Alcoholism is a common condition and frequently clinicians are forced to confront its complications in general hospital settings. There are an estimated 3 million alcohol-dependent people in Romania alone, from which a significant number suffers episodes of withdrawal severe enough to require pharmacologic treatment. Alcohol withdrawal syndrome is a clinical diagnosis, with symptoms that range from minor (anxiety/palpitations) to severe (delirium tremens/hallucinations). Benzodiazepines have the best evidence in treating this disease. A symptom-triggered therapy approach is favored using a validated tool, such as CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised), for shorter periods of hospitalization and for using lower doses of sedatives.
Breast milk is recommended as an optimal and exclusive source of early nutrition for all infants from birth to at least 6 months of age. Despite all the benefi ts of breastfeeding, there are situations where breastfeeding is contraindicated. There are differences of opinion regarding the contraindications of breastfeeding, the current research bringing more knowledge in this area. It is important to know the differences of opinion for the correct approach of the breastfeeding patient.
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