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[Drug and alcohol abuse in children and adolescents--attempt at determining the current status. 3: Sociologic aspects and strategies for intervention]. [儿童和青少年滥用药物和酒精————试图确定现状。3:干预的社会学方面和策略]。
Pub Date : 1991-01-01
H Seipelt

The preventive and therapeutic strategies should be determined by considering sociobiological factors and the great plasticity of the juvenile individualities causing the type of dealing with the alcohol and drug abuse problems. Already in the elementary school an enlightening and the attitude to drugs and alcohol influencing instruction should be given. Later on the therapeutic ways become more and more complex. Main methods in the efforts against alcoholism should be the suggestion of own decision ability and the induction of ideas of positive life aims and values.

预防和治疗策略应考虑到社会生物学因素和青少年个性的巨大可塑性,导致处理酒精和药物滥用问题的类型。早在小学就应该对吸毒和酗酒的态度进行启蒙和影响教学。后来的治疗方法变得越来越复杂。戒酒的主要方法应是提高自我决策能力和引导积极的人生目标和价值观。
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引用次数: 0
[Complex oral rehabilitation of children with cleft lip-jaw-palate]. 唇腭裂儿童复杂口腔康复[j]。
Pub Date : 1991-01-01
R Florin

The prerequisite for the full oral rehabilitation and social adaptation of cleft palate patients is a consistent, comprehensive care system, providing a well organised integration of preventive and interceptive measures, as well as close cooperation between the various specialised disciplines. Preventive stomatological care should begin in infancy.

腭裂患者的全面口腔康复和社会适应的先决条件是一个一致的,全面的护理体系,提供一个组织良好的预防和拦截措施的整合,以及各专业学科之间的密切合作。预防性口腔保健应从婴儿期开始。
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引用次数: 0
[Two-year health-education for students: effects on serum lipids]. 学生两年健康教育:对血脂的影响。
Pub Date : 1991-01-01
V Schlegel, K H Rössler

This report concerns the development of total and HDL-cholesterol serum values after a two year health education programme for school children aged 13 or 14 at the beginning. Of altogether 521 pupils who were examined again after two years, 281 had completed an intervention programme with an emphasis on healthy diet, encouragement of non-smoking and physical activity. The others had not taken part in the programme and formed the control group. Concerning cardiovascular risk, the average levels of total and HDL-cholesterol in the serum were generally more favourable after the two year intervention period than in the group uninfluenced by the health education programme.

本报告涉及对13岁或14岁学龄儿童进行为期两年的健康教育方案后总胆固醇和高密度脂蛋白血清值的发展情况。在两年后再次接受检查的521名学生中,有281名完成了一项干预方案,重点是健康饮食、鼓励不吸烟和体育活动。其他没有参加该计划的人组成了对照组。在心血管风险方面,在两年干预期后,血清中总胆固醇和高密度脂蛋白胆固醇的平均水平通常比未受健康教育计划影响的组更有利。
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引用次数: 0
[Atherosclerosis and hypercholesterolemia in pediatric and adolescent medicine]. [儿童和青少年医学中的动脉粥样硬化和高胆固醇血症]。
Pub Date : 1991-01-01
G W Ratzmann
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引用次数: 0
[Gestational age related correction of birth weight by parity. Body height and weight of the mother]. [胎次与胎龄有关的出生体重校正。母亲的身高和体重]。
Pub Date : 1991-01-01
M Voigt, K Jährig

Corrections to the real birthweight of infants are proposed from the 28th to 42nd week of pregnancy. These take account of the influence of parity and maternal height and weight. The effect of these three characteristics on the birthweight is calculated both one and two dimensionally by combining the characteristics with the actual duration of pregnancy. Thus, for example, after 40 full weeks of pregnancy 560g of the birthweight would be considered the weight correction. For newborn infants of relatively short light-weight mothers, this account should be added to the real birthweight ascertained, and for the babies of relatively tall, heavy mothers it would be subtracted. Only after this correction can the two dimensional classification of neonates into hypotrophic, eutrophic or hypertrophic take place according to birthweight and duration of gestation.

建议在怀孕第28周至第42周修正婴儿的实际出生体重。这些考虑到胎次和母亲身高和体重的影响。这三个特征对出生体重的影响是通过将这些特征与实际怀孕时间相结合,在一维和二维上计算出来的。因此,例如,在怀孕整整40周后,出生体重的560g将被认为是体重矫正。对于相对较矮、体重较轻的母亲所生的新生儿,应将这一计算加到所确定的实际出生体重中,而对于相对较高、体重较重的母亲所生的婴儿,则应减去其实际出生体重。只有经过这种校正,才能根据出生体重和妊娠时间将新生儿分为营养不良、富营养或肥厚。
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引用次数: 0
[The status of stomatologic prevention and therapy in children with chronic diseases]. [儿童慢性病口腔防治现状]。
Pub Date : 1991-01-01
C Herrmann

In Children with chronic disorders the motivation for oral health is not sufficiently strong. Neither the quantity nor the quality of the oral hygiene for their deciduous and permanent teeth is adequate to counteract the specific demands of the diseases. Regular paediatric dental care for chronically sick children in close cooperation with the attending paediatrician can make oral health a reality throughout childhood and adolescence.

在患有慢性疾病的儿童中,口腔健康的动机不够强烈。他们的乳牙和恒牙口腔卫生的数量和质量都不足以应对疾病的具体需求。与主治儿科医生密切合作,对慢性病儿童进行定期儿科牙科护理,可使整个儿童和青春期的口腔健康成为现实。
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引用次数: 0
[The practical significance of laterality]. 【侧边性的实际意义】。
Pub Date : 1991-01-01
M Reiss

In the present review the practical relevance and the problems of left-handedness have been discussed. Nowadays the diagnosis of the correct hand for writing and learning to write are very important for left-handers. Laterality is a hybrid phenomenon which concerns not only pedagogics but also many other fields, such as medicine, transport, sport and art.

在本综述中,讨论了左撇子的实际意义和问题。如今,诊断正确的写字手和学习写字对左撇子来说是非常重要的。侧边性是一种混合现象,它不仅涉及到教育学,而且涉及到医学、交通、体育和艺术等许多其他领域。
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引用次数: 0
[Catamnestic study of school children with behavioral disorders]. [行为障碍学童的记忆学研究]。
Pub Date : 1991-01-01
H Reinhardt, B Adelberger-Zehmisch

A catamnestic study of disturbed pupils, who have been examined by a child neuropsychiatrist for admission to a balancing class, revealed that the accumulation of biological and psychosocial load factors presents a risk for persisting behavioural disturbance. Failure at school was prevented by a temporary stay in a balancing class, but psychic maldevelopment indicated by the high percentage of odd children in the disturbed population could not be precluded. The refore the life-long medical and special pedagogic care for these children beyond discharge from the balancing class is considered to be necessary.

儿童神经精神病学家对进入平衡班的受干扰学生进行了检查,对他们进行了一项灾难性的研究,揭示了生物和心理负荷因素的积累呈现出持续行为障碍的风险。暂时呆在平衡班可以避免学业上的失败,但是心理障碍人群中奇怪孩子的高比例所表明的心理发育不良是不能排除的。因此,对这些儿童在离开平衡班之后的终身医疗和特殊教育护理被认为是必要的。
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引用次数: 0
[Variability of percentile values of body measurements of newborn infants (with special reference to body weight)]. [新生儿身体测量百分位数的变异性(特别参照体重)]。
Pub Date : 1991-01-01
M Voigt, K Jährig

The percentile curves for fetal growth between the 25th and 42nd week of gestation calculated for more than 52,000 newborns in East Germany in 1985 were compared with the rates defined for the same population in 1973-74 and showed a significantly lower mean birth weight. Besides methodological differences (primarily a more precise estimation of gestational age in the new study by using ultrasound fetometry), the differences seem to be mainly the result of changes in the reproductive behaviour of the population over that period (decrease in parity). When comparing different populations independently of ethnic specificities, a number of modifying factors have to be taken into account which significantly influence the birth weight, namely: parity, spacing, age and stature of the mother. These variables have also to be remembered when assessing the maturity of newborns in order to standardize the birth weight in relation to mortality and morbidity. As a basis for calculating percentile curves the cumulative frequency distribution should be preferred, rather than assuming a normal distribution, since fetal diseases or developmental anomalies result in an uneven distribution with an over-representation of small for date fetuses. The selection of data for calculating normal values must be rejected because of the arbitrary decisions which this entails.

1985年计算的东德52,000多名新生儿妊娠第25至42周胎儿生长的百分位数曲线与1973- 1974年确定的相同人群的比率进行了比较,结果显示平均出生体重明显降低。除了方法上的差异(在新的研究中,主要是通过超声波测胎术对胎龄进行更精确的估计),这些差异似乎主要是这段时间内人口生殖行为变化的结果(胎次减少)。在不考虑种族特点的情况下比较不同人口时,必须考虑到一些对出生体重有重大影响的修正因素,即:胎次、间隔、母亲的年龄和身高。在评估新生儿成熟度时也必须记住这些变量,以便使出生体重与死亡率和发病率之间的关系标准化。作为计算百分位数曲线的基础,应优先考虑累积频率分布,而不是假设正态分布,因为胎儿疾病或发育异常会导致分布不均匀,并且过多地代表小日期胎儿。必须拒绝选择数据来计算正常值,因为这样做会带来任意的决定。
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引用次数: 0
[Analysis of the public health status and assessment of vaccination status in maternal health services and child and adolescent preventive health care of a district city]. [某区市孕产妇保健服务和儿童青少年预防保健公共卫生状况分析及疫苗接种状况评价]。
Pub Date : 1991-01-01
U Mielke, N Schneemilch

A total of 23 maternity centres and 8 youth welfare centres in the county town of Magdeburg were inspected in 1987 and 1988 to review the condition of buildings and layout of rooms. Checks were also made on anti-infectious routines and compliance with the vaccination regulations. In all of these areas a number of deficiencies were found, and the results of follow-up inspections clearly show that the attention being given to public health regulations for sterilization and disinfection and to the storage of vaccines, is still inadequate. Urgent action is also required to improve conditions which are beyond the control of staff, such as buildings in need of repair, lack of space and the installation of washbasins, toilets, etc.

1987年和1988年对马格德堡县共有23个妇产中心和8个青年福利中心进行了检查,以审查建筑物的状况和房间的布局。还检查了抗感染程序和疫苗接种条例的遵守情况。在所有这些领域都发现了一些不足之处,后续检查的结果清楚地表明,对灭菌和消毒的公共卫生条例以及对疫苗储存的重视仍然不足。还需要采取紧急行动,改善工作人员无法控制的条件,例如需要修理的建筑物、缺乏空间和安装洗手盆、厕所等。
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引用次数: 0
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