Preventative Care in the Patient with Inflammatory Bowel Disease: What Is New?

Patients with inflammatory bowel disease (IBD) do not receive routine preventative care at the same rate as general medical patients. This patient population is at increased risk of vaccine preventable illness such as influenza and pneumococcal pneumonia. This review will discuss health maintenance needs and preventative care issues in patients with IBD.

Current state of clinical diagnosis and treatment of infantile cytomegaloviral hepatitis.

Cytomegaloviral hepatitis is an infantile liver disease commonly encountered in China, which could be differentiated into 4 patterns with different clinical conditions. Along with the progress of laboratory diagnostic techniques, multiple diagnostic approaches are available for this disease, but accurate diagnosis can only be made when individual patients' realities are taken into consideration. Clinical treatments are various, and the Western medicine used is mainly anti-viral agents such as Ganciclovir, and so far no unified therapeutic program has been formed. More and more ways of regarding Chinese medicine treatment of cytomegaloviral hepatitis have been published increasingly in recent years, though further research to seek preferable treatment programs is still expected.

[A simple ELISA method for the detection of HBsAg: Organon Teknika HBsAg Uniform II screening and confirmation test. Comparative study using the HBsAg Hapanostika method. A multicenter study]. / Egyszerü ELISA módszer a HBsAg kimutatására: Organon Teknika HBsAg Uniform II szürö-és konfirmációs teszt. Osszehasonlító vizsgálat a HBsAg Hepanostika eljárással. Multicentrikus tanulmány.

An one-step enzyme-linked immunoabsorbent method, named as HBsAg Uniform II has been described for the detection of serum HBsAg, and a comparison was made with a widely used ELISA technique HBsAg Hepanostika test, to evaluate sensitivity, specificity and reproducibility of the method. A total of 531 serum samples from patients with liver disease and with renal failure, as well as 1065 samples from blood donors have been investigated. While the sensitivity of Uniform II vs. Hepanostika was 99.5% vs. 72.7%, the specificity was 99.2% of both methods. The positive predictive values did not differ (99.5% vs. 99.2%), however, the negative predictive values were 99.2% vs. 71.7%, respectively, in favour of Uniform II test. The Uniform II confirmatory test confirmed the positive HBsAg results in 94%, this rate was 74% using Hepanostika system. The new method proved to be a simple, quick, reliable test, which can be useful as a valuable tool in both the clinical diagnosis and blood donor screening.

[The differentiated use of mitigating mud therapy in the early convalescent period of viral hepatitis]. / Differentsirovannoe primenenie mitigirovannogo griazelecheniia v rannem periode rekonvalestsentsii virusnogo gepatita.

Two new techniques of mitigatory pelotherapy using mud applications to paravertebral area and acupuncture were compared for 152 viral hepatitis convalescents. The efficacy of the treatment was shown by a wide spectrum of hepatic functional and immunologic reactivity indications.

[Complications of acupuncture: viral hepatitis]. / Complicanze in agopuntura: l'epatite virale

Complications arising in association with acupuncture are frequently reported. Some are strictly technical, others--including viral hepatitis--are the result of hygienic problems. A statistical assessment of the frequency of HB antigen in out-patients treated during 1975 is reported.