Archives of Disease in Childhood

MEMBER'S COPY
DECEMBER 1992 VOL 67 NO 12
ARCHIVES OF
DISEASE
IN
CHILDHOOD
The Journal of the British Paediatric Association
Annotations
Original articles
1417 The place of computed tomography and lumbar puncture in suspected bacterial
meningitis David H Mellor
1420 Sleep problems Gregory Stores
1421 Routine discharge examination of babies-is it necessary? P H T Cartlidge
1423 Do maternal and intrauterine factors influence blood pressure in childhood? P H Whincup,
D G Cook, 0 Papacosta
1430 Management and outcome of severe head injuries in the Trent region 1985-90
A C Elias-Jones, J A G Punt, A E Turnbull, et al
1436 Long term effects of periconceptional multivitamin supplements for prevention of neural
tube defects: a seven to 10 year follow up MonicaHolmes-Siedle,3JenniferDennis,
R H Lindenbaum, et al
1442 A randomised trial of low dose folic acid to prevent neural tube defects Peadar N Kirke,
Leslie E Daly, J Harold Elwood for the Irish Vitamin Study Group
1447 Immunohistochemical features of the portal tract mononuclear cell infiltrate in chronic
aggressive hepatitis Giorgio Senaldi, Bernard Portmann, Alex P Mowat, et al
1454 Bronchial responsiveness and lung function in infants with lower respiratory tract illness over
the first six months of life Jane R Clarke, Amanda Reese, Michael Silvernan
1459 Association of perinatal events, epilepsy, and central nervous system trauma with juvenile
delinquency Paula Rantakallio, Markku Koiranen, Jyrki Mottonen
1462 Urinary protein/creatinine index in follow up of patients with Wilms' tumour after
nephrectomy C Mpofu, J R Mann
1467 Teachers' perceptions of epilepsy M J Bannon, C Wildig, P WJones
1472 Growth hormone deficiency during puberty reduces adult bone mineral density S L Hyer,
D A Rodin,J H Tobias, et al
1475 Hazards of parenteral treatment: do particles count? J W L Puntis, K M Wilkins,
P A Ball, et al
1478 Sinusitis-induced subdural empyema Ruth Skelton, Wirginia Maixner, David Isaacs
1481 Familial pancreatic enzyme insufficiency G Owen, P WBuss, H R Jenkins, et al
1483 Thrombolysis with low dose tissue plasminogen activator E Doyle, J Britto, J Freeman, et al
1484 Fatal encephalitis/encephalopathy in primary human herpesvirus-6 infection YAsano,
T Yoshikawa, YKajita, et al
1486 Recovery of protein from urine specimens collected in cotton wool G C Smith, C M Taylor
Types of psychiatric
treatment
Statistics from
the inside
Current topics
Personal practice
Referees and staff
Letters to the editor
Index
Archivist
1488 (11) Drug treatment Michael Prendergast
1495 8. Size, power, and confidence MJ R Healy
1498 The ethics of cardiopulmonary resuscitation. I. Background to decision making
J M Davies, B M Reynolds
1502 The ethics of cardiopulmonary resuscitation. II. Medical logistics and the potential for good
response J M Davies, B M Reynolds
1506 Suitability of the paediatric setting for hospitalised adolescents M L Gillies,
WLI Pary-Jones
1510 Factitious illness: recognition and management D M Eminson, RJ Postlethwaite
1517
1519
1521
1441, 1446
BMJ PUBLISHING GROUP
VOLUME 67 * CONTENTS
No 1 JANUARY 1992
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74
FETAL AND NEONATAL EDITION
Original articles
Catabolic effect of dexamethasone in the preterm baby K G Brownlee, P C Ng, M Jf Henderson, et al
Dexamethasone increases plasma amino acid concentrations in bronchopulmonary dysplasia A F Williams, MJones
Dexamethasone treatment during ventilator dependency: possible life threatening gastrointestinal complications
Elizabeth A O'Neil, WalterJ Chwals, Michael D O'Shea, et al
Low dose intraventricular fibrinolytic treatment to prevent posthaemorrhagic hydrocephalus A Whitelaw,
R P A Rivers, L Creighton, et al
Symmetrical thalamic lesions in infants M Eicke,j Briner, U Willi, et al
Evaluation of techniques for delivery of steroids to lungs to neonates using a rabbit model Christopher O'Callaghan,
John Hardy,3Julie Stammers, et al
Delivery of therapeutic aerosols to intubated babies Jonathan Grigg, Shmuel Arnon, Tracey Jones, et al
Treatment of severe persistent pulmonary hypertension of the newborn with magnesium sulphate
YousefK Abu-Osba, Omar Galal, Khader Manasra, et al
Measurement of plasma volume in neonates M YAnthony, S R Goodall, M Papouli, et al
IgG subclasses compared in maternal and cord serum and breast milk A Gasparoni, A Avanzini,
F Ravagni Probiser, et al
Reduced use of surface cultures for suspected neonatal sepsis and surveillance S R M Dobson, D Isaacs,
A R Wilkinson, et al
Candida strains from neonates in a special care baby unit A M Sharp, F C Odds, E G V Evans
Enterobacteriaceae and neonatal necrotising enterocolitis M R Millar, P MacKay, M Levene, et al
Gentamicin: influence of dosing on pharmacokinetics, nephrotoxicity, and antibacterial activity H Skopnik,
R Wallraf, B Nies, et al
Cyclical fluctuations in cerebral blood volume L N Livera, YA B D Wickramasinghe, S A Spencer, et a!
Neonatal renal candidal bezoar V K Rehan, D C Davidson
Obstetrics for paediatricians
Rhesus haemolytic disease MartinJ7 Whittle
Current practice
Respiratory support using patient triggered ventilation in the neonatal period A Greenough, A D Milner
Perinatal lessons from the past
Dr William Cadogan (1711-1797) of Bristol and the management of infants PM Dunn
Book reviews
No 1 JANUARY 1992
Annotation
75 Psoriasis in childhood 3rulian Verbov
Original articles
77 Co-morbidity associated with fabricated illness (Munchausen syndrome by proxy) C N Bools, B A Neale,
S R Meadow
80 Comparison of BCG vaccination at birth and at third month of life Ibrahim Ildirim, Nihat Sapan, Bulent Cavusoglu
83 Conditions accounting for substantial time spent in hospital in children aged 1-14 years Jane Henderson,
MichaelJ7 Goldacre, Jennie M Fairweather, et al
87 Congenital hypothyroidism detected by neonatal screening: relationship between biochemical severity and early
clinical features D B Grant, I Smith, P W Fuggle, et al
91 Relationship between urinary and serum growth hormone and pubertal status E C Crowne, W H B Wallace,
S M Shalet, et al
96 Limited joint mobility in subjects with insulin dependent diabetes mellitus: relationship with eye and kidney
complications Satish K Garg, H Peter Chase, Guillermo Marshall, et al
100 Failure to prevent nicotine addiction in young people with diabetes E A Masson, I A MacFarlane, CJ Priestley, et al
103 Do doctors recognise eating disorders in children? RachelJ Bryant-Waugh, Bryan D Lask, Rosamund L Shafran, et al
106 Trial of intensive compared with weekly speech therapy in preschool children J7ean Barratt, Peter Littlejohns,
J'ulie Thompson
109 Home parenteral nutrition in chronic intestinal failure W M Bisset, P Stapleford, S Long, et al
115 A biotinidase Km variant causing late onset bilateral oral neuropathy V Th Ramaekers, TM Suormala, M Brab, et al
120 Beta glucuronidase and hyperbilirubinaemia in breast fed infants of diabetic mothers L Sirota, M Ferrera,
N Lerer, et al
122 Axillary and rectal temperature measurements in infants CJ Morley, P H Hewson, A J Thornton, et al
126 Streptococcus associated toxic shock C Torres-Martinez, D Mehta, A Butt, et al
131 Implantable intravenous access device L L Goldsworthv, H M Daly
132 Paediatric psychotherapy: a service in a general outpatient clinic Susan Vas Dias, Sheila A McKenzie
134 Coeliac disease and lymphangiectasia Vojislav N Perisic, George Kokai
136 Positive end expiratory pressure via a portable system in thoracic dystrophy S Edees, A Moulden, RJ Winter
Current topic
138 HIV infection in children D Gibb, M L Newell
Regular review
142 Medium chain acyl-CoA dehydrogenase deficiency E H Touma, C Charpentier
Personal practice
146 Lower oesophageal pH monitoring-a useful clinical tool David M Tappin, Caroline King, James Y Paton
Statistics from the inside
149 3. Estimation MJ7 R Healy
151 Letters to the editor
154 Book reviews
155 Meeting in 1992
156 Instructions to authors
No 2 FEBRUARY 1992
Annotations
157 Antibiotic choices for meningitis beyond the neonatal period Nj Klein, R S Hevderman, M Levin
159 Fibreoptic bronchoscopy in infants
de Blic, P Scheinmann
Original articles
162 Fourteen cases of imposed upper airway obstruction M P Samuels, W McClaughlin, R RJacobson, et al
171 Combined effect of infection and heavy wrapping on the risk of sudden unexpected infant death Ruth Gilbert,
Peter Rudd, PJeremy Berry, et al
178 A clinical study of Noonan syndrome M Sharland, M Burch, WM McKenna, et al
184 Desmopressin for bed wetting: length of treatment, vasopressin secretion, and response J H C Evans, S R Meadow
189 Twin peaks, extramarital conceptions, and virgin births: is there a connection? M Murphy, V Seagroatt
192 Controlled study of Pseudomonas cepacia and Pseudomonas maltophilia in cystic fibrosis G Gladman, PI Connor,
R F Williams, et al
196 Prospective evaluation of the Paediatric Risk of Mortality (PRISM) score Ganapathy Balakrishnan, Tom Aitchison,
David Hallworth, et al
201 Surgical treatment of hyperinsulinaemic hypoglycaemia L Spitz, R K Bhargava, D B Grant, et al
206 Consultation time, workload, and problems for audit in outpatient clinics James W Partridge
211 Clinical review of idiopathic versus hepatitis B surface antigen related forms of membranous glomerulonephritis
Seza Ozen, Umit Saatci, Aysin Bakkaloglu, et al
214 Inhaled frusemide against cold air induced bronchoconstriction in asthmatic children J Seidenberg,J Dehning,
H von der Hardt
218 Persistent gastrointestinal symptoms after correction of malrotation S P Devane, R Coombes, V V Smith, et al
222 Rehabilitation and outcome after severe head injury R Scott-Jupp, N Marlow, N Seddon, et al
227 Post-traumatic tremor in head injured children S L77ohnson, D MB Hall
229 Energy intake and basal metabolic rate during maintenance chemotherapy S A Bond, A M Han, S A Wootton, et al
233 Fever associated with teething LJ7aber, IJ Cohen, A Mor
234 Growth patterns after surgery for virilising adrenocortical adenoma A TSalt, M O Savage, D B Grant
Types of psychiatric treatment
237 Types of psychiatric treatment: overview PhilipJ Graham
Special report
240 Asthma: a follow up statement from an international paediatric asthma consensus group
Statistics from the inside
249 4. Sampling distributions MJ R Healy
Looking back
251 Decline and fall of the tubercle bacillus: the Newcastle story 1882-1988 FJ WMiller, Mary D Thompson
256 Letters to the editor
No 3 MARCH 1992
Annotations
257 The urgency of immersions John Pearn
258 Reactive amyloidosis Joel David, Patricia Woo
Original articles
262 Congenital retinal dystrophies: a study of early cognitive and visual development Marilyn M Black,
Patricia M Sonksen
266 Memory after treatment for acute lymphoblastic leukaemia J Rodgers, P G Britton, R G Morris, et al
269 What consistency of food is best for children with cerebral palsy who cannot chew? R D Croft
272 Gut regulatory peptides and intestinal permeability in acute infantile gastroenteritis G R Lawson, R Nelson,
M F Laker, et al
277 Increased plasma tumour necrosis factor-( concentration in atopic dermatitis S Sumimoto, M Kawai,
Y Kasaiima, et al
280 Interleukin-2 production of lymphocytes in food sensitive atopic dermatitis Hiroatsu Agata, Naomi Kondo,
Osamu Fukutomi, et al
285 Inhaled budesonide for chronic wheezing under 18 months of age V Noble, N R Ruggins, M L Everard, et al
289 Bronchodilators for treatment of mild bronchiolitis: a factorial randomised trial Elaine E L Wang, Ruth Milner,
Upton Allen, et al
294 The intensive care unit in paediatric oncology D Heney, IJ Lewis, L Lockwood, et al
299 Pulse oximetry reference values at high altitude Juan Manuel Lozano, Olga Rebeca Duque, Tatiana Buitrago, et al
302 Narcolepsy M R Allsopp, Z Zaiwalla
307 Postnatal encephaloclastic porencephaly-a new lesion? J H Cross, CJI Harrison, P R Preston, et al
312 Effect of positioning on the breathing pattern of preterm infants Ruth Heimler,3Jeanne Langlois,.DanielJ Hodel, et al
315 An indirect calorimetry system for ventilator dependent very low birthweight infants J S Forsyth, Anna Crighton
320 Positive end expiratory pressure in acute and chronic respiratory distress A Greenough, V Chan, M F Hird
324 Randomised trial of nutrition for preterm infants after discharge A Lucas, NJ Bishop, FJ King, et al
328 Varicella zoster virus DNA in throat swabs of vaccines T Ozaki, H Miwata, Y Asano, et al
330 Advantages of working in the developing world CJ C Williams
Commentary-DavidMorley
332 Measuring compliance with inhaled medication in asthma J A P Coutts, N A Gibson, J Y Paton
Contemporary history
334 A girl in my arms: a story of a paediatrician from Vukovar Branka Sipek
Types of psychiatric treatment
336 (2) Individual psychotherapy J7udith Trowell
Personal practice
340 Management of chronic constipation Graham S Clavden
Current topic
345 The provision of safe surgery for children John D Atwell, Paul M Spargo
350 Letters to the editor
353 Spring books
FETAL AND NEONATAL EDITION
No 4 APRIL 1992
Original articles
357 Patterns of metabolic adaptation for preterm and term infants in the first neonatal week 7 M Hawdon,
M P Ward Platt, A Avnsley-Green
366 Pulmonary and systemic arterial pressure in hyaline membrane disease Jonathan R Skinner, RichardJ7 Boys,
Stewart Hunter, et al
374 Central venous pressure in the ventilated neonate 7onathan R Skinner, David WA Milligan, Stewart Hunter, et al
378 Phosphatidylcholine composition of endotracheal tube aspirates M R Ashton, A D Postle, M A Hall, et al
383 Turnover of exogenous artificial surfactant M R Ashton, A D Postle, M A Hall, et al
388 Plasma hypoxanthine: a marker for hypoxic-ischaemic induced periventricular leucomalacia? G A B Russell,
GJeffers, R W I Cooke
393 Somatosensory evoked potentials and outcome in perinatal asphyxia N A Gibson, M Graham, M I Levene
399 Blood leucocyte count in the human fetus N P Davies, A G S Buggins, RJ M Snijders, et al
404 Fetal leucocyte count in rhesus disease N P Davies, A G S Buggins, R M Snijders, et al
407 Plethysmographic validation of near infrared spectroscopic monitoring of cerebral blood volume
YA B D Wickramasinghe, L N Livera, S A Spencer, et al
412 Postnatal evolution of slow variability in cerebral blood flow velocity Heather Coughtrey, 7anet M Rennie,
David H Evans
416 Intravenous aminophylline and cerebral blood flow in preterm infants Maura McDonnell, N K Ives, P L Hope
419 Upper airway patency during apnoea of prematurity CJ Upton, A D Milner, G M Stokes
425 Caffeine or theophylline for neonatal apnoea? J E M Scanlon, K C Chin, M E I Morgan, et al
429 Randomised trial of continuous nasogastric, bolus nasogastric, and transpyloric feeding in infants of birth weight
under 1400 g P D Macdonald, C H Skeoch, H Carse, et al
432 Risk factors for necrotising enterocolitis: the influence of gestational age PhilipJ Beeby, Heather3Jeffery
436 Capillary plasma elastase (xi-proteinase inhibitor in infected and non-infected neonates R L Rodwell, KM Taylor,
D I Tudehope, et al
440 Breathing pattern abnormalities in full term asphyxiated newborn infants P Sasidharan
443 Intracardiac thrombus formation with rapidly progressive heart failure in the neonate: treatment with tissue type
plasminogen activator B Van Overmeire, PJ Van Reempts, KJ Van Acker
446 Respiratory timing in intubated neonates with respiratory distress syndrome M South, CJ Morley
448 Intraventricular haemorrhage after aspiration of ventricular reservoirs N E Moghal, M W Quinn, M I Levene, et al
Perinatal biology
450 Prenatal treatment with thyrotrophin releasing hormone to prevent neonatal respiratory distress Francis de Zegher,
Bernard Spitz, Hugh Devlieger
Regular review
455 On the horizon: neonatal lung transplantation N ScottAdzick
Current topics
458 Neonatal nurse practitioners-a view from perfidious Albion? M A Hall, S L Smith,J EJackson, et al
Commentary-L O'Hagan
463 Vascular compromise in newborn infants D T Gault
Commentary-M L Chiswick
Perinatal lessons from the past
468 Scevole de Ste Marthe of France (1536-1623) and The Paedotrophia PM Dunn
470 Letters to the editor
No 4 APRIL 1992
Annotation
473 Neonatal BCG immunisation Antonia Clarke, Peter Rudd
Original articles
475 Immunogenicity and safety of PRP-T conjugate vaccine given according to the British accelerated immunisation
schedule R Booy, S A Taylor, S R M Dobson, et al
479 Raised serum soluble interleukin-2 receptor concentrations in cystic fibrosis patients with and without evidence of lung
disease ElifDagli,'illA Warner, CR Besley, et al
482 Respiratory status and allergy after bronchiolitis M Murray, M S C Webb, C O'Callaghan, et al
488 Bronchial responsiveness in an area of air pollution resulting from wire reclamation J Y Wang, T R Hsiue, H I Chen
491 Atopy, bronchial responsiveness, and symptoms in wheezy 3 year olds Nicola M Wilson, Stephen B Phagoo,
MichaelSilverman
496 Enhanced allergic sensitisation related to parental smoking R Ronchetti, E Bonci, R Cutrera, et at
501 Middle aortic syndrome: clinical and radiological findings A Sumboonnanonda, B L Robinson, WM W Gedroyc, et al
506 Vesicoureteric reflux and renal scars in asymptomatic siblings of children with reflux Rajko B Kenda, Jurij F Fettich
509 Vulvovaginitis: causes and management A M Pierce, C A Hart
513 Growth in patients with isolated gonadotrophin deficiency Z Dickerman, A Cohen, Z Laron
517 Fetal haemoglobin and early manifestations of homozygous sickle cell disease K Bailey,J S Morris, P Thomas, et al
521 Sinus histiocytosis with massive lymphadenopathy David K Stones, Charmaine Havenga
524 T cell immunodeficiency in dyskeratosis congenita B W Lee, H K Yap, T C Quah, et al
527 Anal abnormalities in childhood myotonic dystrophy-a possible source of confusion in child sexual abuse
W Reardon, H E Hughes, S H Green, et al
529 Sonographic detection of the lead point in intussusception M D Stringer, S NJ Capps, S M Pablot
530 Tuberculin skin reactivity four years after neonatal BCG vaccination L P Ormerod,J M Garnett
531 Association of high fever and short bacterial excretion after salmonellosis A Sahib El-Radhi, Timo Rostila,
Timo Vesikari
Statistics from the inside
533 5. Data structures MJ R Healy
Types of psychiatric treatment
536 (3) Counselling parents in child behaviour therapy R McAuley
Practice abroad
543 Paediatric illness in Hong Kong and Britain D P Davies
Personal practices
550 Chronic fatigue syndrome: a joint paediatric-psychiatric approach Margaret I Vereker
556 Human milk banking at Sorrento Maternity Hospital, Birmingham S E Balmer, B A Wharton
Current topic
560 Paediatrics in the accident and emergency department B M Phillips,
Controversy-a review of a report
565 Physical signs of sexual abuse in children Margaret A Lvnch
567 Letters to the editor
No 5 MAY 1992
Annotations
569 Diabetes in puberty D B Dunger
571 'Personal child health records' held by parents
572 Medulloblastoma Clifford C Bailev
Aidan Macfarlane
WJ Robson
574
580
586
592
595
600
603
608
613
618
622
625
628
632
636
640
641
643
649
654
657
662
No 6 JUNE 1992
Original articles
Profile of bronchial responsiveness in children with respiratory symptoms J B Clough,3t D Williams, S T Holgate
Drug delivery from holding chambers with attached facemask Mark L Everard, Andrew R Clark, Anthony D Milner
Drug delivery from jet nebulisers Mark L Everard, Andrew R Clark, Anthony D Milner
Role of infection in the middle lobe syndrome in asthma Chaim Springer, Avraham Avital, Natan Noviski, et al
HIV-I infection and perinatal mortality in Zimbabwe C GA Aiken
Deaths at home and in hospital in Zimbabwe B H M Wolf, M O Ikeogu
Intensive enteral feeding in advanced cirrhosis: reversal of malnutrition without precipitation of hepatic
encephalopathy C PJ Charlton, E Buchanan, C E Holden, et al
Using steatocrit to determine optimal fat content in modular feeds M 0 Rawashdeh, D R Lloyd, J W L Puntis, et al
Electrogastrography in non-ulcer dyspepsia S Cucchiara, G Riezzo, R Minella, et al
Gaviscon and Carobel compared with cisapride in gastro-oesophageal reflux P Greally, FJ Hampton,
UM MacFadyen, et al
Should audio recordings of outpatient consultations be presented to patients? George Rylance
Chloroquine in idiopathic pulmonary haemosiderosis Andrew Bush, Mary N Sheppard,J7 0 Warner
Abnormal serum IgG subclass pattern in Down's syndrome G Anneren, C G M Magnusson, G Lilja, et al
Height and body proportions in child abuse J K H Wales, S M Herber, L S Taitz
Home blood pressure monitoring in diabetes Caroline Gompels, Denis Savage
Incidence of normal micturition in myelomeningocele patients I Reiner, MJones, S Donnell, et al
Treatment of refractory ulcerative oesophagitis with omeprazole A M Dalzell, J WSearle, M K Patrick
Types of psychiatric treatment
(4) Change the family, change the child? Christopher Dare
Current topics
Intravenous volume replacement: which fluid and why? Lucinda Huskisson
The autonomic nervous system-a role in sudden infant death syndrome T G Matthews
Regular review
Biological role of lactoferrin Lourdes Sanchez, Miguel Calvo, Jeremy H Brock
Letters to the editor
Annotations
669 Paediatric cochlear implantation Kevin P Gibbin
671 Detection of minimal residual disease in leukaemia Fay E Katz
673 Stressful life events and childhood illness Ian M Goodyer
Original articles
675 The Scottish low birthweight study: I. Survival, growth, neuromotor and sensory impairment The Scottish Low
Birthweight Study Group
682 The Scottish low birthweight study: II. Language attainment, cognitive status, and behavioural problems The
Scottish Low Birthweight Study Group
687 Impaired motor function (clumsiness) in 5 year old children: correlation with neonatal ultrasound scans
Makolm Levene, Sheila Dowling, Margaret Graham, et al
691 Postdischarge formula consumption in infants born preterm A Lucas, F King, N B Bishop
693 Computed tomography findings in partial seizures A M B Minford, W I Forsythe
697 Difficult and unlikeable parents Roy Meadow
703 Asthma, inhaled corticosteroid treatment, and growth Titus K Ninan, George Russell
706 Mononuclear cells subsets and coronary artery lesions in Kawasaki disease Susumu Furukawa, Tomoyo Matsubara,
Keijiro Yabuta
709 Tartrazine in atopic eczema J Devlin, TJ David
712 Dysmorphic features in offspring of alcoholic mothers I Autti-Ramo, E Gaily, M-L Granstrom
717 Frontoethmoidal meningoencephalocele: a common and severe congenital abnormality in South East Asia
Christopher G M Richards
720 Early diagnosis and management of 5 (x-reductase deficiency I Odame, M D C Donaldson, A M Wallace, et al
724 Salivary IgA antigliadin antibody as a marker for coeliac disease V Hakeem, R Fifield, H F Al-Bayaty, et al
728 Late diagnosis of cryptorchidism: a failure of medical screening? A Sarmah
731 Family characteristics and insulin dependent diabetes M Alison Metcalfe, J David Baum
737 IgG antibodies in early Pseudomonas aeruginosa infection in cystic fibrosis S M Cordon,3t S Elborn, RJ Rayner, et al
Controversy
741 The value of proximal small intestinal biopsy in the differential diagnosis of chronic diarrhoea A G Thomas,
A D Phillips,JI A Walker-Smith
Commentary-R A F Bell, H Marcovitch
Types of psychiatric treatment
745 (5) Dealing with the courts and parenting breakdown Claire Sturge
Chalienges
751 Child health and paediatric care in Spain: where are we going? Angel Ballabriga
Statistics from the inside
757 6. Data structures (continued) M R Healy
760 Letters to the editor
761 Book reviews
763 Instructions to authors
Archivist 723, 740, 759, 764
No 7 JULY 1992
765
767
770
775
779
FETAL AND NEONATAL EDITION
Annotations
Do we need an Apgar score? Neil Marlow
Metabolic acidosis in newborn infants J HI Walter
Original articles
Fetal abnormality: an audit of its recognition and management-Northern Regional Survey Steering Group
Potential impact of population screening for prenatal diagnosis of congenital heart disease Seamus Cullen,
Gurleen K Sharland, Lindsey D Allan, et al
Cytomegalovirus prevalence in pregnant women: the influence of parity Pat A Tookey, Anthony E Ades,
Catherine S Peckham
784 Skin temperature and heart rate rhythms in infants of extreme prematurity S W D'Souza, S Tenreiro, D Minors, et al
789 Prediction of impaired metabolic adaptation by antenatal Doppler studies in small for gestational age fetuses
J M Hawdon, M P Ward Platt, S McPhail, et al
793 Superior mesenteric artery blood flow velocity in necrotising enterocolitis S T Kempley, H R Gamsu
797 Development of cutaneous microflora in premature neonates N Keyworth, M R Millar, K T Holland
802 Complement activation in neonatal infection M Peakman, G Senaldi, G Liossis, et al
808 Receiver operating characteristic curves for comparison of serial neutrophil band forms and C reactive protein in
neonates at risk of infection G A B Russell, A Smyth, R W I Cooke
813 Neutrophil chemotaxis and adhesion in preterm babies R Carr, D Pumford, J M Davies
818 Serum erythropoietin concentrations of symptomatic infants during the anaemia of prematurity Jill Meyer,
Alan Sive, PeterJacobs
822 UK experience in neonatal extracorporeal membrane oxygenation GA Pearson, DJ Field, R K Firmin, et al
826 New aerosol delivery system for neonatal ventilator circuits Mark L Everard, Julie Stammers, John G Hardy, et al
831 Episodic bradycardia in preterm infants C J Upton, A D Milner, G M Stokes
835 Cerebrovascular carbon dioxide reactivity and failure of autoregulation in preterm infants Alan C Fenton,
Kent L Woods, David H Evans, et al
840 Traumatic neonatal intracranial bleeding and stroke Paul Govaert, Piet Vanhaesabrouck, Claudine de Praeter
846 Athetoid cerebral palsy with cysts in the putamen after hypoxic-ischaemic encephalopathy M A Rutherford,
J M Pennock, D M Murdoch-Eaton, et al
851 Regional cerebral blood blow velocity changes after indomethacin infusion in preterm infants N C Austin,
P W Pairaudeau, TK Hames, et al
855 Randomised trial of umbilical arterial catheter position: Doppler ultrasound findings S TKempley, HR Gamsu
Special reports
860 Screening for retinopathy of prematurity Alistair R Fielder, Malcolm I Levene
868 Report of working group of the British Association of Perinatal Medicine and Neonatal Nurses Association in
categories of babies requiring neonatal care
Personal practice
870 Use of sedatives and muscle relaxants in newborn babies receiving mechanical ventilation Malcolm I Levene,
Michael W Quinn
Current topic
874 Mineral transport across the placenta S M Husain, M Z Mughal
Personal view
879 Putting the clock back 30 years: neonatal care since the 1991 NHS reforms Catherine Pope, David Wild
Perinatal lessons from the past
882 Dr Thomas Denman of London (1733-1815): rupture of the membranes and management of the cord PM Dunn
885 Letters to the editor
887 Book reviews
No 7 JULY 1992
Annotations
889 Angelman's syndrome Jill Clayton-Smith
891 Psychological treatments for childhood asthma Bryan Lask
Original articles
892 Cryptorchidism: a prospective study of 7500 consecutive male births, 1984-8 John Radcliffe Hospital Cryptorchidism
Study Group
900 Birth weight and hospital admission before the age of 2 years Lesley Mutch, Hazel Ashurst, Alison Macfarlane
905 Suspected child abuse: cost in medical time and finance C L Summers, E M Molyneux
Commentary-CJ Hobbs
Response from the authors
911 Screening of hearing impairment in the newborn using the auditory response cradle S M Tucker,J Bhattacharya
920 Growth of infants with neonatal growth hormone deficiency J M Wit, H van Unen
925 Sleep related upper airway obstruction and hypoxaemia in sickle cell disease Martin P Samuels, Valerie A Stebbens,
Sally C Davies, et al
930 Sequelae of haemolytic uraemic syndrome A Schlieper, P C Rowe, E Orrbine, et al
935 Randomised trial of a ready-to-feed compared with powdered formula A Lucas, S Lockton, Peter S W Davies
940 Management and response to treatment of Helicobacterpylori gastritis MJ Mahony,J I Wyatt,J M Littlewood
944 Transient hypothyroxinaemia associated with developmental delay in very preterm infants WouterJf Meijer,
S Pauline Verloove-Vanhorick, Ronald Brand, et al
948 Positive rolandic sharp waves in the EEG of the premature newborn: a five year prospective study Stephane Marret,
Dominique Parain, EmmanuelJeannot, et al
952 Occurrence of suppurative lymphadenitis after a change of BCG vaccine Paul Hengster,J_org Schnapka,
Manfred Fille, et al
956 JC virus associated meningoencephalitis in an immunocompetent girl Kim Blake, Deenan Pillay,
Wendy Knowles, et al
958 Necrobacillosis with pancytopenia M Epstein, A DJ Pearson, SJ Hudson, et al
960 Protein S deficiency: early presentation and pulmonary hypertension J O'Sullivan, R Chatuverdi, M K Bennett, et al
Current topics
962 Myelodysplastic syndromes Ian M Hann
967 Children of parents in prison Dora Black
Types of psychiatric treatment
971 (6) Psychiatric treatment for children-the organisation of services Fiona Subotsky
Regular review
976 Recent progress in intestinal transplantation Celia Ingham Clark
980 Letters to the editor
Archivist 899, 904, 910, 919, 924, 934, 975
No 8 AUGUST 1992
Annotations
981 Current status of definitive surgery for congenital heart disease B Sethia
983 The molecular basis of nephrogenesis and congenital kidney disease J'onathan Bard
Original articles
985 Haemorrhagic shock encephalopathy syndrome in the British Isles CJ7 Bacon, S M Hall
994 Optimum method for administration of biosynthetic human growth hormone R Stanhope, A Albanese, L Moyle, et al
998 Plasma and cerebrospinal fluid arginine vasopressin in patients with and without fever PM Sharples, J R Seckl,
D Human, et al
1003 Cord blood lymphocyte responses to food antigens for the prediction of allergic disorders Naomi Kondo,
Yuki Kobayashi, Shinji Shinoda, et al
1008 Risk of developing atopic disease after early feeding with cows' milk based formula D Gustafssom, TLowhagen,
K Andersson
1011 Newly diagnosed diabetes: a study of parental satisfaction D N Lessing, P G F Swift, M A Metcalfe, et al
1014 Prevention of exercise induced asthma by inhaled salmeterol xinafoate C P Green,3J F Price
1018 Genetic risk for asthma, allergic rhinitis, and atopic dermatitis Sigrid Dold, Matthias Wjst, Erika von Mutius, et al
1023 Early immune responses to Dermatophagoides pteronyssinus and atopic predisposition R G G Ruiz, D M Kemeny,
F Mariani, et al
1027 Breast feeding and oral rehydration at home during diarrhoea to prevent dehydration A S G Faruque,
D Mahalanabis, A Islam, et al
1030 Reversible cerebral shrinkage in kwashiorkor: an MRI study Geney D Gunston, Dawn Burkimsher, HesterMalan, et al
1033 Reversible mitochondrial myopathy with cytochrome c oxidase deficiency Matti K Salo, Juhani Rapola,
Hannu Somer, et al
1036 Recurrent parotitis Herman A Cohen, Samuel Gross, Moshe Nussinovitch, et al
1038 Solitary mastocytoma causing recurrent blistering in infancy Colin S Munro, Peter M Farr
1039 Pituitary gigantism P W Lu, M Silink, I Johnston, et al
Challenges
1042 Paediatric care in Hungary Dezso Schuler
Types of psychiatric treatment
1046 (7) Paediatric liaison Shirley A Leslie
Current topics
1050 Cerebral palsy-an increasing contributor to severe mental retardation Amanda Nicholson, Eva Alberman
1056 Guidelines for management of idiopathic thrombocytopenic purpura O B Eden, J S Lilleyman on behalfofthe British
Paediatric Haematology Group
1059 Letters to the editor
1060 Book reviews
Archivist 997, 1002, 1045
No 9 SEPTEMBER 1992
1061 James Spence Medallist 1992
Annotations
1063 The radiological dating of injuries S Chapman
1065 Fungal skin infections R 7Hay
Original articles
1068 Paediatric outpatient utilisation in a district general hospital R MacFaul, R Long
1073 Audit of screening for congenital hypothyroidism P O D Pharoah, M P Madden
1077 How much nebulised budesonide reaches infants and toddlers? K C Lodrup Carlsen, K Nikander, K-H Carlsen
1080 What do parents know about vitamins? ML B Ko, N Ramsell,J A Wilson
1082 Effect of taurine supplementation on fat and energy absorption in cystic fibrosis M De Curtis, F Santamaria,
P Ercolini, et al
1086 The value of serum IgG titres against Pseudomonas aeruginosa in the management of early pseudomonal infection in
cystic fibrosis M M Brett, Ej Simmonds, A TM Ghoneim, et al
1089 Management of hypertensive emergencies J E Deal, TM Barratt, MJ Dillon
1093 Early thrombocytopenia in HIV infection R M Beattie,7 Q Trounce, E G Hermione, et al
1095 Thymopentin treatment in severe atopic dermatitis-clinical and immunological evaluations Kue-Hsiung Hsieh,
Men-Fang Shaio, Tung-Nan Liao
1103 Policies for control of communicable disease in day care centres A Chouillet, H Maguire, Z Kurtz
1107 Endocrine deficit after fractionated total body irradiation A L Ogilvy-Stuart, DJ Clark, W H B Wallace, et al
1111 Is hearing assessed after bacterial meningitis? H M Fortnum, D Hull
1112 Toxic shock-like syndrome caused by adenovirus infection K Bojang, M D S Walters
1114 Accidental ingestion of 'Ecstasy' (3,4-methylenedioxymethylamphetamine) A R Bedford Russell, R H Schwartz,
S Dawling
Controversy
1116 Avoiding chemotherapy related late effects in children with curable tumours C Ross Pinkerton
Types of psychiatric treatment
1120 (8) Inpatient psychiatry units Jonathan Green
Current topics
1124 Liver transplantation Judith Chiyende, Alex P Mowat
1128 Hearing impairment after bacterial meningitis: a review H M Fortnum
1134 Letters to the editor
1136 Book reviews
Archivist 1072, 1102, 1119, 1127, 1133
No 10 OCTOBER 1992
1137
1139
1140
1146
1154
1162
1166
1169
1174
FETAL AND NEONATAL EDITION
Annotations
Herpes simplex virus infection in pregnancy David McIntosh, David Isaacs
Kidney function in the very low birthweight infant j TBrocklebank
Original articles
Renal function in sick very low birthweight infants: 1. Glomerular filtration rate Barrv H Wilkins
Renal function in sick very low birthweight infants: 2. Urea and creatinine excretion Barry H Wilkins
Renal function in sick very low birthweight infants: 3. Sodium, potassium, and water excretion Barry H Wilkins
Renal function in sick very low birthweight infants: 4. Glucose excretion Barry H Wilkins
Simultaneous measurement of preductal and postductal oxygen saturation by pulse oximetry in hyaline membrane
disease P D Macdonald, V Y H Yu
Effect of patency of the ductus arteriosus on blood pressure in very preterm infants Nick Evans, james Moorcraft
Annual audit of neonatal morbidity in preterm infants R W I Cooke
1177 Prediction of neurodevelopmental outcome in the preterm infant: short latency cortical somatosensory evoked
potentials compared with cranial ultrasound L S de Vries, P Eken, V Pierrat, et al
1182 Membrane humidification-a new method for humidification of respiratory gases in ventilator treatment of neonates
L Hanssler, W Tennhoff, C Roll
1185 Randomised controlled trial of colloid infusions in hypotensive preterm infants E F Emery, A Greenough, H R Gamsu
1189 Cardiac tumours in intrauterine life Alison M M Groves, Nuala L K Fagg, Andrew C Cook, et al
1193 Changes in the plasma aminogram of parenterally fed infants treated with dexamethasone for bronchopulmonary
dysplasia P C Ng, K G Brownlee, EJ Kelly, et al
11% Coagulation screening tests in high risk neonates: a prospective cohort study B K Schmidt, P Vegh, M Andrew, et al
1198 Clinical application of urine antigen detection in early onset group B streptococcal disease E D G McIntosh,
H E Ieffrey
1201 Recovery of intralipid from lumbar puncture after migration of saphenous vein catheter Felix Odaibo,
Carlos A Fajardo, Catherine Cronin
1204 Meconium ileus in the absence of cystic fibrosis Khoulood Fakhoury, Peter R Durie, Henry Levison, et al
1207 Validation of a portable indirect calorimetry system for measurement of energy expenditure in sick preterm infants
GJ Shortland, PJ Fleming,3t H Walter
1212 Fatal perinatal nephropathy with onset in intrauterine life RJ Scot, M Rochefort
1214 When will my baby go home? PeterJ Powell, Colin V E Powell, Sally Hollis, et al
1217 Intermittent ductal patency in healthy newborn infants: demonstration by colour Doppler flow mapping M K Lim,
K Hanretty, A B Houston, et al
1219 Neonatal meningococcal conjunctivitis associated with meningococcal meningitis M Ellis, A M Weindling,
D C Davidson, et al
Special report
1221 Development of audit measures and guidelines for good practice in the management of neonatal respiratory distress
syndrome-Report of a Joint Working Group of the British Association of Perinatal Medicine and the Research Unit of
the Royal College of Physicians
Controversy
1228 Surfactant replacement therapy-time for thought G McClure
Commentary-ColinJ Morley
Current topic
1231 Diagnosis and management of inborn errors of metabolism-an update J E Wraith
Personal practices
1233 Initial experience of screening for retinopathy of prematurity D I Clark, C O'Brien, A M Weindling, et al
1237 The unreactive fetal heart rate 7 S Smoleniec, D KJames
Perinatal lessons from the past
1242 Felix Wurtz of Basel (1518-75) and clubfeet PeterM Dunn
1244 Letters to the editor
No 10 OCTOBER 1992
Annotations
1245 Drug abuse in children and adolescents: an update Harith Swadi
1247 Consent to treatment in childhood AlexanderMcCall Smith
1248 Molluscum contagiosum Allan S Highet
Original articles
1250 Effects of oral and intramuscular vitamin K prophylaxis on vitamin K, PIVKA-II, and clotting factors in breast fed
infants EA M Cornelissen, LA A Kollee, R A DeAbreu, etal
1255 Oscillations of body temperature at night PJBrown, R A Dove, CS Tuffnell, etal
1259 Factors affecting the development of night time temperature rhythms M R Lodemore, S A Petersen, M P Wailoo
1262 Paediatric cardiac transplantation with steroid-sparing maintenance immunosuppression J Au,J W Gregory,
I W Colquhoun, et al
1267 Intravenous immunoglobulin in HIV-I infected haemophilic patients N Wagner, R Bialek, H Radinger, et al
1272 Gastrointestinal complications of gastrocystoplasty B D Gold, P S Bhoopalam, R M Reifen, et al
1277 Prepubertal height velocity references over a wide age range B Rikken,J M Wit
Commentary-R Stanhope
Bone age, social deprivation, and single parent families TJ Cole, A J L Cole
Centiles for adult head circumference KM DBushby, TCole,J N S Matthews, eta!
Immunisation status in inner London primary schools H E Bedford,3t I Masters, Z Kurtz
An audit of preschool vision screening J3ohn WAllen, Bratati Bose
Microfollicular thyroid adenoma and congenital goitrous hypothyroidism A J Alabbasy, L Delbridge, R Eckstein, et al
12% Oral hairy leukoplakia in vertically and horizontally acquired HIV infection D Nadal, B de Roche, M Buisson, et al
1281
1286
1288
1292
1294
Current topic
1298 Building a combined child health service Margaret R S Barker, RJ Purvis
Types of psychiatric treatment
1302 (9) Consultative work in child and adolescent psychiatry Derek Steinberg
Statistics from the inside
1306 7. Regression and correlation MJ R Healv
Regular review
1310 Recent advances in understanding muscular dystrophy K M D Bushby
Personal practice
1313 Investigation of metabolic disorders resembling Reye's syndrome Anne Green, Susan M Hall
1318 Letters to the editor
1320 Autumn books
Archivist 1276, 1285
Correction
1324 Early thrombocytopenia in HIV infection Beattie et al
No 11 NOVEMBER 1992
Annotations
1325 Silent gastro-oesophageal reflux: how much do we miss? I WBooth
1327 Excitatory amino acid neurotoxicity-a broader horizon for cerebral protection? Robert C Tasker
Original articles
1330 Psychological effects of sodium valproate and carbamazepine in epilepsy G Stores, P L Williams, E Styles, et al
1338 Diagnostic significance of "mTc-dimercaptosuccinic acid (DMSA) scintigraphy in urinary tract infection
BJrakobsson, S Soderlundh, U Berg
1343 Foregut motor function in chronic renal failure A M Ravelli, S E Ledermnann, WM Bisset, et at
1348 Ultrasonographic assessment of the extent of hepatic steatosis in severe malnutrition J F Doherty, EJ3 Adam,
G E Griffin, et al
1353 Delayed surgery for congenital diaphragmatic hernia: neurodevelopmental outcome in later childhood
Mark Davenport, Elise Rivlin, S W D'Souza, et al
1357 Adult height in constitutionally tall stature: accuracy of five different height prediction methods E Ejloss,
R Temperli, P E Mullis
1363 Incidence of hepatic hamartomas in tuberous sclerosis SJ3dzwiak, M Pedich, P Rajszys, et al
1366 Increased resting energy expenditure in childhood asthma: does this contribute towards growth failure? S R Zeitlin,
S Bond, S Wootton, et al
1370 Defective alloantigen-presenting capacity of 'Langerhans cell histiocytosis cells' Raymond C H Yu,Jenny F Morris,
Jon Pritchard, et al
1373 Interleukin-2 in relation to T cell subpopulations in rheumatic heart disease Magdy M Zedan, Farha A El-Shennauy,
HelmyM Abou-Bakr, et al
1376 Bronchoscopy in lipoid pneumonia M Kameswaran, S HAnnobil, B Benjamin, etal
1378 Causes of death in children diagnosed with non-Hodgkin's lymphoma between 1974 and 1985 C M Robertson,
C A Stiller,J E Kingston
1384 Antiphospholipid antibody associated thrombosis in juvenile chronic arthritis Roberto Caropali, Angelo Ravelli,
Barbara Ramengli, et al
1385 Severe anaemia and ileocolic anastomotic ulceration A H Hamilton, J M Beck, G M Wilson, etal
Personal practice
1387 Intercurrent illness in inborn errors of intermediary metabolism Marijorie A Dixon,J V Leonard
Types of psychiatric treatment
1392 (10) Treatment of delinquents CarolSheldrick
Current topics
1398 Should we use dexamethasone in meningitis? The Meningitis Working Party ofthe British Paediatric Immunology and
Infectious Diseases Group
1402 African children in Britain Anne Nesbitt, Margaret A Lynch
Chalienges
1406 Challenges for child health in Australia R Kim Oates
1410 Letters to the editor
1415 Book reviews
Archivist 1337, 1352, 1401
No 12 DECEMBER 1992
Annotations
1417 The place of computed tomography and lumbar puncture in suspected bacterial meningitis David H Mellor
1420 Sleep problems Gregory Stores
1421 Routine discharge examination of babies-is it necessary? P H T Cartlidge
Original articles
1423 Do maternal and intrauterine factors influence blood pressure in childhood? P H Whincup, D G Cook, 0 Papacosta
1430 Management and outcome of severe head injuries in the Trent region 1985-90 A C Elias-J3ones,J A G Punt,
A E Turnbull, et al
1436 Long term effects of periconceptional multivitamin supplements for prevention of neural tube defects: a seven to
10 year follow up Monica Holmes-Siedle, Jennifer Dennis, R H Lindenbaum, eta!
1442 A randomised trial of low dose folic acid to prevent neural tube defects Peadar N Kirke, Leslie E Daly,
J Harold Elwoodfor the Irish Vitamin Study Group
1447 Immunohistochemical features of the portal tract mononuclear cell infiltrate in chronic aggressive hepatitis
Giorgio Senaldi, Bernard Portmann, Alex P Mowat, et al
1454 Bronchial responsiveness and lung function in infants with lower respiratory tract illness over the first six months of
life Jane R Clarke, Amanda Reese, Michael Silverman
1459 Association of perinatal events, epilepsy, and central nervous system trauma with juvenile delinquency
Paula Rantakallio, Markku Koiranen, Jyrki Mottonen
1462 Urinary protein/creatinine index in follow up of patients with Wilms' tumour after nephrectomy C Mpofu, J R Mann
1467 Teachers' perceptions of epilepsy M J Bannon, C Wildig, P WJones
1472 Growth hormone deficiency during puberty reduces adult bone mineral density S L Hyer, D A Rodin,
J H Tobias, et al
1475 Hazards of parenteral treatment: do particles count? J W L Puntis, K M Wilkins, P A Ball, et al
1478 Sinusitis-induced subdural empyema Ruth Skelton, Wirginia Maixner, David Isaacs
1481 Familial pancreatic enzyme insufficiency G Owen, P WBuss, H RJenkins, etal
1483 Thrombolysis with low dose tissue plasminogen activator E Doyle, J Britto,J Freeman, etal
1484 Fatal encephalitis/encephalopathy in primary human herpesvirus-6 infection YAsano, T Yoshikawa, YKajita, et al
1486 Recovery of protein from urine specimens collected in cotton wool G C Smith, C M Taylor
Types of psychiatric treatment
1488 (11) Drug treatment Michael Prendergast
Statistics from the inside
1495 8. Size, power, and confidence MJ3 R Healv
Current topics
1498 The ethics of cardiopulmonary resuscitation. I. Background to decision making J M Davies, B M Reynolds
1502 The ethics of cardiopulmonary resuscitation. II. Medical logistics and the potential for good response 7 M Davies,
B M Reynolds
1506 Suitability of the paediatric setting for hospitalised adolescents M L Gillies, W Ll Parry-Jones
Personal practice
1510 Factitious illness: recognition and management D M Eminson, RJ Postlethwaite
1517 Referees and staff
1519 Letters to the editor
1521 Index
Archivist 1441, 1446

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