Search results for "perinatology and child health"
showing 10 items of 1747 documents
Interventionelle Behandlung von Neugeborenen mit Pulmonalatresie und intaktem Ventrikelseptum durch Eröffnung der Pulmonalklappe oder Stentimplantati…
1996
Die chirurgischen Moglichkeiten fur Neugeborene mit Pulmonalatresie und intaktem Ventrikelseptum bestehen in der Etablierung eines adaquaten pulmonalen Blutflusses und, wenn moglich, in der Eroffnung des rechtsventrikularen Ausflustrakts. Die Patientenauswahl fur eine pulmonale Valvulotomie mit oder ohne Anlage eines systempulmonalarteriellen Shunts hangt vom Vorliegen eines rechtsventrikularen Ausflustrakts und der Morphologie der rechten Kammer ab. In den letzten Jahren sind neue Herzkathetertechniken entwickelt worden, die eine Eroffnung und nachfolgende Ballondilatation der atretischen Klappe oder ein Stenting des Ductus arteriosus erlauben. Wir berichten uber unsere Erfahrungen mit die…
Zuverlässigkeit einer neuen Fixierungstechnik für orogastrale Ernährungssonden bei Früh- und Termingeborenen
1999
Eine teilweise Verlegung der Nase beim Fruh- und Termingeborenen erhoht den Atemwegwiderstand mit moglichen negativen Auswirkungen auf Gasaustausch, Atemarbeit und Atemregulation. Eine etablierte Technik zur Fixierung oraler Sonden fehlt bislang. Sonden werden daher im Regelfall nasogastral gelegt. Die Zuverlassigkeit einer neuen Fixierungstechnik fur orale Sonden wurde bei 11 Fruh- und Termingeborenen prospektiv uber einen Zeitraum von 1 Monat gepruft. Bei 7 von 11 Patienten trat keine Dislokation vor dem geplanten Sondenwechsel nach 3–4 Tagen auf. Bei 3 Patienten dislozierte die orale Sonde jeweils 1mal vorzeitig. Nur bei einem 15 Wochen alten Patienten dislozierte die Sonde wiederholt vo…
Estreñimiento funcional: estudio prospectivo y respuesta al tratamiento
2005
Objetivo: Analizar la prevalencia del estreñimiento funcional asociado o no a encopresis, los factores implicados en su desarrollo y la respuesta al tratamiento. Pacientes y métodos: Estudio prospectivo de 62 niños en el que se incluyó cuestionario estándar (edad de comienzo, hábito higiénico, encopresis, complicaciones, encuesta dietética y factores psicológico-ambientales) y exploraciones clínica y antropométrica. Se definió estreñimiento funcional a la frecuencia de defecación inferior a 3 veces/semana con heces voluminosas o escíbalos, acompañado o no de 2 manchados/semana, sin causa orgánica. El tratamiento incluyó desmitificación, corrección de hábitos y fármacos (lubricantes y senósi…
UROEPITHELIAL DEFENSE IN CHILDREN WITH URINARY TRACT INFECTIONS (UTI)
1985
It is well accepted that obstructive uropathy causes UTI.In patients without urological anomalies a host defense defect of the uroepithelial cells (UEC) may result in increased susceptibility to bacterial infections.Even in patients with vesicourethral reflux (VUR) and recurrent UTI the postulated defense mechanism may be impaired since a significant proportion of these patients still suffer from UTI after surgical therapy.Therefore the influence of UEC on bacterial growth was investigated in 5 groups of children: healthy donors,children with neurogenic bladder due to myelomeningocele (MMC),patients with asymptomatic bacteriuria (ABU;without obstructive uropathy) and patients with VUR after…
Klinische Bedeutung des Hepatitis-B-Virus-DNS-Nachweises im Serum von Kindern mit chronischer Hepatitis B
1992
206 sera from 172 children with chronic hepatitis B infection were tested for HBV DNA by dot blot hybridization. 111 were positive and 95 negative for HBV DNA. 103 (78.6%) of the positive patients had HBeAg and 5 (7.7%) anti-HBe. In 60 (92.3%) of the anti-HBe positive sera no HBV DNA could be detected. Children with elevated liver enzymes had HBV DNA in 80.1%, whereas in 71.6% of the chronic HBsAg carriers with normal liver enzymes no HBV DNA was found. In 87 of the 95 dot blot negative patients polymerase chain reaction was performed. 73 (83.9%) children of this group were HBV DNA positive. All HBeAg positive patients and those with elevated aminotransferases had HBV DNA in their serum. 56…
Dissociation mémoire de travail-vitesse de traitement chez les enfants intellectuellement précoces au travers de deux études de cas
2012
Resume Recemment, il a ete montre que les differences developpementales observees en memoire de travail tenaient en grande partie a une augmentation de la vitesse de traitement de l’information avec l’âge. La litterature rapporte tres souvent que les enfants intellectuellement precoces ou a haut potentiel intellectuel presenteraient une avance developpementale par rapport a leurs pairs de meme âge. Cette avance se situerait principalement dans les fonctions sous controle du cortex prefrontal. Le but de cette recherche est d’illustrer au travers de l’etude de deux cas d’enfants intellectuellement precoces, la variete des profils pouvant etre observes dans cette population. En fait, malgre un…
Parental Monitoring and Youth's Binge Behaviors: The Role of Sensation Seeking and Life Satisfaction
2019
Framed within an ecological perspective of the onset of adolescent problem behaviors, the current study explored the joint role of parent-adolescents’ relationships and youth's individual factors in binge eating and drinking. Firstly, in line with pieces of research highlighting the beneficial impact of effective parenting on youth development, the present paper sought to enhance the knowledge about the positive influence of parental monitoring on youth's binge drinking and eating. Moreover, since literature evidenced that the explanatory mechanisms of the association between parental monitoring and binge behaviors are not fully explored, the study focused on the potential intervening role …
Le nouveau-né prématuré : un modèle pour l'étude du développement du comportement alimentaire
2008
La naissance prematuree est exemplaire pour comprendre les evenements les plus precoces de la formation des comportements alimentaires. La succession des modes d’alimentation pour subvenir aux besoins nutritifs de l’enfant (alimentation continue ou discontinue ; passive par sonde ou active au sein/biberon ; lait humain ou artificiel ; alimentation par mere ou soignants) ponctue en effet les etapes de la coordination succion-deglutition-respiration et sa capacite a reguler ces evenements. Le contexte particulier des prises alimentaires, peu propice a l’exposition a la variete sensorielle (en particulier chimiosensorielle), croise avec les singularites des pratiques parentales, compose la tra…
National-Level Wealth Inequality and Socioeconomic Inequality in Adolescent Mental Well-Being: A Time Series Analysis of 17 Countries
2020
Purpose: Although previous research has established a positive association between national income inequality and socioeconomic inequalities in adolescent health, very little is known about the extent to which national-level wealth inequalities (i.e., accumulated financial resources) are associated with these inequalities in health. Therefore, this study examined the association between national wealth inequality and income inequality and socioeconomic inequality in adolescents' mental well-being at the aggregated level. Methods: Data were from 17 countries participating in three consecutive waves (2010, 2014, and 2018) of the cross-sectional Health Behaviour in School-aged Children study. …
The Health Risks of Electronic Cigarettes Use in Adolescents
2020
The evidence to date suggests that vaping is not a safe alternative to smoking tobacco. This, coupled with the worrying trend of young nonsmokers being attracted to vaping, raises fears of yet another generation suffering from chronic lung disease and other acute and chronic health conditions. Finally, due to the insufficient regulations in several countries, up-to-date data on the prevalence of e-cigarette use and studies on the health's implications of their use are urgently needed to inform policy at a national and international level (ie, European Union). Pediatricians are typically on the front line for identifying emerging risks for children and adolescents ; therefore, they may effec…