[Sociology of the German family. Socialization in the family, ego identity and the liberal democratic society].
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Child↗
Biomedical subjects
G Steinkamp
Publications and source records attributed to G Steinkamp.
Fibrosing alveolitis in childhood. A long-term follow-up.
A retrospective analysis of 14 pediatric cases with fibrosing alveolitis, proved by lung biopsy, was carried out. The children were initially 6-16 years old (mean: 9.8 years) and were observed for 2 to 7 years. Symptoms had been present prior to diagnosis for 1 to 156 weeks (median: 11 weeks). The most prominent clinical findings were dyspnoea (100%), dry cough (91%), tachypnoea (85%), and weight loss (70%). Open (n = 9) or transbronchial (n = 5) lung biopsy specimens had predominantly cellular appearances in 8 children (group A) and showed predominantly fibrotic changes in 6 cases (group B). Lung function tests revealed a marked ventilatory impairment in all children. Mean vital capacity was 44% (SD 16%), and total lung capacity 58% (SD 14%) of the predicted normal values. Specific lung compliance was significantly lower in children with fibrotic changes (mean: 0.016 vs. 0.030 ml/cmH2O/ml in patients of group A, p less than 0.05). Results from 200 lung function measurements were evaluated during the follow-up. Corticosteroid treatment improved vital capacity in all children after 6 and 12 months of treatment to 64% and 62% of the predicted normal, respectively. Deterioration of pulmonary function was observed in 7 children when prednisone was tapered to below 10 mg per day. Only 4 children had a normal vital capacity at their last visit to the clinic. We conclude that children with fibrosing alveolitis experience severe alterations in lung function, and that the overall outlook is quite unfavorable.
Adolescent↗
[Residential gerontopsychiatry or who helps homes in management of psychiatric elderly patients? A study of all old age and nursing homes of the Gütersloh district 1991].
In 1991, there existed 20 homes and nursing homes for the elderly in the district of Gütersloh (Nordrhein-Westfalen, Federal Republic of Germany) with a total of 1518 beds. 56,000 persons aged 60 years and more rsp. 41,000 persons aged 65 years and more are living in this area. This means 2.7 beds per 100 persons aged 60 years and more are provided, or 3.7 beds per 100 persons aged 65 years and more. 22.5% of the home residents are in need of care, grade II (care is necessary for some activities of daily living), 55.6% are in need of care, grade III (care is necessary in most or all activities of daily living). Only three of the homes have a special department or ward for residents with high grades of need of care; in all the other homes residents with high grades of need of care are supported together with residents with lower grades of need of care. One home has a special psychogeriatric department with two wards, another one a single psychogeriatric ward. The leading staff members of the homes assessed that 831 out of 1861 residents in the whole year 1991 were mentally disordered, i.e., a rate of 44.65% in which is similar to the results of comparable studies. 75% of the admissions of mentally disordered persons are arranged by family members or relatives. Only 7% come directly from the psychogeriatric department of the responsible psychiatric clinic in the area (Westfälische Klinik für Psychiatrie).(ABSTRACT TRUNCATED AT 250 WORDS)
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