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Children with attention-deficit hyperactivity disorder ADD/ ADHD are often difficult to be treated. If the anterior teeth have to be treated in case of trauma, the patient and the therapist quickly come to their limits. In the present case, with the help of the Cerec and composite partial veneers, an attempt was made to divide the treatment into two relatively short treatment periods for the patient. The two phases were interrupted by a longer construction and grinding phase. The composite partial veneers showed acceptable aesthetics. The patient and the parents experienced the three-phase Cerec treatment as very pleasant and less stressful than other treatments, and were highly satisfied with the restorations. A long-term prognosis cannot be made at the present time, the clinical studies are missing.

The Western cultural tradition has always been fascinated by the myth of Tiresias ever since the prophet’s first appearance in the Odyssey, an event that marks the beginning of his career in both literature and the arts. Among the many versions handed over by Antiquity to modernity, the one recorded by Callimachus in the Fifth Hymn. For the Bath of Pallas touches upon one of the most enigmatic questions in human life, the relationship between man and the gods. The encounter between Tiresias and Athena, as a matter of fact, hides that obscure sense which is at the root of the genesis of secrecy in literature and results in the most tragic and, at the same time, the most sublime of events. Lord Tennyson’s rewriting is one of the many shadows that the myth of Tiresias casts on the western cultural tradition. In his Tiresias the English poet conflates Callimachus’ version with the myth of Moeneceus in the Phoenician Women and establishes significant links with Scripture. Tennyson’s Tiresias, however, is not a victim of a tragic error, he is willing to see and to know, whereas Callimachus’ hero acts unwittingly. This marks the distance of this prophet, who in the end acquires a useless knowledge, from the Greek one, and changes completely our point of view with regard to man’s relationship with the godhead. Such is the difference between the ancient and the modern prophet that instead of asking ourselves “What did Tiresias really see?” – which is the very question at the heart of Callimachus’ version – we might ask a more fundamental question: “Why prophets in a desolate time?”., THERSITES. Journal for Transcultural Presences & Diachronic Identities from Antiquity to Date, Vol. 3 (2016)

Zusammenfassung: Hintergrund: 2007 wurde die HPV- ("human papilloma virus-")Impfung in der Schweiz eingeführt und in der Stadt Zürich mittels einer Impfaktion des Schulärztlichen Dienstes 2008 allen Schülerinnen zwischen 11 und 16Jahren gratis angeboten. Danach impft der Schulärztliche Dienst im Rahmen einer Schulärztlichen Untersuchung in der 6. Und 8. Klasse. Die HPV-Impfung ist in der Schweiz umstritten und wird nicht selten, v.a. von impfkritischen Eltern, als überflüssig kritisiert. Ziel: Das Ziel der vorgestellten Studie war zu ermitteln, wie 13- bis 15-jährige Schülerinnen die Entscheidung für oder gegen die Impfung treffen, und von welchen Akteuren sie in ihrer Entscheidungsfindung beeinflusst werden. Ergebnis: Der größte Einflussfaktor bei der Entscheidung für oder gegen die Impfung sind die Eltern, insbesondere die Mütter der Schülerinnen. Diese sind ihrerseits von Frauen- und Kinderärzten beeinflusst. Die Medien, die Lehrpersonen sowie die Peers spielen eine eher untergeordnete Rolle. Insgesamt zeigen viele Akteure eine impfkritische Einstellung, die aber nur teilweise ausgesprochen wird. Um eine bessere Akzeptanz zu erreichen, müsste deshalb ein ganzheitlicher Entscheidungsprozess in den Schulen angestrebt werden, der alle Akteure mit einbezieht

The replacement of a metal-ceramic crown utilizing CAD/CAM technology is described in this case report. A healthy, 42-year-old patient complained about aesthetic appearances after the reconstruction of tooth 11 with a metal-ceramic crown. Depending on the production process CEREC crowns are divided in direct and indirect CEREC reconstructions. In this case the indirect way was elected, where the CEREC crown is customized by the technicians. After the final tooth preparation and the immediate dentin sealing the impression and bite registration was taken conventionally. Then the crown was manufactured with the CEREC 3-D-system and the technicians reduced the labial aspect of the CEREC crown and completed the reconstruction by veneering. Success ist closely linked with the quality of the laboratory work and the precision employed by the dentist regarding the preparation and integration technique. The replacement of a metal-ceramic crown on a vital tooth utilizing the CEREC 3-D-technology can lead to aesthetically pleasing, functional outcomes with great patient and clinician satisfaction.

We evaluated the records of 139 pediatric patients with Schönlein-Henoch purpura (aged 0.4 to 15.1 years, median 5.4 years), referred from 1974 to 1993 to the University Children's Hospital, Berne. An acute febrile illness preceded Henoch-Schönlein purpura in 83 (60%) out of the 139 children. The purpuric papules were distributed over the lower extremities and the buttocks in 68 patients (49%), and more extensively in the remaining 71 (51%). Joint tenderness or swelling was observed in 110 patients (79%). Abdominal involvement occurred in 92 patients (66%): abdominal pain (n = 63), melena or hematemesis (n = 23), and intussusception (n = 6). The following rather rare features were observed: scrotal swelling (n = 11), neurologic involvement (n = 3), and stenosing ureteritis (n = 1). A remission lasting at least 4 weeks occurred within 4 weeks in 84, within 5-8 weeks in 19, and within 9-53 weeks in 18 out of 121 patients. A relapse was observed in 10 subjects. Renal involvement occurred in 60 patients. Severe renal involvement, defined as proteinuria exceeding 40 mg/[m2 X h], occurred in 18 of the patients with renal involvement. Progredient renal failure developed in one male. Children with renal involvement tended to be older (6.6 versus 4.1 years) and to have more prolonged extrarenal manifestations (6 versus 3 weeks). It is concluded that in children with Schönlein-Henoch purpura extrarenal involvement often lasts more than one month. Its outcome is almost always favourable. Children with heavy proteinuria tend in some cases to develop renal failure. For these patients, new treatment regimens aimed at preventing renal failure warrant evaluation in prospective controlled studies.

Clinical and morphological findings were evaluated in 25 children with mesangial IgA deposits. 19 patients had recurrent macroscopic hematuria (n = 10), chronic proteinuria40 mg/(m2.h) (n = 5), recurrent hematuria with chronic proteinuria (n = 3), or chronic nephrotic syndrome (n = 1). The glomerular involvement was similar in six patients with history of Schönlein-Henoch purpura and in 13 patients without such history: normal or nearly normal glomeruli (n = 3), focal and segmental glomerulonephritis (n = 11) and diffuse proliferative glomerulonephritis (n = 5). End-stage renal disease developed in two patients with proteinuria40 mg/(m2.h) and more than 50% of their glomeruli are affected by crescents. The common histopathological features in patients with and without history of Schönlein-Henoch purpura suggest a common pathogenesis. The risk of poor outcome appears, related to the severity of proteinuria and to the presence of crescents, in more than 50% of glomeruli. Mesangial IgA deposits were also demonstrated in six children with steroid-responsive idiopathic nephrotic syndrome: light microscopic studies revealed normal or nearly normal glomeruli in five and focal segmental glomerular sclerosis in one patient. The microscopic findings were clearly different in the six patients with idiopathic nephrotic syndrome as compared with the patient with chronic nephrotic syndrome, who presented with severe glomerular lesions and extensive crescent formation. The results indicate that the presence of mesangial IgA deposits in the clinical setting of idiopathic childhood nephrotic syndrome is incidental and that such patients should still be considered as having idiopathic nephrotic syndrome in spite of their immunopathological features.