儿童腹:发展中国家与发达国家之间的界面
Nikhil Thapar1, Ian R Sanderson
1Centre for Adult and Paediatric Gastroenterology, Institute of Cell and Molecular Science, Barts and the London, Queen Mary School of Medicine and Dentistry, University of London, London, UK. thaparn@doctors.org.uk
Lancet (London, England)
|February 28, 2004
概括
腹疾病仍然是全球儿童健康的主要威胁. 通过改善营养,卫生和疫苗的预防是减少儿童死亡率和发病率的关键.
科学领域:
- 胃肠病学 胃肠病学
- 儿童传染病 儿童传染病
- 全球公共卫生 全球公共卫生
背景情况:
- 腹疾病是全世界儿童死亡和发病的主要原因.
- 病原体使用复杂的机制引起腹疾病,而免疫介导的肠道疾病可能来自破坏的微生物-上皮相互作用.
- 营养不良是影响腹相关死亡率预后的关键因素.
研究的目的:
- 审查当前对儿童腹疾病的理解.
- 讨论管理策略,包括口腔补水,营养支持和新兴疗法.
- 突出预防措施的重要性,以减少全球腹疾病的负担.
主要方法:
- 关于腹疾病的发病,管理和预防的文献综述.
- 分析感染,免疫介导疾病和营养不良的作用.
- 评估当前和潜在的治疗和预防干预措施.
主要成果:
- 口服补水疗法是胃肠炎的主要治疗方法.
- 针对分泌性腹的新药和益生菌显示出有希望.
- 预防策略,包括疫苗和改善全球营养,卫生和饮用水政策,具有最大的潜力.
结论:
- 虽然取得了进展,但腹疾病仍然是儿童面临的重大全球健康挑战.
- 有效的管理包括口腔补水和营养支持,有针对性的药物治疗和益生菌提供未来的可能性.
- 解决社会经济不平等的全球预防战略对于长期减少腹疾病负担至关重要.
相关概念视频
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Introduction to Developmental Psychology
Developmental psychology explores the changes and continuities in human abilities throughout life, encompassing physical, cognitive, linguistic, and social dimensions. Human development is not restricted to growth, but includes aspects of decline, particularly in physical abilities as individuals age. Developmental psychologists seek to understand how people change as they age and how their mental and social skills evolve.Developmental MilestonesA key concept in developmental psychology is...
Three Developmental Domains
Human development is typically examined across three main domains: physical, cognitive, and socio-emotional. These domains represent the significant areas of change and continuity throughout the lifespan, from infancy to late adulthood.
Physical Development
Physical processes, also known as maturation, encompass the biological changes that occur across an individual's life. These changes begin with genetic inheritance and continue through various stages, including growth in height and weight,...
Physical Development
Physical processes, also known as maturation, encompass the biological changes that occur across an individual's life. These changes begin with genetic inheritance and continue through various stages, including growth in height and weight,...
Socioemotional Experience and Gender Development
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...


