ABSTRACT
El dolor abdominal recurrente es un problema común en pediatría. La etiología es desconocida, aunque se relaciona con un origen psicosomático. En este trabajo analizamos el dolor abdominal recurrente como trastorno somatomorfo indiferenciado, según los criterios del DSM-IV, y estudiamos los factores psicológicos asociados a la etiología, fisiopatología, diagnóstico y tratamiento (AU)
Subject(s)
Female , Male , Child , Humans , Recurrence , Psychosomatic Medicine/methods , Abdominal Pain/complications , Abdominal Pain/diagnosis , Abdominal Pain/etiology , Abdominal Pain/therapy , Abdominal Pain/physiopathology , Conversion Disorder/diagnosis , Conversion Disorder/etiology , Conversion Disorder/physiopathology , Conversion Disorder/therapy , Social Behavior Disorders/complications , Social Behavior Disorders/diagnosis , Social Behavior Disorders/etiology , Adjustment Disorders/diagnosis , Adjustment Disorders/etiology , Adjustment Disorders/physiopathology , Defense Mechanisms , Affective Symptoms/diagnosis , Affective Symptoms/etiology , Affective Symptoms/psychology , Prognosis , Colonic Diseases, Functional/complications , Colonic Diseases, Functional/diagnosis , Colonic Diseases, Functional/ethnology , Colonic Diseases, Functional/etiology , Colonic Diseases, Functional/psychologyABSTRACT
The authors describe their experience in the follow-up of four patients with chronic renal failure who became pregnant while being treated with chronic hemodialysis. The outcomes were successful and each gave birth to healthy babies. The adequate nutritional condition previous to the pregnancies added more safety to their management. Special dedication to the nutritional control enabled a good outcome of their pregnancies. It stressed the importance of the intervention of the nutritionist-dietitian in the follow-up of nephrologic patients and the integration of a multidisciplinary staff.
Subject(s)
Kidney Failure, Chronic/therapy , Nutritional Physiological Phenomena , Pregnancy Complications , Renal Dialysis , Adult , Female , Humans , Pregnancy , Pregnancy OutcomeABSTRACT
Epidemical and morphological studies have show that there is an association between intestinal metaplasia (IM) and gastric carcinoma, and it has been considered by many to be a possible marker of premalignant change. IM is also a common finding in benign disease of the stomach, however, and recent studies have therefore been direct at identifying variants of intestinal metaplasia which may have a more specific association with gastric carcinoma. Also, it has been demonstrated that exist another factors that contribute (as the Helicobacter Pylori), which determine some events like the transformation of chronic gastritis to gastric carcinoma, preceded by the presence of metaplastic changes in gastric mucosa.
Subject(s)
Gastric Mucosa/pathology , Intestine, Small/pathology , Stomach Neoplasms/etiology , Adult , Female , Gastritis/complications , Gastritis/pathology , Helicobacter Infections/complications , Helicobacter Infections/pathology , Helicobacter pylori , Humans , Male , Metaplasia , Middle Aged , Stomach Neoplasms/pathologyABSTRACT
The presence of detectable levels of aFP was investigated through RIA in 78 serum samples classified as follows: 32 samples from healthy volunteers (group A), 15 anti-HCV positive sera, 19 samples from HBV Chronic carriers (Group B), and 12 sera from a group of anti-core positive individuals, (Group C). Increased aFP levels, upper to the calculated maximal limit (Above 2.6 ng/ml) were detected in 2 individuals from Group A, in 2 HCV positive sera and in 6 HBV chronic carriers. None of the Group C demonstrated increased aFP value. Two B positive sera with augmented aFP activity showed significantly elevated values of this protein 13 and 20 fold upper than maximal limit. In Venezuela, aFP levels the HBV chronic carriers do not appear to be comparable to the reported values in HBV hyper-endemic countries. The need to analyze aFP values in normal groups is emphasised.
