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A J Stephens

Publications and source records attributed to A J Stephens.

11 recordsLinked to original sources

COSREEL.

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Animals

ECG as a prognostic instrument in Kwashiorkor.

Serial ECG studies were carried out on 32 cases of severe kwashiorkor and two cases of marasmus. Single readings were also carried out on 10 controls. In those cases which had a bad prognosis, particularly those that died, there was a marked shift of the axis of the mean QRS vector of the limb leads to the right. Those that did not deteriorate showed no such shift, and those that deteriorated but eventually recovered, showed a shift to the left in the recovery phase. No such shift was noted in the two cases of marasmus. I suggest that this shift in mean QRS vector could be a useful and accurate prognostic guide.

Electrocardiography

The impact of health care and nutritional education on an urban community in Zambia through the under five clinics.

A social survey was carried out on 60 surviving children who suffered from severe kwashiorkor, using 60 "normal" peers drawn from the same socio-economic area. The impact of local under five clinics in the area with regard to health education and health care was assessed and found to be inadequate, despite the large number of clinics available. The replacement of these under five clinics by "at risk" clinics for children of all ages within the framework of a community health centre was suggested.

Beverages

Value of routine multiple blood tests in patients attending the general practitioner.

The paper describes the investigation of 296 patients selected at random from those attending the general practitioners' surgery and studied by means of multiple biochemical and haematological tests. The tests that would not normally have been requested led to a new diagnosis of clinical significance in 16.9% of patients, in most instances requiring an alteration of the patient's therapy. The effect of the profile tests on patient follow-up, referral of patients to hospital, and the need for subsequent investigations was studied by comparing the patients profiled with a control group of patients not having a blood profile. The place of such an investigation in general practice is considered.

Adolescent