RESUMEN
Advocacy for pediatric care ("Politische Kindermedizin") is an Austrian association of engaged pediatricians, aiming at identifying, analyzing and evaluating pressing issues of pediatric care and to suggest improvements to the responsible politicians. The aim was and is to achieve an improvement of pediatric care for children and adolescents in the sense of patient advocacy. The history and concerns of the initiative "Politische Kindermedizin" from 1997 until the present are presented.
RESUMEN
ITP in hemophiliacs may produce severe bleeding complications. We here report on an eight-year-old boy suffering from severe hemophilia A, who developed ITP and an acquired impaired immune function similar to AIDS. Steroid therapy reverted the thrombocyte count to normal, however it had to be discontinued because of a severe Cushing syndrome. The thrombocytopenia also responded to IgG-therapy and the patient is treated with a long term schedule according to Imbach. It is of interest that the impaired T-helper/T-suppressor cell ratio (0.45) improved to a value of 1.0 after initiation of this therapeutic regimen. We conclude from our observation that i.v. immunoglobulin therapy is of particular value for the treatment of ITP in patients with impaired cellular immunity.
Asunto(s)
Síndrome de Inmunodeficiencia Adquirida/terapia , Hemofilia A/terapia , Trombocitopenia/terapia , Síndrome de Inmunodeficiencia Adquirida/complicaciones , Niño , Síndrome de Cushing/inducido químicamente , Hemofilia A/complicaciones , Humanos , Inmunoglobulina G/uso terapéutico , Masculino , Prednisolona/efectos adversos , Prednisolona/uso terapéutico , Linfocitos T Colaboradores-Inductores/inmunología , Linfocitos T Reguladores/inmunología , Trombocitopenia/complicacionesRESUMEN
The indications for operation and results of antireflux-operation according to Leadbetter-Politano method are discussed in a retrospective evaluation of 80 children. Age of child, grade of reflux, cystoscopic findings of ureteral orifices and therapeutic success in treatment of urinary tract infection are the main criteria for the indication to surgical intervention. The operation was successful in 79 out of 80 children. Three of them needed a corrective operation. The number of postoperative complications was in accordance with results in the literature. The incidence of postoperative recurrence of urinary tract infection in 7.5% was relatively low.
Asunto(s)
Infecciones Urinarias/terapia , Reflujo Vesicoureteral/cirugía , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Métodos , Estudios RetrospectivosRESUMEN
The deviation of the physiologic lordosis of the lumbar spine is described in 40 cases of abdominal expanding lesions. One can find a lumbar kyphosis between L2 and L4 in retroperitoneal and a straightening between Th12 and L2 in intraperitoneal lesions. The evidence of a deviation of the lumbar axis is an indirect sign for further localisation of the tumor.