Isr Med Assoc J
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The congenital absence of salivary glands has been reported in children but never in fetuses with trisomy 21. ⋯ Congenital absence of the salivary glands has a high specificity but low sensitivity for detecting trisomy 21 fetuses.
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Silicone breast augmentation is a common cosmetic surgery. Previous case reports demonstrated lymphadenopathy in the presence of implant ruptures. ⋯ Enlarged axillary nodes were associated with ruptures in two groups of patients. This finding can guide clinical decisions when either enlarged nodes or ruptures are encountered in patients with silicone implants. The association between silicone lymphadenopathy and implant rupture raises concerns regarding the role of rupture in silicone-induced systemic disease.
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Randomized Controlled Trial
Medical Clowns and Cortisol levels in Children Undergoing Venipuncture in the Emergency Department: A Pilot Study.
Medical clowns are increasingly used for diminishing pain and anxiety during painful procedures being performed on children in the hospital setting. Cortisol levels rise as a response to emotional distress. ⋯ In this pilot study, medical clowns reduced the distress from venipuncture in children. No effect on cortisol levels was observed.