Managed care.
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Biomedical subjects
Publications and source records attributed to H F Laws.
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One hundred and two American children living at Clark Air Base in the Philippines had stools tested for parasites. Seven (6.9%) were positive, isolating Ascaris (3), Giardia (3), and Tricuris (2), but no correlation was found in sex, race, or place of residence. Fourteen children whose parents felt they had symptoms of parasites tested negative. When stationed overseas in a parasite-endemic area, parents worry about their children acquiring parasites, but we were able to confirm a low prevalence in American dependents. Our data does not support mass screening for, or mass treatment of, parasites in this population group.
We managed a serologically documented case of dengue fever with thrombocytopenia with IV IgG. Acute and convalescent ELISA and HI titers indicated an acute dengue infection with a secondary response that clinically, and by laboratory parameters dramatically improved after IV IgG administration. The use of IV IgG in cases of thrombocytopenia associated with dengue has both theoretical advantages and disadvantages. IV IgG may have a role in the management of DHF/DSS because of the significant morbidity and mortality associated with DHF/DSS. A prospective randomized study should be developed to determine if IV IgG does indeed effect the course of thrombocytopenia in dengue infections.
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