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Biomedical subjects

C W Zijlmans

Publications and source records attributed to C W Zijlmans.

6 recordsLinked to original sources

[The treatment of malaria].

The diagnosis of malaria should include the species involved and in case of P. falciparum infection the parasitaemia index: the percentage of the infected red cells. P. vivax, ovale and malariae infection are treated with chloroquine, in case of P. vivax and ovale malaria followed by primaquine. Mefloquine and halofantrine are indicated for chloroquine-resistant vivax infections. Advice on management and treatment is different for mild and severe (> or = 5% infected erythrocytes or presence of complications) P. falciparum infections. Mild infections may be treated on an outpatient basis. In severe infections quinine has to be started immediately, while frequent checks of vital functions and blood parameters are indicated. New treatment options are the use of artemisinine (preparations) or atovaquone, both efficacious and low in adverse effects and toxicity.

Adult↗

[Intrauterine invagination in a newborn infant].

Intussusception in neonates is rare. We present a case of neonatal intrauterine intussusception, which was treated by partial colectomy. Differences between neonatal and infantile intussusception are detailed. Because of the advanced clinical signs of intestinal obstruction and the increased risk of perforation when hydrostatic reduction is performed, operative reduction and/or resection is recommended.

Fetal Diseases↗

[A newborn infant with a tail].

A case of a male baby with a tail is described. The tail was surgically removed. Histopathological investigation showed that it was covered with hairless skin. It contained adipose and fibrous tissue, arteries, veins and nerves, but no cartilage, bone or muscle. In most cases of these caudal appendages surgical excision is sufficient, although an underlying anomaly should be excluded radiographically.

Congenital Abnormalities↗

[Bladder schistosomiasis in school children; random study in the Ketu district, Ghana].

In 2 periods 1986/'87 and 1987/'88 1193 school children (5-19 years) from 13 randomly selected villages in the Ketu district, Ghana, were examined for Schistosoma haematobium (SH) in the urine. For the egg count the quantitative urine filtration technique was used and besides 3 indirect indicators of SH infection were evaluated. An arbitrary division was made into areas of high and low endemicity, showing SH prevalence rates of 54.3-23.0% and 2.3-16.0%, respectively. The condition of the "dams' in the different areas seemed to influence the infection rates. For all areas both prevalence and intensity of infection were both higher in boys than in girls. In the area of high endemicity it was possible to detect 99% of the heavily infected children (greater than or equal to 100 eggs/10 ml urine) by using the 3 indirect indicators combined.

Animals↗