[Access to Early Childhood Interventions in Children̛s Hospital: Screening as Clinical Routine Procedure - Exploration and Transfer by a Specialized Team]. / Zugang zu Frühen Hilfen in der Kinderklinik: Belastungsscreening als klinische Routine ­ differenzierte Exploration und Vermittlung durch das Fachteam.

BACKGROUND: In order to prevent risks associated with insufficient family care, it is mandatory to provide early childhood interventions for parents unable to cope with their young children in best time. Children̛s hospitals represent one pillar that hasn´t been fully explored yet. METHODS: As a proof-of-concept, we performed a study to determine the feasibility of a standardized risk assessment tool during routine work of doctors and nurses in a university department. RESULTS: Our data indicate that a standardized screen to assess stress is powerful in identifying stressed parents, especially those with children under the age of one year. In this context, psychosocial stress in families with newborns was most frequently indicated. The placement rates into early childhood interventions (8.5%) and youth welfare services (11.3%) correspond to the literature. DISCUSSION AND CONCLUSION: The standardized risk assessment tool can be used as a "call button" and delivers a basis for further differentiated exploration of the families by a specialized team and might be used to deliver services for these families. In summary children's hospitals might be useful to provide a low-threshold access into early childhood interventions.

Benign course of central pontine myelinolysis in a patient with anorexia nervosa.

Central pontine myelinolysis is a rare neurologic disorder defined by symmetric demyelination of the central base of the pons. Until recently its outcome was considered invariably poor if not fatal. We report a 15-year-old female patient with severe anorexia nervosa who acutely developed a locked-in syndrome. Magnetic resonance imaging revealed a central pontine lesion. There was no serum sodium abnormality. The corticospinal and corticonuclear tracts were intact, as assessed by serial neurophysiologic studies. Finally, the patient recovered completely both clinically and radiologically. This article discusses these observations in the light of recent reports on similar benign outcomes of central pontine myelinolysis. Although electrolyte imbalances could be overestimated and the clinical significance of the radiologic lesion is uncertain, the functional assessment of the corticospinal and corticonuclear fibers might have prognostic value.