Declining antibody levels after hepatitis B vaccination in Down syndrome: A need for booster vaccination?

We determined the anti-HBs titer in 227 children of all ages with Down syndrome (DS). Only 48.1% (95%CI: 35.

[Severe obstipation due to eating unshelled sunflower seeds].

In two boys aged 13 and 6 years respectively obstipation and a paradoxical diarrhoea developed four days after consumption of unshelled sunflower seeds. The cause was impaction of the unshelled sunflower seeds in the rectum. Both patients required general anaesthesia to remove the sunflower seeds via proctoscopy.