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Biomedical subjects

M Reinert

Publications and source records attributed to M Reinert.

At least 19 recordsLinked to original sources
PubMed1991

[Indications and use of fissure sealants in public dental health care in Denmark. A questionnaire-investigation].

During the past decade usage of the fissure sealant technique for occlusal caries prevention has been increasingly recommended. This study explores variations in indications and usage of this technique in Denmark. A questionnaire was sent to 205 chief dental officers in the Danish Public Child Dental Health Service (PDHS) covering 90% of Danish children and to municipalities, where dental health to children is provided by private practitioners. More than half of the respondents did not use firmly defined criteria for fissure sealant application. Oral hygiene and previous caries experience were most often stated as indications. Actual usage of the sealant technique differed significantly from the PDHS and private clinics. Thus, 33% of the chief dental officers in the PDHS said that sealants were routinely applied to 8- and 13-year-olds, 43% to 30-80% of the children, and 15% used sealants to less than 10% of 8- and 13-year-olds. In contrast, only 5% of the private clinics reported routinely use of sealing technique, 22% used application to 30-80% of the children, while more than one third of the private practitioners used sealants to less than 10% of the 8- and 13-year-olds. In spite of the significant difference in sealant usage between PDHS and private practitioners, it was not possible to see a corresponding difference neither in caries prevalence nor in occlusal filling incidence. Moreover, analysis of PDHS caries prevalence data revealed that PDHS variations could not be explained by variations of risk in terms of social classes and caries incidence.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1990

[What does the asthmatic patient know about his disease?].

Asthmatics attending two specialist offices were interviewed to determine how well informed they were. Fifty per cent of the patients did not know what it was they were suffering from; 50% had no idea about the pathomechanism of bronchial asthma; 75% believed that bronchial asthma was curable; 50% believed that treatment as required sufficed. Two-third feared dangerous adverse effects of the drugs they were taking. Topical steroids were largely unknown. Patients who had been in our care for 1 to 2 years were already much better informed than new patients. The knowledge of the latter was appreciably improved by a single oral session of instruction, and the reading of a self-written brochure. The main thrust of this educational effort must be to familiarize the asthmatic patient with the following points: Asthma is a chronic disease and must be treated regularly and life-long. The drugs employed have no injurious adverse effects. It is necessary to repeat such information sessions at short intervals and to monitor their effectiveness.

Adult↗
PubMed1990

[Case distribution in a pneumonologic practice].

Among the diseases seen in the lung specialist's office, affectations of the upper (32.8% and lower (49.6%) airways are by far and away the most common. The allergic forms predominate, probably on account of the high prevalence of pollen allergy. Internistic diseases account for 12.8%, and disorders from the fields of paediatrics, ENT medicine and dermatology (3.5% urticaria) also make a non-inconsiderable contribution. Diseases of the lungs are not very common, but are highly multifarious. In addition to the above-mentioned disorders, paediatric and geriatric problems are quite common: children up to the age of 15 years account for about 20%, and patients older than 60 years for 10% of the total number of patients.

Adolescent↗
PubMed1987

[Treatment of an asthmatic child becomes more effective when the mother is well informed, auscultates her child and keeps a diary].

The asthmatic child himself can do nothing against his illness. It is the task of the mother, assisted by the physician, to prevent the child suffering from his asthma. To achieve this purpose it is not sufficient to prescribe medicaments only. But a comprehensive information of the mother about asthma bronchiale, the auscultation of the child by his mother and a daily record of the symptoms make the medicaments effective.

Asthma↗
PubMed1979

[The clinical significance of challenge tests (author's transl)].

108 pollen-sensitive persons (positive skin test, positive history) and 40 latent pollen-allergic persons (positive skin test, but no conjunctival or nasal manifestations during the flowering season) were given intranasally increasing concentrations of pollen extract until a reaction occurred (itching, sneezing, running and blocked nose). 7.4% of the patients reacted to 0.001% w/v of the pollen extract, 56.5% reacted to 0.01, and 36% to a dose of 0.1% w/v. The corresponding figures for persons with latent allergy were 0.7, 5 and 30%; 62.5% reacted to 1.0 or 2.5% w/v of the extract. There was a relatively sharp division between doses of 0.1 and 1.0% w/v: persons who responded only to 1% concentrations invariably belonged to the group of latent allergy. 35 persons with positive skin tests to dust mites were divided into 3 groups: those with either a positive or a negative history of dust allergy and those concentrations of dust mite extracts (0.012, 0.12 and 1.2% w/v). Patients were considered to have latent allergy if they were sensitive to dust mite but were free from symptoms; or if they were sensitive to dust mite and pollen, but were symptom-free outside the flowering season. Although the group reacted slightly more often only to concentrations of 1.2%, the nasal response occurred on the whole with the same frequency with all three concentrations. In contrast to pollen allergy a positive intranasal dust mite test is not necessarily clinically relevant. Provocation tests are, therefore, not an infallible means to ascertain the presence of clinically relevant allergy.

Administration, Intranasal↗
PubMed1979

[Clinical characteristics of patients with pollen allergy (author's transl)].

134 patients with pollen allergy were studied in a medical practice. The frequency of hay fever was 56%, hay fever with cough 9% and pollen asthma 35%. The following differences were stated: 53.2% of the asthmatics but only 9.3% of patients with hay fever had a history of nonallergic bronchial irritation in the case of acute bronchitis, exercise or irritant gases. Asthmatics showed significantly more frequently positive skin reactions additionally to pollen. The distribution of age of onset of hay fever was similar in both groups. The prevalence of both diseases was the same up to the age of 20 years, after which it remained constant up to 29 for asthmatics and declined in hay fever. In patients with asthma and hay fever the two diseases began within the same year in 48,9%, asthma followed hay fever in 26,7% within 4, in 15,6% within 5--9 and in 8,6% within ten years or later after the begin of hay fever. It could be shown, that the frequency and the distribution of some characteristics of patients with pollen allergy of a medical practice are comparable to epidemiological findings and may be used for long time studies with the purpose to watch the transition of pollinosis to pollen asthma.

Adolescent↗