American journal of diseases of children (1960)
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To estimate the frequency of bacteremia in children with sickle cell hemoglobinopathies (SCHs) and to evaluate the usefulness of various findings in predicting septicemia, we reviewed the charts of 153 patients with SCH who made 326 emergency department visits in a one-year period. Ninety children were febrile (greater than 38.0 degrees C). ⋯ Two of the five patients who were 2 years old or younger and who had the combination of a WBC count of 20,000/cu mm or more and a temperature of 39.5 degrees C or higher were bacteremic. These children were significantly more likely to have bacteremia than those with lower temperatures and WBC counts.
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New instruments and techniques have refined the art of extracting aspirated foreign bodies from children. During a five-year period at the University of New Mexico, Albuquerque, bronchoscopic extractions were successful in 40 of 41 children (98%). ⋯ Using these techniques, most foreign bodies (80%) were removed on the first or second pass of the bronchoscope. Because bronchoscopic extraction is a delicate procedure and carries a risk of cardiorespiratory arrest, it should be performed by endoscopists and anesthesiologists who are skilled with this procedure in children.
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Gastric emptying in normal newborns was studied with use of a double marker technique. The volume of 200 to 400 mOsm carbohydrate solutions emptied from the stomach in 30 minutes was determined. ⋯ The volumes of the various solutions emptied in 30 minutes were not significantly different. These findings suggest that decreasing formula osmolality from 400 to 200 mOsm offers no intrinsic advantage with regard to gastric emptying.