Saving the Bathwater

This article presents an account of the development and use of the Neonatal Behavioral Assessment Scale (NBAS) over the past 15 years. It deals with both the formal and informal ways in which administering the NBAS has increased our understanding of the forces for development in the newborn, of states of consciousness in the infant, of the potential for predicting from one point in development to the next, and of a clinician's opportunities to share information with parents and to participate in the enterprise of parenting. It draws attention to the value of the qualitative insights that are gained by investigators, alongside the more quantitative fruits of a research endeavor.     

Sex differences in static strength and fatigability in three different muscle groups

Maximal voluntary static muscle force production was assessed both in strength trials and during 2-min contractions by three muscle groups (right-hand finger flexors [RHF], right-leg extensors [RLE], and both leg extensors [BLE]) in young males (n = 13) and females (n = 14). There was a significant difference (p less than .01) between males and females for RHF strength and BLE strength but no significant difference between sexes for RLE strength. During the 2-min task, impulse (force x time) declined significantly (p less than .001) and there was a significant difference (p less than .001) between muscle groups, but there was no difference between sexes. There was a significant (p less than .05) sex x time interaction for the impulse values indicating that the fatigability was greater in males than females.     

Spontaneous Tumor Lysis Syndrome in an Infant: A Case Report

Tumor lysis syndrome has been observed in patients with malignancies with high cellular burden and high cell turnover, tumor sensitive to therapy, especially after initiating medical treatment. It very rarely occurs spontaneously. The case described here is of 6 months male infant who presented with fever since 1 month and loose stools associated with blood since 15 days. The laboratory investigations showed lactate dehydrogenase (LDH) of 6,192 IU/L and serum uric acid 18.2 mg/dl along with pancytopenia. The infant presented with electrolyte abnormalities and renal failure.