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Biomedical subjects

L A Barness

Publications and source records attributed to L A Barness.

13 recordsLinked to original sources

Chronic diarrhea in children.

Among the many causes of chronic diarrhea in children are food, the most common; inflammation; enzyme deficiencies; metabolic, anatomic, and physiologic abnormalities; and endocrine disorders. The first step in management is to estimate fluid losses and treat dehydration greater than 5%. Workup should include a careful diet history, physical examination, examination of stools and urine, and usually a sweat test. Treatment should be directed to the underlying disease.

Antidiarrheals

Neonatal nutrition.

Doctors should redouble their efforts to encourage mothers to breast feed. This is advantageous both in developed and in developing countries, for in developed countries, morbidity is lowered, while in developing countries, morbidity and mortality are drastically lowered. If the advantages of breast feeding cannot be impressed on the mother, then those formulas which most nearly simulate breast milk should be used. This is economically feasible in any society because of the lowering of morbidity due to conditions such as intestinal disorders, anaemia, eczema and, perhaps, poor brain development; the cost of these diseases should be included in the calculations for formula feedings. Other countries have already made the error and have later improved on feeding cow's milk formulas. Developing countries can avoid this error.

Breast Feeding

Organic acidosis in infants.

Any child or adult who has persistent acidosis after apparently adequate treatment should be suspected of having an organic aciduria, as should any person with a large anion gap and acidosis. The possibility that some can presently be treated, makes early diagnosis urgent. Acidosis occurs in hypoperfused states, and treatment of the hypoperfusion with half- to two-thirds-strength of physiological saline with 40 mEq/1 of potassium may correct the acidosis without there being any need to use bicarbonate.

Acidosis

Nutrition for the low birth weight infant.

Satisfactory nutrition of the low birth weight infant concerns the nurse, obstetrician, pediatrician, and nutritionist. It may be that at present the most satisfactory feeding for the low birth weight infants is human milk. Such factors as protein quantity and quality, fat quantity and quality, immune factors, and osmolar factors may be uniquely suitable for the human infant regardless of his weight. Because of present limitations in the availability of fresh human milk, infant formulas have been adopted with reasonable success in the nutriture of the low birth weight infant. Those formulas which most nearly simulate human milk are most widely used. Broad outlines for the composition of these formulas have been given. Regardless of the availability and ease of administration of either human milk or formula, it is unlikely that any form of external nutriture can equal the advantages provided by intrauterine growth. Until better methods are devised for prolonging intrauterine growth, presently available feeding regimens should be considered experimental and in a state of flux.

Dietary Carbohydrates