{"title":"[Development studies during office hours].","authors":"P Schwartze","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 1-2","pages":"1-157"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12873811","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}
W Handrick, J Bennek, W Tischer, E Herrmann, D Hückel, F B Spencker, S Springer
{"title":"[Diagnosis, therapy and prevention of necrotizing enterocolitis in newborn infants].","authors":"W Handrick, J Bennek, W Tischer, E Herrmann, D Hückel, F B Spencker, S Springer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The necrotizing enterocolitis is a severe and frequently fulminant disease with a considerable mortality. The main event is the enteral septicemia. Only prompt diagnostics and adequate therapy permit the survival of the newborns. The most important aspects of signs and symptoms, diagnostics and therapy as well as course of disease and prophylaxis are delineated, whereas the problems of pathogenesis are excluded.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 4","pages":"289-94"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13084127","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}
{"title":"[Morbidity studies in children's nurseries].","authors":"I Passauer, M Haase, C M Augsten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1986-1988 the indices of absence morbidity taken from monthly reports of crèches were registered in 8 crèches of Dresden and were compared with the real total morbidity, which had been registered with help of a symptom catalogue for one year. The total morbidity amounted to more than the double of absence morbidity, the total of the illness days per case amounted to 8.42 days and the days of absence morbidity amounted 7.3. The description of infection groups with help of quarters (according to Adam) on the basis of the registered total morbidity showed differences with regard to: average illness period per case (children susceptible to infections: 9.33 d; children robust to infections: 6.82 d) and average recurrence period (children susceptible to infections: 15.7 d; children robust to infections: 78.2 d). Probable causes of susceptibility to infections and conclusions hence to be drawn.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 4","pages":"311-20"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13084130","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}
{"title":"[Development of the sense of smell, a review].","authors":"P Schwartze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pre- and postnatal development of human olfaction is described. Data from animal experiments a partially reviewed as a base for understanding of the results of olfactory testing of babies and children. In rat fetuses the vomero-nasal-organ is used as detector of molecules in the amnion fluid. The perinatal aeration of the nasal cavity allows the adequate stimulation of the olfactory epithelium. The early postnatal olfaction is a brainstem function; later the olfactory cortical area are used for the discrimination between odorants. There are only a few investigations about the olfactory function in childhood, so that the testing of olfaction for detecting abnormal brain developments is just in the beginning.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 5","pages":"339-44"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13104240","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}
{"title":"[Encephalomyocarditis syndrome].","authors":"P Fehlow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From 28 autopsy-cases with EMC, among them 10 with an age from 7 days to 16 years, had been none diagnosed clinically before. Typically we found an interstitial myocarditis and perivenous encephalitis with a preferred participation of the brain stem. Central failure was dominating cause of death. There were only 5 cases (3 adults) with meningitis. Myelitis was not found. Former cardiac, less often cerebral lesions are likely risks for the lethal event.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 4","pages":"321-6"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12822151","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}
{"title":"Perinatal events and further developmental outcome--assessment of a newborn's individual prognosis. 1. Neonatal period and results of an eight years' follow-up.","authors":"W Ihle, I Syllm-Rapoport, L Grauel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the prospective study described in this paper was to develop a prognostic screening method which permits to give an individual prognostic estimate for every newborn, with an accuracy acceptable for clinical purposes. In the following, the condensed data of the case histories as well as of the clinical and laboratory findings in 47 of initially 60 preterm and term newborns with and without cardiorespiratory distress were analyzed under two different aspects. In the first part, the general statistical relationships are presented in the followed up children, who were classified under various groups according to the clinical course during the first two years of life and to the developmental stage reached at the age of two and six years. It was shown that such a procedure will not suffice in clinical practice for the purpose of individual prognostic estimates. The analysis of the clinical classifications of the six-year-old children in comparison with their school performance at the age of eight years yielded a high accuracy of the previous clinical estimation.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 6","pages":"443-54"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12921435","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}
{"title":"[Physiology and physiopathology of postnatal pulmonary adaptation. 1: Physiology].","authors":"H Schwartze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the review consists of the help to understand the complex physiological mechanisms of the onset of breathing and the regulation of the respiration during the early newborn period. The lungs of the newborn contain nearly no alveoli. Postnatal formation of alveoli enlarges the gas exchange surface until the 20th year of life, the lung volume increases by a factor of 27. Immediately postnatal the aeration of the lungs is performed by several deep inspirations with breath hold and following crying. The fetal lung liquid is resorbed via both, lymph and blood vessels. Stability of the functional residual capacity is reached very rapidly. The inflation augmenting reflex and sighing support effectively this process. The significant importance of the surfactant for the successful begin of air breathing is described. Onset of respiration is combined with the decrease of the pulmonary arterial resistance and the remarkable increase of the pulmonary blood flow. The hypoxic response in the newborn is biphasic. An initial short hyperventilation is regularly followed by ventilatory depression. Neurophysiological causes are evident. Hyperventilation by inhalation of gas mixtures with higher CO2 concentrations is low, at least in preterm infants. The causes are believed to ly in the limitation of the efficiency of the respiratory muscles. Peripheral chemoreceptors in the glomus caroticum and in the bronchial mucosa, stretch receptors in the bronchial muscles, and muscle spindles in the intercostal muscles are functioning in newborns as well as in preterm infants.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 5","pages":"345-54"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13104134","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}
S Wiersbitzky, E H Ballke, R Bruns, P Dammenhayn, S Winkler, H Wiersbitzky, F Heydolph, E Abel, U Dorn
{"title":"The eosinophilic granulocyte count in the respiratory secretions of children with chronic nonspecific respiratory diseases.","authors":"S Wiersbitzky, E H Ballke, R Bruns, P Dammenhayn, S Winkler, H Wiersbitzky, F Heydolph, E Abel, U Dorn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We performed cytologic evaluations of 6116 nasal and/or bronchial smears from 4510 patients (average age: 7.6 years; 3 months--17 years) suffering from different kinds of chronic nonspecific respiratory diseases (CNSRD); in 137 children (average age: 4.8 years) undergoing bronchologic examinations under general anesthesia we compared the findings with those for bronchoalveolar lavage (BAL). Nasal smears of 77 healthy children at a day care center (control group) were analysed four times per year for \"significant secretory eosinophilia\" (SEE; i.e. more than 13% eosinophils). We found: 1. Healthy children do not have such \"SSE\" in contrast to children with CNSRD who show different frequencies of \"SSE\" depending on the age of the child and the specific kind (diagnosis) of CNSRD. 2. 4.6% of infants (first year of life) were found to have SSE with a statistically significant correlation to increase in the following 10 years up to 50% of all children (p less than 0.001). 3. We found SSE in 4.41% of cases with relapsing bronchitis, in 7.14% (8.3% resp.) with chronic bronchitis, in 6.49% (9.2% resp.) with relapsing or chronic obstructive bronchitis and in 46.05% (55.3% resp.) with bronchial asthma (p less than 0.001). 4. The intensity of obstructive symptoms (nose: rhinitis; bronchus: dyspnoea) did not correlate with the number of eosinophils in the secretions. 5. Only the smear cytograms (nose/bronchus) enabled us to detect \"SSE\" whereas BAL cytograms were too insensitive (p less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 5","pages":"381-8"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13104137","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}
W Handrick, W Tischer, J Bennek, M Domula, D Hörmann, M Borte
{"title":"[Bacterial bone and joint infections in childhood--a review. 4. Subacute and primary-chronic osteomyelitis, rare forms of osteomyelitis].","authors":"W Handrick, W Tischer, J Bennek, M Domula, D Hörmann, M Borte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is an overview of the most important aspects of pathogenesis, etiology, diagnostics, therapy and differential diagnostics of the subacute and primary chronic osteomyelitis in children. This group of disease includes Brodie's abscess, plasma cellular osteomyelitis, sclerosing osteomyelitis (Garré) and the chronic recurrent multifocal osteomyelitis. The treatment of children with these not completely understood diseases requires a close cooperation between pediatricians, pediatric surgeons and radiologists.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 5","pages":"421-31"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13104142","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}
{"title":"[Hirschsprung-Galant infantilism].","authors":"P Fehlow, F Walther","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Report about a 17 1/2 year-old girl with severe mental retardation, dwarfism, hypogenitalism and short segment type of HIRSCHSPRUNG's disease, abortive SMITH-LEMLI-OPITZ syndrome is supposed. Literature about etiology and genetics of HIRSCHSPRUNG's disease is reviewed.</p>","PeriodicalId":19624,"journal":{"name":"Padiatrie und Grenzgebiete","volume":"30 3","pages":"245-52"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13224207","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}