[Ossuaries in Rome ]
KRUTSAY Miklós
JUNE 20, 2016
Lege Artis Medicinae - 2016;26(05-06)
KRUTSAY Miklós
JUNE 20, 2016
Lege Artis Medicinae - 2016;26(05-06)
Lege Artis Medicinae
[Providing optimal nutrition to infants and toddlers is a critical issue for both parents and experts. Besides the quality and quantity of food, indications of feeding behaviour such as feeding method and acceptance by the child are also crucial when determining feeding issues. The development of self-feeding is a significant part of the healthy somatomental development of a toddler between the age of 0-3 years. Efficient treatment of infants and toddlers with feeding disorders is often challenging in clinical practice. These symptoms frequently appear together with additional behaviour disorders, therefore functional reasons have to be taken into consideration in such cases. Due to the complexity of manifestations, applying tools beyond medical competence and involvement of special related professions are necessary. The general diagnostic systems of BNO-10 (International Classification of Diseases) and DSM-V (Statistical Manual of Mental Disorders) which are also applied in our country cannot be used appropriately for clear classification of early childhood feeding disorders and for examination of their backgrounds. DC:0-3R (Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood- Zero to Three), generally used in Anglo-Saxon countries, can be considered as a complex diagnostic system. Using the DC:0-3R classification system (1), we will present six types of feeding disorders affecting children between the age of 0-36 months in which organic and functional origins have been examined as well. In our article we argue for the complex, psychosomatic interpretation and treatments of early childhood feeding disorders.]
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
[On the front cover: as indicated by the inscriptions above their heads, "Galienus" and "Ipocras", and the different shapes of the medicinal vessels, are the "images" of two of the greatest figures of ancient medicine, Hippocrates and Galenos. The double 'portrait', which adorns the altarpiece of the medieval cathedral of Anagni, a small Italian town near Rome, was painted around 1250 and, in keeping with the style of painting and iconographic tradition of the time, depicts the Greek physicians as elderly sages with generalised features. ]
Lege Artis Medicinae
[The Galleria Nazionale in Rome houses a portrait of a bare-breasted young woman. Tradition, confirmed by the signature on the bracelet (RAPHAEL VRBINAS), has for centuries identified the painting as the work of Raphael and the sitter as one of the "amorous nature" of the painter.]
Lege Artis Medicinae
Lege Artis Medicinae
[New concept for the irritable bowel syndrome (IBS) has been accepted in the medical practice based on the information obtained in the last two decades about the pathogenesis of the disease. This new pathogenetical concept stimulated the revision of the current pharmacotherapy and the development of new classes of drugs. Several mechanisms are involved in the development of typical symptoms: the role of motility disorders, visceral hypersensitivity and alterations in the peripheral and central regulatory/modulatory pathways are clearly documented. The positive diagnosis is based on the evaluation of the leading and representative symptoms of the disease (Rome Criteria I and II) and this approach is helpful to define IBS in the cliniccal practice. ]
Lege Artis Medicinae
[The basis for the diagnosis of irritable bowel syndrome is the evaluation of the patient's symptoms. The wide-ranging use of this diagnosis (irritable bowel syndrome, IBS) in the past was equivalent to the exclusion of different organic diseases. Today's use, as a „residual diagnosis" accompanies patients with severe clinical signs, psychiatric comorbidity and older age. Based on the Rome Consensus Criteria I and II, initiating the treatment based on dominant symptoms is an important part of the diagnosis. Diagnostic differentiation depend on the dominant symptoms, providing different strategies for cases having diarrhoea, obstipation or pain dominancy. ]
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