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Biomedical subjects

U Kalbe

Publications and source records attributed to U Kalbe.

15 recordsLinked to original sources

[Vision disorders in children with acquired severe brain damage].

27 children with severe brain injuries were examined by an ophthalmologist and had several paediatric examinations during an eight or ten weeks' course of rehabilitation. With highly reduced levels of consciousness they had hardly any cortical visual function but frequently had brainstem controlled reactions of eyelids, pupils and eyeballs. The development of these reactions was followed up and correlated to the recovering visual functions. Some of the palpebral reflexes seemed to be of prognostic significance to the reappearance of cortical visual functions.

Adolescent↗

Clinical diagnosis of partial duplication 7q.

We report on two sibs with partial dup (7q), a retarded 9-month-old boy and an aborted fetus of 17 weeks' gestational age. Besides minor anomalies, the boy had frontal bossing, macrocephaly with hydrocephaly, a high forehead, and a large fontanelle. GTG banded chromosomes showed a 14p+ abnormality. Because his mother carries a balanced, de novo translocation with a breakpoint in band 7q33, the boy has a duplication of the distal portion of band 7q33 and the segment 7q34----qter. Our findings suggest that the phenotype in terminal duplications of 7q may, in some patients, be recognized clinically.

Abnormalities, Multiple↗

[Early stimulation and parent guidance in genetically-induced developmental disorders--guidelines and recommendations].

When genetically based impairments cannot be prevented by early-enough genetic counselling, parent guidance and early services are urgently needed. Understanding the parents' psychoemotional situation, tactfulness, and easily understood language are important premises in such counselling. For early provision of services to be effective, close cooperation needs to be ensured between physicians, therapists, educators and social workers. Their common objective is to reduce the extent of disability as much as possible, and to achieve conditions conducive to integration. In progressive conditions, the aim is to put off the onset of complete helplessness and to maintain the child's quality of life at as high a level as possible.

Child, Preschool↗

[Aid for physically handicapped children: 5-year experience with a collection facility].

The experience made over five years of operating a collection scheme for second-hand technical aids are described. Affiliation with a pediatric centre has provided opportunity for the child trying out the aid envisaged, and for evaluation by doctor and therapist prior to aid re-prescription. The main principles to be observed in aid provision are stated. Present organizational and financial problems are described, which, however, are considered secondary to the scheme's usefulness, not least in view of cost savings.

Child↗

[Strabismus in cerebral paretic and normal children. Comparison of motoric symptoms (author's transl)].

Investigations of 94 children with cerebral palsies have shown 55% strabismus incidence. Motoric symptoms like varying angles, nystagmus (latens), A-V phenomena, dissociated hypertropia and compulsive head postures are presented, frequently more often than in a number of comparison cases of undamaged squinting children. However, these symptoms have not permanently been found even in severly damaged children. With the exception of compulsive head postures, no symptoms are found in strabismus cases of cerebral paretic children that do not occur in congenital strabismus patients as well. A frequent family heredity strain of strabismus has also been noted. There is a striking proportion of divergence cases (27%). The authors do not believe in a simple damaging etiology. Pleoptic-orthoptic exercises are hardly ever practicable. Early operation may improve the initial situation as far as the neuropediatric therapy is concerned.

Adolescent↗

[Some thoughts on the adaptation of technical aids for children with cerebral palsy (author's transl)].

The technical aids used by children undergoing inpatient treatment at a centre for the cerebral palsied were critically assessed over a one-year period. Of the evaluated technical aids 50% were optimal for the child under consideration, the remainder was inappropriate for one or more reasons. The most frequent amongst the non-optimal were either not medically prescribed or adequately adapted and tested. The children in question are hence threatened with unnecessary deformations, an insufficient utilisation of their development potential and a lower degree of independence. Also, the financially responsible agencies have to cope with considerably larger expenditures.

Adolescent↗