The American journal of pediatric hematology/oncology
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The problem of postsplenectomy sepsis in children who have had splenectomy secondary to trauma is reviewed. Alternatives to splenectomy should be considered when appropriate. Pneumococcal vaccination and the use of prophylactic antibiotics are necessary if splenectomy is unavoidable.
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Am J Pediatr Hematol Oncol · Jan 1983
Overview of humanistic progress in sickle cell anemia during the past 10 years.
Humanistic progress in sickle cell anemia over the past 10 years is described, with a focus on individual, institutional, and societal progress. Accessibility, acceptability, and accountability are examined for humanistic progress in medical care, counseling, education, support services, and public education. ⋯ Constraints, such as funding patterns and the political climate, will be considered as part of the challenge for the next decade. A frame of reference is suggested for meeting the challenges ahead for further humanistic progress.