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  • 1
    Electronic Resource
    Electronic Resource
    Follow up study of cow's milk protein intolerant infants (1992)
    Springer
    European journal of pediatrics 151 (1992), S. 783-785 
    Details
    ISSN: 1432-1076
    Keywords: Cow's milk protein intolerance ; Children-Food hypersensitivity ; IgE and RAST
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Over a period of 4 years, 88 infants with cow's milk protein intolerance (CMPI) were followed prospectively in order to evaluate the persistence of CMPI and its relationship between either serum IgE levels or RAST results for cow's milk. After exclusion of lactose intolerance, two positive cow's milk elimination challenge tests were considered diagnostic for CMPI. At the age of 1, 2, 3 and 4 years respectively, 85%, 78%, 49% and 33% of the children still were cow's milk intolerant. Initial serum values of IgE ≥10 kU/l indicated a late development of tolerance to cow' milk proteins. At the age of 4 years, 90% of infants with initial IgE levels 〈10 k U/l had become tolerant to cow's milk while this was the case for only 47% of infants with initial IgE levels ≥10 k U/l. Initial RAST results for cow's milk bore no obvious relationship to outcome.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01959091
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Cow's milk protein intolerance in infants under 1 year of age: A prospective epidemiological study (1993)
    Springer
    European journal of pediatrics 152 (1993), S. 640-644 
    Details
    ISSN: 1432-1076
    Keywords: Incidence of CMPI ; Infants ; Lactose intolerance ; Family history atopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Incidence and clinical manifestation of cow's milk protein intolerance (CMPI) were studied in 1158 unselected newborn infants followed prospectively from birth to 1 year of age. No food changes were required in 914 infants who were used as healthy controls. When CMPI was suspected (211 infants), diagnostic dietary interventions according to a standard protocol were performed. After exclusion of lactose intolerance, two positive cow's milk elimination/challenge tests were considered diagnostic of CMPI. Two hundred and eleven symptomatic infants were examined for possible CMPI. A large group of 80 infants improved on a lactose reduced formula. In 87/211 infants CMPI was excluded (sick controls). Finally CMPI was proven in 26 infants. The calculated incidence rate for CMPI was 2.8%. The principal symptoms in infants with CMPI were gastrointestinal, dermatological and respiratory in 50%, 31% and 19% respectively. A positive family history for atopy (first or second degree relatives) was more frequent in either CMPI infants (65%), or sick controls (63%) when compared to either healthy controls (35%) or infants improving on a low lactose formula (51%). Differences between patients with CMPI and sick controls were only found for the presence of atopy in at least 2 first degree relatives [(5/26 in CMPI infants and 4/87 in sick controls (P〈0.05)] and for multiorgan involvement [10/26 infants with CMPI as opposed to 12/87 in the sick control group (P〈0.02)]. These statistical differences are too weak to be of clinical value.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01955238
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The prevalence of Helicobacter pylori serum antibodies in children with recurrent abdominal pain (1992)
    Springer
    European journal of pediatrics 151 (1992), S. 799-801 
    Details
    ISSN: 1432-1076
    Keywords: Recurrent abdominal pain ; Children ; Helicobacter pylori ; Serum antibodies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract As part of a large, prospective study we investigated the prevalenceHelicobacter pylori serum antibodies in children with recurrent abdominal pain (RAP). All patients suffered from recurrent bouts of abdominal pain for at least 6 months and ranged in age from 6 to 12 years.H. pylori antibodies were detected using an enzyme-linked immunosorbent assay. The prevalence ofH. pylori antibodies in the RAP group was compared to that of a control group which consisted predominantly of pre-operative children. None of the control group suffered or had suffered from RAP. Antibodies toH. pylori were found in 7 of 82 (8.5%) RAP patients and in 2 of 39 (5.1%) control children. The latter difference is not significant and suggests that RAP is only rarely caused in children byH. pylori infection.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01957927
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Sedation for children undergoing magnetic resonance imaging: Efficacy and safety of rectal thiopental (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 820-822 
    Details
    ISSN: 1432-1076
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Abstract The need to reappraise sedation policy is dictated by newer noninvasive imaging modalities. In this study we evaluate the safety and efficacy of rectally-administered thiopental in children undergoing MRI. Eighty-three consecutive patients with congenital heart disease (mean age 2.9 years, SD 2.5) undergoing MRI evaluation of the heart were given thiopental (2.5–50 mg/kg, 700 mg max) per rectum. In order to prevent leakage, a female urinary catheter was used. In 79 patients (95.2%) successful sedation was achieved and adequate MR imaging could be obtained. In 4 patients (4.8%) the sedation was inadequate. Respiratory depression was not encountered in any of the patients. The presence of cyanotic congenital heart disease in 26 patients had no influence on the safety and efficacy of thiopental. All successfully sedated children were asleep within 30 min and adequate sedation was maintained for at least 45 min. All patients could be aroused within 90 min, and sent home thereafter. Minor side-effects occurred in two patients. Conclusion Rectally-administered thiopental is a safe and effective sedative drug with a duration of action tailored to performing MRI.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02002915
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 5
    Electronic Resource
    Electronic Resource
    McKusick-Kaufman syndrome: The diagnostic challenge of abdominal distension in the neonatal period (1992)
    Springer
    European journal of pediatrics 151 (1992), S. 583-585 
    Details
    ISSN: 1432-1076
    Keywords: McKusick-Kaufman syndrome ; Hydrometrocolpos ; Abdominal distension
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a newborn girl with McKusick-Kaufman syndrome who presented at birth with severe life-threatening abdominal distension due to hydrometrocolpos. In children with polydactyly and cystic masses in the lower abdomen should hydrometrocolpos be especially considered. Ultrasonography is of great value in the correct assignment of lower abdominal tumours, but should be completed by vagino(cysto)scopy when hydrometrocolpos is suspected.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01957727
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 6
    Electronic Resource
    Electronic Resource
    Sedation for children undergoing magnetic resonance imaging: efficacy and safety of rectal thiopental (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 820-822 
    Details
    ISSN: 1432-1076
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The need to reappraise sedation policy is dictated by newer noninvasive imaging modalities. In this study we evaluate the safety and efficacy of rectally-administered thiopental in children undergoing MRI. Eighty-three consecutive patients with congenital heart disease (mean age 2.9 years, SD 2.5) undergoing MRI evaluation of the heart were given thiopental (25–50 mg/kg, 700 mg max) per rectum. In order to prevent leakage, a female urinary catheter was used. In 79 patients (95.2%) successful sedation was achieved and adequate MR imaging could be obtained. In 4 patients (4.8%) the sedation was inadequate. Respiratory depression was not encountered in any of the patients. The presence of cyanotic congenital heart disease in 26 patients had no influence on the safety and efficacy of thiopental. All successfully sedated children were asleep within 30 min and adequate sedation was maintained for at least 45 min. All patients could be aroused within 90 min, and sent home thereafter. Minor side-effects occurred in two patients. Conclusion Rectally-administered thiopental is a safe and effective sedative drug with a duration of action tailored to performing MRI.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02002915
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 7
    Electronic Resource
    Electronic Resource
    Diagnostic value of ultrasound in children with recurrent abdominal pain (1990)
    Springer
    Pediatric radiology 20 (1990), S. 501-503 
    Details
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to investigate the diagnostic value of ultrasound in children with recurrent abdominal pain and to estimate the clinical relevance of rare organic causes of abdominal pain in these patients, we prospectively examined 93 children aged between, 5.5 and 12 years by means of abdominal ultrasound. In 3 patients (3.2%) an anatomic abnormality was detected, which could not account for the abdominal pain. We conclude that many organic abnormalities, that could be diagnosed by ultrasound, are clinically irrelevant as a cause of recurrent abdominal pain in children and therefore ultrasound does not significantly contribute to the diagnosis. However, ultrasound can still play a role in the work-up of children with recurrent abdominal pain in avoiding unnecessary radiologic X-ray procedures.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02011375
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    Paper (German National Licenses)
    Fulltext
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