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At least 1,027 records · Page 57Linked to original sources
PubMed1994

[Evaluation of pediatric health by the Primary Health Insurance Fund (CPAM) of Paris: realization of multidisciplinary pediatric prevention].

Since 1970, the "Caisse Primaire d'Assurance Maladie de Paris" carries out free periodic health examinations of apparently healthy children aged 10 months, 2 years and 4 years. Routine medical check-up last 3.50 hours, and included 800 items recorded on computerized forms. Of the 15,000 children annually screened, 21% were found to be normal, and unsuspected medical diagnosis were made in 11,500 of these children (79%), despite one or more previous evaluations by a physician. Altogether 27,400 abnormalities were detected (mean: 2.2) with a high rate of missed diagnosis (87%). The majour risks of medical problems were, in the four-year age group: 1/ abnormal vision (32%) 2/ abnormal audiological examination (13%), 3/ abnormal behavior and delayed development test performance (22%), 4/ poor nutritional status, 43% being reported as iron-deficient anemic children. These results warrant the use of selected screening tests to determine the type of injuries amenable to future early preventive measures of Public Health.

Child, Preschool↗
PubMed1993

[Berger's disease in childhood. The clinical, laboratory and histological aspects. A collaborative multicenter study of the Pediatric Nephrology Section of the Portuguese Society of Pediatrics].

After a multicentric questionnaire, a clinicopathological study was performed retrospectively in 35 children with Berger's Disease. The sex ratio was 2.8/1 (M/F) and the mean age of onset was 8.5 years. Gross hematuria was the presenting sign in all the patients, being isolated in 20 and associated with proteinuria in the others. 2.3 was mean number of episodes per year and they lasted from 1 to 4 days in 14 patients and from 5 to 15 in the remaining. In 32 patients the episodes were related to a previous respiratory infection and in the meantime 34 patients had persistent microscopic hematuria. Seric IgA was raised in 67% of the patients during the episodes and in 45% between them. The histopathological studies demonstrated, by immunofluorescence microscopy, besides mesangial deposits of IgA in all the patients, C3 deposits in 17, IgG in 9 and IgM in 5 and by optic microscopy 31 cases had mesangial hypercellularity (2 with crescents in less than 50% of the glomeruli) and 4 minimal lesions. None of the 35 patients developed renal failure (4.6 years mean follow-up).

Adolescent↗