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grammes for the hypertensive patient. The method and educational material could be used at health centers involving professionals, families and com- munity.

326

Booklets for Parent/Patient Education in Early Juvenile Chronic Arthritis

P. Havukainen, T. Strom The Finnish Rheumatism Association, Helsinki, Finland

Written information is needed to supplement in- structions given to parents of children with juvenile chronic arthritis (JCA). It seemed to us that a comprehensive book of JCA might not be advisable in the early phase of the disease. We therefore designed a series of 10 booklets, 6 to 12 pages each, which can be delivered to the families one or two at a time to meet their individual needs. The booklets are available through all pediatric hospital departments in the country.

The following topics are covered:

(1) the nature and course of the disease. (2) chronic iridocyclitis, (3) occupational therapy. (4) physiotherapy and activities at school

and during free-time (5) growing into adulthood with JCA (6) drug therpay (7) JCA and the family (psychological

aspects)

(8) surgical treatment (9) social security, and (10) nutrition.

The texts have been written by several profes- sionals but revised by one writer. The information given stresses the overall good prognosis of JCA and the active role of the parents. The drawings il- lustrating the booklets are in harmony with the contents: optimistic and not too detailed. Many parents and educationalists have set a high value on the booklets because of sensible substance and understandable composition.

327

Influencing the way of Nutrition from Patients at- tended by Measurements of some Risk-Factors

Dr. Klaus Barbara University of Cologne, Germany. Humanbiology and Health Ed. Res. Unit

Patients with high blood cholesterol and other risk-factors of coronary heart diseases such as overweight and hypertriglyceridaemia were advis- ed by their doctor to take part in a course of healthy nutrition. The title “Healthy Nutrition” should direct them to the intention of the lessons: The patients should be able to plan their meals in order to lower their high values and not only to loss their weight. They were also informed on the meaning and the pratical way of more locomotion. Every participant got the chance to pick out one or two possibilities to change his meals at his own re- sponsibility. Every week he could control the suc- cess or failure of his effort by measuring his weight, blood cholesterol and triglycerides. At the end of the course lasting twelve weeks the par- ticipants have decreased significantly their mean value of blood cholesterol by 9% and their weight in the average by 3.5 kg.

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Un Systeme Biparti pour la Formation des Mediateurs et des Patients d’ostCoporose: “Osteodidakt” et “Osteokolleg”

Klaus Klein****, Ludwig Mehler*, Angela Clausen**, Bruno Allolio*** *Universitl de Cologne, Centre de Recherches de 1’Education Sanitaire, Gronewaldstr. 2, D-5000 Koln 41 **La SociCtC pour 1’Environnement. la Sante et la Communication e.V., Auf dem Putzacker 8. D-5000 Koln 41 ***Universite de Cologne, Clinica Medica II. Joseph-Stelzmann-Str. 9, D-5000 Cologne 41

Des enquetes epidemiologiques dans le domaine de la densite des OS, rtalisees en Allemagne par le