Thirteen underwent an upper endoscopy
with multiple small bowel biopsies. Two patients had vinous atrophy and slightly increased intraepithelial lymphocytes (Marsh 3a), which could make the diagnosis of celiac disease likely. These two patients had high titers of anti-gliadin antibody immunoglobulin A above 70 Units. Conclusions: An isolated positive anti-gliadin antibody immunoglobulin A result in the absence of positive tissue transglutaminase and find more endomysial antibodies immunoglobulin A should raise the suspicion of the diagnosis of celiac disease. This could be a non-specific phenomenon that could be found in other gastrointestinal conditions, latent celiac disease, or gluten hypersensitivity. A longitudinal clinical follow-up is recommended in these children to confirm the diagnosis.”
“Aim To determine whether early measures of adaptive behavior are predictive of later school difficulties and achievement in otherwise neurotypical (unimpaired) children with onset of epilepsy during
the preschool years. Method In a prospective cohort study, parents completed the Vineland Adaptive Behavior Scales (VABS) for children who were Fosbretabulin aged 5years or less at epilepsy diagnosis. Eight to 9 years later, the children were assessed using the Wechsler Intelligence Scales for Children (WISC), the Wide Range Achievement Test (WRAT), and the Child Behavior Checklist (CBCL). Associations of VABS scores with later WRAT and CBCL scores were tested. Results A total of 108 neurotypical
children (64 males, 44 females; mean age at testing 11y 11mo, SD 2y) were studied. After adjustment for IQ and other factors, there was an increase of 0.15 points (95% confidence interval [CI] 0.03-0.27 points; p=0.03) and 0.14 points (95% CI 0.0-0.28 points; p=0.05) in WRAT reading and spelling scores for each 1-point increment in the VABS communication score. Corresponding numbers for the VABS socialization score were 0.20 (95% CI 0.08-0.32; p=0.005) and 0.17 (95% CI 0.05-0.29; p=0.005). Conclusion In neurotypical preschool children with epilepsy, learn more early social and communication scores predict later school performance. These findings raise questions about opportunities for early identification and intervention for children at greatest risk.”
“A cellular automaton to track the solid-liquid interface movement is linked to finite volume computations of solute diffusion to simulate the behavior of dendritic structures in binary alloys during solidification. A significant problem encountered in the CA formulation has been the presence of artificial anisotropy in growth kinetics introduced by a Cartesian CA grid. A new technique to track the interface movement is proposed to model dendritic growth in different crystallographic orientations while reducing the anisotropy due to grid orientation. The model stability with respect to the numerical parameters (cell size and time step) for various operating conditions is examined.