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Biomedical subjects

W Gladel

Publications and source records attributed to W Gladel.

7 recordsLinked to original sources
PubMed1975

[Ten years' daily prophylaxis against rickets--review and outlook (author's transl)].

Ten years of experience with daily prophylaxis of rickets brought about isolated knowledge which corrected old mistakes and demands a revision of older attitudes towards the usual prophylaxis. Prophylaxis of vitamin D according to the most modern and reliable knowledge in the best way promotes the growth and mineralisation of the skeleton with dosages of 400 to 800 I.U. smaller or higher dosages are disadvantageous. By observing the above given dosage, rickets and hypercalcaemia are rare and only conceivable under special pathological conditions. The diagnosis of beginning rickets must be well known, otherwise unspecific symptoms of rickets may induce the administration of unnecessarily high amounts of vitamin D. The symptoms of rickets show a gradual increase: the increase of serum alkaline phosphatase precedes the clinical and radiological symptoms. The reliable radiographic deformities of the hand can first be seen at the Ulna, then at the Radius and later at the secondary centers of Metacarpals. Among the relatively reliable clinical symptoms there its first the rosary later the Marfan-sign and eventually the deformation of the long bones. For infants protected by vitamin D, craniotabes as a sign of rickets is completely unreliable as well as the Harrison grooves and rachitic kyphosis. If one observes all these rules and rachitic kyphosis. If one observes all these rules and criterions vitamin D is as reliable in the prophylaxis as in the therapy of vitamin D deficiency rickets.

Germany, West↗
PubMedDate not supplied

[Luxation of the hip and preventive examinations].

The present report on the possibilities and limitations of screening and its importance for the prevention of congenital hip dislocation is based on many years of practical experience in preventive medicine and equally extensive study of oblique presentation and congenital dislocation of the hip joint. The paper presents a review of the various forms of malformation of the hip and following a short discussion of the origins and prognoses of these various forms, deals with the various diagnoses. Two main examination periods are important for diagnosis: the neonatal period and the 4th month of life. In the neonatal period a hip joint is unstable if the Roser-Ortolani sign is positive. Other clinical symptoms are found in addition in the much rarer congenital dislocation of the hip. The advantage of examination in the neonatal period is that it enables the unstable hip joint to be treated immediately. As a rule this preventive treatment, involving little risk, results in normal development of the hip joint, instead of the possible defective development to hip dislocation. These possibilities in the neonatal period are limited by the degree of experience and the extent of cooperation between examiners and therapists. In the second main examination period, in the 4th month of life, the malformations which occur post partum should be identified. In contrast to the obviousness of the clinical hip joint findings in the neonatal period" clear clinical hip joint symptoms can only be expected in the 4th month of life with the most severe forms of hip dislocation.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗