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Irina Dijmarescu

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Articole semnate de acelasi autor in Revista Romana de Pediatrie:

EVALUARE EPIDEMIOLOGICA SI PSIHO-SOCIALA A COPILULUI OBEZ – STUDIU PROSPECTIV

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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EVALUARE EPIDEMIOLOGICA SI PSIHO-SOCIALA A COPILULUI OBEZ – STUDIU PROSPECTIV

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REZUMAT

Obiectiv. Studiul de faţă şi-a propus evaluarea unor parametri epidemiologici şi psiho-sociali într-un eşantion de copii supraponderali şi obezi spitalizaţi pentru diverse patologii. Durata studiului a fost de 12 luni.

Material şi metodă. S-a efectuat un studiu prospectiv, fiind incluşi 78 de copii (6-18 ani) supraponderali (IMC peste percentila 85) şi obezi (IMC peste percentila 95). Criteriul de excludere din studiu a constat în prezenţa unei patologii corelate cu obezitatea secundară. S-a aplicat un chestionar complex care a cuprins factorii de risc familiali şi personali, evaluarea psihologică şi evaluarea calităţii vieţii conform chestionarului PedsQL. Pentru fiecare pacient s-a efectuat evaluare clinică, a parametrilor de laborator şi imagistică (ecografie abdominală).

Rezultate. Dintre copiii incluşi în studiu, 55 au un părinte supraponderal şi 15 au ambii părinţi cu exces ponderal. Ancheta alimentară a dezvăluit greşeli alimentare în rândul a 65 de pacienţi (83,3%). Timpul mediu zilnic alocat televizorului şi calculatorului este crescut (5,7 ore/zi) comparativ cu timpul alocat activităţii fizice acasă şi la şcoală (0,57 ore/zi).

Concluzii. Obezitatea a fost asociată cu riscul familial, erori în programul şi conţinutul alimentaţiei, timpul scă- zut alocat activităţii fizice şi timpul prelungit petrecut în faţa calculatorului sau televizorului. Aceste repere trebuie avute în vedere în programele profilactice şi curative ale acestei patologii.

Cuvinte cheie: obezitate, populaţie pediatrică, anchetă alimentară, activitate fizică

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EPIDEMIOLOGICAL AND PSYCHOSOCIAL ASSESSMENT OF CHILDHOOD OBESITY – PROSPECTIVE STUDY

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
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DOAJ
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ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

EPIDEMIOLOGICAL AND PSYCHOSOCIAL ASSESSMENT OF CHILDHOOD OBESITY – PROSPECTIVE STUDY

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ABSTRACT

Objective. The aim of this study was the evaluation of epidemiological and psychosocial parameters in a sample of overweight and obese children hospitalized for various pathologies. The duration of the study was 12 months.

Methods. We performed a prospective study that included overweight and obese children admitted in the Paediatric Unit of our hospital from July 2014 until June 2015. The exclusion criteria consisted of the presence of secondary pathologies related to obesity. A questionnaire was applied to all patients included with questions about family and personal risk factors for obesity; we realised also a psychological evaluation and quality of life assessment (PedsQL). For each patient we performed clinical evaluation, laboratory and imaging investigations (abdominal ultrasound).

Results. The study included 78 patients: 27 overweight (34.6%), 51 obese (65.3%). We studied the family history concerning the weight status: 55 had one obese parent and 15 had both parents with obesity. We identified dietary errors for almost all patients (65 patients = 83.3%). The average number of hours of physical activity was rather low (0.57 hours/day) and the average time spent in front of the TV and computer was increased (5.7 hours/day).

Conclusions. Obesity has been associated with familial background of obesity, dietary errors (both eating schedule and composition), decreased time spent doing physical activity and increased time dedicated to computer and television. These conclusions should be considered in the prophylactic and curative programs done for this pathology. Keywords: obesity, pediatric population, dietary errors, physical activity

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HEPATITA CRONICA VIRALA LA COPIL – CONSIDERATII TERAPEUTICE

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
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Ebsco Host - Medline
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Semantic Scholar

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ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

HEPATITA CRONICA VIRALA LA COPIL – CONSIDERATII TERAPEUTICE

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REZUMAT

Hepatita cronică virală reprezintă o problemă de sănătate publică în lume şi în ţara noastră, unde prevalenţa este încă mare. Prezentăm clasele de medicamente utilizate în prezent în tratamentul hepatitei cronice virale B atât în lume, cât şi în România, indicaţiile şi contraindicaţiile, avantajele şi dezavantajele fiecărei clase. Articolul de faţă îşi propune trecerea în revistă a mijloacelor de tratament actuale, însă nu şi a măsurilor profilactice ale hepatitei cronice virale B la copil. În prezent în România Interferonul standard este tratamentul de primă intenţie în hepatita cronică cu virus B la copil. Dintre analogii nucleotidici/nucleozidici, Entecavirul este aprobat pentru copiii cu greutate peste 32,6 kg. Tenofovirul, Adefovirul şi Lamivudina nu sunt aprobate în tratamentul hepatitei cronice cu virus B la copil. Tratamentul eficient al hepatitei cronice virale la copil este important pentru că evoluţia bolii hepatice este cu atât mai lungă cu cât infecţia este mai precoce. Existenţa mai multor opţiuni terapeutice oferă o şansă pacienţilor nonresponsivi la prima linie de tratament.

Cuvinte cheie: hepatită cronică virală B, copil, tratament

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PEDIATRIC CHRONIC VIRAL HEPATITIS – THERAPEUTIC CONSIDERATIONS

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
NLM Catalog
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

PEDIATRIC CHRONIC VIRAL HEPATITIS – THERAPEUTIC CONSIDERATIONS

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ABSTRACT

Chronic viral hepatitis is a public health issue both worldwide and in Romania, where the prevalence of the disease is still high. We present the available therapies used for chronic viral hepatitis B treatment in children, worldwide and in Romania, indications and contraindications of treatment, benefits and disadvantages for each class. The present paper reviews only the treatment options and not profilactic measures for pediatric chronic viral hepatitis B. Currently, in Romania, standard Interferon is the treatment of choice. Entecavir is the only of the nucleotidic/nucleosidic analogues which is approved for children use, but not in those weighting less than 32.6 kg. Tenofovir, Adefovir and Lamivudine are not approved for pediatric chronic viral hepatitis B. Considering the fact that the disease progression is longer when the infection occurs earlier in life, efficient treatment is important for children with chronic viral hepatitis B. The availability of more treatment options provides a chance for patients who are nonresponsive to first line therapies.

Keywords: chronic viral hepatitis B, children, treatment

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