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  • Attitude of health  (1)
  • Cholestasis  (1)
  • Congenital defects  (1)
  • 1
    Electronic Resource
    Electronic Resource
    “Acquired” congenital diaphragmatic hernia (1987)
    Springer
    European journal of pediatrics 146 (1987), S. 440-441 
    Details
    ISSN: 1432-1076
    Keywords: Hernia ; Diaphragmatic ; Abnormalities ; Congenital defects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of late presentation of left congenital diaphragmatic hernia (CDH) in a boy of 9 months is reported. A chest X-ray taken after (premature) birth gave normal results; hence this type of CDH is called “acquired”. Not being associated with pulmonary hypoplasia, this condition is difficult to diagnose. The patient presented as an emergency and the initial diagnosis was tension pneumothorax. This resulted in the insertion of a chest tube, fortunately without damage to the herniated stomach and spleen. Doubling upward of the tip of the nasogastric tube led to the correct diagnosis. After successful repair of the diaphragm the child made a full recovery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00444961
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Staff attitudes towards continuation of life-support in newborns with major congenital anomalies (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 783-786 
    Details
    ISSN: 1432-1076
    Keywords: Key words Ethics ; medical ; Intensive care ; neonatal ; Life-support care ; Attitude of health ; personnel ; Quality of life
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study was conducted to gain insight into the attitudes of medical staff towards life-support of newborns with life-threatening problems, seen against the background of these children’s expected morbidity and quality of life. The opinions about the mode of life-support were determined by questonnaires and the demographic characteristics of the respondents were noted. Each patient’s risk of mortality was scored by means of the standardized Paediatric Risk of Mortality Score (PRISM). Attitudes towards support were unanimous for 39 of the 46 patients. For the other 7 patients at least one of the respondents preferred a different support mode than that given at the time. The attitudes were influenced by the patient’s risk of mortality. Conclusion Decisions about life-support of newborns with life-threatening problems should include all the disciplines involved in patient care and should be made at an early stage.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02002907
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Total parenteral nutrition associated cholestasis: A predisposing factor for sepsis in surgical neonates? (1990)
    Springer
    European journal of pediatrics 149 (1990), S. 351-353 
    Details
    ISSN: 1432-1076
    Keywords: Cholestasis ; Immune system ; Neonatal ; Septicaemia ; Total parenteral nutrition
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Of 496 neonates and infants less than 1 year of age admitted to the paediatric surgical intensive care unit (PSICU) over a 5 year period (1983–1987), 94 required total parenteral nutrition (TPN) for more than 14 consecutive days, generally due to congenital anomalies of the digestive tract. Cholestasis occurred in 15 of them and 12 of these patients developed sepsis. In contrast, of the 79 patients on TPN that remained free from cholestasis, only 23 developed sepsis. The mortality rate for the TPNAC-group was substantially higher than for the group without TPNAC. It is suggested that development of TPNAC might lead to impairment of non-specific cellular immunity in neonates.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02171565
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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