Recently, indications for endoscopic clips have expanded to include closure of gastrointestinal fistulae and perforations. A 62-year-old man with remote history of surgery for peptic ulcer underwent right hemicolectomy for a large hepatic flexure mass with proximal colonic dilatation. During surgery, inadvertent pinpoint duodenotomy of the afferent Billroth II limb resulted in a duodeno-cutaneo...

Chylothorax, a relatively rare complication of thoracic surgery, mostly occurs on the right side. We present a 16-year-old male who received thoracoscopic surgery for left spontaneous pneumothorax. Chylothorax developed on the postoperative 2(nd) day and resolved after diet control on the 4(th) day. Unfortunately, chylothorax recurred 2 weeks later. Chest drainage and nil per os with total pare...

Results Of the 75 new patients, 34 (45%) noted a concern about mood. The average age was 13 ± 4 years, 68% were female, and patients had an average of 8.6 health concerns such as fatigue, anxiety, headaches, constipation, and pain. Most (88%) received care from other specialists and 71% took medications (average 2.4/patient), most often antidepressants. There was great interest in discussing st...

Early life factors encompassing parental, foetal and postnatal characteristics, have an important influence on individual disease risk. Of particular importance is the role of maternal lifetime nutrition and metabolic reserves, and the impact on offspring birth outcomes. Birth weight, in turn, affects disease risk in later life. Being born small and showing rapid weight gain during childhood ar...

Parents Parental education is an important factor in affecting children’s dietary patterns, as shown again here in two studies from Germany. In a focus group study from the USA, parents from low-income schools showed that they had only basic knowledge about healthy food and got most of their nutrition information from the media. These parents indicated that they would be happy to learn more abo...

We use data from the Survey of Income and Program Participation to examine the impact of leave entitlements on unpaid leave usage by men and women after the birth of a child from 1991 to 1999. The results indicate that legislation providing the right to unpaid leave has not affected men's leave usage. The results for women are mixed: in some specifications, leave entitlements are associated wit...

BACKGROUND In species across taxa, offspring have means to influence parental investment (PI). PI thus evolves as an interacting phenotype and indirect genetic effects may strongly affect the co-evolutionary dynamics of offspring and parental behaviors. Evolutionary theory focused on explaining how exaggerated offspring solicitation can be understood as resolution of parent-offspring conflict, ...

This paper studies the relationship of parental resources to the marital transitions of children. It extends past research by explicitly distinguishing various dimensions of parental resources and by taking parental preferences directly into account. We test models in which parental resources have additive effects on the timing of marriage and models in which parental resources interact with pa...

Current discussions of offspring begging typically assume either that it is a signal directed at parents or that it represents a form of scramble competition to gain access to them. However, offspring might also display to inform nest mates that they will contest the next food item to be delivered; in other words, begging (possibly in the absence of parents) might serve purely as a form of nego...

OBJECTIVES Here we explore the association between a family history of premature coronary heart disease (CHD) death and ischemic electrocardiogram (ECG) findings in the offspring. BACKGROUND In the general population, signs of ischemia are found on the resting ECG in about 10% of middle-aged men and women. Their independent predictive value for CHD morbidity and mortality has been shown in se...