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Helicobacter pylori (H. pylori) infection is widespread all over the world. The greatest number of infected people are in developing countries, whereas in developed countries the rate of infection is the smallest. Among risk factors of infection, the socioeconomic environment is regarded as one of the most important. In developed countries, the incidence of H. pylori infection in children is smaller than 12% and shows a tendency to decrease, while in developing countries it may exceed 40% (1). Multicenter studies conducted in Poland in the years [2002][2003] have demonstrated a high rate of H. pylori seroprevalence in both children and adults. In children aged 6 month to 18 years H. pylori seroprevalence rate was 32% and in adults aged 19 to 89 years 84% and varied depending on the region of the country (2). An influence of poor sanitary and hygiene conditions, economical status and parents education on the infection rate was demonstrated. In the last years a tendency to the decrease of infection rate has been shown, which could be linked to the improvement of social condition (3). H. pylori infection is a principal cause of chronic gastritis and peptic ulcer disease in children. In adulthood it leads to many diseases of the gastrointestinal tract including in particular JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2014, 65, 6, 801-807 www. Helicobacter pylori (H. pylori) plays an important role in the pathogenesis of the upper gastrointestinal tract diseases in both children and adults. The aim of this paper was to assess the differences between the clinical course of the disease in children and adults. This paper also presents an analysis of clinical symptoms, endoscopic and histopathological findings, H. pylori cagA and vacA genotypes rates and analysis of the sensitivity of these strains to antibiotics in the Polish population, with possible practical and therapeutic implications. The multicenter study on the frequency of H. pylori infections assessed by the presence of antibodies in IgG class against H. pylori in serum was conducted in the years 2002 and 2003. The study group included 6565 children and adults, in 3827 of whom antibodies levels were above 24 U/mL. The authors analyzed clinical and endoscopic symptoms and in some patients with H. pylori seropositivity also histopathological changes, and cagA and vacA genes. Sensitivity of H. pylori strains to antibiotics were also analyzed. Differences between the frequency of infection between children and adults were determined. Endoscopic examination in adults revealed more frequent cases of gastropathy (P=0.003) and erosive gastritis (P=0.001), and in children-thick mucosal folds (P<0.0001). Histopathological examinations carried out in adults have revealed atrophic gastritis and intestinal metaplasia. In children, cagA(+)s1m1 was observed more frequently than in adults (34.0% versus 23.1%; P=0.02) contrary to cagA(-)s2m2 which occurred more frequently in adults (27.1% versus 14.0%; P=0.003). No effect of the infection on nausea, regurgitation, vomiting, heartburn, and abdominal pain in children was detected. However, adults infected with H. pylori suffered from more frequent episodes of heartburn and abdominal pain. The H. pylori strain exhibited a high resistance to metronidazole (higher in adults: 41.7% versus 27.4%; P=0.002), and to clarithromycin (higher in children: 20.2% versus 15.4%; P>0.05), and dual resistance to metronidazole and clarithromycin (higher in children: 9.9% versus 8.4%; P>0.05). Resistance of the H. pylori to amoxicillin and tetracycline was not detected. The conducted study indicated clinical differences in the H. pylori infection in children and adults. Among the differences in children, especially the more frequent infections by the cagA(+)s1m1/m2 strain could have an influence on further consequences of the infection. The obtained results could be useful in therapeutic decisions

Helicobacter Pylori Infection in Pediatric Patients Living in Europe: Results of the EuroPedHP Registry 2013 to 2016

Objectives: The aim of the study was to assess clinical presentation, endoscopic findings, antibiotic susceptibility and treatment success of Helicobacter pylori (H. pylori) infected pediatric patients. Methods: Between 2013 and 2016, 23 pediatric hospitals from 17 countries prospectively submitted data on consecutive H. pylori-infected (culture positive) patients to the EuroPedHP-Registry. Results: Of 1333 patients recruited (55.1% girls, median age 12.6 years), 1168 (87.6%) were therapy naïve (group A) and 165 (12.4%) had failed treatment (group B). Patients resided in North/Western (29.6%), Southern (34.1%) and Eastern Europe (23.0%), or Israel/Turkey (13.4%). Main indications for endoscopy were abdominal pain or dyspepsia (81.2%, 1078/1328). Antral nodularity was reported in 77.8% (1031/1326) of patients, gastric or duodenal ulcers and erosions in 5.1% and 12.8%, respectively. Primary resistance to clarithromycin (CLA) and metronidazole (MET) occurred in 25% and 21%, respectively, and increased after failed therapy. Bacterial strains were fully susceptible in 60.5% of group A, but in only 27.4% of group B. Primary CLA resistance was higher in Southern and Eastern Europe (adjusted odds ratio [ORadj] = 3.44, 95% confidence interval [CI] 2.22-5.32, P < 0.001 and 2.62, 95% CI: 1.63-4.22, P < 0.001, respectively) compared with Northern/Western Europe. Children born outside Europe showed higher primary MET resistance (ORadj = 3.81, 95% CI: 2.25-6.45, P < 0.001). Treatment success in group A reached only 79.8% (568/712) with 7 to 14 days triple therapy tailored to antibiotic susceptibility. Conclusions: Peptic ulcers are rare in dyspeptic H. pylori-infected children. Primary resistance to CLA and MET is markedly dependent on geographical regions of birth and residence. The ongoing survey will show whether implementation of the updated ESPGHAN/NASPGHAN guidelines will improve the eradication success.info:eu-repo/semantics/publishedVersio

Changes in space of Powisle by functional categories in the years 2004-2014

Powiśle is an area of Warsaw, and its current character has been formed by location on the valley, close to the Vistula river. For centuries, this area was subject to frequent flooding which caused epidemics. Powiśle was inhabited by the lower social classes with numerous pathologies and high crime rate. Changes have occurred since the nineteenth century, when there was a significant development of industry. During the Warsaw Uprising most of the pre-war buildings have been destroyed. Restorative plans halted further development of the area. This research determines the current characteristics of Powiśle by five functions: transport, educational, recreational, office and residential. The analysis covers the decade from 2004 to 2014, when changes were extremely intensive. Powiśle turned into a trendy and attractive place. Office space was doubled, and luxury residential projects were completed. Brownfield sites have been revitalized and made available as public spaces. More than 30% of the space are now green areas. Powiśle nowadays is closer to the city center through the second metro line and it is popular cultural and educational place. The formation of academic buildings creates areas of science. It stimulates the development of the whole area, because students and employees need service points, pubs, clubs and shops. With the modernization of the Vistula boulevards and location of the popular clubs on the waterfront more and more people spend their free time next to the river. Powiśle is a favorite place for visitors of restaurants and pubs for several years. The above analysis shows that Powiśle underwent a process of gentrification

High- and low-dose oral delayed-release mesalamine in children with mild-to-moderately active ulcerative colitis

Copyright © 2014 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.Objective: The aim of the study was to assess the safety and efficacy of hi