[Child health as a prevention objective in the context of the pilot project "Pro Kind". Preliminary results of a randomized controlled trial]. / Präventionsziel Kindergesundheit im Rahmen des Modellprojektes "Pro Kind". Vorläufige Befunde einer längsschnittlichen, randomisierten Kontrollgruppenstudie.

A randomized controlled trial (RCT) was conducted to assess the effectiveness of the home visiting program "Pro Kind". A total of 755 primiparae with multiple risk factors were recruited through the end of 2009 in three German federal states (Lower Saxony, Bremen, Saxony) and were randomized into one of two research groups. All participants had access to standard community service; women in the treatment group also received a program of home visitation over a period of 2.5 years. Primary objectives were improvement of maternal health behavior during pregnancy and birth of a healthy child. Long-term objectives are better outcomes of child health and development. To date, significant group differences in the primary objective variables are not detectable. Interim analyses at the ages of 6 and 12 months showed a tendency for a positive treatment effect on cognitive development. Methodological and practical limitations are critically discussed.

[Health and health care of migrants with particular regard to addiction]. / Gesundheit und gesundheitliche Versorgung von Migranten unter besonderer Berücksichtigung von Sucht.

Adequate knowledge about the target group is essential for user-focused health care. Little differentiated information on the health and health care of migrants is available in Germany, and focused research on migrant groups hardly exists. The burden of the migration itself, the change in the socioeconomic status (compared to the home country) and - compared with the locals - a more restricted access to the health care system affect the health of migrants. A major health problem with this group is addiction. Characteristics of health and health behaviour of Turkish- and Russian-speaking migrants in Germany are examined by a study supported by the German Federal Ministry of Education and Research.

[When necrosis smells of heating oil... what damage fuels can do]. / Wenn die Nekrose nach Heizöl riecht ... Was der Brennstoff alles anrichten kann.

The subcutaneous injection of heating oil or other crude oil distillates are rare injuries. In the present case, a 26-year-old man injected heating oil subcutaneously into the left cubital region. He then developed massive swelling, pain, local necrosis and abscess, accompanied by fever and leukocytosis. Radical surgical debridement and open wound treatment successfully stopped the necrotic process. Subsequently, a mesh-graft was applied to the wound, which healed with no residual defects. The course of the present case, and the results of a review of the literature on similar occurrences involving mineral oil suggest early extensive debridement of such injuries.

[Perforation of the small intestine after nephro-uretero-lithotripsy by ESWL--a rare complication]. / Dünndarmperforation nach Nephro-Uretero-Lithotripsie durch ESWL--eine seltene Komplikation.

A man of 57 suffering from nephroureterolithiasis was treated by ESWL (6 sessions) both in the prone and supine positions. Several hours after the last treatment (prone position) the patient complained about increasing abdominal pain which we found to be caused by an intra-abdominal perforation. In an emergency laparotomy we detected a perforation on the ventral wall of a small bowel loop, which was fixed at the colon ascendens on the rear side. Histological examination provided no evidence of previously existing intestinal disease. Thus, we suggest that this case is a rare major complication of ESWL.