摘要:

Chronic hepatitis (CH) may be defined as persistence of an inflammatory reaction in the liver for > 4 months. Different immune mechanisms of liver damage are operative in children with the three common types of CH. In autoimmune CH the cytotoxic effect is mostly confined to the non-T cell lymphocyte fraction. Autoimmune CH is steroid responsive and has a generally favorable prognosis. In hepatitis B virus (HBV) hepatitis both T and non-T lymphocytes are responsible for the cytotoxic reaction. Steroid or interferon treatment is controversial and the prognosis is less favorable. Hepatitis delta virus (HDV) hepatitis only occurs in children with HBV hepatitis as either a co-infection or superinfection. As a co-infection the HBV is usually eliminated and CH does not ensue. Superinfection with HDV, however, frequently leads to rapidly progressive liver damage and a more serious prognosis. Non-A, non-B (NANB) hepatitis is a diagnosis of exclusion. In NANB hepatitis, the cytotoxic effect is predominantly T cell. NANB hepatitis generally runs a mild course, and no treatment is usually recommended.

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

In order for a patient to give an informed consent for a procedure, he or she needs to understand the risks, benefits and consequences of the procedure explained in layman's terms. It is frequently the responsibility of the gastroenterology nurse or associate to expand on the explanation of the gastroenterologist to be sure the patient fully understands the endoscopic procedure he or she is going to have.

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Georgetown University Hospital's Gastroenterology Log Book was initially designed to assist the staff in streamlining record keeping. While the log book has not replaced the patient's chart, it has evolved into a major source of patient information and documentation. Documentation from the log can be utilized as a method to assure standardized nursing and physician delivery of care. Patient/procedure assessment is recorded in three stages: 1) preprocedure; 2) intraprocedure; and 3) postprocedure. The method of recording information is clearly delineated in the log book. The log book follows recommended American Society for Gastrointestinal Endoscopy guidelines. The book serves as a method of compiling data and facilitating nursing and medical intervention without duplicating services. With methodically collected data, the information can easily be transferred to data base systems at a later date.

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1989

数据来源: OVID