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Biomedical subjects

J E Rohde

Publications and source records attributed to J E Rohde.

17 recordsLinked to original sources
PubMed1991

Oral rehydration therapy: a community trial comparing the acceptability of homemade sucrose and cereal-based solutions.

Sugar-based oral rehydration therapy (ORT) for diarrhoea is promoted in many countries of the world. One programme in Bangladesh has instructed more than 13 million mothers in the preparation of a sugar-salt solution in the home; despite very high rates of correct mixing and knowledge, subsequent application was found in only some 20% of all diarrhoea episodes. Since rice is far more available in rural homes (95%) than any type of sugar (30%) and rice gruel is a widely accepted food during illness, a field trial was conducted in three areas (total population, 68,345) to compare the acceptability and use of rice-based ORT with that of sugar-based ORT. Although the mothers unanimously agreed that the rice-based solutions "stopped" the diarrhoea more quickly, they used the sugar-based solutions twice as often (in 40% of severe watery episodes) as the rice-based solutions (in 18%), because the rice-ORT was much more time-consuming and difficult to prepare. The observed reduced utilization of home-made rice-ORT makes it a poor substitute for sugar-ORT at the community level in rural Bangladesh.

Adolescent↗
PubMed1978

Preparing for the next round: convalescent care after acute infection.

Infections pose a nutritional stress on the growing child. No therapeutic goal is as important as the rapid recovery of preillness weight after acute infections. Successful convalescence, with supernormal growth rates, can be achieved with relatively brief periods of intensive refeeding, offsetting any tendency toward reduced immune defenses or other nutritionally determined susceptibilities to further infection. Since the mother is the only person who can effectively manage convalescent care, she must be given specific tasks with measurable targets in order to reliably oversee the child's rehabilitation. Not generally considered in the realm of preventive medicine, effective home-based convalencent care is the first crucial step in preventing the next round of illness. An approach to the widespread mobilization of mothers to monitor and sustain their children's growth is proposed in this paper. Rather than a passive recipient of health services, the mother becomes the basic health worker, providing diagnostic and therapeutic primary care for her child. Only the mother can break the malnutrition-infection cycle.

Body Weight↗
PubMed1976

Taking science where the diarrhoea is.

With attack rates exceeding two episodes per year in the young diarrhoea with attendant dehydration is by far the major single killer in the developing world. An invariable accompaniment of the more insidious and chronic protein-energy malnutrition (PEM), diarrhoea is itself an acute form of malnutrition: fluid-electrolyte malnutrition (FEM). Scientific attention to FEM has focused heavily on mechanisms of pathogenesis and disordered physiology, often to the neglect of preventive and effective control measures. A notable exception was the huge step from the short-circuit chamber to the cholera ward which carried the science of coupled transport to the field. Glucose-electrolyte solutions provide effective prevention and treatment of dehydration and, where combined with early proper feeding, an interruption of the FEM-PEM cycle. Wider use of this simple technology awaits greater understanding and interact-on with the social systems that determine the ecology of diarrhoeal disease.

Administration, Oral↗
PubMedDate not supplied

Infant feeding practices among patients of pediatricians and general practitioners.

In an attempt to document the infant feeding practices among patients of pediatricians and general practitioners, a study was carried over a period of one month and data of 10,374 infants were recorded using a pre-printed proforma marked by a simple 'tick' for each patient. The results showed: (i) initiation of breastfeeding was delayed in nearly half of the cases beyond 24 hours; (ii) introduction of bottle feeding in more than half of infants by the age of 4 months and (iii) introduction of solid foods later than eight months in almost half of infants. While breastfeeding is practised by 78% of women, only one in five practice exclusive breastfeeding till 4-6 months, and very few avoid bottle feeds. Much education and change in behaviour is needed if optimal benefit of breastfeeding in India is to be realised.

Bottle Feeding↗