{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch0\stshfloch39\stshfhich39\stshfbi39\deflang1033\deflangfe1033\themelang1058\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f2\fbidi \fmodern\fcharset204\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}
{\f11\fbidi \fmodern\fcharset128\fprq1{\*\panose 02020609040205080304}MS Mincho{\*\falt Yu Gothic UI};}{\f34\fbidi \froman\fcharset204\fprq2{\*\panose 02040503050406030204}Cambria Math;}
{\f36\fbidi \fmodern\fcharset134\fprq1{\*\panose 02010600030101010101}DengXian{\*\falt |??\'a1\'a7?????\'a1\'ec????\'a1\'ec???};}{\f39\fbidi \fswiss\fcharset204\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\f40\fbidi \fswiss\fcharset134\fprq2{\*\panose 00000000000000000000}Microsoft YaHei;}{\f42\fbidi \fswiss\fcharset134\fprq2 @Microsoft YaHei;}
{\f43\fbidi \froman\fcharset0\fprq0{\*\panose 00000000000000000000}Times New Roman ??????????{\*\falt Times New Roman};}{\f44\fbidi \fnil\fcharset134\fprq2{\*\panose 02010600030101010101}@DengXian;}
{\f45\fbidi \fmodern\fcharset128\fprq1{\*\panose 02020609040205080304}@MS Mincho;}{\f52\fbidi \froman\fcharset204\fprq2{\*\panose 02040503050406030204}Cambria;}{\f149\fbidi \fswiss\fcharset204\fprq2{\*\panose 020b0604030504040204}Tahoma;}
{\flomajor\f31500\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fdbmajor\f31501\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fhimajor\f31502\fbidi \froman\fcharset204\fprq2{\*\panose 02040503050406030204}Cambria;}{\fbimajor\f31503\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\flominor\f31504\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fdbminor\f31505\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fhiminor\f31506\fbidi \fswiss\fcharset204\fprq2{\*\panose 020f0502020204030204}Calibri;}{\fbiminor\f31507\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f293\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\f291\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\f294\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f295\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f296\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\f297\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\f298\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\f299\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f313\fbidi \fmodern\fcharset0\fprq1 Courier New;}{\f311\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}
{\f314\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f315\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f316\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f317\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}
{\f318\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f319\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f403\fbidi \fmodern\fcharset0\fprq1 MS Mincho Western{\*\falt Yu Gothic UI};}
{\f401\fbidi \fmodern\fcharset238\fprq1 MS Mincho CE{\*\falt Yu Gothic UI};}{\f402\fbidi \fmodern\fcharset204\fprq1 MS Mincho Cyr{\*\falt Yu Gothic UI};}{\f404\fbidi \fmodern\fcharset161\fprq1 MS Mincho Greek{\*\falt Yu Gothic UI};}
{\f405\fbidi \fmodern\fcharset162\fprq1 MS Mincho Tur{\*\falt Yu Gothic UI};}{\f408\fbidi \fmodern\fcharset186\fprq1 MS Mincho Baltic{\*\falt Yu Gothic UI};}{\f633\fbidi \froman\fcharset0\fprq2 Cambria Math;}
{\f631\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f634\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f635\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f638\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}
{\f639\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}{\f683\fbidi \fswiss\fcharset0\fprq2 Calibri;}{\f681\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\f684\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}
{\f685\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\f686\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\f687\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\f688\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\f689\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\f693\fbidi \fswiss\fcharset0\fprq2 Microsoft YaHei Western;}{\f691\fbidi \fswiss\fcharset238\fprq2 Microsoft YaHei CE;}{\f692\fbidi \fswiss\fcharset204\fprq2 Microsoft YaHei Cyr;}
{\f694\fbidi \fswiss\fcharset161\fprq2 Microsoft YaHei Greek;}{\f695\fbidi \fswiss\fcharset162\fprq2 Microsoft YaHei Tur;}{\f713\fbidi \fswiss\fcharset0\fprq2 @Microsoft YaHei Western;}{\f711\fbidi \fswiss\fcharset238\fprq2 @Microsoft YaHei CE;}
{\f712\fbidi \fswiss\fcharset204\fprq2 @Microsoft YaHei Cyr;}{\f714\fbidi \fswiss\fcharset161\fprq2 @Microsoft YaHei Greek;}{\f715\fbidi \fswiss\fcharset162\fprq2 @Microsoft YaHei Tur;}{\f813\fbidi \froman\fcharset0\fprq2 Cambria;}
{\f811\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\f814\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\f815\fbidi \froman\fcharset162\fprq2 Cambria Tur;}{\f818\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}
{\f819\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\f1783\fbidi \fswiss\fcharset0\fprq2 Tahoma;}{\f1781\fbidi \fswiss\fcharset238\fprq2 Tahoma CE;}{\f1784\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek;}
{\f1785\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur;}{\f1786\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew);}{\f1787\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic);}{\f1788\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic;}
{\f1789\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese);}{\f1790\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai);}{\flomajor\f31510\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbmajor\f31520\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhimajor\f31530\fbidi \froman\fcharset0\fprq2 Cambria;}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}
{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}
{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31540\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31550\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31560\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri;}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}
{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}
{\fbiminor\f31580\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;
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\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li6480
\jclisttab\tx6480\lin6480 }{\listname ;}\listid473333747}{\list\listtemplateid-1731435310\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337103
\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337113
\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337115
\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337103
\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337113
\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337115
\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337103
\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337113
\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69337115
\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6480\lin6480 }{\listname ;}\listid530845198}{\list\listtemplateid-413384592{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'01{\uc1\u-3913 ?};}{\levelnumbers;}\f3\fs20\fbias0\hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\fs20\fbias0\hres0\chhres0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}
\f10\fs20\fbias0\hres0\chhres0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid566067184}{\list\listtemplateid-259603384{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'01.;}{\levelnumbers
\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
\fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li4320
\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5040
\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li6480
\jclisttab\tx6480\lin6480 }{\listname ;}\listid587153848}{\list\listtemplateid-892417660{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3913 ?};}{\levelnumbers;}
\f3\fs20\fbias0\hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0\hres0\chhres0 \fi-360\li1440
\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid601768029}{\list\listtemplateid377762492\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid69337103\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337113\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337115\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337103\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337113\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337115\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337103\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337113\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid69337115\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6480\lin6480 }{\listname ;}\listid620845612}{\list\listtemplateid-705007066{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3913 ?};}{\levelnumbers;}\f3\fs20\fbias0\hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0\hres0\chhres0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid691807777}{\list\listtemplateid-1139250566{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat2
\levelspace0\levelindent0{\leveltext\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'03.;}{\levelnumbers
\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li6480
\jclisttab\tx6480\lin6480 }{\listname ;}\listid800154726}{\list\listtemplateid1168769146{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3913 ?};}{\levelnumbers;}
\f3\fs20\fbias0\hres0\chhres0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0\hres0\chhres0 \fi-360\li1440
\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01{\uc1\u-3929 ?};}{\levelnumbers;}\f10\fs20\fbias0\hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
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\b\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 ODESA NATIONAL MEDICAL UNIVERSITY
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel7\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 Departments of Pediatrics }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b92}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9854\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10028579\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3686\clshdrawnil \cellx3578\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6168\clshdrawnil \cellx9746\pard \ltrpar
\ql \li0\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 CONFIRMED by
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel7\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe2052\dbch\af36\langnp1033\langfenp2052\insrsid293407\charrsid293407 
\hich\af0\dbch\af36\loch\f0 Vice-rector for research and educational work
\par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang1033\langfe2052\langnp1033\langfenp2052\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel7\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 ____________________ Svitlana}
{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe2052\dbch\af36\langnp1033\langfenp2052\insrsid293407\charrsid293407 \hich\af0\dbch\af36\loch\f0  }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \caps\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
KOTYUZHYNSKA}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \fi-1559\li1559\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1559\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 September 1}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\super\langnp1033\insrsid293407\charrsid293407 st}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 , 2022}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \insrsid293407\charrsid293407 
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9854\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10028579\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl 
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3686\clshdrawnil \cellx3578\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6168\clshdrawnil \cellx9746\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\nowidctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \cell \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \insrsid293407\charrsid293407 \trowd \irow1\irowband1\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9854\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10028579\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth3686\clshdrawnil \cellx3578\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6168\clshdrawnil \cellx9746\row }\pard \ltrpar
\qc \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \b\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \b\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 
\par }{\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \b\caps\f43\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 METHODOLOGICAL RECOMMENDATIONS
\par on practical classes for students}{\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \b\caps\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 
\par 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tlul\tx8755\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 
\par International Medical Faculty, \'f1ourse  4
\par 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tlul\tx9307\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 Educational discipline "}{
\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \b\cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 PEDIATRICS}{\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1049\langfe1058\langfenp1058\insrsid293407\charrsid293407 "
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \b\cf1\insrsid293407\charrsid293407 
\par }{\rtlch\fcs1 \af40 \ltrch\fcs0 \b\cf1\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 A}{\rtlch\fcs1 \af40 \ltrch\fcs0 \b\cf1\insrsid293407\charrsid293407 pproved 
\par }{\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 at the meeting of the department of Pediatrics \'b92
\par Protocol No. 1 dated 28/08/2022}{\rtlch\fcs1 \ab\af40 \ltrch\fcs0 \cf1\lang1033\langfe1058\langnp1033\langfenp1058\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tlul\tx3229\tlul\tx5574\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tlul\tx5851\tlul\tx8843\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1033\langfe1058\langnp1033\langfenp1058\insrsid293407\charrsid293407 

\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 Head of the department }{
\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1033\langfe1058\langnp1033\langfenp1058\insrsid293407\charrsid293407 of Pediatrics \'b92}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407     __________________              
}{\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1033\langfe1058\langnp1033\langfenp1058\insrsid293407\charrsid293407 Tetiana STOIEVA}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407  
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\tlul\tx9488\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
                                                      {\*\bkmkstart _Hlk121309555}                          }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 Signature{\*\bkmkend _Hlk121309555}
                                      
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af40 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 Authors}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 : 
\par Head of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, MD, PhD in Pediatrics, DM, Professor Stoieva Tetiana
\par Associate Professor of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Prokhorova Svitlana
\par Associate Professor of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Titkova O. V.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \lang1033\langfe1049\dbch\af11\langnp1033\insrsid293407\charrsid293407 \hich\af0\dbch\af11\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par Associate Professor of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Portnova O. O. 
\par Associate Professor of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Vesilyk N. L. 
\par Associate Professor of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Godlevska T. L.
\par Assistant of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Fedin M. V.
\par Assistant of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Jagiashvili O. V.
\par Assistant of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Reshetilo O.V.
\par Assistant of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b9
2, PhD in Pediatrics Soboleva H. B.
\par Assistant of the department }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 of Pediatrics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 \'b92 Bratkova L. B.

\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid293407 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\i\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid8350381 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid293407 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid293407\charrsid293407 
\par {\listtext\pard\plain\ltrpar \s21 \rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1049\langfenp1049\insrsid15208114 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard\plain \ltrpar
\s21\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f39\fs22\lang1049\langfe1033\cgrid\langnp1049\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid15208114 Topic 20}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid3937835\charrsid3937835 . Practical lesson \'b9 2}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \b\f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid15208114 4}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 : }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\cf1\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 "}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid7799477\charrsid7799477 
 Functional gastrointestinal disorders (FGID) in infants (intestinal colic, functional constipation, regurgitation)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1033\langfe1049\langnp1033\langfenp1049\insrsid3301566 " - 2 h.}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\s21\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \s21 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ltrpar
\s21\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 Background}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1033\langfe1049\langnp1033\langfenp1049\insrsid673641\charrsid13239262 
\par }\pard\plain \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional gastrointestinal disorders are 
the most common disorders of the gastrointestinal tract in children. In infants and children during the first two years of life the most frequent regurgitation syndrome, intestinal colic and functional constipation. Such violations of the digestive system
 
of the baby-related anatomical and physiological characteristics of the child, adapted to the environmental conditions and nutrition. Functional disorders can be mild and almost do not bother parents, or significantly disrupt the child's condition and wor
s
en the quality of life of the whole family. Such conditions usually require certain corrective measures with respect to eating habits and child care. If symptoms increase, accompanied by a violation of the physical development of the child, signs of malnu
trition, should think of organic disease of the digestive system of the baby requires careful laboratory and instrumental examination of a child with the use of modern medical technology.
\par }\pard \ltrpar\ql \li0\ri0\sl288\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par 3. Training goals: 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 3.1. Common goals:
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 To acquaint students with con
temporary notions about etiopatogenez, classification, diagnostic methods regurgitation, functional constipation and intestinal colic in children. To be able to diagnose this pathology, prescribe treatment and to plan preventive measures.
\par \~\~
\par }\pard \ltrpar\qj \li0\ri0\sl288\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 3.2. Educational goals:
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
To view the contribution of Russian scientists in the study of problems of regurgitation, functional constipation and intestinal colic in children. To be able to prove the feasibility of the parents of therapeutic and preventive measures for func
tional gastrointestinal disorders in children.
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
4. Materials for the classroom self-preparation (interdisciplinary integration).
\par 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx3082\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx6272\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx9462\pard\plain \ltrpar
\s1\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\pararsid15615907 \rtlch\fcs1 \ab\af0\afs48\alang1025 \ltrch\fcs0 \b\fs48\lang1049\langfe1049\kerning36\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \fs24\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Discipline\cell }\pard\plain \ltrpar\s2\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\pararsid15615907 
\rtlch\fcs1 \ab\af0\afs36\alang1025 \ltrch\fcs0 \b\fs36\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Know\cell }\pard\plain \ltrpar
\s3\qc \li0\ri0\keep\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\pararsid15615907 \rtlch\fcs1 \af52\afs24\alang1025 \ltrch\fcs0 \f52\fs24\cf17\lang1049\langfe1033\cgrid\langnp1049\langfenp1033 {\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\f0\cf0\lang1033\langfe1033\langnp1033\insrsid673641\charrsid13239262 Be able to\cell }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx3082\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx6272\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx9462\row \ltrrow
}\trowd \irow1\irowband1\lastrow \ltrrow\ts11\trgaph108\trrh4952\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx3082\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx6272\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx9462{\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 1.\tab}\pard\plain \ltrpar\s21\ql \fi-360\li720\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720\pararsid15615907 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f39\fs22\lang1049\langfe1033\cgrid\langnp1049\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1049\langfe1049\langfenp1049\insrsid673641\charrsid13239262 Normal human anatomy
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}Histology
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 3.\tab}Normal human physiology
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 4.\tab}Pathological anatomy human
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 5.\tab}Propedeutics Pediatrics
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 6.\tab}Microbiology
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 7.\tab}Pharmacology\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Anatomical and physiological characteristics of    the digestive tract in children of all ages, matching the physical development of children her age, evaluating data about ' subjective and additional
 research methods on the basis of morphological and functional   features interpretation   identified changes
\par 
\par Etiopathogenesis, diagnostic criteria, the basic principles of treatment.\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15615907 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Determine the   age characteristics, causes and mechanisms of regurgitation syndrome, functional constipation and intestinal cramps, laboratory and instrumental diagnosis of diseases
\par 
\par 
\par Be able to conduct a differential diagnosis main symptoms of the most common digestive diseases.
\par 
\par Hold diffusion. diagnosis. Assign treatment of functional disorders of the gastrointestinal tract in infants.\cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 \trowd \irow1\irowband1\lastrow \ltrrow\ts11\trgaph108\trrh4952\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllkhdrcols\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx3082\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx6272
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3190\clshdrawnil \cellx9462\row }\pard \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 5. Content of the topic 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Functional gastrointestinal (GI) and motility disorders are the most common GI disorders in the general population. Estimates vary, but about 1 in 4 people or more
 in the U.S. have one of these disorders.[1,2] The conditions account for about 40% of GI problems seen by doctors and therapists.[2]
\par Functional GI disorders are disorders of gut\endash brain interaction. It is a group of disorders classified by GI symptoms relat
ed to any combination of the following: motility disturbance, visceral hypersensitivity, altered mucosal and immune function, altered gut microbiota, and altered central nervous system (CNS) processing.[3]
\par The term "functional" is generally applied to disorders where the body's normal activities in terms of the movement of the intestines, the sensitivity of the nerves of the intestines, or the way in which the brain controls some of these functions is impai
red. However, there are no structural abnormalities that can be seen by endoscopy, x-ray, or blood tests. Thus it is identified by the characteristics of the symptoms and infrequently, when needed, limited tests.
\par The Rome diagnostic criteria categorize the functional gastrointestinal disorders\~\endash  disorders of gut-brain interaction\~\endash  and define symptom based diagnostic criteria for each category.[3]
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 Esophageal disorders
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.iffgd.org/upper-gi-disorders/globus.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b8000000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f00750070007000650072002d00670069002d006400690073006f00720064006500720073002f006700
6c006f006200750073002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000000ff786dff6d5500ff02d7}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Globus}
}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~
a sensation of a lump, something stuck, or a tightness in the throat\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional chest pain}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~the feeling of che
st pain, presumably of esophageal origin (can be confused with cardiac pain which must be examined)\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutgerd.org/site/symptoms/heartburn"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b7a00000068007400740070003a002f002f007700770077002e00610062006f007500740067006500720064002e006f00720067002f0073006900740065002f00730079006d00700074006f006d0073002f0068006500
6100720074006200750072006e000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff006f0072ff3230ff7800000000a4}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional heartburn
}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 persistent burning sensation in the absence of gastroesophageal reflux disease (GERD), a motility disorder, or a structural explanation\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.iffgd.org/upper-gi-disorders/dysphagia.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b8600000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f00750070007000650072002d00670069002d006400690073006f00720064006500720073002f006400
790073007000680061006700690061002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000000ff7474ff0d0000000040}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional dysphagia}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 the sensation of difficulty swallowing\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
Reflux hypersensitivity
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Gastroduodenal disord
ers (symptoms generally attributable to the mid or upper gastrointestinal tract)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.iffgd.org/upper-gi-disorders/dyspepsia.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b8600000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f00750070007000650072002d00670069002d006400690073006f00720064006500720073002f006400
790073007000650070007300690061002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ffa500003fff756cff68000000fe01}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional dyspepsia}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 - pain or discomfort located in the upper abdomen
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 
Belching disorders}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 
Nausea and vomiting disorders\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Rumination syndrome\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 - effortless regurgitation of recently swallowed food\~
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Bowel disorders and abdominal pain (symptoms generally attributable to the mid or lower gastrointestinal tract)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.iffgd.org/lower-gi-disorders/irritable-bowel-syndrome.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90ba400000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006900
7200720069007400610062006c0065002d0062006f00770065006c002d00730079006e00640072006f006d0065002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ffff030000ff0d0a45633400041700}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Irritable bowel syndrome (IBS)}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~
a group of bowel disorders characterized by abdominal discomfort or pain associated with defecation or a change in bowel habit. \~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional abdominal bloating/distension}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~
- a group of functional bowel disorders dominated by a feeling of abdominal fullness or bloating.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.iffgd.org/lower-gi-disorders/constipation.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b8c00000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006300
6f006e0073007400690070006100740069006f006e002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab00000000ff720000ff000000a57f00000002}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional constipation}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
a group of functional disorders characterized by persistent difficult, infrequent, or seemingly incomplete defecation.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.iffgd.org/lower-gi-disorders/diarrhea.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b8400000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006400
69006100720072006800650061002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab0000000000a80000000800c91948000003b0}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Functional diarrhea}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~
- continuous or recurrent passage of loose or watery stools without abdominal pain.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 
Unspecified functional bowel disorder}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 
Opioid-induced constipation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Centrally mediated disorders of gastrointestinal pain
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls6\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.iffgd.org/lower-gi-disorders/functional-abdominal-pain-syndrome.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bb800000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006600
75006e006300740069006f006e0061006c002d006100620064006f006d0069006e0061006c002d007000610069006e002d00730079006e00640072006f006d0065002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff1f000000ff2f3e95640000000cd2}}}{\fldrslt {
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Centrally mediated abdominal pain syndrome (CAPS)}}}\sectd \ltrsect
\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 continuous or frequently recurrent abdominal pain, either not or infrequently related to gut function, and associated with some loss of daily activities.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.iffgd.org/other-disorders/narcotic-bowel-syndrome.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b9c00000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006f0074006800650072002d006400690073006f00720064006500720073002f006e00610072006300
6f007400690063002d0062006f00770065006c002d00730079006e00640072006f006d0065002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff57000000ffcb958d00003200492c}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Narcotic bowel syndrome (NBS)/opioid-induced GI hyperalgesia}}}\sectd \ltrsect
\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
- characterized by the paradoxical development of, or increases in, abdominal pain associated with continuous or increasing dosages of opioids.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Gallbladder and Sphincter of Oddi (SO) disorders
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 Functional pancreatic SO disorder}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 
Biliary pain}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 Anorectal disorders
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.iffgd.org/lower-gi-disorders/bowel-incontinence.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b9800000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006200
6f00770065006c002d0069006e0063006f006e00740069006e0065006e00630065002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000000ffa6e43c000000002c83}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Fecal incontinence}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 recurrent unco
ntrolled passage of fecal material where no structural or neurological cause is evident.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional anorectal pain}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
- Levator ani syndrome is a dull ache in the rectum that lasts for hours to days. Proctalgia fugax is an infrequent sudden, severe pain in the anal area of short duration.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.iffgd.org/lower-gi-disorders/dyssynergic-defecation.html"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90ba000000068007400740070003a002f002f007700770077002e00690066006600670064002e006f00720067002f006c006f007700650072002d00670069002d006400690073006f00720064006500720073002f006400
79007300730079006e00650072006700690063002d00640065006600650063006100740069006f006e002e00680074006d006c000000795881f43b1d7f48af2c825dc485276300000000a5ab0000ffff00000020ff6690370018007800bc}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional defecation disorders}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~Dyssynergic defecation or inadequate defecatory propulsion.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Childhood funct
ional GI disorders: neonate and toddlers
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin720\itap0\pararsid13239262 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.aboutkidsgi.org/site/upper-gi-disorders/infant-regurgitation"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90ba800000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f00750070007000650072002d00670069002d00
6400690073006f00720064006500720073002f0069006e00660061006e0074002d00720065006700750072006700690074006100740069006f006e000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000000ff7474d3000000ff0024}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Infant regurgitation}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~- uncomplicated involuntary return (regurgitation) of stomach contents into the mouth. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 Common and normal in infants.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Infant rumination syndrome\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 - voluntary, habitual regurgitation of recently swallowed stomach
 contents. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 Rare.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutkidsgi.org/site/upper-gi-disorders/cyclic-vomiting-syndrome"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bb000000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f00750070007000650072002d00670069002d00
6400690073006f00720064006500720073002f006300790063006c00690063002d0076006f006d006900740069006e0067002d00730079006e00640072006f006d0065000000795881f43b1d7f48af2c825dc485276300000000a5ab000076ff00600000ff7569190042000400c1}}}{\fldrslt {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Cyclic vomiting syndrome}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
- recurrent episodes of intense nausea and vomiting lasting hours to days separated by symptom-free intervals lasting weeks to months.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Infant colic}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~- long bouts of crying or irritability without obvious cause.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional diarrhea\~-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~
daily, painless, recurrent passage of 3 or more large, unformed stools for at least 4 weeks in infancy or preschool years.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid11807951 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutkidsgi.org/site/lower-gi-disorders/childhood-defecation-disorders/infant-dyschezia"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bde00000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f006c006f007700650072002d00670069002d00
6400690073006f00720064006500720073002f006300680069006c00640068006f006f0064002d00640065006600650063006100740069006f006e002d006400690073006f00720064006500720073002f0069006e00660061006e0074002d006400790073006300680065007a00690061000000795881f43b1d7f48af2c82
5dc485276300000000a5ab000000ff0000006cff616e2c00120004ff6e}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs18\b\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Infant dyschezia}}}\sectd \ltrsect
\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 straining and crying with stool passage.\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional constipation\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 -\~infrequent, painful, hard, or large diameter bowel movements.\~

\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Childhood functional disorders: children and adolescents
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid673641\charrsid13239262 Functional nausea and vomiting disorders}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional abdominal pain disorders}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~-\~}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutkidsgi.org/site/upper-gi-disorders/dyspepsia"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b9200000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f00750070007000650072002d00670069002d00
6400690073006f00720064006500720073002f006400790073007000650070007300690061000000795881f43b1d7f48af2c825dc485276300000000a5ab000020ff00000029ff656dcc0000000000bb}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs18\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 functional dyspepsia}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 ,\~}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutkidsgi.org/site/low
er-gi-disorders/irritable-bowel-syndrome"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bb000000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f006c006f007700650072002d00670069002d00
6400690073006f00720064006500720073002f0069007200720069007400610062006c0065002d0062006f00770065006c002d00730079006e00640072006f006d0065000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000000ff614ce802ff000000c2}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \cs18\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 irritable bowel syndrome (IBS)}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 , abdominal migraine, childhood functional abdominal pain
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional defecation disorders\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 -}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.aboutkidsgi.org/site/lower-gi-disorders/childhood-defecation-disorders/constipation/functional-constipation"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b0601000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f006c006f007700650072002d00670069002d00
6400690073006f00720064006500720073002f006300680069006c00640068006f006f0064002d00640065006600650063006100740069006f006e002d006400690073006f00720064006500720073002f0063006f006e0073007400690070006100740069006f006e002f00660075006e006300740069006f006e0061006c
002d0063006f006e0073007400690070006100740069006f006e000000795881f43b1d7f48af2c825dc485276300000000a5ab00000028b6720000ff64200004450000012f}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs18\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~functional constipation}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 ,\~}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 
HYPERLINK "http://www.aboutkidsgi.org/site/lower-gi-disorders/childhood-defecation-disorders/non-retentive-fecal-incontinence"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bfe00000068007400740070003a002f002f007700770077002e00610062006f00750074006b00690064007300670069002e006f00720067002f0073006900740065002f006c006f007700650072002d00670069002d00
6400690073006f00720064006500720073002f006300680069006c00640068006f006f0064002d00640065006600650063006100740069006f006e002d006400690073006f00720064006500720073002f006e006f006e002d0072006500740065006e0074006900760065002d0066006500630061006c002d0069006e0063
006f006e00740069006e0065006e00630065000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff00000044ff2220206f00000000fb}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs18\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
non-retentive fecal incontinence}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~

\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
***************************************************************************
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Dyspepsia}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262  is a common disorder that affects up to 30% of the general population.
\par Symptoms of dyspepsia include upper abdominal pain or discomfort and frequently include symptoms of burning, pressure, or fullness often, but not necessarily, related to meals.
\par Other common symptoms include early feeling of fullness (satiety), nausea, belching, and bloating.
\par While dyspeptic symptoms may develop due to diseases such as peptic ulcer or gastritis, the vast majority of poeple who see doctors for dyspeptic symptoms are ultimately diagnosed as having functional dyspepsia.
\par Functional dyspepsia (FD
) is a heterogeneous disorder; in other words a variety of causes can lead to similar symptoms. Some studies suggest that FD is a chronic condition for many people, with approximately 50% of patients still experiencing symptoms over a 5-year follow-up per
iod.
\par While the definition of FD has changed somewhat over the years, the disorder is generally regarded as a group of symptoms thought to originate in the upper digestive tract (stomach and upper small intestine) in the absence of any structural or metaboli
c disease likely to explain the symptoms. Frustratingly, symptoms of FD do not reliably guide therapy.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par Causes of Functional Dyspepsia
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The causes of functional dyspepsia are largely unknown and likely multiple. Some evidence exists to implicate a genetic predisposition. Although}{\rtlch\fcs1 
\ai\af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~H. pylori}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
infection may produce dyspeptic symptoms in a small subset of patients, there is little data to support this bac
terium as a cause of symptoms in a majority of patients. Psychological factors may influence the symptom experience in some patients with functional dyspepsia.
\par Changes in gastric function have been identified in many patients with FD. In approximately 40% 
of patients with dyspepsia, the stomach does not relax normally in response to a meal. This is known as "impaired accommodation" and may be associated with symptoms of fullness and pressure in some patients. Impaired stomach contractions and abnormal stom
ach emptying may also be seen in a similar percentage of patients.
\par Impaired stomach emptying has been associated with symptoms of bloating and early feeling of fullness. As many as two-thirds of patients with functional dyspepsia have heightened perception 
of stomach activity, which is termed visceral hypersensitivity. While frequently seen, visceral hypersensitivity in functional dyspepsia has not been strongly associated with any specific symptoms.
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Treatment Options
\par Treatment options for functional dyspepsia generally include one or a combination of:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 Diet
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Eradication of H. pylori
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Acid-lowering medications
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Prokinetic and antiemetic agents
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Centrally acting therapies
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Diet}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~\endash  Most patients with FD have symptoms associated with the ingestion of food. A
s such, a variety of dietary recommendations are often made, although no clinical trials have formally evaluated specific dietary interventions for the treatment of FD. There are limited data to suggest that dietary fat may induce or exacerbate symptoms a
nd patients often report improvement by eating low-fat meals, and more frequent, smaller meals.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Eradication of H. pylori}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~\endash 
 Although testing and treating H. pylori infection is recommended and often employed, the eradication of H. pylori infection generally 
does not improve symptoms outside of those associated with peptic ulcer disease. In patients with FD, there is little benefit beyond placebo in eradicating H. pylori infection and a recent analysis found that only one out of every fourteen H. pylori-infec
ted patients with FD would benefit from treatment.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Acid-lowering Medications}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~\endash 
 H2 blockers such as ranitidine (Zantac), cimetidine (Tagamet), nizatidine (Axid) or famotidine (Pepcid) are the initial agent used by many primary care providers, and are margina
lly better than placebo at improving upper-center abdominal (epigastric) pain, although they do not improve other dyspeptic symptoms.
\par If H2 blockers fail to improve symptoms, most doctors then use a proton pump inhibitor (PPI) \endash  omeprazole (Prilosec), lans
oprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), or esomeprazole (Nexium). Short-term risks of this strategy are low, and this may provide relief of symptoms in a small number of people, many of whom may have had silent acid reflux. As
 a group, PPIs are approximately 10% better than placebo at improving dyspeptic symptoms. However, long-term use of PPIs can be expensive.
\par There is emerging data suggesting that long-term PPI use \endash  when combined with other risk factors \endash  may place some pati
ents at increased risk for Clostridium difficile colitis, community acquired pneumonia, and hip fractures. Nonetheless, overall risk of long-term PPI use seems to be relatively small.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Prokinetic and Antiemetic Agents}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~\endash 
 Patients with nausea will respond to 
medications that target that specific symptom. Limited data suggests that symptoms of early feeling of fullness, upper abdominal fullness, and discomfort after eating may respond to the use of medicines that increase gastrointestinal motility (prokinetic 
agents). The drugs metoclopramide (Reglan) and domperidone (Motilium) are now the most commonly employed agents.
\par Unfortunately, metoclopramide often has significant side effects including anxiety, drowsiness, decreased libido, and breast tenderness as well 
as movement disorders. Talk to your doctor before you use metoclopramide. The FDA requires a boxed warning and risk mitigation strategy for metoclopramide-containing drugs.\~}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid11807951 HYPERLINK "http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm149533.htm" \\t "_blank"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9198459 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000083000000070000005f0062006c0061006e006b000000e0c9ea79f9bace118c8200aa004ba90ba800000068007400740070003a002f002f007700770077002e006600640061002e0067006f0076002f004e006500770073004500760065006e00740073002f004e006500
7700730072006f006f006d002f005000720065007300730041006e006e006f0075006e00630065006d0065006e00740073002f00750063006d003100340039003500330033002e00680074006d000000795881f43b1d7f48af2c825dc485276300000000a5ab000000ff002d0000ff656d0000000000007a}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \cs18\ul\cf2\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6230647 Read more here}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid6230647 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Domperidone is not commercially available 
in the United States although it is widely used throughout much of the rest of the world. The utility of prokinetic therapy in functional dyspepsia, to date, is largely unproven.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Centrally Acting Therapies}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~\endash 
 Much of the control of digestive function and se
nsation is under central nervous system guidance; therapies that target central control mechanisms may have value in relieving symptoms. Tricyclic antidepressants, used in doses lower than required to treat depression, may improve symptoms of dyspepsia in
 patients who have failed to benefit from treatment with H2 blockers or prokinetics.\~
\par Another type of antidepressant, selective serotonin reuptake inhibitors (SSRIs), have not been well studied for the treatment of FD, however they appear effective in the treatment of other functional digestive disorders.
\par Hypnotherapy may improve dyspeptic symptoms in some patients, and a recent study found that hypnotherapy was better than medical therapy and supportive therapy at improving quality of life and symptom score
s. Although not well studied, psychological therapies, including cognitive behavioral therapy, may also relieve symptoms of dyspepsia.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Conclusions
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Functional dyspepsia is a common digestive disorder that remains poorly understood. Ongoing investigations se
ek to define causes and effective therapies. Currently, the National Institutes of Health (NIH) is sponsoring a nationwide, multi-center study that hopes to better define causes and treatments for FD.
\par 
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Cyclic vomiting syndrome (CVS) is a condition characterized by recurrent, stereotypical bouts of intense vomiting interspersed with periods of completely normal health.
\par The average child with CVS starts bouts of cyclic vomiting at 5.2 years of age. Typically, he or she has been affected for 2.6 years before diagnosis. Females and males are equally affected (55:45).
\par The vomiting is invariably accompanied by what has been described as the most intense kind of nausea a human can experience. The typical child vomits 6 times per hour at the peak. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6230647 The average is 25 bouts of vomiting (emesis) per episode.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Affected children characteristically appear almost motionless during episodes. They refuse to swallow saliva for fear of inducing vomiting. Others compulsively drink water. This is possibly to reduce the upper abdomi
nal pain due to the continual vomiting of acid content from the stomach. A period of exhausted sleep often follows.
\par Once awake, the child is eager to eat. Attacks tend to be stereotypical. Ninety-eight percent (98%) of children experience the same progression and character of attack with each episode. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\insrsid673641\charrsid13239262 
Symptoms include:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar
\ql \fi-360\li720\ri0\sb100\sa100\sbauto1\saauto1\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\insrsid673641\charrsid13239262 
Abnormal drowsiness, or lethargy (91%)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Paleness, or pallor (87%)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Abdominal pain (80%)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Headache (40%)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Diarrhea (36%)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Sometimes fever (29%)
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Treatment}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Treatment of CVS begins with identification of the condition. A distinction is made between chronic vomiting and cyclic vomiting syndrome. Underlying conditions such as gastroesophageal reflux disease (GERD) and sinus infection (sinusitis) should be sough
t and treated in the patient.
\par Not every child requires every medical test. However, if certain warning signs are present the doctor may order one or more tests including:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar
\ql \fi-360\li720\ri0\sb100\sa100\sbauto1\saauto1\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin720\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\insrsid673641\charrsid13239262 Urinalysis
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Upper GI endoscopy
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Abdominal ultrasound
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Brain CT or MRI
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Metabolic blood tests
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Three levels of treatment include:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sb100\sa100\sbauto1\saauto1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls14\adjustright\rin0\lin720\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Abortive treatment (to try to stop an attack after it starts),
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}
Rescue therapy (to keep the child as comfortable as possible if unable to stop an attack), and
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 3.\tab}Prophylatic (steps to take to try to prevent future attacks)
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Numerous medicines have been used to abort attacks. Rescue therapy is needed if it proves impossible to abort the attack. Most children will respond to these measures. For the rare patient with persistence of recurrent attacks,
 daily preventative (prophylactic) measures are indicated
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 CVS in Adults
\par Introduction
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Cyclic vomiting syndrome (CVS) is a disorder with recurrent episodes of severe nausea and vomiting interspersed with symptom free periods. This syndrome was first describe
d in the English literature in 1882. While CVS has been studied in pediatric populations, its occurrence in adults has been underappreciated. It is now thought that this crippling syndrome can occur in a variety of age groups including adults.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The Condition
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The symptom episodes of CVS tend to follow the same pattern for each individual patient over time. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 The symptom episodes are characterized by four phases:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
The inter-episodic phase occurs between vomiting episodes when the patient is relatively symptom-free. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 This phase typically last weeks to months.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
The pre-emesis phase occurs when the patient begins to sense the approach of an episode and has nausea of varying intensity but is still able to take oral medications. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
This phase lasts minutes to hours.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 3.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
The emetic phase is characterized by intense, persistent nausea, vomiting, and other symptoms (abdominal pain, prostration, and lethargy). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 This phase lasts from hours to days.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 4.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
The recovery phase begins with the settling down of nausea and ends when hunger, tolerance of oral intake and vigor returns to normal.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Unfortunately, patients with these symptoms may go for years without correct diagnosis. Initially, patients may be thought to have viral gastroenteritis. However, characteristically these patients
 often have repeated trips to Emergency Departments seeking relief of the vomiting and the often-accompanying abdominal pain and dehydration. Lack of awareness of this syndrome in adults often delays the diagnosis of CVS. Fortunately, this is being correc
ted, as more information is becoming available.
\par Recently, criteria for the diagnosis of cyclic vomiting syndrome in adults were published by the Rome III study group on functional GI disorders.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The following three criteria must be fulfilled for the last 3 months with symptom onset at least 6 months before diagnosis:}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 1. Stereotypical episodes of vomiting regarding onset (acute and duration (less than 1 week)}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 2. Three or more discrete episodes in the prior year}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 3. Absence of nausea and vomiting between episodes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Supportive criteria for the diagnosis of CVS includes: History or family history of migraine headaches.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par There have been several recent studies of adult patients with cyclic vomiting syndrome.
 The most uniform feature of the patients in one study was the stereotypical nature of the nausea, vomiting, and abdominal pain with intermittent symptom free periods. The abdominal pain appears to be more pronounced in the adult patients than in pediatri
c patients. The ages of patients ranged from 18 to 62 years, indicating that many characteristics of CVS are similar irrespective of age of the patient.
\par The cause of CVS is not known. However, important advances are being made in the clinical understanding of this disorder which may open the way for new treatments.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Treatment
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Treatment of cyclic vomiting syndrome remains largely based on clinical experience. In general, the treatment approach to a patient with CVS should include consideration of lifestyle cha
nges including avoidance of potential triggering factors, drug therapy to prevent subsequent episodes, abortive and/or supportive care treatment during acute episodes, and support of the family.
\par Medication treatment for patients with CVS is often divided i
nto acute treatment of the vomiting episodes and chronic treatment to try to prevent the episodes. There is a lack of data on the outcomes of patients, particularly adult patients with CVS, to different types of treatment.
\par A variety of agents are often tried to reduce the nausea and vomiting during the vomiting phase. Antiemetic agents can reduce the severity of episodes and are best used in conjunction with sedatives. This may include the antiemetic agents \endash 
 prochlorperazine (Compazine) and ondansetron (Zofran). Patients with CVS may respond well to intravenous lorazepam (Ativan), an anti-anxiety medication. Antimigraine triptans can also be used to try to abort episodes.
\par Tricyclic antidepressants, although not classified as antiemetic agents, can prevent nausea and vomiting since they appear to influence the brain\rquote 
s regulation of the vomiting process. Tricyclic agents play a favorable role in migraine, depression, anxiety, and the abdominal pain associated with irritable bowel syndrome (IBS). They appear to
 be appropriate therapy to try for the potentially complex disease mechanisms of CVS. Prophylactic antimigraine and anticonvulsive agents are also used to prevent episodes.
\par It is helpful to have an organized approach to treat these patients in the emergency room where they often need to go for treatment of the acute vomiting phase.
\par If you have CVS, having a letter from your physician to always have with you that describes the syndrome and the appropriate personal treatment can be very helpful. It can help a
void delays in diagnosis and appropriate treatment in the event you need emergency treatment.
\par Anticipatory support and early treatment intervention are cornerstones to the treatment of CVS.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Summary
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Cyclic vomiting syndrome can occur in adults as well as ch
ildren and is an increasingly recognized disorder. Important advances are being made in our clinical understanding of this disorder. New treatments are becoming available. Long-term outcomes and the natural history of cyclic vomiting syndrome in adults wi
ll require more studies.
\par 
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\af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262  What is infant regurgitation?}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Regurgitation means the backward movement of stomach contents up the esophagus (the "swallowing tube") into the mouth. Regurgitation often includes the release of the material from the mouth, as in infants who "spit up."
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It occurs when the muscle between the esophagus and stomach relaxes (as it does during burping). This allows the stomach material up because the normal pressure within the stomach is greater than the pressure in the chest and throat.
\par When regurgitated stomach material comes out of the mouth, it is often mista
ken for vomiting, and may look exactly like vomiting. But technically, and medically speaking, vomiting is more forceful and uncomfortable. It usually includes nausea, retching, and gagging.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Is infant regurgitation normal?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Regurgitation is a symptom that is normal and common in infants. That is because of the very small volume that the infant esophagus can hold and because of other factors, including their large liquid meals and the amount of time they spend lying down.

\par Infants who have a lot of regurgitation, but no actual disease, have a condition that is called functional infant regurgitation. Functional means that the symptom is real, but there is no disease. (For example, a runner\rquote 
s cramp is painful but the muscle is healthy.)
\par Functional infant regurgitation has been defined by an international group of experts, the Pediatric Rome Working Team, as consisting of:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sb100\sa100\sbauto1\saauto1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls16\adjustright\rin0\lin720\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
at least 3 weeks of regurgitation of stomach contents,
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}at least twice daily during infancy,
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}the first year of life.
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The
re must be no retching, bleeding, refusal to eat, or breathing problems, because these additional symptoms suggest a disease, rather than a functional condition. Half of all healthy infants meet these symptom-based criteria for functional regurgitation.

\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Should I worry if my infant regurgitates?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
In the USA there are over 1 million doctor visits yearly for infant regurgitation. Medical professionals want to help. So do formula companies and drug companies. However, the evidence that formula changes or medicin
es alter the course of functional infant regurgitation is generally weak.
\par The evidence is that no matter what you do, functional infant regurgitation gets better by itself by the end of the first year in nearly all of those who have it.
\par It makes no difference whether the stomach contents come out the mouth, the nose, or both. Also, the apparent forcefulness of the material coming out cannot set apart functional regurgitation from non-functional diseases.
\par Projectile (or forceful) vomiting occurs in some serious conditions. But projectile regurgitation that looks like vomiting is also commonly seen in functional infant regurgitation.
\par Signs that something more serious may be going on would include your baby having problems gaining weight, crying excessively, pr
oblems feeding, problems breathing, or throwing up blood or bile. If your child is having any of these problems you should consult your physician.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 What is the difference between GER, GERD, and infant regurgitation?}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line It is important to know the differences between similar terms such as gastroesophageal reflux (GER), gastroesophageal reflux disease (GERD), and functional infant regurgitation.

\par Gastroesophageal reflux episodes occur when stomach contents move backwards up into the esophagus. Regurgitation episodes are when reflux actually reaches the mouth.
\par Everyone has episodes of reflux every day, but few people are aware of them. In healthy adults and infants, there is acid in the esophagus many times every day, for a total time of about one hour a day. Howeve
r, reflux does not cause harm in most people, because our bodies have defenses against acid in the esophagus.
\par GER became a popular diagnosis only in the 1980\rquote s, when esophageal pH testing became available. As with every new technology, there was great enth
usiasm for using esophageal pH testing to measure a day-long recording of acid episodes in the esophagus. Just as a certain quantity of regurgitation episodes defines the condition of functional regurgitation, reflux episodes of certain frequencies have b
een used to define GER. In both of these situations, although there may be an amount of regurgitation or reflux that is greater than the average person experiences, there is no "disease."
\par Gastroesophageal reflux disease (GERD) refers to tissue damage or har
mful symptoms that happen because of reflux. GERD is not common in otherwise healthy infants. GERD is common following preterm birth and in infants with chronic lung disease or cerebral palsy. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf18\insrsid673641\charrsid13239262 Common problems due to GERD include:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sb100\sa100\sbauto1\saauto1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls17\adjustright\rin0\lin720\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Recurrent aspiration (i
nhaling) of refluxed material into the lungs
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}
Inflammation in the esophagus, causing pain, food refusal, or bleeding and anemia (low red blood cell counts)
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 3.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\insrsid673641\charrsid13239262 
Failure to gain weight appropriately
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Some clinicians believe that too much reflux can also cause sinusitis and ear infections. Many dentists believe that too much acid reflux into the mouth can wear away dental enamel, causing what they call dental erosions.
\par As noted above, functional infant regurgitation refers to regurgitation (spitting up or even
 what appears to be forceful "vomiting") in a healthy infant younger than 1 year of age that occurs 2 or more times daily and lasts at least 3 weeks. By definition, there is no tissue damage or other harmful symptoms.
\par Functional infant regurgitation shows up as repetitive symptoms, but which have no harmful consequences. Clinicians cannot find damage to the esophagus or anywhere else in the body in healthy infants with infant regurgitation.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 What tests are necessary to diagnose infant regurgitation?}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line No testing is necessary or desirable if your child meets symptom-based criteria for infant regurgitation.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Should I change formulas?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
There is usually no reason to change formulas. The idea of changing formulas is usually because your clinician suspects protein alle
rgy. Formula protein allergy affects 3 to 5 of 100 infants. A healthy child with spit-ups is not likely to have protein allergy. If you are formula feeding, a two-week trial of a hydrolyzed protein (hypoallergenic) formula may help any portion of the symp
toms due to allergy.
\par What about lactose intolerance?\line Lactose is the sugar in human breast milk, so babies are born with the ability to digest lactose. Lactose intolerance is rare below age 8 years, except after a severe in
fection of the small intestine. Lactose intolerance does not cause infant regurgitation.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 What causes infant regurgitation?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Probably many factors contribute to infant regurgitation. The most important might be the size of the infant\rquote s feeding.
\par The human infant must triple its birth weight in the first year. Think of how much you would have to eat next year to triple your current weight. What a wonder it is that half the healthy babies manage to keep it all down.
\par Adults do not notice when they have an episode of gastroesophageal reflux. They may reflux over an ounce of gastric contents, but that ounce never makes it up to the throat. That\rquote 
s because the adult esophagus holds about an ounce and a half of fluid. In contrast, the infant esophagus holds only less than one-tenth of that amount. As little as a teaspoon of reflux may cause a bit of spit up in the infant\rquote s mouth.
\par A reflux episode may occur every time the pressure inside the abdomen exceeds the pressure of the lower esophageal sphincter (LES). The LES is
 the muscle barrier that acts to prevent reflux of stomach contents into the esophagus. Increases in pressure within the abdomen are caused by routine body activities. Examples of these activities include sneezing, coughing, and bearing down to push out a
 bowel movement.
\par }\pard \ltrpar\ql \li0\ri0\sb150\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid8350381 
Treatment
\par }\pard \ltrpar\ql \li0\ri0\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Change the feeding environment}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Some infants are more sensitive to their surroundings than other infants. For infants with sensitive temperaments, feedings are more likely to go well in a calm, relaxing, uninterrupted setting.
\par In families with lots of children (or other disruptive factors), it is best that caretaker and infant excuse themselves for 20 minutes, and go to a quiet room with dim lighting and soft, pleasant sounds.
\par The goal is to soothe the infant, and provide comfort. When the infant is fussy and refusing the nipple, the caretaker must remain calm, because the infant can sense the caretaker\rquote s anxiety, and "catch" worries from the caretaker.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Thickened feeding}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Several studies proved that formula thickened with cereal helps
 infants to nap longer, cry less, and have fewer spit ups. One tablespoon of dry rice cereal per ounce of formula is the thickener generally studied, and this thickening gives the formula 50% more calories per ounce, so the fed volume should be reduced to
 offset that.
\par Thickened feedings are especially useful if the infant\rquote s weight is below ideal, but may be a bad idea if the infant is too heavy. Thickening formula with rice cereal may cause constipation.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Do not overfeed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
With overfeeding, the infant may become uncomfortable, and learn that regurgitation will make the abdominal discomfort disappear promptly.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Drugs}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Despite millions of research dollars invested by multiple drug companies to determine whether their drugs might help, no drug has been proven to reduce spitting up in infant regurgitation.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Surgery}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
The most common operation in the United States is the fundoplication, an operation for treating GERD.
\par However, fundoplication is unnecessary for functional infant regurgitation, which will resolve spontaneously by the end of the first year of life.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Effective reassurance}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
Infant regurgitation is a common, passing, harmless functional symptom. A clinician provides reassurance of this when listening with empathy.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Outcomes in Infant Regurgitation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf18\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \line 
As far as we know, infant regurgitation has no permanent consequences. It does not cause any problems later on in life
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Irritable Bowel Syndrome
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 What Does IBS Mean
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Irritable bowel syndrome is a disturbance of bowel function that includes symptoms of abdominal pain or disc
omfort and altered bowel habit (change in frequency or consistency)\~\endash  chronic or recurrent diarrhea, constipation, or both in alternation. IBS comprises a group of functional bowel disorders.
\par "Irritable Bowel" refers to a disturbance in the regulation of bowel function that results in unusual nerve sensitivity and muscle activity.
\par "Syndrome" refers to a number of symptoms and not one symptom exclusively.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6230647 How Common is IBS
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 A population based study of 507 middle school and high school students by Hyams\~}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 
\i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 et al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
. indicated that 6-14% of the adolescent population note symptoms consistent with the IBS. In the study, anxiety and depression scores were significantly higher for students with IBS-type symptoms compared with those without symptoms. Eight percent of all
 
students had seen a physician for abdominal pain in the previous year. These visits were correlated with abdominal pain severity, frequency, duration, and disruption of normal activities; they were not correlated with anxiety, depression, gender, family s
tructure, or ethnicity.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 What Are The Symptoms of IBS
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
The symptoms of IBS include abdominal pain or discomfort and changes in bowel habits. To meet the definition of IBS, the pain or discomfort should be associated with two of the following three symptoms:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
start with bowel movements that occur more or less often than usual
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}start with stool that appears looser and more watery or harder and more lumpy than usual

\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
improve with a bowel movement
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Other symptoms of IBS may include
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls19\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 diarrhea \endash  having loose, wat
ery stools three or more times a day and feeling urgency to have a bowel movement
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}constipation \endash 
 having hard, dry stools; two or fewer bowel movements in a week; or straining to have a bowel movement
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}feeling that a bowel movement is incomplete
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}passin
g mucus, a clear liquid made by the intestines that coats and protects tissues in the GI tract
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
abdominal bloating
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Symptoms may often occur after eating a meal. To meet the definition of IBS, symptoms must occur at least once per week for at least 2 months.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641 {\pict{\*\picprop\shplid1026{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fillColor}{\sv 2960685}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn alignHR}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fStandardHR}{\sv 1}}{\sp{\sn fNoshadeHR}{\sv 1}}{\sp{\sn fHorizRule}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex1\picscaley1\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag1894745884\blipupi1270{\*\blipuid 70ef871cc177de800b55f9d06baee381}
010009000003c800000006001c00000000000400000003010800050000000b0200000000050000000c0226002600040000002e0118001c000000fb0249ff0000
000000009001000000cc0440002243616c6962726900000000000000000000000000000000000000000000000000040000002d010000040000002d0100000400
00002d0100000400000002010100050000000902000000020d000000320aae00000001000400000000002600260020006b000500000009020000000203000000
1e0007000000fc0200002d2d2d000000040000002d01010008000000fa02050000000000ffffff00040000002d0102000e00000024030500ffffffffffff2300
230023002300ffffffffffff08000000fa0200000000000000000000040000002d01030007000000fc020000ffffff000000040000002d010400040000002701
ffff1c000000fb021000070000000000bc02000000cc0102022253797374656d0015d89814150800000000ba32015ef76872c211467130f8dd17040000002d010500040000002d010500030000000000}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par }\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}
{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}
{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Diagnostic Criteria (Rome III)\~\endash  children and adolescents aged 4 to 18**
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Criteria fulfilled at least once per week for at least 2 months prior to diagnosis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 Must include 
both of the following:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Abdominal discomfort* or pain that has two out of three features:\~\~\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 Improvement with defecation; and/or\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Onset associated with a change in frequency of stool; and/or\~\~\~\~\~\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Onset associated with a change in form (appearance) of stool.\~\~
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls22\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
No evidence of an inflammatory, anatomic, metabolic, or neoplastic process that explains the subject's symptoms.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
*"Discomfort" means an uncomfortable sensation not described as pain.
\par ** The diagnostic criteria for IBS are applied after the child becomes a reliable reporter for pain, typically in the early school years.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641 {\pict{\*\picprop\shplid1027{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fillColor}{\sv 2960685}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn alignHR}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fStandardHR}{\sv 1}}{\sp{\sn fNoshadeHR}{\sv 1}}{\sp{\sn fHorizRule}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex1\picscaley1\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag-1290486064\blipupi1270{\*\blipuid b314bed0daf83d1a2cff08414ea15926}
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ffffffffffff2300230023002300ffffffffffff08000000fa0200000000000000000000040000002d01040007000000fc020000ffffff000000040000002d010500040000002701ffff040000002d010000040000002d010000030000000000}}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 
\par }\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}
{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}
{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Children with IBS may also have headache, nausea, or mucus in the stool. Weight loss may occur if a child eats less to try to avoid pain.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb150\sa150\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid13239262 \cbpat8 \rtlch\fcs1 \ab\af0\afs36\alang1025 \ltrch\fcs0 
\b\fs36\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 How is IBS Diagnosed
\par }\pard\plain \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 A history that fits the Rome Criteria for a diagnosis of IBS, accompanied by a normal physical examination and normal growth history,
 are consistent with a diagnosis of childhood IBS. A nutritional history, assessing for adequacy of dietary fiber in those with constipation, as well as ingestion of sugars such as sorbitol and fructose in those with diarrhea, is often useful.
\par Factors alerting the clinician to the possibility of disease include night time (nocturnal) pain or diarrhea, weight loss, rectal bleeding, fever, arthritis, delayed puberty, and a family history of inflammatory bowel disease.
\par A limited laboratory screening for diseas
e is frequently reassuring to the clinician, patient, and family for patients with persistent symptoms and may include a complete blood count, stool studies, and breath hydrogen testing or a trial of a milk free diet for lactose malabsorption.
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Psychologic Features
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 The population based study by Hyams\~}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 et al}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
. noted that anxiety and depression were more prevalent in adolescents with IBS than the control population. However, psychological data in childhood are limited to assessments in recurrent abdominal pain,
 and so are not directly applicable to childhood irritable bowel syndrome.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641 {\pict{\*\picprop\shplid1028{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fillColor}{\sv 2960685}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn alignHR}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fStandardHR}{\sv 1}}{\sp{\sn fNoshadeHR}{\sv 1}}{\sp{\sn fHorizRule}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex1\picscaley1\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag-1594388509\blipupi1270{\*\blipuid a0f78fe3bf30e745203f36eafafa2e5e}
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\insrsid673641\charrsid13239262 
\par }\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\titlepg\sectlinegrid360\sectdefaultcl\sectrsid5070923\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}
{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}
{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Of Interest\~\endash  Linaclotide Study for Treatment of IBS-C in Children
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 March 22, 2016 \endash  Participants s
ought for a multicenter, randomized, double-blind, placebo-controlled safety and efficacy study of a range of linaclotide doses administered orally to children ages 7 to 17 years, with irritable bowel syndrome with constipation (IBS-C). The purpose of thi
s study is to evaluate the safety and efficacy of linaclotide for the treatment of\~}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
irritable bowel syndrome with constipation (IBS-C), in children ages 7-17 years}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 .\~
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Treatment
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Once there is a diagnosis of IBS, the treatment goals are to provide effective reassurance to the child and family, and to reduce or eliminate the symptom(s). The doctor must educate and reassure the child and family that although IBS causes discomfort it
 does not lead to more serious disease and is not life-threatening.
\par While there is no cure for IBS the symptoms can usually be reducd. This often includes a combination of approaches including changes in diet, medications, and other therapies.
\par Large meals c
an cause cramping and diarrhea, so eating smaller meals more often, or eating smaller portions, may help IBS symptoms. Eating meals that are low in fat and high in carbohydrates, such as pasta, rice, whole-grain breads and cereals, fruits, and vegetables 
may help.
\par Certain foods and drinks may cause IBS symptoms in some children, such as
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 foods high in fat
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}milk products
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1049\langfe1049\langnp1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}drinks with caffeine
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 drinks with large amounts of artificial sweeteners, which are substances used in place of sugar
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}foods that may cause gas, such as beans and cabbage
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Children with IBS may want to limit or avoid these foods. Keeping a food diary is a good way to track which foods cause symptoms so they can be excluded from or reduced in the diet.
\par The presence or severi
ty of the pain should not be disputed. A review of the current understanding of IBS and the effects that stress and anxiety can have on worsening the condition helps the child and family to understand why the pain occurs. Psychosocial difficulties and tri
ggering events for symptoms will be asked about and, if present, addressed.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Children and Fiber
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Children, as well as adults, benefit from a balance of fiber in their diet. Their requirements are less than for adults. For children, ages 3 to 18, the American Dietetic Association reports a formula for determining recommended fiber intake\~\endash 
 a child's age plus 5 equals the grams of dietary fiber he or she should eat daily. Good sources are fruits, vegetables, and whole grains. As with anyone increasing dietary fiber, it is important to drink extra liquids such as water, or milk.
\par Medications may be used\~\endash  such as a tricyclic antidepressant, which in low doses acts as a pain reliever, or anticholinergics to help control intestinal cramping. However, effectiveness of
 these drugs in children is anecdotal and not supported by well-designed studies to confirm their efficacy. In those with constipation increased dietary fiber may be recommended. However, fiber is often associated with an increase in intestinal gas produc
tion, and may increase abdominal cramps and flatulence. Flatulence is especially embarrassing to the school-age child.
\par The following therapies can help improve IBS symptoms when emotional factors play a role:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin720\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Talk therapy.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~Talking with a therapist may red
uce stress and improve IBS symptoms. Two types of talk therapy used to treat IBS are cognitive behavioral therapy and psychodynamic, or interpersonal, therapy. Cognitive behavioral therapy focuses on the child\rquote 
s thoughts and actions. Psychodynamic therapy focuses on how emotions affect IBS symptoms. This type of therapy often involves relaxation and stress management techniques.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f3\fs20\lang1033\langfe1049\langfenp1049\insrsid673641\charrsid13239262 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Hypnotherapy.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \~
In hypnotherapy, the therapist uses hypnosis to help the child relax into a trancelike state. This type of therapy may help the child relax the muscles in the colon.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
In patients with symptoms that do not respond to treatment, endoscopic evaluation of the colon may be done. Irritable bowel syndrome may coexist with inflammatory bowel disease. Tests can differentiate an
 inflammatory bowel disease from a functional GI disorder such as IBS.
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 6. Materials of methodical maintenance of employment.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 6.1. Etiology and pathogenetic factors of Functional diseases of GIT in children.
\par 2. To classify Functional diseases of GIT,  analyze the typical clinical picture of acute respiratory disease.
\par 3. Draw up a plan of examination and analyze information of laboratory and instrumental inspections at Functional diseases of GIT.
\par 4. To put a preliminary diagnosis of Functional diseases of GIT in infants, to distinguish between the state of emergency and Functional diseases of GIT.
\par 5. Demonstrate possession of the principles of treatment, rehabilitation and prevention of Functional diseases of GIT.
\par 
\par }\pard \ltrpar\ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7546426 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid7429245 
6.2. The information necessary for the formation of knowledge, ski}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7546426\charrsid7429245 lls can be found in textbooks: 
\par }\pard\plain \ltrpar\s21\qj \fi360\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7429245\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f39\fs22\lang1049\langfe1033\cgrid\langnp1049\langfenp1033 {
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\cf1\lang1033\langfe1033\langnp1033\insrsid7429245\charrsid7429245 - }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\cf1\lang9\langfe1033\langnp9\insrsid7429245\charrsid7873618 basic}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \i\f0\fs24\cf1\lang1033\langfe1033\langnp1033\insrsid7429245\charrsid7429245 :}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\cf1\lang1058\langfe1033\langnp1058\insrsid7429245\charrsid7873618 
\par }\pard\plain \ltrpar\ql \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7546426 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7546426 1. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid7546426\charrsid7546426 
Kliegman, R.M., St Geme, J.W., Blum, N.J., Shah, S.S., Tasker, R.C., Willson, K.M., & Behrman, R.E. (Eds.). (2019). Nelson Textbook of Pediatrics (21st ed.). 4264 p.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid7546426\charrsid7546426 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin720\itap0\pararsid7546426 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7546426 
Drossman, DA, and Hasler, WL (2016). Rome IV-functional GI disorders: disorders of gut-brain interaction. Gastroenterology.\~}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7546426 150}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7546426 , 1257-1261.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid7546426\charrsid7546426 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid803581\charrsid803581 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \ltrpar
\qj \fi-360\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin720\itap0\pararsid803581 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid803581\charrsid803581 
Robin SG, Keller C, Zwiener R, Hyman PE, Nurko S, Saps M, et al. Prevalence of pediatric functional gastrointestinal disorders utilizing the Rome IV criteria. J Pediatr. 2018;195:134\endash 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid401984 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid803581\charrsid803581  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid2516306 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid4474789\charrsid4474789 \hich\af0\dbch\af0\loch\f0 4.\tab}}\pard \ltrpar
\qj \fi-360\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin720\itap0\pararsid13124593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid4474789\charrsid4474789 Zeevenhooven J, Browne PD, L\rquote 
Hoir MP, de Weerth C, Benninga MA. Infant colic: mechanisms and management. Nat Rev Gastroenterol Hepatol. 2018;15(8):479\endash 96.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid4474789 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7546426 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7546426 
\par }\pard \ltrpar\ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7429245 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid7429245\charrsid7025788 - a}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\lang1033\langfe1049\langnp1033\insrsid7429245 dditional}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\cf19\insrsid7429245\charrsid7025788 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid7429245\charrsid7025788 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid2516306\charrsid2516306 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar
\qj \fi-360\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin720\itap0\pararsid13710083 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid2516306\charrsid2516306 Saps M}{\rtlch\fcs1 \af293 \ltrch\fcs0 
\f293\lang1033\langfe1049\langnp1033\insrsid2516306\charrsid2516306 , Velasco-Benitez CA, Langshaw AH, Ram\'edrez-Hern\'e1
ndez CR. Prevalence of functional gastrointestinal disorders in children and adolescents: comparison between Rome III and Rome IV criteria. J Pediatr. 2018;199:212\endash 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid401984 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid2516306\charrsid2516306  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid2516306 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langfenp1049\insrsid9252627\charrsid9252627 \hich\af0\dbch\af0\loch\f0 2.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid9252627\charrsid9252627 
Mani J, Madani S. Pediatric abdominal migraine: current perspectives on a lesser known entity. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9252627\charrsid9252627 Pediatric Health Med Ther. 2018;9:47\endash 58.\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid9252627\charrsid9252627 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7546426 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7546426\charrsid7799477 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 6}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 3}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang9\langfe1049\langnp9\insrsid673641\charrsid13239262  The estimated card for independent work with literature
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh492\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 N\cell Main Task\cell Recommendation\cell Answers\cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh492\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh246\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 1\cell 2\cell 3\cell 4\cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh246\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 1\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Acquaint with literature and educational goals\cell 
Give information about epidemiology of the disease
\par Give the definition of the disease studied.\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8350381 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh2003\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 2\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Etiology\cell Fill the scheme of etiological factors
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \'85%\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\'85%\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\'85%\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\'85%\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow0\irowband0\lastrow \ltrrow
\ts11\trgaph108\trrh624\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth2438\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth403\clshdrawnil \cellx397\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth212\clshdrawnil \cellx633\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth461\clshdrawnil \cellx1079\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth212\clshdrawnil \cellx1315\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth453\clshdrawnil \cellx1754\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth229\clshdrawnil \cellx1990\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth468\clshdrawnil \cellx2443\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh2003\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh2003\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh1592\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 3\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Pathogenesis\cell Fill the scheme of pathogenetic factors
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Pathogenesis
\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow0\irowband0\lastrow \ltrrow
\ts11\trgaph108\trrh130\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2011\clshdrawnil \cellx2016\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh1592\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1024\langfe1024\noproof\langnp1033\langfenp1033\insrsid5702453 {\shp{\*\shpinst\shpleft1762\shptop-8\shpright2136\shpbottom352\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz3\shplid1026
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn wzName}{\sv \u1055\'3f\u1088\'3f\u1103\'3f\u1084\'3f\u1072\'3f\u1103\'3f \u1089\'3f\u1086\'3f\u1077\'3f\u1076\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1090\'3f\u1077\'3f\u1083
\'3f\u1100\'3f\u1085\'3f\u1072\'3f\u1103\'3f \u1083\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1103\'3f 5}}{\sp{\sn dhgt}{\sv 251659264}}{\sp{\sn fLayoutInCell}{\sv 1}}
{\sp{\sn fHidden}{\sv 0}}{\sp{\sn fPseudoInline}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8195\dpline\dpptx0\dppty0\dpptx374\dppty360\dpx1762\dpy-8\dpxsize374\dpysize360\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1388\shptop-8\shpright1388\shpbottom352\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1027{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn wzName}{\sv \u1055\'3f\u1088\'3f\u1103\'3f\u1084\'3f\u1072\'3f\u1103\'3f \u1089\'3f\u1086\'3f\u1077\'3f\u1076\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1090\'3f\u1077\'3f\u1083\'3f\u1100\'3f\u1085\'3f\u1072\'3f\u1103\'3f \u1083\'3f\u1080\'3f\u1085
\'3f\u1080\'3f\u1103\'3f 4}}{\sp{\sn dhgt}{\sv 251658240}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fHidden}{\sv 0}}{\sp{\sn fPseudoInline}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194
\dpline\dpptx0\dppty0\dpptx0\dppty360\dpx1388\dpy-8\dpxsize0\dpysize360\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft640\shptop-8\shpright1014\shpbottom352\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1028{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn wzName}{\sv \u1055\'3f\u1088\'3f\u1103\'3f\u1084\'3f\u1072\'3f\u1103\'3f \u1089\'3f\u1086\'3f\u1077\'3f\u1076\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1090\'3f\u1077\'3f\u1083\'3f\u1100\'3f\u1085\'3f\u1072\'3f\u1103\'3f \u1083\'3f\u1080\'3f\u1085
\'3f\u1080\'3f\u1103\'3f 3}}{\sp{\sn dhgt}{\sv 251657216}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fHidden}{\sv 0}}{\sp{\sn fPseudoInline}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193
\dpline\dpptx374\dppty0\dpptx0\dppty360\dpx640\dpy-8\dpxsize374\dpysize360\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow0\irowband0\lastrow \ltrrow
\ts11\trgaph108\trrh547\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth666\clshdrawnil \cellx671\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth212\clshdrawnil \cellx907\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth585\clshdrawnil \cellx1492\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth212\clshdrawnil \cellx1728\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth676\clshdrawnil \cellx2404\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh1592\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid673641\charrsid13239262 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh1592\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 4\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Clinical data\cell Make differential diagnosis of this disease and similar to its condition
\cell \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8350381 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh492\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 5\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Diagnosis\cell 
Make and explain diagnosis according to the results of clinical, laboratory and instrumental data.\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8350381 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh492\trleft0\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh1001\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 6\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Treatment\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1024\langfe1024\noproof\langnp1033\langfenp1033\insrsid5702453 {\shp{\*\shpinst\shpleft1388\shptop-866\shpright1388\shpbottom-686\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz0\shplid1029
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn wzName}{\sv \u1055\'3f\u1088\'3f\u1103\'3f\u1084\'3f\u1072\'3f\u1103\'3f \u1089\'3f\u1086\'3f\u1077\'3f\u1076\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1090\'3f\u1077\'3f\u1083
\'3f\u1100\'3f\u1085\'3f\u1072\'3f\u1103\'3f \u1083\'3f\u1080\'3f\u1085\'3f\u1080\'3f\u1103\'3f 2}}{\sp{\sn dhgt}{\sv 251656192}}{\sp{\sn fLayoutInCell}{\sv 1}}
{\sp{\sn fHidden}{\sv 0}}{\sp{\sn fPseudoInline}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dpline\dpptx0\dppty0\dpptx0\dppty180\dpx1388\dpy-866\dpxsize0\dpysize180\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Make program of treatment. Write prescription of preparations which is used for the treatment of this disease
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Rp}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \'85\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Rp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \'85\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Rp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \'85\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Rp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \'85\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow0\irowband0\lastrow \ltrrow
\ts11\trgaph108\trrh648\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth3323\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth534\clshdrawnil \cellx539\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth322\clshdrawnil \cellx861\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth608\clshdrawnil \cellx1469\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth322\clshdrawnil \cellx1791\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth598\clshdrawnil \cellx2389\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth322\clshdrawnil \cellx2711\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth617\clshdrawnil \cellx3328\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh1001\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh1001\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row \ltrrow}\trowd \irow8\irowband8\lastrow \ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 7\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Prophylaxis and rehabilitation}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262  \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 Fill the scheme of dispensary control
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 N\nestcell{\nonesttables
\par }Specialist\nestcell{\nonesttables
\par }Time\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh285\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx383\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil \cellx1801\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1334\clshdrawnil \cellx3135\nestrow}{\nonesttables
\par }}\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trrh285\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx383\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil \cellx1801\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1334\clshdrawnil \cellx3135\nestrow}{\nonesttables
\par }}\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh285\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx383\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil \cellx1801\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1334\clshdrawnil \cellx3135\nestrow}{\nonesttables
\par }}\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 {\*\nesttableprops\trowd \irow3\irowband3\lastrow \ltrrow
\ts11\trgaph108\trrh301\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx383\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil \cellx1801\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1334\clshdrawnil \cellx3135\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow8\irowband8\lastrow \ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\pard \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 \cell \cell }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid673641\charrsid13239262 \trowd \irow8\irowband8\lastrow \ltrrow\ts11\trgaph108\trrh755\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth9373\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth602\clshdrawnil \cellx602\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1850\clshdrawnil \cellx2452\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3511\clshdrawnil \cellx5963\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3410\clshdrawnil \cellx9373\row }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1058\langfe1049\langnp1058\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang9\langfe1049\langnp9\insrsid673641\charrsid13239262 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid673641\charrsid13239262 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 7. The quality of self-training materials. \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 A. Questions for self-control \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 
1. Functional gastrointestinal disorders in young children: definition, classification (Rome criteria), etiology, diagnosis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 2. Rules of breastfeeding.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 3. regurgitation in infants: etiology, diagnosis (pilorospazm, pyloric stenosis)}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 Clinical management.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 4. Ruminatsiya: determining tactics.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 

\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 5. Intestinal colic: causes, diagnostic criteria, clinical, tactics.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 6. Dysheziya.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1033\langnp1058\langfenp1033\insrsid673641\charrsid13239262 7. Functional constipation: causes, diagnostic criteria, clinical, tactics.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641\charrsid13239262 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\langfenp1033\insrsid673641 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 B. Tests for self-choice. \line }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 1. Child was diagnosed with cyclic vomiting syndrome.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 At what age according}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Literature the disease is most common?
\par A. Early Age
\par + B.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Preschool
\par C. Primary school age
\par D. Senior school age
\par E. Adolescents
\par 2. The child is 5 years, after the test a cyclic vomiting syndrome was diagnosed.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 What diseases more frequently is in the family of proband?
\par A. Stomach ulcer
\par B. Acute rheumatic fever
\par + C.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Cholelithiasis and urolithiasis
\par D. Glomerulonephritis
\par E. Myocarditis
\par 3. The boy 4 years old entered the hospital with complaints of multiple vomiting during day, weakness, drowsiness, recurrent abdominal pain.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 When viewed sluggish expressed phenomena of dehydration, the smell of acetone breath.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 The skin is pale, dry.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Liver come from the edge of costal arch for 3 cm. Don\rquote t defecate for 2 days.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Urine acetone+.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 What kind of disease should think?
\par A. Acute intestinal infection
\par B. Ulcer
\par + C.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Acetonemic vomiting syndrome
\par D. Gilbert's syndrome
\par E. CVS
\par 4. The patient is 6 years old. Brought to the hospital with complaints of multiple vomiting during the day, weakness, drowsiness.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 From history we know that these attacks are repeated 2-3 times a year on various stressful situations.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Sluggish expressed phenomena of dehedration .Skin is pale and dry.}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 The liver acts from the edge of the costal arch to 3.5 cm. There was 
defecation.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
In laboratory examination of blood and urine defined hypoglycemia, hypercholesterolemia, hyperuricemia, hiperketonemiya, acetonuria and acidosis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Your diagnosis.
\par A. Dysentery
\par B. Acute respiratory disease
\par S. Influenza
\par + D.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Cyclic vomiting syndrome
\par E. Acute pancreatitis.
\par 6. Mother of the child 4 years old appealed to the district pediatrician complaining constipation in her child, who was about 1 year ago.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 The survey put diagnosed with functional constipation of nutritional origin.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 What are the causes of this condition:
\par A. Violation of the feeding regiment
\par B. Early transfer to artificial feeding of baby
\par C. Eating too many sweets
\par D. The presence of constipation in mother
\par + E.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 All pererahovane
\par 7.Child 5 years old is at the dispensary in the district pediatrician with diagnosis of functional constipation.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 What factors are "launchers" mechanisms in this disease?
\par A. Emotional factors
\par B. Neurological factors
\par C. The final effects of perinatal hypoxia
\par D. Poor social adaptation
\par + E.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 All above
\par 8. A child of 4 years admitted to hospital complaining of loss of appetite, bloating, and rumbling stomach pain, stool detention 3-4 days.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 When viewed shkirnipokryvy pale, coated tongue, belly swollen, painful on palpation hodukyshechnyku.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Chairs were not 4 days.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Set preliminary diagnosis:
\par A. Stomach ulcer
\par B. CVD
\par C.Chronic hepatitis 
\par + D.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Functional constipation
\par E. Acute intestinal infection
\par 9.Child 3 years old, was diagnosed with functional constipation.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Which \'93tables\'94 hould be appointed for this patient?
\par A. Table \'b95
\par B. Table \'b92
\par S. Table \'b915
\par + D.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Table \'b93
\par E. Table \'b94
\par 10. The mother of the 1.5 months old child requested the pediatrician to complain that despite feeding the baby begins to "suddenly" bring leg to his stomach, show anxiety.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Then  it abruptly turns red and starts to cry.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
The general condition of the child is not disturbed matches between seizures he is calm, normally gains the weight, has a good appetite.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Preliminary diagnosis?
\par A. CVS
\par + B.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Functional intestinal colic
\par C. Chronic colitis
\par D. Acute intestinal infection
\par E. Acute appendicitis
\par }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
\par 6.3.}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \cs26\i\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Task}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
A child of 4 years admitted to hospital with complaints of multiple vomiting, weakness, drowsiness, recurrent abdominal pain.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Preliminary diagnosis is cyclic vomiting syndrome.
\par Question:
\par 1. Make a plan of examination.
\par 2. What are the main causes of this disease?
\par 3. Principles of treatment CVS
\par 4. What diseases you can differentiate syndrome with?
\par 5. The follow-up scheme
\par Answers:
\par 1. General blood and urine, CSF, ultrasound of the abdomen, neural pathology.
\par 2. Lack of liver enzymes (glucose-6-phosphatase), which promotes imparing
\par Of acetyluric liver function and metabolism of fatty acids
\par 3. Abundant drink, infusion replacement therapy, antispasmodics, chelators
\par 4. Chronic gastrointestinal pathology
\par 5. Clinical supervision for 3 years by pediatrician, endocrinologist, neurologist
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid23797 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Patient 5 years old, is in hospital with complaints of repeated vomiting
\par overnight, weakness, sleepiness, thirst.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
From history we know that these attacks
\par repeated 2-3 times a year on various stressful situations.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Sluggish, expresses dehydration.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Skin pale and dry.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 The liver comes from the costal arch on
\par 3.5 cm.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~Did}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001  not defecate.}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
In laboratory examination of blood and urine are determined hypoglycemia, hypercholesterolrmia, hyperuricemia, hyperketonemia, acetonuria ,acidosis.
\par Question:
\par 1. Give the clinical diagnosis
\par 2. What is the etiology of this disease?
\par 3.Diet for this patient
\par 4.Treatment for this patient
\par 5.Fllow-up scheme
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 
Mother of 3 weeks of age Child appealed to the pediatrician complaining that after feeding the baby is loud and shrill screams, there may be redness of the face or paleness nasolabial triangle.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid673641\charrsid6977001 Abdomen is swollen and tense, taut legs to
\par abdomen, feet touch can often be cold pressed to handle the body.
\par Noticeable relief comes immediately after defecation.
\par Question:
\par 1. Put diagnosis
\par 2. What are the causes of this disease
\par 3. What are the causes of pain
\par 4. Principles of treatment
\par 5. Principles of follow-up
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 8. 
Materials for the classroom self-study: \line }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid3095520 8.1. List of educational practical tasks which must be performed in the practical (lab) classes}{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 \line 1. To assess the state of the child. \line 
2. Collect medical history and conduct a physical examination of the patient. \line 3. To evaluate the results of additional research methods. \line 4. Formulate a diagnosis according to  the modern classification of diseases. \line 
5. Assign treatment of the patient. \line 6. Create a plan of follow-up. \line 7. To render the first aid in hyperthermal syndrome \line 8. To write recipes preparations for the treatment of }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1049\langnp1033\insrsid7017760\charrsid7799477 FGID}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815  in children. \line }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 
\par 9. Instructional materials for learning professional skills, skills: \line }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid3095520 9.1. Methods of work, perform the steps}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\lang1033\langfe1049\langnp1033\insrsid673641\charrsid3095520 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid5406677 1. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
Establishing the diagnosis: 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid5406677 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 . identify a complaint, analyze the
 history data, to find the typical clinical symptoms characteristi}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7017760 c of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid7017760\charrsid7799477 FGID}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 . 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid5406677 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 . conduct a differential diagnosis. 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid5406677 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 . formulate the main clinical diagnosis, comorbidities, complications.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid5406677 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 
Destination therapy.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3095520 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid3095520 10. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid3095520 Materials for self-control of mastering knowledge, skills, abilities}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid673641\charrsid8074815 \line }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \i\cf20\lang1033\langfe1049\langnp1033\insrsid15621887\charrsid15621887 Task}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\cf20\lang1033\langfe1049\langnp1033\insrsid4466745\charrsid14832454 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 Baby 3.5 years admitted to hospital with complaints of constipation, abdominal pain, poor appetite.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 These complaints concern child about a year.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs26\cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 The examination in hospital  show no o
rganic pathology of the gastrointestinal tract .
\par Question:
\par 1. Put clinical diagnosis
\par 2. What is the etiology of this disease?
\par 3. The principles of diet therapy
\par 4. Principles of treatment
\par 5. The follow-up scheme
\par Answers
\par 1. Functional constipation
\par 2. Impared mechanisms of regulating motor activity of the gastrointestinal tract
\par 3. Table \'b93
\par 4. Compliance with the active motor mode, exercise therapy, massage, physiotherapy effects, laxatives, prokinetics, enkephalins
\par 5. Within 3 years, 2 reviews twice a year, antirecurrent and spa}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid3095520  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\lang1033\langfe1049\langnp1033\insrsid3095520\charrsid6977001 treatment.

\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13239262 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid4466745\charrsid14832454 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1049\langnp1033\insrsid4466745 
\par 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1058\langfe1049\langnp1058\insrsid4466745\charrsid4466745 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1049\langnp1033\insrsid673641\charrsid13239262 
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