Epidemic Diarrhea of the New-Born

Rice, John

doi:10.1001/jama.1937.02780330003002

Cited by 47 publications

(1 citation statement)

References 5 publications

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“…The reports in the medical literature focused mainly on isolation of the sick infants. 5 Lembcke's investigation of an epidemic of diarrhea in the newborn, led him to more forceful conclusions. In 1943 his report laid the responsibility for these occurrences on hospital management and administrators in that, for public relations reasons, they often delayed reporting, failed to involve the official epidemiological service, and temporized on closing the nurseries.6…”

Section: The Epidemiologistmentioning

confidence: 99%

Paul Anthony Lembcke, MD, MPH: a pioneer in medical care evaluation.

Silver¹

1990

Am J Public Health

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When an award was made last year in the name of Paul Lembcke at a conference on "The Horizons and Prospects for Outcome Research", at the Dartmouth Medical Center, there was curiosity by some as to who Paul Lembcke was-an ironic commentary on the evanescent reputation of pioneering contributors to social advance. Establishing the need for evaluation of the utility and quality of medical care, along with an appropriate methodology, was the life work of Dr. Lembcke. And even more ironically, quality and the study of efficiency and effectiveness of medical care (along with its impact on cost) is a paramount concern of the public, government officials, and the academic medical community today.We are beset today with questions of cost and quality. The characteristic reach of his intelligence is evident in his paper on the mortality rate differences among hospitals in the treatment of appendicitis. His focus was the differential in rates and the possible causes, but he also had a larger view. He mentioned in passing that advances in medication could very well render surgery for appendicitis obsolete.

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Section: The Epidemiologistmentioning

confidence: 99%

Paul Anthony Lembcke, MD, MPH: a pioneer in medical care evaluation.

Silver¹

1990

Am J Public Health

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Epidemic Diarrhea of the Newborn

Abramson¹

1938

Am J Dis Child

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There is probably no group of diseases of infancy and childhood presenting greater difficulties in etiology and diagnosis than that generally referred to as the diarrheal disorders. The voluminous and contradictory literature on the problem serves to emphasize the highly unsatisfactory state of knowledge of the causation and differentiation of the various primary and secondary enteric disturbances. In addition, the multiplicity of potential pathogens inhabiting the gastrointestinal tract and the uncertainty of their isolation by present bacteriologic methods combine to make a most confusing situation. Even more complicated is the problem of the diarrheal disorders which occur during the newborn period of life.Since 1934 we have had under investigation a series of outbreaks of highly fatal diarrhea arising among newborn babies in the nurseries of lying-in hospitals. Our early experiences with the disorder were summarized in a preliminary discussion 1 which gave the essential features of the various outbreaks. The opinion was expressed that we were concerned with a previously unrecognized clinical entity affecting new¬ born infants during their customary period in obstetric nurseries. These conclusions were based on the remarkable similarity in clinical manifestations and in mode of spread of the disorder in the various outbreaks, specificity of the age groups involved, poor response to recognized therapeutic measures, constantly high morbidity and mor¬ tality rates, characteristic lack of pathologic lesions in spite of the clinical severity of the disorder, and uniform failure of bacteriologic, serologie and virus studies to reveal the causative agent.

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Epidemic Diarrhea of the Newborn

Lyon¹,

Folsom²

1941

Am J Dis Child

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Epidemic Diarrhea of the New-Born

Cited by 47 publications

References 5 publications

Paul Anthony Lembcke, MD, MPH: a pioneer in medical care evaluation.

Paul Anthony Lembcke, MD, MPH: a pioneer in medical care evaluation.

Epidemic Diarrhea of the Newborn

Epidemic Diarrhea of the Newborn

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