Currently, chronic hepatitis C (HCV) is a major global problem with high impact on patients and their families. The liver influences the nutritional status through his role in the intermediary metabolism of macronutrients and micronutrients. Hepatitis C infection affect digestion and nutrient absorption, storage and metabolism, which can lead to deficiencies of vitamins, minerals and malnutrition. The authors present nutritional recommendations for children with HCV, a balanced diet of these patients containing all the nutrients is an important component of health, influencing treatment response and side effects.
Introduction and aim. Acute diarrhea is the most common gastrointestinal disease in infants and young children. It is defined as an increase in the number of stools, watery, as a result of disruption of water and electrolytes transport in the gastrointestinal lumen and of the accelerated transit. Our study was retrospective, case-control type and tried to determine the cumulative risk factors underlying the emergence and evolution of diarrheal disease in infants and small children. Material and method. We studied a group of 197 children, with the age between 0-4 years, from „Sf. Maria“ Emergency Children’s Hospital from Iasi, which presented with acute diarrhea. Results. The bacterial etiology was confirmed in 44 cases. The most common germ involved was Campylobacter jejuni (27 cases). 31% of children had different degrees of dystrophy. In most cases (76%), the dehydration was isonatremic. Conclusions. In the acute diarrheal disease, dehydration remains the worst to fear consequence of this disease, but with an adequate attitude that includes restoring fluid and electrolyte balance and proper nutrition, diarrheal episode limits itself to an interval approximately of 72 hours.
Human cytomegalovirus (CMV) is a herpesvirus, a member of the beta-herpesvirus subfamily. Infection with CMV represents a major cause of congenital infection, and also a cause of perinatal infection. We present the case of a 3 months-old sugar with breast milk jaundice and hepatic cytolysis, in our evidence from one month. At the age of 6 weeks, at the second evaluation, the laboratory tests showed a mild increase of lymphocytes and monocytes, minimum hepatic cytolysis and positive CMV immunoglobulin M (IgM) assays. Our decision was to follow up the case, without antiviral therapy, because the acute CMV infection was asymptomatic. Therefore, the hepatic cytolysis may precede the presence of CMV in blood, because the immune mediated response to CMV involve specific antibodies type IgM few weeks after the moment of infection.
Agenţii antiinflamatori nesteroidieni (AINS) produc leziuni gastrice prin intermediul a două mecanisme: iritaţia locală şi acţiunea sistemică. Un copil în vârstă de 2 ani şi 10 luni, sex feminin, a primit AINS timp de 2 zile pentru o infecţie acută a tractului respirator superior şi a prezentat vărsături în „zaţ de cafea“ o zi mai târziu. Endoscopia digestivă superioară a evidenţiat o leziune de ulcer gastric. Biopsia gastrică a fost negativă pentru infecţia cu H. pylori, iar pacienta a fost diagnosticată cu ulcer gastric acut indus de consumul de AINS în absenţa altor cauze de ulcer gastric. Ulcerele gastrice se dezvoltă foarte rar după o administrare pe termen scurt de AINS, fapt ce a determinat raportarea acestui caz. Luând în considerare atât riscurile cât şi beneficiile terapiei cu AINS, este indicat ca în cazul fiecărui pacient care trebuie să urmeze un tratament cronic cu medicamente antiinflamatorii să fie căutaţi posibilii factori de risc asociaţi.
Cystic fibrosis (CF) is a very complex disease that raises significant health and social problems, being considered internationally an important public health problem. Known as a multi-organ disease that affects the following organs: salivary glands, lung, digestive tube, liver, pancreas, kidneys, reproductive organs, CF also has an impact on the oral health (structural abnormalities, abnormalities of the teeth eruption, damage to the enamel, accumulation of tartar, gingivitis, cavities, malocclusions, oropharyngeal candidiasis). The authors show the main implications of the disease at teeth level.
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