Serious bacterial infections in children. When can outpatient treatment be used?

The office management of recurrent urinary tract infection and vesicoureteral reflux in children

Recurrent urinary tract infections (UTIs) and vesicoureteral reflux are common diagnosis' in infants and children who are referred to a urologist. Recurrent UTIs in these patients can be challenging, especially when radiographic evaluation reveals no structural abnormality. Prophylaxis and correction of voiding and bowel dysfunction are important treatment strategies. Febrile UTIs are commonly associated with reflux and should be treated aggressively to avoid renal scarring and its sequelae. Based on a comprehensive survey of the literature, long-term treatment strategies for children with reflux are now available.

Science and Scottish University reform: Edinburgh in 1826

In the late eighteenth century, which was for Scotland in many ways an ‘Age of Improvement’, the University of Edinburgh enjoyed a golden age. Under the enlightened principalship of the Reverend William Robertson, the University offered wide, flexible, and mainly secular courses of study which were taught by conspicuously able professors. If we restrict ourselves to scientific chairs, a roll-call of their occupants is distinctly impressive: John Robison (natural philosophy, 1774–1805); John Playfair (mathematics, 1785–1805); John Walker (natural history, 1779–1804); Daniel Rutherford (botany, 1786–1819); James Gregory (theory of medicine, 1776–89); William Cullen (practice of medicine, 1773–90); Alexander Monro secundus (anatomy, 1758–98); and their doyen Joseph Black (chemistry and medicine, 1766–99), ‘so pale, so gentle, so elegant, and so illustrious’. The scientific eminence of the University at that time is, of course, widely acknowledged.