ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb15011.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Abstract.Piepsz, A., Bormans, J., Segers, A., Noterman, J. and Decostre, P. (Departments of Paediatrics, Radioisotopes and Neurosurgery, University Hospital, Brussels, Belgium). Value of brain scanning in pediatric subdural collections. Acta Paediatr Scand, 64:2, 1965.–Eighteen children with subdural collections were submitted to brain scintigraphy. By this method, idopathic and post‐traumatic hematomas were detected in 40% of the cases, and subdural effusions in 70% of the cases. No false‐negative results were noted in the 3 cases of empyema. Several false‐positive images were recorded, most of them following purulent meningitis, without any satisfactory explanation. Neither the technique of scintigraphy used in the department, the dimensions of the skull, the age of hematoma, nor the presence of membranes seemed to affect the accuracy of the method. Compared with the other easily performed examinations (eye fundus, EEG, Echo), scintigraphy still remains important in the diagnosis of subdural collections in c

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb04373.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17577.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17578.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe concepts and goals of a program in adolescent medicine should include development of a capability to focus on current health needs of youth in a variety of settings; to plan clinical services to meet those needs with the flexibility necessary to respond to changing future requirements; and to deliver service within such a context while simultaneously creating a milieu conducive to education and investigation into the very process and definition of adolescence.The Division of Adolescent Medicine at Montefiore Hospital and Medical Center was designed 7 years ago to fulfill these goals and consequently may serve others as a functional model for health care delivery to teenagers. The Division is comprised of: (1) a 37 bed in‐patient unit; (2) a hospital‐based ambulatory program including general diagnostic and follow‐up services, as well as a specialty service capability in the areas of gynecology and family planning, cardiology, gastroenterology and nutrition; (3) primary care health services within teenage detention and prison facilities; (4) addictive disease diagnostic and treatment programs; (5) school health programs from intermediate school through college levels, and (6) the division also performs supportive and consultative functions for a variety of community‐based agencies. Within the programatic design approximately 70,000 adolescents have been served.The cornerstone of the educational and investigative efforts has been the concept that all of the above six functional units are clinical laboratories and classrooms so that training and research activities are integral parts of each of the service areas.This program design is continually undergoing revision and refinement so as to remain ever‐responsive to new and emerging problems to meet additional training demands and, most importantly, to permit and encourage creativity, and growth among patients

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17579.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Abstract:One hundred and six dye curves recorded by earpiece densitometry in shunt‐free children were analysed with respect to the spatial relationships between the forward triangle and the area under the total primary dye curve. It is suggested that the relationship between these two areas, the forward triangle factor, should be 0.32 for studies in children with the use of dichromatic earpiece densitometr

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb15007.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Abstract:Earpiece densitometry was performed in 60 infants and children with left‐to‐right cardiovascular shunts. The method was found to possess a high diagnostic sensitivity with respect to identification of the left‐to‐right shunt. Earpiece densitometry was in this respect clearly superior to conventional method using oxygen saturation figures. Quantitation of pulmonary blood flow by both densitometric and oxygen content technique in a small number of patients indicates that the dye dilution technique gives values somewhat in excess of the Fick method. It is concluded that quantitation of the magnitude of the left‐to‐right shunt and pulmonary blood flow is disturbed by the fact that indicator material is recirculated before the ascending limb of the primary curve is full

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb15008.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17580.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17581.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

ABSTRACTAlthough migraine has been considered in the past to be uncommon in children and adolescents, there is mounting evidence that it is not, and that it produces significant childhood morbidity. However, the clinical picture varies from case to case, and often from attack to attack in the same patient. Stress plays a most important role in triggering attacks of this familial disease, and the physician must be aware of this if his treatment is to be successful. In adolescent girls, falling estradiol plasma levels are apparently important in triggering attacks of migraine associated with menstruation. In an attack, the initial vasoconstrictive phase, mainly intracranial gives way to a vasodilative phase, mainly extracranial, which results from withdrawal of the vasoconstrictive support from the extracranial arteries which is normally provided by serotonin. The plasma level of the latter drops sharply during an attack, and its excretion product, 5‐hydroxy‐indole acetic acid, appeals in increased amounts in the urine.Laboratory investigations, after a most careful, detailed history, and physical examination, should include an EEG, skull films and possibly a brain scan. Management includes prophylactic measures, both environmental and pharmacologic, and treatment of the attack itself, where promptness is the watchw

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1975.tb17583.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY