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Acute diarrhea, although tends to be a self-limiting disease in
otherwise healthy people, continues to cause millions of deaths
every year, particularly in infants and the elderly. Therefore it
represents a very frequent medical problem with a significant
societal impact such as health-care utilization and lost working
days by caregivers. Dehydration, the most frequent and severe
complication occurs in the first 48 hours from the onset of the
disease. For this reason, the WHO considers this time frame the
more critical period where we should mostly act. Oral rehydration
solution is the most important component of treatment to avoid
dehydration, but despite its proven effectiveness it is still
rarely used because of low compliance mainly due to the subjective
perception of poor effectiveness, as it does not reduce stools
frequency, nor loss of intestinal liquids, neither the length of
diarrhea. Racecadotril represents, so far, the unique drug acting
on one of the main pathophysiological mechanisms underlying acute
diarrhea. In this book some experts discussed the main
international diarrheal guidelines in children and adults even
analyzing the health costs of the disease. Other authors have
thoroughly addressed the etiopathological mechanisms underlying
acute diarrhea and some others have fully analyzed the clinical
studies on Racecadotril present in the literature both in children
and adults. In addition, the world's leading experts on
Racecadotril have thoroughly clarified the drug's pharmacological
mechanisms and have wonderfully summarized its safety profile.
Finally we analyzed the cost-effectiveness of the drug based on the
studies published so far, which confirm that Racecadotril can be a
cost-saving drug in treating acute diarrhea because it can
facilitate the home-management of the disease. All things
considered, we can say that Racecadotril is an effective and safe
anti-diarrheal drug that can reduce the associated health care
costs by increasing the likelihood of resolving the disease in
outpatient setting.
Probiotics, a word of Greek origin composed of "pro" (promoting)
and "biotic "(life), have been defined by the Food and Agriculture
Organization of the United Nations (FAO) as "live microorganisms,
which, when administered in adequate amounts, confer a health
benefit on the host". Over 500 different types of bacteria reside
in the human digestive system. In recent years, the study of
intestinal microbiota and therefore the use of probiotics have been
extensively studied in promoting health, as well as in treating
several diseases and not solely regarding the gastrointestinal
system. This book summarises the more recent knowledge about
intestinal microbiota, its pathological correlations and the use of
probiotics in children for the maintenance, recovery, and
strengthening of healthy strains at the expense of bad ones.
Paediatric gastrointestinal endoscopy has been greatly improving
since its introduction and it is continuously evolving due to the
tools' improvement and the specific training of the staff.
Currently this technique can be performed in children of all age
including preterm infants. This book illustrates the specific
performance techniques of gastrointestinal endoscopy in pediatric
age both with regard to diagnosis of gastrointestinal pathologies
and their operative use in the upper and lower gastrointestinal
tract. One of the most famous international paediatric endoscopists
tells us the history of pediatric GI endoscopy, its achievements,
and where it is going. Moreover in the first part of the book the
preparatory stages to gastrointestinal endoscopy are widely
discussed. Afterwards, specific chapters discuss the examination of
the ileum with new instruments from single- and double-balloon
enteroscopy, to wireless capsule endoscopy. Furthermore some
authoritative authors illustrate the management of GI endoscopy in
particular situations such as cystic fibrosis, gastrointestinal
tumours, graft-versus host disease, and some others deal with the
management of complications that can occur during endoscopic
procedures. Finally a special focus is given on endoscopic
ultrasound and the application of new optical techniques, fields
continuously evolving both in technology tools and in diagnostic
applications mainly in the paediatric age.
Infection by Helicobacter pylori has for many years been one of the
medical conditions most studied not only in the gastroenterological
context. This is because, in recent years, H. pylori has also been
involved in a number of extra-intestinal diseases. In this book, we
have tried to involve the biggest international experts on the
subject. Some authors have tried to provide a complete view of the
most common and widely used diagnostic methods, both invasive and
non-invasive, also explaining the unusual techniques and the most
innovative complementary methods not yet used in clinical practice.
Other international experts have tried to describe the latest
findings on pathogenesis and the various clinical manifestations of
infection by H. pylori in the various systems. One chapter is
reserved for H. pylori infection in childhood, an important period
especially in transmission of the infection, explaining the various
international guidelines for correct diagnosis and treatment. The
authors have also provided the latest evidence regarding the
various methods of eradication therapy, with a critical analysis of
the reasons that compel some researchers to believe that
eradication at all costs is not always correct and useful for
humans. The book also deals with the current and latest knowledge
regarding the progress and the difficulties in the development of a
vaccine against H. pylori infection, the implementation of which
could solve the problem of the difficulty in the eradication linked
mainly to the onset of antibiotic-resistance.
This is a reproduction of a book published before 1923. This book
may have occasional imperfections such as missing or blurred pages,
poor pictures, errant marks, etc. that were either part of the
original artifact, or were introduced by the scanning process. We
believe this work is culturally important, and despite the
imperfections, have elected to bring it back into print as part of
our continuing commitment to the preservation of printed works
worldwide. We appreciate your understanding of the imperfections in
the preservation process, and hope you enjoy this valuable book.
++++ The below data was compiled from various identification fields
in the bibliographic record of this title. This data is provided as
an additional tool in helping to ensure edition identification:
++++ Compendio Di Diritto Romano Comparato Al Diritto Civile
Italiano Marco Manfredi
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