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A quantitative study of the face in Down's syndrome.

The large number of persons with Down's syndrome among the group of physically and mentally retarded demands that continuing study be directed toward its causes and effects. Much conflicting data are reported in the literature concerning the facial and cranial effects of this syndrome. The cephalic proportions, in profile, of a group of male Caucasian trisomic Mongoloids were compared with the proportions of a control group of male Caucasians of similar age range. Using the areas of the midface, mandible, and endocranium obtained from cephlograms of the two groups, the following ratios were studied: (1) midfacial area/endocranial area (2) mandibular area/endocranial area, and (3) midfacial area/mandibular area. A significant degree of deficiency in midfacial area, mandibular area, and endocranial area was found in the Mongoloid group. In studying the facial proportions, we found that the Down's syndrome group's ratios were significantly smaller in all three areas. The magnitude of the deficiency in the Mongoloid midface, both in gross area and in relation to endocranial area, remained nearly constant with age. The ratio of midfacial area to mandibular area in Mongoloids was much more comparable to that of the normal group than the other two ratios studied. In both groups the ratio of the midfacial area to the mandibular area became smaller with age. The decrease was more rapid in the Down's syndrome group. The findings of this study imply that all areas of the face and skull are deficient in persons with Down's syndrome. The data point to the possibility that the characteristics of this syndrome and the deficiencies described are polygenic in origin. Also, contrary to the majority of reports in the literature, the mandible and the midface grow in approximately the same proportion in both study and control groups

Adolescent

[A model for different types of computers for recording, managing and evaluating data of middle ear operations (author's transl)].

A system is presented for recording, managing and evaluating data which is so simple that the clinician is able to handle it. The recording of data is done by marking on preformulated questionnaires without any coding of information by the doctor. From the documents, the key-punch operator then makes the punch cards (the alternative: marking documents that can be read directly by an optical mark page reader). The managing of data is done by an own program written in FORTRAN. It creates a tape-sentence of equal length and fixed format for each case. That means each case would contain the same variables, and the order of variables within each case would be the same. The ordering is done by means of an identification code which is derived from the employee numbering system and which makes it independent of all archive-based records. The evaluation is carried out by means of a data processing system which is available for most computers (SPSS). The preformulated questionnaires used for recordings, the program for managing the data and the evaluating procedure punch cards are described. All will be sent by demand.

Audiometry

[The problem of documentation in pedodontics].

The efficiency of paedodontics increases with the number of children involved in regular dental supervision. This requires complete and reliable information about the individual factors, especially dental development, at any consultation (whether mass examination or treatment). The current methods of documentation are often inadequate to this purpose. For this reason, the author presents a method of documentation by means of key-word cards that essentially meets the demands to be made on a treatment chart.

Child

[Medical check-up concerning cancer of the prostate. 1st report of experiences, results and documentation of findings].

It is reported on 1,790 medical check-ups concerning cancer of the prostate gland. We found 8 carcinomata = 4.47%. Apart from this 16 adenomata to be operated with adequate disturbances of the micturition were established. The documentation of the findings of medical check-ups by means of a reference on the basis of perforated cards is described and it is referred to the necessity of a systematic documentation of findings.

Adult