{'fraction_non_alphanumeric': 0.03087690407575134, 'fraction_numerical': 0.026348291477974475, 'mean_word_length': 5.198979591836735, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Fatal tension pneumopericardium in a ventilated neonate

Recent findings strongly repudiate that hundreds of apathetic refugee children in Sweden were malingering (1). The Ministry for Migration and Asylum 2004–06 regarded this ‘phenomenon’ as a group reaction in asylum-seeking families where illness could be of benefit. It is not a traumatic reaction since ‘the cases described in the international literature do not include refugees or ethnical minorities’!? – Medicalisation would stimulate psychic contagiousness and hospital care makes the condition worse. No guidelines or diagnostic criteria were established so the care and development of the knowledge was complicated. Little has been added since 2005 (2). Hopelessness, helplessness and time unpredictability in the family can make a child react with depression-withdrawal progressing to life-threatening stupor. Hospitalization was anyhow asserted to be the likely cause and media’s attention then caused a psychic contagion. A total of 224 children were, however, taken ill before the intense media coverage 2004. Media supposedly created the breeding ground for the alleged epidemic but certainly triggered society’s rejecting attitude that was re-traumatizing for the vulnerable refugees. The regrettable lack of proper references precludes the investigation of the relative importance of various possible pathogen factors. In 2006, the UN criticized Sweden for not offering medical care to ‘those children, associated with the asylum process who experience severe withdrawal symptoms’ (3). Neither the child and adolescent psychiatry nor the National Board for Health and Welfare in Sweden can claim to embrace a satisfactorily wide scientific or ethical stance to the ‘apathetic asylum children’. This stresses the importance of the loyalty of the individual healthcare worker to medical ethics! References 1. Aronsson B, Wiberg C, Sandstedt P, Hjern A. Asylum-seeking children with severe loss of activities of daily living: clinical signs and course during rehabilitation. Acta Paediatr 2009; 98: 1977–81. 2. Bodegård G. Pervasive loss of function in asylum-seeking children in Sweden. Acta Paediatr 2005; 94: 1706–7. 3. Hunt P. Human Rights Centre, University of Essex, Colchester, UK in Visit to Sweden of UN Special Rapporteur on the Right to the Highest Attainable Standard of Health. 21 January 2006. UN General Assembly 2007 Report No A/HRC/ 4/28/Add.2.