RESUMO
Virginia physicians administering preparticipation physicals to high school athletes this fall are using the new, expanded examination form that appears in this issue. Representing multidisciplinary input and incorporating current sports medicine information, the form is designed to identify the student at high risk for injury and to evaluate for a specific sport. After a two-year pilot program conducted by the authors the new form was officially adopted by the Virginia High School League.
Assuntos
Exame Físico/normas , Instituições Acadêmicas , Esportes , Adolescente , Humanos , VirginiaRESUMO
Free erythrocyte protoporphyrin (FEP) and hemoglobin concentrations in 788 children were investigated during routine check-ups in a private pediatric practice. FEPs greater than 3.0 ZPP/gm hemoglobin were found in 29.8 percent of 9-month-olds and in 9.6 percent of the total group tested. Correlations between FEP levels and hemoglobin concentrations are presented.
Assuntos
Hemoglobinas , Deficiências de Ferro , Porfirinas/sangue , Protoporfirinas/sangue , Adolescente , Fatores Etários , Criança , Pré-Escolar , Dieta , Humanos , Lactente , Prática PrivadaRESUMO
Forty-nine girls between the ages of 2 and 18 years with a symptomatic urinary tract infection documented by two clean-catch urine cultures completed a double-blind study comparing the effectiveness of three days versus ten days of nitrofurantoin macrocrystal therapy. Localization of the infection to the lower urinary tract was presumed on the basis of clinical presentation. All patients had sterile urine on day two or three of therapy. In the ten-day group, two of 23 patients (8.7%) experienced a single relapse, and seven patients (30%) had 12 episodes of reinfection during a six-month follow-up. In the three-day group, two of 26 patients (7.7%) had a single relapse, and six patients (23%) had 12 episodes of reinfection. The rates of relapse and reinfection in the compared groups were not statistically significantly different (P greater than 0.05). Three days of treatment with nitrofurantoin macrocrystals is an effective regimen for symptomatic girls presumed to have uncomplicated lower urinary tract infections.
Assuntos
Infecções Bacterianas/tratamento farmacológico , Nitrofurantoína/uso terapêutico , Infecções Urinárias/tratamento farmacológico , Adolescente , Criança , Pré-Escolar , Ensaios Clínicos como Assunto , Feminino , Humanos , Nitrofurantoína/administração & dosagem , Placebos , Distribuição Aleatória , Fatores de TempoRESUMO
Bacteriuria screening on 289 children was performed by their parents by means of a self-administered dip-strip culture which was inoculated, incubated, and interpreted in the home. Simultaneous pour-plate quantitative cultures and laboratory-tested dip-strip cultures were done on the same urine specimen which had been tested at home. The dip-strip culture was reliable (89%) in detecting significant bacteriuria with home administration and interpretation. Only 1.6% false-positive results occurred in the home testing. The dip-strip home cultures are an effective way for screening or follow-up of patients with bacteriuria.
Assuntos
Bacteriúria/diagnóstico , Urina/microbiologia , Criança , Meios de Cultura , Enterobacteriaceae/isolamento & purificação , Enterococcus faecalis/isolamento & purificação , Escherichia coli/isolamento & purificação , Reações Falso-Positivas , Humanos , Nitritos , Proteus/isolamento & purificação , Pseudomonas/isolamento & purificação , Fitas Reagentes , Staphylococcus/isolamento & purificaçãoRESUMO
The parents of 289 children performed bacteriuria screening with a self-administered dip-strip culture, which was inoculated, incubated and interpreted in the home. Simultaneous pour-plate quantitative cultures and laboratory tested dip-strip cultures were done on the same urine specimen that had been tested at home. The dip-strip culture was reliable (89 percent) in detecting significant bacteriuria with home administration and interpretation. Only 1.6 percent falsely positive results occurred in the home testing. The dip-strip home cultures are an effective way to screen or followup patients with bacteriuria.
