The shape and measurements of the forced expiratory spirograms in healthy children

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Asphyxia Neonatorum-Neurological Status at One Year Follow-Up

The neurological status at one year follow-up of a group of infants who had suffered from asphyxia neonatorum is described. The situation at the end of the first week is contrasted with that a year later

Health care of children

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Asphyxia neonatorum - assessment of the infant at birth

Asphyxia neonatorum is defined as failure of a newborn infant to establish sustained respiration after its complete delivery. In 206 asphyxiated infants reviewed, details of the Apgar scores,  time to sustained respiration and resuscitation required, were documented. The value of each of these observations, as well as that of the heart rate and acid-base status after birth, is assessed. From the findings definite recommendations for the routine assessment of the infant at birth are made.S. Afr. Med. J., 48, 2139 (1974)

Health care of children

It is estimated that at the present rate of population growth, at least 21,5 million children under the age of 14 years will require health care by the year 2000. With the available medical manpower, it is not possible to provide the present child population with the uniformly high standard of health care to which they are entitled. It is urged that Paediatric Nurse Associates be trained to assist in this regard. A preliminary report of the training scheme introduced for Paediatric Nurse Associates at the Red Cross War Memorial Children's Hospital is presented for discussion and criticism.S. Afr. Med. J., 48, 1752 (1974)

Acute dehydrating gastro-enteritis undernourished infants

In 80 undernourished infants with acute dehydrating gastro-enteritis a pattern of electr.olyte and metabolic disturbances was found, including acidosis, hyponatraemia and hypokalaemia. Clinical assessment of acidosis and dehydration was reliable in most cases, but electrolyte disturbances, including hypernatraemia, could not be accurately diagnosed. In the majority of infants presenting with dehydrating gastro-enteritis, electrolyte and acid-base investigations are not obligatory. The use of half-strength Oarrow's solution in 2;5% dextrose water, with supplementary intravenous sodium bicarbonate and oral potassium, rapidly corrected the electrolyte and acid-base disturbances. No significant difference resulted when this regimen was modified by variations in the rate, volume or type of intravenous fluid given.S. Afr. Med. J., 48, 1563 (1974

Intra-uterine foetal blood transfusion

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