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[Early psychological diagnosis in children with brain damage]. [儿童脑损伤的早期心理诊断]。
Pub Date : 1990-01-01
C Kunze

Considerations of the essential aspects of establishing diagnosis are explained fro a psychologist's point of view who has the possibility of observing the course of all children with cerebral injury registered early in the district polyclinic. Their qualitative performance parameters are evaluated, especially attention and the mother-child relation. Subsequently, we discuss the courses of development for 130 children who attended a rehabilitation nursery, and refer to constellations of symptoms which rendered it more difficult to establish early diagnoses.

从心理学家的角度解释了确定诊断的基本方面的考虑,心理学家有可能观察在地区综合诊所早期登记的所有脑损伤儿童的病程。对其定性性能参数进行了评价,特别是关注和母子关系。随后,我们讨论了130名参加康复托儿所的儿童的发展过程,并参考了使早期诊断更加困难的症状组合。
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引用次数: 0
[Analysis of the effectiveness of the public health system with special reference to the health of children]. [以儿童健康为例的公共卫生体系有效性分析]。
Pub Date : 1990-01-01
L Köhler, P O Brogren

A well structured, efficient health service is an important component of the welfare state, in Sweden for example. But its significance for the state of the nation's health is limited and will be affected, inter alia, by life styles and the environment. A progressive health policy must be based on cooperation between various sectors of society, and here the health service plays a central part. Therefore social policy must be well documented and subjected to continuous review. This is an important prerequisite for planning and correction at different levels. The analysis must take account of society as a whole, organization, and the individual! In so doing, greater significance should be attributed to the effectiveness and quality of the health service than to structures, capacity and statistics. With reference to the health of children in the Nordic countries, it is encouraging to see that this conception of evaluation has also gained greater acceptance in preventive care, firstly in the field of paediatric health care and more recently in the school health service as well.

结构良好、效率高的保健服务是福利国家的重要组成部分,例如在瑞典。但它对国民健康状况的意义是有限的,而且会受到生活方式和环境等因素的影响。一项进步的保健政策必须以社会各部门之间的合作为基础,在这方面,保健服务起着中心作用。因此,社会政策必须有充分的文件记录,并受到不断的审查。这是各级规划和纠正的重要前提。分析必须考虑到整个社会、组织和个人!在这样做时,应更重视保健服务的效力和质量,而不是结构、能力和统计数字。关于北欧国家儿童的健康,令人鼓舞的是,这种评价概念在预防保健方面也得到了更大的接受,首先是在儿科保健领域,最近也在学校保健服务领域。
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引用次数: 0
[References for assessment of dental status in childhood and adolescence]. [儿童和青少年牙齿状况评估参考文献]。
Pub Date : 1990-01-01
G Graehn

Close cooperation between paediatricians and dentists is of growing importance for the early diagnosis of malformations and exogenous pathological changes in the oral region and for the furtherance of preventive measures. There are good possibilities especially for preventing caries and periodontal disorders by means of plaque control, nutritional guidance and fluoridation in the context of preventive medical examinations.

儿科医生和牙医之间的密切合作对于早期诊断口腔区域的畸形和外源性病理变化以及促进预防措施越来越重要。在预防性医学检查的背景下,通过菌斑控制、营养指导和氟化处理,尤其有可能预防龋齿和牙周疾病。
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引用次数: 0
[New aspects of assessment of physical development of children and adolescents by preventive examinations]. [通过预防性检查评估儿童和青少年身体发育的新方面]。
Pub Date : 1990-01-01
H Kahl, H Greil, D Johnson, K Sommer, M Voigt

The results of the examinations of a representative cross-section were used as the basis for bringing up to date the standard values and ranges of variability of the body measurements of newborns according to gestational age, of head circumference up to the 3rd year and of body height and weight from 0-18 years. Tables and somatograms were also drawn up for the evaluation of body weight in relation to specific types of build, and standard values for skinfold thickness and total body fat were worked out in order to permit a biologically meaningful assessment of the physical development and nutritional status of children and adolescents. Alongside the description of the individual stages in the development of selected characteristics of maturation used in assessing sexual maturity, percentiles for the average age on reaching each of these stages of development will be available, together with a new series of photographs of breast, pubes and genital development.

代表性横断面的检查结果被用作根据胎龄、头围到3岁以及0-18岁的身高和体重提出最新的新生儿身体测量的标准值和变异性范围的基础。还为评估与特定体型有关的体重编制了表格和体格图,并制定了皮褶厚度和全身脂肪的标准值,以便对儿童和青少年的身体发育和营养状况进行有生物学意义的评估。除了描述用于评估性成熟的选定成熟特征的个别发育阶段外,还将提供达到这些发育阶段的平均年龄的百分位数,以及乳房、阴毛和生殖器发育的一系列新照片。
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引用次数: 0
[Improving mathematical performance of students by training in mental processing time]. [通过训练心理处理时间提高学生的数学成绩]。
Pub Date : 1990-01-01
S Mientus

Psycho-physical presuppositions may be influenced by well planned training. With regard to their individual presuppositions test persons with very low mathematical performances show the best growth of performance after training of mental speed.

心理-生理预设可能受到精心策划的训练的影响。在个体预设方面,数学成绩极低的被试在思维速度训练后表现出最好的成绩增长。
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引用次数: 0
[Problems in the collection and evaluation of menarche data, exemplified by empirical data from two Bremerhaven child development studies]. [月经初潮数据收集和评价中的问题,以不来梅港两项儿童发展研究的经验数据为例]。
Pub Date : 1990-01-01
H Danker-Hopfe, D Ostersehlt

Two Bremerhaven growth studies serve as examples for analysing methods of collecting and evaluating data on menarche age. Problems are outlined which arise when inadequate methods are used.

不来梅港的两项生长研究可作为分析收集和评估月经初潮年龄数据的方法的例子。概述了当使用不适当的方法时所产生的问题。
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引用次数: 0
[Does the month of birth affect human biological development processes?]. [出生月份会影响人类的生物发育过程吗?]
Pub Date : 1990-01-01
J Richter

The results of longitudinal investigations of 1,294 girls born in Görlitz in the years 1968 to 1970 included the correlation of their birth weights and menarcheal age with their months of birth. In the process we found very interesting patterns of seasonal distribution. Girls born in January had the lowest, those born in February the highest birth weight on average. Girls born in August reached their menarche at least 4 months later than those born in October. It is conceivable that the season of birth may be much more important to human development than is generally supposed.

对1968年至1970年在Görlitz出生的1294名女孩进行了纵向调查,结果包括她们的出生体重和月经初潮年龄与出生月份的相关性。在这个过程中,我们发现了非常有趣的季节性分布模式。1月份出生的女孩平均出生体重最低,2月份出生的女孩平均出生体重最高。8月出生的女孩比10月出生的女孩至少晚4个月到达月经初潮。可以想象,出生的季节对人类的发展可能比通常认为的要重要得多。
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引用次数: 0
Relevance of socio-economic data for the establishment of solution models based on international statistical material. 社会经济数据与建立基于国际统计资料的解决方案模型的相关性。
Pub Date : 1990-01-01
K Jährig

Using the official data of WHO statistics, the impact of some social, biological and medical factors on infant mortality rates (IMR) was compared for countries with very high, high, moderate and low IMR: Factors reflecting a low quality of life (illiteracy, low level of women's education, low urbanization, malnutrition etc.) showed a highly significant statistic correlation with increased IMR. The lack of a nationwide family planning program and a low level of medical care (prenatal care, presence of medical personnel during delivery, availability of contraceptives etc.) act in the same direction. In developing countries the GNP per capita did not markedly influence the IMR nor the rate of infants of low birth weight (UGR). One of the main reasons of this phenomenon is probably the wide gap of the income between different social groups in these countries. In contrast to this the GNP in economically developed countries (Europe, Australia, North America) correlates very closely with IMR and UGR. The impact of family planning differs between countries with legally artificial abortion and those with a more restrictive legislation. The nutritional status (i. e. in these countries hyperalimentation) shows a positive correlation with UGR but no impact on IMR. Some countries (in Europe Greece, Spain, Ireland/Yugoslavia, Romania) show a significant deviation (positive/negative) from the mean calculated according to the WHO data. These deviations can be (and should be) analysed for detecting and evaluating factors which could be influenced by strategies of social or/and medical interventions in order of further improvement of IMR.

利用世卫组织统计的官方数据,比较了婴儿死亡率非常高、高、中等和低的国家的一些社会、生物和医学因素对婴儿死亡率的影响:反映生活质量低的因素(文盲、妇女受教育程度低、城市化程度低、营养不良等)与婴儿死亡率增加具有高度显著的统计相关性。缺乏全国性的计划生育方案和低水平的医疗保健(产前护理、分娩期间有医务人员在场、避孕药具的供应等)也是同样的原因。在发展中国家,人均国民生产总值并没有显著影响婴儿死亡率和低出生体重婴儿的比率。造成这种现象的主要原因之一可能是这些国家不同社会群体之间收入的巨大差距。与此相反,经济发达国家(欧洲、澳大利亚、北美)的国民生产总值与进口和进口增长率密切相关。计划生育的影响在合法人工流产的国家和立法更严格的国家之间有所不同。营养状况(即这些国家的高营养)与UGR呈正相关,但对IMR没有影响。一些国家(欧洲的希腊、西班牙、爱尔兰/南斯拉夫、罗马尼亚)与根据世卫组织数据计算的平均值有显著偏差(正/负)。可以(也应该)对这些偏差进行分析,以发现和评价可能受到社会或/和医疗干预策略影响的因素,以便进一步改善死亡率。
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引用次数: 0
[Analysis of health care systems]. [卫生保健系统分析]。
Pub Date : 1990-01-01
K Jährig
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引用次数: 0
[Age on starting school and school achievement]. [入学年龄和学习成绩]。
Pub Date : 1990-01-01
J Richter, A Glässer

According to a medical check-up on the whole group of school beginners for one year in the town of Görlitz and considering the results of their first school year, the authors observed that the age on starting school has a very important influence on school achievement. While girls are better able to compensate for developmental retardation, it is advisable to postpone the admission of very young boys for one year in doubtful cases or to provide individual coaching.

根据对Görlitz镇全体新生进行为期一年的体检,并考虑到他们第一学年的成绩,提交人注意到,入学年龄对学习成绩有非常重要的影响。虽然女孩能够更好地弥补发育迟缓,但在有疑问的情况下,建议将非常小的男孩推迟一年入学或提供个人指导。
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引用次数: 0
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