Recurrent sixth nerve palsy associated with a hypoplastic Dorello's canal

Recurrent sixth nerve palsies are usually idiopathic, although they have been postulated to be caused by a postinflammatory insult or abnormal cerebral circulation. We report the case a 9-month-old boy who had 2 episodes of a left abduction deficit that resolved spontaneously. A 3-dimensional high-resolution T2-weighted sequence magnetic resonance imaging scan of the head revealed a hypoplastic left 6th nerve and a small left Dorello's canal.     

Technology in the Lives of Women Who Live With Memory Impairment as a Result of a Traumatic Brain Injury

A large number of individuals who have experienced a traumatic brain injury are women; unfortunately, there is a lack of literature focusing on their treatment preferences. Electronic memory aids have the potential to offer tremendous assistance to increase the independence of individuals with memory impairment; however, the use of electronic memory aids with this female population has not been explored. The objective of this study was to investigate the perceptions and use of electronic memory aids in women with memory impairment as a result of a traumatic brain injury to further their use of this technology to enable their independence. Two focus groups were conducted, each with five women who self-reported a moderate to severe head injury. The primary theme that emerged was the willingness and interest of this sample to use this technology when provided with an appropriate introduction and learning environment. The results reaffirm current literature supporting the use of electronic memory aids with a population with a head injury. Individuals not currently using this technology were motivated to employ electronic memory aids in their daily lives. Further research must be conducted to develop strategies to enable this population's use of electronic memory aids.     

Nutritional Considerations for Older Adults With Type 2 Diabetes

ABSTRACT

As Western populations age, the burden of associated chronic diseases, including diabetes, cardiovascular disease (CVD), and cancer will increase dramatically. In the United States in the next 50 years, it is projected that the percentage of adults with type 2 diabetes will exceed 30%, with the vast majority older than 65 years. It is therefore important to determine the best possible dietary and lifestyle modifications to prevent and control this disease and its associated complications. Although few data are available regarding the optimal nutritional regimen for the elderly with type 2 diabetes, as a general rule, the use of nutrient-dense, low glycemic index, high-dietary fiber foods with possibly higher protein intake is recommended.     

Neuroblastoma involvement of the falx cerebri

Involvement of the falx cerebri in infants with stage 4 neuroblastoma is thought to be rare. The falx is derived from the neural crest and thus may be a location for primary neuroblastoma. Its propensity for metastasis is unknown. Management of neuroblastoma in this location is potentially challenging. We describe two children less than 18 months of age who were successfully managed with chemotherapy alone (without radiation or surgery) for falx involvement with neuroblastoma. Pediatr Blood Cancer 2009; 53:1337–1339. © 2009 Wiley‐Liss, Inc.     

Correlates of Leisure-Time Physical Activity During Transitions to Motherhood

Despite growing evidence for an inverse relationship of motherhood and physical activity, studies of the possible correlates for behavior change are scant. The purpose of this study was to evaluate the change in leisure-time physical activity behaviors of 139 urban women during the transition to motherhood in retrospective analysis and evaluate their physical activity changes using the theory of planned behavior during motherhood. Perceptions of control based on time, fatigue, social support, and childcare were the critical correlates that distinguished between those who continued with physical activity and those who declined. These results provide evidence for targeted PA interventions during the transition to motherhood.