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Biomedical subjects

D Blum

Publications and source records attributed to D Blum.

At least 145 records · Page 8Linked to original sources
PubMed1979

Controlled fall in natremia and risk of seizures in hypertonic dehydration.

The aim of the study was to derive some practical measurements which might help in defining a "safe" infusion rate in order to avoid seizures during treatment of hypernatremic dehydration. Forty seven infants with hypernatremic dehydration were rehydrated on a 160 ml/kg/24 h basis: 9 developed seizures during treatment (group I), 22 matched for age did not convulse (group II). Nine subsequent cases were prescribed a 120 ml/kg/24 h regimen: none convulsed (group III). The three groups were comparable in many respects, including initial plasma Na and pH. Fluids were comparable regarding (Na), their rates of administration were respectively 216, 181 and 123 ml/kg/24 h. The rate of infusion affected slopes of decreases in natremia. It was suggested that the decrease in plasma Na should not exceed 0,5 mEq/1/h.

Blood↗
PubMed1978

[Comparative study of acute poisonings in Belgian children and immigrant workers children].

This survey covers 786 children admitted with acute poisoning to the Saint-Pierre Hospital in Brussels between 1967 and 1976. The type and the frequency of products responsible for poisoning in the indigenous and immigrant children are compared. 45% of children admitted to hospital are immigrants but they constitute only 29% of the children admitted with poisoning. When compared with Belgian children, the immigrants more commonly ingest household products and ordinary drugs are taken more often than prescribed ones, but minor tranquillisers are particularly common. The socio-economic and psychologic factors responsible for these accidents are discussed and methods of prevention are suggested.

Acute Disease↗
PubMed1978

Horny syphilid.

A thirty-seven year old man presented with volar lesions resembling widespread clavi. Careful physical examination and serologic tests established a diagnosis of secondary syphilis. The unusual lesions best fit the rare clinical entity of horny syphilid. The case emphasizes the importance of maintaining a high index of suspicion of syphilis and the value of the serologic tests in evaluating cutaneous eruptions.

Adult↗
PubMed1977

Congenital stridor in infancy. Clinical lessons derived from a survey of 31 instances.

Thirty-one cases of persistent stridor during infancy, which on study proved to be of congenital origin, were analyzed. The breakdown of these cases is as follows: 4 laryngotracheomalacia, 3 vascular anomalies, 4 angiomas, 1 mucous membrane, 1 laryngeal cyst. The remaining cases (18) belong to the so-called "benign" stridor group in that no specific etiology could be demonstrated and in that evolution was spontaneously favorable. In every case of stridor, the precise underlying cause should be looked for. In addition to clinical assessment the investigation of an infant with stridor calls for the following methods of examination: chest x-ray; larynx x-ray (anterior and lateral view) during iopneumography should be confined to specific cases.

Airway Obstruction↗
PubMed1975

Serum enzymes in the neonatal period. Diagnostic aid in muscle pathology.

Normal standards were defined in term and preterm infants on precise days of the neonatal period for the following serum enzymes: creatine phosphokinase (CPK), lactate dehydrogenase (LDH), diphosphofructoaldolase (ALD), glutamic-oxalacetic (SGOT) transaminase and glutamic pyruvic transaminase (SGPT), CPK values have reached adult standards at 10 days of life. This permits early diagnosis of muscular dystropy, especially the Duchenne form. LDH and ALD are still high at the 10th day of life. Low SGOT and SGPT levels encountered in premature infants is probably due to immaturity of enzyme synthesis in this group of children.

Alanine Transaminase↗