Kinderärztliche Praxis
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Kinderärztliche Praxis · Dec 1993
[Use of the Glasgow Coma Scale in pediatric craniocerebral trauma].
Over five years the applicability of a modified Glasgow Coma Scale was analysed in 38 children (mean age 7.2 +/- 3.8 years) with head and associated injuries (47.4%). The score was estimated after the accident and in the course of intensive therapy. At the beginning of the treatment on the intensive care unit, the cases were staged according to the severity of the head injuries (Glasgow Coma Scale: 4-8, 9-12 and 13-19 points). ⋯ Over 13 points, all patients had a shorter duration of treatment (10.8 +/- 8.8 days) and a quick and good recovery. The Glasgow Coma Scale has the advantage of an examination with a quantitative analysis and resulting effective diagnostic and therapeutic measures. Even the inexperienced physician can use the Glasgow Coma Scale with success at the site of the accident.
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Kinderärztliche Praxis · May 1993
[Quo vadis--infant nutrition in the European Community? A comment on the guideline of the EC Commission on initial infant and subsequent nutrition].
The new European Community guidelines on infant nutrition formulas, their contents and their declaration, effective since January 1993, do not indicate a scientifically sound progress in infant nutrition. Several of the contents listed (i.e. carbohydrates) may be of potential risk to health. In the future, European paediatricians will have to occupy themselves more concisely with the contents of marketed infant formulas. Individual solutions may have to be found for some patients.
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Cold agglutinins are antibodies against erytrocyte membrane antigens, and are produced primarily or secondarily. We report on the case of a 5 year old girl who developed cold agglutinin disease 3 days after an attack of German measles. ⋯ The occurrence of cold agglutinins after German measles is rare. The case report is discussed within the context of reports in the literature.
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Kinderärztliche Praxis · Jun 1992
[Effect of air pollutants on the health of the Annaberg district population with special reference to acute respiratory tract diseases].
From 1978 to 1988 in the district of Annaberg (Saxony, state frontier to Czechoslovakia) investigations were accomplished to assess the state of health in people living there. The southern part of the district rises to a crest (Saxon Ore Mountain). It is influenced by air pollution from Northern Bohemia. ⋯ In the town Annaberg (urban air pollution) the frequency of absence of children from school caused by acute respiratory infections was elvated in relation to the rural parts of the district, but there were no differences among these rural parts. In the polluted area the severe stages of cardiorespiratory diseases were passed through with evident acceleration. In healthy adults living there the mean values for immunoglobulins of class A and class M tended to be elevated, and in school children the antibody titers against influenza A and B were increased.
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Kinderärztliche Praxis · May 1992
Review[Role of the school in vaccination and prevention of infection].
628 pupils from both the northern and southern parts of West Germany (Baden-Württemberg, Bavaria, Lower Saxony, Schleswig-Holstein) were interviewed via an "infectious diseases" questionnaire: 44 questions dealt with vaccination (vaccination history, opinions of efficiency of different vaccines), 38 with problems concerning AIDS/HIV. The results indicated significant lack in the acceptance of most of the common immunisations. Improvement of AIDS/HIV-information, especially on HIV-transmission and psychosocial, economical and political consequences seems to be necessary. Possibilities of future health education for pupils are discussed.