By Francine Hughes

A bumbling Goofy reviews an abundance of difficulty in his well-intentioned efforts to be a greater father to his son Max. motion picture tie-in.

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10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Jenkins KJ, Newburger JW, Lock JE, Davis RB, Coffman GA, Iezzoni LI (1995) In-hospital mortality for surgical repair of congenital heart defects: preliminary observations of variation by hospital caseload. Paediatrics 95:323-330 Pollack MM, Alexander SR, Clarke N, Ruttiman UE, Tesselaar HM, Bachulis AC (1991) Improved outcomes from tertiary centre paediatric intensive care: statewide comparison of tertiary and nontertiary care facilities. Crit Care Med 19: 150-159 Pollack MM, Ruttiman UE, Getson PR (1988) Paediatric risk of mortality (PRISM) score.

Fever increases insensible water loss by 7 mllkg body weight per 24 h for each degree of temperature above 37°C [3). The volume of insensibile water losses in milliliters can be related to the energy expended in calories with 1 ml of water being lost for each calorie metabolized [4). Calories expended, in turn, can be related to the body weight at all ages. The fluids lost from the lungs and skin are electrolyte-free. With sweating, considerable amounts of sodium and potassium may be lost. Under normal conditions insensible water loss is approximately 30 ml per 100 calories expended through the skin and 15 ml per 100 calories through the lungs [5) (Table 3).

Circuits [6] Children, having higher oxygen consumption, carbon dioxide production, and minute ventilation, require higher fresh gas flows per kilogram than adults. The design of a breathing system should meet certain criteria: it should be lightweight, have a minimum number of connections, and be easy to assemble and use without error. It should reliably deliver oxygen, nitrogen, nitrous oxide, and anaesthetic vapours and should eliminate carbon dioxide. Conservation of heat and humidity are of paramount importance.

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A Goofy Movie by Francine Hughes


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