Treatment of Infants with Acute Diarrhea: What's Recommended and What's Practiced

PEDIATRICS ◽  
1992 ◽  
Vol 90 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Jorge A. Bezerra ◽  
Theodore H. Stathos ◽  
Burris Duncan ◽  
John A. Gaines ◽  
John N. Udall
Keyword(s):  
United States ◽  
Acute Diarrhea ◽  
Treatment Guidelines ◽  
The United States ◽  
Policy Statement ◽  
Family Practitioner ◽  
Family Practitioners ◽  
American Academy Of Pediatrics ◽  
Number Of Patients ◽  
Strength Formula

In 1985, the American Academy of Pediatrics (AAP) published a policy statement on the treatment of infants with acute diarrhea complicated by mild to moderate d ehydration. To determine how closely physicians in the United States follow the AAP's treatment guidelines, a questionnaire was sent to 457 pediatricians and 360 family practitioners. The questionnaire presented a hypothetical infant with acute diarrhea complicated by mild to moderate dehydration and included questions regarding the number of such patients seen yearly, length of time used to rehydrate the infant, and how formula or solids are introduced following rehydration. Complete responses were received from 53% of pediatricians and 40% of family practitioners. The number of patients with acute diarrhea seen per year did not affect physician's treatment. Pediatricians and family practitioners responded similarly to most questions. Contrary to the AAP's guidelines to rehydrate in 4 to 6 hours, 62% of responding physicians extend the rehydration period to 12 to 24 hours. Also contrary to the AAP's recommendations, 62% of pediatricians and family practitioners use a lactose-free formula. The majority of responding physicians do follow the AAP's treatment guidelines to initiate feedings with diluted formula. Significantly more pediatricians than family practitioner advance to a full-strength formula within 1 day (P = .011). Fewer than 50% of physicians polled started solids within 24 hours as suggested by the AAP. Overall, the findings suggest that very few pediatricians and family practitioners follow all aspects of the AAP's treatment guidelines for infants with acute diarrhea complicated by mild to moderate dehydration.

Graduated Licensure: A Win-Win Proposition for Teen Drivers and Parents

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 959-960
Author(s):  
Mark L. Rosenberg ◽  
Ricardo Martinez
Keyword(s):  
United States ◽  
American Academy ◽  
Cause Of Death ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Crashes ◽  
Policy Statement ◽  
Critical Step ◽  
American Academy Of Pediatrics ◽  
Teenage Drivers

In this issue of Pediatrics, the American Academy of Pediatrics has taken a strong stand for safety in their policy statement entitled "The Teenage Driver." Among their recommendations, they call for graduated licensure for teenage drivers, a position we believe shows promise. Passing such legislation could be a critical step in reducing the leading cause of death in youth from 16 through 20 years old: motor vehicle crashes. Although teens constitute only 7% of the population of the United States, they account for 14% of all motor-vehicle deaths. More than 5000 teens die andi about a half-million are injured each year in traffic deaths.2

Mosquito and Tick-borne Illnesses in the United States. Guidelines for the Recognition and Empiric Treatment of Zoonotic Diseases in the Wilderness.

2019 ◽  
Vol 19 (3) ◽  
pp. 238-257
Author(s):  
Suresh Antony
Keyword(s):  
United States ◽  
Lyme Disease ◽  
Spotted Fever ◽  
Disease Process ◽  
Rocky Mountain ◽  
The United States ◽  
Health Care Facilities ◽  
Diagnostic Tools ◽  
Rocky Mountain Spotted Fever ◽  
Number Of Patients

Background:In the United States, tick-borne illnesses account for a significant number of patients that have been seen and treated by health care facilities. This in turn, has resulted in a significant morbidity and mortality and economic costs to the country.Methods:The distribution of these illnesses is geographically variable and is related to the climate as well. Many of these illnesses can be diagnosed and treated successfully, if recognized and started on appropriate antimicrobial therapy early in the disease process. Patient with illnesses such as Lyme disease, Wet Nile illness can result in chronic debilitating diseases if not recognized early and treated.Conclusion:This paper covers illnesses such as Lyme disease, West Nile illness, Rocky Mountain Spotted fever, Ehrlichia, Tularemia, typhus, mosquito borne illnesses such as enteroviruses, arboviruses as well as arthropod and rodent borne virus infections as well. It covers the epidemiology, clinical features and diagnostic tools needed to make the diagnosis and treat these patients as well.

Use of diagnostic tests by dermatologists, podiatrists and family practitioners in the United States: pilot data from a cross-sectional survey

Mycoses ◽  
2007 ◽  
Vol 50 (6) ◽  
pp. 463-469 ◽  
Author(s):  
Rebecca L. Koshnick ◽  
Kia K. Lilly ◽  
Katherine St Clair ◽  
Mary T. Finnegan ◽  
Erin M. Warshaw
Keyword(s):  
United States ◽  
Diagnostic Tests ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pilot Data ◽  
Family Practitioners

PRESIDENT'S ADDRESS 1972

PEDIATRICS ◽  
1972 ◽  
Vol 50 (6) ◽  
pp. 961-963
Keyword(s):  
United States ◽  
Rural Areas ◽  
Good Health ◽  
The United States ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
Collective Attention ◽  
Per Capita ◽  
Manpower Needs ◽  
Goals And Objectives

This year marks the 42nd anniversary of the American Academy of Pediatrics. From its original 35 members, in this short span of years, the Academy has become a progressive, rapidly growing, vigorous group of more than 14,000 Fellows-four-fifths of all the United States pediatricians and a representative percentage of the pediatricians in Central and South America and Canada. During this interval, the Academy has consistently developed its programs and activities to advance and promote the health and welfare of children. Yet for the first 35 years we were basically an educational, disease-oriented organization, with little impact on community-oriented medical services, or on the socioeconomics of health care. Fortunately in the past several years there has been a decided change in the policies, priorities, and direction of the Academy. This is best reflected by its recent expanded goals and objectives in a complete revision of Article III, Section I of its Constitution. Even though we are still primarily disease-oriented physicians, we must not forget the problems that are deterrents to good health. We can hardly expect mcdicine to solve every social, political, and economic ill of the ghetto, suburbia, and the rural areas of our country; however, we do have an important role to play and we do have an important contribution to make in our communities. These areas, large or small and wherever they may be, will not have the same medical health and manpower needs, nor the same priorities, and will continually need our individual and collective attention. The United States has more physicians per capita than all but three or four other nations.

Why Accept Stories About China?

PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 464-465
Author(s):  
Robert O. Fisch
Keyword(s):  
United States ◽  
American Academy ◽  
The United States ◽  
Official Journal ◽  
American Academy Of Pediatrics ◽  
The People ◽  
Scientific Report

I am always amazed by the fascination of the American public with the "stories" from behind the Bamboo Curtain. The data of Dr. Wray in his article1 are biased, i.e., "I was told," etc. Any other article based upon similarly described data, especially from the United States, would not even be considered for publication by an editor, especially not by the editors of the official journal of the American Academy of Pediatrics. Dr. Wray's last sentence, "... Chairman Mao's command: ‘Serve the People!’" sounds more like a Marxist manifesto than the conclusion of a scientific report.

Cardiopulmonary Resuscitation of the Newborn

1990 ◽  
Vol 12 (5) ◽  
pp. 136-141
Author(s):  
Robert A. Sinkin ◽  
Jonathan M. Davis
Keyword(s):  
United States ◽  
American Academy ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
The United States ◽  
Delivery Room ◽  
American Academy Of Pediatrics

Approximately 3.5 million babies are born each year in approximately 5000 hospitals in the United States. Only 15% of these hospitals have neonatal intensive care facilities. Six percent of all newborns require life support in the delivery room or nursery, and this need for resuscitation rises to 80% in neonates weighing less than 1500 g at birth. Personnel who are skilled in neonatal resuscitation and capable of functioning as a team and an appropriately equipped delivery room must always be readily available. At least one person skilled in neonatal resuscitation should be in attendance at every delivery. Currently, a joint effort by the American Academy of Pediatrics and the American Heart Association has resulted in the development of a comprehensive course to train appropriate personnel in neonatal resuscitation throughout the United States. Neonatal resuscitation is also taught as part of a Pediatric Advanced Life Support course offered by the American Heart Association. In concert with the goals of the American Academy of Pediatrics and the American Heart Association, we strongly urge all personnel responsible for care of the newborn in the delivery room to become certified in neonatal resuscitation. The practical approach to neonatal resuscitation is the focus of this article.

APGAR STAMP

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 544-544
Author(s):  
L. J. Butterfield
Keyword(s):  
United States ◽  
Annual Meeting ◽  
San Antonio ◽  
The United States ◽  
Press Conference ◽  
Postal Service ◽  
United States Postal Service ◽  
American Academy Of Pediatrics ◽  
One Year ◽  
United States Postal

On Monday, October 24, 1994 at 2:00 PM, a definitive stamp will be dedicated to Dr Virginia Apgar at the American Academy of Pediatrics (AAP) annual meeting in Dallas. A definitive stamp lasts for years while the commemorative stamp is printed just one year. The United States Postal Service announced the 1994 stamp program on December 7, 1993 during a press conference at the National Postal Museum. Dr Apgar was nominated for a stamp in 1987 by the AAP. The initiative was spawned by the Perinatal Section at the 1985 annual meeting of the AAP in San Antonio.

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