Dtsch Arztebl Int
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Review Meta Analysis
Obesity in disabled children and adolescents: an overlooked group of patients.
There is an ongoing debate concerning the relationship between disability and obesity in childhood and adolescence. ⋯ Since a high proportion of disabled children and adolescents are overweight or obese, effective strategies for preventing and managing excess weight need to be developed so as not to further endanger their social participation. Moreover, risk factors for overweight in disabled children and adolescents should be identified and their weight status carefully monitored.
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From the 1990's onward, it has been possible to assess changes in the lacrimal duct by direct, minimally invasive diagnostic inspection with the aid of miniaturized endoscopes originally used in gastroduodenal surgery. It has been shown in this way that mechanical lacrimal duct stenosis often develops gradually as the result of recurrent chronic inflammation. Absolute stenoses are often located at a single point rather than extending over a longer segment of the duct. ⋯ With the methods described here, it is now possible for the first time to perform surgery that obviates the need for a bypass procedure and maintains or restores the normal physiological function of the lacrimal system.
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Zoonoses were already a subject of intense interest even before the SARS and avian influenza epidemics arose. For many years, chlamydiae have been hypothesized to be important zoonotic pathogens, because of their wide distribution and their infectious cycle. This article provides an overview of the current state of knowledge on this subject. ⋯ There is a considerable need for research on chlamydial infections, especially with regard to the diagnosis and treatment of persistent varieties.
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Review
Radon in indoor spaces: an underestimated risk factor for lung cancer in environmental medicine.
Occupational medicine has long recognized radon to be a cause of lung cancer, especially among miners working under ground. Until recently, however, little scientific evidence was available about the risk to the general population caused by indoor radon. ⋯ From the point of view of preventive environmental medicine, it is important to identify buildings with high radon concentrations, initiate appropriate measures, and minimize radon exposure, particularly in new buildings.
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Isolated non-compaction cardiomyopathy (NCCM) was first described in 1984. This disorder, a primary genetic cardiomyopathy, is now attracting increased attention. ⋯ NCCM is a type of cardiomyopathy that was first described 25 years ago. Its molecular genetic basis is not yet fully clear, and the same is true of its diagnosis, treatment, and prognosis. Further study of these matters is needed.