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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 76 (1969), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Type 1 diabetes ; diabetic children ; blood glucose profiles ; insulin ; C-peptide ; B cell
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Twenty-four hour profiles of plasma C-peptide an index of endogenous insulin secretion, were performed in 15 Type 1 (insulin-dependent) diabetic children. Plasma C-peptide was detectable in six children, of whom four (‘C-peptide producers’) had peak values above normal fasting levels. In each of the six children with residual B cell function, there was a close correlation between plasma C-peptide and simultaneous blood glucose (r〉 0.50, p〈 0.05). Post-breakfast peak blood glucose was 10.2 ± 1.7 mmol/l (mean ±SEM) in the ‘C-peptide producers’ and 18.7 ± 1.7 mmol/l in the 11 children with low or no detectable C-peptide. Mean M-value, an index of deviation from an ideal blood glucose, was lower in the ‘C-peptide producers’ (p〈0.05). It is concluded that residual functioning B cells in diabetic children behave physiologically in that insulin secretion fluctuates in accordance with the prevailing blood glucose; and that the pattern of action of injected insulin is more critical in non-C-peptide producers who lack the post-prandial dampening effect provided by residual endogenous insulin secretion.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 22 (1982), S. 497-497 
    ISSN: 1432-0428
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 16 (1979), S. 225-228 
    ISSN: 1432-0428
    Keywords: Diabetes children ; hospital admissions ; hyperglycaemia ; hypoglycaemia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In 1973 a children's diabetic clinic was established in Oxford. An analysis has been made of the effects this has had on the pattern of emergency admissions classified as severe hyperglycaemia (A), moderate hyperglycaemia (B) and hypoglycaemia (C). A comparison of the admission rate per “diabetic year” over the four years before and the three years after the children's clinic was established showed a significant decrease in admission rate for all hyperglycaemic admissions (p〈0.05). This decrease was shown to be mainly due to a reduction in admissions with severe hyperglycaemia (A) (p〈0.01), there being no significant change in admission rate for moderate hyperglycaemia (B). There was no significant change in admission rate for hypoglycaemia (C).
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1573-7195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Resumé Cette étude a été entreprise dans les populations rurales du nord de la Thaïlande, pour déterminer si la ligature des trompes pratiquée dans les quelques jours qui suivent l'accouchement, et associée à un retard du début de l'allaitement au sein, exerce une influence perturbatrice sur l'établissement normal de la lactation. La mise en train de lactation chez 12 mères de la région rurale du nord de la Thaïlande n'a pas été affectée par la retard apporté à réunir la mère et le nouveau-né après une intervention pour stérilisation tubaire au cours du post-partum, par comparaison avec un groupe de 8 mères en bonne santé et nouveaux-nés. Le volume du lait transmis à l'enfant, la fréquence des allaitements au sein et le temps total d'allaitement au sein ont été analogues aux jours 15, 45, 90, 180 et 360 après l'accouchement. Ce résultat laisse penser que ce type d'activité intense d'allaitement au sein par ce groupe de mères a une plus grande influence sur la longueur et le succès de la lactation que le contact précoce pendant la période du postpartum.
    Abstract: Resumen Este estudio se realizó para determinar en las poblaciones rurales del norte de Tailandia si la ligadura de las trompas practicada a los pocos días del parto, y asociada con un retraso del comienzo del amamantamiento, ejerce una influencia perturbadora sobre el establecimiento normal de la lactación. La lactación en 12 madres de la rgión rural del norte de Tailandia no se vio afectada por el retraso en reunir a la madre con el recién nacido tras una intervención para la esterilización tubaria durante el posparto, en comparación con un grupo de 8 madres y recién nacidos en buen estado de salud. El volumen de leche transferida al bebé, la frecuencia del amamantamiento y el tiempo total de amamantamiento fueron similares en los días 15, 45, 90, 180 y 360 después del parto. Este resultado hace pensar que este tipo de actividad intensa de amamantamiento por parte de este grupo de madres tiene una influencia mayor sobre la prolongación y el éxito de la lactación que el contacto precoz durante el posparto.
    Notes: Abstract This study was undertaken to see whether tubal ligation performed within days postpartum, and associated with a delay in the initiation of breastfeeding, exerts a disruptive influence on successfully establishing lactation among the rural population of northern Thailand. Lactational performance of 12 rural northern Thai mothers was not affected by the delay in reunion of mothers with their babies as a result of postpartum tubal sterilization procedure when compared with a group of 8 other healthy mothers and babies. The volume of breast milk transferred, frequency of breastfeeding and the total feeding time spent on the breast were similar on days 15, 45, 90, 180 and 360 postpartum. This finding suggests that the pattern of intense breastfeeding activity as practiced by this group of mothers has a stronger influence on prolonged and successful lactation than early contact in the immediate postpartum period.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Journal of behavioral medicine 10 (1987), S. 33-48 
    ISSN: 1573-3521
    Keywords: goals ; doctors ; health beliefs ; diabetes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Psychology
    Notes: Abstract Treatment failure is usually understood as a problem of patient compliance. This paper suggests another approach: to see this problem as resulting from a difference in the goals of the two parties involved, the doctor and the patient. Comparison was made between the goals of doctors and those of parents in treating children with diabetes. Significant differences emerged between the goals. Parents' goals of treatment were governed more by avoidance of the short-term threat of diabetes (hypoglycemia); doctors' goals more by the long-term threat of diabetes (diabetic complications). The outcome of treatment (diabetic control) was more closely related to parents' than doctors' goals of control. These results indicate that doctors and patients do not always share the same goals in treatment. It is suggested that a more effective clinical alliance would result if the goals of the clinical team were at least made explicit, even if they were not always shared.
    Type of Medium: Electronic Resource
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