Dental caries in children.
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Biomedical subjects
Publications and source records attributed to T James.
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Circumcision has been regarded through the ages from many points of view, lay and religious, and the reasons advanced for its practice are diverse and often rationalised to counter assertions of its irrationality. This article includes an argumentum ad circumcisionem centred in the scholarly opinions of Philo Judaeus of Alexandria.
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The quality and the influence of South African medical literature during the first half of this century owes a great deal to two outstanding medical editors: Drs William Darley-Hartley and C. L. Leipoldt who, in a curious fashion, were closely related in this field of medical endeavour although their origins were so very different.
In patients with chronic bronchitis and emphysema who have evidence of respiratory decompensation, often even a pneumothorax displacing 10% or less of the hemithorax may require catheter drainage as an adjunct to therapy. Three illustrative cases are presented.
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This historical résumé, a collation of facts from various sources which lie scattered among the pages of early medical journals of our land, has been composed in an attempt to give some continuity of substance to this particular part of South African medical history which will be celebrated by our Jubilee Congress in Johannesburg this year.
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Two girls with hypokalemic and hypochloremic metabolic alkalosis and failure to thrive were found to have Bartter syndrome at ages 9 and 6 months. Both had normal blood pressures despite substantial elevation of plasma renin activity and evidence of secondary hyperaldosteronism. A similarity in facial features, including prominent forhead, a large head, triangular facies with drooping mouth, and large eyes and pinnae, was noted in these two infants and in published pictures of other infants with the syndrome. Although the normotension associated with substanital elevation of plasma renin activity and hyperaldosteronism in Bartter syndrome has been considered the effect of hypovolemia, a normal or slightly elevated plasma volume was found in these infants, suggesting that in certain cases an alternate mechanism for the depressed response to renin may be present.
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