MPPH syndrome: two new cases.

This report describes 2 additional cases of megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome, a recently recognized disorder of infants and young children with macrocrania, developmental delay/mental retardation, and often epilepsy. Medulloblastoma, a previously unreported feature in megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome, developed in one child at 3 years of age. Although the disorder is presumed to be genetic, the cause of megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome has not yet been determined.

Infants and children with hearing loss need early language access.

Around 96 percent of children with hearing loss are born to parents with intact hearing, who may initially know little about deafness or sign language. Therefore, such parents will need information and support in making decisions about the medical, linguistic, and educational management of their child. Some of these decisions are time-sensitive and irreversible and come at a moment of emotional turmoil and vulnerability (when some parents grieve the loss of a normally hearing child).

What happens after we identify intimate partner violence? The family physician's perspect.

Background And Objectives: Despite increased emphasis on asking about intimate partner violence (IPV), little data exists on patient outcomes. We surveyed family physicians in New Hampshire and North Carolina to determine rates of asking about IPV, patient outcomes after disclosure, and changes in the doctor-patient relationship as a result of patient disclosure.

Methods: Active members of the New Hampshire and North Carolina Academies of Family Physicians were surveyed.