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Biomedical subjects

H Issler

Publications and source records attributed to H Issler.

3 recordsLinked to original sources

[Duration of breast feeding in an urban area of São Paulo, Brazil].

Duration of breast-feeding was studied by the authors among a representative sample of families with children under one year of age that resided in the area of coverage of the Health Center-School Samuel B. Pessoa in the borough of Butantã, São Paulo. The data was obtained by means of home interviews in which respondents were questioned about what type of food the child was eating that day, so that they did not have to depend on memory. The median duration of breast-feeding was found to be 2.8 months (84 days), thus showing that in the area under study early weaning is still practiced. Nevertheless, the study confirms the trend observed in the city of São Paulo in the last few years of a return to breast-feeding. This conclusion is supported by the fact that, contrary to the pattern in the previous decade, longer duration of breast-feeding is associated with higher academic levels of the parents (both), i.e., the practice is on the increase among the higher social and economic segments of the population. The study shows that the father can play a significant role in breast-feeding patterns. No correlation was found between breast-feeding duration and number of siblings, per capita monthly income, academic level of the mother, or the regularity of health check-ups.

Age Factors

Total body and serum potassium during prolonged thiazide therapy for essential hypertension.

Serum-potassium and total body potassium (T.B.K.) were measured serially for 1 year in a group of eighteen patients with mild essential hypertension. The patients were receiving a single daily dose of 10 mg. bendrofluazide without potassium supplements. At 12 months the mean value for serum-potassium (3-86 mmol per litre) was significantly lower than the mean pre-treatment value (4-26 mmol per litre). There was no significant decrease in T.B.K. in the same period. Diastolic blood-pressure fell significantly, and there were no apparent side-effects from the medication. In the group as a whole, a reduction of about 1 mmol per litre in serum-potassium was associated with an average reduction of 10% in T.B.K., but there was a large individual variation. The amount of potassium loss during the period of study did not seem to be clinically significant. It is suggested that routine potassium supplements are not essential in the treatment of uncomplicated essential hypertension with thiazide diuretics.

Bendroflumethiazide

[The teaching of preventive and social pediatrics at the undergraduate level in the school of medicine of the University of São Paulo].

After some considerations about the particular situation of pediatric departments within the global context of the medical education, the authors discuss the graduate teaching of Social and Preventive Pediatrics (primary care), as carried out by the Department of Pediatrics, University of São Paulo Medical School. The following aspects are emphasized: locals or areas of training, academic programs, human resources, duration of training and it's time schedule, number of students and evaluation of the related social and preventive pediatric courses. They conclude pointing to the importance of these courses having in view the terminal performance of the undergraduate students after 1.155 hours of apprenticeship under the supervision of the Department of Pediatrics.

Adolescent Medicine