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  • 1
    Electronic Resource
    Electronic Resource
    Haematuria in an adolescent due to bladder carcinoma (1988)
    Springer
    European journal of pediatrics 147 (1988), S. 328-329 
    Details
    ISSN: 1432-1076
    Keywords: Haematuria ; Bladder carcinoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 14-year-old boy had a 6 month history of recurrent macroscopic haematuria. A papillary non-invasive transitional cell carcinoma of the bladder was found at cystoscopy and treated by transurethral resection. In comparison to adults, bladder carcinoma is a rare cause of haematuria in children who appear to have a favourable prognosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00442709
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  • 2
    Electronic Resource
    Electronic Resource
    Neonatal hypertension and cardiac failure (1995)
    Springer
    European journal of pediatrics 154 (1995), S. 148-149 
    Details
    ISSN: 1432-1076
    Keywords: Key words Newborn ; Heart ; failure ; Hypertension ; Renovascular
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two newborn infants developed cardiac failure due to severe hypertension which was recognised as the heart failure was treated. Renal abnormalities were found in both infants who are normotensive off treatment at 18 months follow up. The finding of hypertension rather than hypotension in the presence of cardiac failure and the apparent absence of a cardiac abnormality should prompt a search for a renal or renovascular cause.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050266
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  • 3
    Electronic Resource
    Electronic Resource
    Intussusception nephrosis and Drash syndrome (1991)
    Springer
    European journal of pediatrics 150 (1991), S. 813-814 
    Details
    ISSN: 1432-1076
    Keywords: Intussusception ; Nephrotic syndrome ; Drash syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 6-month-old female infant presented with intussusception. Post-operatively she was noted to have nephrotic syndrome. The oedematous bowel wall may have been the cause of the intussusception and this has not been previously described. In addition her karyotype was XY suggesting her nephropathy was associated with Drash syndrome.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02026719
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  • 4
    Electronic Resource
    Electronic Resource
    Antenatally detected urinary tract abnormalities: changing incidence and management (1998)
    Springer
    European journal of pediatrics 157 (1998), S. 508-511 
    Details
    ISSN: 1432-1076
    Keywords: Key words Ultrasound ; Urinary tract abnormalities ; Antenatal
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To define the incidence of urinary tract abnormalities detected by antenatal ultrasound and assess changes in postnatal management we conducted a retrospective survey using data bases of the nephro-urology unit, obstetric ultrasound and perinatal pathology departments. The birth population (105,542) of the two Nottingham teaching hospitals between January 1984 and December 1993 was divided into two 5-year cohorts, 1984–1988 and 1989–1993. Detailed fetal scanning at 18–20 weeks gestation was introduced in 1989. During this 10-year period, 201 abnormalities of the urinary tract were noted with a 2:1 male to female ratio. The incidence of abnormalities in the first 5 years was 1 in 964 compared to 1 in 364 in the last 5 years. There was a significant increase in the number detected before 20 weeks gestation (12% in 1984–1988 compared to 62% in 1989–1993). Despite the increased incidence of abnormalities detected, the termination rate remained static between the two 5-year cohorts. Only 3 fetuses had intra-uterine intervention and 173 were live-born. Eight infants subsequently died in association with other major congenital abnormalities. The incidence of transient abnormalities (antenatal dilatation with no abnormality noted on postnatal ultrasound) increased from 6% in 1984–1988 to 18% in the 1989–1993 cohort. A more conservative approach to postnatal management is reflected by 71% of infants having operations between 1984 and 1988 compared to 35% in 1989–1993. Conclusion The advent of detailed fetal scanning at 18–20 weeks gestation has significantly increased the detection rate of urinary tract abnormalities with no significant increase in pregnancy termination rates. The need for antenatal intervention is a rare event and most problems can be managed conservatively both pre- and postnatally.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050865
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  • 5
    Electronic Resource
    Electronic Resource
    Neonatal hypertension and cardiac failure (1995)
    Springer
    European journal of pediatrics 154 (1995), S. 148-149 
    Details
    ISSN: 1432-1076
    Keywords: Newborn ; Heart failure ; Hypertension ; Renovascular
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two newborn infants developed cardiac failure due to severe hypertension which was recognised as the heart failure was treated. Renal abnormalities were found in both infants who are normotensive off treatment at 18 months follow up. The finding of hypertension rather than hypotension in the presence of cardiac failure and the apparent absence of a cardiac abnormality should prompt a search for a renal or renovascular cause.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01991920
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Distress and radiological investigations of the urinary tract in children (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 684-687 
    Details
    ISSN: 1432-1076
    Keywords: Key words Radionuclide imaging ; Radiology ; Psychology ; Emotional ; stress
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The distress associated with radiological investigations may be related to the information and style of parental explanation given to the child and the parents own coping style. In a questionnaire survey we assessed distress in relation to investigations of the urinary tract using the Groningen Distress Rating Scale and the Utrecht Coping List. We found the micturating cystourethrogram (MCUG) to be significantly more distressing than radionuclide investigations. MCUG distress was adversely correlated with passive and palliative parental coping styles. Results suggested that cognitive coping styles modelled by the parents ameliorated distress on dimercaptosuccinic acid scintigraphy. Conclusion The high level of MCUG associated distress and presence of traumatised children in the MCUG sample, along with the potential for parental contribution to distress reduction, suggests that both children and parents would benefit from more active preparation programmes prior to MCUG testing.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01957153
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  • 7
    Electronic Resource
    Electronic Resource
    Preventing loss of nasogastric tubes in the critically ill. The ‘nasal lasso’ improved (2003)
    Oxford, UK : Blackwell Science Ltd
    Anaesthesia 58 (2003), S. 0 
    Details
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2044.2003.03154_22.x
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  • 8
    Electronic Resource
    Electronic Resource
    Fibroepithelial polyp of the ureter in childhood (1991)
    Springer
    Pediatric surgery international 6 (1991), S. 378-379 
    Details
    ISSN: 1437-9813
    Keywords: Polyp ; Ureter ; Childhood
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a case of fibroepithelial polyp of the ureter, a benign mesodermal tumour, that is rare, especially in the paediatric age group. The success of conservative management with renal preservation for this benign condition is emphasised.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00178664
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  • 9
    Electronic Resource
    Electronic Resource
    Gastrostomy buttons for nutritional support in children with cystinosis (2000)
    Springer
    Pediatric nephrology 14 (2000), S. 833-836 
    Details
    ISSN: 1432-198X
    Keywords: Key words Cystinosis ; Gastrostomy button ; Nutritional support
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Poor growth in children with cystinosis may be a combination of sub-optimal nutritional intake, gastrointestinal dysfunction and polypharmacy. We report our experience with gastrostomy buttons (GBs) in five children (4 male) with cystinosis treated at a median age of 3 years (range 1.4–8.8 years). All children received overnight GB feeding for a mean duration of 27 months (range 7–42 months). During 135 patient-months of observation, the mean life of the GB was 5.7 months (range 3–7.7 months), with a mean of 3.4 GB changes (range 1–6) per patient. An average of five (range 3–7) medications were administered daily via the button. The mean energy intake achieved was 118% of the estimated average requirement (range 86%–183%), with 58% of total energy and 55% of protein intake being delivered via the GB during the study period. Mean height standard deviation score (SDS) was –3.79 at the start of GB feeding and –3.08 at the end of the study period, with mean weight SDS of –3.79 and –2.17 (P=0.042), respectively. The buttons have been welcomed by the families and should be considered as a treatment option for providing the nutritional prescription and administering medications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004670000318
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  • 10
    Electronic Resource
    Electronic Resource
    Non-compliance and transfer from paediatric to adult transplant unit (2000)
    Springer
    Pediatric nephrology 14 (2000), S. 469-472 
    Details
    ISSN: 1432-198X
    Keywords: Key words Non-compliance ; Adolescence ; Transplantation ; Transition
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Adolescents and young adults appear to be a particularly high-risk group for problems of non- compliance and associated graft loss. We reviewed the progress of 20 young adults (9 female) who had been transferred to three different adult centres at a mean age of 17.9 years (range 15.7–20.9 years) having been transplanted at a mean age of 14.3 years (range 9.6–18.1 years) in the paediatric unit. Eight transplants failed within 36 months of transfer, and in 7 of 20 (35%) the transplant failure was unexpected (3 〈12 months, 3 12–24 months, 1 31 months post transfer). Although many of the patients had recognised problems in family dynamics, only 1 had had a major rejection episode prior to transfer due to admitted non-compliance. In 3 others low cyclosporin levels had been noted. Two young men had been transplanted pre-emptively in the paediatric unit at 15.3 and 16.7 years, and 3 patients had been transferred to the adult unit via the recently established transition clinic. The results suggest that close attention needs to be paid to this group of patients who require ongoing education and support. Improved dialogue between staff of the paediatric and adult units about transition issues is also essential.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004670050794
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