Guidelines for managing acute gastroenteritis.
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Biomedical subjects
Publications and source records attributed to H C Da Mota.
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In this study the authors analysed the evolution of blood urea nitrogen in 14 infants during treatment of hypernatremic dehydration. BUN values decreased at a low rate comparing with usual standard limits: a) a correlation between initial BUN and natremia was observed, b) in 9 out of 14 infants there was a transient elevation of BUN, between 5 to 24 hours after the beginning of rehydration, and c) renal function was normal in 8 children who were reevaluated 3 to 28 months after the episode of dehydration.
In an attempt to discern the paradigms underlying our medical practice (more specifically paediatrics) over the last 30 years, it was found that these are rather similar to the ones prevailing at the beginning of this period--all wrong-doings were attributed to outside forces which had to be neutralized; the obsession to standardise the internal milieu; the compulsion to always do something, little attention being paid to collateral effects; the ends justifying the means and the charm of technology.