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One of the greatest achievements of medicine was the discovery and introduction of vaccination for all major contagious diseases. Romania was one of the countries that have contributed to the development of vaccinology. Currently, one of the most intensely debated issues is related to a person’s right to accept or not vaccination. The patient can be put in different situations, which is why the authors discuss these issues. Given that it is easier and cheaper to prevent than cure, through vaccination this goal can be achieved. The compulsory vaccins should meet the necessary criteria of mandatory and optional ones remain at the discretion of the patient or legal caregivers. Facing the major risks that an epidemic outbreak represents, general interest prevails, because ultimately, the freedom and security of any person ceases where it affects another person’s freedom and security.

The transition from intrauterine to extrauterine life is a complex physiological adaptation. The most common adjustment problems are present in preterm and in term infants delivered by caesarean section. Caesarean section performed at the request of the mother (in the absence of maternal or fetal indications) increase the risk of prolonged hospitalisation, can cause breathing problems in children and increases the risk of complications in a subsequent pregnancy. Also, breast feeding is delayed in children born by caesarean section. Birth by caesarean benefits are for short term: fewer surgical complications, low risk of bleeding, and absence of urinary incontinence. There are authors who claim that birth by caesarean section performed at the request of the mother, as well as emergency caesarean delivery is associated with a high morbidity risk to both mother and fetus.

Background Subocclusive intestinal syndrome is caused by a heterogeneous group of enteric neuromuscular diseases that causes abnormalities of gut motility. Subocclusive syndrome can occur at any age, but in young children, most often, can be fatal. This may be due to intrinsic primary or secondary visceral disorders (drug toxicity, ischemia, inflammatory or autoimmune diseases, infection with Epstein-Barr virus or cytomegalovirus, myopathies). Case presentation We present the case of an infant male, 1 month and 2 week old, admitted in the Paediatric Gastroenterology Clinic, „St. Mary’ Children Emergency Hospital, Iasi, Romania for jaundice and the appearance of flatulence, with progressive intensification from the age of 3 week old, with loose stools. Laboratory analysis revealed a positive Cytomegalovirus IgG and IgM antibodies. Conclusion Cytomegalovirus infection should be considered in intestinal pseudo-obstruction in order to initiate appropriate treatment and avoid serious complications that may arise.

Introduction The inherited gastrointestinal polyposis syndromes are divided into adenomatous and hamartomatous varieties. The adenomatous polyposis syndromes include familial adenomatous polyposis coli, Gardner’s syndrome and Turcot’s syndrome. Gardner’s syndrome is characterised by the presence of numerous intestinal polyps, with extra-intestinal manifestations of bone and soft-tissue such as desmoid fibromatosis, lipomas, osteomas and epidermal cysts. Cases report We report the cases of 2 brothers (17-year-old girl and 15-year-old boy) with typical symptoms of Gardner’s syndrome who were sent from the Genetics Clinic at the V-th Paediatrics Clinic of “St. Mary” Children’s Emergency Hospital to perform a colonoscopy (for highlighting the colonic mucosa damage). Their mother and their maternal grandfather had a suggestive history of a similar disease. The patients were diagnosed to have colonic polyps. Conclusion The patients with Gardner’s syndrome must be closely followed-up, since there is a constant threat to their lives at any age.