bluuebunny/crossref_metadata_2025_split huggingface dataset:
PEDIATRICS
Authors: O'Neill Richard 
Published: December 2021

There's no business like pediatrics.
It's not the Cadillac of the medical specialties, but it holds many deeper rewards.
Our patients still view the world with awe, and believe in us and Santa Claus.
They haven't learned rich or poor, black or white.
They're growing instead of declining, and haven't yet found the degenerative diseases.
They know when the newest Walt Disney is in town, what the plot is, what the ending is, and how to wheedle us into taking them.
They turn off their tears when mission is accomplished.
Their youthful enthusiasm is contagious, and if you're not careful, they'll sprinkle you with the fountain of youth.
They'll go to school with a temp. of 103, because it's picture day.
What the teacher says is gospel, straight from the top.
They'll make you laugh during the school play, and weep at the teacher conference.
They cart old milk cartons off to kindergarten, and mysteriously return with your Christmas gift. You'll open it first, look surprised, and feel very proud.
They'll squeeze every present under the tree, and ask, "Is this one for me?"
Halloween is their Mardi Gras, and when they don those masks and costumes, they're monster, ghost or vampire, and you'd better be scared.
They still haven't deduced who disposed of that bag of goodies they tricked and treated for.
They will listen to you read the same story over and over, and you don't dare skip any pages.
Cartoons are their passion, and you could do a spinal tap while Bugs Bunny weaves his magic spell.
A SHORT MEDICAL HISTORY—1984 VERSION
Authors: C. T. E. 
Published: December 2021

All but one of the words and phrases included in the medical history below were either heard at medical meetings or seen in recent medical journals.
I leave it to the reader to judge whether my 1984 version enriches or debases our language. My only contribution was the neologism homized.
Ms. A. Z., age 24, S.S. #987-65-4321, a randomized, computerized investigatee of a federally-funded on-going study of the parameters of behavior modification on biofeedback mechanisms in pregnancy, was ante-nated at an H.M.O. managed entirely by lay community workers. She had evolutionized from a homebody to a somebody in 1975 at age 18.
Automated multiphasic health maintenance checkup detected the presence of paroxysmal hypertension for which she was hospitalized in the twentieth week of pregnancy. She was radiographed, I.V.P.'d, and a right suprarenal mass was outlined. The patient was then cardiac catheterized, catecholaminized, laparotomized, and partially adrenalectomized on the right. Recovery was maximized and optimized by an automated programmed computer print-out protocol of therapy.
Twenty weeks later, patient delivered a healthy 3000 gr. newborn person; in-depth health-oriented physical evaluation on both mother and infant was performed by specially trained nonprofessional testing personnel.
Two days later, patient and newborn person were homized after being P.S.R.O.'d and H.M.O.'d to a nontraditional Health Depot for follow-up.
Skeletal and Splenic Hemangiomatosis With Consumption Coagulopathy: Response to Splenectomy
Authors: Dadash-Zadeh Mahboubeh , Czapek Emily E. , Schwartz Allen D. 
Published: December 2021

Consumption coagulopathies commonly occur during the course of numerous pathologic conditions, including benign and malignant neoplasms. Occasionally the bleeding disorder may be the first manifestation of an illness, presenting the physician with a hemorrhaging patient and a diagnostic dilemma. The unusual case of a 9-year-old child with a two-month history of a hemorrhagic disorder is the subject of this report.
CASE REPORT
E. U., a 9-year-old white boy, was seen by his local physician because of a two-month history of easy bruising. A bone marrow aspiration was performed because the platelet count was found to be 37,000/cu mm. Because of uncontrolled bleeding from the site of the marrow aspiration, the patient was transferred to Children's Memorial Hospital.
Familial Mediterranean Fever With Temporomandibular Joint Arthritis
Authors: Simon Gilbert , Marbach Joseph J. 
Published: December 2021

Familial Mediterranean fever (FMF) is a rare disorder of interest to pediatricians. In 70% of these patients, the onset of symptoms occurs prior to 10 years of age. Sephardic Jews and Armenians account for 85% of the prevalence. Abdominal pain and fever are the chief clinical manifestations, while the typical signs of joint inflammation are seen in about 80% of the cases. Usually, the joint symptoms are transitory and subside as soon as the fever and pain remit.1,2
This report describes a girl with FMF in whom temporomandibular joint (TMJ) arthritis was a prominent feature of her acute attacks, and in whom residual TMJ arthritic changes occurred.
In Reply: Commentson Breast-Feeding and Immunity
Authors: Gerrard J. W. 
Published: December 2021

I am grateful to Mr. Du Busc for his letter and will do my best to answer the questions which he has raised. I am also glad that he has reviewed the material referred to in my review and thank him for challenging some of my statements.
As far as I can gather from their paper, Grulee et al.1 did not carry out their study to prove a point; they simply wanted to find out if there were differences in the morbidity and mortality rates in breast-fed, breast- and bottle-fed, and bottle-fed babies.
Comment on Teaching Interviewing
Authors: Scheff David 
Published: December 2021

I was delighted to read "Teaching Interviewing" by Korsch."1 Most interesting was her query: "Why do certain well-trained physicians recoil from patients" expression of emotion and withdraw into technology whenever possible?" As a pediatric resident who teaches residents and medical students, I would like to suggest several possible answers.
First, medical school selection committees rarely pick candidates for their humanitarianism. Indeed, idealistic statements from candidates are often viewed as "unrealistic" and "immature."
Second, relating to patients is rarely discussed or encouraged in training medical students or residents. Medical students are imprinted with the technological.
Photodistribution of Viral Exanthems
Authors: Herman Peter S. 
Published: December 2021

I was interested in the recent report1 regarding development of echovirus 9 and varicella exanthemata in photolocalized distribution in two patients. The authors point out the paucity of reports of photodistribution of viral eruptions. I should like to point out two references which add a number of cases and further information regarding the association of photosensitivity and viral exanthemata.
In 1947, a British report2 noted photosensitivity reactions occurring in Royal Air Force personnel who were routinely vaccinated and who were concurrently receiving prophylatic sulfanilamide during an epidemic of streptococcal tonsillitis and rheumatic fever.
Concern Regarding Statement on Medications
Authors: Stein Martin 
Published: December 2021

The Council on Child Health of the Academy may be commended for its attempt to outline a rational approach for the use of medication for hyperactive children.1 However, as a member of the pediatric community, I found myself becoming anxious when I read the statement.
Among physicians who work with children, there is a consensus that some children demonstrate a form of "hyperactivity" that suggests organic brain dysfunction–however "minimal" it may be; these children may diminish their overactivity, impulsiveness, and distractibility under the influence of central nervous system stimulants.
Inunction and disease prevention
Authors: Barness Lewis A. 
Published: December 2021

Burr and Burr1 showed that animals cannot survive without dietary fat. Supplementing a fat-free diet with certain fatty acids termed essential prevents the symptoms of fat deficiency.
Essential fatty acids consist mainly of linoleic (18:2), linolenic (18:3), arachidonic (20:4), and probably 20:5 and 22:6 acids.
Deficiency results in changes of cellular and cellular membrane permeability. Essential fatty acids are found in high concentration in phospholipids and in the lipoprotein complexes. Mitachondrial fractions are rich in polyunsaturated fatty acids and multiple enzyme activities are altered in their absence. Deficiency symptoms arise most rapidly in those animals undergoing rapid growth.
Clinical signs of dietary deficiency in humans has been limited largely to young rapidly growing infants.
Joint Pain and Rubella Vaccine
Authors: Tolchin Deborah 
Published: December 2021

I was a little surprised to read that only two instances of recurrent joint pain in adult women receiving rubella vaccine have been reported.1 I submit the following case report.
A rubella seronegative female pediatrician (D.T.) in the child-bearing age range received Meruvax rubella vaccine and was converted to rubella seropositive. Over the next year there were five episodes of arthritis, mainly involving the joints of the hands, with sufficient swelling and pain to make fastening a safety pin extremely difficult, and sonic milder pain in the feet.
Drs. Soyka and Robinson Reply
Authors: Soyka Lester F. , Robinson Donald S. 
Published: December 2021

We are honored that Dr. Lightwood would take time from his activities on Menorca to comment on our article.
We are in complete agreement that it is difficult at times on clinical grounds alone to differentiate between viral and bacterial infections. We feel there is an urgent need for development of rapid and precise diagnostic tests for this purpose, hopefully of such form that they could be carried out in the practitioners' office. Lacking this at present, one must rely on experience and whatever information can be gained from practical laboratory tests such as the throat culture for streptococci.
A "BILL OF RIGHTS" FOR CHILDREN (Publication 927 of the American Lecture Series). Edited by Henry H. Foster, Jr. Springfield, Illinois, Charles C Thomas Publisher, 1974, $7.50 cloth, $4.95 paper; 96 pp
Authors: Seidel Henry M. 
Published: December 2021

This is the season for the "rights of children," and, consequently, the regrettable danger of faddism. Even so, it is important to stress that these are concerns which must consistently have our serious attention.
The questions are difficult. Children are, indeed, disenfranchised, poorly advocated, poorly served, and poorly judged in a society which gives lip service to their needs and primacy to the priorities and needs of adults.
Considering the current intensity of focus on the subject, is Henry Foster, Jr.'s book needed?
EARLY MALNUTRITION AND MENTAL DEVELOPMENT. Swedish Nutrition Foundation Symposium XII, Saltsjobaden, Sweden, August 20-22, 1973. Edited by J. Cravioto, et a!. Stockholm, Almqvist and Wiksell, 1974, $19.50; 332 pp
Authors: Chase H. Peter 
Published: December 2021

The book consists of two parts, the first a collection of 23 invited papers or comments presented at the "Malnutrition and Mental Development" symposium held in Sweden in August 1973. The second and smaller part of the book consists of papers presented at the ensuing World Health Organization workshop on "Methodology in Studies of Early Malnutrition and Mental Development."
The initial conference resulted in a valuable collection of papers, the major emphasis of which was that environmental factors interact with malnutrition to result in the lowered mental development found in children of undernourished, socially deprived societies.
Questions Sampling Technique
Authors: Ferrara Angelo 
Published: December 2021

What Pierson et al.1 described in their article in the September 1974 issue should be encouraged. Some modalities of asthma treatment (e.g., corticosteroid) traditionally have been carried out without the rigors of research.
There are a few observations that could be clarified.
(1) In their experimental design, the authors state that the 45 patients with status asthmaticus were randomly assigned either to a placebo (control) group or to one of the steroid-treated groups. If probability sampling2 was done, as I assume it was, then why were none of the previously treated steroid group (14 out of the 45 patients; see Fig. 2) represented in the control population?
TOILET TRAINING IN LESS THAN A DAY. Edited by Nathan H. Azrin, Ph.D., and Richard M. Foxx, Ph.D. New York, Simon & Schuster, 1974, $4.95
Authors: Young Paul C. 
Published: December 2021

Parents and pediatricians will most likely respond to the title of this book with a cynical smirk. Written by two psychologists with extensive experience in teaching the mentally retarded, the book promises not only to train the child of approximately 20 months of age in four hours, but "to make the toilet training phase of a child's life the most pleasant experience he has had."
Beginning with an unnecessarily long chapter entitled "Current Concerns About Toilet Training: Letters From Mothers," which describes many cases of problems with toilet training, the authors then describe their method in general terms, followed by three chapters on specifics of the procedure, and followed by another (unnecessary) chapter describing in narrative fashion how "Mrs. James potty-trains Mickey."
Dr. Janeway's role in the IPA and his other contributions to the world scene
Authors: Vahlquist Bo 
Published: December 2021

For the last two decades Dr. Janeway has been one of the foremost figures of international pediatrics. The same qualities which have served him so well at home have also brought him great respect and esteem in the world community of pediatricians. The following is a brief presentation of a few highlights from his activities on the world scene.
THE INTERNATIONAL PEDIATRIC ASSOCIATION (IPA)
During the long "reign" of Guido Fanconi as Secretary-General, from 1950 onwards, the vitality of the Association had increased considerably and the triennial international congresses progressively gained more prestige and attracted larger audiences.
At the Tenth IPA Congress in Lisbon, in 1962, a new constitution was endorsed.
Presentation of the C. Anderson Aldrich Award to Arthur H. Parmelee, Jr., and Sally A. Provence
Authors: Senn Milton J. E. 
Published: December 2021

The Committee on Selection of the Aldrich Award this year has broken with tradition in honoring two leaders in child development.
This is fitting because both Arthur Parmelee, Jr., and Sally Provence have distinguished themselves in the field, and both do honor to C. Anderson Aldrich in emulating his serious studies of infants and children and his imaginative projects in pediatric education.
The nature of infant and early childhood development and behavior, the various processes (from the biological and physiological to the psychosocial) involved in development and personality formation, the complexities of interpersonal relationships, particularly within families, the opportunities, yes, the responsibilities of professional persons in ministering to children and parents have consumed the professional interest and personal passion of the colleagues we honor today, as they did of C. Anderson Aldrich.
I could add others, such as their manifold and creative efforts in behalf of children when they served as advisors to public services and childcare agencies.
Aldrich was a member of the Chicago School of Pediatrics whose constituents were distinguished in the 1920's, 1930's, and 1940's for their clinical competence and ingenuity, and their devotion to teaching colleagues in medicine about the burgeoning new specialty of pediatrics.
The list included Isaac Abt, Joseph Brennemann, Clifford Grulee, Julius Hess, Henry Helmholz (for a while), and Arthur H. Parmelee, Sr. This group, which influenced me in my training years, was friendly to, but wary of the "eastern pediatric establishment" whom they considered, with some justification, elitist.
I surmise that Arthur Parmelee, Jr., got his first inspiration and early direction towards developmental pediatrics from the Chicago group, especially his father.
Comments on Blood Pressure I
Authors: Londe Sol , Goldring David 
Published: December 2021

We read the statement "The Pediatrician and Hypertension"1 in the July 1975 issue with great interest and appreciation. In particular, we support the advice about caution in labeling a child "hypertensive."
We are concerned, however, about the values in Table I of the article, which are recommended as a guide, because they are based on averages of data arrived at in different manners in the three reports used.
The values published by Moss and Adams2 are based upon auscultatory systolic and diastolic pressure readings adjusted to arm circumference and height.
Presidential Address—1976: Whither Pediatrics
Authors: Low Merritt B. 
Published: December 2021

We had better plan for the future, and in participation with others. It just might come. We need humility and not arrogance in these endeavors, determination and not abrogation, firmness without preconceived notions, self-confidence without too much self-interest, self-advocacy in the sense that we speak for our silent, other selves—our children.
Even as we reflect in this bicentennial year on our illustrious past—and try to look into the future through our somewhat opalescent crystal balls—the present tends to overwhelm us. By the very nature and definition of our efforts, the practicing physician lives in the instant present—to the benefit of our patients, perhaps, but sometimes to the detriment of our own and our families' interests. Despite our deepest concerns and the nagging awareness of man's capability for his own destruction, we must take time to use the past's lessons and the present's problems to try to integrate a functional future. I speak for practical idealism. Even as independence was the rallying cry of Colonial times, so was interdependence the modus operandi within the Colonies themselves—constricted though it was by what we would now call "poor communications." Now our "poor communication" is autogenic rather than ecogenic!—the way we cope with the means they did not have. Try to think of pediatrics without the telephone!
If we think things are not going to change, let us ponder a bit on what has happened in pediatrics in the last 200 years, the last 100 years, the last 40 years, the last 10 years.
The determination of aspirin levels in the presence of hyperbilirubinemia
Authors: LJ Fenton 
Published: December 2021

Fenton LJ, et al: The determination of aspirin levels in the presence of hyperbilirubinemia. Pediatrics 59:55, 1977
In the above article, the word "aspirin" should be substituted for "bilirubin" in the last sentence of the abstract.
On the Physical and Intellectual Development of Black Children With and Without Sickle Cell Trait
Authors: Bowman James E. , Bernstein Shelly C. 
Published: December 2021

The article by McCormack et al. in the December 1975 issue (p. 1,021) is another example of the apparent fascination of some investigators with the intellectual performance of blacks.
The abstract of this article is misleading. It contains none of the qualifications listed in the body of the article, such as "The intellectual performance of the sickle-cell carrier children does not allow us to make any [italics ours] conclusions at this time...." If no conclusions can be made, then what is the purpose of this report?
Perverse Pluralism
Authors:   Student
Published: December 2021

Comments in two unrelated news reports recently focused attention on the issue of "acceptance" of medical innovations in the United States. A prominent authority opined1 (in reference to antepartum glucocorticoid treatment to prevent hyaline membrane disease), "...there is no way to answer every conceivable question about possible [harmful] effects in 10-50 years.... At what point do we, as physicians, make the decision that data are adequate to move from experimental to clinical use?"
An apparent rejoinder2 appeared in comments on a completely different subject (the swine flu vaccination saga): "The experts say they are the only ones who can make the technical decisions and recommendations, but the emphasis on informed consent puts increased responsibility on the individual to accept or reject that advice....
Evaluation of Congenital Neutropenic Disorders by in Vitro Bone Marrow Culture
Authors: Falk Peter M. , Rich Kenneth , Feig Stephen , Stiehm E. Richard , Golde David W. , Cline Martin J. 
Published: December 2021

The congenital neutropenias are a heterogeneous group of diseases whose etiology and pathogenesis are largely unknown. We studied nine neutropenic patients from seven families. Evaluation included peripheral blood cell and differential cell counts, epinephrine and typhoid vaccine stimulation studies, Rebuck skin windows, and bone marrow aspirations for morphological assessment and for in vitro culture in liquid suspension and in agar plates. Parallel cultures were set up with and without colony-stimulating activity (CSA), and peripheral leukocytes were assayed for cellular production of CSA.
Patients were initially classified on the basis of their clinical course: benign, mild, moderately severe, or severe disease. One patient in the moderately severe group had an immunoglobulin disorder.
Morphologically normal mature granulocytes were seen in bone marrow aspirates of two patients, and maturational defects of varying degree were seen in the remaining seven.
Colony formation in agar was markedly reduced below normal in three of seven, moderately reduced in two of seven, and greater than normal in two patients. Colonies in six of seven patients consisted exclusively of macrophages. Marrow from all but one of the nine patients demonstrated poor neutrophil development in suspension culture, and addition of CSA did not result in augmented granulocytic proliferation or maturation.
A scheme of normal neutrophil maturation is proposed, and the nine patients were categorized according to this scheme. Four patterns of congenital neutropenia emerged: type 1 was the most benign form of disease with essentially normal clinical and in vitro parameters, and a defect considered to be due to a small committed stem cell pool, abnormal release, or excessive utilization peripherally; type 2 had mild disease with presumed defective committed stem cell differentiation along the granulocyte line; type 3 included benign to severe clinical expression with an apparent defect at the level of the committed granulocyte precursor more severe than in type 2; type 4 disease had varied clinical expression but evidence for a defect at the level of the pluripotent stem cell.
Prenatal Diagnosis of the Congenital Nephrotic Syndrome
Authors: Mllunsky Aubrey , Alpert Elliot , Frigoletto Frederic D. , Driscoll Shirley G. , McCluskey Robert T. , Colvin Robert B. 
Published: December 2021

Previously, diagnosis of the congenital nephrotic syndrome has been made prenatally on five occasions. The first was a diagnosis made in the third trimester.1 Five other diagnoses have been made before the 20th week of gestation.2-5
This report details the sixth case and the first case diagnosed prenatally, to our knowledge, in the United States. The possibility of this diagnosis was signaled initially by an elevated maternal serum α-fetoprotein (AFP) level and confirmed by electron microscopy.
CASE REPORT
A woman had had two sons who both died of congenital nephrosis in infancy. Certain diagnoses had been established in Boston on both children.