{"title":"[Right and wrong ways to treat meningitis (author's transl)].","authors":"H Helwig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A brief survey of the last 200 years of diagnosing and treating meningitis is followed by a critical analysis and comparison of therapeutic results since the introduction of effective chemotherapy 44 years ago. This reveals nearly as good results during the early years as compared to nowadays. Modern age and pathogen dependent therapeutic regimes are discussed and valued. New ways of therapy are not yet generally necessary for the common causes of bacterial meningitis in childhood. The increasing resistance of some strains of H. influenzae or pneumococci, however, will necessitate the development of new antibiotics. Own experience and results in treating 76 patients with purulent meningitis are reported and compared with the literature, where pathogen or therapy dependent mortality is welldocumented but detailed data on follow-up studies are sporse.</p>","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"307-11"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40499647","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 Heine, F Grütte, K Wutzke, H J Stolpe, M Thiess, W Müller
{"title":"[Urea as a substrate for the intestinal flora of the infant (author's transl)].","authors":"W Heine, F Grütte, K Wutzke, H J Stolpe, M Thiess, W Müller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The significance of the relatively high urea content of mothers milk for infant nutrition was investigated using 15N urea as a tracer by oral loading tests and an in-vitro culturing of bifidobacteria. The urea level of 6 mother's milk specimens was found to be 295 +/- 49 mg/l. There was a distinct incorporation of 15N into the intestinal bacterial fraction following 15N urea loadings in 3 infants, receiving mother's milk and 2 cows milk formulas which contained 1.8 and 2.1% of protein. The incorporation rate did not differ between the single types of feeding. In contrast to these findings the 15N incorporation into the bacterial flora of an infant suffering from kidney insufficiency was about 30 times higher than in healthy infants. Bifidobacteria infants derived from the feces of a breastfed infant utilised 15N from 15N urea added to the culture medium in concentrations of 20 mg per 100 ml. After incubating the culture for 2 days at 37 degrees C the 15N-excess of nitrogen fraction of the bifidobacteria amounted to 0.47 atom-%. Urea therefore can directly serve as a substrate for bifidobacteria on mother's milk feeding.</p>","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"284-6"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40499643","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":"[The Roberts syndrome. Report of a case without anomaly of the centrometric region (author's transl)].","authors":"R A Pfeiffer, H Zwerner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"296-8"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40499644","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":"[The programmed physician: the obligation to give explanatory instruction in pediatric surgery (author's transl)].","authors":"H P Hümmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physicians and judges do not often have exactly the same conception of instructive explanation. Nevertheless, the pre-operative instruction of parents and persons under age has to follow the principles set by the jurisdiction. Compared to adult surgery, conditions are less complicated with pediatric patients. Nevertheless there is an increasing number of claims for damages, and liability proceedings, caused to some extent by incomplete knowledge of the legal situation. Proposals for improvement and prophylaxis are offered in this article.</p>","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"311-4"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40503182","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":"[The differential diagnosis of the unilateral by hyperlucent lung. Two case reports (author's transl)].","authors":"B Becker, D Reinhardt, G Irlich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The \"unilateral hyperlucent lung\" is a roentgenologic diagnosis based on an increased radiolucency of one lung. Aetiology and pathogenesis of this clinical syndrome are discussed together with two own case reports about a 9-year-old girl and a 3-month old boy. Anamnesis, bronchography, scintigraphy and angiocardiography in the girl revealed a Swyer-James syndrome, where typically only one lung is damaged by obliterating bronchiolitis. In the patient the pulmonary changes developed subsequently to a measles-pneumonia, possibly enhanced by an additional pollinosis. The 3-month old infant had a left-sided pulmonary artery hypoplasia and obstructive bronchitis in both lungs. Up to its 7th month of life the child developed sufficiently under conservative therapy, but then a life threatening pneumonia with obstructive bronchitis and respiratory failure occurred, 3 weeks of artificial respiration were without success. The subsequent pneumectomy revealed a hypoplasia of the left lung and a big tracheal cyst as cause of the severe obstruction.</p>","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"301-6"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40499646","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":"[Bivariate tolerance region for weight and length of newborns in view of diagnostic criteria (author's transl)].","authors":"G Makosch, H Ackermann, O Hövels","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"276-9"},"PeriodicalIF":0.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40499642","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":"[Sagrotan in infants and children?].","authors":"F Daschner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"241"},"PeriodicalIF":0.4,"publicationDate":"1982-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493923","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":"[Pseudoperitonitis diabetica--recapitulation of clinical picture and differential diagnosis, exemplified by an individual case report (author's transl)].","authors":"W Burger, W Biewald, B Weber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"200-6"},"PeriodicalIF":0.4,"publicationDate":"1982-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493916","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":"[Prognosis in childhood epilepsy after discontinuation of therapy (author's transl)].","authors":"C Förster, G Schmidberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>114 epileptic children were followed up after discontinuation of anticonvulsive therapy. Seizures recurred in 35 (30%). The relapse rate was high in psychomotor attacks and in combination of multiple seizure types. Only in psychomotor attacks was seizure frequency in relation to relapse. There also was a relation of relapse to mental and motor retardation, beginning puberty and onset of epilepsy between 3--7 years. The EEG before drug withdrawal was a poor prognostic criterium, worsening of EEG findings after drug withdrawal, however indicated an unfavourable outcome.</p>","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"225-8"},"PeriodicalIF":0.4,"publicationDate":"1982-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493919","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":"[Experience with an only carbohydrate limited diet among children with juvenile diabetes mellitus (typ I) (author's transl)].","authors":"H Kehrberg, H Arnd","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520712,"journal":{"name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","volume":" ","pages":"221-4"},"PeriodicalIF":0.4,"publicationDate":"1982-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493918","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}