Such procedures allow direct examination of the upper digestive tract through esophageal gastroduodenoscopy for tissue sample collection by mucosal biopsy and esophageal dilation in stenosis , and ileocolonoscopy of the colon and distal small intestine. Pediatric gastroenterology PG specialists perform resections of intestinal polyps; deal with liver, biliary tract and pancreatic diseases; and perform percutaneous and laparoscopic liver biopsies.
They also handle comprehensive management of chronic liver diseases, including chronic hepatitis, liver cirrhosis and other genetically caused conditions, and use sclerotherapy or band ligation to treat varices due to portal hypertension or other causes. They perform infant cholestasis and related surgery, including liver transplantation.
Pediatric gastroenterologists dedicated to liver and bile duct conditions are recognized as pediatric hepatologists; pediatric hepatology has emerged as a subspecialty of PG in some countries. The development of pediatric gastroenterology: a historical overview. Pediatr Res. Generational evolution and the future of pediatrics. J Pediatr.
Accreditation Council for Graduate Medical Education. By the early s, knowledge had developed and the international pediatric community, especially in continental Europe, the UK and North America, recognized the need for different pediatric subspecialties. Today knowledge and experience regarding digestive system growth and development have led to a need for specific medical care. The emergence of PG as a subspecialty is in effect the joining of two medical specialties, pediatrics and gastroenterology, the product of medical scientific and technical progress for better quality and specificity of medical care for this age group.
Milla PJ. The European training syllabus in pediatric gastroenterology, hepatology, and nutrition. J Pediatr Gastroenterol Nutr. Salud Infantil. Personal records of the author, an eyewitness to most PG milestones in Cuba, were also reviewed. Specialized care for childhood digestive disorders emerged in Europe in the 18th century, later in North America.
Samuel Gee, a renowned doctor at the Saint Bartholomew Hospital London , who attended both adults and children, is considered one of the forefathers of European pediatrics and of PG. In , he described chronic diarrhea as the main manifestation of celiac disease in childhood. In the s, after gastroenterology and pediatrics had been established as separate specialties, PG appeared as a specialty internationally because of the need for more highly specialized medical care, facilitated by the advent of the first fiber optic endoscopes for pediatric use. In Latin America, Argentina and Brazil were pioneers in the establishment of the specialty at the end of that decade.
Jorge JR. Research agenda for pediatric gastroenterology, hepatology and nutrition.
Distinguished pediatricians such as Harry Shwachman played a decisive role in training the first PG specialists. In parallel, pediatric hepatology emerged and developed as part of PG; leading players were Daniel Alagille in France, Alex Mowat in the UK, and Frederick Suchy and William Balistreri in the USA, all known for their clinical and teaching activities and for authoring landmark books that played a key role in development of specialized management of diseases of the gallbladder and liver including transplantation.
Paris: Flammarion; Mowat AP.
Liver disorders in childhood. London: Butterworth-Heinemann Ltd; El Conocimiento Silencioso. El Don Del Aguila. Next page. Customers who viewed this item also viewed. Relatos De Poder. La Rueda Del Tiempo.
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The machine learned model takes into account factors including: the age of a review, helpfulness votes by customers and whether the reviews are from verified purchases. Review this product Share your thoughts with other customers. Finally, we recommend when performing absolute dating analyses to first test for sequence saturation in the analyzed dataset especially when calibrations are based on molecular rates.
Our study also points out the importance of using multiple node constraints, especially when placed deeply in the tree, for fossil-based divergence dating analyses. Smart citations by scite. The number of the statements may be higher than the number of citations provided by EuropePMC if one paper cites another multiple times or lower if scite has not yet processed some of the citing articles. Explore citation contexts and check if this article has been supported or contradicted.
Phylogenetic relationships of Amazonian anole lizards Dactyloa : taxonomic implications, new insights about phenotypic evolution and the timing of diversification. Molecular clocks and geological dates: cytochrome b of Anolis extremus substantially contradicts dating of Barbados emergence. Origins and biogeography of the Anolis crassulus subgroup Squamata: Dactyloidae in the highlands of Nuclear Central America. The evolution of methods for establishing evolutionary timescales.
Inferences from tip-calibrated phylogenies: a review and a practical guide. These results are discussed against the relevant literature on known provenance, chronology and manufacture standards of this kind of pottery. Microchemical characterization of ancient ceramics and raw materials using nuclear and conventional techniques. A study about pre-Hispanic and ethnographic ceramic samples of the region of Los Reyes Metzontla, Mexico where the ancient ethnos was the Popoloca , and about the regional raw materials such as clays, tempers, and pigment in rock, is A study about pre-Hispanic and ethnographic ceramic samples of the region of Los Reyes Metzontla, Mexico where the ancient ethnos was the Popoloca , and about the regional raw materials such as clays, tempers, and pigment in rock, is presented.
Two groups of ceramics were identified: one of them, including pre-Hispanic brown ceramic and present-day Los Reyes Metzontla samples, is rich in chromium and cobalt; the other, consisting of pre-Hispanic Popoloca orange ceramic, is rich in rubidium and rare earth elements.
Two groups of raw clays were identified as well, one from the source of Agua San Antonio, and other from the sources of several hills surrounding the town of Los Reyes Metzontla. Chemical and mineralogical results imply that the pastes for pre-Hispanic brown ceramic were prepared with clays of the hills surrounding the town of Los Reyes Metzontla and with the chromium-rich temper, as were the ethnographic ones; the pastes of the Popoloca orange, on the other hand, used clays of the Agua San Antonio source and iron-rich temper.
This study proposes the proportions of raw materials for the manufacturing of these pastes and, regarding the chemical composition of the pastes, presents a comparison between Popoloca orange and Teotihuacan thin orange ceramics. Ceramic Analysis Archaeology. The purpose of this article is to explore the operational chain involved in Xajay's ceramic production through a petrographic and statistical analysis, in order to differentiate the ceramic produced locally from the one that was The purpose of this article is to explore the operational chain involved in Xajay's ceramic production through a petrographic and statistical analysis, in order to differentiate the ceramic produced locally from the one that was manufactured in other regions.
The study was based in the petrographic analysis of 21 ceramic samples, and the micromorphologic analysis of 6 soil samples.
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