I venture the opinion that in the past twenty-five years pediatrics, both in knowledge and in practice, has made as marked progress as have any of the older services of the Johns Hopkins Hospital in the half century now being celebrated. Without making any attempt to prove this assertion, I should like to assemble certain pertinent facts most of which could be demonstrated easily from data in t...

Emotional disturbances in children and adolescents may be explained basing on different aetiological theories. One of them is the attachment theory created by Bowlby. It stresses the relationships between the characteristic of children's relations with caregivers and their behaviours, which might be described as symptoms in certain circumstances. Attachment behaviours should not be treated as t...

This study compares the rate and perceptions of interruptions experienced by practice nurses and GPs. During two recording periods, nurses noted the number of interruptions they experienced before and during their consultations (Paxton et al 1996). The nurses reported 48.5 interruptions per 100 consultations in the first period and 30.2 in the second. Fifty per cent of nurses in the first perio...

A description is given of a practical clinical test of contrast sensitivity and of the results obtained on a normal population. An account is given of recent physiological work which illustrates the potential usefulness of the method in ophthalmology, and the clinical results obtained by the author and others are summarised.

An 1 -year-old boy presented with enteric fever (titres for Salmonella typhi positive as TH 640 andTO 320). He was prescribed pefloxacin 200 mg 12 hourly for 14 days. After regression offever in five days, he complained ofan occipitonuchal headache ofincreasing severity with vomiting and diplopia. No H/O ear discharge, visual symptoms or seizures. Clinical examination revealed an alert young bo...

BACKGROUND Accommodative disturbance has been cited as one of the causes of visual disturbance following whiplash injury but to date, with one exception, none of the studies have incorporated a group of control subjects; none of the results have been statistically analysed. The aim of the present study was to examine the amplitude of accommodation in a group of whiplash subjects, the majority o...