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MonatsschriftKinderheilkunde.71450109.eng.abstr
|
MonatsschriftKinderheilkunde.71450109.eng.abstr
|
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"id": "MonatsschriftKinderheilkunde.71450109.eng.abstr-passage-0",
"type": "abstract",
"text": [
"2 weeks after initiation of carbamazepine therapy a 3 year old boy presented with skin rash , fever , lymphadenopathy , hepatosplenomegaly and nephritis . After exclusion of infectious diseases our differential diagnosis focussed on carbamazepine induced hypersensitivity syndrome . We found a positive lymphocyte transformation assay and patch test to carbamazepine , indicating a specific response , but no anti-carbamazepine antibody , no circulating immune complexes and no decrease in complement components . The hypersensitivity syndrome refers to a severe hypersensitivity response due to a idiosyncratic reaction . The origin is unknown . The similarity to other multisystem disorders is discussed ."
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MonatsschriftKinderheilkunde.71450114.eng.abstr
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MonatsschriftKinderheilkunde.71450114.eng.abstr
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{
"id": "MonatsschriftKinderheilkunde.71450114.eng.abstr-passage-0",
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"We report the case of a seven year old girl presenting with varicella infection 14 days after kidney transplantation . Cramp-like abdominal pain and a subileus were the first symptoms . Enemas did not relieve the symptoms , and the following laparotomoy with Tenckhoff catheter explantation was performed which did not reveal any pathologic abnormalities . Two days after the beginning of abdominal pain an unspecific papular rash developed . Further twelve hours later skin vesicles appeared and varicella-zoster virus was isolated from their fluid . Despite high dose administration of aciclovir and varicella-zoster immune globulin further visceral dissemination occurred and finally lead to liver failure and intravascular coagulopathy . The patient died 18 days after kidney transplantation from multiorgan failure ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450117.eng.abstr
|
MonatsschriftKinderheilkunde.71450117.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450117.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The hyper-IgD syndrome is a very rare entity first described in 1984 by Van der Meer et al [ 11 ] . It typically presents with a history of recurrent febrile attacks over years with abdominal symptoms , arthralgia , cutaneous manifestations , chills and headache . The diagnosis is established by demonstrating a polyclonal increase in serum IgD during an episode . Therapeutical options have only been supportive . Almost all documented cases were reported in Europe , but until recently no case was known in Germany . We present an 8 year-old boy suffering from recurrent febrile attacks since his third month of life every two to three weeks . These episodes lasted a few days . Further leading symptoms are severe , the patient most affecting vomiting attacks , associated with headaches and a fugitive rash . A raised erythrocyte sedimentation rate , leucocytosis with neutrophilia and elevated values of IgA , IgE and IgD are observed during the episodes ."
],
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]
}
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[] |
[] |
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MonatsschriftKinderheilkunde.71450136.eng.abstr
|
MonatsschriftKinderheilkunde.71450136.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450136.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Methods : Cases of invasive HI-infections were reported in a national active surveillance program . The case definition required the typical clinical picture and a HI positive culture from a physiologically sterile site ( or throat swab or tracheal aspirate in case of epiglottitis or pneumonia ) in children up to 10 years . All initial reports were validated with a questionnaire that additionally questioned the vaccination status , type of vaccine , therapy , outcome of the disease and characteristics of the bacteria . The relation between the type of Hib vaccine used on the risk of infection was analysed in a case control study with controls selected at random from a population based sampling frame . Results : 310 confirmed cases of invasive HI infections were reported during the observation period , 199 of these with meningitis , 56 with epiglottitis . The number of cases declined from 71 in the last six months of 1992 , 120 in 1993 , and 65 in 1994 to 54 cases in 1995. In 1995 the incidence in up to 5 year old children was 1.1/100 000 for all infection sites and 0.7/100 000 for meningitis . The reduced rates were mainly due to a decrease in the number of unvaccinated cases , whereas the number of cases in vaccinated children fluctuated between 22 and 36 per year . Most of these were observed in incompletely vaccinated children , who according to the German recommendations could already have received at least one further vaccination at the time of the infection . The type of vaccine ( HbOC , PRP-D or OMP ) was not significantly associated with the risk of infection in vaccinated children . 10 % of the bacteria produced betalactamase . In accordance with the German recommendations third generation cephalosporines were used in almost all cases of meningitis . One third of these , however , received additional antibiotics . Conclusions : The present incidence of systemic HI infections in Germany is low . A further decrease , however , would be possible with \" on time \" completion of the vaccination schedule according to the German recommendations in all children ."
],
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0,
2099
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MonatsschriftKinderheilkunde.71450144.eng.abstr
|
MonatsschriftKinderheilkunde.71450144.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450144.eng.abstr-passage-0",
"type": "abstract",
"text": [
"With special emphasis on pediatric aspects , the presently available data on the effectiveness and safety or specific immunotherapy with house dust mite extracts are reviewed . In addition to antiinflammatory treatment and allergen avoidance , specific immunotherapy offers an approach to the treatment of bronchial asthma in those patients sensitized against house dust mites . Controlled studies of specific immunotherapy against house dust mites show decreased symptom-medication scores and positiv effects on some lung function parameters . Therapeutic efficacy appears to be better in pediatric patients . Severe side effects seem to be rare , but are more common in patients with chronic airway obstruction , in infants and with rush-immunotherapy ."
],
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[
0,
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]
]
}
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[] |
[] |
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MonatsschriftKinderheilkunde.71450218.eng.abstr
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MonatsschriftKinderheilkunde.71450218.eng.abstr
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{
"id": "MonatsschriftKinderheilkunde.71450218.eng.abstr-passage-0",
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"Dilative cardiomyopathy is characterized by dilatation and impaired contraction of the left or both ventricles . In childhood it has often unknown causes or is the sequela of myocarditis with or without virus persistence with or without autoimmunological components . Other causes are systemic or metabolic disorders or a previous adriblastintherapy . Dilative cardiomyopathy is rare . It presents clinically as congestive heart failure , in a quarter of the cases there are thromboembolic complications . Diagnosis is made by echocardiography , but invasive procedures can disclose specific causes and give further therapeutic options . Therapy consists of digitalis , diuretics and ACE-inhibitors . It should be augmented by a careful -blockade and anticoagulation . Concerning the bad prognosis ( 1 year survival 75 % , 5 years survival 60 % ) dilative cardiomyopathy is the most frequent indication for heart transplantation ."
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] |
MonatsschriftKinderheilkunde.71450226.eng.abstr
|
MonatsschriftKinderheilkunde.71450226.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Anomalous origin of the right coronary artery from the pulmonary trunk is rare , however , it is of considerable clinical significance . Discussion : We report of the findings in an asymptomatic child with anomalous origin of the right coronary artery from the pulmonary trunk and shortly review this entity ."
],
"offsets": [
[
0,
309
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s1-t1",
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"text": [
"origin"
],
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[
10,
16
]
],
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{
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"right"
],
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[
24,
29
]
],
"normalized": [
{
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"artery"
],
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[
39,
45
]
],
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}
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},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s2-t1",
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"findings"
],
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[
167,
175
]
],
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}
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},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s2-t2",
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"child"
],
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195,
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]
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},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s2-t3",
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"origin"
],
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216,
222
]
],
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},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s2-t4",
"type": "umlsterm",
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"right"
],
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[
230,
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]
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},
{
"id": "MonatsschriftKinderheilkunde.71450226.eng.abstr-s2-t5",
"type": "umlsterm",
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"artery"
],
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251
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003842"
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}
] |
[] |
[] |
[] |
MonatsschriftKinderheilkunde.71450230.eng.abstr
|
MonatsschriftKinderheilkunde.71450230.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The persistent Muellerian duct syndrome is characterized by the presence of uterus , tubes and proximal vagina in patients with normally virilized genitalia and a 46 , XY karyotype . The clinically typical constellation of inguinal hernia and contralateral cryptorchidism should therefore lead to a thorough sonographic evaluation of the abdomen . We report on 3 patients in whom the abnormalities were discovered during surgery for inguinal hernia or cryptorchidism . One patient underwent resection of the Muellerian structures . Histological examination showed resection of both vasa deferentia , which ran parallel to and within the lateral walls of the uterus . The gonadal biopsies of two patients evidenced degeneration of testicular tissue by showing a fifty percent reduction of spermatogonias . Discussion : Therapy of this syndrome consists in early bilateral orchidopexia , aiming at preservation of endocrine and reproductive testicular function and prevention of malignant degeneration . The integrity of the vasa deferentia should not be endangered during surgery ."
],
"offsets": [
[
0,
1080
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s1-t1",
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"text": [
"syndrome"
],
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31,
39
]
],
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]
},
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"uterus"
],
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[
76,
82
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"vagina"
],
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[
104,
110
]
],
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s1-t4",
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"text": [
"patients"
],
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114,
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]
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]
},
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"genitalia"
],
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[
147,
156
]
],
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},
{
"id": "MonatsschriftKinderheilkunde.71450230.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"hernia"
],
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MonatsschriftKinderheilkunde.71450235.eng.abstr
|
MonatsschriftKinderheilkunde.71450235.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450235.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Two cases of congenital wandering spleen with typical clinical course are reported : An 11-year old girl had a two month history of intermittent abdominal pain predominantly after physical stress . In upright position a palpable resistance could be identified as wandering spleen by ultrasound and scintiscan , and in this case splenopexy was performed . An otherwise healthy 3-year old girl suffered from acute abdomen caused by torsion of an upside- down spleen with partial infarction . Diagnosis was made based on ultrasound and CT-Scan . The extent of infarction could be evaluated by color flow sonography . After partial resection splenopexy in orthotopic position was performed . Discussion : In situations of intermittent abdominal pain as well as acute abdomen torsion of wandering spleen should be taken into consideration ."
],
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[
0,
835
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]
}
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[] |
[] |
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MonatsschriftKinderheilkunde.71450238.eng.abstr
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MonatsschriftKinderheilkunde.71450238.eng.abstr
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"text": [
"X-linked inherited OTC-deficiency is the most frequent inborn error of urea synthesis . Molecular heterogeneity is shown by more than 50 mutations at the OTC-gene locus reflecting a broad clinical spectrum . We report on a normally developed 16 months old girl who never had coma or lethargy but presented with neurological symptoms such as minor ataxia and increased muscular tonus and discrete athetoidal movements of the upper extremities . EEG showed only minor abnormalities , in the MRI of the brain enhanced , frontal and occipital periventricular signal intensities were detectable . Biochemical findings were typical for OTC-deficiency with a moderate hyperammonemia ( up to 332 µmol/l), normal basic amino acids in plasma and a high excretion of orotic acid and uracil in urine ( 735 and 370 mmol/mol creatinine resp. ) . DNA analysis showed a novel G > T mutation at the intron1/exon1 boundary , which apparently led to an abnormal splicing of the DNA . After introducing a dietary and medical treatment , neurological symptoms disappeared , blood ammonia became normal , MRI changes almost completely disappeared 3 months after therapy was started . Discussion : This case illustrates that a selective screening for inborn errors of metabolism should also be performed in patients with minor neurological symptoms ."
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MonatsschriftKinderheilkunde.71450242.eng.abstr
|
MonatsschriftKinderheilkunde.71450242.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450242.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Backgrounds : Aim of this study was to validate a modification of adults ' 13C-urea breath test for children in diagnosis of an infection with Helicobacter pylori . Methods : In 30 asymptomatic children results of the breath test were compared with results of an ELISA test specific for Helicobacter pylori . In 10 symptomatic children the breath test result was compared with histological results of gastric mucosa . Cold orange juice was tested by ultrasonic assessment to be suitable as a test meal . Results : With the serological or histological result as reference method , the cut-off value for children ( delta value = 5 permil ) has shown a sensitivity/specificity of 70 %/95 % or 100 %/100 % respectively . Cold orange juice meets the criteria of a test meal by inhibiting the gastric emptying for the duration of the breath test significantly . 30 minutes after 13C-urea ingestion has been the optimal point of time for the second breath sample collection . Conclusion : Our modification of the 13C-urea breath test for children is suitable to prove an Helicobacter pylori infection ."
],
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MonatsschriftKinderheilkunde.71450249.eng.abstr
|
MonatsschriftKinderheilkunde.71450249.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450249.eng.abstr-passage-0",
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"text": [
"Background : An increased incidence of diabetes mellitus in patients with hypersecretion of growth hormone ( acromegaly , pituitary gigantism ) is well known . In the present study , the effect of long-term growth hormone ( GH ) therapy on basal as well as stimulated blood glucose and insulin concentrations was studied in pediatric patients ."
],
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[
0,
344
]
]
}
] |
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{
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] |
[] |
[] |
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] |
MonatsschriftKinderheilkunde.71450266.eng.abstr
|
MonatsschriftKinderheilkunde.71450266.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450266.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In one third of the little girls coming to the outpatient clinic for pediatric gynecology , a vulvovaginitis can be diagnosed . Etiologic factors are poor perineal hygiene , foreign bodies in the vagina and respiratory or skin infections . The microbiologic investigation often reveals staphylococci , streptococci , E. coli , and in case of chronical-recurrent discharge also B. fragilis and peptostreptococci . The symptoms are itching , burning , dysuria , discharge and rubor of the vulva . A systemic application of antibiotics is not necessary , a local treatment with antibiotic solutions is contraindicated and the usual vaginal suppositories are unsuitable for girls . A desinfection often irritates the vulvovaginal region of little girls so that for years we use estriol ointment only which is tolerated . Excellently , a single-dose application being sufficient ; burning , itching and discharge disappear and the vaginal epithelium gets more resistant because of the estrogen influence , so that the healing process is accelerated ."
],
"offsets": [
[
0,
1045
]
]
}
] |
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MonatsschriftKinderheilkunde.71450269.eng.abstr
|
MonatsschriftKinderheilkunde.71450269.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450269.eng.abstr-passage-0",
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"Amphotericin B ( AmB ) continues to maintain an important role in the treatment of invasive fungal infections . The substance is almost insoluble in water . Therefore special pharmacological solutions are required to dissolve Am B - usually prepared with bile acid ( Deoxycholat ( ( AmB/Doc ) ) . The association of the lipophil substance with lipids leads to a clear increase in the patient's tolerance of the compound and makes possible the use of much higher doses . The liposomal formulation can however , at the same time change the typical distribution of AmB in the body . At the present time ambisone is the only liposomal AmB-formulation . AmB is also often administered in combination with Intralipid . AmB-Lipid complex ( ABLC ) and AmB-Colloidal ( ABCD ) are the other pharmaceutical preparations which could become available in the future . The importance of immune competence and of prophylactic measures to prevent invasive fungal infection are stressed ."
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[] |
[] |
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] |
MonatsschriftKinderheilkunde.71450277.eng.abstr
|
MonatsschriftKinderheilkunde.71450277.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450277.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The prevalence and types of psychiatric disorders in an out-patient pediatric population ( pediatricians in practice ; hospital out-patient department ) are analysed . Nearly one forth of all 6 to 12 year old children fulfilled the criteria for a psychiatric disorder in addition to somatic disease according to a standardized documentation . The perception of a behavioural symptom is associated with further pediatric out-patient , non pharmacological treatment , but does not lead to referrals to psychotherapeutic institutions . The importance of the primary care pediatrician for the diagnosis of behavioural problems in childhood is discussed ."
],
"offsets": [
[
0,
650
]
]
}
] |
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14
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71450277.eng.abstr-s2-t5",
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"text": [
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},
{
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71450277.eng.abstr-s3-t4",
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{
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450334.eng.abstr
|
MonatsschriftKinderheilkunde.71450334.eng.abstr
|
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"Primary defects of skeletal growth and development can be subdivided into hypoplasias , dysostoses and dysplasias . Hypoplastic bones are small but otherwise normal . Generalized skeletal hypoplasias comprise various forms of primordial dwarfism and syndromal disorders including trisomy 21 and Ullrich-Turner syndrome . Dysostoses are defects of bones as organs resulting from errors of morphogenesis . Many of them are caused by mutations of single genes in the cascade of morphogenetic gene sequences . Dysplasias are defects of bone as tissue . Some of them ( e . g . achondroplasia , Jansen type of metaphyseal chondrodysplasia ) are caused by defects of signal genes influencing cell division or differentiation . Others result from gene mutations affecting the cellular production of matrix components . Examples are collagenopathies such as osteogenesis imperfecta and some spondyloepiphyseal dysplasias . Finally , disorders such as pycnodysostosis , result from defects of chondro-osseous homeostasis . The study of skeletal defects helps to unravel the complexity of normal skeletal development ."
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MonatsschriftKinderheilkunde.71450343.eng.abstr
|
MonatsschriftKinderheilkunde.71450343.eng.abstr
|
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{
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"We report on two patients with Wolf-Hirschhorn-syndrome . They showed characteristic clinical features including microcephaly , hypertelorism , cleft palate , cardiac and renal defects , hypospadia and developmental retardation . Diskussion : They represent an example of the variability of clinical symptoms seen in Wolf-Hirschhorn-syndrome . In both patients the diagnosis was confirmed by conventional cytogenetic methods ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450347.eng.abstr
|
MonatsschriftKinderheilkunde.71450347.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450347.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Three children with primary , nonfamilial hypoparathyreoidism presented with high-grade sensorineural deafness . Based on clinical and molecular evidence , one could be diagnosed as Kearns-Sayre syndrome . The basis of the association in the other cases remains unclear . The combination of symptoms seems to be more frequent than peviously assumed , affecting 3 of 9 children treated at our clinic because of primary , nonfamilial hypoparathyreoidism . Genetically determined dysfunction of cochlear haircell motility and haircell damage as consequence of reduced calcium concentrations in peri- and endolymph are discussed as pathogenetic factors of sensorineural deafness in cases of hypoparathyreoidism . Two of the children showed a marked renal dysplasia . Similar familial cases with associated kidney malformations have been reported in the literatur , indicating the possibiliy of a common cause for hypoparathyreoidism , sensorineural deafness and renal dysplasia . Discussion : As a practical consequence of our experience we recommend laboratory investigations ( i . e . parathyreoid hormone ) in order to exclude an underlying hypoparathyreoidism in patients with sensorineural deafness . Vice versa , an audiogram should be performed in patients with idiopathic hypoparathyreoidism for early recognition and treatment of associated sensorineural deafness ."
],
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MonatsschriftKinderheilkunde.71450353.eng.abstr
|
MonatsschriftKinderheilkunde.71450353.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450353.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Lung transplantation in patients with cystic fibrosis is generally performed as double lung transplantation . We report the case of an 11 year old boy in whom single lung transplantation was performed . The diagnosis was made in early childhood in the presence of chronic maldigestion and intercurrent pneumonia by sweat test . A pneumonectomy of the right lung was performed in March 1994 after failure of conservative therapy and destruction of the right lung . In November 1994 the boy underwent a left sided lung transplantation from a 13 year old donor . There were no major complications during operation . The boy was extubated 5 days after transplantation and was discharged on day 55. Diskussion : This case report elucidates that single lung transplantation can be considered an option for patients with end-stage cystic fibrosis ."
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[] |
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MonatsschriftKinderheilkunde.71450357.eng.abstr
|
MonatsschriftKinderheilkunde.71450357.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450357.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Wells ' syndrome ( eosinophilic cellulitis ) is a rare inflammatory skin disease of unknown etiology and pathogenesis . Only 18 cases in childhood have been reported . We report on a 5-year-old girl who showed the typical biphasic and recurrent course of the disease : initially edematous-cellulitic lesions associated with blisters , followed by morphea-like changes on the extremities . Eosinophilia of peripheral blood was apparent , which , however , was not correlated with the severity of the current condition . After a recurrent course for 4 months and intermittent systemic administration of antibiotics ( on the assumption of erysipelas and phlegmon ) and glucocorticosteroids , the disease healed without sequelae . Trigger factors or systemic hematologic malignancy could not be detected . Diskussion : Wells ' syndrome is probably more common than believed and should be included in the differential diagnosis of urticarial , morphea-like and bullous eruptions in childhood ."
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]
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MonatsschriftKinderheilkunde.71450370.eng.abstr
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MonatsschriftKinderheilkunde.71450370.eng.abstr
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"Aim : Early recognition of hypertension was attempted during clinical management of young patients with insulin-dependent diabetes mellitus using ambulatory 24-hour-blood pressure monitoring . Methods : In this study 24-hour-blood-pressure measurements were recorded in 48 children with diabetes ( 24 girls and 24 boys , range from 9 to 18 years ) . A reference group of 48 sex- , age- , height- and weight matched healthy children was studied in parallel . Results : None of the children with diabetes was hypertensive by standard criteria . However , both systolic and diastolic blood pressure values exceeded the values of the reference group by 4 and 6 mm Hg respectively ( method of moving interval averages ) . Using more conventional statistical methods ( mean of day or night time blood pressure values ) similar results were obtained ( p 0.001 , unpaired t test ) . Children who had bad metabolic control ( HbA1c > 7 % , median ) had higher diastolic blood pressure profiles . Conclusion : We conclude that ambulatory blood pressure monitoring must be performed in longitudinal , multicenter studies . Whether or not ambulatory blood pressure monitoring can provide clues for the early detection of patients at risk for developing hypertension is still unclear ."
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MonatsschriftKinderheilkunde.71450382.eng.abstr
|
MonatsschriftKinderheilkunde.71450382.eng.abstr
|
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[] |
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MonatsschriftKinderheilkunde.71450387.eng.abstr
|
MonatsschriftKinderheilkunde.71450387.eng.abstr
|
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[] |
[] |
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MonatsschriftKinderheilkunde.71450444.eng.abstr
|
MonatsschriftKinderheilkunde.71450444.eng.abstr
|
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{
"id": "MonatsschriftKinderheilkunde.71450444.eng.abstr-passage-0",
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"text": [
"Aims : To investigate the influence of population definitions , population drop-outs and lack of a case-control design on estimates of the prevalence of adverse outcome in high risk children ( i . e . very preterm infants ) . Method : Prospective study of all infants born 32 weeks gestation ( N : 560 ) between 1. 2. 1985-31 . 3. 1986 in South Bavaria ( FRG ) . 77.7 % of survivors ( 308/396 ) were investigated at 4.8 years , and paediatrician's reports collected and telephone interview conducted with the dropouts ( 67/88 ) . Comparison groups included a matched fullterm control group ( N : 308 ) and a respresentative sample of Bavarian same-aged peers ( norm sample , N : 432 ) . Peri- , neonatal , sociodemographic , neurological and developmental test data ( Griffiths test , CMM ) were assessed prospectively ( neonatally , 5 , 20 and 56 months of age ) . Results : Populations varied widely between hospitals , even in the same region , with regard to peri- and neonatal complications , sociodemographic variables and mortality . Follow-up results of one clinic ( e . g . University centre ) are not representative for results of a region . Parents with low education , single and non-German speakers or those with an handicaped child were more likely to be lost from follow-up . Standard cognitive test norms were found to be outdated . Twice as many very preterms were found to suffer major intellectual impairment ( -2 SD ; 25.4 % ) when compared to same-aged peers than to the testnorms ( 13.5 % ) . Conclusions : Only few outcome studies of very preterm infants as reported in the literature comply with minimal design standards . Mono-centre studies ( e . g . University centres ) , missing correction for social factors , lack of documentation of drop-outs and reliance on test norms rather than control groups lead to under-estimations ( 2-3 times ) of developmental deficits in high risk samples . The socially most disadvantaged preschool children may also be lost from routine health monitoring more often , and if clinically compared to outmoded testnorms are often wrongly diagnosed as developing normally and thereby often lose the chance of early appropriate intervention ."
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MonatsschriftKinderheilkunde.71450457.eng.abstr
|
MonatsschriftKinderheilkunde.71450457.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450457.eng.abstr-passage-0",
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"text": [
"After some introductory remarks on the influence of psychosocial risk factors on the developmental outcome of premature infants this review summarizes the current knowledge about intervention programs for prematures and their parents with a special focus on parent-centered programs . Positive effects of intervention programs are found in an improvement of cognitive development , parental sensitivity and the home environment . Only parent-centered interventions enhanced the quality of parent-infant interaction . It is questioned if those effects are also reliable for very premature infants and are found in the long term . Further programs should focus on parent- and parent-infant centered interventions . Methodological problems of intervention studies and further research perspectives on parent-centered interventions are discussed ."
],
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]
]
}
] |
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MonatsschriftKinderheilkunde.71450466.eng.abstr
|
MonatsschriftKinderheilkunde.71450466.eng.abstr
|
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MonatsschriftKinderheilkunde.71450470.eng.abstr
|
MonatsschriftKinderheilkunde.71450470.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450470.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Evaluation of three patients , aged between three months and five years because of failure to thrive and persistent diarrhea revealed the diagnosis of small bowel bacterial overgrowth . A combination of a typical history , endoscopy , laboratory , radiological and histological methods as well as the breath hydrogen test were used . All patients had preexisting intestinal disease : two ( former premature infants ) had been operated several times because of necrotizing enterocolitis including resection of larger parts of small bowel . The third patient was suffering from pancolonic Hirschsprung's disease . All patients gained weight and reported less complaints after antibiotic treatment with metronidazole . Discussion : Small bowel bacterial overgrowth has to be considered in the differential diagnosis of failure to thrive , especially in cases with preexisting intestinal disease . The diagnosis may be substantiated by a combination of indirect methods . Direct bacteriologic analysis is difficult . Usually , antibiotic treatment leads to a good weight gain after a short period of time ."
],
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MonatsschriftKinderheilkunde.71450473.eng.abstr
|
MonatsschriftKinderheilkunde.71450473.eng.abstr
|
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{
"id": "MonatsschriftKinderheilkunde.71450473.eng.abstr-passage-0",
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"text": [
"Rat-bite fever is an uncommon disease characterized by typical rash , fever and arthritis . It may be complicated by bacterial endocarditis , and untreated cases have a mortality rate of about 13 % . Two patients with an acute and chronically relapsing form of streptobacillary rat-bite fever are described . Discussion : The definitive diagnosis was founded upon the isolation and identification of streptobacillus moniliformis in cultures taken from blood and cutaneous eruptions . In one patient penicillin-resistant Lister-forms , where found and successfully treated with amoxicillin-clavulanate ( 60 mg/kg/d ) ."
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MonatsschriftKinderheilkunde.71450482.eng.abstr
|
MonatsschriftKinderheilkunde.71450482.eng.abstr
|
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MonatsschriftKinderheilkunde.71450485.eng.abstr
|
MonatsschriftKinderheilkunde.71450485.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450485.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fungus-bezoars in the renal pelvis are an unusual manifestation of severe Candida albicans infection . A newborn infant with VACTERL-association suffered from fungus balls in the renal pelvis after Candida albicans sepsis , and developed a hydronephrosis with beginning postrenal failure . Following systemic antimycotic therapy with amphotericin B and flucytosin as well as local irrigation with amphotericin B via percutaneous nephrostomy renal function normalised rapidly . Discussion : Since the incidence of systemic mycotic infection in neonates becomes more common the differential diagnosis of nephrolithiasis should include fungus balls ."
],
"offsets": [
[
0,
647
]
]
}
] |
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],
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28,
34
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],
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{
"id": "MonatsschriftKinderheilkunde.71450485.eng.abstr-s1-t2",
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"Candida"
],
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74,
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{
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"infection"
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{
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22,
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{
"id": "MonatsschriftKinderheilkunde.71450485.eng.abstr-s1-t5",
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],
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{
"id": "MonatsschriftKinderheilkunde.71450485.eng.abstr-s2-t3",
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MonatsschriftKinderheilkunde.71450496.eng.abstr
|
MonatsschriftKinderheilkunde.71450496.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objektives : Periodic variations of oxygen saturation are often found in infants during periodic breathing . Aim of this study was to examine this phenomenon more systematically ."
],
"offsets": [
[
0,
179
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t1",
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"variations"
],
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[
22,
32
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]
},
{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t2",
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"text": [
"oxygen"
],
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[
36,
42
]
],
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{
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{
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]
},
{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"infants"
],
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[
73,
80
]
],
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{
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}
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{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"breathing"
],
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[
97,
106
]
],
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{
"db_name": "UMLS",
"db_id": "C0035203"
},
{
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"periodic breathing"
],
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[
88,
106
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008039"
}
]
}
] |
[] |
[] |
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{
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{
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{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-r23-t2.1-t5.1",
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{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-r24-t1.1-t4.1",
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"normalized": []
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{
"id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-r25-t2.1-t1.1",
"type": "affects",
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"arg2_id": "MonatsschriftKinderheilkunde.71450496.eng.abstr-s1-t1",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71450502.eng.abstr
|
MonatsschriftKinderheilkunde.71450502.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450502.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To get an idea on the compliance of our patients treated with growth hormone and on any problems relating to therapy administration we conducted an anonymous questionnaire in 204 patients/parents . 174 evaluable forms ( 85 % ) were returned to us . The acceptance of treatment turned out to be satisfactory : 91 % of the families found the therapy practicable , but 15 % of mothers and 10 % of fathers expressed doubts on its effectiveness . 36 % of the families admitted to having left out injections occasionally . 88 % of the reasons offered for non-compliance were banal and unserious , and in only 6 % were there suggestions for therapy improvement indicating the need for more education and instruction . Thus , the day-to-day inconvenience appears to be an important aspect restricting therapy compliance . The intense medical care and education of patients and their families is essential in improving their compliance with treatment ."
],
"offsets": [
[
0,
943
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450502.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"compliance"
],
"offsets": [
[
22,
32
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030680"
},
{
"db_name": "UMLS",
"db_id": "C0009563"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450502.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
40,
48
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450502.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"growth"
],
"offsets": [
[
62,
68
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018270"
},
{
"db_name": "UMLS",
"db_id": "C0220844"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450502.eng.abstr-s1-t4",
"type": "umlsterm",
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] |
MonatsschriftKinderheilkunde.71450506.eng.abstr
|
MonatsschriftKinderheilkunde.71450506.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on three cases with chronic immune thrombocytopenic purpura ( ITP ) and insulin-dependent diabetes mellitus ( IDDM ) or prediabetes . All three patients suffered from autoimmune polyglandular syndrome type II . Among our patients with isolated IDDM ( about 250 patients ) no case of ITP was seen . Therefore we recommend that all patients with chronic immune thrombocytopenic purpura and insulin-dependent diabetes mellitus should be carefully monitored for other diseases associated with autoimmune polyglandular syndrome type II ."
],
"offsets": [
[
0,
542
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t1",
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"text": [
"purpura"
],
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[
62,
69
]
],
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{
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"db_id": "C0034150"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"ITP"
],
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[
72,
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]
],
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{
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"db_id": "C0043117"
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t3",
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"text": [
"diabetes"
],
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100,
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"IDDM"
],
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120,
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"IDDM"
],
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120,
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"prediabetes"
],
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130,
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]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t7",
"type": "umlsterm",
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"thrombocytopenic purpura"
],
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45,
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t8",
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"diabetes mellitus"
],
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[
100,
117
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{
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"insulin-dependent diabetes mellitus"
],
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[
82,
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s2-t1",
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"patients"
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154,
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s2-t2",
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],
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202,
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"autoimmune polyglandular syndrome"
],
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-t2",
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"IDDM"
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254,
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{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-t3",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-t5",
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"ITP"
],
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{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t2",
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"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t3",
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"diabetes"
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t4",
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"diseases"
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t6",
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{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t8",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t9",
"type": "umlsterm",
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"autoimmune polyglandular syndrome"
],
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[
499,
532
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{
"db_name": "UMLS",
"db_id": "C0085409"
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]
}
] |
[] |
[] |
[
{
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"type": "affects",
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"arg2_id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t8",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r2-t2.2-t4.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r3-t2.2-t7.1",
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"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r4-t2.2-t5.2",
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{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r5-t2.2-t3.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r6-t2.2-t6.1",
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"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r7-t2.2-t2.1",
"type": "affects",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r8-t2.2-t9.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r9-t2.2-t5.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s1-r10-t2.2-t1.1",
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s2-r2-t2.1-t1.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-r1-t5.2-t5.1",
"type": "affects",
"arg1_id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-t5",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-r2-t5.2-t3.2",
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{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-r3-t5.2-t3.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s3-r4-t5.2-t2.1",
"type": "affects",
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"arg2_id": "MonatsschriftKinderheilkunde.71450506.eng.abstr-s4-t2",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71450510.eng.abstr
|
MonatsschriftKinderheilkunde.71450510.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450510.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : Chronic cough and thoracic pain , commonly caused by upper airway infections , are frequently seen symptoms in pediatrics . These \" benign \" symptoms are very seldom caused by malignant disorders . Methods : In two patients ( male , age 41/12 and 43/12 years ) chronic cough and thoracic pain were due to a malignant pulmonary neoplasm ( Pleuropulmonary blastoma ) . Results : Pleuropulmonary blastoma is a rare malignant primary pulmonary neoplasm in childhood with a poor prognosis . An incomplete resection was performed in both cases . Both patients received postoperative radiotherapy and combination chemotherapy . One boy died , the other one is alive and well more than 6 years after diagnosis without evidence of disease . Conclusion : Our findings indicate that even after incomplete resection subsequent multimodal therapy ( adjuvant chemotherapy and radiotherapy ) can provide a long term remission ."
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MonatsschriftKinderheilkunde.71450515.eng.abstr
|
MonatsschriftKinderheilkunde.71450515.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450515.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The diagnosis Prader-Willi-Syndrome ( PWS ) in the neonate is difficult because features like neonatal hypotonia and feeding problems are easily misdiagnosed as a consequence of peripartal asphyxia . Craniofacial abnormalities like narrow bifrontal diameter , almond shaped palpebral fissures and openend downturned mouth are underdiagnosed especially if respiratory treatment is necessary . Hypogonadism in girls and in milder expression in boys ( for example cryptorchism ) are common and unspecific signs at that age . Typical features like obesity and hyperphagia , small hands and feet and small stature are not expressed until the second year . The clinical course of PWS in the neonate is demonstrated in two cases . Diagnostic criteria and therapeutic intervention are discussed . Hydrops fetalis as a seldom feature in PWS has to be taken into consideration ."
],
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[
0,
868
]
]
}
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MonatsschriftKinderheilkunde.71450519.eng.abstr
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MonatsschriftKinderheilkunde.71450519.eng.abstr
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"Background : In 1986 Prof. H. Olbing ( University of Essen Pediatrics Department ) , supported by Prof. G. Stickler ( Mayo Medical School , Minnesota ) , introduced a 4-weeks clinical skills lab for all students ( annual class 250 ) , based on self-instruction by means of computer-assisted , interactive , audiovisual learning materials , models , bedside teaching and seminars on special topics ( partially peer-guided ) . Each year 14 chosen senior medical students get a two weeks intensive training in order to function as peer tutors for the bedside teaching . The peer tutors train the junior students in basic behaviour and clinical examination skills . Each tutor is active during 4-5 skills lab periods , and in each period he/she coaches two groups of two students each . During the bedside teaching phase each group examines and presents four patients ."
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MonatsschriftKinderheilkunde.71450572.eng.abstr
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MonatsschriftKinderheilkunde.71450572.eng.abstr
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"id": "MonatsschriftKinderheilkunde.71450572.eng.abstr-passage-0",
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"In 80 textbooks of German pediatric literature published from 1803 to 1993 , instructions concerning the technique of breast-feeding were studied ( time of the first breast-feeding after birth , frequency of breast-feeding and duration of the interval between two meals at night ) . The actual pediatric recommendations of breast-feeding harmonize with those promoted in the nineteenth century . Between 1905 and 1915 German pediatricians introduced a new strictly regulated schedule of breast-feeding recommending that the first feeding be 24 h after birth , that there be 5 ( or 6 ) feedings per day and none during a period of 8 h at night . This strictly regulated schedule of breast-feeding was revised in 1960-1985 and replaced by instructions for feeding on demand . In a review , the contemporary scientific arguments as well as the psychological and social context promoting and suppressing scheduled feeding are depicted , and the possible consequences of the strictly regulated schedule of breast-feeding on infant-feeding practices and the manner of interaction of pediatrician with both mother and infant are discussed ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450588.eng.abstr
|
MonatsschriftKinderheilkunde.71450588.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450588.eng.abstr-passage-0",
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"text": [
"The subject of this report is a newborn female , suffering from hypotonia and breathing difficulties , delivered in the 37 week with the help of forceps . Because of the nature of her symptons and those of the mother , which included Facies myopathica and Myotonia , the possibility of the expansion of a CTG-Trinukleotidsequence in the area of Chromosom 19 was explored . For this purpose a technique , developed in 1992 , for the identification of molecular genetic characteristics was used . Instead of the 5 to 27 copies of the CTG sequence normally found in the population , the sick child had 1000 and the mother more than 700. EMG , in which a classical relases of myotones ( Fall-Fight-Bomberscream ) were found , confirmed the neurological diagnosis . Discussion : In the course of time the newborn child showed the classical problems of hyptotonia , such as respiratory difficulties , eating disorders leading to a loss of weight , meteroism , and after another stay in hospital , symptoms of Ileus ."
],
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MonatsschriftKinderheilkunde.71450593.eng.abstr
|
MonatsschriftKinderheilkunde.71450593.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450593.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 12-year-old boy presented with sudden onset of confusion , mydriasis , and dryness of the mouth . Intoxication by an atropine-like substance was suspected despite missing hints to drug or liquor ingestion . Serum and urine specimens were analysed for toxic substances including alkaloids . Only in urine scopolamine and hyoscyamine ( l-atropine ) were detectable . After his recovery and upon thorough questioning the boy remembered that he had consumed an \" exotic fruit \" , which was then identified as a thorn-apple ( \" Jimson weed \" , Datura spec . ) . Discussion : After its consumption the expected concentrations of the toxic tropane alkaloids in body fluids are very low . Therefore , success of toxicological analysis depends on hints from medical examination and on a well equipped specialized laboratory ."
],
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0,
818
]
]
}
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[] |
[] |
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MonatsschriftKinderheilkunde.71450602.eng.abstr
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MonatsschriftKinderheilkunde.71450602.eng.abstr
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{
"id": "MonatsschriftKinderheilkunde.71450602.eng.abstr-passage-0",
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"Two infants presented with isolated paroxysmal dysfunction of eye movements . Both children had developed normally until they suffered from episodic conjugated upward deviation of gaze . The duration and the frequency of these episodes increased and were exacerbated by tiredness and often ameliorated by sleep . Horizontal eye movements were not disturbed . A constant nystagmus was not present , although one infant showed conjugated downbeat saccades in attempted downgaze . The infants continued to develop normally . Metabolic studies , EEG and MRI scan did not demonstrate any abnormality . The symptoms decreased over some months and subsided after three years . The clinical course of the patients is closely similar to the \" Benign Paroxysmal Tonic Upward Gaze of Childhood \" . Discussion : This entity of unknown aetiology has hardly ever been reported in the German literature and should be categorised in the group of dyskinesias of childhood . It is important to establish an accurate diagnosis in order to avoid unnecessary extensive investigations and to alleviate the parents ' fear about their child's subsequent development ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450606.eng.abstr
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MonatsschriftKinderheilkunde.71450606.eng.abstr
|
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{
"id": "MonatsschriftKinderheilkunde.71450606.eng.abstr-passage-0",
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"Heparin-induced thrombocytopenia ( HIT ) type II is a life-threatening complication of heparin therapy with venous thrombosis and occlusion of arteries ( \" white clot syndrome \" ) . So far , in children only a few cases of HIT have been reported . The report on a 12-year-old boy who suffered from venous thrombosis of unknown origin . Thrombolytic therapy included streptokinase , urokinase and unfractionated heparin . He developed thrombocytopenia , thromboembolism of the femoral artery and thrombosis of the vena cava inferior . HIT-antibodies against platelet-factor 4 complex could be demonstrated by ELISA and heparin-induced platelet activation assay . After cessation of heparin anticoagulation was provided with a heparinoid and recombinant hirudin . Thereafter he recovered from venous thrombosis , but amputation of the distal foot at the Chopart line could not be avoided . This case report demonstrates that HIT is not restricted to adults . Furthermore , it strongly suggests that even in paediatric patients regular control of platelet counts are necessary during heparin application ."
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MonatsschriftKinderheilkunde.71450613.eng.abstr
|
MonatsschriftKinderheilkunde.71450613.eng.abstr
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"text": [
"Objective : To examine and compare socioeconomic risk factors for SIDS and non-SIDS in postneonatal age in Austria . Methods : We conducted a population-based retrospective cohort study using the govermental linked birth and death certificate file for 1984 to 1993. Our studied population includes all single live-births surviving the neonatal period ( n = 880 601 ) . Postneonatal deaths ( n = 2989 ) were divided into SIDS ( ICD9 798.0 ; n = 1070 ) and all other causes of death ( non-SIDS ; n = 1919 ) . Mortality rates were expressed as deaths per 1000 infants surviving the neonatal period . Crude and adjusted relative risks of death ( RR ) and 95 % confidence intervals ( CI ) were obtained by logistic regression analysis . Social risk factors , demographic risk factors , and birth weight were included as independent variables . Results : Social risk factors turned out to be closely associated both with SIDS and with non-SIDS-mortality . Concerning SIDS , women in the lowest educational group have a RR of 1.45 ( CI = 1.16-1.81) compared to highly educated women . For non-SIDS the RR was 1.48 ( CI = 1.26-1.74). Immigrant workers ( women of Turkish and Ex-Yugoslavian origin ) had a much lower risk for SIDS compared to Austrian mothers ( RR = 0.33 , CI = 0.24-0.47). Living in big cities was associated with a higher risk for SIDS ( RR = 1.63 , CI = 1.42-1.86), in contrast to a lower risk for non-SIDS ( RR = 0.89 , CI = 0.80-1.00). Conclusions : When controlling for demographic risk factors and birth weight , unfavourable social conditions still remain an important risk factor for SIDS and non-SIDS in postneonatal age . Attempts to improve these conditions should not be confined to SIDS , but they should be integrated into preventive programs aimed at reducing infant mortality in general ."
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MonatsschriftKinderheilkunde.71450619.eng.abstr
|
MonatsschriftKinderheilkunde.71450619.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450619.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : After elimination of CMV transmission by blood products we have still observed preterm infants with postnatally acquired CMV infections . 16 preterm infants with CMV infection by breast milk were identified . Methods : CMV-DNA PCR and viral cultures . Criteria of transmission : CMV in breast milk ; viruria in preterm infants ; exclusions of congenital infection , of donor's breast milk and of CMV seropositive blood transfusions . Results : 8 infants ( 50 % ) had marked symptoms of an acute CMV infection : sepsis-like symptoms with apnoea and bradycardia ( 4 ) , cholestasis/hepatitis ( 4/2 ) , thrombocytopenia ( 6 ) , neutropenia ( 5 ) . Infection in the latter group occurred at an median postnatal age of 46 vs. 62 days in asymptomatic infected infants ( p 0.01 ) . Conclusion : There is a high incidence of symptomatic CMV infections in preterm infants due to breast milk transmission . An early postnatal CMV infection seems to be associated with a symptomatic clinical course ."
],
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[
0,
1002
]
]
}
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MonatsschriftKinderheilkunde.71450626.eng.abstr
|
MonatsschriftKinderheilkunde.71450626.eng.abstr
|
[
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"Background : The paper focuses on the issues , how couples cope with SIDS and how this can be facilitated by subsequent children , self-help and professional support . Methods : In a retrospective study , 60 couples , members of a self-help organization , were studied at the average of 5 years ( 2-215 months ) after their loss . Depression , anxiety , physical complaints and grief were assessed by standardized questionnaires . A community sample of equal size of men and women of the same age were used as controls . Results : Average scores of depression and physical complaints were elevated compared to the community sample . Men and women coped differently with the loss : Bereft mothers were more depressed and ruminated more about cause and preventability of the death than fathers . They expressed their grief more openly and found it more helpful to speak about their loss . The presence of subsequent children was of prime importance for coping with the loss ; an early subsequent pregnancy was fraught with increased anxiety . Conclusions : The self-help group serves an important function as a coping resource ; the pediatrician plays a key role in the psychosocial care of the afflicted families ."
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MonatsschriftKinderheilkunde.71450639.eng.abstr
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MonatsschriftKinderheilkunde.71450639.eng.abstr
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MonatsschriftKinderheilkunde.71450646.eng.abstr
|
MonatsschriftKinderheilkunde.71450646.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450646.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Glutaric aciduria type I is a disease caused by deficiency of the enzyme Glutaryl CoA-Dehydogenase with an increased urinary excretion of glutaric and 3-hydroxy-glutaric acid . We report on two patients in whom glutaric aciduria type I was misdiagnosed as battered child syndrome because of subdural hygromas which are a peculiar feature of the underlying metabolic disease . The characteristic neuroradiologic manifestations of glutaric aciduria type I are illustrated . We also report on two patients who were diagnosed because of macrocephaly in the newborn period lacking neurological symptoms . They were treated at the presymptomatic stage of the disease and developed almost normally up to the age of now five and six years ."
],
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[
0,
732
]
]
}
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{
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"id": "MonatsschriftKinderheilkunde.71450646.eng.abstr-s2-t4",
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"hygromas"
],
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300,
308
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450652.eng.abstr
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MonatsschriftKinderheilkunde.71450652.eng.abstr
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[] |
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MonatsschriftKinderheilkunde.71450693.eng.abstr
|
MonatsschriftKinderheilkunde.71450693.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450693.eng.abstr-passage-0",
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"text": [
"Lately , toddlers suffering from \" nursing bottle syndrome \" ( NBS ) are seen more frequently in dental and orthodontic practices . In Germany , an increase of NBS is reported since the beginning of the decade , especially in the eastern counties . The present review introduces the circumstances for the development of NBS with respect to the development for both the deciduous and permanent dentition ."
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MonatsschriftKinderheilkunde.71450708.eng.abstr
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MonatsschriftKinderheilkunde.71450708.eng.abstr
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MonatsschriftKinderheilkunde.71450712.eng.abstr
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MonatsschriftKinderheilkunde.71450712.eng.abstr
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MonatsschriftKinderheilkunde.71450714.eng.abstr
|
MonatsschriftKinderheilkunde.71450714.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450714.eng.abstr-passage-0",
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"text": [
"Inborn errors of the urea cycle and of the organic acid metabolism can cause acute hyperammonemia in neonates which , if untreated , leads to coma , severe brain damage or death . These complications , however , can be prevented by proper diagnosis and early therapeutic intervention . Rapid decline in ammonia blood levels are essential and can be achieved by the following four therapeutic principles 1. restriction of protein intake ( while maintaining essential amino acids ) , 2. reduction of protein catabolism by a hypercaloric diet , 3. activation of alternative pathways of ammonia elimination , and 4. elimination of ammonia from the circulation by dialysis ."
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0,
669
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]
}
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{
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450724.eng.abstr
|
MonatsschriftKinderheilkunde.71450724.eng.abstr
|
[
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0,
179
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[] |
[] |
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MonatsschriftKinderheilkunde.71450729.eng.abstr
|
MonatsschriftKinderheilkunde.71450729.eng.abstr
|
[
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"id": "MonatsschriftKinderheilkunde.71450729.eng.abstr-passage-0",
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[] |
[] |
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MonatsschriftKinderheilkunde.71450734.eng.abstr
|
MonatsschriftKinderheilkunde.71450734.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450734.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acute suppurative thyroiditis is very rare in childhood . We describe the clinical signs and the diagnostic and therapeutic procedures of thyroid abscesses in children , and add 2 own cases of this rare disease . In the first case , diagnosis of piriform sinus fistula was made finally after repeated drainage for recurrent abscesses of the left thyroid . Operative excision of the fistula was performed and the child is doing well since then . In the second case , a left sided thyroid abscess was treated by incision and drainage only . Seven years later , no recurrent abscess occurred in this child . In conclusion , especially in left sided and recurrent thyroid abscesses the patients should be examined for a piriform sinus fistula as a route of infection . If present , complete removal of the fistula is essential for permanent cure ."
],
"offsets": [
[
0,
843
]
]
}
] |
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6,
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{
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}
] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450786.eng.abstr
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MonatsschriftKinderheilkunde.71450786.eng.abstr
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"id": "MonatsschriftKinderheilkunde.71450786.eng.abstr-passage-0",
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"text": [
"Some of the most widely used alternative treatment methods for bronchial asthma are discussed . The relevant literature , especially controlled clinical studies for the evaluation of effectiveness , are reviewed . After briefly discussing definitions , sociodemographic data , and strategies to evaluate any treatment of bronchial asthma , the following methods are reviewed : Acupuncture , Homoeopathy , Yoga , Hypnosis , Autogenic training , Muscle relaxation treatment , Manual medicine , Ionisation of air , and Bioresonance . In summary , decently done clinical studies are scarce , and results , more often than not , are contradictory ; Yoga , and possibly also Hypnosis , might be exceptions in this generally poor scientific profile ; these two methods might have some therapeutic efficacy in asthma ."
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MonatsschriftKinderheilkunde.71450798.eng.abstr
|
MonatsschriftKinderheilkunde.71450798.eng.abstr
|
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"Transcatheter closure of patent ductus arteriosus Botalli ( PDA ) has become a routine procedure . Only PDA in low birth weight infants , and short and wide open PDA in small children could not be closed by means of catheter technology . Different transcatheter closure systems are available now . We report on a premature infant now 16 month old weighting 6,8 kg were surgery seemed inadvisable . After angiography a funnel- shaped PDA seemed to be suitable for closure by a Ductocclud spiral coil ( PFM company ) . The spiral coil could not be set in place safely because meanwhile the pulmonary PDA month had widened after angiography . Transcatheter closure then was successful using a 17 mm Rashkind double umbrella ( Bard company ) in modified implantation technique with a 8 french introduction set , and special attention to avoid the isthmus of the aorta and pulmonary artery stenosis ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450806.eng.abstr
|
MonatsschriftKinderheilkunde.71450806.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450806.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This report presents two patients with Smith-Lemli-Opitz syndrome of different severity . The Smith-Lemli-Opitz syndrome is an autosomal recessively inherited metabolic disorder characterized by failure to thrive , neurologic dysfunction , facial dysmorphism , skeletal and organ malformations . Recently , the Smith-Lemli-Opitz syndrome was shown to be due to an inborn error of cholesterol biosynthesis diagnosable by markedly elevated levels of serum 7-dehydrocholesterol . There is a wide variability in the clinical presentation and some patients may present with only mild abnormalities . Discussion : The possibility of the diagnosis of a Smith-Lemli-Opitz syndrome should be included in the differential diagnosis of patients with failure to thrive and developmental retardation ."
],
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[
0,
788
]
]
}
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{
"id": "MonatsschriftKinderheilkunde.71450806.eng.abstr-s2-t6",
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{
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{
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450810.eng.abstr
|
MonatsschriftKinderheilkunde.71450810.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450810.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Chronic granulomatous disease ( CGD ) is caused by the inability of phagocytes to kill ingested germs by microbicidal reactive oxygen . Especially forms of CGD with retained ability to produce some reactive oxygen sometimes tend to imitate other diseases . An 8-year-old girl with a normal history presented with many symptoms matching those of hypersensitivity pneumonitis like restrictive ventilation disorder , suggestive chest x-ray , a majority of CD8 positive lymphocytes in the broncho-alveolar-lavage fluid ( BAL ) , suggestive histological valuation . Hints for the true underlying disease like neutrophilia and a high anti-Aspergillus-titer could be overlooked easily . The patient was treated with steroids and antibiotics because an infection could not be excluded . The CGD had not been recognised at this time , however . After a significant improvement for a short time the patient experienced a dramatic respiratory deterioration . A lot of Aspergillus could now be found in the BAL . Finally the patient died because of an ARDS and respiratory insufficiency even though signs of the Aspergillus infection improved significantly . Discussion : Whenever CGD must be considered appropriate diagnostics have to be performed- especially before treatment with steroids ."
],
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[
0,
1281
]
]
}
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MonatsschriftKinderheilkunde.71450815.eng.abstr
|
MonatsschriftKinderheilkunde.71450815.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450815.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : In congenital adrenal hyperplasia due to 21-hydroxylase deficiency high pre- and postnatal androgen levels are present and might influence psychosexual and psychosocial development in affected girls . Methods : In order to study the impact of high androgen levels as well as chronic medication and repeated surgery on female patients life we performed a comprehensive quality-of-life study . We report on the results obtained by structured interviews of adult patients ( 45 ) and their mothers ( 35 ) covering difficulties and problems in general , most aspects of their medical histology , self image , body image and current life with or without a male or female partner . Results : The patients were socially competent with a well developed social network . However , regarding sexual contacts they were shy and reluctant . These resulted in significantly less patients live with a partner or are married . Existing partnerships were more stable and satisfactory than in the control population . The incidence of homosexuality was not increased . The number of women having children was significantly reduced . A substantial number of women suffered from androgen-dependent problems like irrgular menses and hirsutism . Mothers and patients denied any sex-specific eduction , but the girls had preferred boy-specific toys and competitive outdoor games . However , school performance was average and comparable to the controls . Most mothers expressed problems and questions regarding their daughters intersexuality at birth . Even though they felt they had received good medical treatment , mothers as well as patients felt they would have needed more psychological help . Conclusions : It seems that adult female patients with congenital adrenal hyperplasia are able to adapt to their impairment and chronic disease . Problems regarding partnership , sexuality , and fertility remain and have to be addressed ."
],
"offsets": [
[
0,
1927
]
]
}
] |
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MonatsschriftKinderheilkunde.71450834.eng.abstr
|
MonatsschriftKinderheilkunde.71450834.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450834.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This study gives a survey of the publications of articles about the care of the newborn around 1900. A main paediatric and obstetric journal ( Archiv fuer Kinderheilkunde , Archiv fuer Gynaekologie ) from the turn of the century were analysed including the years 1885-1910 ."
],
"offsets": [
[
0,
274
]
]
}
] |
[
{
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],
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[
19,
25
]
],
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{
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MonatsschriftKinderheilkunde.71450880.eng.abstr
|
MonatsschriftKinderheilkunde.71450880.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450880.eng.abstr-passage-0",
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"text": [
"Recent advances in diagnostic and surgical techniques as well as perioperative management have made it possible to repair congenital cardiac malformations at an early age . Progress in neonatology in general is also significant . Due to anatomical and physiological reasons heart surgery in neonates is still , however , not without serious problems . It is possible that cardiopulmonary adaptation is incomplete , and the number of contractile myocytes has yet to increase . Due to reduced compliance of the neonatal ventricle , the responsiveness to preload and afterload augmentation is also reduced . Pressure overload in neonatal hearts generally induces hyperplasia of myocytes and coronary angiogenesis , whereas in the heart of elder children and adults pressure overload only induces hypertrophy of myocytes without coronary angiogenesis . Therefore repair during the early hyperplastic phase should eliminate damage to the heart and other important organs ."
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[] |
[] |
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MonatsschriftKinderheilkunde.71450887.eng.abstr
|
MonatsschriftKinderheilkunde.71450887.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450887.eng.abstr-passage-0",
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"text": [
"Choreoathetosis is a rare complication after surgery on congenital heart malformations with cardiopulmonary bypass and profound hypothermia . We reviewed the hospital course and follow-up of 3 patients , who developed acute chorea during the early postoperative period ( within 3-6 days after surgery ) . CTscan of the brain and/or MRI were completely normal in all patients . Medical treatment with tiapride was administered in patient 1 and 2. In patient 2 symptoms resolved within several weeks ; patient 1 and 3 showed residual choreiform movements for 48 and 14 months , respectively ."
],
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[
0,
590
]
]
}
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450892.eng.abstr
|
MonatsschriftKinderheilkunde.71450892.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450892.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Of the distinct syndromes and associations featuring overgrowth , some still await further characterization . Major distinguishing marks between these overgrowth disorders include craniofacial abnormalities , statomotoric and mental retardation , and muscular hypotonia . We describe a 3-year-old girl with tall stature , facial dysmorphy , severe mental retardation , and an interstitial deletion of the long arm of chromosome 22/del(22)(q13.1;q13.33). The chromosome 22q13 deletion syndrome was only recently reported by Nesslinger et al. [ 1 ] as a new nosologic entity ."
],
"offsets": [
[
0,
574
]
]
}
] |
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{
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MonatsschriftKinderheilkunde.71450897.eng.abstr
|
MonatsschriftKinderheilkunde.71450897.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450897.eng.abstr-passage-0",
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],
"offsets": [
[
0,
251
]
]
}
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71450906.eng.abstr
|
MonatsschriftKinderheilkunde.71450906.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : In full term infants the distal femur- and proximal tibia-epiphysis are the only secondary ossification centers seen roentgenographically . Therefore they have a certain value as indicators of skeletal development . These two ossification centers can as well be evaluated easily by sonography . Patients and method : In a prospective study the ossification centers of the knee were studied by ultrasound ( Acuson 128 and XP/10 system ) . The biological age ( gestational and chronological age added ) of the 210 infants examined ( 101 males and 109 females ) was 42 weeks ( mean ; minimum 33 weeks , maximum 55 weeks ) . Infants with inborn errors of metabolism or hypothyroidism were excluded . The sonographically visible begin of mineralisation and the size of ossification centers ( craniocaudal , transverse , and anterior-posterior ) were recorded . Results : In infants with a biological age of 44 weeks and older allways both epiphysis were well mineralised , whereas only one of 9 babies of the 33rd week examined had a visible mineralisation of the distal femur epiphysis . The begin of the mineralisation is side independent and in all cases earlier and larger in the epiphysis of distal femur than in the proximal tibia . The craniocaudal diameter of the distal femur epiphysis of infants aged 40 weeks is 4.7 mm . The ratio of volume of the distal femurepiphysis and the bodyweight related to age is 0.0247 ml/kg in males and 0.0275 in females . Discussion : These results are similar to previous X-ray results known to the literature . The x-ray examination of the knee for skeletal development can easily be replaced by ultrasound ."
],
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[
0,
1662
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]
}
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"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s12-r1-t2.1-t1.1",
"type": "conceptual_part_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s12-r2-t1.1-t1.2",
"type": "measures",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s12-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r1-t1.1-t3.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r2-t2.1-t3.3",
"type": "result_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r3-t1.1-t2.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r5-t1.1-t2.1",
"type": "result_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r6-t3.1-t2.1",
"type": "result_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r7-t3.3-t2.1",
"type": "result_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-r8-t3.1-t2.1",
"type": "measures",
"arg1_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450906.eng.abstr-s13-t2",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71450911.eng.abstr
|
MonatsschriftKinderheilkunde.71450911.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : Lipoprotein ( a ) is an important codominantly inherited risk factor for coronary disease but there is little data about its distribution in childhood ."
],
"offsets": [
[
0,
165
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Lipoprotein"
],
"offsets": [
[
13,
24
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023820"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"risk"
],
"offsets": [
[
70,
74
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"disease"
],
"offsets": [
[
95,
102
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"distribution"
],
"offsets": [
[
138,
150
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0520511"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"risk factor"
],
"offsets": [
[
70,
81
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035648"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"coronary disease"
],
"offsets": [
[
86,
102
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0010068"
}
]
}
] |
[] |
[] |
[
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-r1-t1.1-t6.1",
"type": "affects",
"arg1_id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-r2-t1.1-t3.1",
"type": "affects",
"arg1_id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450911.eng.abstr-s1-t3",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71450928.eng.abstr
|
MonatsschriftKinderheilkunde.71450928.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Thyroid disorders in childhood needing surgery are rare . Therapeutical procedures therefore are derived from adult surgery with modifications to meet the specific need of the pediatric patient . The indications for operation are presented with regard to incidence and type of the defect , and the surgical procedures with regard to the extent of the lesion results ."
],
"offsets": [
[
0,
367
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Thyroid"
],
"offsets": [
[
0,
7
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040132"
},
{
"db_name": "UMLS",
"db_id": "C0040134"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"disorders"
],
"offsets": [
[
8,
17
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
39,
46
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"Thyroid disorders"
],
"offsets": [
[
0,
17
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040128"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"procedures"
],
"offsets": [
[
72,
82
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"adult"
],
"offsets": [
[
110,
115
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001675"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
116,
123
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"need"
],
"offsets": [
[
164,
168
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027552"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"patient"
],
"offsets": [
[
186,
193
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"operation"
],
"offsets": [
[
216,
225
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"incidence"
],
"offsets": [
[
255,
264
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220856"
},
{
"db_name": "UMLS",
"db_id": "C0021149"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"defect"
],
"offsets": [
[
281,
287
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243067"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"surgical"
],
"offsets": [
[
298,
306
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"procedures"
],
"offsets": [
[
307,
317
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"surgical procedures"
],
"offsets": [
[
298,
317
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
}
]
}
] |
[] |
[] |
[
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r1-t1.2-t2.1",
"type": "affects",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r2-t1.2-t3.2",
"type": "diagnoses",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r4-t3.2-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r5-t1.2-t2.1",
"type": "diagnoses",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r6-t2.1-t1.2",
"type": "produces",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r7-t1.1-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r8-t1.1-t2.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r9-t1.2-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r10-t1.1-t3.2",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r11-t1.2-t3.2",
"type": "affects",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r12-t2.1-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t2",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s1-r13-t3.2-t1.2",
"type": "produces",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r1-t3.2-t1.1",
"type": "interacts_with",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r2-t3.2-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r3-t4.1-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t4",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r4-t1.1-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r5-t1.1-t3.2",
"type": "interacts_with",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r6-t3.2-t1.1",
"type": "uses",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r7-t1.2-t3.1",
"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-r8-t3.2-t1.2",
"type": "uses",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s2-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-r1-t1.2-t3.1",
"type": "conceptual_part_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-r2-t5.1-t1.1",
"type": "conceptual_part_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t5",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-r3-t5.1-t3.1",
"type": "conceptual_part_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t5",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-r4-t3.1-t1.1",
"type": "conceptual_part_of",
"arg1_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t3",
"arg2_id": "MonatsschriftKinderheilkunde.71450928.eng.abstr-s3-t1",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71451040.eng.abstr
|
MonatsschriftKinderheilkunde.71451040.eng.abstr
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"The obstetrical palsy of the brachial plexus is a rare but severe complication in child delivery . If there is no spontaneous recovery within the first weeks , the child should be considered for a specialized diagnostic and treatment program with combined care from pediatricians , neurologists , and physiotherapists and surgeons . Right from the beginning physiotherapy is important with its general and specific exercises ( Bobath , Vojta ) ; but the decision for further conservative or surgical treatment should be made between 3nd and 6 month ."
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MonatsschriftKinderheilkunde.71451047.eng.abstr
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MonatsschriftKinderheilkunde.71451047.eng.abstr
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"id": "MonatsschriftKinderheilkunde.71451047.eng.abstr-passage-0",
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"Intermittent symptoms of central airways obstruction in children and adolescents are rare and may well be confounded with symptoms of bronchial asthma . We report on a 17 year old male patient with pre-existing allergic asthma who developed a rough in- and expiratory stridor , especially during exercise and emotional stress . These symptoms showed no response to bronchodilators . Bronchoscopy demonstrated a prolapse of the arytenoid cartilage into the larynx during inspiration and a collapse of the aryepiglottic folds during expiration . Forced expiration also caused a subtotal collapse of the distal trachea and the main bronchi ."
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MonatsschriftKinderheilkunde.71451051.eng.abstr
|
MonatsschriftKinderheilkunde.71451051.eng.abstr
|
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"We report about the possibility of electrophysiological diagnosis and therapy in the treatment of a symptomatic left ventricular tachycardia which could not be treated effectively by oral medical therapy in a 10 year old boy with no obvious structural heart disease . By right bundle-bloc-like QRS-complexes in the surface-ECG , the diagnosis of the ventricular origin of the tachycardia was confirmed by transesophageal-ECG . This was followed by the first electrophysiological examination that showed increased leftventricular vulnerability . During this electrophysiological examination the tachycardia was terminated by stimulated singular premature beats . An oral medical therapy with sotalol was started . After the phase of saturation the next ventricular stimulation was done , that showed no sufficient protection of sotalol against VT . So the decision was made for ventricular ablation . After 5 high frequency-applications no furhter ventricular tachycardia could be induced . Since this intervention the patient lives without symptoms ."
],
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1050
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}
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MonatsschriftKinderheilkunde.71451054.eng.abstr
|
MonatsschriftKinderheilkunde.71451054.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We describe an eighteen-months-old boy , who suffered from congenital vitium cordis , jejunalatresia , microcephaly , facial dysmorphies and psychomotor retardation in connection with a partial monosomy of the short arm of chromosome 8."
],
"offsets": [
[
0,
236
]
]
}
] |
[
{
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"eighteen-months-old"
],
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[
15,
34
]
],
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}
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{
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59,
69
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},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t3",
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],
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86,
100
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{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"microcephaly"
],
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[
103,
115
]
],
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"db_id": "C0025958"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t5",
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],
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194,
202
]
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{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t6",
"type": "umlsterm",
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"arm"
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216,
219
]
],
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"db_id": "C0003792"
}
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},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"chromosome"
],
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223,
233
]
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}
]
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{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
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],
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[
186,
202
]
],
"normalized": [
{
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"db_id": "C0008628"
}
]
}
] |
[] |
[] |
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"type": "degree_of",
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-r12-t8.1-t1.1",
"type": "result_of",
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"arg2_id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-r13-t8.1-t5.1",
"type": "result_of",
"arg1_id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t8",
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"normalized": []
},
{
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"type": "location_of",
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},
{
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"type": "part_of",
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},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-r16-t7.1-t3.1",
"type": "location_of",
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"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-r17-t7.1-t8.1",
"type": "location_of",
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"arg2_id": "MonatsschriftKinderheilkunde.71451054.eng.abstr-s1-t8",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71451057.eng.abstr
|
MonatsschriftKinderheilkunde.71451057.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a three month old infant presenting with vaginal bleeding . Precocious pseudopuberty due to an autonomous ovarian cyst was diagnosed . Within three months the follicular cyst spontaneously regressed . Elevated estradiol levels also decreased spontaneously ."
],
"offsets": [
[
0,
270
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"old"
],
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[
27,
30
]
],
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"infant"
],
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[
31,
37
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021270"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"pseudopuberty"
],
"offsets": [
[
84,
97
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034011"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-t2",
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"cyst"
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"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-t3",
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"ovarian cyst"
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"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s3-t2",
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"estradiol"
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] |
[] |
[] |
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{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-r1-t2.1-t1.1",
"type": "result_of",
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{
"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-r2-t2.1-t3.1",
"type": "degree_of",
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"id": "MonatsschriftKinderheilkunde.71451057.eng.abstr-s2-r4-t1.1-t2.1",
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}
] |
MonatsschriftKinderheilkunde.71451061.eng.abstr
|
MonatsschriftKinderheilkunde.71451061.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Coats ' disease is characterized by teleangiectatic and aneurysmal changes of the retinal vessels with secondary intra- and subretinal exudates . In most cases vision can be preserved by therapy at an early stage . In rare , advanced cases a total retinal detachment causes amaurosis . This case is the first description of Coats ' disease associated with DiGeorge-Syndrome . We report the case of an eight year old boy , who suffered from headache after ear surgery ( tympanoplastic type I ) . Retinoblastoma could be exluded and Coats ' disease was diagnosed by ophthalmoscopy , computertomography and magnetic resonance imaging . Discussion : Until today the cause of Coats ' disease is unknown . The coincidence with DiGeorge-Syndrome seems to be accidental ."
],
"offsets": [
[
0,
763
]
]
}
] |
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"retinal"
],
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"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-t3",
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"text": [
"vessels"
],
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-t4",
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"secondary"
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-t5",
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"exudates"
],
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-t6",
"type": "umlsterm",
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"retinal vessels"
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"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s2-t1",
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"vision"
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s2-t2",
"type": "umlsterm",
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"therapy"
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}
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s2-t3",
"type": "umlsterm",
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"stage"
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},
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"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s3-t1",
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"retinal"
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"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s3-t2",
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s3-t3",
"type": "umlsterm",
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"amaurosis"
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s3-t4",
"type": "umlsterm",
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],
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"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s4-t1",
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t1",
"type": "umlsterm",
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"old"
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t2",
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"headache"
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"ear"
],
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]
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t4",
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t5",
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s6-t1",
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"Retinoblastoma"
],
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s6-t3",
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{
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]
}
] |
[] |
[] |
[
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r1-t4.2-t3.2",
"type": "causes",
"arg1_id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s5-t4",
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r2-t3.2-t1.1",
"type": "affects",
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r3-t5.1-t3.1",
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r4-t1.1-t3.2",
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r14-t4.2-t5.1",
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{
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s1-r16-t4.2-t2.1",
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{
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{
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{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s6-r32-t6.1-t1.1",
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s6-r34-t6.1-t7.1",
"type": "measures",
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"arg2_id": "MonatsschriftKinderheilkunde.71451061.eng.abstr-s6-t7",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71451071.eng.abstr
|
MonatsschriftKinderheilkunde.71451071.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objective : We assessed the utility of 3D ultrasound in detecting morphological changes of cerebral anatomy in newborns ."
],
"offsets": [
[
0,
121
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t1",
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"text": [
"Objective"
],
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0,
9
]
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"db_id": "C0018017"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t2",
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"ultrasound"
],
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[
42,
52
]
],
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{
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"db_id": "C0041618"
},
{
"db_name": "UMLS",
"db_id": "C0041621"
}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"morphological"
],
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66,
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]
},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t4",
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"text": [
"anatomy"
],
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[
100,
107
]
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{
"db_name": "UMLS",
"db_id": "C0220784"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"newborns"
],
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111,
119
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021289"
}
]
}
] |
[] |
[] |
[
{
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"type": "issue_in",
"arg1_id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t2",
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},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r2-t1.1-t2.1",
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{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r4-t5.1-t2.1",
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"arg2_id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t2",
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},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r5-t4.1-t3.1",
"type": "issue_in",
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{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r6-t2.1-t3.1",
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{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r7-t5.1-t3.1",
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},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r8-t1.1-t3.1",
"type": "issue_in",
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},
{
"id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-r9-t5.1-t1.1",
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"arg2_id": "MonatsschriftKinderheilkunde.71451071.eng.abstr-s1-t1",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71451080.eng.abstr
|
MonatsschriftKinderheilkunde.71451080.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objektive : Obstetrical brachial plexus palsy occurs at a frequency of 0,6-2,5 per 1000 births . 80-95% of these lesions recover spontaneously . Should spontaneous recovery not occur within the first 6 months of life , electrophysiological examination CT-Myelography , and surgical exploration of the brachial plexus are recommended ."
],
"offsets": [
[
0,
334
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s1-t1",
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"text": [
"palsy"
],
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40,
45
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{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s1-t2",
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],
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58,
67
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},
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"births"
],
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88,
94
]
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},
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s1-t4",
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"brachial plexus"
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24,
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{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"life"
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212,
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},
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s3-t2",
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"text": [
"surgical"
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273,
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"db_id": "C0038895"
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},
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s3-t3",
"type": "umlsterm",
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301,
316
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],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0006090"
}
]
}
] |
[] |
[] |
[
{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s1-r1-t3.1-t2.1",
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{
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{
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{
"id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s3-r1-t2.1-t1.1",
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"arg2_id": "MonatsschriftKinderheilkunde.71451080.eng.abstr-s3-t1",
"normalized": []
}
] |
MonatsschriftKinderheilkunde.71451156.eng.abstr
|
MonatsschriftKinderheilkunde.71451156.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The diagnosis of Munchausen by proxy syndrome , a subtle form of child abuse , is very difficult . One reason is a seemingly well caring \" ideal \" mother who is mainly responsible for the fabricated illness of her child , the other biologically and technically well trained medical doctors maltreating the children unwittingly . Doctors are often separated from each other by their subspecialities but nevertheless directly approached by the mothers . The latter frequently have a medical education . A warning list of \" red flags \" of symptoms and clinical situations should sensitise the pediatrician for artificial illnesses and enable him to start diagnostic work-up early . One responsible doctor should coordinate all activities . The crucial step is a separation of mother and child , but a team approach involving child psychiatry , child wellfare organisations and legal authorities is mandatory . Therapeutic options for the perpetrators are minimal . The prognosis is poor if such a child is not separated from his family or retransferred too early . Research to understand psychopathology and to develop new therapeutic options is needed ."
],
"offsets": [
[
0,
1151
]
]
}
] |
[
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t1",
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"text": [
"diagnosis"
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4,
13
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"proxy"
],
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31,
36
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],
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"db_name": "UMLS",
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t3",
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"text": [
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"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t4",
"type": "umlsterm",
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"form"
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t5",
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"text": [
"child"
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"abuse"
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s1-t7",
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"text": [
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"mother"
],
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],
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s2-t2",
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"text": [
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s2-t3",
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"text": [
"doctors"
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],
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},
{
"id": "MonatsschriftKinderheilkunde.71451156.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"children"
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306,
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MonatsschriftKinderheilkunde.71451164.eng.abstr
|
MonatsschriftKinderheilkunde.71451164.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451164.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a seven months old girl , presenting with diarrhea refractory to therapy and stagnation of growth . The dehydrated infant developed edemas . It showed considerable diminution of humoral and cellular immunoresponse . Inspite of several vaccinations there was no response to a multiple-puncture skin test . Thus we suspected a combined immunodeficiency with protein-losing enteropathy , as massive substitution of protein was necessary . An enteral scintigraphy showed an enhancement in the right upper abdomen . During the following laparotomy a 15-cm-segment of the small bowel was resected , as it appeared to be transformed into a cystic lymphoma . Consequently all pathologic findings disappeared ."
],
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723
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}
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[] |
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MonatsschriftKinderheilkunde.71451167.eng.abstr
|
MonatsschriftKinderheilkunde.71451167.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451167.eng.abstr-passage-0",
"type": "abstract",
"text": [
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],
"offsets": [
[
0,
279
]
]
}
] |
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[] |
[] |
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MonatsschriftKinderheilkunde.71451170.eng.abstr
|
MonatsschriftKinderheilkunde.71451170.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451170.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During a period of two weeks in hot dry midsummer 3 patients presented in our pediatric outpatient clinic after a bath in a small lake . They had an extremely itching , elevated exanthema mainly on their legs . The single efflorescence had a diameter of about 1-3 cm . There were no signs of infection or fever ."
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0,
312
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]
}
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159,
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204,
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215,
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] |
[] |
[] |
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{
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},
{
"id": "MonatsschriftKinderheilkunde.71451170.eng.abstr-s2-r1-t3.1-t2.1",
"type": "location_of",
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{
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] |
MonatsschriftKinderheilkunde.71451173.eng.abstr
|
MonatsschriftKinderheilkunde.71451173.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451173.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The case of a five-year-old girl with intractable fluor vaginalis and recurrent perianal fistulas is reported . A presacral dermoid cyst was shown to be the cause of these symptoms . Extensive radiological investigation revealed the cyst and the associated fistulas extending into the perianal region and the vagina . After verification of the anatomical situation , an uneventful surgical procedure was carried out ."
],
"offsets": [
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0,
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]
}
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{
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{
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[] |
[] |
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MonatsschriftKinderheilkunde.71451176.eng.abstr
|
MonatsschriftKinderheilkunde.71451176.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451176.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 139/12 year old boy presented with the clinical and laboratory signs of a systemic lupus erythematosus ( SLE ) -like illness . Three months later he developed acute renal failure associated with hemolytic anemia and thrombocytopenia while being treated with prednisone and a non-steroidal antiphlogistic agent . Kidney biopsy revealed endotheliotropic microangiopathy . A thrombocytopenic purpura/hemolytic uremic syndrome was diagnosed according to clinical and histological findings . Plasma exchange , hemodialysis and immunosuppressive therapy with prednisone and cyclophosphamide resulted in a normalization of the hematologic findings , and the kidney function improved . The cyclophosphamide therapy was continued over 21/2 years . Three years after the acute episode the boy is free of symptoms with glomerular filtration rate of 71 ml/min/1.73 qm ."
],
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[
0,
859
]
]
}
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.71451264.eng.abstr
|
MonatsschriftKinderheilkunde.71451264.eng.abstr
|
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],
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179
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}
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MonatsschriftKinderheilkunde.71451282.eng.abstr
|
MonatsschriftKinderheilkunde.71451282.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451282.eng.abstr-passage-0",
"type": "abstract",
"text": [
"An 11 weeks old boy was acutely ill with drowsiness , liver involvement with cholestasis and coagulopathy but normal ammonia levels . Despite repeated dicarboxylic aciduria we could not find enzymatic disorders of fatty acid oxydation . Persistent wheezy bronchitis and steatorrhea finally led to the diagnosis of cystic fibrosis , which was confirmed by sweat chloride test and genetic analysis . With intensive treatment of cystic fibrosis all the pathological findings vanished ."
],
"offsets": [
[
0,
482
]
]
}
] |
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MonatsschriftKinderheilkunde.71451286.eng.abstr
|
MonatsschriftKinderheilkunde.71451286.eng.abstr
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[
{
"id": "MonatsschriftKinderheilkunde.71451286.eng.abstr-passage-0",
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"text": [
"Nasal abscesses are uncommon and therefore have been given little attention in the medical literatur . So there are possible diagnostical problems , especially in children . Immediate therapy is indicated to avoid cosmetic deformity or intracranial infections . Treatment entailsm surgical drainage , reconstruction of the septum , and adequate antibiotic backup ."
],
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0,
364
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}
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[] |
[] |
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MonatsschriftKinderheilkunde.71451289.eng.abstr
|
MonatsschriftKinderheilkunde.71451289.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451289.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hereditary multiple exostoses are a rare disease with an autosomal dominant mode of inheritance . We report a family in whom the father of the father , the father and all 3 children are affected . In the oldest child , at the age of one year , multiple exostoses at the right elbow and right distal ulna were dis- covered . Due to ongoing growth of these exostoses the relative shortening of the ulna caused a deformity of the elbow including angular deformity and luxation of the radial head and an ulnar deviation of the wrist followed by a functional impairment of the right arm and hand . At the age of 5 an ulnar osteotomy was performed followed by an ulnar lengthening using an external fixateur . Normal forearm function was regained after 8 months of treatment . Six months later the exostoses at the distal right ulna were surgically removed . Two years after the first operation the function of the right forearm and hand were normal , and the boy attended a regular school ."
],
"offsets": [
[
0,
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]
]
}
] |
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20,
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{
"id": "MonatsschriftKinderheilkunde.71451289.eng.abstr-s1-t2",
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{
"id": "MonatsschriftKinderheilkunde.71451289.eng.abstr-s1-t3",
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"text": [
"inheritance"
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{
"id": "MonatsschriftKinderheilkunde.71451289.eng.abstr-s1-t4",
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11,
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"id": "MonatsschriftKinderheilkunde.71451289.eng.abstr-s1-t5",
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"Hereditary multiple exostoses"
],
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0,
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MonatsschriftKinderheilkunde.71451293.eng.abstr
|
MonatsschriftKinderheilkunde.71451293.eng.abstr
|
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{
"id": "MonatsschriftKinderheilkunde.71451293.eng.abstr-passage-0",
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[] |
[] |
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MonatsschriftKinderheilkunde.71451297.eng.abstr
|
MonatsschriftKinderheilkunde.71451297.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.71451297.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on two premature infants who had completed 25 and 29 weeks of gestation and who developed unilateral interstitial pulmonary emphysema . In both cases massive mediastinal displacement developed with compression and total atelectasis of the contralateral lung . By selective intubation of the respective main bronchus , complete ventilation of the collapsed lungs and sufficient gas exchange was achieved . After 3 days ( case 1 ) and after 6 days ) case 2 ) , the unilateral emphysema receded and , subsequently , bilateral respiration was possible without relapse . 6 and respectively 11 days after selective intubation , extubation was performed . The two children were discharged at the age of 41/2 and 21/2 months showing complete respiratory compensation and equal ventilation on both sides ."
],
"offsets": [
[
0,
806
]
]
}
] |
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[] |
[] |
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MonatsschriftKinderheilkunde.71451301.eng.abstr
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MonatsschriftKinderheilkunde.71451301.eng.abstr
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{
"id": "MonatsschriftKinderheilkunde.71451301.eng.abstr-passage-0",
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"Background : The use of nasal thermistors to record nasal airflow for the detection of obstructive apneas has become routine in polysomnographic investigations . However , artefacts can lead to false - positive apnea patterns which cannot be clearly rejected by visual control of the recordings . The aim of this study was to investigate the usefulness of capnography for the detection of obstructive apneas as an alternative method ."
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MonatsschriftKinderheilkunde.81460005.eng.abstr
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MonatsschriftKinderheilkunde.81460005.eng.abstr
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"id": "MonatsschriftKinderheilkunde.81460005.eng.abstr-passage-0",
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"In paediatrics , limb pain is among the most frequent causes for consultation . In the absence of pathognomonic manifestations and since laboratory and apparative investigations often can only exclude other causes , history and physical examination are of paramount importance . Inflammatory causes are to be distinguished from non-inflammatory causes . The classical inflammatory symptom , the arthritis , is the central aspect of illness of the arthritic disorders including coxitis fugax and juvenile rheumatoid arthritis . It may be difficult to distinguish other disorders accompanied by arthritis in which arthritis may be the leading symptom initially , including purpura Henoch-Schoenlein and systemic lupus erythematosus . Non-inflammatory causes of limb pain in children and adolescents are much more frequent , especially trauma . The abounding \" growing pains \" should be recognized . Although many causes of limb pain are of no lasting harm it is necessary to exclude diseases which require immediate intervention , i.e. septic arthritis/osteomyelitis and malignant disorders including acute lymphatic leukemia and solid tumors . The successful management of children and adolescents with chronic diseases of the limbs requires experience and in case of non-inflammatory disorders often the interdisciplinary cooperation of the pediatric orthopedic surgeon , and in case of inflammatory disorders consultation with the pediatric rheumatologist ."
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MonatsschriftKinderheilkunde.81460017.eng.abstr
|
MonatsschriftKinderheilkunde.81460017.eng.abstr
|
[
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"id": "MonatsschriftKinderheilkunde.81460017.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on two children ( 7-year-old girl ; 11-year-old boy ) with an unusual manifestation of neuroborreliosis involving the nervus opticus and nervus abducens . Both children had a bilateral oedema of the optic disk and a strabismus convergens caused by paralysis of the 6th cranial nerve . Since , in addition , the children presented with headache , initially an intracranial tumor was considered but then excluded by magnetic resonance imaging . The cerebrospinal fluid showed a mononuclear pleocytosis , and specific antibodies against Borrelia burgdorferi were detected in serum and in CSF . These results confirmed the diagnosis of \" neuroborreliosis \" . All clinical manifestations disappeared a few days to weeks after treatment with intravenous ceftriaxon . Discussion : In the presence of cranial nerve palsy and optic disk oedema of unknown origin neuroborreliosis may be the correct diagnosis . Isolated involvement of the eye in the late stage of Lyme borreliosis is distinct from neuroborreliosis with cranial nerve involvement ."
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] |
[] |
[] |
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MonatsschriftKinderheilkunde.81460020.eng.abstr
|
MonatsschriftKinderheilkunde.81460020.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.81460020.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a 15-year-old girl and her relatives with typical features of Ehlers-Danlos syndrome type VIII . Main symptoms of this disorder are fragile skin , easy bruisability , joint hypermobility , features suggesting premature aging , and periodontal disease with early loss of teeth . The inheritance of this type of Ehlers-Danlos syndrome is autosomal dominant . The biochemical and genetic defects have not yet been elucidated ."
],
"offsets": [
[
0,
436
]
]
}
] |
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},
{
"id": "MonatsschriftKinderheilkunde.81460020.eng.abstr-s2-t7",
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{
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{
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MonatsschriftKinderheilkunde.81460023.eng.abstr
|
MonatsschriftKinderheilkunde.81460023.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.81460023.eng.abstr-passage-0",
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"text": [
"Newborn screening programs for inborn errors of metabolism are well established in industrialized countries . Missed cases may be not only due to errors in specimen collection and laboratory errors but also to failures in adequate follow up . We report the case of a now 4-year-old girl whose classical phenylketonuria was diagnostically missed in the course of follow-up procedures of a pathological screening result 1067 µmol/l 17,6 mg% phenylalanine ."
],
"offsets": [
[
0,
454
]
]
}
] |
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[] |
[] |
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MonatsschriftKinderheilkunde.81460026.eng.abstr
|
MonatsschriftKinderheilkunde.81460026.eng.abstr
|
[
{
"id": "MonatsschriftKinderheilkunde.81460026.eng.abstr-passage-0",
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"text": [
"Gastrointestinal mucormycosis is rare and occurs predominantly in the immunocompromised patient . Earlier case reports on affected preterms described a perforation of the stomach or of the bowel or the patients had signs of necrotizing enterocolitis . We report on a premature infant of 24 weeks of gestation with a bowel perforation . A mucormycosis of the intestine was proven by culture and by histological examination . There was no pneumatosis intestinalis , the bowel perforation happened very early and the small bowel showed a reduced perfusion . These points could allow a differentiation from a typical necrotizing enterocolitis . This is of importance , since a very early diagnosis and a rapid beginning of treatment ( surgical extirpation , Amphotericin B ) may improve the bad prognosis of a mucormycosis ."
],
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]
}
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MonatsschriftKinderheilkunde.81460030.eng.abstr
|
MonatsschriftKinderheilkunde.81460030.eng.abstr
|
[
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],
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[
0,
295
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]
}
] |
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[] |
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{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r56-t8.1-t2.2",
"type": "degree_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t8",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r57-t8.1-t7.1",
"type": "degree_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t8",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r58-t9.1-t7.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t9",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r59-t10.1-t8.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t10",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r60-t5.1-t1.1",
"type": "occurs_in",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t5",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r61-t5.1-t9.1",
"type": "produces",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t5",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t9",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r62-t10.1-t4.1",
"type": "developmental_form_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t10",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-r63-t9.1-t5.1",
"type": "location_of",
"arg1_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t9",
"arg2_id": "MonatsschriftKinderheilkunde.81460030.eng.abstr-s1-t5",
"normalized": []
}
] |
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