[Celiac crisis in patients with celiac disease. Case report].

Celiac crisis (CC) is a rare life-threatening course of celiac disease, observed mainly in children. In adults, CK can be the first manifestation of the disease and, very rarely, a relapse that occurs in patients who do not follow the gluten-free diet (AGD). Triggers can be stress, surgery, childbirth, etc. A clinical observation of CC developed in a 49-year-old patient with previously established latent celiac disease with subtotal villous atrophy, stage Marsh III C is presented. The patient did not comply with AHD. After severe angina, she developed anorexia, diarrhea, emaciation, coagulopathy, bilateral pulmonary embolism, infarction pneumonia, and enterogenic sepsis. As a result of intensive therapy with prednisolone, Fraxiparine, antibiotics, fresh frozen plasma and strict adherence to hypertension, remission of the disease was achieved.

[The role of parents and school personnel in the organization of an early educational period in children].

The sociological study conducted in the Gorod Polevskoy, Sverdlovsk Region, has established that the prevalence of maladaptation was 22.3% in children after entering the first form. The major risk factors affecting the severity of an adaptive process are a history of diseases before going to school, nonattendance of organized pediatric collective bodies, disregarding the day regimen and a poor organization of a workplace, bad parental hygienic knowledge. Efforts aimed at preparing parents to organize a child's life in the first form are insufficient and their own steps are inadequate. The parents pay greater attention to the pedagogical aspects of adaptation, by forgetting the medical ones. The teachers and medical workers show a low level of hygienic knowledge of the manifestations of an adaptive period of children's entering school and their professional duties associated with the medical-and-pedagogical provision of this period and self-overestimation of their competence.