patients with Asperger syndrome

ZHANG Ying,XU Qiong,LIU Jing,LU Ping,XU Xiu

2012, 20(1):  17-19. 

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【Objective】 To increase the appreciation of manifestation through the analysis of clinical features in children with Asperger syndrome. 【Method】 Information on chief complaints, clinical manifestation, family backgrounds, gestational and perinatal factors, and the Wechsler intelligence quotient results of patients with Asperger syndrome from November 2006 to February 2011 were studied. 【Results】 1)19 cases were diagnosed with Asperger syndrome at the average age of (80.7±21.4) months and a male to female ratio of 18:1; 2) The most common manifestations were poor peer relationship (100%), attention deficit (94.7%), difficulty to comprehend semantics (89.5%), restricted interests (84.2%), clumsiness (78.9%), hyperactivity (78.9%), deficiency in nonverbal communication (73.7%), repetitive and stereotyped patterns of behaviors (73.7%);3) There were similar problems in several children's fathers, and most parents especially fathers had high degree;4) Verbal IQ was often higher than performance IQ in Wechsler intelligence. 【Conclusion】 Manifestations of Asperger syndrome are not only specific but also occult, the clinical recognition of these features is important for early identification and diagnosis.

Attachment characteristics of the family with different developmentally disabled children

LIU Wei,FANG Hui,CHEN Yi-xin

2012, 20(1):  20-22. 

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【Objective】 To explore the attachment characteristics of the family with different developmentally disabled children. 【Methods】 The parents of different developmentally disabled children including autistic (69 cases),Asperger syndrome (18 cases),mental retardation (51 cases) and normal children(69 cases) received questionnaire survey with Family generally condition questionnaire and Close Relationships Inventory(ECR,Chinese version).The attachment characteristics of father and mother in each group were analyzed. 【Results】 Among the four groups, the difference of dimensions in father's attachment avoid,mother's attachment avoid,and mother's attachment anxiety were no significant difference(all P＞0.05),but the difference of dimensions in father's attachment anxiety had statistical significance (F=5.432,P＜0.01).Comparison between each two groups showed that the scores of dimensions in father's attachment anxiety in autistic group and mental retardation group were significant higher than Asperger syndrome group and normal controls group(P＜0.05~0.01),and which between the normal controls group and Asperger syndrome group had no statistical significance(P＞0.05). 【Conclusion】 In the familys of different developmentally disabled children,the mother's attachment characteristics is same like normal children's mother.But the dimension of attachment anxiety in autistic and mental retardation children's father are higher,which will be affect the way of how to tending the children with developmental disorders.

Follow-up study on mental and motor development of preterm low birth weight children

QIN Wei,RAN Ni,YI Ming-ji,FU Peng,FENG Xue-ying

2012, 20(1):  23-25. 

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【Objective】 To explore and observe the effects of preterm low birth weight on mental and motor development of children,and the variation tendency of development from 6 to 24 months. 【Methods】 86 preterm low birth weight children were selected and 115 normal birth weight children served as a control group.Bayley Scales of Infant Development was used to evaluate their neurodevelopment at age 6,12,18 and 24 months.The result was indicated as mental development index (MDI),psychomotor development index (PDI),MDIJ and PDIJ of age-adjusted. 【Results】 There were significant differences in the mean MDI and PDI between preterm low birth weight children and the control group(P<0.05).After preterm group age-adjusted,there was no significant difference of MDIJ except that of 6 months.But the premature had lower PDIJ score than control group in most ages.There were still 9 cases of MDI＜85(10.5%)and 10 cases of PDI＜85(11.6%)at 24 months in preterm group respectively.Correlation analysis showed that there were significant relations between MDI and parental education,MDIJ6,PDIJ6 and PDIJ12 (r=0.387~0.664,P＜0.05),and there were significant relations between PDI and maternal age,paternal education,MDIJ6,PDIJ6、MDIJ12 and PDIJ12 (r=0.473~0.672,P＜0.05). 【Conclusions】 Premature and LBW have adverse impact on children's neurodevelopment,but the condition could improve with growing up from 6 to 24 months.

Related factors research for personality characteristics of accidental injury of children

CHEN Zhong,ZHANG Bin,QIN Ling-zhi,ZHANG Ya-qi,QIU Ling

2012, 20(1):  26-28. 

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【Objective】 To learn the status of children injury in Wuhan and personality characteristics of the injury factors and to provide scientific intervention to perfect the reimbursement policies. 【Methods】 Using stratified random cluster sampling method,according to the old streets,the urban fringe (intensive floating population),town,township four levels,7 streets in city,2 towns in rural,4 towns were thosen the survey used Alliance for Safe Children (TASC) widely used in Asian countries as the basic template of the questionnaire,according to the actual situation of the city,the necessary amendments were made. 【Results】 The incidence rate of children injury in Wuhan was 78.7%.The rate of rural children was higher than urban children.Boys were more than girls.The characters of case group of children traits were temper,independent and active.The incidence rate of this kind of children was significantly higher than the control group.The rate of children who often fight,received another threat,threatened others,like chasing sticks,et al.climbed high to play,played alone children's injuries were higher than the proportion of injury group. 【Conclusions】 The high-frequency occurrence of accidental injuries of children can not be ignored.It is related to part of children's personality on the occurrence of accidental injuries.It plays a guiding role in children injury control and intervention.

Analyse on mental health level of children and adolescent with school refusal

WANG Ling-hua,O Wan-xing,CHA Cai-hui

2012, 20(1):  29-31. 

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【Objective】 To investigate mental health level of children and adolescent with school refusal. 【Methods】 In the present study,36 children and adolescent diagnosed as school refusal were recruited randomly as studied group,among these children there were 20 boys and 16 girl.Thirty healthy students were recruited as normal control group,among these children there are 16 boys and 14 girl.Studied group and normal control were studied by common questionnaire and Eysenck Personality Questionaire(EPQ),Self-Rating Scale(SAS),SelfK-KRating Depression Scale(SDS). 【Results】 In EPQ,The score of EPQ-P,N of studied group was significantly higher than that of normal control(P<0.01).In SAS,the score of studied group was significantly higher than that of normal control group(P<0.01).The SDS score of studied group and normal control was not significantly different(P>0.05). 【Conclusion】 Children and adolescent with school refusal have psychoticism,neuroticism and emotional disorder.

Study on the level of self-concept and its influential factors of school-age children in Gansu Province

GUO Jin-xian,LI Jia-yue,WANG Yan-xia,PAN Wei-hua

2012, 20(1):  32-34. 

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【Objective】 To know about the current situation of the self-concept and its influential factors of school-age children in Gansu province. 【Method】 5 435 school students were randomly selected from 6 cities and counties of Gansu province.Then Piers-Harris Children's Self-concept Scale (PHCSS) was used and assessed. 【Results】 The whole level of self-concept of the children in Gansu was significantly lower than the level of Chinese norms(P<0.01).Girls got more scores than boys about behavior,intelligence and school,anxiety,happiness and satisfaction as well as total score(P<0.01).The level of children's self-concept in town was markedly higher than the level of the rural children(P<0.01).Multiple stepwise regression analysis showed that the risk factors of self-concept were as follows,the different degree of parents' education,mother's occupation,school record,the teacher-student relation,classmate relation. 【Conclusions】 The level of pupil's self-concept relates with economy and social development,and is influenced by the environment of family and school.It is an important developmental task to promote the level of self-concept in the growing of children.

Epidemiology of children with special needs in Zhejiang province

YIN Huai-ming,HUANG Xin-wen

2012, 20(1):  35-37. 

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【Objective】 To investigate the prevalence of vision,mental,audibility,language,psychiatry,extremity and multiple disability,and associated factors in the 0~14 year old children. 【Methods】 A total number of 15 787 aged 0~14 children living in Zhejiang province were investigated with tree-phase screening under the Chinese Standard of Evaluation in Disabilities. 【Results】 The prevalence of all disabilities was 10.95‰.The prevalence of different types of disabilities were:mental disability 4.37‰,multiple disability 3.55‰,psychiatric disability 1.20‰,physical disability 1.08‰,language disability 0.95‰,vision disability 0.44‰ and hearing disability 0.38‰.The prevalence of disabilities in males was significantly higher than that in females(χ²=5.86,P<0.05).The prevalence of disabilities in rural was significantly higher than that in urban(χ²=5.97,P<0.05).There was not different in different ages(χ²=1.04,P>0.05).Most disabled persons were categorized to grade 3 and 4 disabilities,The main risk factor leading to disability was genetics and maldevelopment. 【Conclusions】 The prevalence of disabilities in children of Zhejiang province is lower than that from national.The causes of disability needs further studying.

Influences of different odors on the motion sickness of juvenile mice

YU Qiao-ling,SONG Ke-ke,WANG Yu,CAO Shi-guang,LIU Chao,SONG Hui,WEI Wei,NAN Li-gang,WANG Yong,CHEN Li

2012, 20(1):  38-40. 

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【Objective】 To observe the influences of different odors on the motion sickness of juvenile mice. 【Methods】 The motion sickness symptomatic score,the open field test and the autonomous movement test were performed to examine the effects of the pre-administration of Ginger juice spray, orange juice spray,Chinese essential balm spray and smoke of cigarettes,respectively,on the symptoms of juvenile mice model of motion sickness. 【Results】 Pre-administration of Ginger juice spray,Chinese essential balm spray or smoke of cigarettes did not influence the motion sickness symptomatic score of juvenile mice model of motion sickness.Pre-administration of orange juice spray increased the motion sickness symptomatic score of juvenile mice model of motion sickness.Pre-administration of smoke of cigarettes increased the anxious related symptoms of juvenile mice model of motion sickness in the open field test. Pre-administration of Ginger juice spray,orange juice spray,Chinese essential balm spray and smoke of cigarettes did not affect the autonomous movement of juvenile mice model of motion sickness. 【Conclusion】 Pre-administration of Ginger juice spray,orange juice spray,Chinese essential balm spray and smoke of cigarettes do not impact the symptoms of juvenile mice model of motion sickness.

Intelligence structure characteristic of attention deficit hyperactivity disorder children in WISC-IV

LIN Wen-xuan,WANG Xin,WU Jie-ling,HE Yan-si,LI Ying,LUO Shao-lan,HUANG Yuan-hui,YAO Xiao-min

2012, 20(1):  58-61. 

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【Objective】 To explore the intelligence structure characteristic of Attention Deficit Hyperactivity Disorder Children in WISC-IV. 【Method】 55 children who were diagnosed according to Diagnostic and Statistical Manual,Vision IV were selected,and 55 normal children with gender matched were selected by systematic sampling method.WISC-IV were used to test and analyze the intelligence distribution and structure of these children. 【Results】 The FSIQ and other 4 index scores of ADHD children were lower than that of normal children with statistical difference(P<0.05).In the subtests,the BD,DS,PCn,LN,MR and SS scores of ADHD children were lower than those of normal children with statistical difference(P<0.05).And the factor IV-impulse-hyperactivity index of Conners Child Behavior Rating Scale was negatively correlated with the FSIQ,PRI and WMI scores(P<0.05). 【Conclusion】 WISC-IV shows some advantage and feature in clinical diagnosis and treatment work of ADHD,and we can do some nichetargeting coach and training in clinical work and nursing care service.

Comparison of the characteristics of personality,self concepts and quality of life in children between tic disorder and comorbid attention deficit hyperactivity disorder and tic disorder

HE Li-na,XIA Ying,JI Yong-juan,HENG Zhong-yu,CHEN Juan,KUANG Gui-fang

2012, 20(1):  61-63. 

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【Objective】 To compare the characteristics of personality,self-concepts and quality of life in children between tic disorder (TD)and comorbid attention deficit hyperactivity disorder and tic disorder (CAT). 【Methods】 60 children with CAT,60 children with TD and 71 normal children were collected.All cases were evaluated with Eysenck Personality Questionnaire (Junior Edition) ( EPQ),and the Inventory of Subjective Life quality ( ISLQ). 【Results】 Compared with the N group,those children with CAT and TD had personality characterized by higher neuroticism and psychoticism.The scores of neuroticism and psychoticism were higher significantly than those in TD and N group(P<0.01).Compared with the TD and N group,the CAT group had lower score of lie in EPQ (P<0.01).In ISLQ,the scores of children with CAT and TD were remarkably lower than those of N group in overall satisfaction;Compared with the TD and N group,the CAT group had lower score of satisfaction(P<0.01).The scores of family life,peer relations,school life,self awareness,intelligence,depression experience were lower significantly than those in TD group.Compared with the N group,those children with TD characterized by lower family life,peer relations,school life,self awareness,intelligence(P<0.05). 【Conclusion】 Compared with the normal children,subjects with CAT and TD show inferior self personality and quality of life,and children with CAT show more serious trend than TD children.

Application of ICF to rehabilitation evaluation and follow-up study of children with traumatic brain injury

YU Mei,WANG Ran,LV Wen-qiang,LI Hui-hui,WU Li-hui

2012, 20(1):  66-70. 

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【Objective】 Application of ICF to Rehabilitation evaluation and follow-up study of children with traumatic brain injury. 【Methods】 From May 2006 to May 2011,48 traumatic brain injury children acceptted the rehabilitation therapy were measured by ICF in the second affiliated hospital of Wenzhou Medical College and the disease were diagnosised by ICD-10;Application of ICF to follow-up study for all the children with traumatic brain injury and the 144 children were analyzed by distribution of age and the reason of wounds. 【Results】 1)The reason for children with traumatic brain injury was relate to ages stage and developmental characteristics,0 to 6 years old children with traumatic nrain injury primarily by high fall injury,7 to 12 years old by high fall injury and traffic accident wound,13 to 18 years old by self-harm and other people injury.2)The younger age with traumatic brain injury was,the score was higher in ICF.The average ICF score decreased by turns from in traffic accident,high fall injury,to self-harm and other people injury. 【Conclusions】 ICF can effectively and comprehensively assess the rehabilitation and follow-up study of brain injury children,and guiding opinions for rehabilitation treatment.The ICF complements the information provided by the ICD-10 by classifying information on functioning and disability,Thus,ICD-10 and ICF are complementary classifications.Prevention traumatic brain injury in 0 to 6 years old,7 to 12 years old,13 to 18 years old respectively is high place crash,high place crash and traffic accident,self-harm and other people injury.

Analysis of influential factors of IQ development in children with partial seizures

DONG Wen-tao,REN Rong-na

2012, 20(1):  70-73. 

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【Objective】 To analysis the outcome of IQ development in children with partial seizures,and research independent influential factors of the IQ development. 【Methods】 The IQ of 106 children with epilepsy who was diagnosed as partial seizures according to the results of symptoms,EEG and MRI were assessed.Children were categorized as normal IQ group (IQ≥80) and IQ dysfunction group (IQ<80) according to outcome of cognitive function. Univariate and multivariate Logistic regression analysis were used to determine influential factors of IQ development. 【Results】 Multivariate logistic regression analysis found age at oneset(P=0.000,OR=6.348,95%CI:2.290~17.599),seizure frequency (P=0.017,OR=3.479,95%CI:1.250~9.684),outcome of MRI(P=0.004,OR=4.849,95%CI:1.654~14.212),seizure type (P=0.011,OR=3.527,95%CI:1.330~9.349), numbers of anti-epileptic drugs(P=0.012,OR=3.862,95%CI:1.341~11.124) were the independent influential factors of IQ development.Epilepsy duration,age had no significant association with IQ development. 【Conclusions】 Early age at onset,high seizure frequency,MRI-positive,secondary generalized seizures and more numbers of anti-epileptic drugs indicate IQ development more easily impaired in children with partial seizures.

Cell-mediated immunity condition in infants vaccinated with BCG

ZHOU Ping,ZHANG Min,ZHOU Bei-yan,MA Li-ya,LU Guang-jin

2012, 20(1):  73-75. 

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【Objective】 To analyze the change in cell-mediated function in infants vaccinated with BCG. 【Methods】 Peripheral blood specimen from 150 infants with positive PPD test (Group successfully Vaccination,SV) and 50 ones with negative PPD test (Group failure vaccination,FV) were collected.The cytokine IFN-γ and IL-10 concentrations were measured by ELISA to evaluate cell-mediated immunity function after BCG vaccination. 【Results】 Serum IFN-γ concentrations in Groups SV and FV were (49.78±12.20)and (38.08±7.68)pg/mL,respectively(P=0.001).Serum IL-10 contents in Group SV and FV were (3.60±2.00) and (5.71±2.71)pg/mL,respectively (P<0.01). 【Conclusion】 The infants vaccinated successfully (positive PPD test) had an increasing cell-mediated immunity function.

Expressions of serum soluble tumor necrosis factor related apoptosis inducing ligand and its receptor 1 and 4 in patients with bronchiolitis and acute upper respiratory infection

JIANG De-fu,TAO Rong-hui,TONG Xia-sheng,CHEN Su-ping,WANG Ye-hua,WANG En-zhi

2012, 20(1):  75-77. 

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【Objective】 To investigate the potential roles of tumor necrosis factor related apoptosis inducing ligand (TRAIL) and its soluble receptors (sTRAILR1 and sTRAILR4) in the pathogenesis of respiratory tract infections,the concentrations of sTRAIL,sTRAILR1 and sTRAILR4 proteins were determined. 【Methods】 Concentrations of sTRAIL and sTRAILR1 and sTRAILR4 protein were detected by ELISA,in patients with bronchiolitis and acute upper respiratory infection and individuals(named bronchiolitis group,AURI group,control group). 【Results】 The concentrations of sTRAIL,sTRAILR1 and sTRAILR4 protein were significantly higher in bronchiolitis group (85±38),(71±19),(167±97) pg/mL,respectively and in AURI group(78±28),(61±15),(139±72) pg/mL than those in control group(55±19),(45±14),(56±38) pg/mL,respectively(P all<0.01).Data also showed that the concentration of sTRAILR1 protein was markedly higher in bronchiolitis group than that in AURI group(P all<0.05).While no significance were observed of sTRAIL and sTRAILR4 expressions between the patients with bronchiolitis group and in AURI group(P>0.05).Furthermore,levels of sTRAILR1 was highly correlated to sTRAIL and sTRAILR4(n=102,r=0.236 and 0.409 respectively,all P<0.01). 【Conclusion】 Levels of sTRAIL,sTRAILR1 and sTRAILR4 were elevated in bronchiolitis and AURI which could be applied as an effective targets of patient's condition judgment.Our study indicated TRAIL and its receptors may involved in the pathogenesis of bronchiolitis and AURI inflammation.

Study on the correlation between plasma somatostatin and cellular immune function in neonates with hypoxic-ischemic encephalopathy

LIU Wen-bin,ZHAO Wen-li,XU Hong-bo,LIU Hua-jun

2012, 20(1):  80-82. 

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【Objective】 To investigate the changes of plasma somatostatin (SS) and its correlation with cellular immune function in neonates with hypoxic-ischemic encephalopathy(HIE). 【Methods】 Fifty cases of HIE were collected to detect the SS and T lymphocyte subsets,IL-2,sIL-2R as well as IL-6 levels by radioimmunoassay,APAAP and doube antibody sandwith ELISA methods. 【Results】 The SS and sIL-2R levels in patients with HIE were significantly higher (P<0.01),While the proportion of CD4⁺/CD8⁺,the percentages of CD3⁺ and CD4⁺ T subtype and IL-2 as well as IL-6 levels were significantly lower (P<0.01) than those in control group.The SS levels in patients with HIE had significantly negative corrections with the proportion of CD4⁺/CD8⁺,the percentages of CD3⁺ and CD4⁺ T subtype,IL-2 and IL-6 levels,and a significantly positive corrlation with levels of sIL-2R(P<0.01). 【Conclusions】 High level of SS is related to HIE,and there is a strong negative correlation between SS and cellular immune function in patients with HIE.

Clinical characteristics pertinent treatment and prognosis of severe cerebral trauma in children

ZHAO Wei-ping,HAO Cheng-ren,FENG Yong,WU Ri-le

2012, 20(1):  86-87. 

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【Objective】 To analyze the clinical characteristics of severe cerebral trauma in children and pertinent treatment. 【Method】 The influences of various risk factors on the prognosis were analyzed by statistics. 【Results】 Among the 45 children with severe cerebral trauma,6(13.33%)died.The degree of primary trauma influced the prognosis.32 patients with GCS between 5 and 8 survival,the survival rate was 71.11%,whereas 7 patients with GCS lower than 5 survived, the survival rate was 15.56%.Diffuse cerebral swelling and cerebral edema after trauma was an major risk factor influencing the prognoses. 【Conclusion】 After craniocerebral injury childrens tolerance on intracranial hypertension is poor and the change of the patients condition is rapid.Close observation of mind,pupil and GCS scoring and dynamic observation of CT is key to judge the injury condition.During treatment,ICP monitoring has important clinical significance.

Clinical analysis of 12 cases with idiopathic interstitial pneumonia in children

ZHAN Jie-yi,QIU Hong-ying,CHEN Ai-huan ,HUANG Sui,SUN Li-hong

2012, 20(1):  88-89. 

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【Objective】 To investigate the clinical characteristics and prognosis of idiopathic interstitial pneumonias(IIPs) in children. 【Method】 A retrospective analysis was held on the pediatric patient' s clinical meterials of 12 cases diagnosed as IIP. 【Results】 The main symptoms were chronic cough,progressive dyspnea,high resolution computed tomography indicated ground-glass opacities,frosted, reticulate and honeycomb.Pulmonary function test was consistent with restrictive impairment and impaired gas exchange.Use of steroids,Methotrexate,Acetylcysteine Granules and oxygen was partially effective. 【Conclusion】 Steroid is the first choice for IIPs.Ground-glass opacities in radiology has a favorable reaction to glucocorticoid therapy and a better prognosis as compared to the honeycomb in radiology.

Survey on family sports behaviors of primary school students in Hangzhou

GE Qiu-hong,FU Li-xing,YU Jun-yan

2012, 20(1):  90-92. 

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【Objective】 To understand the status of family sports behaviors of primary school students in Hangzhou and promote their healthy development. 【Method】 362 households with primary school students were surveyed with an adapted questionnaire based on the Questionnaire of National Citizens' Physical Endowments Supervision in 2005. 【Results】 70.17% of families had sports consumptions; children in 29.83% of families had over one hour for extra-curricular sports on average; children whose parents attended sports activities for over 3 times a week had longer extra-curricular sports time and less affected by influenza than those whose parents attended sports activities less than once a week. 【Conclusion】 Reduce the homework of primary school students, improve their parents' awareness of the importance of family sports and increase the sports time between parents and children are essential to promote their healthy development.

Study on the healthcare management model of children's neural psychological development in Beijing Haidian district

WU Yun-mei,LIANG Ai-min,ZHOU Yu,YUAN Quan-lian,WANG Ya-na,HAN Ping,ZOU Xiao-xuan

2012, 20(1):  93-95. 

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【Objectives】 To study the health care management model of children's neural psychological development for finding the problems early,intervening early and preventing disability occurrence. 【Methods】 Based on the well-established Child Healthcare Three-level Network, the monitoring management model was established in Haidian district for screening-evaluation-diagnosis-guide intervention-feedback-improvement. The efficiency of this management model was evaluated through analysis of the results on the growth monitoring within five years. 【Results】 From 2006 to 2010,the coverage rate of screening in Haidian district was gradually increased each year (from 66.33% to 93.75%).The district-level intervention clinics for developmental delay (DD) children were established in 2009,and many DD children have gotten intervention guide.The social effects of the children's neural psychological growth monitoring have been considerable. 【Conclusion】 It is critically important to establish the healthcare management model of children's neural psychological development based on a well-established Child Healthcare Three-level Network.Effective implementation of this model is a useful way to the early detection,early diagnosis and early guide intervention of developmental deviation or laggard in children.It is also making a significant contribution to public health strategy for all-round development of children.