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  • Electronic Resource  (14)
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  • 1984  (14)
  • Children
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 14 (1984), S. 37-40 
    ISSN: 1432-1998
    Keywords: Fracture (calcaneus) ; Children ; Bone imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fractures of the calcaneus have been considered rare among children. We feel this may be erroneous since in the last 12 months we have seen 10 such fractures among children, 19 and 41 months of age, who presented with acute limping. The fractures were detected with bone imaging which was performed when initial radiographs were noncontributory. Subsequent radiographs of the calcaneus were positive for fracture in 4 of 10 while follow up radiographs confirmed healing fractures in the two children so evaluated. The sensitivity of bone imaging for the detection of occult fractures in toddlers is emphasized.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 14 (1984), S. 47-48 
    ISSN: 1432-1998
    Keywords: Ultrasonography ; Parathyroid ; Diagnosis ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The case of a young boy with primary hyperparathyroidism due to an adenoma is reported. The tumor was localized by ultrasonography, and a close correlation between the image and the surgical findings was found. Since primary hyperparathyroidism in children under 15 years of age is frequently due to adenomata larger than 1.5 cm it is suggested that ultrasonography of the neck should be included in the work-up of every children suspected to have this pathology.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 62 (1984), S. 1038-1043 
    ISSN: 1432-1440
    Keywords: Ambulatory blood pressure ; Children ; Family history ; Blood pressure variability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In 100 children of different school classes (10–12 years, participation rate ca. 50%) ambulatory blood pressure (BP) was recorded by a semi-automatic non-invasive device (Remler system). BP was measured every 1/2 h between 2 and 7.30 p.m. During each measurement the children protocolled their activity. These BP recordings were repeated five times at monthly intervals in 86 children. In the same children casual and near basal BP was determined. The mean ambulatory BP was 103/64±7/6 mm Hg. The average retest reliability of the monthly mean values wasr=0.57 for systolic andr=0.45 for diastolic BP. The variability of BP (standard deviation) was not reproducible. Data recording failed in 32% of all single systolic and in 42% of all single diastolic BP measurements. These drop-outs were caused by inappropriate use rather than technical problems. There was a relationship between procolled activities and systolic BP. On average, ambulatory BP was lower than BP under standardized conditions. Under all conditions, children with hypertensive parents exhibited a 6 mm Hg higher systolic BP than children without a similar family history. No sex differences were found.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric cardiology 5 (1984), S. 61-63 
    ISSN: 1432-1971
    Keywords: Endocarditis ; Group C streptococcus ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A 9-year-old boy with a ventricular septal defect and a bicuspid aortic valve developed bacterial endocarditis due to group C streptococci. He responded to an initial antibiotic regimen of nafcillin plus gentamicin and was cured by the use of penicillin G following the isolation of the organism. The unusual nature of this case is discussed and physicians are cautioned to recognize this organism as a potential cause of infectious endocarditis in the pediatric population.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 14 (1984), S. 94-101 
    ISSN: 1432-1998
    Keywords: Glycogen storage disease ; Adenomas ; Ultrasound ; Angiography ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report the ultrasound and angiographic features of adenomas occurring in children with glycogen storage disease. Seven cases from 83 patients were diagnosed either by ultrasound, preoperative angiography or during surgery. The lesions appear on ultrasound as multiple rounded intrahepatic masses. Their degree of echogenicity as well of vascularity on angiography is highly variable. Ultrasound is the modality of choice in detecting adenomas. No malignant degeneration was observed.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1076
    Keywords: Selenium ; Intake ; Children ; Phenylketonuria
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 20 healthy infants and children, 5–20 months old, the Se intake was estimated by analysing food samples by instrumental neutron activation analysis. The intake was calculated by weighing the portions offered and actually consumed. The median Se content of the food amounted to 27 ng/g wet weight (gww) and median daily Se intake to 33.5 μg. The Se intake was not equally distributed over the day. About 50% of the daily Se intake was derived from the supper. The main Se sources (41%) for young children were cereal paps. Commercially, available meals (30 ng/g) contained less Se than home-made ones (50 ng/g). In nine dietetically treated patients with phenylketonuria the median Se intake amounted only to 6.9 μg/day corresponding to a mean Se content of the diet of 7.9 ng/g. The main Se source in the diet was vegetables (36.3%) and 20% derived from their protein supplements. The Se intake of young children, healthy or dietetically treated, cannot be calculated accurately from tables but must be estimated by measuring the Se content of the local food because cereals and vegetables-the main Se sources-exhibit great regional variations.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-1076
    Keywords: BT-Paba test ; Serum ; Urine ; Cystic fibrosis ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Urinary recovery and serum determination of Paba were carried out in 48 control children (C) and 53 paediatric patients with cystic fibrosis (CF) divided into three classes by age. Ninety and 120 min after the ingestion of 15 mg/kg of BT-Paba and of a standard meal, serum Paba was determined. In the same subjects the percentage Paba recovery was measured in the urine collected during an 8 h period after the same administration of BT-Paba. Correlation between urinary and serum Paba values was higher in the older children in respect to the 0–2-year-old infants. A urinary Paba test was less sensitive and specific than a serum Paba test in the evaluation of exocrine pancreatic function. The best discrimination between C and children with CF, using the maximal value of serum Paba at 90 or 120 min (peak), was obtained in the younger infants (0–2 years old). BT-Paba test with serum Paba peak determination is recommended as a substitute for the classical urinary Paba test in the evaluation of exocrine pancreatic function in paediatric patients, especially in the younger infants.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1432-1076
    Keywords: CAPD ; Renal failure ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Eighteen infants, children, and adolescents were trained in the techniques of continuous ambulatory peritoneal dialysis (CAPD) as a therapy for end stage renal disease (ESRD) at the University of Florida. Fourteen patients successfully continued CAPD 4–24 months, for a total of 193 patient-months. Uremic symptoms were well controlled with blood urea nitrogen concentration (BUN) decreased to between 60 and 80mg/dl. Parathyroid hormone levels increased but roentgenographic evidence of osteodystrophy improved in most patients. The rate of peritonitis was one episode in 7.7 patient-months. Blood transfusion requirements decreased for patients transferred from in-center hemodialysis to CAPD with no significant decrease in average hematocrits. Caloric intake was adequate and anorexia was usually not a major problem. Children who were evaluated for growth were under 15 years of age, with bone ages less than 12 years, and were using CAPD for longer than 6 months. Their mean growth velocity was 74.7±20.4% (SD) of the predicted velocity.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-1076
    Keywords: Pesticides ; Fat tissue ; Children ; Mothers' milk intake
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Chlorinated hydrocarbon and polychlorinated biphenyl (PCB) concentrations were determined in adipose tissue from 34 infants, 14 children in the 2nd year of life, and 2 older children. The highest mean concentration detected during the first 2 years of life was for PCBs (0.67 ppm), followed by DDT (0.57 ppm), HCB (0.23 ppm), and HCH (0.15 ppm). Concentrations of HCB and PCB, which are especially characteristic of highly industrialised countries, were considerably higher in children of German mothers than in those of Turkish mothers. All single investigated values were lower than the mean values for adults in the Federal Republic of Germany, but many were still higher than mean concentrations for adults in other parts of the world. A breakdown into children with high mothers' milk intake and those with low intake showed a highly significant association with the quantity of mothers' milk consumed: the concentration of organohalogens in adipose tissue of children with high intake was significantly higher than in those with low intake. Two tasks urgently demand our attention: the development of further ways to reduce environmental sources of organohalogen contamination and the study of the possible pathogenetic effect of these organohalogens on the health of our children.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 143 (1984), S. 96-98 
    ISSN: 1432-1076
    Keywords: Children ; Ferritin ; Iron metabolism ; Transferrin ; Transferrin saturation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Serum iron, serum transferrin and transferrin saturation were studied in 253 healthy, non-anaemic children 4, 8 and 13 years old, and in 60 healthy, non-anaemic adults having serum ferritin values ≥15 μg/l. One hundred and ninety-six children had serum ferritin values ≥15 μg/l (i.e. replete iron stores), 35 had intermediate ferritin values from 10–14 μg/l and 22 had ferritin values 〈10 μg/l (i.e. depleted iron stores). Iron replete children showed a gradual rise in serum iron and transferrin saturation values with age. Serum iron and transferrin saturation values were lower (P〈0.001, P〈0.0001) and transferrin values high (P〈0.0001) in iron replete children compared to adults. Iron replete children had a 2.5 centile transferrin saturation value of 5%; 19.9% of these children had saturation values 〈15% and 8.2% had values 〈10%. In iron depleted children a transferrin saturation value 〈7% yielded the highest diagnostic efficiency as regards exhausted iron stores, although with a low predictive value of a positive test. The transferrin saturation is unsuitable as a single diagnostic criterion in the evaluation of iron deficiency in children and should always be combined with other indicators of iron status.
    Type of Medium: Electronic Resource
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  • 11
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 142 (1984), S. 89-92 
    ISSN: 1432-1076
    Keywords: Children ; Ferritin ; Haemoglobin ; Iron metabolism ; Transferrin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Iron status was assessed by measurement of serum ferritin (S-ferritin), transferrin saturation and haemoglobin (Hb) in 270 healthy Faroese children (153 ♂, 117 ♀) 4, 8 and 13 years old. There were no significant differences between the three variables in boys and girls. Geometric mean S-ferritin increased from 16 μg/l in 4-year-old children to 21 μg/l in 8-year-old (P〈0.01) and 25 μg/l in 13-year-old children (P〈0.05). Likewise Hb displayed a gradual increase with age (P〈0.001); the arithmetic mean Hb was 129 g/l in 4-year-old, 137 g/l in 8-year-old, and 143 g/l in 13-year-old children. Depleted iron stores (i.e. S-ferritin〈12 μg/l) were present in 21.5% of 4-year-old, and in 12.7% of 8 and 13-year-old children. Latent iron deficiency (i.e. S-ferritin〈10 μg/l and transferrin saturation〈10%) was found in 3.1% of 4-year-old and in 0.5% of 8 to 13-year-old children. None of the children had iron deficiency anaemia. A high dietary intake of animal protein probably explains the low prevalence of iron deficiency.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 143 (1984), S. 87-91 
    ISSN: 1432-1076
    Keywords: Acute hypertension ; Urapidil ; Children ; Central venous pressure ; Serum electrolytes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 19 infants and children with acute and severe hypertension following a cardiovascular operation urapidil infusion was started for treatment of the hypertensive crisis. In all patients blood pressure was effectively reduced within 15 min. The drop in systemic blood pressure was combined with a reduction of central venous pressure. Heart rate and urine volume remained unaltered. Serum electrolytes after 12–24 h therapy showed a slight but significant decrease in serum sodium and an increase in serum potassium concentration. In one case urapidil treatment had to be interrupted because of hypotension. In this case the urapidil therapy was tolerated later in lower doses. Serious side effects were not observed. In our experience urapidil can be recommended for the treatment of hypertensive crises in children.
    Type of Medium: Electronic Resource
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  • 13
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 52 (1984), S. 351-354 
    ISSN: 1439-6327
    Keywords: Anaerobic power ; Body weight ; Children ; Jumping ; Force platform
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The effects of external loading, in the form of small weights distributed evenly over the limbs and torso, on physical performance and power output have been studied during vertical jumping in 10 children and four young adults and the results compared with maximal cycling. The results show under control (unloaded) conditions the absolute peak power output ( $$\dot W$$ ) achieved by children and adults was 572 W (45%) and 765 W (25%) respectively higher in cycling than jumping. The addition of weights during jumping served only to increase this difference. External loading produced a linear decrease of $$\dot W$$ in both groups of subjects. The reduction in $$\dot W$$ was entirely due to a decrease of take-off velocity ( $$\dot V$$ T ). The relationship between $$\dot V$$ T and added weights (δwt) could be described by the equations: $$\begin{gathered} \dot V_T {\text{ (ms}}^{ - 1} {\text{) = 1}}{\text{.91 }} - {\text{ 0}}{\text{.042 }}\Delta {\text{wt (kg); }}r{\text{ = }} - {\text{0}}{\text{.96}} \hfill \\ {\text{(children);}} \hfill \\ \dot V_T {\text{ (ms}}^{ - {\text{l}}} {\text{) = 2}}{\text{.49 }} - {\text{ 0}}{\text{.021 }}\Delta {\text{wt (kg); }}r{\text{ = }} - {\text{0}}{\text{.99 }} \hfill \\ {\text{(adults) }}{\text{.}} \hfill \\ \end{gathered}$$ . Thus, contrary to the recent work of Caiozzo and Kyle (1980) which involved stair-climbing, body size and speed of movement in children and young adults would appear to be optimally matched for the production of lifting work during vertical jumping. External loading reduces the generation of power output immediately prior to take-off of a maximal jump from a force platform.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 470-470 
    ISSN: 1435-2451
    Keywords: Burn ; Female breast ; Children ; Treatment ; Verbrennungen ; Weibliche Brust ; Brustentwicklung ; Behandlung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Besonders bei Kindern sehen wir oft eine Verbrennung der vorderen Brustwand. Dies führt bei Mädchen zu oft erheblichen Störungen der Brustentwicklung, wie ausgedehnten Dislokationen, Unterentwicklung usw. Diese meist extremen Entstellungen können durch eine regelmäßige Kontrolle während der Wachstumsperiode weitgehendst vermieden werden. Hierbei können beginnende Deformierungen oder Narbenkontraktionen oft durch relativ kleine Eingriffe sofort aufgelöst werden, um damit eine natürliche Brustentwicklung zu gewährleisten.
    Notes: Summary We often see burn injuries to the anterior chest wall, especially in children. In female patients this will lead to problems in development of the breast, such as dislocations and underdevelopment. In most of these, extreme disfiguring can often be avoided by constant control during the growing period. This enables us to cure minor initial problems such as scar contracture and dislocation by comparatively minor operations so that natural breast development can take place. By these measures major procedures in adulthood can be avoided.
    Type of Medium: Electronic Resource
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