Padiatrie und Grenzgebiete最新文献

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[Electrocardiography in pediatrics. 1: Critical considerations of methods and experimental findings]. 儿科心电图学。[1]对方法和实验结果的关键考虑。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
H Schwartze, T Eifrig, K Ridwelski, E Maneck
{"title":"[Electrocardiography in pediatrics. 1: Critical considerations of methods and experimental findings].","authors":"H Schwartze,&nbsp;T Eifrig,&nbsp;K Ridwelski,&nbsp;E Maneck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of experimental cardiology are reported on the basis of the electrophysiology of the heart. The QRS complex of the ECG, representing the spread of excitation through the ventricles, is used as an example to reflect the physiological and pathological events of the heart. The limitations of this example arise from the uncorrected recordings of the potential differences from the body surface. The need to use corrected lead systems is pointed out. The most commonly used FRANK lead system is extremely sensitive to the inaccurate positioning of lead points on the thorax. Evidence for this drawback is given by experimental findings in infantile and juvenile rats. It is clear that inaccurate positioning of electrodes is especially crucial in small subjects. A fundamental criticism of the FRANK lead system used in growing subjects is the impossibility of eliminating the errors caused by the changing geometry of the thorax of children of different ages. Improvement of the physical correction of ECG recordings in children for the purpose of reliable diagnostics is vital.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 1","pages":"27-41"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Circumcision for prevention of penis and cervix cancer? Results of a parent survey]. [包皮环切术预防阴茎和子宫颈癌?家长调查的结果]。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
B Kleinteich
{"title":"[Circumcision for prevention of penis and cervix cancer? Results of a parent survey].","authors":"B Kleinteich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of questioning young parents--582 by direct questioning and 624 by questionnaires--about their knowledge of male circumcision are presented. 61% of those directly questioned and 24% of parents polled by questionnaire did not know what circumcision means. The older the parent and the higher their professional qualifications, the greater their knowledge. Reasons for circumcision were divided into four categories: surgical, hygienic, prophylaxis of cancer and cosmetic. Health education about genital hygiene and circumcision is necessary.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Congenital syphilis]. (先天性梅毒)。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
C Kurzke, W Handrick, R Schille, U Nietzschmann, R Blatz
{"title":"[Congenital syphilis].","authors":"C Kurzke,&nbsp;W Handrick,&nbsp;R Schille,&nbsp;U Nietzschmann,&nbsp;R Blatz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Four infants with Lues connata, three with the early stage of the disease (patients 1-3), are reported. Diagnosis was made after exclusion of other diseases. Initially an infectious disease was expected, since anemia, leucocytosis, thrombocytopenia, hepatomegaly and/or splenomegaly and a bad condition were found. In two patients bone structure was abnormal. Elevated serum concentrations of liver enzymes (ALAT, ASAT) were the indication for liver biopsy in one patient, in whom an accompanying hepatitis was diagnosed. Treatment was performed with penicillin, no JARISCH-HERXHEIMER reaction was observed. The Lues tests were negative during pregnancy but a displacental transfer of pathogenic agents could be assumed. Patient 4 was diagnosed at 9 months of age. Infection of the mother probably occurred in the last 6 weeks of pregnancy. It can not be decided if the baby has a connatal or acquired Lues. The titer decrease of the CMT-test after the end of the penicillin therapy is a marker for a successful treatment. If treatment was started at 2 years of age a total clinical recovery can be expected. The case reports demonstrate that negative Lues test during pregnancy do not exclude Lues connata in newborns. The Lues diagnosis should be considered if an infectious disease in a newborn can not be diagnosed. A general Lues serodiagnostic test is recommended in all newborns before they leave the obstetrics department.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Help for behaviorally disordered children and their families]. [帮助有行为障碍的儿童及其家庭]。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
G Biermann
{"title":"[Help for behaviorally disordered children and their families].","authors":"G Biermann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>1. A comprehensive survey is given on the divergence of opinions on child education in this century. 2. The aim of this survey is to find out the causes of children's behavioral disorders using psychoanalytical methods. 3. The factors of behavioral disorders occurring in families today are discussed. 4. Conclusions for psychoprophylaxis and -therapy of behavioral disorders of children are drawn. They describe the important roles of parents, pediatricians and psychologists and the social responsibilities of the family of a child suffering from a behavioral disorder.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 1","pages":"3-19"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Electrocardiography in pediatrics. 2: Recommendations for a newly introduced recording and evaluation procedure]. 儿科心电图学。[2]对新引入的记录和评价程序的建议。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
R Kluge, E Maneck, T Eifrig, S Sikorra, H Schwartze
{"title":"[Electrocardiography in pediatrics. 2: Recommendations for a newly introduced recording and evaluation procedure].","authors":"R Kluge,&nbsp;E Maneck,&nbsp;T Eifrig,&nbsp;S Sikorra,&nbsp;H Schwartze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ECG recordings were made by means of a modified NELSON-lead system in a total of 100 children aged between 2 weeks and 59 months. Software developed by ourselves served for on-line calculations of the dipole moment D which is graphically represented by vector loops in three projection planes, horizontal, frontal and sagittal. In addition, the maximum spatial vector Dmax and the mean vector A are calculated by the program. The examination of one child including positioning of 20 electrodes and production of a hard-copy of the results takes no longer than 15 minutes. The children were unsedated and awake when the ECGs were recorded. The results show the continuously growing dipole moment and its gradually changing direction from the right posterior or left anterior to the left posterior quadrant in parallel with the growth of the body and the heart, respectively. The smallest vector magnitudes and smallest vector loops of the dipole moment are measured in the youngest infants (0-2 months) while very high voltages in conventional ECGs of infants are regularly seen, predominantly in the precordial region. Two examples of pathological NELSON-ECGs are reported. One case is a boy aged 4 years 10 months with aortic supravalvular stenosis, the other one is a girl aged 4 years 3 months with pulmonic valve stenosis. These cases demonstrate the excellent suitability of this noninvasive method as a diagnostic tool for pediatric cardiology.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 1","pages":"43-56"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experience in management of diminished growth in adolescent Turner's syndrome patients. 青少年特纳氏综合征患者生长迟缓的处理经验。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
U Tuschy
{"title":"Experience in management of diminished growth in adolescent Turner's syndrome patients.","authors":"U Tuschy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim in the management of patients with Turner's syndrome, besides substitution of sexual steroids, is the attempt to improve their final height. The data allow therapeutic recommendations, which, however, realize only the first intention. The final height, indeed, cannot be improved by traditional methods. Further two alternatives remain to be tested: long time low dose estrogen therapy, and high dosed HGH application.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 2","pages":"123-30"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12478944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Results of studies with the Meyer-Probst Encephalopathy Questionnaire in children with normal behavior]. 【行为正常儿童Meyer-Probst脑病问卷研究结果】。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
B Kleinteich, R Simeit
{"title":"[Results of studies with the Meyer-Probst Encephalopathy Questionnaire in children with normal behavior].","authors":"B Kleinteich,&nbsp;R Simeit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To diagnose encephalitis the 'Encephalitis-Fragebogen (E-F)' by Meyer-Probst is a valid instrument. The authors tested a large number of children without unadaptive or neurotic behaviour (4.5 to 11.9 years) with this instrument to define new standards. Parts of the results are presented. There are very significant differences between boys and girls. Considering the age, different standards are necessary only for boys. Using these new standards it is possible to avoid misinterpretation.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 2","pages":"107-12"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transepithelial potential difference in the bronchial system of children with chronic bronchitis and bronchial asthma. 慢性支气管炎和支气管哮喘患儿支气管系统的经上皮电位差。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
E H Ballke, S Wiersbitzky, A König, K Jährig
{"title":"Transepithelial potential difference in the bronchial system of children with chronic bronchitis and bronchial asthma.","authors":"E H Ballke,&nbsp;S Wiersbitzky,&nbsp;A König,&nbsp;K Jährig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 45 children with chronic non-specific respiratory diseases (CNSRD), 18 with bronchial asthma and 27 with relapsing or chronic bronchitis, the transepithelial potential difference (tpd) was measured in the tracheobronchial system (bronchoscopy under general anaesthesia). The statistical variation in the tpds was highly significant. In asthmatics with significant eosinophilia in the bronchial secretions of the main bronchus we found a tpd of 26.5 (+/- 8.5) mV and in bronchitics a tpd of 18.2 (+/- 6.3) mV. This suggests that the presence or absence of eosinophils in the secretions, the products of intermediate cell metabolism or different pathogenetic processes, could be responsible for the variety of change in the tpd measured in the respiratory tract.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 2","pages":"103-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of N-acetyl-cysteine (Mucosolvin) on the transmural potential difference of the mucosa in children. n -乙酰半胱氨酸(Mucosolvin)对儿童粘膜跨壁电位差的影响。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
E H Ballke, S Wiersbitzky, B Mahner, A König
{"title":"The effect of N-acetyl-cysteine (Mucosolvin) on the transmural potential difference of the mucosa in children.","authors":"E H Ballke,&nbsp;S Wiersbitzky,&nbsp;B Mahner,&nbsp;A König","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mucosa of the respiratory and gastrointestinal tract produces an active transepithelial (or transmural) electric potential difference (tpd), which can be measured (in millivolts, mV). In CF-children receiving oral N-acetyl-cysteine treatment, the tpd of the buccal mucosa is largely the same as that in non-CF-children; the tpd of the nasal mucosa is significantly higher in CF-children. Given orally, N-acetyl-cysteine also provokes a significant decrease in the rectal mucosa tpd in CF-children. We suggest the effect is caused either by an osmotic effect of N-acetyl-cysteine (local), and/or by alteration of the factors regulating basal electrolyte transport/conductance of epithelia (chloride secretion? leaky junction?).</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 2","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12478945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Differential evaluation of a study of children with normal behavior with the Meyer-Probst Encephalopathy Questionnaire]. [使用Meyer-Probst脑病问卷对行为正常儿童的差异评价]。
Padiatrie und Grenzgebiete Pub Date : 1992-01-01
B Kleinteich, R Simeit
{"title":"[Differential evaluation of a study of children with normal behavior with the Meyer-Probst Encephalopathy Questionnaire].","authors":"B Kleinteich,&nbsp;R Simeit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To define new standards for the 'Enzephalopathie-Fragebogen' by Meyer-Probst the authors tested a large number of children (n = 2841) without unadaptive or neurotic behaviour (4.5 to 11.9 years). The results of the total scale were published in an earlier article. The findings of the specific scales prove significant differences between boys and girls with respect to the scales hyperactivity, social adaption, emotional instability and educability. Considering the age, different standards are necessary for boys only. The results published here differ from those of Meyer-Probst.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"31 2","pages":"113-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12479719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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