Pädiatrie und Pädologie
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A growing number of physicians in everyday practice use homoeopathy not as an alternative but rather as a supplementation to conventional medicine. A whole number of trials concerning both basic and clinical research have given evidence of the efficacy of homoeopathy and of the way it works. ⋯ The evidence accumulated so far justifies the planning of further studies in collaboration between homoeopathic practitioners and clinicians. In order to achieve relevant results further studies have to be designed according to the principles of homoeopathy, especially the individual prescription of remedies.
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Pädiatrie und Pädologie · Jan 1992
[The painful hip joint in the child: differential diagnosis and therapy of coxitis fugax, Perthes disease and septic coxitis].
The differential diagnosis of a painful hip joint in children is important. Transient synovitis is frequently seen in children from 3 to 7 years of age with a short history of limping. The joint effusion is visualized by ultrasound. ⋯ Septic effusions are visualized by ultrasound. X-ray changes are absent in the beginning and are seen only in delayed cases. Early arthrotomy with scrupulous rinsing of the joint, followed by parenteral antibiotic treatment, is the treatment of choice.
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Pädiatrie und Pädologie · Jan 1991
[What do parents of patients with cystic fibrosis know about their children's disease? Assessment of knowledge using a questionnaire].
A standardized questionnaire was used to assess the knowledge about cystic fibrosis (CF) in 20 parents of our patients with CF. 15 questions about genetics, symptoms and treatment were asked, with each item scored as correct or incorrect. Parents correctly answered an average of 9.5 of the 15 questions. The knowledge test demonstrated good internal consistency (alpha = 0.77). ⋯ Internal consistency however amounted to alpha = 0.34 in treatment, alpha = 0.45 in symptoms and alpha = 0.67 in genetics. This study showed that knowledge of disease in parents of our CF-patients was generally good. However there were same deficits in the field of treatment.
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After an infection of the respiratory tract at the age of one a male infant showed progressive mental and physical retardation. Outstanding signs (e.g. baby doll face, startle reaction and frog position) as well as results of special investigations (cherry red spots of the maculae, short tubular bones) were suspicious for the presence of a lipidstorage disease, that could be identified as Tay-Sachs disease because of absent hexosaminidase A-activity in the patient's serum. Inspite the very low incidence of Tay-Sachs disease in our population, compared with a frequency of 1: 1200 in Ashkenzi Jews, the importance of establishing a diagnosis, based on typical clinical features and biochemical results, has to be emphasized. Genetic consultation is the only point of influence in positive family history, for attempts of causal therapy are not successful at present.
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Pädiatrie und Pädologie · Jan 1990
[Hepatitis B screening in pregnancy and simultaneous postpartum vaccination of newborn infants].
In this lecture the epidemiology of vertical transmission of Hepatitis-B-Virus in Austria is reviewed as well as strategies for prevention established in other countries in order to discuss a nationwide screening and immunisation programme.