{"title":"[The EEG of patients with tetralogy of Fallot with and without hypoxemic seizures].","authors":"S Wässer, P Schneider, B Henne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electroencephalograms were recorded of 135 children with TOF. They were normal in 51%, slightly disturbed in one-third, and severe disorders were seen in 16% of patients. Although not statistically significant, cyanotic spells tend to be associated with more severe impairment of the bioelectrical brain function. As far as patients develop additional neurological complications, these result in severe electro-encephalographic changes. Thus, electroencephalographic findings suggest early corrective surgery.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 9-10","pages":"297-301"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12458844","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":"[Clinical importance of Helicobacter pylori infections in childhood].","authors":"M Radke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Within the last ten years an increasing number of Helicobacter pylori-related inflammatory gastroduodenal diseases in children has been reported. The aim of this paper is to describe the range of Helicobacter pylori infections in children including diagnosis and treatment by application of colloidal bismuth salts.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 9-10","pages":"265-8"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12464568","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":"[Vaccination--duty and voluntary consent].","authors":"B Stück","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High mass inoculation rates--e.g. against measles, mumps and rubella or German measles--are mandatory in highly industrialised countries to keep circulation of wild strains of viruses as low as possible. In the GDR this was achieved, inter alia, by compulsory vaccination. Although compulsory vaccination is possible in the FRG as well, in accordance with the Federal Epidemics law, it needs a special ordinance requiring to be approved by the Federal Council. This, in turn, will be forthcoming only if there is an incidence of infectious diseases occurring in a malignant form of if it is to be expected that they will be spreading in the manner of an epidemic. Experiences gathered in other European countries (France, Italy) and in the U.S.A. have shown that success of compulsory vaccination depends on early control. Examples in individual Federal Laender and in England prove that high mass inoculation rates can be achieved even without compulsion if there is close cooperation between practising paediatricians and Public Health services.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 9-10","pages":"273-5"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12464569","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}
T Richter, C Vogtmann, P Schüler, K E Ruckhäberle, K Beyreiss
{"title":"[Rate of intrauterine growth retardation at the Leipzig Perinatal Center comparing the years 1982 to 1984 with 1987 to 1989].","authors":"T Richter, C Vogtmann, P Schüler, K E Ruckhäberle, K Beyreiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Referring to the number of all live-born children, hypotrophic newborn (IUGR) were classified at the Centre for Perinatal Care in Leipzig into two periods of time. Based on the 5th Kyank-percentile 6.5% hypotrophic newborn were classified into period A (1982-1984) and 5.0% hypotrophic newborn were classified in period B (1987-1989). The proportion of hypotrophic newborn with a birth weight < 2500 g amounted to one quarter of all infants (except multiple birth) with low birth weight in period A and to one fifth (20.7%) in period B. The decrease in the rate of hypotrophy in these infants affected nearly exclusively the mature ones. The number of infants with extreme intra-uterine growth retardation amounted to 29% (99 in 329) in period A and to 24% (58 in 238) in period B. The rate of hypotrophy in stillbirths decreased from 44% to 33%. In this process the proportion of extremely hypotrophic stillbirths amounted to 47% in period A, whereas it decreased to only 26% in period B.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 9-10","pages":"281-4"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12464571","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":"[Arteriovenous fistula of the blood vessels of the neck--a rare differential diagnosis of venous hum in childhood].","authors":"T Scholbach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a case report it is shown that in rare circumstances there might be an extracardial organic cause for heart murmurs sounding accidentally. In a child with the finding of a venous hum an arterio-venous fistula between the right common carotid artery and the right internal jugular vein could be demonstrated by colour-coded echocardiography. The clinical relevance of this finding is discussed.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 9-10","pages":"291-3"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12464574","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}
D Schramm, I Sander, J Frenzel, M Rappsilber, H Bräunlich
{"title":"[The renal effects of dopamine therapy in premature infants in the first week of life].","authors":"D Schramm, I Sander, J Frenzel, M Rappsilber, H Bräunlich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is known that Dopamine therapy induces loss of water and sodium on the first or second days of life. On the other hand, no studies have been published on renal function under long-term therapy. In our study we could prove an altered excretion of water and sodium as well as fractional sodium excretion in preterm infants who received dopamine for at least the first week of life. Conclusions for clinical practice are drawn.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 8","pages":"243-5"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639973","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":"[Determination of exocrine pancreatic function in childhood with the pancreozymin-secretin test].","authors":"T Richter, D Müller, H Senger, K Beyreiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pancreatic function can only be determined exactly via the pancreozymin-secretin test. We conducted this test in two versions: (1) under conditions of continuous perfusion with the possibility of volume correction and (2) as a simple tubing. We compared the results of 86 tubings with the results of 87 examinations under perfusion. For that purpose all patients were classified into four groups: group a) with 46 and 10 examinations, respectively, in patients suffering from cholestasis in early infancy, group b) with 7 and 12 examinations, respectively, in older patients with liver diseases, group c) with 8 and 17 examinations, respectively, in patients suffering from cystic fibrosis or Shwachman's syndrome and group d) with 25 and 48 examinations, respectively, in children with normal pancreatic function. Both examination methods nearly identical mean values of the enzyme activities in all four patient groups. However, mean variations were found to be higher in case of tubing. Therefore the lower limits (x - 2s) of this test were defined at a lower level than those of the tests under perfusion.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 8","pages":"226-9"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12457120","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":"[Local corticosteroid therapy in childhood].","authors":"M Wiesner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Various dermatoses require the application of topical glucocorticoids (gc) already in childhood. There are mostly inflammatory and frequently chronic skin diseases. In necessary long-term therapy the risk of topical and/or systemic side effects increases. This depends among others on special features of the children's skin, the potency of the gc and the mode of application. To avoid side effects, variations of a discontinuous therapy and so called weak gc should be used.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 8","pages":"223-5"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639402","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":"[Hypohidrotic ectodermal dysplasia as the cause of recurrent hyperthermia in a young infant].","authors":"A Dittmer, T Erler, A Gurski, P Müller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fever--the most frequent symptom of diseases in children--points diagnostically to an infection. We report on a child who presented with recurrent high fever of unknown origin. Infectious diseases could be excluded. During a general medical checkup the results of repeated pilocarpine iontophoresis attracted attention by the minimal secretion of sweat. The diagnosis of hypohydrotic ectodermal dysplasia could be confirmed by dermal biopsy since all integumentary appendages were missing. Only 300 cases of this rare hereditary dysplasia can be found in the literature.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"60 8","pages":"239-42"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639404","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}