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Biomedical subjects

J T Hart

Publications and source records attributed to J T Hart.

At least 91 records · Page 5Linked to original sources

Ten years' experience in general practice of dip-slide urine culture in children under five years old.

Of 567 children under five registered with an industrial general practice over a 10-year period, 559 presented with symptoms of ill health in the first five years of life, and of these, 158 (27.9 per cent of those registered) had urine cultured using the dip-slide method. Thirty-four (12.3 per cent) girls and 23 (7.9 per cent) boys had at least one episode of significant bacteriuria. Two boys and three girls were found to have radiological abnormalities of the genito-urinary tract, of which two were obstructive lesions requiring surgery.Symptoms usually ascribed to the urinary tract in older children and adults did not discriminate for infection in this age group and were not a reliable indicator of the presence, or of the absence, of significant bacteriuria.The incidence of significant bacteriuria was considerably above that recorded by surveys on asymptomatic children. Proteus infections were four times more common among boys than girls, and under the age of three the proportion of boys with bacteriuria exceeded that of girls.Dip-slide culture is a valuable tool in the diagnosis, management, and follow-up of urinary tract infection.

Bacteriological Techniques↗

The future of the College.

THE COLLEGE SHOULD NOW PLAN ITS FUTURE POLICIES ACCORDING TO THE FOLLOWING SIX PRINCIPLES: (1) Preventive and therapeutic services must be integrated. (2) Such action falls naturally to neighbourhood doctors. (3) A positive practical approach to health should replace the traditional disease dominated emphasis in medical training. (4) There are important manpower implications for general practice, both for doctors and their staff. (5) The need to alter the life-style of patients means that practical preventive medicine increasingly means achieving change in human behaviour. (6) The Royal College of General Practitioners should increasingly emerge as the voice of progress by publicizing successful developments in general practices and by campaigning for public support for these principles.

Family Practice↗

Urinary organic acids in man. III. Quantitative ranges and patterns of excretion in a normal population.

We studied the urinary excretion of organic acids by normal human subjects in an ambulant normal population, chosen without conscious bias. Quantitative ranges and frequency distribution patterns of excretion are reported, as a basis on which to compare results obtained for patients whose clinical condition suggests that their excretion values may be abnormal. The quantitative valuse we observed enable the relative significance of different urinary anionic metabolites to be assessed, including the recently identified aldonic and deoxyaldonic acids. The frequency distribution patterns observed are discussed briefly.

Adolescent↗