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PubMed1981

[Respiratory diseases of children in an early age as a cause of absenteeism of the mothers from their working place and economical losses caused herewith (author's transl)].

Acute respiratory diseases of children are the most important factor in all institutions for children before school age. Pediatrics and preventive medicine have here hard to work against many medical social and economic problems. Till now, we did not know exactly, how great is the financial loss and reduction of produced goods, if working woman have as mothers to stay at home to take care for their ill children. Therefore during a whole year (Sept. 1976/Aug. 1977) in the town Thale all children in creeches and other children's institutions before school age were registered. In this period a number of 2 134 days resulted from 120 mothers, obliged to stay at home by an acute respiratory disease of their children. This means a loss of 1 182 102.90 M. For 93 single mothers, 18 065.71 M are to add to this amount payed by insurance. All preventive and therapeutic measures against such respiratory diseases in an early children's age have therefore to be intensified.

Absenteeism↗
PubMed1981

[Obsessional-type compulsive behavior caused by bilateral circumscribed pallidostriatal necrosis. Encephalopathy caused by a wasp sting].

A previously healthy young man developed encephalopathy after a wasp sting in 1968. Neurological complications included chorea, currently of a minor degree, replaced by buccofacial dyskinesias and compulsive movements. The most disabling consequences were of psychic nature, the patient presenting an unusually marked compulsive activity of an obsessional type. The whole psychic picture however was quite different from that of the usual neurosis, since there was neither anxiety nor doubt, but a mental vacuum contrasting with almost normal intellectual and affective capacities. It was as though there was a loss of the auto-activation system of psychic life, postulated by dynamic psychologists. C.A.T. demonstrated bilateral pallidostriatal necrosis. This suggests that the striatum plays a motor and psychic role. In the field of motor control, its hypoactivity appears to determine not only chorea but dyskinesias similar to tics and compulsive movements. In the psychic field, the striatum appears to play the very general role of an auto-activation system of intellectual and affective life, its deficiency leading to mental activity of a compulsive nature. Improvement in knowledge of striatal biology should clarify not only the basic mechanisms of chorea, but those of tics and obsessions.

Brain Diseases↗