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[The health status of pupils from different-profile schools].

The paper presents the results of prenosological examination of 1246 pupils from different-profile schools by computer-aided electrostructurography. The least children with morphofunctional changes in the viscera and systems were found at sports school. Gastrointestinal functional changes (intestinal dysfunction, biliary dyskinesia) and structural disorders (chronic gastritis, chronic colitis, posttoxic hepatic changes) hold the lead in the structure of total morbidity. In a great deal of the examinees, functional changes are frequently associated with morphological disorders within one or several systems.

Adolescent↗

[Morphofunctional features of the body's development in primary-form pupils].

An experiment was carried out to study the functioning of the basic systems in 350 primary-form pupils from a multiartistic lyceum, a multidisciplinary gymnasium, and a traditional school during 3-year study. The time course of changes in the cardiorespiratory system suggests its higher stresses in of children from innovational schools. Overwork and inactivity are prominent among the school factors that influence the children's health.

Adaptation, Psychological↗

[The problems of alcoholism amongst primary-school pupils as reflected in Polish medical journals of 1923-1938].

During the period between the two World Wars (1918-1939), alcoholism was a fairly common occurrence in Poland among primary-school pupils. Physicians, educators, social workers and central--as well as local-government institutions were involved in combating this disease and, above all, stopping its spread. Polish medical journals of the inter-war period played a dominant role in that struggle. They presented the results of anti-alcohol surveys conducted amongst primary-school children, published reports on the activities of anti-drinking societies and organisations and showed the harmful influence of alcohol on young bodies. They also pointed out methods of preventing the rise of alcoholism amongst children. This article is based on an analysis of numerous writings published in several medical journals dealing with children's alcoholism. It discusses the anti-alcohol tests carried out amongst primary-school children in selected Polish cities and towns from 1923 to 1938. On the basis of the completed questionnaires it shows the reasons for the emergence of alcoholism amongst children and presents the methods used at that time to prevent the disease.

Alcoholism↗

[Linnés pupil J G Wahlbom, physician and eye surgeon].

Johan Gustaf Wahlbom (1724-1808). One of Linnés first pupils, physician and eye-surgeon. Studied at Uppsala University 1744-51. Defended a dissertation pro exercitio, Sponsalia Plantarum under Linné 1746, swed.translation Blomstrens Biläger 1750. Dissertation pro gradu Ampherina catarrhalis under Rosen 1750. Studied anatomy, surgery and obstetrics in Berlin !752-53. - Provincial physician in the county of Kalmar 1754-94. Introduced inoculatons against smallpox and started one of the first hospitals for venereal diseases in the country. - A scientific dispute with OlofAcrel on cataract surgery aroused great interest. After a public demonstration ofWahlboms and Acrels operative skils,.the controversies were finally settled in a friendly manner. - By employing a rigorous hygienic regime Wahlbom and Anders Sparrman were able to stop a serious infectious disease in Karlskrona 1789. - In appreciation of Wahlboms scientific contributions in Botany and Medicine, Linné named a moth and Thunberg a new plant after Wahlbom. He was appointed First Physician to the King in 1794.

Botany↗

[The German physician and pacifist Georg Friedrich Nicolai (1874-1964) as a pupil of the Russian physiologist Ivan Petrovic Pavlov (1849-1936)].

In 1906, Dr. med. Georg Friedrich Nicolai, a young specialist in the field of electrocardiography from the university of Berlin, spent some months in the laboratory of Pavlov, where he was one of the first German visitors. Two letters written by Nicolai to Pavlov are a mirror of Nicolai's admiration for the brilliant Russian Nobel prize winner, but also of Nicolai's remarkable insight into the perspectives of Pavlov's physiological method for "objective" psychological investigations. Nicolai regarded himself a pupil of Pavlov until his death in South America, where he was forced to emigrate after World War I due to his pacifist activities.

Electrocardiography↗

[Caries in the permanent teeth of 7- to 15-year-old Hamburg pupils].

The dental health status of 2193 seven- to fifteen-year old pupils was evaluated in Hamburg. A total of 20.6% of these school children hat caries-free dentitions. Among the seven-year-old children this figure was 43.4% and it dropped down to 4.8% among the fifteen-year old ones. DMFS values increased from 1.0% to 13.8% between the same groups. Obviously, caries prevalence was increasing to a statistically significant degree with the lower social classes.

Adolescent↗

[Health status of 11- year old pupils depending on their school maturity determined at the age of 6 years].

The results of follow-up studies in 323 children, examined by extended health balance method in 1977 and 1981 are prescuted. In repeated examination of 11-year old pupils health status changes during the first years of school were analysed, depending on their school maturity groups in the I examination at the age of 6 years. Increasing number of disorders in children's health status both in the group with full and partial school maturity was observed. The incidence of these disorders, was however significant in the group with partial school maturity.

Child↗

Surgical treatment of postoperative dilated, nonreactive pupil in eyes after combined pars plana lensectomy and vitrectomy.

Synechiae between the iris and tissue posterior to the iris can cause a markedly dilated, nonreactive pupil that is cosmetically undesirable after combined pars plana lensectomy and vitrectomy for complicated forms of retinal detachment. The authors have used a combined limbal and pars plana approach to lyse the posterior synechiae, resulting in partial pupillary constriction. The surgical technique is described, and clinical results are illustrated.

Adolescent↗

[Epidemiologic studies in 14 to 16-year-old pupils in Lippstadt].

In a cross-sectional survey we obtained figures on the current state of periodontal health of 14 to 16-year-old pupils who attend different types of schools in Lippstadt, a town with a balanced social structure. A rate of 82% of gingivitis morbidity was found, including an average CPITN of 0.49. Nevertheless, only 43.8% of the examined periodontia showed signs of gingivitis. Analysis of the individual values showed marked differences related with age, sex and type of school.

Adolescent↗

[Cooperation between dentists, teachers and parents in effective prevention of oral diseases in pupils in lower classes].

The oral conditions of pupils on three schools with different levels of teachers public relation to the problems of dental service and oral health education were observed before and after a program of dental care and education for 6 months. The best results were reached in the school with highest standard of cooperation and communication between dentists and teachers.

Child↗

[Health-related assessment of the work training of 5-7th-form pupils].

The present investigation is devoted to the study of the influence of labour on the functional state of the organism of medium school-aged pupils. It has been found out that engagement of schoolchildren in the workships and study rooms of service labour are not tiring, which creates reserves for the active development of the motor functions of schoolchildren. At the same time it has been found out that the types of labour which they encounter for the first time (joinery in the 5th form, electrotechnical work) lead to unfavourable changes in the functional state of schoolchildren organisms. The data obtained in the course of investigation on the organization of labour lesson (density of working and lessons structure) have been used in the development of 'Concept of labour preparation of the rising generation and studying young people in the system of continuous education'.

Adolescent↗

A pupil-sparing oculomotor palsy from a contralateral giant intracavernous carotid aneurysm.

A patient presenting with a left pupil-sparing oculomotor palsy and periorbital pain was subsequently found to have a giant saccular aneurysm of the right internal carotid artery within the cavernous sinus. The aneurysm was of the contralateral artery compared to the side of all presenting neuro-ophthalmic signs and symptoms. Diagnosis was achieved by bilateral carotid arteriography and surgical treatment with a Crutchfield arterial clamp and bypass graft has returned the patient essentially to normalcy.

Adult↗

Isolated, pupil-sparing third nerve palsy as initial manifestation of systemic lupus erythematosus.

A 29-year-old woman had an isolated, pupil-sparing third cranial nerve palsy. Serologic and CSF abnormalities and the subsequent course were consistent with systemic lupus erythematosus. Corticosteroid therapy resulted in improvement of ocular palsy within 4 weeks. The pathogenesis of cranial neuropathy in systemic lupus erythematosus and the unique presentation in this patient are discussed.

Adult↗

[VIth nerve palsy associated with ipsilateral Horner's pupil].

A rare syndrome which includes VIth nerve palsy associated with ipsilateral Horner's pupil was foreseen by Parkinson and Johnston in the mid-seventies. They anticipated the occurrence of this syndrome on the basis of the unique anatomical relationships discovered by them in the cavernous sinus. The main finding consisted of very close proximity between the VIth nerve and a branch emerging from the carotid sympathetic plexus. Recently, several reports of this syndrome caused by a variety of pathologic processes in the cavernous sinus, proved that Parkinson and Johnston were correct. Since it is quite difficult to identify lesions in the cavernous sinus by X-ray or CT scan, the neuroradiologist should utilize special techniques. It is expected that the number of cases of this syndrome will soon increase, due to increasing familiarity with the syndrome and to improved imaging techniques.

Abducens Nerve↗

[Epidemiological studies in 14-16-year old pupils from schools in Lippstadt. 1. Caries occurrence and oral hygiene].

In a cross-sectional examination we received a current state of the prevalence of caries of 14-16 year old pupils, who attend different types of schools in Lippstadt, a town with a balanced social structure. An average DMF-S-Index of 14.6 (DMF-T: 7.8) was found. The particular results show a clear influence of age, sex and type of school. Comparing our results with former examinations a tendency of reduced caries-prevalence can be derived from the low annual caries-increment.

Adolescent↗

Paraneoplastic tonic pupils.

Tonic pupils developed in two patients with malignancies outside the nervous system. Symptoms and signs of more generalized somatic and autonomic nervous system involvement were also present. Although the exact morphologic basis for autonomic dysfunction in patients with paraneoplastic neurologic deterioration is uncertain, recent studies suggest that in some cases an autoimmune mechanism is responsible and may be directed against autonomic ganglion cells.

Adenocarcinoma↗

Profile analysis of pupils at a school for black deaf children. A pilot study.

The pupils at a school for black hearing-disabled children were clinically investigated and the findings were analysed with regard to age, sex, and nature and possible cause of deafness. A total of 169 children were examined. The majority were boys, and 95% were hearing-disabled before the age of 3 years. One-tenth of the children had a positive family history. An apparent cause could be established with a degree of certainty in only 30% of cases.

Adolescent↗

A case of congenital non-progressive sensory neuropathy with tonic pupils.

One case of a non-progressive congenital neuropathy is reported. Clinical findings included subtotal analgesia, and diminished temperature, vibration and proprioceptive sense in arms and legs. The sensory nerve action potentials were absent. Autonomic dysfunctions were restricted to tonic pupils. Sural nerve biopsy taken at the age of 8 1/2 showed fascicular hypoplasia, subtotal loss of myelinated nerve fibers and severe loss of unmyelinated nerve fibers with a pathological size distribution. In the skin biopsy, including several cutaneous nerves, no myelinated nerve fibers were present, the unmyelinated nerve fibers were severely reduced and the collagen density was increased. Perivascular and periglandular innervation was significantly reduced. The findings in this case are suggestive of a malformative or fetally acquired lesion and further illustrate the difficulties in classification of the hereditary sensory neuropathies.

Child↗