[Show abstract][Hide abstract] ABSTRACT: To evaluate the effect of different oral glucose or sucrose solutions on the pain response to heelstick in newborns.
randomised double blind placebo controlled trial of water (control) versus one of three solutions of glucose - namely 5, 33 and 50% - or one of two solutions of sucrose (33% and 50%) or nothing.
seven groups of 20 healthy newborns (gestational age 38-41, weighing over 2500 g) were randomised to receive 2 ml of one of the six solutions on the tongue inmediately before heelstick procedure. Main outcome measure: heart rate before, during and three minutes after the procedure.
Even if the trend of the cardiac rates did not reach statistic significance, glucose solution 33 and 50% proved to be the most effective in reducing pain response.
Sweet solutions may be an easy, useful, safe and cheap analgesic for minor invasive procedures in newborns.
No preview · Article · Sep 2001 · Minerva pediatrica
[Show abstract][Hide abstract] ABSTRACT: We describe the occurrence of five pediatric patients presenting an aura encompassing neurovegetative and unilateral neurological manifestations persisting during and after the migrainous attack are described. All investigations were normal and the symptoms completely disappeared within 24-48 hours with non specific treatment. A diagnosis of hemiplegic migraine was made. The importance is underlined for the pediatrician to consider migraine in the differential diagnosis of a child first presenting with neurological symptoms even without symptoms of migraine.
No preview · Article · Apr 2000 · Minerva pediatrica
[Show abstract][Hide abstract] ABSTRACT: We report here the complex phenotype of a patient showing the association of multiple intestinal atresias with brain malformations, mild mental retardation, partial growth hormone deficiency and clitoris hypertrophy. Clin Dysmorphol 7: 209-211. (C) 1998 Lippincott-Raven Publishers.
No preview · Article · Aug 1998 · Clinical Dysmorphology
[Show abstract][Hide abstract] ABSTRACT: Data about 590 phone calls to the Pediatric Division of Vigevano Hospital (a II level hospital) were collected during 6 months. Most of the calls were received between 8 and 12 a.m. (33,2%) and between 8 p.m. and 8 a.m. (25,6%). A diagnostic request caracterized 45,3% of the cases while 39% dealed with therapeutic counsels. People called because they wanted an hospital's opinion (29%), were already followed by the hospital (32,7%) or because it was not possible to contact the family pediatrician (32%). A visit was advised to the 29,3% of the patients, 12% of which was then hospitalized. Urgency was recommended for the 7,7% of the visits; 74% of these children were hospitalized.
[Show abstract][Hide abstract] ABSTRACT: We describe a case of mercurialism in a thirteen years old boy who presented an erythematous-cyanotic rush on the estremities. Pain was the main symptom and no nervous or psychic alteration was observed. The urinary Hg dosage revealed normal values while the plasmatic and hair levels were increased ten and five fold respectively. Differential diagnosis was made with rheumatoid artritis, chronic urticaria, reflexed nervovascular dystrophy, hand-foot affective deprivation syndrome and essential acrocyanosis.