which patients will understand, and record infor mation which is useful to the patient as well as to professionals. Rather than inhibiting record keeping this would result in an enriched record and improved patient care. Teaching doctors how to write such records should become an important element in undergraduate and postgraduate education and offers a particular challenge to psychiatry. It is a challenge which should be taken up sooner rather than later. BALDRY, M., CHEAL, C., FISHER, B. et al(l986) Giving patients their own records in general practice: experience of patients and staff.

Abstractsclassical description. The Multiple Sleep Latency Test (MSLT) was grossly abnormal in all them. Hypocretin was absent in the one child investigated. Autoimmune screen was negative in all. One child was treated for H1N1 and 2 had the H1N1 vaccine prior to onset of symptoms. Conclusion The key to early diagnosis and treatment is recognition of the condition. The videos highlight the facial features and other symptoms that are clues to narcolepsy (Pentad of narcolepsy). Rapid progression is possible related to H1N1 exposure. Objective Clinical observation of traditional chinese massage combined with music therapy to improve lower limbs' range of motion (ROM) and to reduce score of composite spasticity scale (CSS) in children with cerebral palsy (CP). Methods Traditional chinese massage was performed to children with CP, such as to attack vital points of DU meridian, to tonify qi of kidney and slpeen, pinching massage, footplate massage, and segmental massage. Background music was played at the same time. Course of treatment was 30 days. ROM of ankle-joint and hip-joint, score of CSS was measures before and after the treatment. Results 286 children with CP paticipated. 106 cases showed significant effect (37.40%), 172 cases showed progress (59.16%), and 8 cases had no-effect (2.84%). Significant improvement were found after treatment for ROM of ankle-joint (before: 105.64±12.66; after: 76.58±9.89), and ROM of hip-joint (before: 119.89±25.47; after: 158.99±18.66) (P <0.01). Score of CSS was significantly lower after treatment (before: 12.39±2.56; after: 7.069±2.97) (P <0.01). Conclusion Traditional chinese massage combined music therapy can regulate qi and blood, solute muslce contracture and spasm, so as to rectify scissors gait and talipes, to improve gross motor function of children with CP. It is a therapy of convenience, economy and benefit. CLINICAL STUDY OF CHINESE MASSAGE COMBINED SCALP ACUPUNCTURE THERAPY OF CHILDREN WITH AUTISMdoi:10.1136/archdischild-2012-302724.1523 Z Liu. Cerebral Palsy Rehabilitation Centre of Nanhai Hospital for Women and Children, Affiliated to Guangzhou University of Chinese Medicine Guangdong China, Foshan, ChinaObjective Assessing the efficacy scalp acupuncture therapy for autism of children. Methods We selected the 70 cases of autism children followed the random number method to divide the cases scalp acupuncture therapy group (30 cases) and structured control group (40 cases). The treated group with activating brain and opening orifices scalp acupuncture therapy, nordoff-robbins therapy and structured teaching, the control group with Nordoff-Robbins therapy and. We used the Clancy Autism Behavior Scale, Childhood Autism Behavior Scale, Autism Behavior Checklist, Gesell Development scale to assess the result before and after treatment, and adopted the blind method to evaluate the results. Results 1.In the same treatment time, the therapy group is better than the control group. 2. Comparing among the treatment group, the older group and younger group, there have significan...