MEMBER’S COPY SEPTEMBER 1993 VOL 69 NO 3 ST ARCHIVES OF DISEASE IN CHILDHOOD The Journal of the British Paediatric Association 333. James Spence Medallist 1993 je neurosurgery Eric P Gua Pater SW Davies Annotations 335. Recent advances in paediat 337 Body composition assessm wediatric Surveillance Unit study, 1988-90 etal Original articles 330 Galactosaemia: results of the British P: MM Honeyman, A Groon, J B Holton, 342, Normal gastric antral myoeleetrical activity in early onset anorexia n Alberto M Raveli, Barbara-dvine Helps, Sean P Devane, eal Radiological assessment of the atlantoaxial distance in Down's syndrome MJ G Cremers, I Ramos, E Bo, et al 351 Use of Buclesonicte in severe asthmatics aged 1-3 years Gary J Connett, Catherine Warde, Bikcina Wooler, et ab 356. Deaths from volatile substance abuse in those under 18 years: results from a national epidemiological study A Fomail, L Mever, A Poater, etal 361 Evaluation of a district growth screening programme: the Oxford growth study ML Aled, AD Allen, A Sharma, etal 360 Measurement of fat digestion in early life using a stable isorope breath rest P McClean, M Harding, WA Coward, etal 371 Tuberculosis in infamts less than 3 months of age HS Schaaf, RP Gie, N Bevers, 375. Different features of coeliac disease in 1wo neighbouring countries H Aster, K Holm, B Kristianstonn, ot al 381 Overwhelming sepsis presenting as sudden unexpected death N Shar, K Khun, PCanlan Commentary RS Hey. 384 Spermaturia and puberty Juri L. Pederson, Karsten Nsom, Merete Jorgensen, ot a 388 Effect of sucrose on erying in response to heel stab J Alison Rushfore Malcolm I Levene 390. Magnetic resonance imaging in tracheal compression by the innominate artery F de Baets, V van de Weghe, A Smet, e al 392 Near fatal ingestion of oil of cloves Gary Harmoll, David Moore, Danie! Douek ‘Types of psychiatric 394 (14) Child health surveillance for psychiatric disorder: practical guidelines treatment Jol Pearce Current topic 309 Physically handicapped schoo! leavers M Anne Chamberlain Personal practice 403 Management of mucopolysaccharidasis ype I AA Cleary, 7 E Wraith Letters to the editor 407 Book review 408, Archivist 360, 380, 387, 380 BM] PUBLISHING GROUP,Chicken scratches Erion, — Non-fatal self inflicted intended harm is commonly called “attemped suicide’ for parasuicide. ‘The rate of parasuicide was reported 10 be declining in the 1980s when compared with the 1970s.' In the last two cates there has been an increase in the rate bof suicide i older children The full extent of parasuicide behaviour in teenagers is not clear and a great proportion ‘of parasuieides do-not come to the notice of ‘ftcial agencies." Clinic studies on victims ‘of child sexual abuse report that there is a higher than normal association with parasui- side.* ‘The youngsters do-attempe. suicide methods that are more likely to be discovered ‘Chicken scratches’ isa new term used by tconaged girls for the lacerations and bruising fon the dorsal aspect of one or both hands figure). These are produced by the vigorous rubbing of a plastic ruler. Teenagers are ust ally secretive, protect their peers interest, and So tis dificult wo know how these injures ae intlcted and why they ate secking the aten- ton of other, Tes important to identify these very obs ous lacerations, which are not confined to the ARCHIVES OF DISEASE IN CHILDHOOD The Journal of the British Paadiaoric Association location of any major blood vessels, an could be dismissed as accidental injury. They are ‘common in girls who are withdrawn and are ‘not popular in ther clas, These girls do not have friends or adults with whom they can talk about their own problems and worries Once they are identified will be necessary to involve the child protection agencies early of to prevent disastrous consequences. KM SRIVATSA senate: Dermat re facts CIS ON 1 Pl, Hawn K, Kretman N; Fags J Foster} Recent clinical ait pademusiopest trends ih parasicide sn Edinbatg and Oxford le of 2 Tayler P)Burton K: Kolin | Sua! behavout in chikeen and adelocens, Racor afc: ginal cae Ne odon” Chae 3 Keinhone CWA, Woltes WHG, Dickstra REW ‘Owe EA study of she froqency of sued Ichaviour ia hldren age’ 11.9 Cd Pha Posen 1087s 6s, 1 nimi Ml, Be oskeC,Sexual shane, Otticers of Schools Association (MOSA) membership) than toa clinical medical officer ‘or rotating senior hose officer attached t0 ¢ State primary or comprehensive school. This is the 17th edition, the first was published in 1885, the Toth in 1985. Some of the phrasing used seems more applicable tothe 1890s than the 190s, The book contains sections on the respons bilities of school medical oficers, preventive medicine in schools including immunisation, physical and emotional development in child hood and adolescence, selected meical prob: emo, sectons on chikiren with special needs, school chid abuse, sports injuris, safety at ‘School and the largest section, 47 pages, on ‘communicable diseases including, AIDS. and exotica such as hepatitis Fand schistosomiasis, There are eight appendices including lists of notifiable diseases, suggested entry question- naires, advice to parents of boarding schoo! pupils, development and growth charts, the Education'School Premises Regulations 1981, and swimming pool disinfectants Most of the advice is sensible and orthodox, if in some sections brief tothe point of being incomplete. The easy to use layne wil ensure likely frequent use of the book by MOSA ‘members. The sections on alcoho, tobacco and drug misuse, especially the latter, are not ‘optimistic regarding prevention and not really helpful regarding established use. The section fn Sex includes a good summary of acceptable Procedures regarding prescription of contra- ‘eptives for girls and includes the perhaps unintentional restrictive advice that “ladies taking the contraceptive pill should not smoke’ There are only six pages on children with special news including one on eft children