RESUMEN
The acute gastroenteritis is a population health problem, frequently met everywhere in the world. In Romania, for certain etiologies the reporting is compulsory. Also, these infections are reported in the TESSy system, too (The European Surveillance System). In this context, antibiotics therapy and antibiotics resistance have a particular importance. The study aim was to assess the prevalence of bacterial pathogens involved in the etiology of acute gastroenteritis (AGE) on the Iasi County, Romania and the surrounding areas and the determination of the profile of resistance to the antibiotics for the identified agents. Material and methods: 72 strains of isolated and identified bacterial agents involved in the acute gastroenteritis (AGE) in the case of children (0-14 years), with the exception of the Campylobacter spp., in the municipality of Iasi and its surrounding areas were studied in 2012, during the surveillance period of AGE (May to October). Results: The most frequent has been the Salmonella spp. (63.9%) from which the S. enterica Thyphimurium in 21 cases (29.2%) and S. enteritidis in 7 cases (9.7%), followed by E. coli (20.8%) from which E. coli O:127 in 3 cases (4.2%), Shigella sonnei S (13.9%) and Yersinia enterocolitica (1.4%). In the case of the children from the group of 0-1 year, the Salmonella enterica Thyphimurium has been the pathogenic agent most frequently encountered (6 cases 29.2%), followed by Salmonella Colindale, S. enteritidis, Shigella sonnei S, E. coli O:127 registered with a frequency of 5.6%. The antibiotic resistance rates are high in the case of ampicillin (43.1%), tetracycline (31.9%), amoxicillin clavulanic acid (26.4%), trimethoprim/ sulfametoxazole (22.2%), sulfonamides (11.1%). Conclusions: The antibiotic resistance rates are high in the case of ampicillin, tetracycline, amoxicillin clavulanic acid, trimethoprim/ sulfametoxazole, sulfonamides.
Asunto(s)
Antibacterianos/uso terapéutico , Farmacorresistencia Bacteriana , Gastroenteritis/tratamiento farmacológico , Gastroenteritis/microbiología , Enfermedad Aguda , Adolescente , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Pruebas de Sensibilidad Microbiana , Vigilancia de la Población , Rumanía , Estaciones del AñoRESUMEN
UNLABELLED: The purpose of of this study is to identify IELs through immunocytochemistry stains for counting infiltration duodenal mucosa with T lymphocytes in children with celiac disease. MATERIAL AND METHOD: It was selected up simptomatology (abdominal pain, anorexia, failure thrive, chronic diarheea), features immunology(positifs tissue transglutaminase antibodies) and considering the histopathologic results (IELs > 30/100 enterocytes, crypt hyperplasia and villous atrophy) we made two groups: first group (13 children with celiac disease of 53 children with celiac disease) and second group (13 children with chronic duodenitis nonspecific). For evidence of intraepithelial lymphocytes T using immunocytochemistry tehnicque (immunohistochemical staining) Envision with antibody anti CD 3 from Dako firme. Corresponding Marsh clasification considering patological IELs > 30/100 enterocytes. Statitics method was used The Student' t test. RESULTS: Analyse IELs in two groups our show difference statistics to demonstrate with the Student' t test (t = -12.237; p = 0.003). CONCLUSION: An increase IELs is helpful in recognising early and bordeline, but the finding is not specific. The histopathologic exam remains the gold standard for celiac disease.
Asunto(s)
Enfermedad Celíaca/diagnóstico , Enfermedad Celíaca/inmunología , Mucosa Intestinal/inmunología , Mucosa Intestinal/patología , Linfocitos T/inmunología , Adolescente , Biomarcadores/sangre , Estudios de Casos y Controles , Enfermedad Celíaca/patología , Niño , Preescolar , Colorantes , Diagnóstico Diferencial , Humanos , Inmunohistoquímica , Lactante , Recuento de LeucocitosRESUMEN
Today two clear trends can be discerned in the development of attitudes about abortion over the last century or so. The first corresponds to that category of "bio-power" described by Foucault as a bio-politics of the population. The second trend, closely related, concerns the transformation of abortion from a largely criminal to a largely therapeutic procedure, that is, one which is said to be performed in the interests of preserving or enhancing the health and well-being of the woman or her existing children. This paper analysis the attitudes about abortion exploring the responses of the Medical Bioengineering Faculty's students to a series of questions about the conditions under which legal abortions should be available and tried to identify some of the reasons why abortion attitudes vary from person to person.