{"title":"Household behaviors in the management of diarrhea and their relevance for persistant diarrhea.","authors":"M E Bentley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There has been a great deal of research in recent years on household behaviors related to diarrhea management. Most of the available data on household diarrhea management, however, pertains to acute diarrheal episodes. There is a death of knowledge concerning household and caretaker behaviors when the diarrhea is of longer duration. This paper briefly reviews some of what has been learned about household behaviors in the management of acute diarrhea and discusses its relevance for persistent diarrhea. Based upon what has been learned from anthropological studies of acute diarrhea and the little that is known about caretaker behavior during persistent diarrhea, a hypothetical model of the interactions among household behavior and characteristics of diarrheal episodes is presented. The model argues that maternal (or caretaker) concern increases with diarrheal duration, and that changes in behavior, both adaptive and maladaptive, are more likely to occur during an episode of persistent diarrhea, compared to acute. In some cases, these actions may directly influence the outcome of the episode. There is a need to better understand household case management behaviors through the continuum of diarrheal duration and the effect of these behavioral factors on episode outcome. This information is necessary in order to communicate effective message to caretakers about what they should know and what they should do when persistent diarrhea occurs.</p>","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":"81 Suppl 381 ","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22014596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P K Ngan, N G Khanh, C V Tuong, P P Quy, D N Anh, H T Thuy
{"title":"Persistent diarrhea in Vietnamese children: a preliminary report.","authors":"P K Ngan, N G Khanh, C V Tuong, P P Quy, D N Anh, H T Thuy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical and laboratory features of persistent diarrhea were investigated in 83 children under 3 years of age who were treated in the Gastroenterology Division of the Institute for the Protection of Children's Health, Hanoi, from August 1988 to August 1989. The number of cases of diarrhea was highest in the children aged 4-5 months. The mean age of the children studies was 6.6 +or- 3.4 months. The ratio of males to females was 2.6 and mean age of 1st episode of diarrhea was 4.3 +or- 3.4 months; persistent diarrhea was more common in children under 6 months of age than in older children. Persistent diarrhea occurred in the 1st diarrheal episode in 66.5% of cases. Recent nonenteric infections were found in 30% of the study group. Of the 83 children studies, 36% had stool specimens positive for enteric pathogens; 24% had enterotoxigenic Escherichia coli isolated, 8% had enteropathogenic E. coli, 5% rotavirus, 6% Candida, and 4% Giardia lamblia. The duration of diarrhea was longer in children who received antibiotics than in those who did not (p 0.01).</p>","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":"81 Suppl 381 ","pages":"124-6"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22014713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mortality associated with acute watery diarrhea, dysentery and persistent diarrhea in rural North India.","authors":"N Bhandari, M K Bhan, S Sazawal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mortality associated with diarrhea was investigated in a longitudinally followed cohort of children under 6 years of age in rural North India. During the followup, 1663 episodes of diarrhea and 23 diarrhea-related deaths were recorded in 1467 children followed up for 20 months. The case fatality rate was 0.56% for acute watery diarrhea, 4.27% for dysentery, and 11.94% for non-dysenteric persistent diarrhea. Most of the episodes lasted less than a week; 5.2% became persistent (duration 14 days). The case fatality rate was similar in episodes of 1 and 2 weeks duration (0.64% and 0.8%) and increased to 13.95% for persistent episodes. Of the total 86 persistent episodes, 22.1% were dysenteric; the case fatality rate for such dysenteric persistent episodes was 21.1% and for watery persistent diarrhea 11.4%. Diarrheal attack rates were similar among different nutritional groups, but diarrheal case fatality rates progressively increased with increasing severity of malnutrition; these were 24 times higher in children with severe malnutrition (7.48%) compared to those normally nourished (0.31%). With availability and use of oral rehydration therapy, dysentery and persistent diarrhea emerge as major causes of diarrhea-related mortality, with underlying malnutrition as a key associated factor.</p>","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":"81 Suppl 381 ","pages":"3-6"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22014595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07251.x
K H GUSTAVSON, B HAGBERG, H KNUTSON, S SJOELIN
{"title":"THE PTERYGIUM-COLLI SYNDROME IN THE MALE. A CLINICAL, HISTOLOGICAL, AND CYTOGENETIC STUDY OF TWO CASES.","authors":"K H GUSTAVSON, B HAGBERG, H KNUTSON, S SJOELIN","doi":"10.1111/j.1651-2227.1964.tb07251.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07251.x","url":null,"abstract":"In phenotypical females with gonadal dysgenesis most cases are chromatin negative, with a chromosome number of 45 and an XO sex chromosome constitution. This was the first chromosomal constitution to be described in Turner’s syndrome [9, 101. Some females with gonadal dysgenesis are chromatin positive. Chromosomal analyses in these cases have shown a variety of X-chromosome anomalies, including XOjXX mosaicism, isochromosomes and deletions of the X-chromosome, but a few of them have had a normal female karyotype [5, 17, 221. Women are occasionally seen who have P61.","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"454-64"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07251.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07249.x
B ROBERTSON, R TUNELL, U RUDHE
{"title":"LATE STAGES OF PULMONARY HYALINE MEMBRANES OF THE NEWBORN.","authors":"B ROBERTSON, R TUNELL, U RUDHE","doi":"10.1111/j.1651-2227.1964.tb07249.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07249.x","url":null,"abstract":"In neonates suffering from pulmonary hyaline membranes and surviving the first few days i t has been observed that the membranes become infiltrated by histiocytes, fragmented and detached from the alveolar walls. This has been interpreted as evidence that the membranes are being removed [3, 10, 15, 181. In these cases a cellular reaction has also been described in the alveolar walls proper: proliferation of the alveolar epithelium and accumulation of fibroblasts. These latter features have been interpreted as a process of reparation, following previous damage to the alveolar ualls, and i t has been postulated, that such a damage probably is related to the development of hyaline membranes [3, 151. Studies with the electron microscope have revealed destruction of the alveolar lining and swelling of the endothelium in capillaries beneath the membranes in an early stage of the disease [5. 61. No permanent sequelae, however, have been recognized in the surviving cases [ll]. The reports hitherto published on the structure of pulmonary hyaline","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"433-46"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07249.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07248.x
P J MOE
{"title":"IRON REQUIREMENTS IN INFANCY. II. THE INFLUENCE OF IRON-FORTIFIED CEREALS DURING THE FIRST YEAR OF LIFE, ON THE RED BLOOD PICTURE OF CHILDREN AT ONE AND ONE HALF-3 YEARS OF AGE.","authors":"P J MOE","doi":"10.1111/j.1651-2227.1964.tb07248.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07248.x","url":null,"abstract":"Introduction Further an attempt has been made to evaluate the long term effect of iron therapy in anemic infants. The studies to be reported in this article are an extension of the longitudinal studies of iron requirements during the first year of life published recently [3]. We have reasons to presume that a normal infant receiving adequate dietary iron supply during the first year of life will run little risk of developing irondeficiency anemia during the following years. We have been interested in studying whether this is really true, and have therefore made a follow-up study of the 21 1 participants in the previous investigation. No attempts have been made to perform a more exact determination of the daily iron intake of the participants after the age of 1 year, as this appears t o be very difficult Literature","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"423-32"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07248.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07250.x
K LINCOLN, J WINBERG
{"title":"STUDIES OF URINARY TRACT INFECTIONS IN INFANCY AND CHILDHOOD. 3. QUANTITATIVE ESTIMATION OF CELLULAR EXCRETION IN UNSELECTED NEONATES.","authors":"K LINCOLN, J WINBERG","doi":"10.1111/j.1651-2227.1964.tb07250.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07250.x","url":null,"abstract":"","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"447-53"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07250.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07252.x
K KOUVALAINEN, L HJELT, O WASZ-HOECKERT
{"title":"MARKED ELEVATION OF BETA-2M GLOBULIN IN A PATIENT WITH INTERSTITIAL PLASMS CELL PNEUMONIA.","authors":"K KOUVALAINEN, L HJELT, O WASZ-HOECKERT","doi":"10.1111/j.1651-2227.1964.tb07252.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07252.x","url":null,"abstract":"","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"465-9"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07252.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07253.x
P GRUENWALD
{"title":"THE COURSE OF THE RESPIRATORY DISTRESS SYNDROME OF NEWBORN INFANTS. AS INDICATED BY POOR STABILITY OF PULMONARY EXPANSION.","authors":"P GRUENWALD","doi":"10.1111/j.1651-2227.1964.tb07253.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07253.x","url":null,"abstract":"Until recently most investigators of the pathology of the respiratory distress syndrome (RDS) gave prominent consideration to the two pulmonary changes which could readily be ascertained a t autopsy: atelectasis, and hyaline membranes (HM). More recently another pulmonary factor was found to be regularly associated with the RDS, namely, poor stability of lung expansion (PS) caused by a deficiency in the peculiar surface activity of the lining layer of the respiratory surfaces. Data from autopsy material pertaining to these factors have now accumulated in sufficient numbers to suggest an interpretation of the pathogenesis and course of the pulmonary disturbance in the RDS which will be presented here. Since we will be concerned with the incidence of HM and PS in relation to each other and to birth weight and length of survival, the concepts currently associated with these two conditions will a t first be briefly reviewed.","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"470-7"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07253.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta PædiatricaPub Date : 1964-09-01DOI: 10.1111/j.1651-2227.1964.tb07247.x
K POLACEK
{"title":"FACTORS INFLUENCING THE EFFECTIVENESS OF EXCHANGE TRANSFUSION.","authors":"K POLACEK","doi":"10.1111/j.1651-2227.1964.tb07247.x","DOIUrl":"https://doi.org/10.1111/j.1651-2227.1964.tb07247.x","url":null,"abstract":"Exchange transfusion retains its pride of place in the treatment of haemolytic disease of the newborn (HDN) and other neonatal hyperbilirubinaemias as the sole safe method of preventing kernicterus by keeping bilirubin levels below dangerous limits. In this report an attempt is made to a n a l p more objectively the factors influencing the course of bilirubinaemia after exchange transfusion. In cases of HDN treated with exchange transfusion the curve of bilirubin characteristically shows two peaks (Fig. 1). Serun] bilirubin rises from relatively high values in the cord blood to the first peak (P,) at the start of exchange. During exchange, values fall to a low point (D) some 40-70 7’0 of the highest pre-exchange levels. Follon ing completion of exchange transfusion, bilirubin levels again rise, due to equilibration of the transitory gradient betn een tissue and blood bilirubin [l] and, after 2-3 hours a t equilibrium, a second peak (P,) is seen at a level 60-95 of preexchange concentrations [4]. In cases with a satisfactory outcome (Fig. 1, continuous line), the rise in the bilirubin curve stops at this equilibrium level and bilirubin concentrations begin to fall. I n other less satisfactory cases, bilirubin levels continue to rise and may go on to a secondary peak","PeriodicalId":7043,"journal":{"name":"Acta Pædiatrica","volume":" ","pages":"417-22"},"PeriodicalIF":0.0,"publicationDate":"1964-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1651-2227.1964.tb07247.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40877614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}