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What has the author Herschel Whitfield Arant written?

Updated: 8/21/2019
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Herschel Whitfield Arant has written:

'Cases on the law of suretyship and guaranty' -- subject(s): Cases, Suretyship and guaranty

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September 13th 1979?

Catalina Cruz born on September 13, 1979Lidia Ávila born on September 13, 1979Nienke Disco born on September 13, 1979Fatal lymphoma after transplantation of cultured thymus in children with combined immunodeficiency diseaseM. S. Borzy and OthersAbstract Radionuclide-determined change in pulmonary blood volume with exercise. Improved sensitivity of multigated blood-pool scanning in detecting coronary-artery diseaseR. D. Okada and OthersAbstract Prevention of thrombosis in patients on hemodialysis by low-dose aspirinH. R. Harter and OthersAbstract The pulmonary-alveolar macrophage (first of two parts)W. G. Hocking and D. W. GoldeAbnormalities in cultured muscle and peripheral nerve of a patient with adrenomyeloneuropathyV. Askanas, J. McLaughlin, W. K. Engel, and B. T. AdornatoHistamine 2 receptor antagonism by cimetidine and sinus-node functionT. R. Engel and J. C. LuckHereditary renal-cell carcinoma associated with a chromosomal translocationA. J. Cohen and OthersTreatment of hypercholesterolemia with neomycin--a time for reappraisalP. SamuelMarrow transplantation for acute nonlymphoblastic leukemia in first remissionE. D. Thomas and OthersCase records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 37-1979Sounding board. Toward a rational grading policyH. Jason and J. WestbergOccasional notes. Portal hypertension, 1979R. A. Malt, D. C. Nabseth, M. J. Orloff, and S. StipaPersons at high risk of cancerA. G. Knudson----Case 21-1979--aneurysmal dilatation of the aorta with aortic regurgitationW. A. HandelmanCase 21-1979--aneurysmal dilatation of the aorta with aortic regurgitationE. O. Wheeler and J. T. FallonPrevalence of HLA-DRw2 not increased in systemic lupus erythematosusO. Scherak, J. S. Smolen, and W. R. MayrHepatitis in acquired toxoplasmosisH. Masur and T. C. JonesThe omnipresent placebo effectD. H. SpodickAlkalosis from chloride-deficient Neo-Mull-SoyS. Roy and B. S. Arant"I can't afford a 'B'"J. Charbit and R. S. Greenberg[Note: This page was generated from the Medline data base.There may be some discrepancies between the page shown and the original printed version.] ---- HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.


Babies and diarrhea?

Alternative NamesDiarrhea and babiesInformationNormal or healthy baby stools are soft and loose. Babies have frequent stools during the first 1 - 2 months. Because of this, it may be difficult to tell when your baby has diarrhea.Most babies have a stool pattern that is typical for them. This pattern may change slowly over time. Look for the following to help decide whether your baby has diarrhea:A sudden increase in how often your baby has stoolsMore than one stool per feedingStools that appear to be more wateryIf your baby is feeding poorly, or has nasal congestion or a fever, the changes you notice are more likely to be diarrhea.Most diarrhea in children is short-lived. It is usually caused by a virus, and goes away on its own. Other causes of diarrhea include:A change in the baby's diet or the breast-feeding mother's dietUse of antibiotics by the baby or breast-feeding motherRare diseases such as cystic fibrosisInfants and young children (under age 3) can dehydrate quickly, so they should be watched very carefully. Dehydration means that the body does not have enough water or liquids.Signs of mild dehydration:Dry eyes and crying with few tears or no tearsFewer wet diapers than usualLess active than usual or irritableSlightly dry mouthSigns of moderate dehydration:Dry skin that is not springySluggish or lethargicSunken appearing eyesSigns of severe dehydration:No urine output in 8 hoursSkin that is pinched between fingers fails to spring back to its original shapeSunken fontanelle (the soft spot on top of the head) in infantsVery lethargic or possibly unconsciousHOME CAREMake sure the child gets plenty of liquids.If you are nursing, the doctor will probably recommend that you continue nursing. Breast-feeding helps prevent diarrhea, and it also speeds recovery.If your baby still seems thirsty after or between nursing or feeding sessions, you can add an oral rehydration solution, such as Pedialyte. Often, your pediatrician will recommend extra fluids that contain electrolytes. Follow the doctor's instructions. Do not use sports drinks for young infants.Talk to your pediatrician right away if there are signs of dehydration. If the infant develops signs of moderate or severe dehydration, he or she should be seen right away.The following can help prevent diaper rash:Air dryingFrequent diaper changesProtective ointments and creams, such as DesitinRinsing the bottom with waterCut down on baby wipes during diarrhea.Call your pediatritian if:A newborn (under 3 months old) has diarrheaDiarrhea contains blood, mucus, or pussFever and diarrhea last for more than 3 daysThe child appears dehydratedThe child has more than 8 stools in 8 hoursThe diarrhea does not go away in older infants or lasts in children for 2 days or longerVomiting continues for more than 24 hoursReferencesCanavan A, Arant BS Jr. Diagnosis and management of dehydration in children. Am Fam Physician. 2009;80:692-696.


Diarrhea in children - diet?

DefinitionDiarrhea in children and babies is the passage of loose stools.RecommendationsDiarrhea has many causes, including:AntibioticsConsuming too much fruit or fruit juiceFood sensitivityIllnessInfectionDiet:What the child eats or drinks may make diarrhea worse. Changing the diet may relieve some types of diarrhea.In most cases, you should continue feeding your baby or child as usual. Most children can keep up with the nutrients they lose through diarrhea if they increase the amount of food they take in. For babies, always continue breast-feeding or formula feeding.Many children develop mild and temporary lactose intolerance. Continuing dairy foods may make the diarrhea last longer, but it can also allow a faster return to a regular diet. Babies who eat solid foods may continue to do so as long as they can keep the food down.A full appetite is often the last behavior to return after an illness. Children should be allowed to take their time returning to their normal eating habits. No specific diet is recommended for diarrhea, but children usually tolerate bland foods better. Bulking agents, such as starches, fresh fruits, and vegetables sometimes help create more solid stool. Fruit juices can loosen stool.For some children, a return to their regular diet can also bring a return of diarrhea. This is usually due to mild difficulty the gut has in absorbing regular food. This type of diarrhea usually doesn't last long and is different from the diarrhea that came during the actual illness. It requires no treatment as long as there are no other symptoms.Diarrhea caused by antibiotics may be reduced by giving the child yogurt with live active cultures (look for a statement on the label). If the diarrhea persists, contact your health care provider to discuss changing or stopping the antibiotic. Do not stop antibiotic treatment without checking with your child's doctor.Fluids:Fluid is very important because it is easy for a child with diarrhea to become dehydrated. Dehydration is a serious condition in babies and young children. Lost fluids need to be replaced. Replace fluids (rehydration) through drinking for all but the most seriously dehydrated children, or those who can't keep fluids down.For most children, any fluid they normally drink should be enough. Too much water alone, at any age, can be harmful, because water does not have any sugars or important electrolytes, such as sodium.Rehydration solutions include Rehydralyte and the World Health Organization's oral rehydration solution. Other products, such as Pedialyte and Infalyte, may help keep a child properly hydrated and prevent dehydration. Some of these solutions are available at the supermarket or pharmacy and do not need a prescription. However, you should consult your doctor before using them in infants.Popsicles or Jell-o can be excellent sources of clear fluids, especially if the child is vomiting. You can get large amounts of fluids into the child slowly this way, and avoid overfilling the stomach. This is especially important if the stomach is already irritated by an infection.For most children, drinking more fluids is enough, but occasionally it is necessary to give fluids through a vein (by IV). Fluids given by IV correct dehydration faster than those given by mouth.CONTACT YOUR HEALTHCARE PROVIDER IF:Your child is much less active than normal (not sitting up at all or looking around)Diarrhea contains blood or mucusDiarrhea develops within 1 week of travel outside of the United States, or after a camping trip (the diarrhea may be due to bacteria or parasites that require treatment)Diarrhea is accompanied by multiple vomiting episodes, fever, or abdominal crampingDiarrhea is severe, or lasts longer than 2 to 3 daysDiarrhea keeps returning, or the child is losing weightThe child has signs of dehydration (call immediately): Dry and sticky mouthHas not urinated for 6 hoursNo tears when cryingSunken eyesYour doctor may prescribe medication to help control the diarrhea. Call your doctor before using over-the-counter medications for diarrhea, because they may be either ineffective or potentially dangerous.ReferencesBhutta ZA. Acute gastroenteritis in children.In: Kliegman RM,Behrman RE, Jenson HB, Stanton BF, eds.Nelson Textbook of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 332.Canavan A, Arant BS Jr. Diagnosis and management of dehydration in children. Am Fam Physician. 2009;80:692-696.Reviewed ByReview Date: 11/07/2011Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


Urinary tract infection - children?

DefinitionA urinary tract infection (UTI) is a bacterial infection of the urinary tract. This article discusses UTIs in children.The urinary tract includes the:BladderKidneysUreters -- the tubes that take urine from each kidney to the bladderUrethra -- the tube that empties urine from the bladder to the outsideSee also:Catheter-associated UTIUrinary tract infection - adultsAlternative NamesUTI - children; Cystitis - children; Bladder infection - children; Kidney infection - children; Pyelonephritis - childrenCauses, incidence, and risk factorsUrinary tract infections (UTIs) can occur when bacteria find their way into the bladder or the kidneys. These bacteria are normally found on the skin around the anus or sometimes around the vagina.Normally, there are no bacteria in the urinary tract itself. However, certain things can make it easier for bacteria to enter or stay in the urinary tract. These include:A problem in the urinary tract, called vesicoureteral reflux, which is usually present at birth. This condition allows urine to flow back up into the ureters and kidneysBrain or nervous system illnesses (such as myelomeningocele, spinal cord injury, hyrocephalus) that make it harder to completely empty the bladderBubble baths or tight fitting clothes (girls)Changes or birth defects in the structure of the urinary tractNot urinating (peeing) often enough during the dayWiping from back (near the anus) to front after going to the bathroom. In girls, this can bring bacteria to the opening where the urine comes outUTIs are more common in girls, especially around age 3 when they first begin toilet training. In boys who are not circumcised, the risk for UTIs is slightly higher before the first birthday.SymptomsYoung children with UTIs may only have a fever, poor appetite, vomiting, or no symptoms at all.Most urinary tract infections in children only involve the bladder. If the infection spreads to the kidneys, it is called pyelonephritis and may be more serious.Symptoms of a bladder infection in children include:Blood in the urineCloudy urineFoul or strong urine odorFrequent or urgent need to urinateGeneral ill feeling (malaise)Pain or burning with urinationPressure or pain in the lower pelvis or lower backWetting problems after the child has been toilet trainedSymptoms that the infection may have spread to the kidneys include:Chills with shakingFeverFlushed, warm, or reddened skinNauseaPain in the side (flank) or backSevere pain in the belly areaVomitingSigns and testsA urine sample is needed to diagnose a UTI in children. The sample is examined under a microscope and sent to a lab for a urine culture.In children who are not toilet trained, getting a urine sample can be difficult. The test cannot be done using a wet diaper. Possible ways to collect a urine sample in very young children include:Urine collection bag -- A special plastic bag is placed over the child's penis or vaginal area to catch the urine; this is not the best method because the sample may become contaminated.Catheterized specimen urine culture -- A plastic tube (catheter) placed into the tip of the penis in boys, or directly into the urethra in girls, collects urine directly from the bladder.Suprapubic urine collection -- A needle is placed through the skin of the lower abdomen and muscles, into the bladder, and used to collect urine.If this is your child's first UTI, special imaging tests may be done to determine why the infection happened, or to see if there is any kidney damage. Tests may include:Kidney ultrasoundX-ray taken while the child is urinating (voiding cystourethrogram)These studies may be done while the child has an infection, but most often it's done weeks to several months afterward.Your doctor will consider many things when deciding if and when a special study is needed, including:Is the child younger than 6 months?Has the child had infections in the past?Is the infection severe?Does the child have other medical illnesses?Does the child have a problem with the spinal cord or defects of the urinary tract?Has the child responded quickly to antibiotics?TreatmentIn children, UTIs should be treated quickly with antibiotics to protect the developing kidneys. Any child under 6 months old or who has other complications should see a specialist immediately.Younger infants will usually stay in the hospital and be given antibiotics through a vein. Older infants and children are treated with antibiotics by mouth. If this is not possible, they are admitted to the hospital where they are given antibiotics through a vein.It is important that your child drink plenty of fluids during the time they have a urinary tract infection.Some children may be treated with antibiotics for long periods of time (as long as 6 months - 2 years), or they may be prescribed stronger antibiotics.The health care provider may also recommend low-dose antibiotics after the first symptoms have gone away. This type of treatment is less common now than it once was.Antibiotics commonly used in children include:Amoxicillin or amoxicillin/clavulanic acid (Augmentin)CephalosporinsDoxycycline (should not be used in children under age 8)NitrofurantoinTrimethoprim-sulfamethoxazoleFollow-up urine cultures may be needed to make sure that bacteria are no longer in the bladder.Expectations (prognosis)Most children are cured with proper treatment. The treatment may continue over a long period of time.The long-term consequences of repeated UTIs in children can be serious. However, these infections can usually be prevented.ComplicationsHigh blood pressureKidney abscessKidney infection (pyelonephritis)Renal insufficiency or kidney failureSwelling of the kidneys (hydronephrosis)Calling your health care providerCall for an appointment with your health care provider if your child's UTI symptoms continue after treatment or come back more than twice in 6 months.Call your health care provider if the child's symptoms get worse, or new symptoms develop, especially:Back pain or flank painBad-smelling, bloody, or discolored urineFever of 100.4Fahrenheit (38Celcius) rectally in infants, or over 101Fahrenheit (38.3Celcius) in childrenLow-back pain or abdominal pain (especially below the belly button)Persistent feverUnusually frequent urination or frequent urination during the nightVomitingPreventionAvoid giving your child bubble bathsHave your child wear loose-fitting underpants and clothingIncrease your child's intake of fluidsKeep your child's genital area clean to prevent bacteria from entering through the urethraTeach your child to go the bathroom several times every dayTeach your child to wipe the genital area from front to back to reduce the chance of spreading bacteria from the anus to the urethraLong-term use of preventive (prophylactic) antibiotics may be recommended for some children who are prone to chronic UTIs.ReferencesMontini G, Rigon L, Zucchetta P, et al. Prophylaxis after first febrile urinary tract infection in children? A multicenter, randomized, controlled, noninferiority trial. Pediatrics. 2008;122(5):1064-71.Mori R. Kakhanpaul M, Verrier-Jones K. Diagnosis and management of urinary tract infection in children: summary of NICE guidelines. BMJ. 2007; 335:395-397Roussey-Kesler G, Gadjos V, Idres N, Horen B, Ichay L, Leclair MD, et al. Antibiotic prophylaxis for the prevention of recurrent urinary tract infection in children with low grade vesicoureteral reflux: results from a prospective randomized study. J Urol. 2008;179:674-679; discussion 679. Epub 2007, Dec 20.Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER. Does this child have a urinary tract infection? JAMA. 2007; 298:2895-2904.