21 research outputs found

    Undercover lung damage in pediatrics - a hot spot in morbidity caused by collagenoses

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    Connective tissue represents the support matrix and the connection between tissues and organs. In its composition, collagen, the major structural protein, is the main component of the skin, bones, tendons and ligaments. Especially at the pediatric age, its damage in the context of pathologies such as systemic lupus erythematosus, scleroderma or dermatomyositis can have a significant negative impact on the development and optimal functioning of the body. The consequences can extend to various structures (e.g., joints, skin, eyes, lungs, heart, kidneys). Of these, we retain and reveal later in our manuscript, mainly the respiratory involvement. Manifested in various forms that can damage the chest wall, pleura, interstitium or vascularization, lung damage in pediatric systemic inflammatory diseases is underdeveloped in the literature compared to that described in adults. Under the threat of severe evolution, sometimes rapidly progressive and leading to death, it is necessary to increase the popularization of information aimed at physiopathological triggering and maintenance mechanisms, diagnostic means, and therapeutic directions among medical specialists. In addition, we emphasize the need for interdisciplinary collaboration, especially between pediatricians, rheumatologists, infectious disease specialists, pulmonologists, and immunologists. Through our narrative review we aimed to bring up to date, in a concise and easy to assimilate, general principles regarding the pulmonary impact of collagenoses using the most recent articles published in international libraries, duplicated by previous articles, of reference for the targeted pathologies

    Parental Nutrition Effects Over Speech Developement

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    The programs of total parenteral nutrition (TPN) or continuous delivery enteral nutrition (CDEN) will have a positive effect on health and a negative effect on speech occurrence and future development. Identifying any disturbance in child’s development requires immediately taking adequate amelioration and multifactor support actions. Working as a mixed team (physicians, speech therapists, psychologists and physical therapists), we developed a program which had as its main objectives: stating the effects of the parenteral/enteral nutrition program on future child development; preventing the occurrence of disturbances in child development through family counselling and early intervention; creating a system of services addressed to families with children fed intravenously/intestinally. The beneficiaries of this program were 40 children, born prematurely and tube fed, who often needed to be hospitalized in the gastroenterology or intensive care clinics of the “St. Mary” Children Emergency Hospital from Iasi

    GASTRITIS MASKING LATE SYMPTOMS OF MUSHROOM POISONING IN A TEENAGER. A CASE REPORT

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    Aim of the study. Mushroom poisoning in children is an infrequent but challenging problem for parents and pediatricians. In Romanian rural areas, picking mushrooms and eating them is a common practice that may lead to severe or even fatal events. Case report. We report the case of a 14 years old teenager with late symptoms caused by the ingestion of a small amount of mushrooms, initially admitted into the gastroenterology unit for gastritis. A 14 years old female teenager presented with vomiting and gastric pain that started two days prior to admission. Clinical examination showed generally impaired status, bilious vomits and colicative gastric pain. History revealed that 72 hours before all family members (both parents and four brothers) had eaten home-cooked mushrooms picked by the father. Laboratory data showed fulminant hepatic failure (ASAT=5141 U/L, ALAT=6520 U/l, LDH=2520U/l), hyperammonemia, mixed hyperbilirubinemia and normal renal function; the prothrombin time and activated partial thromboplastin time were prolonged. All family members were symptom-free and their laboratory tests were within normal ranges. The patient was transferred to the toxicology unit, where supportive therapy was started with large amounts of IV fluids, IV benzyl penicillin, proton pump inhibitors, arginine infusion and N–acetylcysteine. The evolution was both clinically and biologically favorable, with normalization of hepatic enzymes within two weeks. Conclusions. In our case, the ingestion of mushrooms produced late gastrointestinal symptoms and fulminant liver failure. In Romania, conducting public information campaigns regarding the poisonous nature of wild mushrooms could be an effective prevention method

    DIRECT RELATIONSHIP MANAGEMENT BETWEEN DENTISTS, THE PROMOTION SYSTEM AND THE DISTRIBUTION CHANNELS OF DENTISTRY PRODUCTS

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    This project wreathes three years work in medical field and it comes to mark out and understand the main forces of marketing field followed by examples which underline the impact on the market of a distribution company and, also, understanding the company relationship between its internal and external environment, the direct relationship with the market and with its’ the competitors. The aim of this cross-sectional study was to underline the relationship between the distibution companies and the private dental offices, also the direct relationship between the dentist and the promoting sistem, the distribution way of dentistry products. For a most acurate research, it’s necessary to apply different methods of research in the market. The main methods are observation and investigation. The measurement of the products circulation in the final sale point– all across the distribution line–is the primary function of marketing research. In the study, measurements can be determinated by: the number of sold units, by the value in standard currency of total sales from one period to another. In relationship with the economic and social environment and also with the dentistry market, the marketing of modern companies can’t limit only to the production process and distribution of the units; it involves a permanent and complex communication with the extern environment which imply a good information of the leaders, specific actions of lobby for sales and input; all those actions represents the promotion policy of the distibution companies of dentistry product
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