1.Relationship between Childhood Abuse Experience,Parent Attachment and Depression in Adolescents
Ying-li, ZHANG ; Huan, YANG ; Wei, LIANG ; Ya-lin, ZHANG ; Shi-chang, YANG
Journal of Applied Clinical Pediatrics 2011;26(6):460-463
Objective To explore the relationship between childhood abuse experience,parent and peer attachment and depression in adolescents.Methods A total of 736 junior students from the 7th,8th and 9th grades of 2 public schools in Xinxiang City and Jiyuan City Henan province completed the questionnaires.Childhood Trauma Questionnaire(CTQ),Inventory of Parent and Peer Attachment(IPPA) and Depression Self-Rating Scale for Children(DSRSC) were employed the childhood abuse experience,parent attachment quality and depressive mood in adolescents,respectively.The hierarchical regression analysis was used to examine the relationship between parent and peer attachment,child abused experience and depression.Results Male participants reported high score of childhood abused than female participants(33.29±7.89 and 31.05±6.01,t=4.343,P=0.000).There were no significantly gender difference in mother attachment(male:59.89±15.86,female:61.45±16.48,t=-1.303,P=0.193),father attachment(male:59.32±17.17,female:60.28±16.95,t=-0.764,P=0.445) and depression(male:7.68±5.27,female:7.31±4.21,t=1.057,P=0.291).Childhood abuse had a positive correlation with adolescent depression(r=0.408,P=0.000),which negatively correlated with mother and father attachment(r=-0.544,-0.417,respectively,Pa=0.000).There was a positive correlation between mother attachment and father attachment(r=0.604,P=0.000),and both of them had negative correlation with depressive disorder(both r=-0.426,Pa=0.000).Mother and father attachment were the partial mediation of the relationship between childhood abuse and adolescent depression.Conclusions Male adolescents suffered more maltreatment than female adolescents.There are no gender difference in parent attachment and depression.Parent attachment plays the partial mediator role in childhood abuse and adolescent depression.Results reveal the importance of assessment and consideration of parent attachment in the intervention of depression in abused adolescents.
2.Effect of Iron Deficiency on Hemoglobin A2 Level in Patients with β-Thalassemia
Chun-jiang, ZHU ; Wei-lin, OU ; Hui, DING ; Qin, ZHAO ; Xin-ling, QING ; Da-kang, XU
Journal of Applied Clinical Pediatrics 2011;26(15):1221-1224
Objective To determine the effect of iron deficiency on hemoglobin A2(HbA2) expression in patients with β-thalassemia.Methods The participants were recruited from the out-patient clinics of the Pediatrics Department and Obstetrics Department of Affiliated Hospital of Guilin Medical College and from some β-thalassemia major families.Blood samples from the participants were used for blood smear tests and hemoglobin electrophoresis and to analyze serum ferritin (SF),3 alpha-globin gene deletions,and 17 beta-globin point mutations.Results Of the 408 individuals,304 were assigned to group A (normal controls),26 to group B (iron deficiency),56 to group C (β-thalassemia),and 22 to group D (β-thalassemia combined with iron deficiency). The results for the comparison of the mean HbA2 values among pairs of groups were as follows: group A vs group B,q=5.074 7,P<0.05; group A vs group C,q=37.650 8,P<0.05; group A vs group D,q=16.043 0,P<0.05;group C vs group D,q=7.682 9,P<0.05; Group B vs group D,q=15.806 6,P<0.05. There were no significant correlation between SF and HbA2 in all 4 groups.Conclusions Iron deficiency decreased the HbA2 level in both controls and individuals with β-thalassemia. HbA2 levels decreased significantly in individuals with both β-thalassemia and iron deficiency as compared with β-thalassemia group alone. However,they remained significantly higher than both the control and iron-deficient groups. Therefore,the elevation of HbA2 could be used to diagnose β-thalassemia reliably even in the presence of iron deficiency.
3.Development, Reliability and Validity of Child-Neglect Scale
Shi-chang, YANG ; Ya-lin, ZHANG ; Ai-ling, DU
Journal of Applied Clinical Pediatrics 2009;24(16):1293-1296
reliability, content validity, construct validity, and criterion - related validity of the CNS are entirely in accordance with the psychometric demands.
4.Cytokines Combined with Striatal Conditioned Medium Promote Directional Differentiation of Mesenchymal Stem Cells into Dopaminergic Neurons in Vitro
Fu, LI ; Li-xia, MA ; Le-ling, ZHANG ; Li-bo, ZHENG ; Ying-jie, CHEN ; Zhen, WU ; Shi-fu, WHANG
Journal of Applied Clinical Pediatrics 2009;24(24):1922-1925
Objective To explore the possibility of basic fibroblast growth factor(bFGF)and epidermal growth factor(EGF)combined with striatal conditioned medium promoting the directional differentiation of rat bone marrow mesenchymal stem cells(BMMSCs)into dopaminergie neurons.Methods 1.Separation and culture of BMMSCs:BMMSCs were harvested from healthy adult Wistar rats for serial subcultivation.2.Preparation of Striatal conditioned medium:newborn Wistar rats within 24 hours were selected,and their brain tissues were removed to prepare striatal conditioned medium.3.Induced differentiation of BMMSCs:the 5th passage BMMSCs were collected and pre-induced in low glucose-Dulbecco's modified eagle medium(L-DMEM)containing bFGF and EGF.Twenty-four hours later,pre-induction liquor was replaced with striatal conditioned medium for further induced differentiation.4.Result assessment:the morphological changes of stem cells were observed under inverted phase microscope.The expression of neuron specific enolage(NSE)and tyrosine hydmxylage(TH)were identified by immunocytochemical technique.Results The cell body of rat BMMSCs contracted into round and spindle shape after induction by bFGF and EGF combined with striatal conditioned medium.Partial neuron-like cells with prominence could be found.Immunocytochemieal detection showed that the percentages of NSE and TH positive cells were(72.70±14.81)% and(34.50±15.93)%,respectively.Conclusion BMMSCs can be induced directionally into dopaminergiC neurons by bFGF and EGF combined with striatal conditioned medium in vitro.
5.HYPOMAGNESEMIC CONVULSIONS OF THE NEWBORN
shi-xiao, WU ; zhen-qi, ZHANG ; yong-shou, LUO
Journal of Applied Clinical Pediatrics 1986;0(01):-
This paper reports 17 cases of hypomagnesemic convulsiens of the newhorn that were admitted from Se-Ptember 1981 to January 1983. Only 2 patients were breast-fed.Symptoms and signs of hypomagnesemia are indistinguishable from these of hypocalcemia unless the serum magne-sium is determ ined. Serum magnes iumlevels had been determined in 50 normal children. The average value-2 standard deviation=2.17-2?0.34=1.49mEq/L.We defined hypomagnesemia as the serum magnesium lcvels below 1.48mEg/L. The serum magnesium levels of 17 patients varied from 0.65 to 1.46m Eq/L. Of 10 cases serum calcium le-vel6mg/dl.2.5%MgSO_4 was given intraveno-usly by continuous infusion in a dose of 2-4ml/kg every 12 hours. After the convulsions had been controlled a dose of 25% MgSO_4 was given intramuscul-arly in a dose of 0.4ml/kg twice daily Convulsions usually ceased after 1--4doses of MgSO_4, but the serum magne-sium levels did not rise to normal le-vels until 2-6 days. The convulsions could not be controlled by repeated ad-ministrations of calcium gluconate in 5 patients who had both hypomagnes-emja and hypocalcemia. Only after theadministiation of MgSO_4 did the serum calicum levels rise to the normal level and the convulsions cease.Electrocardjograms recorded in 7 patients all were abnormal but 1 case,so we should pay attention to the inf-luence of magnesium upon the heart.
6.The Character of Acid-Base Imbalance in Young Infant Suffering from pneumonia
Journal of Applied Clinical Pediatrics 1986;0(01):-
Correlation of blood gas analysis was made in 41 cases of young infa-nts younger than 3 months of age suffering from acute broncho -pneu-monia. Correlation of PO_2 with PCO_2 HCO_3~-, pH and BE was mace accord-dingly and with each other. Among which PO_2 and PCO_2 were the main items. Altogether 15 rairs of correl-alion in all were made.PO_2 and PCO_2 are significantly negatively correlated (P
7.Diabetes Insipidus in childhood Analysis of 74 cases
chenfa, XIANG ; yanxin, WU ; xiaming, XIAO
Journal of Applied Clinical Pediatrics 1986;0(02):-
74 cases of diabetes insipidus were reported in this paper. There were polydipsia,polyuris and low specific gravity of urine in all patients. Classification was determinedas follows: pituidary 64 cases (including idiopathic 44 cases, secondary 20 cases),nephritic 8 cases and unclassified 2 cases. Intracranial tumors should be paid altentionto rule out. 12 patients responded very satisfactorily to oral administration of singlechlorpropamide. In order to avoid hypoglycemia, an initjal dose of 10 mg/kg/24hr wasrecommended.
8.The Relationship Between the Time Before Diagnosis and Clinic in Children's Acute Leukemia (An Analysis of 72 Cases)
Journal of Applied Clinical Pediatrics 1992;0(05):-
Objective To search for the relationship between the time before diagnosis and clinic in children'sacute Leukemia. Design Clinical cases analysis. Patients 72 Child patients with acute leukemia, 39 male and 33 female. The range of age is from6 months to 15 years old. First treated patients are 44 and the second treated patients are 28. Rebults and Conclusions The average time before diagnosis (19. 14wk) in children's acute leukemiaof10 years old group(6.94wk), The diagnosis time of infiltration symptom(10.30wk) is the longest and hemorrhage symptem isthe shortest among all the symptom of first break out. The time before diagnosis have not significantdifference among all the types of ALL. The time before diagnosis of ANLL (5.24wk) is shorter thanthat of ALL (7.74wk).
9.Primary Observation of Bone Metabolism Abnormality in Child Patients with Taking Antiepileptic Drugs
lianxiu, ZENG ; lusheng, ZHOU ; mingci, ZHENG
Journal of Applied Clinical Pediatrics 1992;0(05):-
Objective: To Search for the influence of Antiepileptic drugs on bone metabolism in children, Design Case-Control research Patients and Other Participants 20 Child patients with taking antiepileptic drugs for a long time(AEDs group), the longest thae of taking medicine is 6 years and the shortest is 0.5 year. There are15 epileptic patients without taking antiepileptic rugs in the no n-AEDs group and 30 health childrenin control group. Measurement Methods Alkaline phosphatase(AKP) and tarstrate-resistant acid phosphatase (TR-ACP) were determined by improved Kind-King method and Bessey-Lowry method respectively. Ca-lcium (Ca) and ph?sph?rus (P) in the blood were determined by 400E type auto-biochemistry analyzer. Results The AKP activities of ADEs. non-ADEs and control group are 190?47、144?38、143?40IU/L respectively, There are significant difference between ADEs. non-ADEs group, and ADEs, con-trol group (P20CIU/L, 2 patients with hypoealcemiaand 2 patients with hypophosphorum. TR-ACP activities. Ca and P levels are not significant diffe-reuce among the group?. Conclusions Taking antiepileptic drugs bas influeare ou bone metabolism in children.
10.The Research of Serum IgG Subgroup in Clild Patients with Juvenile Rheumatoid Arthridylitis
feng, XIONG ; leili, DENG ; lijia, WANG ; xiqiang, YANG
Journal of Applied Clinical Pediatrics 1992;0(05):-
0.5).IgG、IgA and IgM of controlgroup and observation group in 10~13 years old are similar to that in 5~9 years old group. The IgG_1of control group and observation group in 5~9 years old are 5.501?0.976 and 9.715?3.746g/L respe-etively (t=5.046, P0.05),IgG_3 are0.517?0.167 and 0.828?0.578g/L respectively (t=2.132, P0.05).The IgG_2 Levels of observation groupis higher than that of control group in 10~13 years old(P